MARIJUANA - WHEN YOUR DOCTOR SAY'S NO
Doctor No is Doctor Who?
What do you do if your doctor says no to medical marijuana? Should you ditch him/her? Do you find another, can you go online for help? In this article we provide advice from case studies about this common MMJ issue and elaborate on the problem - with action & solution.
Too often, a physician says we don't know what it does, and fails to recommend medical marijuana; a medicine that is firmly established to be among the safest and least addictive of medicinals. Meanwhile, it has become common for physicians to prescribe half a dozen pharmaceutical drugs to elderly patients. The fact is multi-drug contradictions are poorly understood and pharmaceuticals many and serious side effects can be fatally magnified.
"Due to ignorance and fear , the average GP too often sits on the fence rather than assist patients to get what might be the best and safest available medicine for their conditions and symptoms."
Though some medical doctors will agree with the quote above, they fail to deliver; to research, prescribe, recommend or get involved in medical marijuana in any which way. c Could this be double speak? Increasingly medical doctors prescribe multiple meds to elderly while it's recognized that this can be a very dangerous thing to do. Meanwhile, medical marijuana, a medicine that might be more efficacious and much safer is too often left off the table.
Through ongoing legalization and education, patients and doctors (more slowly) are turning to medical marijuana to treat or even cure their conditions and symptoms. Sometimes patients exercise the option of keeping their physician, while using an online doctor to provide the legal 420 recommendation. Learn how to get a 420 evaluation online in minutes here.
"The incidence of fatal adverse drug reactions in hospitalized patients has been estimated to be approximately 5%. * In previous studies the incidence of fatal adverse drug reactions in hospitalized patients has been reported, but the incidence of fatal adverse drug reactions in the general population is largely unknown." - Division of Clinical Pharmacology, Linköping University, SE-581 85 Linköping, Sweden
Despite the fact that the number of general population fatalities due to adverse drug reactions is not known to medical statisticians, let alone general practitioners, the safer choice of marijuana is not prescribed for this very reason.
CANNABINOIDS LD50 SAYS IT ALL
LD 50 means the lethal dose (amount) of a substance that kills 50% of a population. Usually rats are used as an indicator for humans. The LD 50, is a very useful, perhaps the most useful measure of of toxicity.
In addition to perhaps a hundred studies and clinical trials that report that cannabinoids such as psychoactive THC and non psychoactive CBD are exceptionally safe and very rarely have any lasting side effects. The LD50 is for d9 THC of 5500 mg/kg for rats as compared to Nicotine: for rats in 10 to 50 mg/kg in humans.
"Well, I am here to apologize. I apologize because I didn't look hard enough, until now. I didn't look far enough. I didn't review papers from smaller labs in other countries doing some remarkable research, and I was too dismissive of the loud chorus of legitimate patients whose symptoms improved on cannabis.
Instead, I lumped them with the high-visibility malingerers, just looking to get high. I mistakenly believed the Drug Enforcement Agency listed marijuana as a schedule 1 substance because of sound scientific proof." - Dr. Sanjay Gupta
THE REASONS WHY ORTHODOX MEDICAL PROFESSIONALS FAIL
1 - Political Correctness - Fear of Losing Credibility in the Community
2 - Fear of Rreprisal from the Federal Government DEA
3 - Lack of Ongoing Education
4 - Lack of Time
5 - Little Financial Incentive
6 - Legal Issues
BACKGROUND TO TODAY'S MARIJUANA QUAGMIRE
The pharmaceutical companies took over medicine nearly 100 years and the "capitalist syndicate" of corporations wiped out or pushed into the peripheral virtually every therapy, including herbal medicine, chiropractors, massage, fasting, you name it. Here we use the word capitalist when we really mean big old money that merges with the state to generate a landscape where only they can play freely and all competition is derailed, shut out.
"The incidence of fatal adverse drug reactions in hospitalized patients has been estimated to be approximately 5%. Fatal adverse drug reactions account for approximately 3% of all deaths in the general population." - J Clin Pharmacology 65(4):573-9
Critical to the pharmaceutical monopoly conspiracy scheme is the trained, compliant medical doctor. While there is no debate that doctors and pharmaceutical drugs save lives. This discussion is focused rather, on human issues rooted in ego and greed that have come to dominate much of medical practice.
