Not wanting to hijack the thread but...
If they failed to use a condom and came to me after PCOD I would use sterile water instead of lidocain in the Roceph.
That pain usually kept me from having to treat anyone until a new guy got to the team. They usually would listen to you for the first deployment then they would go crazy on the next one. After the sterile water they would find the right balance. I will now dub it as 'Goldy Locks Syndrome'. I wish I had thought of that before I retired.
A lesson learn hard is a lesson learned well!