@@cnb1243 there might be a situation where that actually happens though, like pains as soon as the body wakes up something kind of like morning sickness
Do you have sleep issues? Sometimes you doze off after hours of trying only to wake up in an hour and try again for a few hours (that can easily be 4-5h) to eventually fall asleed early in the morning. Then someone wakes you up and condescendingly says that you "slept thrpugh the night" and them waking you up is "proof" =/ Hospitals should monitor brain waves in such cases. Shouldn't be hard to prove that you were in fact laying there awake most of the night but were so tired and so desperate fpr sleep that you didn't dare move much, not to mention open an eye (opening even one eye can wake you up so much that you will not be able to remain laying still and will shutter any hopes of falling asleep). Insomnia sucks.
@@qaskas insomnia is a curse i wouldn't wish on anyone. The other user seems to have personal experience so they cant just chill out if they've been sleep deprived for god knows how long
You should be able to sleep for 10h though. It sucks to be exhausted but unable to sleep more then 6h when you know that whenever you manage to get 9h you're not exhausted. Also maybe that guy wakes up at 4am no matter what time he goes to sleep. If I go to sleep too early, like way before midnight, say 9:30-10pm I'll wake up at 2am tops and be exhausted, tired and sleepy (as in desperately wanting to sleep) and unable to go back to sleep until around 6-7am =/ If I go to sleep around midnight though I can easily sleep 9-10h and then be fine all day. When I fall asleep at 7am however I'll either wake up at 9-10am and be exhausted or, if I'm lucky sleep all day =/ Sleeping troubles are a real thing.
@Colm Mc Carthy for some of us they are not, I have had insomnia since I was a child. I would lay awake counting how many hours I had left to sleep if I fell asleep right then, for as long as I remember. I had no TV or night light in my room, a consistent bedtime time, as well as a bedtime routine, or in other words good sleep hygiene. Still it was like many nights only for me to fall asleep in school the next day for short micro naps. As an adult I tried many behavioral changes, kept a sleep diary, and all the steps, and can honestly say that without the Ambien ER maximum dose (which releases one dose instantly, and another in four hours) I won't fall asleep nor stay asleep. So until you have all the facts making blanket statements like that and some of the others from nurses are just unprofessional. I may be asleep when you come to give me my pill but just because I can take a short nap without it doesn't mean I can get a healthy night's rest.
@@chellann I had terrible insomnia as a child and teen too. I remember waiting until I could hear the birds start to chirp in the morning and knowing I was going to have a very rough day at school. Thankfully it has gotten better as an adult.
The only unrealistic part was how dark and quiet the patient's room was, lol. Should have had beeps and whines and air blowing super loudly, and really loud reports the hall outside
If you’re lucky enough to get your own room and not the shared ones, it is pretty dark and peaceful, sometimes in the shared rooms too when the others want some sleep
This made me lol! Everytime I've been hospitalized, I couldn't wait to go home so I could get some sleep!!! Between vitals and blood draws and "are you sleeping? How are yous?" a person couldn't sleep if they tried! Lol.
So glad I no longer work in the hospital setting. It’s like setting the docs and nurses up for failure- if you comply with patient wishes you contribute to whatever dysfunction they have- usually narcotic or diet related. If you do the right thing and deny them their request, your satisfaction scores plummet and you’re on some administrator’s shit list. When will they ever realize hospitals are not hotels?
@@katie6044 if they’re legitimately in pain, sure give them their medication, but I think they’re talking about not giving people things that won’t help them (such as if they request foods right before a surgery or something)
@@katie6044 The “motel mentality” is much more about people who just had a heart attack wanting McDonalds for dinner, people who think I am there to wait on them like a servant and cater to their every desire. People under my care are never denied pain medications, that’s cruel and unethical. But if you are on a strict diet, or you are not to eat at all and you want a fat piece of chocolate cake and French fries and you are going to call your family to complain that we are “starving you” that’s different.
During a recent hospital stay I couldn't sleep. Instead of asking for something to help me sleep I just got up and walked around the unit every 20 minutes. Luckily it was laid out in a triangle and at the 90° corner was the nurse's station. By 1:00 a.m. they brought me something to help me sleep. I still find it comical that during the day the nurses were encouraging me to get up and walk yet when you do it at night it creeps them out and they want you to go to sleep.
It's not your fault it's just that on most units our night walker patients are either acute psych or confused as hell and high fall risk. There's rarely lucid walkie talkies walking the unit at night😭
It's not that you creep them out... over nights is when people try to escape, patients getting up when they're not suppose to, rooms are dark and are tripping hazards so staff needs to be with them to supervise, on top of normal work...the hospital I worked at was days/evenings 5 nurses and 9 nurse assistant..... overnights was 5 nurses and 2 nurse assistants and 35-40 patients... Instead of a staff stopping all work to monitor 1 person.. we'd rather have you in bed.
You feel worse for the perfectly healthy guy doing his job at his regular hours than the chronically ill patient who has been hospitalized trying to get restorative sleep in a noisy awful hospital setting?
@@wizardjokes No! We are not doing our job on regular hours, we work long shifts and are constantly deprived of sleep, and even if we do get some sleep it’s usually disrupted by calls or pages, and we then are expected to function at 100% as if nothing wrong is going on
@wizardjokes this…isn’t helpful. Doctor suicide and burnout rates have been notorious issues for a while now. Also there’s enough pity to go around and we can feel bad for both. Many of the way doctors are overworked (especially residents) are massive labor law violations (or they should be) not to mention dangerous. Both for them and the people they treat. it’s something that should be taken more seriously than it is. If the doctor is burnt out and overworked guess what happens to the patients?
Before my third open heart surgery, I got about 4 days of just waiting at the hospital. Since I had trouble sleeping on the hospital bed and they were done with all the testing, I figured I could go home for those 4 days and come in the day before surgery. I mentioned this during the round and some of the doctors were fine with it but then this one doctor mentioned how they let someone with a similar condition go home for a few days before surgery and she died at home from heart failure. So I was stuck at the hospital, couldn’t sleep for a few days, but I got to live for another decade lol
@@originalusername3049 lol english is not my native language! I said another decade cause I’m supposed to get open heart surgery to replace my pulmonary artery valve every 10-15 yrs. Yeah congenital heart disease sucks 😂
This is hilarious. I’ve negotiated with many Mr Joneses who say they can’t sleep. The lights are on, tv blaring, head of bed up…I ask if this is how they sleep at home and they look at me like I’m an idiot and say no. So I tuck them in and usually come back to the same sight as Doc Schmidt. 😄
Or the ones who have the lights on, TV on with the sound all the way up, on their phone...say "it's the only way I can sleep!", then ask for a sleeping pill.
@@tejoned Shockingly, a lot of adults including myself still have an irrational fear of the dark. I always have the feel someone is watching me so I have my phone charging and the flashlight on as a night light and some noise playing because I can’t sleep with in silence (also because everyone in my house can’t stop banging around in the middle of the night)
@@MethuselahWinter I am also a grown adult (38) who is deathly afraid of the dark I also have extreme anxiety that gets worse while lying in bed I was told after a sleep study that I have psychological insomnia (whatever that means) I take a xanax every night before bed and still lie awake and toss and turn for hours I have tried melatonin herbal teas meditation ect. My point some people absolutely have trouble falling asleep without assistance and its annoying when doctors just act like your out to get meds. On a normal work week bases I get about 4 hours asleep a night if im lucky on a weekend more because I can sleep in later.
The one time I was in the hospital, they came in every hour to check, or take blood etc....plus the light in the hall were so bright....there was no sleeping through all that.
I've actually been here before. both melatonin and benadryl didn't work. and I was only getting 90 mins of sleep at a time for days. Sure I would fall asleep but I'd wake right back up. The pain was unbelievable and I couldn't cry because I had really bad dry eyes. Still can't go to sleep even with benzos but it wasn't as bad as that time. When people say they can't sleep I feel for them. Its hell.
Well I was prescribed ketilept because I couldn't sleep normally for months like I went to bed at 3-4 am, and eventually pushed it to 7-8 am, but now that I looked it up, it's not just a sleeping pill so I was surprised, it's more specific to me, maybe you should get something specific to you and your symptoms prescribed
It is hell when you can't sleep. Even worse when you are exhausted & wake up due to pain. They shouldn't have left you waking in pain like that if they were aware of it. Today they are too afraid of looking bad for giving out narcotics so even when they would help they don't give them. It's ridiculous. Please advocate for yourself if this happens again.
My issue was that I got my transplant and EVERYONE in the ward was over the age of 60. I was 20 years old listening to old people snore, wheeze and cough all night. To stay I couldn't sleep was an understatement. I was in hospital for over 2 months.
Literally same I’m currently 24 in hospital in a room with old men. Luckily I’m being prescribed Triazolam/lorazepam for day time sedation and temazepam and Zopiclone for sleep plus I have head phones and I can leave tomorrow
SAME! I had endocarditis followed by a valve repair at 19 (had my 20th birthday in hospital yay) and the ENTIRE cardiac ward was geriatric patients apart from me. And you don’t get private rooms in the UK unless you’re pretty special (i.e. paying, not NHS). Luckily for me, after a week with practically zero sleep, they decided I was special! 😊 It was still noisier than I’m used to, but that private room was absolute bliss in comparison to the previous week! Spent another three months there in comparative luxury! 😋
@@HerHollyness I was in ICU in New Zealand and I got my own room then I got down dreaded to a ward with other people so they upped my sleeping pill dose by 4 percent because I was scared of the other patients and instead of teaching me skills to cope they chucked pills at me. Which worked
I’m 29, and had a kidney transplant at 27. I have anxiety about GOING to sleeping because I have nightmares and sleep paralysis every night due to PTSD. Having people come in and out of my room all the time, and the associated noises of older patients, plus all the codes, etc… I didn’t get a good night’s sleep the entire 3 months I was there.
I had this issue when I was in the mental hospital, I have specific medications that just do not work for me or give me horrible side effects, but the nurses tend to believe that you just want specific meds to get high
Yeah, there's all these nurses in the comments giving the party line about "we give you your prescribed meds" but I know they use their "judgement" to decide who needs what when.
If it's mood stabilizers, anti psychotics or meds for anxiety, I can understand being on your normal regimine...but what many of us get is: I have a headache and I'm allergic to Tylenol, ibuprofen, torodol, morphine, aspirin...the only thing I can take is that med that starts with a "D". We have to prioritize our care. IF...big IF, someone is just looking for a fix, I'm focusing on the other person who really needs help. And it's true, we can only give meds the doc orders. We don't have the scope to give people what they want. We can recommend or ask but that means nothing. Ultimately, the physician does the ordering, nurses do the dispensing.
Most mental hospitals won’t give you medication that you’re prescribed out side of the hospital, if it’s narcotic or something they believe is something addictive.
@@victoriadiesattheend.8478 No darling. We use our judgment when we feel the patient might be in danger. If you're claiming you have 10 out of 10 pain but you're falling asleep while talking to me you're not getting any more pain medicine. If you have 10 out of 10 pain but your blood pressure is significantly low where your MAP tells me you're not perfusing adequately, you're not getting pain meds. And I'm going to document that. You should be willing to take a little bit of pain to keep yourself alive. People don't seem to understand that narcotics are nothing to mess with. They KILL people in and put of the hospital setting.
@@victoriadiesattheend.8478 ok listen we fight for the safety of all patients. We’ll advocate for patients who need and we will pass on the necessary info to the doctor in every case because it’s our job. There are many patients that ask for very specific medications that are using it to get high and they are passed on as well. If you talk to a doctor or nurse and give them research about a medication and why you think it might be a good idea to be on it or why you think it’ll they’ll often process your idea and if they agree will put you on it or will suggest something else. The issue is Xanax will fuck up your life they are highly addictive both physically and mentally along with many other medications there’s a very fine line the medical field walks in not fucking you up and fixing you instead
I was addicted to Xanax a few years back and I told my doctor to help me quit. Been clean for 3 years now, however I developed pretty severe insomnia a year ago (sleeping roughly 1-2 hours every two days) and since that addiction is on my record, I'm refused any form of sleep medication. Shit sucks.
