We will not, I repeat, WILL NOT, give you IV Dilaudid when you sign AMA from your long term care hospital across the effin' street because they just stopped your IV Dilaudid and you want some more, and then proceed to immediately call the ambulance from your room because you want to go the ER and see if we'll give you some Dilaudid. Yup. The ER doctor will receive a call from your doctor prior to your arrival, despite the 2 minute trip, and meet you at the ambulance bay to be like, "Nope, bye".
Any questions? Oh, and also, it's poor form to sleep during your entire 40 minute visit (the time it took for the private ambulance to come get you to return to sender) while complaining of 10/10 pain.