Patient: I’m so tired all the time. I just feel so lazy, like I don’t want to do anything. All I want to do is sleep. I could sleep all day.
Me: How many hours do you sleep a night?
Patient: About 7
Me: Tell me about what you do before you go to bed.
Patient: Well, I smoke a joint before bed. Then I lay down and go to sleep.
Me: Do you smoke every night before bed?
Patient: Sure do. I smoke all day long.
Me: Like how many times a day?
Patient: Like 3 or 4.
Me: 3 or 4 times every day?
Me: Well, that’s probably causing your lazy feeling. Being tired and unmotivated is a side effect of marijuana use.
Patient: I don’t think so. Maybe I have diabetes.
Me: Well, that could be true too, but I think the marijuana is playing a part.
Patient (doubtfully): maybe…