@@TheEmmakathryn You wouldn't be woken up to be given a hypnotic, but if the patient is in too much pain/has too much spasticity for normal sleep then potentially impairing balance/coordination is the lesser evil
Okay but stopping abruptly someone’s benzos will make them go into withdrawals…..let’s please not do that. Tapering off benzos can take a year sometimes, it’s no joke.
This. If a patient takes the meds at home, they should have it continued under supervision. I am actually appalled at this video suggesting it’s not ok for a patient to request their regular meds while in treatment. Especially when they’re 80. 🥺 this is why most people don’t have the trust to get treatment until it’s too late.
My significant other's mother suffers from neuropathy and a series of other infirmities. She is legitimately ill and has been for most of his life. She also takes medication for depression and anxiety. Not too long ago her mental health med levels were raised and this played holy hell with her. She became paranoid and delusional, and eventually her husband had to bring her to the local psychiatric hospital. Lo and behold the nurses, seeing the many medications she is on, started withholding her pain medication from her on day one. She would have to ask and ask, and became upset that she was being treated like an addict. I know nurses are busy but muliple hours of delay multiple times? This is part of why I don't trust anyone in the medical industry.
@@victoriadiesattheend.8478 I’m sorry that happened to her. It’s possible that it was ordered “as needed” but your mother in law took it every day scheduled at home. This means that instead of bringing it to her automatically, she would have to ask for it and depending on their staffing and the size of their med passes it could be delayed. It is little glitches like this in how meds are ordered that can make things so frustrating. If the med reconciliation isn’t properly done on admit it can make things very difficult. Obviously I don’t know the details but it’s not really up to nursing how often meds can be given, we are not prescribers. Only a doctor can order a medication’s frequency. And if your mom asks for an as needed pain med in the middle of the psych med pass or something it’s not always possible to get that for her. Now this doesn’t excuse it obviously, if someone takes something at home for pain they should be able to get it period, but if I had to guess that would be the explanation.
I had a patient go without his benzo and ended up getting so disoriented he ripped out his catheter 3 times. I asked if I could have something to help put the fourth one in and the doctor responded like I was crazy since he was in 4 point restraints and still confused AF. The doctor looked at his records much later and realize “wait he has been taking klonopin at home for 10 years. Sure I’ll give you an order”.
@@nickichris093 well if you not giving them anything and you don’t tell them that’s what it is then you’re not lying they ask for a medicine you give them the fake medicine and don’t say anything
@@nickichris093 what about giving them something like a wristband and spout out how due to pressure points it'll do this and that and help them fall asleep? You'd still get a placebo but no lying about medication
When I'm in the hospital, I know it can take three or four hours to get new medication ordered for me. So, yes, I will ask for a sleeping pill at or before 7 pm (not between 7-8 pm, because that's when most hospitals do rounds, so I only call then if there's something I absolutely cannot wait for) so I can ask for it at midnight and not cause a fuss in the middle of the night.
At least he gets those hour breaks. I'm the nurse actually taking care of the patient in room 473 or whatever and it is a constant non-stop badgering for that stuff, trust we hate calling a doctor especially for something like that but they won't leave us alone.
@@limiv5272 I’ve only ever had hospital stays after I’d given birth but those 4-5 am check ins would be so annoying. Sometimes even 1-2 am :( I feel like I didn’t ever get any real sleep until I left the hospital 💀
Just had a couple of day stay in the hospital. Being poked and prodded every 3 hours is not good for sleep. And then, blood pressure is low. Yeah, I HAD been sleeping on my left side, finally, and not trying to stress about shit and trying to get well. But give me a few seconds and let me think about everything going wrong at home...you watching that blood pressure go up, yeah, that is my normal.
You don't go to a hospital to sleep, you go to get better. Those middle of the night check ups are because the condition of a patient can change very quickly and we are trying to keep everyone alive
Try being the nurse on the other end dealing with an angry patient and an angry doc and all you wanna do is finally sit down and chart and maybe eat or even pee if you are lucky...
@hasslfoot After several failed nursing attempts, it's your turn to come tell him. They came to see the doctor, not nursing. Been doing this a long time and I'm happy to give an explanation that should make sense to most people, but if they don't want or like my eloquent explanation, it's now your job dude, to come lay the news on them that you prescribed (if you're in house of course) (Aka hospitalist)
@hasslfoot Lol, ward. I'm old and get poked fun at for using that antiquated term. Guessing your attendings are old school for you to pick up that term.
My 75 year old fathers sleep medicine was withheld by a doctor when he was in the hospital. Doctor didn't believe he really needed it. My father was awake in the hospital bed for 5 days straight before the doctor gave him his meds and when he did he scolded him for being addicted to sleep medicine. The willingness for doctors to withhold meds that patients need solely because their personal feelings about controlled medicine is destroying their profession.
Sadly this wouldn't happen if not for the abuse of sleeping meds and prescribing them when melatonin would do just fine. The behavior of some patients and doctors causes the entire system to suffer.
@@pola6794 lol melatonin doesnt and hasnt ever done anything for me and i know plenty of people who say the same thing. Doctors withholding medicine because of the opiate epidemic and addiction epidemic in general is disgusting and is more about their personal bias than it is about helping the patient long term.
@@mohammadw373 I don't doubt it for a second, I was sick for a week recently and slept only 6 hours over that week and went 4 days straight unable to sleep, literally staring at the ceiling in the darkness. It's miserable
Mack Draper.... you know what gets me really mad, the fact that for years doctors have been giving out tons of benzos and pain medication knowing full well that the patients would probably get addicted and now that the drug crisis is so bad in America because of people who are misusing these drugs not because the people who are taking them because they really need them and they are taking them as prescribed but because of these people who are just getting high from them now the people who really need them cannot get them and they are suffering and it is not their fault!!! Personally I think if a man is that old and he's used to having a Xanax a small dose of Xanax to go to sleep at night give them the small dose of Xanax for heaven sakes he's not going to die from a small dose of Xanax to help him sleep!
When I say i cant sleep i mean i might finally fall asleep around 12-1 am but I'll legit wake up every hr, sometimes 2, & struggle to fall back to sleep each time. By about 11am I've gotten a total of abt 6-8hrs of sleep on a good night & still tired all day. Also this prevents my body from ever falling into a deep sleep
If it isn't safe for them anymore, maybe you should try to find a different pain medication that is. People with chronic pain aren't the ones who are dying if you read the statistics.
@@katie6044 Can you point me to the statistics your talking about? I just read 5 papers/articles on med websites that all identified prescribing opioids for chronic pain as the leading cause of the opioid epidemic.
Also agree 👍. Had a patient that at first hello, how are you? Began to spill out her misery and anguish qbout how she's just over life, over all this bs.. upon further asking, turns out her doc said her labs indicate that she needs to cut back on sodium, and now her caregiver forces her to eat bland foods and not allow salt to season. When I shared this with another MD, he shines the light. Asked me how old she was first. Mid 80s. Then, ..the heck she's lived her life qnd this is her last yrs! What more is there to it?! Let her live it to the best of her wishes!! Let her have a seasoned, salted meal if that's what she wants! We all die! At least she should be allowed to enjoy the last times!! What harm? For what??? Few more years of no fun?! Bs!
The one time in my life I slept a lot without my sleeping meds was in the hospital. It's cool how tired healing from surgery and bad infection make you lol. Didn't even ask to get sleeping meds!
Yes, very realistic indeed. When I was struggling with suicidal depression for years because I couldn't sleep, I got very used to telling doctors melatonin doesn't work while they rolled their eyes at me and acted as though I had no idea what I was talking about.
This is why patients need to speak up when they come to hospital please tell your health care provider all medications you take even the ones you don’t take regularly. As a nurse I don’t like calling the doctor 5011 times for stuff like this. Also then the doctor can tell you no himself why your not getting the medicine and we can avoid this 🤷🏾♀️
Biggest trick life pulled on me was making me an actual insomniac since 3rd grade and allergic to melatonin ~ Also apparently id stand up and stare at my parents as a baby too from my crib in the night so they had to move me cause it freaked them out; like, *all* night just absolutely silent blank/creepy wide eye smile staring😂 I was surprisingly a pretty good calm kid; never fussy abt going to bed or anything, just never able to sleep Always had insanely good reading too lol I'd read entire small novels -one every night😂😂always best in English thanks to that👌
My insomnia started at age 6, I'm 50 but I still remember wandering the house, looking out of the windows, hoping I'd see a light on in someone else's house because if someone else was awake like me I didn't feel so alone. I had a stomach ulcer by the age of 12. I can't take melatonin, diphenhydramine or Ambien, I have strange reactions to medications, ambien made me suicidal and benadryl gives me horrible restless legs. I've learned to just deal with it and I nap during the day if I can because I actually can sleep easier in the daylight hours than I can at night. I have severe night time anxiety that starts as soon as the sun sets and that's the cause of my insomnia. Insomnia sucks.
one time i was in the hospital for almost a week and I was sick of not sleeping cos of the beeping so I asked for something to help me sleep. they gave me melatonin and i loved it! now i take it whenever i need help sleeping.
Must be a placebo effect or something then, bc melatonin doesn’t work like that, it works cumulatively - meaning it has to build up in your system over a week or two before it starts actually working. Very strange to me that drs are prescribing it as a prn sleeping aid.
That's always been a pet peeve of mine when I have been in hospital... I try to make sure the doc has an order in for one - and inevitably, they don't. Your video brings up another potential issue for me.... I have been on xanax for 20 years (for tinnitus issues) and literally can not go to sleep without it. There are serious consequences of withdrawal if it isn't given. I am 71 and have heart issues - all my docs know I'm on it and have never denied me. In all the 20 years, I have never increased my dosage above .25mg. I would be really pissed if a random doc in the hospital decided to just randomly say - nah... she doesn't need it. I know most people would say - hey man.. you need to get off it - that stuff is bad!!!! I say, it is very effective for me to quiet my brain down with the tinnitus (which screams at me) and can go to sleep.
@@fuzzycatbutts newsflash. most medicine is addicting. but this HELPS them. it helps them sleep and quiets down their tinnitus, they're not taking it just because they want to.
Definitely better than my experience on the ward after major orthopaedic crash repairs; had a terrible time trying to get to sleep. Usually managed to doze off in the wee small hours, only to be woken up by a nurse asking whether I needed something to help me sleep. That's right, I was woken up every night to ask whether I needed something to help me sleep. Every. Night. For. The. First. Two. Weeks. Eventually I said, yes, yes thank you, it would help me sleep enormously if you would go and jump out of that 6th floor window right there (try not to scream too loudly on the way down, there's people trying to sleep, doncha know...) It got me labelled as A Demanding Problem Patient, but it was worth it.
😂😂😂 the most annoying page a nurse have to do. Pt wants sleeping pill and prefers Xanax over melatonin. We are all equally annoyed for calling the docs and by the patient that will be sleeping by the time you get an order😒😒😒
@@uok6216 the difference is nurses specifically are there to help patients, not to judge them based off of their prescriptions their doctor orders. And this is coming from someone who isnt on any medication. You cant compare nurses to other jobs because they are one of the few people who are supposed to help you when youre in your worst possible state. Instead theyre petty and shit talk you the second they leave the room. Nurse interns are usually pretty great. But thats because they havent been hardened by their stressful job.
I wouldn't take melatonin if you paid me to sleep, and I don't want Xanax either. I'm used to sleeping badly. I bring books when I need to stay in the hospital. I read myself to sleep.
@@spicysalad3013 i work in the mental health field and work around nurses all day long. I would argue i probably deal with "worse" patients than your average nurse.
@@nope-ou2jp Throughout middle school (yes, middle school) and high school I knew a lot of people who took Xanax and got addicted. Xanax is also referred to as a “bar (typically white” “school bus (yellow bar)” “green hulk, (green bar)” I’m about to exaggerate a lot, but it literally turns you stupid. Mf are like zombies, we call them “bar-tards”. It has a really bad rep..I don’t know your dads circumstances and am not judging, but I think everyone should find a diff alt than Xanax.