Medical professional are prone to act through conditioning, Med school and the education life as we know it process. The resultant consensus physician's behavior is a programmed "gut" response, tempered a large dose of Ego, seasoned with fear, and ignorance. Let's break down reasons 1 to 5, why medical doctors fail to recommend medical marijuana.
1 Political Correctness - Sociopath Tendancies
Being politically correct in favor of saving a life is despicable. However, this is a serious issue, some people that become doctors love the elite status they have in the community. These types of ego heavy individuals won't touch marijuana for fear that their reputation might take a beating. There is no other way to put it, it is malpractice when a doctor that deprives a patient of the best legal medicine available, in preference his PR scheme / glossy reputation.
2 - Fear of Reprisals
Fear of the government blackball is a real consideration. Though recently the Feds appear to have calmed down and stopped hassling State approved licensed dispensaries, clinics, clubs and producers, doctors with a weak spine are right to assume that the Federal Government can blackball them, put them on a list at any time. However, these days the risk seems minimal, the various Legislatures protect physicians and allow them to recommend medical cannabis, where legal. The spineless doctor will choose to protect himself and not recommend or participate in any therapy or treatment, like MMJ that might rock the boat with the Fed or orthodox community, regardless of its effectiveness.
3 & 4 - Lack of Ongoing Education
It is the responsibility of every Medical Professional to keep up on important developments in
their field. Too often doctors are overworked and in short supply. They don't have the time to treat all their patients so there is no time for deep study into new therapies and medication options. This happening is a false economy. Better medicine and treatments will lead to quicker patient recovery and less a burden on the medical community.
5 - Pig$ at the Trough?
Medical doctors tend to not talk about their salary but for $500,000 you'd like your family physician to keep up on the latest trends in medicine, including medical marijuana, which is now legal in 50% of the United States and used by millions who attest to its efficacy.
6 - Fuzzy Marijuana Laws
Gag me with a spoon. Possibly the biggest issue-impedance of the dog's breakfast that is the maze of marijuana laws, at all levels of government. The law can be confusing and good people like to avoid a mess. When the law is fuzzy, it is a burden to learn and be competent, confident.
State law conflicts not so much with Federal law, but the interpretation and an invasion of state rights by an out of control, over the top, bureaucratic beast bent upon more regulation, more laws, more control. The second doctor's dilemma, is the State - Municipality laws can conflict wildly and enforcement can be almost at random. Unless there is strong incentive, who in their right mind would want to part of that?
Apart from routine check ups, a doctor's practice revolves around pharmaceuticals. You name the condition or symptom, or procedure, surgery, etc. and there is a drug scheme that many or many not fit your needs. Now that medical marijuana is legal in 50% of the United States, MMJ figures to go mainstream, and will enter US Pharmacopeia for the first time nearly 100 years.
"Extract of hemp is a powerful sleep-producing drug. In morbid states of the system, it has been found to cause sleep, to allay spasm, to compose nervous disquietude, and to relieve pain. In these respects it resembles opium; but it differs from that narcotic in not diminishing the appetite, checking the secretions, or constipating the bowels.
It is much less certain in its effects, but may sometimes be preferably employed, when opium is contraindicated by its nauseating or constipating effects, or its disposition to produce headache, and to check the bronchial secretion. The complaints in which it has been specially recommended are neuralgia, gout, rheumatism, tetanus, hydrophobia, epidemic cholera, convulsions, chorea, hysteria, mental depression, delirium tremens, insanity, and uterine hemorrhage." - 1851 United States Dispensatory
These stale old-school doctors simply have not bothered to read their own colleagues clinical trials and research papers. They have also failed in their professional duty; and are might even be considered guilty of malpractice by failing to provide the safest and most efficacious medicine for their patients.
