diff --git a/blastmud_game/src/message_handler/user_commands/use_cmd.rs b/blastmud_game/src/message_handler/user_commands/use_cmd.rs
index 7e7a312..ff636b6 100644
--- a/blastmud_game/src/message_handler/user_commands/use_cmd.rs
+++ b/blastmud_game/src/message_handler/user_commands/use_cmd.rs
@@ -25,6 +25,7 @@ use crate::{
         broadcast_to_room,
         skills::skill_check_and_grind,
         effect::run_effects,
+        check_consent,
     },
     language,
 };
@@ -164,6 +165,14 @@ impl QueueCommandHandler for QueueHandler {
                 None => user_error("You can't use that!".to_owned())?,
                 Some(d) => d
             };
+        if let Some(consent_type) = use_data.needs_consent_check.as_ref() {
+            if !check_consent(ctx.trans, "use", consent_type, &player_item, &target).await? {
+                user_error(format!("{} doesn't allow {} from you",
+                                   &target.display_for_sentence(!ctx.session_dat.less_explicit_mode,
+                                                                1, true),
+                                   consent_type.to_str()))?
+            }
+        }
         if let Some(charge_data) = item.possession_type.as_ref()
             .and_then(|poss_type| possession_data().get(&poss_type))
             .and_then(|poss_data| poss_data.charge_data.as_ref()) {
diff --git a/blastmud_game/src/services.rs b/blastmud_game/src/services.rs
index dccf0ab..0d04864 100644
--- a/blastmud_game/src/services.rs
+++ b/blastmud_game/src/services.rs
@@ -74,6 +74,10 @@ pub async fn check_consent(trans: &DBTrans, action: &str,
         });
     }
 
+    if target.item_code == by.item_code {
+        return Ok(true)
+    }
+    
     trans.delete_expired_user_consent().await?;
     if let Some(consent) = trans.find_user_consent_by_parties_type(
         &target.item_code, &by.item_code, consent_type).await? {
diff --git a/blastmud_game/src/static_content/possession_type/trauma_kit.rs b/blastmud_game/src/static_content/possession_type/trauma_kit.rs
index c7c18b3..0981d4a 100644
--- a/blastmud_game/src/static_content/possession_type/trauma_kit.rs
+++ b/blastmud_game/src/static_content/possession_type/trauma_kit.rs
@@ -1,5 +1,8 @@
 use super::{PossessionData, UseData, UseEffect, ChargeData};
-use crate::models::item::SkillType;
+use crate::models::{
+    item::SkillType,
+    consent::ConsentType,
+};
 
 use super::PossessionType::*;
 
@@ -216,6 +219,7 @@ pub fn medium_data() -> PossessionData {
               } else {
                   None
               }),
+          needs_consent_check: Some(ConsentType::Medicine),
           ..Default::default()
       }),
       becomes_on_spent: Some(EmptyMedicalBox),