@@matthewryan9238 oh okay, my dad's psychiatrist told it so im pretty sure it's safe. he also said it's addictive and stuff but my father was in a bad condition so the doc was probably right . but ty for the explanation. have a great day/nighttt
Once worked at a hospital for Benadryl at bedtime was routine for everyone on the medicine floor. And when I questioned it I was basically told to shut up
It shouldn't be used like that for more than 2 weeks though. People advocate melatonin but it doesn't KEEP you asleep =/ I cannot blame people for wanting to just be knocked out for 10h. Especially when they know from experience that that's the only way to wake up not tired
@@d-meth melatonin has worked fine for me for years, but I also get it's unstudied and so you can't make good protocol from it. But I also have very bad secondary insomnia from my ADHD, to the point where my meds with drowsiness as a side effect and my melatonin are the only way I feel sleepy. I was routinely reading until past midnight and waking up with the sun before that
@Ash Correll I’m pretty much that person to a tee. I’m very irregular when I go to sleep and when I wake up. On my phone having something as background when I sleep and want something to just knock me out. It’s mostly just me having terrible self control, I used to blame it on my anxiety and depression. Then I blamed it on the medication I was taking for them, realized I just hate the process of going to sleep.
No way ur falling asleep when withdrawing on Xanax, I would have given him a small dose to take the edge off so he could sleep, but I guess that’s why I’m a drug dealer and not a doctor lmao I love the videos btw
Well this is kinda shitty. My grandpa who is 82 with stage 4 cancer can't get anything to help him sleep or with his pain. I'm sure you're an amazing doctor but you do realize a patient being asleep doesn't automatically mean they don't actually have trouble sleeping. Especially in an elderly patient as they fall asleep constantly but have a hard time getting actual restful sleep which I'm sure was the issue and you as a doctor should know that.
Calm down, drug seeking behavior is more common than stage 4 cancer. I'm sure he would've actually given the patient pain medication if he had stage 4 cancer, instead of a myriad of other problems people are hospitalized for. 🙄
@@fuzzycatbutts their comment still checks out tho. older people and people with insomnia can't get restful sleep, they can look like they're sleeping but it's not sleep that will make you feel rested
@@brutus3631 How does that check out? The original comment is calling the video's message shitty and assumes this doctor wouldn't prescribe their grandfather medicine. That doesn't check out at all...it completely misses the message of the video.
I have to say, as a nurse I have had these conversations and I hate them, but patient satisfaction is a top priority so I have to at least relay the patient’s request to the doctor. Although my favorite time I had this conversation was with a doctor at 10 am. I really wanted to convey that to the doctor face to face.😂
That's AWESOME! It's really nice you try for your patients. I have never made it past the "no you can't have anything" point. Then when you finally manage to fall asleep they come in and wake you up.
So by patient satisfaction you mean you throw the doctor under the bus, pretend in front of the patient that you disagree/can think of no logical reason why the doc would deny the request, and continue to encourage the misinformed irresponsible patient’s anger instead of reinforcing the doc’s EXPLANATION they already gave you? I see.
It's hard to fall asleep and stay asleep in hospitals. The beds, pillows, sheets,smell,temperature isn't the same that's we're used to sleeping in. It's even more difficult when you're used to sleeping on on your stomach. I requested for pills to help fall asleep too.
No nurse wants to make this call, this is usually after you have been cursed out threatened and stopped from caring for your other patients. At time like this I wish we could give placebos because this person wont be happy until they think they got xanax or what ever they wanted.
Yeah they should just have standing orders for placebos...lol!! Would make thr nurses life alot easier as well. .lol! Granted perhaps not ethical given we are lying to the pts BUT hey it would make our lives alot easier and our satisfaction scores would improve...win win...lol!
@@sheenawinfrey3133 I agree as soon as her an admission I call and get orders for anti emetics, general pain meds, and anything for bowel issues if at all possible. This just saves me time, because I know it's coming!
................. Well that's not how benzos work. You're not going to trick someone who's been taking benzos to get to sleep for who knows how long into thinking a placebo is a benzo. And shame on you for wanting to trick your patients. Enough people already have trust issues with medical professionals because of attitudes like yours. If you can't be compassionate and understanding towards the patients, parden my French, but what the fuck are you doing working in medicine? Especially as a nurse. Please do better for the sake of the people you're supposed to care for. I'm not saying this to be mean, I'm saying it because I want things to be better. It's absolutely appalling that having to make extra medical appointments to find a doctor that will actually listen to you is yet another hurdle when it comes to healthcare.
My experience: Me: "Hey doctor, I've been experiencing debilitating insomnia since I was a teenager is there anything you can do for sleep and anxiety?" Doctor: "We're not giving you Xanax' Me: "I'm not asking for Xanax, I'm just trying to get some relief" Doctor: "Your antidepressant does that" Me: "The SSRI I take does not do anything noticable for my anxiety. I take it for OCD not anxiety. Can I try Vistrol I had success with that in the past from my prior doctor" Doctor: "That's not what that medicine does" Me: "I know what the medicines that have been prescribed to me do, hydroxyzine is definitely prescribed for anxiety" Doctor: "That's not what that does, I will switch you to Paxil that's my favorite antidepressant" Me: "Jesus Christ no I'm not depressed and I'm already on an SSRI." Doctor: "oh ok then you're all set then?" Me: "no I need something to help me sle....you know what nevermind." Doctor "great! See you next year"
I feel this. Every year I get a really bad cold that prevents me from sleeping, which in turn only makes the cold worse. I usually reach a breaking point and drive to urgent care begging for something to help me sleep so that I can recover from the cold. Unless I drag a parent with me (I'm 28) they wont give me anything because they assume I'm a drug seeker. Ugg......
I also have OCD and have had insomnia since my earliest memories. I've had the exact same experience as you. In this skit, when the patient asks for no melatonin and this doctor reacts the way he does, it makes me want him to get out of the medical field. I've had to say with "and btw melatonin doesn't work" because I've been told to try it as a first step by every person and medical professional I've spoken to about it. I ended up developing non-24 hour sleep wake disorder, which was the most miserable thing I've experienced, and only recently (and accidentally) found a solution that's good for the OCD, MDD, and sleep disorder. SSRIs gave me an ulcer because I was vomiting so much (which was also dismissed as a symptom of the SSRI for a full year which is how the ulcer developed) switched doctors and got prescribed welbutrin in the morning and mirtazapine at night and I'm finally back on a 24 hr schedule after 4 years of hell.
@@lexaray5 oh wow thanks for the response. I have never heard of non-24 hour sleep wake disorder but man that really describes my life right now. I'm gonna do more research! Really appreciate it.
I feel like this is gonna be me at 87, at least the complaining part. I have HORRIBLE insomnia and I sleep awfully in a place that's not my own bed (pretty sure this part is anxiety related) And I go to bed at 7 PM cuz I wake up at 4 AM and do NOT sleep the entire time (the are multiple hour/two hour periods during the night that I'm awake (again, I have HORRIBLE insomnia))
See,even though I was never privy to a lot of this..I’ve been an NPO patient,as well as just a regular in patient..first and only thing I ask for-besides the list of prescribed meds I take- is a nicotine patch. I know nurses deal with a lot of shit from a lot of people,so unless something is really wrong, I don’t bother them,and do what I’m asked, even with a smile. No point in being miserable! Just might make a nurses day a bit better!😊👩🏼⚕️♥️
As a fellow nurse, You’re the best kind of patient! Some times our patient loads vary and you may be considered our “easier” patient (lower acuity, continent, verbal, alert and oriented, can ambulate, among others) compared to a very sick one (higher acuity, more needs). I apologize on every nurses behalf If you ever feel like we don’t check up on you, cus sometimes it feels like our easier patients get the short end of the stick on a busy day.. but we’ll always be around if you need us! Just hit your call button :) And hoping your recovery has gone well thus far. -RN in Colorado
I don’t think people understand my insomnia, it’s not that I just cannot fall asleep like everyone else, it’s that if I don’t have my anxiety meds I get paralysing nightmares, and if I don’t have my sleeping meds I am unable to sleep no matter how exhausted I am. The only way to fix this is to keep a tight schedule of when to sleep, but like last night I forgot to take my meds and when I fell asleep was as early as 3 am which is 3 hours faster than normal.
Ouch, as RN I apologize that some nurses are doing this. I used to ask for enteric coated ASA or AAP one tab PRN at HS. Pt's didn't know wasn't heavy stuff and was just enough pain relief to help but also gave graham crax and milk if able , back rub. So many non pharm interventions work so well.
Had a situation like this. Was locked in a mental ward. I have extreme anxiety and I had some really bad anger issues. Not being home made it so much worse. Couldn't sleep at night, ever. This is normal but it was worse here. I was there 5 nights when I was supposed to be there for 3 and on the last night I asked for something besides melatonin (I hadn't asked for anything until then) so I would pass out and not freak out from anxiety. I was denied anything and I tried for hours to sleep in a pitch black room. I was in sensory overload and there wasn't really anything going on. Someone was playing music the entire time I was there so on the last day I walked into his room and ripped the radios plug out of his wall and took it. I was fuming. I started punching the wall for 10-20 minutes to relieve stress and after awhile someone came into the room to stop me. They didn't lay hands on me but they entered the room and told me to stop and that was more than enough reason for me to scream at them. The only reason I didn't attack them was because it was my last day and I didn't want them to add any more days onto it. Heard it's the shittiest mental ward where I'm from and it caused me to hold a lot of resentment for people in that field.
I was dealing with random nausea and violent vomiting for 2 years and one day the stomach pain got too bad. Went into the ER and after one scan they saw my appendix was not happy. 2 years of going to doctors and switching doctors because the 1st one just wanted to put me on antidepressants and basically didn’t believe me when I was saying I was getting sick almost everyday for no reason. I lost 50 pounds from not eating and throwing up all the time. I quit my job because I couldn’t control it. Just irks me that it’s one of the most common things to happen to someone and I was never checked for it. 3rd useless body part I’ve had to get rid of.
And patients like these are the ones who make it difficult for people who need medication for pain or mental illness to be treated. It’s so wonderful to have the technology of medication, but you have to do other things like drink enough water, eat properly, and exercise as you can. I love your sense of humor and although I have been told that I could have gotten into med school with a C in Organic Chem, I’m glad I changed back to accounting. I literally could not deal with patients! My sister and mom have told me it’s hard to sleep in a hospital, though. Apparently doctors and nurses like to check vitals and make sure you’re alive!
Not always accurate. This is why chronic pain patients get zero sleep in hospitals. The beds suck and hurt us, and then we get pegged as drug seekers because we need these medicines "normal" people don't need just to function normally.
It’s honestly just because the patient is pissed at us that were even calling you. Otherwise they just complain forever even though they sleep perfectly fine. They’ll even sleep well through the night and complain the next morning they didn’t sleep well.
Don't spread the pain. Nothing is more frustrating then having a nurse request something repeatedly that you explained isn't an option. The perfect serve beeps every 30min for the same non-issue just ruins a day.
My experience of the hospital ( every dang time!) Is even if they keep you there for weeks they will not give you ANY of your normal meds if they aren't keeping you alive, and I had to get a friend to bring me my thyroid meds because "not necessary" . Apparently the entire hospital pharmacy does not carry allergy meds, birth control or thyroid meds, let's fix this one issue but give you 8 more because we won't give you your totally not addictive life long meds! I hate doctors... oh and who gets sleep meds at the hospital? They wake you up every hour anyway. I was told they don't give out sleeping pills. Only thing I was ever actually given was stool softener and they should have just given me coffee. Would have been cheaper for me..
The 83 year old on chronic benzo will be in DTs soon... then go to a nursing home with " dementia with agitation and high ood pressure in addition to his CHF" ... saving America.... solid work.
