Dr. Bob, I have never jumped on the bandwagon in here piling up on you. I haven't felt the need. But after reading this..........I must say that if I ever had a Dr. that had this little understanding and knowledge of their practice, I would turn and run away from you. It is so very clear that you have little to no knowledge about what you do for a living, regarding only mmj. I hope your understanding of the human body far exceeds what you know about marijuana, because right now I'm concerned. Anyone who takes 10 minutes and reads a thread or two can "advise" people to use indicas for pain relief. I'm finding it really hard to believe that this is an industry that you "specialize" in. Maybe you should take some time off of work and learn the industry, so you can actually speak from an educated position to your patients. From what I've seen here, you have a very long way to go.Happy to. While I don't know all of the individual strains as you do, here are a few things I've noticed over the last few years. And by the way I have mentioned these many times.
Pain control. I tend to recommend indicas and medibles made from them. As a pain control doc as well, I tend to augment narcotic control with NSAID and cannabis, because it tends to decrease the dosage of narcotics needed.
Narcotic withdrawal. I've always considered this an excellent use of cannabis. The nausea, pain, inability to sleep and crawling out of the skin (along with in many cases underlying pain that got them on the narcs to begin with) is something I am actually working on for the new conditions board. Again Indicas, but it is very specific to the patient and their experience. Many come to me with a strain they have had success with in the past when I ask them about it.
Migraines, tends to not only help with the pain and nausea, but decrease the frequency of the attacks. This one here is a toss up in my experience, some seem to prefer indicas, other sativas.
Seizures, I've seen them stopped in mid seizure in front of me. Butter under the tongue is good for that.
Crohn's, been working with that for years, never seen healthier patients than the ones using medible indicas. Gain weigh, good skin color, just 'look healthy' with fewer attacks.
Glaucoma, indicas again. Not a substitute for drops, but certainly sets you up for good pressures and reduces the need to increase your meds.
Just a few notes here. As you can see, I do this for a reason, one it should be clear by now that Purple has no understanding of.
Cory you are still welcome to put me on ignore. You don't have to listen to my observations of the prosecutor mind set or the legal process.
Dr. Bob
I consider the sources of the drama. That makes it far less important.Dr Bob I have to ask..... why do you keep coming back?
I'm indifferent where you're concerned. I do think that you contribute some good info to the forum, but you also stir up a lot of bickering (not always of your doing). You take more verbal abuse on this forum than almost anyone else I've seen here, yet you keep coming back for more. What do you stand to gain by doing so? Do you enjoy the arguing? Do you feel that this is good for business? I'm not trying to chase you away, and I'm not trying to be a dick, I just don't understand how your participation in RIU benefits you in any way.
If I were in your shoes I would let the door hit me in the ass and never look back. Life's too short to deal with this type of drama every day.
My personal preference is not to recommend specific strains- I give generalities and information about CBD's etc. The experts are the ones with extensive experience with each strain- ie the caregivers, compassion club members, etc. are the best sources of specific strain advice. Another key feature is what strains are available in the local area.I know all that stowe but its out there. I would accept anecdotal info from a doctor who specializes in cannabis, that'd be very useful I would think. Most stuff I find is from California and is small potatoes type studies from small labs. NIH does relent on some tumor growth inhibition....but yea schedule 1 no study no info is sort of my point; doctors like Bob have tons of info (in comparison) on what helps what and if anecdotal is all I can get I will still take it.
Have to ask.. since you do not prefer to recommend strains, would you tell patients which strains to avoid? Am not sure as to the scope for your background, so figured I'd ask as a baseline.My personal preference is not to recommend specific strains- I give generalities and information about CBD's etc. The experts are the ones with extensive experience with each strain- ie the caregivers, compassion club members, etc. are the best sources of specific strain advice. Another key feature is what strains are available in the local area.
Dr. Bob
Interesting words. Care to explain how I am incorrect? Educate me. I've NEVER made a claim to be an expert on grow techniques or specific stains. I have experts that can provide specifics. They are called caregivers and compassion clubs. I am very curious as to why you disagree with my suggestions of what I've found useful.Dr. Bob, I have never jumped on the bandwagon in here piling up on you. I haven't felt the need. But after reading this..........I must say that if I ever had a Dr. that had this little understanding and knowledge of their practice, I would turn and run away from you. It is so very clear that you have little to no knowledge about what you do for a living, regarding only mmj. I hope your understanding of the human body far exceeds what you know about marijuana, because right now I'm concerned. Anyone who takes 10 minutes and reads a thread or two can "advise" people to use indicas for pain relief. I'm finding it really hard to believe that this is an industry that you "specialize" in. Maybe you should take some time off of work and learn the industry, so you can actually speak from an educated position to your patients. From what I've seen here, you have a very long way to go.
