臨床上有睡眠問題的病人很多
CHrJY8jWbtEZlMBGkw1cN0DLedI7yFpqROUKQS3v
睡不著的、睡了又醒的、睡了像是沒睡的…
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來看診多半是希望能讓睡眠變好
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那天進來診間的是略顯瘦高的年輕男性病人
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主訴:肌痛
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上次吃藥痠痛有沒有改善點?
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(複診要問問之前的療效)
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有的
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那繼續開藥?
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(如果不需做大變動是最簡單的開藥法)
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好的
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有什麼其他想改善的?
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(病人這樣惜字如金,來一個開放式問句吧)
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可以不用睡覺但是精神好的?
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oMuUYASzP3m9KCpOJQv0nk6RVqXxDghe1FIw5cjL
哦…我看上次記錄說睡眠時間短,為什麼呢?
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(這樣的病人通常是開解大於開藥)
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我每天早上很早就起來遛狗
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睡不著?我可以讓你睡久點
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(看來是少年年紀老年身體,年紀輕輕就睡不著像阿公阿嬤等天亮)
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不是,是因為我凌晨開始忙店面
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早餐店?開藥讓你午休睡好?
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(太熱睡不著的也是有辦法的)
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也不是,我都忙到晚上收攤
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晚上到幾點?沒有請人嗎?
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(你怎麼不讓自己有時間休息…)
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早上的我放心不下,晚上的就打打手而已
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回家還要陪小孩
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那…我幫你開一些保養的
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只是希望你知道,什麼都代替不了好好休息
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(每個人都很公平,只有24小時)
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嗯,謝謝
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有空去捧個場!
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只見那瘦高的身影
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在垃圾車聲響起時推著台車倒垃圾
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回頭洗洗手又繼續忙
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你什麼時候多休息了呢?
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mIZXxSU7u6f8ojaLBCWkitg92ldpwyqV4hvzPbAK
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