This happens in reverse too. I was denied my normal sleeping meds at bedtime, and by 3 am I was told it was too late for anything. Had a fun time talking to the night staff for three days in a row
And here me, with a brain tumour that has insomnia as one of the symptoms, am too afraid to ask for sleeping pills. I'd rather be tired all the time than try to drug my brain more than it needs to be. I'm already on tons of medications without asking for more. I was given melatonin but it interfered with my system too much and the hormonal system in my body that is already screwed by the tumor. So I discontinued it. I keep asking docs to remove all unnecessary meds from my prescriptions. It really lowers my quality of life with the side effects
@@gillianstewart8442 thank you so much for the kind words! It really is a big battle. I can feel my poor body try so hard to heal. Sometimes it actually feels like a storm within me and all I can do is watch helplessly as it destroys my body and life. But I battle on...I have some amazing doctors in my corner who never gave up on me. Maybe that's why I'm still here. One day at a time!
the side effects become why we need more meds. I had just try get off most myself. glad i did pushing 70 with taking hardly any prescribed meds anymore. one was leading to another was ridiculous would rather suffer with the first thing.
@@jewelleryaddict this is so, so true. It had reached a point where I didn't know whether something was a symptom from the tumour or just a side effect. I have a good neuro though. He discontinued a lot of meds prescribed by my gyno and endocrinologist ( since my tumor affects the reproductive system among other things). One cardiologist had prescribed statins to be taken for years but I changed my cardiologist who told me to take it only if my ldl went beyond 160 as unnecessary statins would cause a fatty liver over time. This type of tumor really messes up a lot of systems in the body. My life significantly improved after I started reducing meds. Just the tumor isn't as bad as all the side effects and meds to deal with those, although the tumor is horrific on its own. I'm 38 so I shouldn't have to take any unnecessary meds
@@d_dpo i understand i have had severe diagnosis of fibromyalgia with pain and chronic fatigue syndrome and bunch stuff when young. 25 yrs ago. so they started prescribing lots stuff back then didnt know what to do to help me and i ended up on so much stuff and one day questioned why am i taking so much stuff when only have pain amd fatigue. so realized most pills were to stop what another did till i traced back to the begining pill. which sometimes take., but now mostly tons vitamins and good food etc. still have pain and fatigue but not what other pills were causing. I wish you the best. hope u recover you are way to young to be suffering so much.
If he’s been on Xanax for any amount of time , he’s going to need Xanax or he’s going to start withdrawing. Even if he has heart failure, even a half-dose would not hurt him any... In fact, withholding that medicine could make him anxious and panicky and therefore contribute to his heart condition 😣😔😫
I gave a patient asking for sleeping pills in hospital a zaccharine pill which I carved in the middle to look like a diazepam, told him is diazepam, he suspiciously checked the pill on all sides. Next day he told me he slept like a baby:))
As someone who has a terrible time sleeping away from home I can imagine how hard it would be to sleep in a noisy hospital ward in a uncomfortable hospital bed. I’ve always joked they world need to knock me out to get me to sleep in a hospital. Like imovane and 200mg of seroquel.
I could sleep at the hospital but the hourly breath checks woke me up. every. hour. I get you want to make sure I'm not dead, and thanks but the hallway is as bright as the sun. the flashlight you are using not to fall (again, fair) has no green or red cover. it's a mini sun in the room. I was so glad to be able to sleep again when I got home.
I used to work nights as a respiratory therapist, and we’d have to give Q4 treatments to patients (every 4 hours, even through the night), and more often than not, I’d have patients tell me that “I didn’t sleep a WINK last night!” Even though I had to wake them up every time for their nebulizer. That gave me comfort whenever I thought I didn’t sleep much at night, because it was probably just that I was unaware that I was asleep.
I laughed watching this, but also cringed a little. There are patients with legitimate need, who also have legitimate scripts from their primary providers. It's incredibly frustrating when hospital doctors decide they know better and refuse meds.
When patients are acutely sick in the hospital, all of their meds from home aren’t necessarily appropriate anymore. Some need to be held to keep the patient safe (and some were never necessary in the first place)
I’m not laughing. Medical “professionals” make a lot of assumptions. You can’t tell if a patient is sleeping from a doorway look-see at his back. Also, he may be able to go to sleep but then wake in the middle of the night, unable to sleep anymore (especially given how noisy hospitals are).
When I was a resident and training the people under me, I specifically told them to add some thing for pain and something for sleep so they wouldn’t be called later on. Typically we put on melatonin and Tylenol as long as there are no complications. If they needed something stronger then Benadryl most of the time. Never ever ambien or benzos on our residency nocturnist shifts
Just giving another perspective to what can happen as well. So, I was a patient undergoing chemo at 13 y/o. I was given steroid as well as the chemo. I also had a Hickman catheter for ease. There came a time when I was admitted for chemo and for no explainable reasons, I couldn't fall asleep. I told the nurses, they ignored it, even when they would come into the room at 4-5 am for blood draw and I was still awake(the reason I didn't constantly call or make a ruckus at night was so that my mother who stayed with me at night could sleep). I begged doctors on rounds to help me sleep, even begged for antihistamines to fall asleep for an hour or so. On the 7th day, I wanted to go to the washroom but before I could try to stand or tell someone I needed to go, I wet myself. My motor and speech were impaired. This continued for a couple of hours before the entire neurology floor doctors came to see me to figure out what was wrong. My mother finally said about the no sleep that has been happening. They ran their tests and they put me on IV sleeping meds for a week. This episode caused me to take following years of antidepressants. Please don't take it the wrong way but please don't take all patients for liars. There are many that get ignored because of those few. Love your content Doc 💕💖
I love this. Guys had 8 hrs sleep and wants more! It’s really accurate about what is expected vs what happens at home not adding up. A doctor friend of mine was on an evening handover walk round. Nurse came over and said mrs X hadn’t passed urine in 4 hrs. Reported by my other friend on the round, the first one said through gritted teeth “I haven’t peed in 12 hrs”. Nurse backed away slowly
I try to hint at patients who ask for sleeping pills during the night shift in their 70s and up it's unlikely they will be getting one that night and will likely have to talk to their hospitalists during the day. An on call provider isn't going to be freely giving a sleeping pill for the elderly, neuro, or patients that may worsen overnight. Not that I won't call but getting something just for sleep especially something strong may not be in the cards on night shift.
And then there was me with severe insomnia, chronic pain, just after major abdominal surgery and despite a fully documented transcript of my medical records was made available, my nurses didn't even care about my post surgical pain, super awake at 3am and crying from pain... Gotta love Central America health care
I've never asked for something to help me sleep. I've been OFFERED such several times, and always said no. If I'm tired, I'll sleep. My last hospitalization, I didn't sleep for the first three days, and I tried. But I didn't ask for or accept any medication for it.
I worked as a med tech for an assisted living home for a few years, but during my last three months there we had a new guy move in who took a specific narcotic that helped with pain. The issue is that the doctor didn’t give a limit, and stated in the notes that if he requested it that he can get it anytime, so long as the last request was over an hour ago. After the first two days of him requesting it every hour I ended up calling the doctor and telling him to make it scheduled three times a day with it being able to be request every 3 hours. The narcotic in question was already at a higher dose, so I was worried about the guy just dying from so much. I recently found out that the doctor ended up getting let go for causing the death of a patient so I’m rather glad I did what I did
A patient asked me to wake him up when it was time for his sleeping pill. The irony.....
What!?
🤣🤣🤣 never gets old
🤣
Or when people ask you to wake them up when their pain pill is due 🙄
@@cnb1243 there might be a situation where that actually happens though, like pains as soon as the body wakes up something kind of like morning sickness
Ah yes. The patient you're told about who's finding it difficult to go to sleep but is sleeping when you see them. Classic.
Do you have sleep issues?
Sometimes you doze off after hours of trying only to wake up in an hour and try again for a few hours (that can easily be 4-5h) to eventually fall asleed early in the morning.
Then someone wakes you up and condescendingly says that you "slept thrpugh the night" and them waking you up is "proof" =/
Hospitals should monitor brain waves in such cases. Shouldn't be hard to prove that you were in fact laying there awake most of the night but were so tired and so desperate fpr sleep that you didn't dare move much, not to mention open an eye (opening even one eye can wake you up so much that you will not be able to remain laying still and will shutter any hopes of falling asleep).
Insomnia sucks.
@@d-meth Jeez, chill out
@@qaskas insomnia is a curse i wouldn't wish on anyone. The other user seems to have personal experience so they cant just chill out if they've been sleep deprived for god knows how long
@@d-meth um, I think that's called a sleep study. Your PMD should refer you for that as needed. Not the responsibility of acute care
@@tweetybird1480 they never said it was, im pretty sure its just them saying their experience.
"I wake up at 4am and cannot fall asleep again! I need sleeping pills!"
"What time do you go to bed?"
"8pm"
You should be able to sleep for 10h though.
It sucks to be exhausted but unable to sleep more then 6h when you know that whenever you manage to get 9h you're not exhausted.
Also maybe that guy wakes up at 4am no matter what time he goes to sleep.
If I go to sleep too early, like way before midnight, say 9:30-10pm I'll wake up at 2am tops and be exhausted, tired and sleepy (as in desperately wanting to sleep) and unable to go back to sleep until around 6-7am =/
If I go to sleep around midnight though I can easily sleep 9-10h and then be fine all day.
When I fall asleep at 7am however I'll either wake up at 9-10am and be exhausted or, if I'm lucky sleep all day =/
Sleeping troubles are a real thing.
@Colm Mc Carthy for some of us they are not, I have had insomnia since I was a child. I would lay awake counting how many hours I had left to sleep if I fell asleep right then, for as long as I remember. I had no TV or night light in my room, a consistent bedtime time, as well as a bedtime routine, or in other words good sleep hygiene. Still it was like many nights only for me to fall asleep in school the next day for short micro naps. As an adult I tried many behavioral changes, kept a sleep diary, and all the steps, and can honestly say that without the Ambien ER maximum dose (which releases one dose instantly, and another in four hours) I won't fall asleep nor stay asleep. So until you have all the facts making blanket statements like that and some of the others from nurses are just unprofessional. I may be asleep when you come to give me my pill but just because I can take a short nap without it doesn't mean I can get a healthy night's rest.
@@d-meth see a doctor
@@chellann I had terrible insomnia as a child and teen too. I remember waiting until I could hear the birds start to chirp in the morning and knowing I was going to have a very rough day at school. Thankfully it has gotten better as an adult.
@@stevenrais9360 that'll just make it worse
The only unrealistic part was how dark and quiet the patient's room was, lol. Should have had beeps and whines and air blowing super loudly, and really loud reports the hall outside
Looked like my hospital room last time I was in. Super dark and peaceful.
If you’re lucky enough to get your own room and not the shared ones, it is pretty dark and peaceful, sometimes in the shared rooms too when the others want some sleep
True
It should have also had blaring lights with a wide open door and screaming nurses and other patients
This made me lol! Everytime I've been hospitalized, I couldn't wait to go home so I could get some sleep!!! Between vitals and blood draws and "are you sleeping? How are yous?" a person couldn't sleep if they tried! Lol.
So glad I no longer work in the hospital setting. It’s like setting the docs and nurses up for failure- if you comply with patient wishes you contribute to whatever dysfunction they have- usually narcotic or diet related. If you do the right thing and deny them their request, your satisfaction scores plummet and you’re on some administrator’s shit list. When will they ever realize hospitals are not hotels?
Amen! I still work in the hospital, but that hotel mentality is so common.
Orrrr maybe they're legitimately in pain and need their medication?
@@katie6044 if they’re legitimately in pain, sure give them their medication, but I think they’re talking about not giving people things that won’t help them (such as if they request foods right before a surgery or something)
@@katie6044 The “motel mentality” is much more about people who just had a heart attack wanting McDonalds for dinner, people who think I am there to wait on them like a servant and cater to their every desire. People under my care are never denied pain medications, that’s cruel and unethical. But if you are on a strict diet, or you are not to eat at all and you want a fat piece of chocolate cake and French fries and you are going to call your family to complain that we are “starving you” that’s different.
@katie Tooker non essential and inappropriate medications that will most likely kill them or worsen their situation??