MEDICAL MARIJUANA IS SAFE & MALPRACTICE CLAIMS ARE UNHEARD OF
At the end of the day, a physician should focus on but a few critical facts Medical Marijuana is dispensed to millions of Americans. Medscape could not find a single case of malpractice involving cannabis based drugs. In comparison the almost every clinical trial (hundreds), cannabis was found to be an extremely safe and non-toxic therapeutic agent.
This fear and ignorance leads the doctor to avoid medical cannabis altogether.
The typical reaction to Cannabis is fear of the known and unknown. Medical doctors are not trained, they generally don't know anything about it. They'll say we need to study more, we don't know what's in it, we don't understand the contraindications. While more research is always needed, there are a lot of lab tested cannabis based medicines out there. There are literally thousands of peer reviewed papers and clinical trials, that report; what are some of the contraindications, what is the efficacy, how can one titrate the MEDS safely and effectively and so on.
"Physician liability is fairly limited because doctors cannot prescribe or dispense marijuana, they only certify that the patient has a qualifying condition and that they think the potential benefits would probably outweigh the health risks for a patient." - COPIC's Dean McConnell
If you're happy with your doctor but he/she's hesitant to deal in medical marijuana, you can get another doctor to fill in, to recommend medical cannabis only, using Telemedicine, a process that is encouraged by the Medical Board of California. Telemedicine is typically much cheaper than a regular doctor's visit or a trip to a clinic.
"Haemorrhages were seen in a majority of the Fatal Adverse Drug Reactions; antithrombotic agents or NSAIDs was implicated in most of these events. These results suggest that preventive measures should be taken to reduce the number of deaths caused by drugs."
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Department of Medicine, Faculty of Medicine, University of Granada, Granada, Spain.
Of 1574 deceased study subjects, 49 (3.1%; 95% CI 2.2%, 4.0%) were suspected to have died from FATAL ADVERSE DRUG REACTIONS - FADR. The most common suspected FADRs were gastrointestinal haemorrhages (n = 18; 37%), central nervous system haemorrhages (n = 14; 29%), cardiovascular disorders (n = 5; 10%), other haemorrhages (n = 4; 8%) and renal dysfunction (n = 3; 6%).
The drugs most commonly implicated in FADRs were antithrombotic drugs (n = 31; 63%), followed by nonsteroidal anti-inflammatory drugs (NSAIDs) (n = 9; 18%), antidepressants (n = 7; 14%) and cardiovascular drugs (n = 4; 8%). Of all the 639 fatalities in hospital 41 (6.4%; 95% CI 4.5%, 8.3%) were suspected to be due to FADRs.
The incidence of fatal adverse drug reactions in hospitalized patients has been estimated to be approximately 5%. * In previous studies the incidence of fatal adverse drug reactions in hospitalized patients has been reported, but the incidence of fatal adverse drug reactions in the general population is largely unknown. Fatal adverse drug reactions account for approximately 3% of all deaths in the general population. *
"There is clear evidence that in some people marijuana use can lead to withdrawal symptoms, including insomnia, anxiety and nausea. Even considering this, it is hard to make a case that it has a high potential for abuse. The physical symptoms of marijuana addiction are nothing like those of the other drugs I've mentioned. I have seen the withdrawal from alcohol, and it can be life threatening." - Dr. Sanjay Gupta
Over the past decades, the name “cannabinoid” has become increasingly vague. Originally coined in a phytochemical context to refer to a structurally homogenous class of meroterpenoids typical of cannabis (Cannabis sativa L.), the name “cannabinoid” has then been associated to the biological profile of the psychotropic constituent of marijuana (Δ9-THC), substantially losing its structural meaning and being growingly associated, in accordance with the rules of pharmacological research,1 to compounds showing affinity to the two GPCR known as cannabinoid receptors (CB1 and CB2), independently from any structural or biogenetic relationship with the cannabis meroterpenoids. To compound semantics even more, CB1 and CB2 are actually Δ9-THC receptors, since, within the almost 200 known cannabinoids, only Δ9-THC, its isomer Δ8-THC, and, to a lower extent, their aromatized derivative CBN (Fig. 1), bind with significant affinity the ligand recognizing site of these receptors.1.....