,HISTORY OF PRESENT ILLNESS: , This is a 52-year-old gentleman with a long history of heroin abuse, who keeps relapsing, presents once again, trying to get off the heroin, last use shortly prior to arrival including cocaine. 
,HISTORY OF PRESENT ILLNESS : , This is a 52 - year - old gentleman with a long history of heroin abuse , who keeps relapsing , presents once again , trying to get off the heroin , last use shortly prior to arrival including cocaine .