During a recent hospital stay I couldn't sleep. Instead of asking for something to help me sleep I just got up and walked around the unit every 20 minutes. Luckily it was laid out in a triangle and at the 90° corner was the nurse's station. By 1:00 a.m. they brought me something to help me sleep. I still find it comical that during the day the nurses were encouraging me to get up and walk yet when you do it at night it creeps them out and they want you to go to sleep.
It's not your fault it's just that on most units our night walker patients are either acute psych or confused as hell and high fall risk. There's rarely lucid walkie talkies walking the unit at night😭
It's not that you creep them out... over nights is when people try to escape, patients getting up when they're not suppose to, rooms are dark and are tripping hazards so staff needs to be with them to supervise, on top of normal work...the hospital I worked at was days/evenings 5 nurses and 9 nurse assistant..... overnights was 5 nurses and 2 nurse assistants and 35-40 patients... Instead of a staff stopping all work to monitor 1 person.. we'd rather have you in bed.
Your comment and your name lol oh, the irony!
@@goodgawdgertrude4240 I read her name and giggled, read the first nurse who replied name and snorted. Glad someone else noticed too!🤣🤣🤣
Not suppose to walk around at night for security reasons
The irony that the doctor himself doesn’t get that enough sleep when he comes to check on the patient 😮💨😮💨
It's really a tragedy
Every person that becomes a Doctor can say goodbye to good sleep lol!
You feel worse for the perfectly healthy guy doing his job at his regular hours than the chronically ill patient who has been hospitalized trying to get restorative sleep in a noisy awful hospital setting?
@@wizardjokes No! We are not doing our job on regular hours, we work long shifts and are constantly deprived of sleep, and even if we do get some sleep it’s usually disrupted by calls or pages, and we then are expected to function at 100% as if nothing wrong is going on
@wizardjokes this…isn’t helpful. Doctor suicide and burnout rates have been notorious issues for a while now. Also there’s enough pity to go around and we can feel bad for both. Many of the way doctors are overworked (especially residents) are massive labor law violations (or they should be) not to mention dangerous. Both for them and the people they treat. it’s something that should be taken more seriously than it is. If the doctor is burnt out and overworked guess what happens to the patients?
Before my third open heart surgery, I got about 4 days of just waiting at the hospital. Since I had trouble sleeping on the hospital bed and they were done with all the testing, I figured I could go home for those 4 days and come in the day before surgery. I mentioned this during the round and some of the doctors were fine with it but then this one doctor mentioned how they let someone with a similar condition go home for a few days before surgery and she died at home from heart failure. So I was stuck at the hospital, couldn’t sleep for a few days, but I got to live for another decade lol
"Got to live for another decade" sounds like you died and now you're writing this as a ghost lol
@@originalusername3049 lol english is not my native language! I said another decade cause I’m supposed to get open heart surgery to replace my pulmonary artery valve every 10-15 yrs. Yeah congenital heart disease sucks 😂
@@Rooibostea5959 Ahhh, got it lmao. Sorry about your shitty heart disease, but I'm glad you're doing alright!
So, what are you complaining about?
@@cindydenaway8919 Did it sound like I was complaining? I just wanted to share a story related to the video😉
This is hilarious. I’ve negotiated with many Mr Joneses who say they can’t sleep. The lights are on, tv blaring, head of bed up…I ask if this is how they sleep at home and they look at me like I’m an idiot and say no. So I tuck them in and usually come back to the same sight as Doc Schmidt. 😄
Or the ones who have the lights on, TV on with the sound all the way up, on their phone...say "it's the only way I can sleep!", then ask for a sleeping pill.
@@tejoned Shockingly, a lot of adults including myself still have an irrational fear of the dark. I always have the feel someone is watching me so I have my phone charging and the flashlight on as a night light and some noise playing because I can’t sleep with in silence (also because everyone in my house can’t stop banging around in the middle of the night)
Oddly wholesome
@@MethuselahWinter I am also a grown adult (38) who is deathly afraid of the dark I also have extreme anxiety that gets worse while lying in bed I was told after a sleep study that I have psychological insomnia (whatever that means) I take a xanax every night before bed and still lie awake and toss and turn for hours I have tried melatonin herbal teas meditation ect. My point some people absolutely have trouble falling asleep without assistance and its annoying when doctors just act like your out to get meds. On a normal work week bases I get about 4 hours asleep a night if im lucky on a weekend more because I can sleep in later.
The one time I was in the hospital, they came in every hour to check, or take blood etc....plus the light in the hall were so bright....there was no sleeping through all that.
I've actually been here before. both melatonin and benadryl didn't work. and I was only getting 90 mins of sleep at a time for days. Sure I would fall asleep but I'd wake right back up. The pain was unbelievable and I couldn't cry because I had really bad dry eyes. Still can't go to sleep even with benzos but it wasn't as bad as that time. When people say they can't sleep I feel for them. Its hell.
Well I was prescribed ketilept because I couldn't sleep normally for months like I went to bed at 3-4 am, and eventually pushed it to 7-8 am, but now that I looked it up, it's not just a sleeping pill so I was surprised, it's more specific to me, maybe you should get something specific to you and your symptoms prescribed
Maybe try Lunesta?..
Thankfully I haven’t gotten to that point and my melatonin works just fine for me but i take two times the regular amount
It is hell when you can't sleep. Even worse when you are exhausted & wake up due to pain. They shouldn't have left you waking in pain like that if they were aware of it. Today they are too afraid of looking bad for giving out narcotics so even when they would help they don't give them. It's ridiculous. Please advocate for yourself if this happens again.
I was in hospital a 3 months back and I was in so much pain that I couldn't sleep until I collapsed from exhaustion. Wasn't fun at all
My issue was that I got my transplant and EVERYONE in the ward was over the age of 60. I was 20 years old listening to old people snore, wheeze and cough all night. To stay I couldn't sleep was an understatement. I was in hospital for over 2 months.
Literally same I’m currently 24 in hospital in a room with old men. Luckily I’m being prescribed Triazolam/lorazepam for day time sedation and temazepam and Zopiclone for sleep plus I have head phones and I can leave tomorrow
SAME! I had endocarditis followed by a valve repair at 19 (had my 20th birthday in hospital yay) and the ENTIRE cardiac ward was geriatric patients apart from me. And you don’t get private rooms in the UK unless you’re pretty special (i.e. paying, not NHS). Luckily for me, after a week with practically zero sleep, they decided I was special! 😊 It was still noisier than I’m used to, but that private room was absolute bliss in comparison to the previous week! Spent another three months there in comparative luxury! 😋
@@HerHollyness I was in ICU in New Zealand and I got my own room then I got down dreaded to a ward with other people so they upped my sleeping pill dose by 4 percent because I was scared of the other patients and instead of teaching me skills to cope they chucked pills at me. Which worked
I’m 29, and had a kidney transplant at 27. I have anxiety about GOING to sleeping because I have nightmares and sleep paralysis every night due to PTSD. Having people come in and out of my room all the time, and the associated noises of older patients, plus all the codes, etc… I didn’t get a good night’s sleep the entire 3 months I was there.
Bless Swiss hospitals and the ability to pay higher premium for a separate single room (or for a room for 2 patients)
I’m an old nurse. We used to have a brick at the nurses station with ‘Sleeper’ written in white on it.
Maybe we should go back to the brick
Priceless
My hospital called it 'pillow treatment"
Lol 😂 yeah your real old school!!!!
Lolol hey humor helps to deal with others. That's a funny one
I had this issue when I was in the mental hospital, I have specific medications that just do not work for me or give me horrible side effects, but the nurses tend to believe that you just want specific meds to get high
Yeah, there's all these nurses in the comments giving the party line about "we give you your prescribed meds" but I know they use their "judgement" to decide who needs what when.
If it's mood stabilizers, anti psychotics or meds for anxiety, I can understand being on your normal regimine...but what many of us get is: I have a headache and I'm allergic to Tylenol, ibuprofen, torodol, morphine, aspirin...the only thing I can take is that med that starts with a "D". We have to prioritize our care. IF...big IF, someone is just looking for a fix, I'm focusing on the other person who really needs help. And it's true, we can only give meds the doc orders. We don't have the scope to give people what they want. We can recommend or ask but that means nothing. Ultimately, the physician does the ordering, nurses do the dispensing.
Most mental hospitals won’t give you medication that you’re prescribed out side of the hospital, if it’s narcotic or something they believe is something addictive.
@@victoriadiesattheend.8478
No darling. We use our judgment when we feel the patient might be in danger.
If you're claiming you have 10 out of 10 pain but you're falling asleep while talking to me you're not getting any more pain medicine. If you have 10 out of 10 pain but your blood pressure is significantly low where your MAP tells me you're not perfusing adequately, you're not getting pain meds. And I'm going to document that.
You should be willing to take a little bit of pain to keep yourself alive. People don't seem to understand that narcotics are nothing to mess with. They KILL people in and put of the hospital setting.
@@victoriadiesattheend.8478 ok listen we fight for the safety of all patients. We’ll advocate for patients who need and we will pass on the necessary info to the doctor in every case because it’s our job. There are many patients that ask for very specific medications that are using it to get high and they are passed on as well. If you talk to a doctor or nurse and give them research about a medication and why you think it might be a good idea to be on it or why you think it’ll they’ll often process your idea and if they agree will put you on it or will suggest something else. The issue is Xanax will fuck up your life they are highly addictive both physically and mentally along with many other medications there’s a very fine line the medical field walks in not fucking you up and fixing you instead
I was addicted to Xanax a few years back and I told my doctor to help me quit.
Been clean for 3 years now, however I developed pretty severe insomnia a year ago (sleeping roughly 1-2 hours every two days) and since that addiction is on my record, I'm refused any form of sleep medication.
Shit sucks.
Melatonin made me fail a drug test for benzos. I was mad as hell lol
@@Ooxxls they must have spiked it with bzd
@@drkrishnap what's that?
@@Ooxxls benzos
Benzodiazepine, a narcotic
On the flip side, when my MIL was first diagnosed with MS they would literally wake her up to give her sleeping pills. Wtf?
Wouldn't sleeping be contraindicated for MS as they can affect balance and coordination?
*sleeping pills LOL
@@TheEmmakathryn You wouldn't be woken up to be given a hypnotic, but if the patient is in too much pain/has too much spasticity for normal sleep then potentially impairing balance/coordination is the lesser evil
@@LHommeDeCave that's completely fair. Thank you for the response 🙂
...and many addictions have started this exact way...
Okay but stopping abruptly someone’s benzos will make them go into withdrawals…..let’s please not do that. Tapering off benzos can take a year sometimes, it’s no joke.
This. If a patient takes the meds at home, they should have it continued under supervision. I am actually appalled at this video suggesting it’s not ok for a patient to request their regular meds while in treatment. Especially when they’re 80. 🥺 this is why most people don’t have the trust to get treatment until it’s too late.
My significant other's mother suffers from neuropathy and a series of other infirmities. She is legitimately ill and has been for most of his life. She also takes medication for depression and anxiety. Not too long ago her mental health med levels were raised and this played holy hell with her. She became paranoid and delusional, and eventually her husband had to bring her to the local psychiatric hospital. Lo and behold the nurses, seeing the many medications she is on, started withholding her pain medication from her on day one. She would have to ask and ask, and became upset that she was being treated like an addict. I know nurses are busy but muliple hours of delay multiple times? This is part of why I don't trust anyone in the medical industry.
@@victoriadiesattheend.8478 I’m sorry that happened to her. It’s possible that it was ordered “as needed” but your mother in law took it every day scheduled at home. This means that instead of bringing it to her automatically, she would have to ask for it and depending on their staffing and the size of their med passes it could be delayed. It is little glitches like this in how meds are ordered that can make things so frustrating. If the med reconciliation isn’t properly done on admit it can make things very difficult. Obviously I don’t know the details but it’s not really up to nursing how often meds can be given, we are not prescribers. Only a doctor can order a medication’s frequency. And if your mom asks for an as needed pain med in the middle of the psych med pass or something it’s not always possible to get that for her. Now this doesn’t excuse it obviously, if someone takes something at home for pain they should be able to get it period, but if I had to guess that would be the explanation.
