The Curbsiders Internal Medicine Podcast | MedEd | FOAMed | Internist | Hospitalist | Primary Care | Family Medicine
#63: Medical Marijuana: Is it really dope?
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Expand your consciousness around medical cannabis (aka marijuana) with expert Dr Donald Abrams, Chief of the Hematology-Oncology Division at San Francisco General Hospital and a Professor of Clinical Medicine at the University of California San Francisco. We explain the cannabinoid system, THC, CBD aka cannabidiol, limitations surrounding cannabis research, current and future medical uses for medical cannabis (marijuana), and potential conditions it may benefit. We take a deep dive on the potential harms of medical cannabis and how to counsel patients on safe use. Plus, the return past guest and new correspondent, Dr Molly Heublein, Assistant Professor of Medicine from UCSF.
Thanks to Dr Molly Heublein for writing and producing this episode and it’s show notes!
Full show notes available at http://thecurbsiders.com/podcast
Clinical case from Kashlak Memorial: MM is a 62 yo woman with a history of osteoarthritis and breast cancer, now on an aromatase inhibitor. She struggles with aching and stiffness in her hands, shoulders, knees, and hips. A friend suggested she try medical marijuana. She wants her provider’s opinion on if this is safe and effective.
01:30 Picks of the week
03:40 Guest bio
05:11 Getting to know our guest
11:03 Clinical case
11:40 Limitations for cannabis research
12:59 Discussion of THC and cannabidiol
14:50 Smoking versus ingesting cannabis products
16:40 Recap of cannabinoid mechanism of action
18:30 Cannabis and cannabinoid products available
20:20 Synthetic THC (dronabinol)
21:46 How “recommending” cannabis and dispensaries work
25:46 Conditions that respond to medical cannabis
29:15 Potential harms of medical cannabis
34:51 Future directions of cannabinoid medicine research
37:24 Cannabis induced hyperemesis syndrome
39:00 Possible lung cancer risk
40:12 Take home points
42:54 The Curbsiders recap and share their views on the medical cannabis controversy
Tags: marijuana, medical, cannabis, weed, pot, oil, budtender, law, psychoactive, thc, cbd, cannabinoids, endocannabinoid, system, receptor, substance, harm, adverse, safety, pain, nausea, emesis
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