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”
I have that effect on people.