YES!!!!!!!
I had a patient go without his benzo and ended up getting so disoriented he ripped out his catheter 3 times. I asked if I could have something to help put the fourth one in and the doctor responded like I was crazy since he was in 4 point restraints and still confused AF. The doctor looked at his records much later and realize “wait he has been taking klonopin at home for 10 years. Sure I’ll give you an order”.
And then a nurse comes in two minutes later to wake him up and take his pulse, and he's calling for a sleeping pill again.
This is why a hospital should always have empty pill capsules on hand the placebo effect is pretty crazy
👀 lol
Unfortunately we can't lie to a patient (in most circumstances) about what we're giving them lol.
Unfortunately we can't lie to a patient (in most circumstances) about what we're giving them lol.
@@nickichris093 well if you not giving them anything and you don’t tell them that’s what it is then you’re not lying they ask for a medicine you give them the fake medicine and don’t say anything
@@nickichris093 what about giving them something like a wristband and spout out how due to pressure points it'll do this and that and help them fall asleep?
You'd still get a placebo but no lying about medication
My first anesthesia class they told us, there is a very fine line between sleep and death.
How is it defined? Measured in Milligrams?
Yes as a nurse or a doctor , not a patient .
When I'm in the hospital, I know it can take three or four hours to get new medication ordered for me. So, yes, I will ask for a sleeping pill at or before 7 pm (not between 7-8 pm, because that's when most hospitals do rounds, so I only call then if there's something I absolutely cannot wait for) so I can ask for it at midnight and not cause a fuss in the middle of the night.
Do you specify which one?
At least he gets those hour breaks. I'm the nurse actually taking care of the patient in room 473 or whatever and it is a constant non-stop badgering for that stuff, trust we hate calling a doctor especially for something like that but they won't leave us alone.
To help me sleep at the hospital, I would prefer a bed more comfortable than a pile of rocks and to be left alone.
Ah yes, being woken up at the crack of dawn just for a blood pressure test is just what patients need to get better
@@limiv5272 I’ve only ever had hospital stays after I’d given birth but those 4-5 am check ins would be so annoying. Sometimes even 1-2 am :(
I feel like I didn’t ever get any real sleep until I left the hospital 💀
@@EtherealEmpr3ss Exactly! That is why I go home as soon as they will let me. Sometimes I have to push to go home sooner.
Just had a couple of day stay in the hospital. Being poked and prodded every 3 hours is not good for sleep. And then, blood pressure is low. Yeah, I HAD been sleeping on my left side, finally, and not trying to stress about shit and trying to get well. But give me a few seconds and let me think about everything going wrong at home...you watching that blood pressure go up, yeah, that is my normal.
You don't go to a hospital to sleep, you go to get better. Those middle of the night check ups are because the condition of a patient can change very quickly and we are trying to keep everyone alive
I feel if someone lives to be 83 years old, just give them whatever drugs they want.
well said sylvie
Ikr!?!
Yeaah, no
Honestly tho
I totally agree
Try being the nurse on the other end dealing with an angry patient and an angry doc and all you wanna do is finally sit down and chart and maybe eat or even pee if you are lucky...
Peeing is for the weak :)
@hasslfoot
After several failed nursing attempts, it's your turn to come tell him. They came to see the doctor, not nursing. Been doing this a long time and I'm happy to give an explanation that should make sense to most people, but if they don't want or like my eloquent explanation, it's now your job dude, to come lay the news on them that you prescribed (if you're in house of course)
(Aka hospitalist)
@hasslfoot
Lol, ward.
I'm old and get poked fun at for using that antiquated term. Guessing your attendings are old school for you to pick up that term.
Yes!
My 75 year old fathers sleep medicine was withheld by a doctor when he was in the hospital. Doctor didn't believe he really needed it. My father was awake in the hospital bed for 5 days straight before the doctor gave him his meds and when he did he scolded him for being addicted to sleep medicine. The willingness for doctors to withhold meds that patients need solely because their personal feelings about controlled medicine is destroying their profession.
Sadly this wouldn't happen if not for the abuse of sleeping meds and prescribing them when melatonin would do just fine. The behavior of some patients and doctors causes the entire system to suffer.
I highly doubt he stayed awake sitting in bed for 5 days...
@@pola6794 lol melatonin doesnt and hasnt ever done anything for me and i know plenty of people who say the same thing. Doctors withholding medicine because of the opiate epidemic and addiction epidemic in general is disgusting and is more about their personal bias than it is about helping the patient long term.
@@mohammadw373 I don't doubt it for a second, I was sick for a week recently and slept only 6 hours over that week and went 4 days straight unable to sleep, literally staring at the ceiling in the darkness. It's miserable
Mack Draper.... you know what gets me really mad, the fact that for years doctors have been giving out tons of benzos and pain medication knowing full well that the patients would probably get addicted and now that the drug crisis is so bad in America because of people who are misusing these drugs not because the people who are taking them because they really need them and they are taking them as prescribed but because of these people who are just getting high from them now the people who really need them cannot get them and they are suffering and it is not their fault!!! Personally I think if a man is that old and he's used to having a Xanax a small dose of Xanax to go to sleep at night give them the small dose of Xanax for heaven sakes he's not going to die from a small dose of Xanax to help him sleep!
When I say i cant sleep i mean i might finally fall asleep around 12-1 am but I'll legit wake up every hr, sometimes 2, & struggle to fall back to sleep each time. By about 11am I've gotten a total of abt 6-8hrs of sleep on a good night & still tired all day. Also this prevents my body from ever falling into a deep sleep
Why don't you use meds?
As a family doc I can assure you I have the same reaction every time someone wants an Rx refill. “I’ve been on it for 30 years so it’s safe for me”
Said every person who wants Oxy, ever…
lol
If it isn't safe for them anymore, maybe you should try to find a different pain medication that is. People with chronic pain aren't the ones who are dying if you read the statistics.
@@katie6044 lol what are you strung out on
@@katie6044 Can you point me to the statistics your talking about? I just read 5 papers/articles on med websites that all identified prescribing opioids for chronic pain as the leading cause of the opioid epidemic.
Just give him what he wants, he's old enough to be your grandpa!
Also agree 👍. Had a patient that at first hello, how are you? Began to spill out her misery and anguish qbout how she's just over life, over all this bs.. upon further asking, turns out her doc said her labs indicate that she needs to cut back on sodium, and now her caregiver forces her to eat bland foods and not allow salt to season. When I shared this with another MD, he shines the light. Asked me how old she was first. Mid 80s. Then, ..the heck she's lived her life qnd this is her last yrs! What more is there to it?! Let her live it to the best of her wishes!! Let her have a seasoned, salted meal if that's what she wants! We all die! At least she should be allowed to enjoy the last times!! What harm? For what??? Few more years of no fun?! Bs!
The one time in my life I slept a lot without my sleeping meds was in the hospital. It's cool how tired healing from surgery and bad infection make you lol. Didn't even ask to get sleeping meds!
I love these kind of well-written sketch. Realistic and humouristic and it looks very relatable, like a common situation doctors could face
Yes, very realistic indeed. When I was struggling with suicidal depression for years because I couldn't sleep, I got very used to telling doctors melatonin doesn't work while they rolled their eyes at me and acted as though I had no idea what I was talking about.
This is why patients need to speak up when they come to hospital please tell your health care provider all medications you take even the ones you don’t take regularly. As a nurse I don’t like calling the doctor 5011 times for stuff like this. Also then the doctor can tell you no himself why your not getting the medicine and we can avoid this 🤷🏾♀️
What if a patients med is zolpidem?
Dr. Screams internally: “I NEED XANAX”
Biggest trick life pulled on me was making me an actual insomniac since 3rd grade and allergic to melatonin
~
Also apparently id stand up and stare at my parents as a baby too from my crib in the night so they had to move me cause it freaked them out; like, *all* night just absolutely silent blank/creepy wide eye smile staring😂
I was surprisingly a pretty good calm kid; never fussy abt going to bed or anything, just never able to sleep
Always had insanely good reading too lol I'd read entire small novels -one every night😂😂always best in English thanks to that👌
Fortunately melatonin isn't the only thing you can take
Allergic to melatonin?? More like one of the inactive ingredients in that particular brand. Not all brands use the same inactive ingredients.
My insomnia started at age 6, I'm 50 but I still remember wandering the house, looking out of the windows, hoping I'd see a light on in someone else's house because if someone else was awake like me I didn't feel so alone. I had a stomach ulcer by the age of 12. I can't take melatonin, diphenhydramine or Ambien, I have strange reactions to medications, ambien made me suicidal and benadryl gives me horrible restless legs. I've learned to just deal with it and I nap during the day if I can because I actually can sleep easier in the daylight hours than I can at night. I have severe night time anxiety that starts as soon as the sun sets and that's the cause of my insomnia. Insomnia sucks.
Everyone's bodies naturally produce melatonin, are you sure that's what you are allergic to?
@@anjiemarie1 sounds like anxiety.
one time i was in the hospital for almost a week and I was sick of not sleeping cos of the beeping so I asked for something to help me sleep. they gave me melatonin and i loved it! now i take it whenever i need help sleeping.
Melatonin is the best honestly!
Must be a placebo effect or something then, bc melatonin doesn’t work like that, it works cumulatively - meaning it has to build up in your system over a week or two before it starts actually working. Very strange to me that drs are prescribing it as a prn sleeping aid.
@@h0rriphic nah u just wrong. And who are u to know better then doctors?
@@h0rriphic That is absolutely NOT true!
@@rachelcape4056 Lol relax, maybe take some melatonin. A dr is the one who told me, Take it up with him if you’re that upset 😅
That's always been a pet peeve of mine when I have been in hospital... I try to make sure the doc has an order in for one - and inevitably, they don't. Your video brings up another potential issue for me.... I have been on xanax for 20 years (for tinnitus issues) and literally can not go to sleep without it. There are serious consequences of withdrawal if it isn't given. I am 71 and have heart issues - all my docs know I'm on it and have never denied me. In all the 20 years, I have never increased my dosage above .25mg. I would be really pissed if a random doc in the hospital decided to just randomly say - nah... she doesn't need it. I know most people would say - hey man.. you need to get off it - that stuff is bad!!!! I say, it is very effective for me to quiet my brain down with the tinnitus (which screams at me) and can go to sleep.
Dude, you're addicted
@@fuzzycatbutts newsflash. most medicine is addicting. but this HELPS them. it helps them sleep and quiets down their tinnitus, they're not taking it just because they want to.
@@fuzzycatbuttsno
Yeah right he slept a full 8 hours! They are in your room every 30 minutes, it really is the worst sleep anyone can get.
Definitely better than my experience on the ward after major orthopaedic crash repairs; had a terrible time trying to get to sleep. Usually managed to doze off in the wee small hours, only to be woken up by a nurse asking whether I needed something to help me sleep. That's right, I was woken up every night to ask whether I needed something to help me sleep. Every. Night. For. The. First. Two. Weeks. Eventually I said, yes, yes thank you, it would help me sleep enormously if you would go and jump out of that 6th floor window right there (try not to scream too loudly on the way down, there's people trying to sleep, doncha know...) It got me labelled as A Demanding Problem Patient, but it was worth it.
You could of just asked the Dr to discontinue the med. Nurses have to follow the Drs orders. Period.
83 years old and 7pm is too early for bed? We always start laying people down right after dinner in my nursing home🤣
😂😂😂 the most annoying page a nurse have to do. Pt wants sleeping pill and prefers Xanax over melatonin. We are all equally annoyed for calling the docs and by the patient that will be sleeping by the time you get an order😒😒😒
Wow another nurse who gets pissy about doing her job. Go figure
@@uok6216 the difference is nurses specifically are there to help patients, not to judge them based off of their prescriptions their doctor orders. And this is coming from someone who isnt on any medication. You cant compare nurses to other jobs because they are one of the few people who are supposed to help you when youre in your worst possible state. Instead theyre petty and shit talk you the second they leave the room. Nurse interns are usually pretty great. But thats because they havent been hardened by their stressful job.
