My ears pricked up on the comment about "pain medication arriving hours late" This is a situation I encounter regularly in my professional capacity. In general, pain medication doesnt arrive late, but is generally given withhin an acceptable time frame. What is much harder to do is to actually give enough pain medication to control the pain. Side effects from analgesia can be very severe, including stopping breathing, so we usually work to an "analgesic ladder" where the minimum pain relief is given, then a period is taken into account for it to work, then more given if the patient is still in pain, until comfort is reached. This may take several hours to achieve satisfactorily, but its way different from a patient not recieving any medication whatsoever.