hehe. You sound like you're getting very angry at this annoying vegan you've imagined. You're absolutely right that if a patient needs it, they're probably not in a state where you'd query it. But really, relax. There's millions of vegans, and few if any that would ever think of asking you for vegan EPI in an emergency. Whilst there are religious people who refuse life-saving medications, for most vegans, their principles are simply to make the less harmful choices where there is one, not to die for an ideology. And in a non emergency, what's so threatening hypothetically about a vegan asking if there's an option for a medication that's the more ethical choice? I use asthma inhalers, and requested the dry powder version rather than the aerosol. They're the same drug, but the aerosol is environmentally harmful. The doctor, nurse and pharmacists were all delighted to help. If they protested their assignment in treating me, I think they'd look a little crazy...