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originally posted in:TFS The Floods Sanctuary
9/7/2014 3:22:57 AM
5
You know where I stand on the subject. THC has a lot of uses as an everyday supplement for people who suffer various ailments. It is prescribed by doctors and distributed by hospitals. Weed is a source of THC. Dose regulation only needs to apply to minimum dosage because it isn't possible to get enough THC in weed to kill someone.
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  • Edited by GuN: 9/7/2014 3:53:35 AM
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    [quote]it isn't possible to get enough THC in weed to kill someone.[/quote] Psychotic teens tell me the same stuff while in between their escapades of getting out of the inpatient unit and finding weed and coming back psychotic a couple of hours later. As for the prescribed doctors; it's heavily debated [url=http://www.psychiatrictimes.com/substance-use-disorder/dope-medical-cannabis-results-survey-psychiatrists]in the medical field.[/url] with a clear divide. Most medical organizations (American Society of Addiction Medicine, American Medical Assocation, ACAP, American Association of Psychiatry) do not support medicinal marijuana in smoked form. In places like the UK, Japan and Australia, prescribing marijuana in smoked form (as a doctor) is a crime; so patients who want it have to buy it illegally. I only can speak from the point of view as a psychiatrist, because that is my intended specialty, that you're not allowed to prescribe medical marijuana (or at the very least it's heavily discouraged), and can risk medical malpractice (medical license is at risk). If you don't believe me, go the psychiatric inpatient unit and ask someone like an addiction psychiatrist if they would prescribe smoked marijuana. If you want to skip this encounter [url=http://www.aoaam.org/usr/ASAM_Med_Marijuana_White_Paper_Final.pdf]read this.[/url] And let's pretend you're correct and say I don't become " a doctor who sold out to Big Pharma" and prescribe medicinal her instead of the real reason I won't prescribe it because of the American Psychiatric Association's stance (who oppose it). But let's just pretend, for now and see why your logic is false. Ask any psychiatrist; if that patient does anything that puts them in harm(i.e. kill him or herself) and the people find out I prescribed my patient medical marijuana; I would probably be in big trouble (medical malpractice) and that is because the APA decided "There is no current scientific evidence that marijuana is in any way beneficial for the treatment of any psychiatric disorder". I would not do it for psychotic patients; period. I don't know for other fields of medicine; for epilepsy CBD (cannabidiol) is used to treat seizures (hence the Charlotte's web strain has minimal THC and more CBD); I know people with severe pain who don't respond to synthetic THC want the real stuff; since I'm not going into pain medicine or oncology (side effects of chemotherapy); I don't have a stance on that because I never intend to go into those fields of medicine. But what I can tell you is that, in Canada, at least, it would be hard to find such a doctor, especially since medical marijuana laws have tightened recently. I don't know how it works in states where medical marijuana is illegal.

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  • We've already had this argument.

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  • Edited by GuN: 9/7/2014 4:03:27 AM
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    And you told me you're right and I told you, if I listened to you and took your advice as a practicing physician, I'd probably lose my license to practice medicine or get put on probation because psychiatric associations don't approve of its use for psychotic patients.

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  • I didn't tell you to prescribe weed to people, my point was much more general in the way you should handle your work. You don't seem to grasp the idea that in debate, the legality of a situation holds no bearing on the validity of a point.

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  • Edited by GuN: 9/7/2014 4:21:46 AM
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    And the reason most doctors don't prescibe it is lack of data! This was said at both Canadian and American Medical Associations delegation last December. This is why neither of the organizations wants medical marijuana to be legalized, lack of data. Same for psychiatry; there has never been a good double blind controlled study showing it's efficacy, hence why most psychiatrists don't prescribe it. And if you don't believe me, ask most of the psychiatrists you meet in the hospital if they would prescribe it for patients with psychiatric disorders.

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