Medical Marijuana: An Insight Into a Patient’s Journey

March 11, 2021 0 Comments

BACKGROUND

To date, medical marijuana is legalized in the United States in 30 states including the following:

Alaska, Arizona, Arkansas, California, Colorado, Connectiut, Delaware, DC, Florida, Hawaii, Illinois, Maine, Maryland, Massachusets, Michigan, Minnesota, Montana, Nevada, New Hamshire, New Jersey, New Mexico, New York, North Dakota, Ohio, Oregon, Pennsylvania, Rhode Island, Vermont, Washington and West Virgina.

Each of these states have their own regulations and guidelines regarding use and qualifications.

Here in Florida, the Medical Marijuana Legalization Initiative, also known as Amendment 2, passed on November 8, 2016 for qualified patients under the supervision of a qualified and licensed marijuana doctor. Furthermore, this amendment passed with a total of 6,518,919 (71.32%) YES votes and 2,621,845 (28.68%) NO votes.

The federal government has classified Marijuana as a Schedule 1 drug making it illegal for doctors to prescribe marijuana to their patients. These marijuana doctors can only make recommendations for medical cannabis in compliance with the state law which can be valid up to 1 year. Patients cannot go to a pharmacy to fill a cbd products online shop prescription for medical marijuana.

Under strict regulations, medical marijuana doctors are prohibited to be affiliated with any medical cannabis distributors or dispensaries.

Only certain patients with “debilitating ailments” are afforded legal protection under this amendment. Ailments classified under its provision include PTSD (Post Traumatic Stress Disorder), Chronic muscle spasms, Multiple Sclerosis, Seizures, Epilepsy, Glaucoma, Crohn’s Disease, Cancer, HIV/Aids, ALS (Amyotrophic lateral Sclerosis or Lou Gehrig’s Disease) and Parkinson’s Disease.

Although the above ailments were indicated as “primary debilitating conditions”, under this provision, Amendment 2 also indicated: “or any other ailment/condition of similar severity/symptoms, as determined by a physician’s opinion that the medical use of marijuana would outweigh any potential health risks”.

There are currently about 56 known and listed marijuana doctors on Florida.

More information and specifics regarding this topic can also be obtained from the website of the Florida Department of Health (http://www.floridahealth.gov) on how to become a medical marijuana patient in Florida. More in-depth information about Amendment 2 can also be found here.

PARKINSON’S DISEASE

A few months ago, I came across a video on Facebook about a man with Parkinson’s disease who was given a shot of medical cannabis. The before and after videos were quite impressive. Before the treatment, you can see this man’s significant tremors, stuttering and abnormal posturing. The after video showed a very different person. His speech was intelligible and audible. He had no stuttering, tremors and he showed very controlled movements. This man was walking and talking as any normal person would. He also shared how it has improved his quality of life.

As a physical therapist with exposure to various cultural backgrounds, I personally have mixed feelings about medical cannabis. As a healthcare professional however, it is quite an epiphany to witness one of my patient’s significant change with medical cannabis use.

Mr. J.L. with Parkinson’s Disease

For over five years, Mr. J.L. has been coming to me for physical therapy treatment off and on for problems brought on by his Parkinson’s disease. Knowing the progressive nature of the disease, I watched this gentle soul deal with the effects of this debilitating affliction. His primary physician would refer him for treatment when he starts to develop weakness, rigidity, tremors and most of all, balance problems where he reported falls at home.

We would see him for a period of about six to eight weeks each time. We worked on improving his coordination, strength, flexibility and balance for the primary purpose of keeping him safe and self sufficient at home as he lives alone. It is also to keep from falling which predisposes him to more severe injuries and complications.

The Change

About a few weeks ago, he came to the office to schedule for Physical Therapy as he was referred again by his doctor. Having worked with this patient through the years, I was trying to figure out what changed in him. I looked, and observed intently as I did my initial evaluation. He may have noticed the curiosity that was nagging me because he gave me a knowing smile. No longer able to contain my curiosity, I asked him: “Mr. J, what have you been up to?” Mr. J just laughed and asked me why the curiosity!

Well, it finally dawned on me that Mr. J. barely had no tremors on his right hand where he used to exhibit the typical pin-rolling tremors of this disease. His neck was aligned and just cbd hemp infused gummies 250mg was not shifted towards the right side. Furthermore, his speech was clearer! Another thing that struck me was that he was walking better. Not great, but he was able to turn around without having to shuffle which I have seen him do for years.

He finally shared with me that he started taking medical cannabis for over a month as recommended by his neurologist. A friend of his apparently mentioned to him a video on Facebook about a man with severe Parkinson’s disease. This man received a shot of medical cannabis and the change was visible after only a few minutes. This apparently prompted him to consult with his primary physician and then his neurologist.

The change I have seen with Mr. J after only over a month of being on medical cannabis is significant. His speech improved. His voice deeper and more audible. He had no stuttering and he had more control of his right hand from almost a non-existent tremor. He is also standing straighter. His balance and coordination have improved, even more so with the advanced balance retraining he is currently receiving.

During his therapy sessions, Mr. J could bounce a ball on the floor faster with better accuracy. We saw him throw and catch a ball in standing without anyone holding on to him. We used to have somebody stand behind and hold him as he had slow reactions and reflexive responses. His walking also improved. Just months ago, he would drag his right foot and walked with very short shuffling steps. He would lose his balance with the slightest attempt to turn around or lift his leg higher to stand on one leg.

These seemingly subtle changes in him for just about over a month of using medical cannabis has made a difference in his life. He shared that he feels more relaxed and is less anxious about falling. He can do simple house chores with more confidence and he is able to tolerate more advanced therapeutic exercises during his physical therapy sessions. He does not feel as tired and is able to do more tasks throughout the day.

Mr. J is still on this journey and wanted to share this experience and for me to tell his story. Knowing him and his background, he is not the type of person who would take marijuana indiscriminately for mere recreation and self indulgence.

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