What happens if I take 20 soothings in the same day

That depends on the type, dosage, tolerance if addict, method of ingestion? If your habitual user for high and have been shooting up for 20 years, have you been suffering from a develop a dilapitating diagnosis with pain daily for the last 20 years taking pills orally and now have a higher dependence to maintain a level of comfortable pain management?

There is a big difference in lortab 10mg and 60 mg oxycodone.

There is no dr that will say take 20 at time so I'm assuming your an addict, suicidal or pain so severe you want it to just end? 20 pills will likely result in either temporary relief and function being limited to autonomic nervous system. The danger from OD of opiates is it basically slows your breathing to point you stop. That is what causes death.