30 y/o female, Hep C+, HIV+, hx heroin, ETOH, cocaine and amphetamine abuse comes in for pacemaker implant (go figure). Is worried we will ruin her breast implants with the pacer pocket. When I bring her pre-op valium, she asks me if we have bottled water for her to sip it down with. “I’m very careful about what goes in my body.”