I’ve treated so many cocaine users. This is the one sign that makes it so obvious you have a problem, how it can kill you in a night… and the embarrassing sexual side effect you may not have heard of: DR PHILIPPA KAYE

I remember many things from my days and nights working as a junior doctor in A&E, but some are more vivid than others.

In particular, I remember seeing a young man in his twenties who came in with severe chest pain. My registrar at the time told me to go back and ask him how much cocaine he had taken.

I protested that I had already asked about drug use when taking his history, and he had denied it.

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