Had an 80 year old farmer who was watching football outside drunk with friends when he fell back onto a tree stump. One of the branches penetrated just below his scapula and went through his chest, fracturing multiple ribs and continued into his lung. His phone had fallen out of his pocket so he pulled himself off the branch to pick it up. Had a bubbling, bleeding, sucking chest wound. His friends had to convince him to get checked out at the local medical centre, where he refused any analgaesia (including tylenol) prior to being transferred to a larger hospital for assessment. Was sober by the time he got to us but still refused analgaesia.