What is the love affair that PMD's and even some general surgeons have with demerol . On our ortho floor is we are not even giving our doctors the option to use it in the new pain management protocol. It doesn't work, gives elderly people narcotic induced psychosis with very little amounts and ust isn't a justifable medication unless the patien is allergic to dilaudid or ms04. Is this just and issue in our area or is this nation/world wide?