The hospital is a duck pond. Went to ER by ambulance in excruciating pain from an injury, middle of the night/weekend. Unfortunately for me, I suffer from severe chronic pain and use opioids [prescribed by a pain management specialist, monitored monthly]. The doctors on call, one fairly new, one a long established practitioner, chose to withhold pain ameliorating medication just in case I was some drug-seeking junkie looking for a quick fix. Blood pressure, heart rate, respirations - not to mention the involuntary screams - were certainly indicative of a severe problem. Finally, they administered a small dose of a mild analgesic [certainly compared to my usual medications, which were ineffective at this time]. The pain eventually ebbed below the screaming stage, but began to wear off quickly. They eventually repeated the dose at my emphatic insistence. Next thing I knew, they were talking about admitting me to the hospital, which I declined with vigor. Despite my protests, a tech came in and drew pre-admission blood for testing, all while I was telling the doctor there was no way in hell I was staying. Finally it penetrated that I was leaving, demanding a plan for pain control to see me through until I could see my pain specialist. They recommended doubling my normal medications. I got relief finally, and my pain management doctor literally curdled when told. The "plan" was medically unsound and dangerous. They skimped on the immediate treatment [I checked the discharge papers for drugs and dosages - barely adequate to treat a headache] then told me to risk overdose without any oversight. If i refused their dreadful hospitality, well, I was not their responsibility. Others have commented on the overall attitude, level of care, etc. The negatives far outweigh the positives in my experience. Had I had any other resources available to me, I would never have gone anywhere near Hamilton Hospital or its merrie band of whatever.