Umhs Information For Clinicians On The Michigan Medical Marijuana Program

[MightyMightyMezz]

Make of it what you will.

 

http://www.google.co..._isUC0w&cad=rja

 

Key Points

 

• Patients who wish to use marijuana for medical purposes need to ask

their physician for written certification that they have a qualifying

debilitating condition that meets the criteria under the law.

• The physician must also certify that, in the physician’s professional

opinion, the patient is likely to receive therapeutic or palliative benefit

from the medical use of marijuana to treat or alleviate the patient’s

debilitating medical condition or symptoms associated with the

debilitating medical condition.

• Physicians are not obligated to provide this certification even if the

patient’s medical condition meets the legal criteria.

• There are many other classes of analgesics and many

non-pharmacological therapies that either have greater effectiveness

than marijuana or have less side effects, and these treatments should

generally be tried prior to using marijuana.

• It is important to counsel patients not to substitute marijuana for their

prescription medications.

• Patients with dependence/addiction issues would not be appropriate

candidates for marijuana, particularly chronic pain patients who are at

high risk for medication misuse or diversion. The use of marijuana or

other illicit drugs is generally considered a violation of controlled

substance prescribing contracts.

[The Digital Nomad]

This is policy, some hospitals and organizations follow this:

 

"Patients with dependence/addiction issues would not be appropriate

candidates for marijuana, particularly chronic pain patients who are at

high risk for medication misuse or diversion. The use of marijuana or

other illicit drugs is generally considered a violation of controlled

substance prescribing contracts. "

 

But, recently the VA has accepted MM if it is allowed by the state. Some doctors will work with patients, still prescribing narcotis knowing the patient is a MMMP.

 

Depends where and who you see. I still tell new patients not to tell their primary doctors and not to use them for the rec - as I rather we don't let the INSURANCE companies know (who I assume will catch on, and charge more $ to people who need MM)

 

Its funny - 1/3 of the patients I know - are using MM to get OFF of the 'controlled substance prescribing contracts!'

 

-DN

[lawyercaregiver]

These strict policies- and this is actually a pretty forward looking progressive policy- are the reason we have (and need) medical marijuana clinics.

[bobandtorey]

It is important to counsel patients not to substitute marijuana for their

prescription medications.

 

well i guess so make sure they hook you on pain pills first the more MM i have the least i need the pills and am winning am like most here and have my pill list one day soon i would need part D

[peanutbutter]

• There are many other classes of analgesics and many

non-pharmacological therapies that either have greater effectiveness

than marijuana or have less side effects, and these treatments should

generally be tried prior to using marijuana.

 

I beg to differ.

 

Every one of these "other analgesics" causes peoples liver to die.

 

Death is a pretty strong side effect.

 

There are many areas where modern medicine has no solution for whatsoever. Many of these are able to be addressed by cannabis.

 

• It is important to counsel patients not to substitute marijuana for their

prescription medications.

 

As in they want me to continue to be addicted to those "good" painkillers?

 

I suppose that we must remember that these statements are being made by people with zero education and zero field experience with cannabis as a medicine.

 

Blind experts.

[Mememe]

Illicit...hahaha love it when they use that word.

 

Definition

1. Not sanctioned by custom or law; unlawful.

 

it's legal, so not this definition

 

2. Not allowed or approved by common custom, rule, or standard

 

63% approve, so not this definition

 

3. Linguistics Improperly formed; ungrammatical.

 

possible because of the 2 spellings marijuana and marihuana?

[solabeirtan]

Personal Experience they are not MJ friendly in fact quite the opposite.

 

They will not provide prescriptions for Marinol, even when Cannabis is prominitley listed on your Medications. Even when it is personally requested for Post Surgical Recovery to Minimize Smoake and other Lung Irritants, thereby relieving coughing and Trauma to the Surgery performed by them. Maybe it will take Legal Action to get them off their High Haunches.

 

They are not Representing the People of Michigan or the Practice of Medicine in this Respect, in fact quite the opposite. They are obviously repesenting a very Minority Opinion on this much delayed area of Research for apparentley Political Purposes . Very , Very Sad !

 

Concerned Patient / Citizen / Paid up Medically Insured and Very Disallusioned, Disappointed and Frustrated ...

[MightyMightyMezz]

How about this one?

 

d) Preferred Treatment. The following drugs generally would have a better side

effect profile than marijuana for treating chronic pain:

 

(1) Typical analgesics (e.g., acetaminophen [Tylenol], ibuprofen [Motrin®], naproxen

[Aleve®]; (2) tramadol (Ultram®); (3) narcotic-containing compounds; (4) dual

reuptake inhibitors including tricyclic drugs (e.g., amitriptyline [Elavil®],

cyclobenzaprine [Flexeril®]) and serotonin-norepinephrine re-uptake inhibitors

(e.g., duloxetine [Cymbalta®], milnacipran [savella®]); and (5) alpha-2-delta ligands

(e.g., gabapentin [Neurontin®], pregabalin [Lyrica®]).

 

Really? Wow!

[dutch&Dutchess]

going to umhs is a crap shoot deathwise

[imiubu]

How about this one?

 

 

 

Really? Wow!

I'm flabbergasted. A couple of those compounds dam near killed me,

and I'm not even talking long term. Within a few weeks of starting them

I was wonky

This is so wrong.

Thanks for posting Mezz.