<prompt> Translate the following text to English38 Matembezi katika idara ya dharura ni ya kawaida sana miongoni mwa wagonjwa wanaotumia dawa za kulevya hivi kwamba haiwezekani kwamba wao huwakilisha kikundi cha pekee cha wagonjwa wanaokataa matibabu.  <response>: 38 Visits to the emergency department are so common among substance-abusing patients that it is unlikely they represent a special treatment-resistant subgroup. 