In the nursing home, Scott would take a syringe and siphon fentanyl out of the Duragesic patches used for patients with chronic pain. He’d then swallow or inject the drug and reapply the empty patch, as his patients moaned softly in bed. “In your own heart, you convince yourself that you need it more than they do,” Scott remembered. “ ‘If I do this, I’ll be able to take care of thirty of you.’ ”

