I was there to witness what Bee describes. I thought the poor dude was wretching and gagging due to AMS. They explained to me the real cause.
As for sleeping on the summit: It's tough to get "a decent nights rest", due to the thin air. Unless you are [u]well[/u] acclimated, you run the risk of not feeling that great. I have used Diamox to help with the altitude, and OTC sleep aids (diphenhydramine, as in Benadryl or Tylenol PM) to help with sleep.
Having written that, I've slept on the summit several times, because watching the sunset and the sunrise from that spot is always memorable. No matter what discomfort may occur, it is worth the trouble.
One time in June, it was about the coldest night I have ever experienced... about 20 F. Slept in a tent, but was pretty miserable. Couldn't get off the summit quickly enough.
Another time, after spending 3 nights prior on the trail, it was so pleasant that no tent was necessary. There was light frost on my bag.
Slept inside the hut a third time. Pretty nice if it is cold and breezy outside.
When you go, you have to carry about a gallon of water -- enough to drink on the way up, some for night/morning meals or snacks, and a little to get you back down.