I wouldn't take melatonin if you paid me to sleep, and I don't want Xanax either. I'm used to sleeping badly. I bring books when I need to stay in the hospital. I read myself to sleep.
@@alexmeyer8133 try being a nurse and see how hard it is
@@spicysalad3013 i work in the mental health field and work around nurses all day long. I would argue i probably deal with "worse" patients than your average nurse.
I spit my water out laughing when the nurse answered "yeah he takes Xanax."
my father takes xanax and now im curious what's wrong with that
@@nope-ou2jp Throughout middle school (yes, middle school) and high school I knew a lot of people who took Xanax and got addicted. Xanax is also referred to as a “bar (typically white” “school bus (yellow bar)” “green hulk, (green bar)” I’m about to exaggerate a lot, but it literally turns you stupid. Mf are like zombies, we call them “bar-tards”.
It has a really bad rep..I don’t know your dads circumstances and am not judging, but I think everyone should find a diff alt than Xanax.
@@matthewryan9238 oh okay, my dad's psychiatrist told it so im pretty sure it's safe. he also said it's addictive and stuff but my father was in a bad condition so the doc was probably right . but ty for the explanation. have a great day/nighttt
@@nope-ou2jp often abused by ppl who dont need it to get high
It's an anti-anxiety med so it shouldn't be used for sleeping.
Not in the medical field. Still hilarious. Thank you for making these accessible to the plebes.
Once worked at a hospital for Benadryl at bedtime was routine for everyone on the medicine floor. And when I questioned it I was basically told to shut up
Hahahhahahhahahaha
It shouldn't be used like that for more than 2 weeks though.
People advocate melatonin but it doesn't KEEP you asleep =/
I cannot blame people for wanting to just be knocked out for 10h.
Especially when they know from experience that that's the only way to wake up not tired
@@d-meth melatonin has worked fine for me for years, but I also get it's unstudied and so you can't make good protocol from it. But I also have very bad secondary insomnia from my ADHD, to the point where my meds with drowsiness as a side effect and my melatonin are the only way I feel sleepy. I was routinely reading until past midnight and waking up with the sun before that
@@AbsolXGuardian chamomile tea works great for me. And i sleep deeper with less tossing and turning. I should go brew some right now.
@Ash Correll I’m pretty much that person to a tee. I’m very irregular when I go to sleep and when I wake up. On my phone having something as background when I sleep and want something to just knock me out. It’s mostly just me having terrible self control, I used to blame it on my anxiety and depression. Then I blamed it on the medication I was taking for them, realized I just hate the process of going to sleep.
“He just woke up and he can’t fall asleep again”
“Must be nice to sleep in the first place”
No way ur falling asleep when withdrawing on Xanax, I would have given him a small dose to take the edge off so he could sleep, but I guess that’s why I’m a drug dealer and not a doctor lmao I love the videos btw
As in a pharmacist?.. 🤔
@@DM-ct8gq guess we'll never know
Hahaha!!!!
Lemme get some drug money 🤑💰
This killed me 😭😂🤣 why does a drug dealer understand more about this medication than a fucking doctor? You're the one in the right btw, not this doc.
Well this is kinda shitty. My grandpa who is 82 with stage 4 cancer can't get anything to help him sleep or with his pain. I'm sure you're an amazing doctor but you do realize a patient being asleep doesn't automatically mean they don't actually have trouble sleeping. Especially in an elderly patient as they fall asleep constantly but have a hard time getting actual restful sleep which I'm sure was the issue and you as a doctor should know that.
Yes, some of them can’t stay asleep very long.
Yes! First post of his that I thought was a little off. But I have a very hard time sleeping so I'm sure there's some personal bias going on.
Calm down, drug seeking behavior is more common than stage 4 cancer. I'm sure he would've actually given the patient pain medication if he had stage 4 cancer, instead of a myriad of other problems people are hospitalized for. 🙄
@@fuzzycatbutts their comment still checks out tho. older people and people with insomnia can't get restful sleep, they can look like they're sleeping but it's not sleep that will make you feel rested
@@brutus3631 How does that check out? The original comment is calling the video's message shitty and assumes this doctor wouldn't prescribe their grandfather medicine. That doesn't check out at all...it completely misses the message of the video.
I have to say, as a nurse I have had these conversations and I hate them, but patient satisfaction is a top priority so I have to at least relay the patient’s request to the doctor. Although my favorite time I had this conversation was with a doctor at 10 am. I really wanted to convey that to the doctor face to face.😂
Yes and have been on them for years 😂 it’s not a problem until they fall and crack their skull or fracture something🤦♀️
That's AWESOME! It's really nice you try for your patients. I have never made it past the "no you can't have anything" point. Then when you finally manage to fall asleep they come in and wake you up.
So by patient satisfaction you mean you throw the doctor under the bus, pretend in front of the patient that you disagree/can think of no logical reason why the doc would deny the request, and continue to encourage the misinformed irresponsible patient’s anger instead of reinforcing the doc’s EXPLANATION they already gave you? I see.
Arghh. No. Stop asking. And yes. They are always sleeping when you go to see them.
It's hard to fall asleep and stay asleep in hospitals. The beds, pillows, sheets,smell,temperature isn't the same that's we're used to sleeping in. It's even more difficult when you're used to sleeping on on your stomach. I requested for pills to help fall asleep too.
No nurse wants to make this call, this is usually after you have been cursed out threatened and stopped from caring for your other patients. At time like this I wish we could give placebos because this person wont be happy until they think they got xanax or what ever they wanted.
Yeah they should just have standing orders for placebos...lol!! Would make thr nurses life alot easier as well. .lol! Granted perhaps not ethical given we are lying to the pts BUT hey it would make our lives alot easier and our satisfaction scores would improve...win win...lol!
People like this are the reason others suffer.
@@sheenawinfrey3133 I agree as soon as her an admission I call and get orders for anti emetics, general pain meds, and anything for bowel issues if at all possible. This just saves me time, because I know it's coming!
Dude hes already prescribed it at home why do you gotta be so fucking self righteous just give him his shit thats your job.
................. Well that's not how benzos work. You're not going to trick someone who's been taking benzos to get to sleep for who knows how long into thinking a placebo is a benzo. And shame on you for wanting to trick your patients. Enough people already have trust issues with medical professionals because of attitudes like yours. If you can't be compassionate and understanding towards the patients, parden my French, but what the fuck are you doing working in medicine? Especially as a nurse. Please do better for the sake of the people you're supposed to care for.
I'm not saying this to be mean, I'm saying it because I want things to be better. It's absolutely appalling that having to make extra medical appointments to find a doctor that will actually listen to you is yet another hurdle when it comes to healthcare.
My experience:
Me: "Hey doctor, I've been experiencing debilitating insomnia since I was a teenager is there anything you can do for sleep and anxiety?"
Doctor: "We're not giving you Xanax'
Me: "I'm not asking for Xanax, I'm just trying to get some relief"
Doctor: "Your antidepressant does that"
Me: "The SSRI I take does not do anything noticable for my anxiety. I take it for OCD not anxiety. Can I try Vistrol I had success with that in the past from my prior doctor"
Doctor: "That's not what that medicine does"
Me: "I know what the medicines that have been prescribed to me do, hydroxyzine is definitely prescribed for anxiety"
Doctor: "That's not what that does, I will switch you to Paxil that's my favorite antidepressant"
Me: "Jesus Christ no I'm not depressed and I'm already on an SSRI."
Doctor: "oh ok then you're all set then?"
Me: "no I need something to help me sle....you know what nevermind."
Doctor "great! See you next year"
I feel this. Every year I get a really bad cold that prevents me from sleeping, which in turn only makes the cold worse. I usually reach a breaking point and drive to urgent care begging for something to help me sleep so that I can recover from the cold. Unless I drag a parent with me (I'm 28) they wont give me anything because they assume I'm a drug seeker. Ugg......
I also have OCD and have had insomnia since my earliest memories. I've had the exact same experience as you. In this skit, when the patient asks for no melatonin and this doctor reacts the way he does, it makes me want him to get out of the medical field. I've had to say with "and btw melatonin doesn't work" because I've been told to try it as a first step by every person and medical professional I've spoken to about it. I ended up developing non-24 hour sleep wake disorder, which was the most miserable thing I've experienced, and only recently (and accidentally) found a solution that's good for the OCD, MDD, and sleep disorder. SSRIs gave me an ulcer because I was vomiting so much (which was also dismissed as a symptom of the SSRI for a full year which is how the ulcer developed) switched doctors and got prescribed welbutrin in the morning and mirtazapine at night and I'm finally back on a 24 hr schedule after 4 years of hell.
@@lexaray5 oh wow thanks for the response. I have never heard of non-24 hour sleep wake disorder but man that really describes my life right now. I'm gonna do more research! Really appreciate it.
This is so damn true!!!!! And anyone is surprised there's an opioid epidemic?
I just want to say your wigs are beautiful. You take really good care of them and they always look so smooth!
I feel like this is gonna be me at 87, at least the complaining part.
I have HORRIBLE insomnia and I sleep awfully in a place that's not my own bed (pretty sure this part is anxiety related)
And I go to bed at 7 PM cuz I wake up at 4 AM and do NOT sleep the entire time (the are multiple hour/two hour periods during the night that I'm awake (again, I have HORRIBLE insomnia))
See,even though I was never privy to a lot of this..I’ve been an NPO patient,as well as just a regular in patient..first and only thing I ask for-besides the list of prescribed meds I take- is a nicotine patch. I know nurses deal with a lot of shit from a lot of people,so unless something is really wrong, I don’t bother them,and do what I’m asked, even with a smile. No point in being miserable! Just might make a nurses day a bit better!😊👩🏼⚕️♥️
As a fellow nurse, You’re the best kind of patient! Some times our patient loads vary and you may be considered our “easier” patient (lower acuity, continent, verbal, alert and oriented, can ambulate, among others) compared to a very sick one (higher acuity, more needs). I apologize on every nurses behalf If you ever feel like we don’t check up on you, cus sometimes it feels like our easier patients get the short end of the stick on a busy day.. but we’ll always be around if you need us! Just hit your call button :)
And hoping your recovery has gone well thus far.
-RN in Colorado
Mr Jones is a mood, can't be bothered to be conscious.
Relatable
The sound of water (rainstorm, ocean waves, rippling fountain, etc) helps very much for falling asleep. YT has many with blackscreens.
I don’t think people understand my insomnia, it’s not that I just cannot fall asleep like everyone else, it’s that if I don’t have my anxiety meds I get paralysing nightmares, and if I don’t have my sleeping meds I am unable to sleep no matter how exhausted I am.
The only way to fix this is to keep a tight schedule of when to sleep, but like last night I forgot to take my meds and when I fell asleep was as early as 3 am which is 3 hours faster than normal.
Ouch, as RN I apologize that some nurses are doing this. I used to ask for enteric coated ASA or AAP one tab PRN at HS. Pt's didn't know wasn't heavy stuff and was just enough pain relief to help but also gave graham crax and milk if able , back rub. So many non pharm interventions work so well.
You are one in 1 million if you can get the patient to sleep with that regimen! Miracle worker
@@sherrymdsrn I'd look at that pill and be like NOPE, not fooling me! But former pharmacy tech in a hospital and I know my usual meds.
@@sherrymdsrn easy if take snack in 1945,give pill at 2000followed by about 10min backrub. Besides RN was massage therapist.
Back rub? What the F????
What kind of time do you even have to give a backrub????