Sativas from what I can understand form some sources aggravate anxiety. Others claim the effect is from poor curing.Have to ask.. since you do not prefer to recommend strains, would you tell patients which strains to avoid? Am not sure as to the scope for your background, so figured I'd ask as a baseline.
Was just wondering if you'd let the caregivers also make recommendations on what not to use, which can sometimes be a disaster - LZ mentioned a day or 2 ago that a caregiver recommended Jack The Ripper to an 80 year old heart patient who was prone to panic attack/anxiety.Sativas from what I can understand form some sources aggravate anxiety. Others claim the effect is from poor curing.
But again, strain selection is not part of what I do, nor do I have expertise with it.
Dr. Bob
And Jack the Ripper is what? Sativa?Was just wondering if you'd let the caregivers also make recommendations on what not to use, which can sometimes be a disaster - LZ mentioned a day or 2 ago that a caregiver recommended Jack The Ripper to an 80 year old heart patient who was prone to panic attack/anxiety.
JTR, if true and not modified or a ripoff is 80%/20% Sativa/Indica - yes..And Jack the Ripper is what? Sativa?
Marijuana is a titrated medication. That is another reason we need to have original model compassion clubs. They are a source of useful information on this subject.
Dr. Bob
So my recommendation was correct. Avoid sativas with anxiety.JTR, if true and not modified or a ripoff is 80%/20% Sativa/Indica - yes..
Yup, quite so - not guaranteed it'll occur, but much more likely statistically from the figures I've seen.So my recommendation was correct. Avoid sativas with anxiety.
Dr. Bob
There is a lot more to it than just indicas or sativas, you can have an indica strain with totally sativa effects and vice versa. Most of the time it is not about finding the right strain but finding the right pheno.Sativas from what I can understand form some sources aggravate anxiety. Others claim the effect is from poor curing.
But again, strain selection is not part of what I do, nor do I have expertise with it.
Dr. Bob
That was the Alpine Cannabis Society, an original model compassion club in Vanderbilt. Nice bunch of folks up there.There is a lot more to it than just indicas or sativas, you can have an indica strain with totally sativa effects and vice versa. Most of the time it is not about finding the right strain but finding the right pheno.
Btw Bob, I just found out you saw my friend's wife over the weekend to get her certified. She said it was up north in some log cabin sort of place lol!
Newsflash for you... Doctors DON'T know every medicine on the market. In pharmacology we are taught prototypical drugs from each class, what their basic characteristics are, their pharmacology, their uses and side effects. Take e-mycin for example. By knowing the pharmacology of that basic drug that has been available for years, we can understand the uses of zithromax. I have a group of about 300 drugs I know well and use regularly in practice. Yet there are thousands on the market, most of which are variations on a theme. Then there are chemotherapy drugs that change on a daily basis and I never use. I don't spend a lot of time on those, but if I have a patient on one, I know enough about it to watch for side effects I need to be aware of.gonna have to join the club-
an pin you to the wall on this one Doc. as it seems to be something i run into alot lately with a degenerative spine injury.
it IS the roofers job to know shingles, and the carpenter boards.
could you imagine your doctor tellin you " It's not really my job to know ALL the meds. i just give general info on pharmaceuticals and stuff, it's the pharmacists job to know all these meds. so......................i'm just gonna write you for Keflex, Oxycontin, Klonopin< fentynal, and Ben-Gay. it will be up to you and the pharmacist to work it out from there."
i had the doctor actually say to my face " i'm stumped, what should we do next?" . that was the guy whose life they say i threatened.
if you came to my house, after i wrote a 7500 hundred dollar check, and started nailing shingles on upside down and backwards, i'd shoot you off the fuckin roof for sure.(i know myself)
one thing to think about soon, Doc. when the new medical hedgefund kicks in and all the sick folks stop getting real drugs, and can feel their pain again, they are not goin to take simple excuses anymore. the internet is jading folks, and when they realize they line of shit you are feeding them SHOWS(PROVES) you are not a real doctor, they are going to become violent.
if i were to study general physiology for three months, i could make you look like a monkey with a typewriter. only 999 more years till he writes the bard.