Author: Fred Gardner

As the California Harvest Comes In…

Nancy Sajben, MD, forwards Thomas Fuller’s Sept. 10 New York Times piece on cannabis cultivation in California. Supply and demand within the state are out of whack, and most growers have chosen not to get permits. Fuller cites Hezekiah Allen of the California Growers Association, who “estimates that about 11 percent of growers — about 3,500 of 32,000 farmers in the Emerald Triangle, which covers Mendocino, Humboldt and Trinity counties — have applied for permits. Most have been deterred by the voluminous paperwork to obtain a permit, the fees and the taxes, he said.” Mendocino County Sheriff Thomas D....

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Why no Testing for Terpenes?

From: Benson Hausman Sent: Friday, September 08, 2017 1:10 PM To: BCC.CEQAcomments@dca.ca.gov Subject: Required Laboratory Testing Dear Sir/Madam, I am the Chief Science Officer for Elemental Wellness Center in San Jose. I recently received a copy of the draft CEQA document that has been offered for public comment. I wish to express my concern about section 3.5.2, Substances Requiring Analysis, Terpenes and Terpenoids. While Prop 64 and previous State laws on medical cannabis, required testing for “The terpenes described in the most current version of the cannabis inflorescence monograph published by the American Herbal Pharmacopoeia” (section 26101 (E)), it...

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Disagreement on MBC ‘Agreement’

La Jolla Pain Management Specialist Nancy Sajben, MD, appreciates the “Agreement” that the Medical Board of California intends to provide to physicians for signing by cannabis-using patients. Sajben writes: “These agreements are quite traditional when considering prescription opioids for pain. We cannot assume patients understand safe use. “It covers the bases specified by law and would reassure many of the patients I see who are afraid to use it and allows some legal protection to an MD. “There is no substitute for regular followup as required for monthly opioid prescriptions, but that is not usually possible with prescriptions for MMJ.” Other members...

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CMCR wants cannabis clinicians to present patients with “Agreement”

Continuing our report on the August 30 MBC Marijuana Task Force meeting …  A handout distributed at  the Aug. 30 meeting in Sacramento of the Medical Board of California’s Marijuana Cannabis Task Force was a slightly revised version of a “Medical Cannabis Agreement” written by Brad Wilsey, MD, and colleagues from the Center for Medical Cannabis Research at UC San Diego. Originally  published in the Clinical Journal of Pain 2015; 31 (12), it could have been entitled “Medical Cannabis is not Quite as Dangerous as Plutonium.” Perry Solomon, MD, questioned whether the “Agreement” was reality-based and MBC Executive Director Kimberly Kirchmayer quickly...

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Mukherjee on Cancer in the New Yorker

By Siddhartha Mukherjee   Over the summer of 2011, the water in Lake Michigan turned crystal clear. Shafts of angled light lit the lake bed, like searchlights from a U.F.O.; later, old sunken ships came into view from above. Pleasure was soon replaced by panic: lakes are not supposed to look like swimming pools. When biologists investigated, they found that the turbid swirls of plankton that typically grow in the lake by the million had nearly vanished—consumed gradually, they could only guess, by some ravenous organism. The likely culprits were mollusks: the zebra mussel and its cousin the quagga mussel. The two species—Dreissena polymorpha and Dreissena bugensis—are thought to have originated in the estuarine basins of Ukraine, notably that of the Dnieper River. In the late nineteen-eighties, cargo ships, travelling from the Caspian Sea and the Black Sea, had dumped their ballast water into the Great Lakes, contaminating them with foreign organisms. At first, the mollusks seemed like relatively innocuous guests. Then things took a turn. By the mid-nineties, they were hanging from ship keels, turbines, and propellers in bulbous, tumorlike masses, encrusting docks and piers, clogging water pipes and sanitation systems, and washing ashore in such numbers that, on some beaches, you could walk on a solid bar of shells. Eventually, the water clarity began to increase, the effect at first picturesque and then eerie. By 2012, the...

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Protesting the MBC’s ‘Agreement’

After attending the August 30 meeting of the Medical Board of California’s Cannabis Task Force, Perry Solomon sent this email to Executive Director Kimberly Kirchmeyer: From: Perry Solomon <perry@hellomd.com> Subject: Medical Board Meeting Date: September 1, 2017 at 9:57:58 AM PDT To: “Kimberly.Kirchmeyer@mbc.ca.gov” <Kimberly.Kirchmeyer@mbc.ca.gov> Ms. Lawson, Dr. Krauss and Ms. Kirchmeyer, Thank you for the opportunity to speak at the Sub Committee meeting on Wednesday. I am glad that the issue of “physical exams” was deleted and that cannabis evaluations will continue to be performed by telehealth means. Now that I have had time to read the Appendix 2...

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California’s New Guidelines for Cannabis Clinicians

By Fred Gardner.  Practice guidelines governing the recommendation of cannabis by physicians were  discussed at an Aug. 30 meeting in Sacramento of the Medical Board of California’s Marijuana* Task Force. The draft guidelines were deemed satisfactory by Steve Robinson, MD (a board member of the Society of Cannabis Clinicians), Perry Solomon, MD (a founder of HelloMD), and Dale Gieringer, PhD, director of California NORML. Each had seen looming threats that did not materialize. The MBC has been reviewing its guidelines in response to a recommendation from the Federation of State Medical Boards (FSMB)  that all states adopt “model guidelines”...

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Marshall Klaus, MD —Respect the Doula!

Another amazing person has left us. As recounted by Sam Roberts in the NY Times: Dr. Marshall H. Klaus, whose research in the early 1970s into emotional bonding between parents and their newborns prompted improvements in how hospital maternity wards care for mothers and their infants, died on Aug. 15 in Palo Alto, Calif. He was 90. Dr. Klaus, a neonatologist, and his colleague at Case Western Reserve University in Cleveland, Dr. John H. Kennell, a pediatrician, concluded in their book “Maternal-Infant Bonding” (1976) that contact between a mother and child in the first hours or even days of...

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Kathy Bates playing dispensary owner in new sitcom

The great Kathy Bates plays the owner of a medical marijuana dispensary in a new Netflix comedy called “Disjointed.”  As summarized by Kathryn Shattuck of the New York Times August 27, the plot “pits Ruth’s tie-dyed activism against the business acumen of her son, Travis (Aaron Moten), a newly minted M.B.A. whose father is a Black Panther turned corporate lawyer for Big Pharma. Ruth wants to rail against the Man; Travis wants to grow their shop into the Walmart of cannabis.” Shattuck asked Bates: So, do you smoke pot? Yeah, I do. I’ve had a prescription for some time for...

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