Complaint of the Night #82


Chief complaint written on the chart: Insomnia
Nursing notes state: Patient unable to sleep due to chronic pain in his back after family physician would not refill prescriptions for Dilaudid and Kadian.

I open the door and walk in the room. The patient is laying on his side facing away from me.
“Hi, Mr. VanWinkle, what’s going on with …”
“… your back”

Condition cured.

I have that effect on people.


  1. Can you provide the same level of care for my insomnia? With the exception of a broken fibula, no pain. Mind you the busted ankle has no bearing on the insomnia, I just dont sleep. See you in the ED.

  2. ever notice that the cc of insomnia seems to always come in at, like 6am when your overnight is coming to an end?

    uhh, dude it’s morning. go about your day.

  3. Just curious, for those who work in the ED–how do you guys handle the insomnia crowd?
    Or is the vast majority of the crowd people who show up presenting with Insomnia secondary to [fill in the blank]

  4. Thanks Josh. 🙂

    Yes Chuck… I have gone the Benadryl route on rare occasion but it always has a residual groggy effect on me in the morning. And it is a medication. But…I will use it if I HAVE to sleep and can’t. 🙂

  5. Update -I have bought melatonin since this last comment. I got it from costco and it also has a green tea derivative to aid in relaxing/anti-stress.

    I LOVE the product and sleep well using this product. It was $11.89 for 300 tablets.

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