(This video was solely the work of Jean-Paul Michael, I apologize in advance if this video offends anyone. The concept of someone "faking" an overdose was viscerally disturbing to me as a former substance user. I needed to address it.)  In this impactful episode of our addiction medicine podcast, we diverge from our regular content to present a sobering and educational perspective. We scrutinize body cam footage documenting the final moments of Jean DesCamps, a 26-year-old man, at an Oregon hospital. This episode is a reminder of the complex nature of situations involving substance abuse. We aim to shed light on issues such as potential overdose, malingering, and the critical need for behavioral awareness in a non-judgmental manner, fostering a learning opportunity and addressing stigma in addiction. Jean DesCamps was discovered in a state of distress on Portland’s TriMet MAX train and was taken to Providence Milwaukie Hospital. Despite exhibiting symptoms of opioid intoxication, the response was limited, focusing more on perceived behavioral problems than on a comprehensive medical evaluation. This approach raises important questions about the assessment and treatment of patients with substance use histories. The body cam footage reveals DesCamps in an obtunded state, clearly struggling to communicate, groaning, and drooling. The decision by a medical to suggest removing him to a bus stop, under the assumption that his condition was feigned, becomes a focal point for discussion. This scenario illustrates the challenges in making accurate assessments and the potential for critical misinterpretation in treating patients with addiction. Law enforcement’s role is also highlighted in the episode. Called to assist with DesCamps’ removal from the hospital, the officers’ reluctance and their recorded conversations demonstrate the ethical challenges they face. Their eventual decision to take him to Unity Behavioral Medical Center, and what followed, underscores the serious nature of DesCamps’ condition. Our discussion is intended to stimulate thought and conversation, not to assign blame. We explore the intersections of medical care, addiction, and law enforcement, emphasizing the need for empathy and appropriate training in managing addiction cases. The graphic content, though presented carefully, is essential to convey the educational aspect of this tragic event. Our goal is to honor Jean DesCamps’ memory by encouraging discussions about improving practices in addiction medicine and emergency care. Viewer discretion is advised for the graphic content of this episode. Featuring addiction case manager and former addict Jean-Paul (JP) Michael, the channel focuses on all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. JP shares his motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city.