This is the story of one woman who needed routine hemorrhoid surgery after giving birth to her second child. HMO regulations required she be fitted with a morphine pump and sent home. A pump that the manufacturer says must be monitored for at least 24 hours. Less than 12 hours later she was dead. Within an hour she was throwing up from a morphine overdose. Several hours later, the nurse was called in, checked the pump and left. In less than 3 hours the woman was dead.