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dryads trolls pixies

i think the rogue was the only one to beat him in initiative, and he moved away and fired his bow but missed. then the bad guy went and swamped the rest of the players in tidal wave

I usually just call for initiative when either the players or npc's/monsters do or say something that triggers combat. In PotA, I had the same situation with the players inquiring about the stolen books. when the players wouldn't leave it alone and kept pressing him I said "you see his mocking...

is this what you are looking for? http://www.dmsguild.com/product/173091/5MWD-Presents-Diseases--Poisons?sb=1