Category: Uncategorized

High Blood Pressure Redefined

I won’t use this joke in my stand-up history routine at the Emerald Cup. It may be off topic, but it’s original: Did you hear that under new Guidelines from heart specialists, “Millions More Americans Will Need to Lower Blood Pressure?”  (Nodding to audience)  That’s what the headline said.  For many years my doctor insisted that I go on blood pressure meds. I would promise to get more exercise. I meant it —but exercise is hard to get. After six or seven years, I finally relented and he was pleased.  He said he would put me on WHAT BRAND,...

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MBC Cannabis Guidelines Have Appendicitis

By Fred Gardner   The Medical Board of California (MBC) at its October 27 meeting voted on new Guidelines for the Recommendation of Cannabis for Medical Purposes with two appendices that practitioners might find useful.  Appendix 1 is a “Decision Tree” that violates an important tenet of the Guidelines adopted by the board. This ruptured appendix is a clear case of bureaucratic malpractice. The Guidelines state, “A patient need not have failed on all standard medications in order for a physician to recommend or approve the use of cannabis for medicinal purposes.” But the “Decision Tree” makes cannabis a treatment of last resort...

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Recommended Reading 11/2/17

From Bonni Goldstein, MD: A clear and compelling essay by EJ Sobo, PhD and Allison Ray Benavides, LCSW on the value of “experience-based knowledge.” Brief excerpts follow: “Many self-educated parents view doctors’ insistence on waiting for the go-ahead from pharmaceutical corporations or ‘big pharma’ as cowardly, if not complicit. They urge doctors to communicate with those who have, all along, been willing to help and who have the experience-based knowledge to do so. This is not an us-versus-them position; it is simply a request that doctors take a more critical look at what should count as evidence, particularly when...

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Kolata of the Times on ‘Predatory Journals’

With some fanfare last year the flailing New York Times started running essays on page two in which reporters comment on their own news stories. On October 31 the Times ran both a news story and a commentary by Medicine correspondent Gina Kolata on the subject of “Predatory Journals.”  According to the news story, “…Universities, colleges, even community colleges insist that faculty publish scholarly research, and the more papers the better. Academics and the schools they teach at rely on these publications to bolster their reputations, and with an oversupply of Ph.D.’s vying for jobs, careers hang in the...

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MBC Cannabis ‘Agreement’

Provided with the materials for Agenda Item 18 at the October 27 MBC meeting: Appendix 2: Medicinal Cannabis Agreement 1 Date: ___________________________ I understand that _______________________ (clinician name) is helping me with the treatment of my medical illness. In considering the possibility of using medicinal cannabis, it is important to recognize that the risks of medicinal cannabis may be impacted by specific medical conditions and patterns of use. I understand what has been explained to me and agree to the following conditions of treatment: I understand that the course of treatment will be re-evaluated regularly after I begin treatment...

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