Had a situation like this. Was locked in a mental ward. I have extreme anxiety and I had some really bad anger issues. Not being home made it so much worse. Couldn't sleep at night, ever. This is normal but it was worse here. I was there 5 nights when I was supposed to be there for 3 and on the last night I asked for something besides melatonin (I hadn't asked for anything until then) so I would pass out and not freak out from anxiety. I was denied anything and I tried for hours to sleep in a pitch black room. I was in sensory overload and there wasn't really anything going on. Someone was playing music the entire time I was there so on the last day I walked into his room and ripped the radios plug out of his wall and took it. I was fuming. I started punching the wall for 10-20 minutes to relieve stress and after awhile someone came into the room to stop me. They didn't lay hands on me but they entered the room and told me to stop and that was more than enough reason for me to scream at them. The only reason I didn't attack them was because it was my last day and I didn't want them to add any more days onto it.
Heard it's the shittiest mental ward where I'm from and it caused me to hold a lot of resentment for people in that field.
I was dealing with random nausea and violent vomiting for 2 years and one day the stomach pain got too bad. Went into the ER and after one scan they saw my appendix was not happy. 2 years of going to doctors and switching doctors because the 1st one just wanted to put me on antidepressants and basically didn’t believe me when I was saying I was getting sick almost everyday for no reason. I lost 50 pounds from not eating and throwing up all the time. I quit my job because I couldn’t control it. Just irks me that it’s one of the most common things to happen to someone and I was never checked for it. 3rd useless body part I’ve had to get rid of.
Yahhhhhssss🤣🤣🤣😅😅😅 This is EXACTLY how patients are in the real world. You have no idea what doctors (and nurses) have to deal with 😂
And patients like these are the ones who make it difficult for people who need medication for pain or mental illness to be treated. It’s so wonderful to have the technology of medication, but you have to do other things like drink enough water, eat properly, and exercise as you can. I love your sense of humor and although I have been told that I could have gotten into med school with a C in Organic Chem, I’m glad I changed back to accounting. I literally could not deal with patients! My sister and mom have told me it’s hard to sleep in a hospital, though. Apparently doctors and nurses like to check vitals and make sure you’re alive!
Not always accurate. This is why chronic pain patients get zero sleep in hospitals. The beds suck and hurt us, and then we get pegged as drug seekers because we need these medicines "normal" people don't need just to function normally.
Every time I have insomnia and can’t fall asleep: ok, I just stay awake and wait till next night.
I actually feel the frustration, kinda. I had to go through so many doctors to get some simple cough medicine after I gave birth 🤦♀️🤦♀️
It’s honestly just because the patient is pissed at us that were even calling you. Otherwise they just complain forever even though they sleep perfectly fine. They’ll even sleep well through the night and complain the next morning they didn’t sleep well.
Don't spread the pain. Nothing is more frustrating then having a nurse request something repeatedly that you explained isn't an option. The perfect serve beeps every 30min for the same non-issue just ruins a day.
My experience of the hospital ( every dang time!) Is even if they keep you there for weeks they will not give you ANY of your normal meds if they aren't keeping you alive, and I had to get a friend to bring me my thyroid meds because "not necessary" . Apparently the entire hospital pharmacy does not carry allergy meds, birth control or thyroid meds, let's fix this one issue but give you 8 more because we won't give you your totally not addictive life long meds! I hate doctors... oh and who gets sleep meds at the hospital? They wake you up every hour anyway. I was told they don't give out sleeping pills. Only thing I was ever actually given was stool softener and they should have just given me coffee. Would have been cheaper for me..
The 83 year old on chronic benzo will be in DTs soon... then go to a nursing home with " dementia with agitation and high ood pressure in addition to his CHF" ... saving America.... solid work.
This happens in reverse too. I was denied my normal sleeping meds at bedtime, and by 3 am I was told it was too late for anything. Had a fun time talking to the night staff for three days in a row
And here me, with a brain tumour that has insomnia as one of the symptoms, am too afraid to ask for sleeping pills. I'd rather be tired all the time than try to drug my brain more than it needs to be. I'm already on tons of medications without asking for more. I was given melatonin but it interfered with my system too much and the hormonal system in my body that is already screwed by the tumor. So I discontinued it. I keep asking docs to remove all unnecessary meds from my prescriptions. It really lowers my quality of life with the side effects
I really hope things improve for you soon 🙏
@@gillianstewart8442 thank you so much for the kind words! It really is a big battle. I can feel my poor body try so hard to heal. Sometimes it actually feels like a storm within me and all I can do is watch helplessly as it destroys my body and life. But I battle on...I have some amazing doctors in my corner who never gave up on me. Maybe that's why I'm still here. One day at a time!
the side effects become why we need more meds. I had just try get off most myself. glad i did pushing 70 with taking hardly any prescribed meds anymore. one was leading to another was ridiculous would rather suffer with the first thing.
@@jewelleryaddict this is so, so true. It had reached a point where I didn't know whether something was a symptom from the tumour or just a side effect. I have a good neuro though. He discontinued a lot of meds prescribed by my gyno and endocrinologist ( since my tumor affects the reproductive system among other things). One cardiologist had prescribed statins to be taken for years but I changed my cardiologist who told me to take it only if my ldl went beyond 160 as unnecessary statins would cause a fatty liver over time. This type of tumor really messes up a lot of systems in the body. My life significantly improved after I started reducing meds. Just the tumor isn't as bad as all the side effects and meds to deal with those, although the tumor is horrific on its own. I'm 38 so I shouldn't have to take any unnecessary meds
@@d_dpo i understand i have had severe diagnosis of fibromyalgia with pain and chronic fatigue syndrome and bunch stuff when young. 25 yrs ago. so they started prescribing lots stuff back then didnt know what to do to help me and i ended up on so much stuff and one day questioned why am i taking so much stuff when only have pain amd fatigue. so realized most pills were to stop what another did till i traced back to the begining pill. which sometimes take., but now mostly tons vitamins and good food etc. still have pain and fatigue but not what other pills were causing. I wish you the best. hope u recover you are way to young to be suffering so much.
If he’s been on Xanax for any amount of time ,
he’s going to need Xanax
or he’s going to start withdrawing.
Even if he has heart failure,
even a half-dose would not hurt him any...
In fact,
withholding that medicine could make him anxious and panicky and therefore contribute to his heart condition 😣😔😫
I physically can’t sleep when I’m stressed. I will stay up the entire night with my eyes closed and in my bed.
Haha man your shorts always cracks me up! 🤣
Can you put in an order for me as well? I really can’t sleep 😬
I gave a patient asking for sleeping pills in hospital a zaccharine pill which I carved in the middle to look like a diazepam, told him is diazepam, he suspiciously checked the pill on all sides. Next day he told me he slept like a baby:))
"It's 7pm, it's too early to be going to sleep"
Lol
-Love, health care aides
I felt that “lovely” very very deeply in my soul 😫.
Funny vid. Keep it up, doc.
As someone who has a terrible time sleeping away from home I can imagine how hard it would be to sleep in a noisy hospital ward in a uncomfortable hospital bed. I’ve always joked they world need to knock me out to get me to sleep in a hospital. Like imovane and 200mg of seroquel.
I could sleep at the hospital but the hourly breath checks woke me up.
every. hour.
I get you want to make sure I'm not dead, and thanks but the hallway is as bright as the sun. the flashlight you are using not to fall (again, fair) has no green or red cover.
it's a mini sun in the room.
I was so glad to be able to sleep again when I got home.
I used to work nights as a respiratory therapist, and we’d have to give Q4 treatments to patients (every 4 hours, even through the night), and more often than not, I’d have patients tell me that “I didn’t sleep a WINK last night!” Even though I had to wake them up every time for their nebulizer. That gave me comfort whenever I thought I didn’t sleep much at night, because it was probably just that I was unaware that I was asleep.
I laughed watching this, but also cringed a little. There are patients with legitimate need, who also have legitimate scripts from their primary providers. It's incredibly frustrating when hospital doctors decide they know better and refuse meds.
When patients are acutely sick in the hospital, all of their meds from home aren’t necessarily appropriate anymore. Some need to be held to keep the patient safe (and some were never necessary in the first place)
I’m not laughing. Medical “professionals” make a lot of assumptions. You can’t tell if a patient is sleeping from a doorway look-see at his back. Also, he may be able to go to sleep but then wake in the middle of the night, unable to sleep anymore (especially given how noisy hospitals are).
When I was a resident and training the people under me, I specifically told them to add some thing for pain and something for sleep so they wouldn’t be called later on. Typically we put on melatonin and Tylenol as long as there are no complications. If they needed something stronger then Benadryl most of the time. Never ever ambien or benzos on our residency nocturnist shifts
Yes. This exact scenario happens on a regular basis. Usually with residents.
lol
saw that no one commented, thought id be first and show some appreciation!
@@thetruthtv5018 nice
This just makes the hospital seem like the most boring place imaginable
It's not meant to be fun.
You know we are calling you at 7 because you’re gonna be pissed if we call at 1. 😂
Just giving another perspective to what can happen as well.
So, I was a patient undergoing chemo at 13 y/o. I was given steroid as well as the chemo. I also had a Hickman catheter for ease. There came a time when I was admitted for chemo and for no explainable reasons, I couldn't fall asleep. I told the nurses, they ignored it, even when they would come into the room at 4-5 am for blood draw and I was still awake(the reason I didn't constantly call or make a ruckus at night was so that my mother who stayed with me at night could sleep).
I begged doctors on rounds to help me sleep, even begged for antihistamines to fall asleep for an hour or so. On the 7th day, I wanted to go to the washroom but before I could try to stand or tell someone I needed to go, I wet myself. My motor and speech were impaired. This continued for a couple of hours before the entire neurology floor doctors came to see me to figure out what was wrong.
My mother finally said about the no sleep that has been happening. They ran their tests and they put me on IV sleeping meds for a week. This episode caused me to take following years of antidepressants.
Please don't take it the wrong way but please don't take all patients for liars. There are many that get ignored because of those few. Love your content Doc 💕💖
I promise these patients only sleep when they hear that the doctor is on his way to see them. They are alert until 5 minutes to the md's arrival
This is seriously the most accurate video in the history of the internet.
This is what nurses deal with all night… every night…. Thumbs up to the docs who return our calls and will come see the patient at night!
I love this. Guys had 8 hrs sleep and wants more!
It’s really accurate about what is expected vs what happens at home not adding up. A doctor friend of mine was on an evening handover walk round. Nurse came over and said mrs X hadn’t passed urine in 4 hrs. Reported by my other friend on the round, the first one said through gritted teeth “I haven’t peed in 12 hrs”. Nurse backed away slowly
As my grandmother's care provider, I feel this in my soul
I try to hint at patients who ask for sleeping pills during the night shift in their 70s and up it's unlikely they will be getting one that night and will likely have to talk to their hospitalists during the day. An on call provider isn't going to be freely giving a sleeping pill for the elderly, neuro, or patients that may worsen overnight. Not that I won't call but getting something just for sleep especially something strong may not be in the cards on night shift.
And then there was me with severe insomnia, chronic pain, just after major abdominal surgery and despite a fully documented transcript of my medical records was made available, my nurses didn't even care about my post surgical pain, super awake at 3am and crying from pain... Gotta love Central America health care
But most doctors wouldn’t go talk to the patient about their decision LOL
Cuz they're usually wrong when it comes to prescribing pharmaceuticals lol;)))
@@sarahmcclement7292 oh they are not lol
Just give him his freaking sleeping medication!!
I've never asked for something to help me sleep.
I've been OFFERED such several times, and always said no. If I'm tired, I'll sleep.
My last hospitalization, I didn't sleep for the first three days, and I tried. But I didn't ask for or accept any medication for it.
At this point it's probably the nurse who wants it
I worked as a med tech for an assisted living home for a few years, but during my last three months there we had a new guy move in who took a specific narcotic that helped with pain. The issue is that the doctor didn’t give a limit, and stated in the notes that if he requested it that he can get it anytime, so long as the last request was over an hour ago. After the first two days of him requesting it every hour I ended up calling the doctor and telling him to make it scheduled three times a day with it being able to be request every 3 hours. The narcotic in question was already at a higher dose, so I was worried about the guy just dying from so much. I recently found out that the doctor ended up getting let go for causing the death of a patient so I’m rather glad I did what I did
I should mention that it was the first time I’d ever seen such a doctors note, and normally PRN’s are ever 2-4 hours