MEDICAL MARIJUANA in … YOUR PRACTICE

[Pages:18]MEDICAL MARIJUANA in ...

YOUR PRACTICE

GINA R. CARTER, DO, MS JUNE 11, 2022

Credentials

-NMSU (Truman State University)-B.S.Biology `82 -KCOM (ATSU)-D.O.'86; Internship-OK City,OK `87 -Board Certified ACOFP-'94 -M.S.-Health Management, Touro University, Cypress, CA `04 -Served MOARNG `84-2011-COL(R)

Co. Command-7yrs; State HQ Med. Command Preventive Medicine-MOSQ deployed `03,'05,'08; Katrina, CBRNE StandUp -Private Practice- Camdenton, MO-'87-2002, with RHC `98-01 -GLWACH-Tricare for Life Provider 2002-06 -VA-CBOC-Harry S Truman VA-Camdenton, MO 2006-2017 (R) -Moon Dance Medical-2020 to current

Disclaimer

I have no business interests nor properties related to this presentation.

I do not consider my expertise, as a cannabis sommelier, but rather an expert in "dread and disease".

OBJECTIVES

Analyze the chronicity of patients' indications for medical marijuana.

Evaluate patients' past treatment trials and marijuana indications.

Formulate treatment strategies to assist patients in managing their quality-of-life measures, while minimizing risks to therapy.

Medical Marijuana Certification in Missouri

Joined Samuel (Buddy) Brayfield, DO 6 mo. after DHSS roll-out of program JUL-2019. >with the COVID outbreak evolving -Jan 2020 we rendered our services to both in-office and on-line appts.

Protocol-screening and exclusions > CDL/Pilots license-Federal licensures >PREGNANCY >Felony HX. OF DRUG TRAFFICING >AT RISK CONCOMMITANT DX.-(relative)

RESEARCH SUPPORTS the USE of MEDICAL MARIJUANA (2019)(1)

>EPILEPSY (~1.5%) >PTSD-confirmed by Psychiatry (~1.5%) >CHRONIC MIGRAINE (>1%) >GLAUCOMA (1%) >Chronic Medical Conditions that cause severe

persistent pain or muscle spasm-Including, but not limited to, Tourette's ,Multiple Sclerosis, Parkinson's Disease. (1.5%) >CANCER (2%) >HIV/AIDS (Debilitating psychiatric illness (2%)

MEDICAL CONDITIONS that CURRENT RESEARCH SUPPORTS THE USE of MEDICAL MARIJUANA (cont.)

> A chronic medical condition that is normally treated with prescription medication that could lead to a psychological and/or physical dependence when a physician determines that the use of medical marijuana could be effective in treating that condition and would serve as a safer alternative medication. (90%) (2),(3)

> In the judgment of a physician, any other chronic, debilitating medical condition including, but not limited to hepatitis C, inflammatory bowel disease, Huntington's Disease, autism, neuropathies, sickle cell anemia, Agitation of Alzheimer's Disease, cachexia, and wasting syndrome (>1%) (4)

PROS/CONS

PROS- What the patients want...(and physicians) >Pain management results > Minimizing side effects > Greater autonomy w/ tx. > Improved QOL > Affordable tx.

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