Cannabis and Healthcare 2014 - page 3
The eyes of the world are watching the new experimental POT shops, which have recently opened in Colorado, selling legalized Cannabis for everyday consumption, for everyday people. Who would have... Read More
Jan 8, '14The one thing I'm concerned about is that there is currently no test that can determine if a driver is impaired by pot use. If pot is going to be legalized, it should have all the same restrictions and laws that alcohol does, especially with driving. However, at this point, there is no legal way to prove impaired driving.
Jan 8, '14Quote from aklgapI love this sentence! What a visual: "Oh, man. We're all so hungreeeeee..." LOL...A nurse in the ED would likely prefer a waiting room full of pot-heads over a waiting room full of drunks.
Jan 8, '14Quote from Flyboy17The problem with how we legalized marijuana in our country is really an issue. Everyone says tax it and end the war on drugs save money and make money. Win Win. Not the case in Colorado and Washington. We completely legaized marijuana, which means we can buy it , sell it, grow it, do what ever we want. In countries like Amsterdam you can only buy it and use it. That is how Holland makes its money. The Government grows it and sells. In the U.S. it will be much more difficlut to actually tax something that is legal to grow, no diffrent than those of us that grow our own gardens. So the war on drugs will be over to an extent but then it will turn into the war on tax evasion, and we will still need more regulators in the field.
The next issue will be testing. We will have to develop a better testing system. Companies can only tell an employee that they cannot be high while at work, just as they do with alcohol. If a person wants to smoke on Friday night but work on Monday they should be able to. The effects will be gone by then just as the effects of drinking would be gone. However they would still test positive. This is another issue that was not fixed before legalization and will cause unnecessary job losses and lawsuits.
Of course taxing something that you can grow in your own patio or back garden can be difficult, but is not impossible, and still the government can get millions from taxes. Not everybody has the skills, the time, the patience , the space etc to grow their own tomatoes, and some people just prefer go to the professional or the shop to buy. Same happen with eggs, you just need a hen to get your own eggs, but most people just buy them in the store. that is where the state get their taxes, the only difference is that some people prefer home produced stuff, and other just want to buy. simple.
the other benefit is public protection as buying cannabis from the illegal market is money that you don't know where is going to end, it could just easily go to fund terrorism, crime, slavery, etc, and in return people could obtain low quality or adulterated cannabis that can risk their health beyond the potential risk of the cannabis itself. In my experience working in an Emergency Department, in 8 years I have never come across any patient admitted where cannabis could be the cause or involved in any health condition or accident. I am not saying that does not happen, and there are patients that recognized they are users, but their presentation to the ER was not related to that. in the other hand many admissions have alcohol or tobacco use involved, and alcohol and tobacco is legal, so does that make any sense?
Jan 8, '14It is now legal, like alcohol. People can't drink on the job so they should be able to treat legal pot in the same way. This is so hypocrtical. the big shots can still booze it up and turn thumbs down to pot use, I just don't understand
Jan 8, '14i guess that is the same as smoking tobbaco, you can smoke at home and still has a horrible smell, far worse that cannabis to me, and you can smell it from your home if someone is smoking next door. Same principle applies to drinking and smoking tobacco in the presence of ill, elderly, pregnant or children, there is jut not difference. About ban someone of using cannabis in their homes, if is consumed as a medicine, it is legal to ban someone consuming his medication at home if you don't agree or dislike it, are you morally and legally entitled to prevent them taking their treatment? As i said before, law necessarily has to be based on scientific facts, and the problem here is not consuming cannabis, it where , how and when people consume it. there are other presentations like ingestion, oil, inhalers, sublingual, etc that reduce the exposure to other people, and like in any substance affecting the neuro system, consumers can not perform some task like driving, handling machinery, surgery, etc.. if they are under the effect. that is just common sense.
Jan 8, '14Quote from kaydensmom01I totally agree, and i add that there are many other presentations and preparations to consume cannabis, like cakes, brownies, oil, cream, inhalers, spray, etc. smoking is always a health risk regardless of is the smoked substance is tobacco, cannabis, heroine or cocaine... so smoking in public places should be banned, as to do it in a closed space in the presence of vulnerable people. Smoking in a private place or home, with no exposure to other vulnerable people is a private issue and as health professional all we know that health education and promotion can have some effect, but ultimately everybody has the last word about what they do with their bodies.To me, this is the difference:
If someone wants to drink alcohol beside me, who cares? But if someone wants to smoke marijuana by me, my son, or children in the home that do not have a choice then I certainly do care and find it completely different than alcohol use because of contact buzz which actually does occur. The fact that the person smoking marijuana is not only exposing themselves to it like an alcohol user is, is what makes marijuana users different than alcohol users. If there were restrictions on where you could, such as in designated bars, then I would be all for it.
Jan 8, '14I agree in most of your comment, but cannabis is becoming legalized in more states and more countries, in what appear to be a trend, so I wont be surprised if is more widely available and eventually could be legalized by the federal government, is just question of time, scientific evidence and public pressure.
regarding detecting drugs at work, i just copy and paste a table with some information of detection time for some drugs in urine and blood. there are other methods to test it in hair etc, and probably more in development or to come in the future. I do thing that corporate drug testing, specially when not affecting to staff performance is pointless and an invasion of privacy, and if done should be done with any substance or none..
DRUG DETECTION TABLE
(from Drug Misuse and Dependence - Guidelines on Clinical Management, UK Departments of Health, 1999)
Approximate duration of detectability of selected drugs in urine SUBSTANCE DURATION OF DETECTABILITY Amphetamines 48 hours Methamphetamine 48 hours Barbiturates
7 days or more
- ultra-short-acting (half-life 2 hours) (eg Midazolam)
- short-acting (half-life 2-6 hours) (eg Triazolam)
-intermediate-acting (half-life 6-24 hours) (eg Temazepam/Chlordiazepoxide)
- long-acting (half-life 24 hours) (eg Diazepam/Nitrazepam)
3 days (therapeutic dose)
Cocaine metabolites 2-3 days Methadone (maintenance dosing) 7-9 days (approximate) Codeine/Morphine/Propoxyphene (Heroin is detected in the urine as the metabolite morphine) 48 hours Norpropoxyphene 6-48 hours Cannabinoids (Marijuana)
- single use
- moderate use (4 times per week)
- heavy use (daily)
- chronic heavy use
Methaqualone 7 days or more Phencyclidine (PCP) 8 days (approximate)
Jan 8, '14Quote from lovenotwar14Alcohol is addictive, and has many negative health consequences.What is the difference between marijuana and alcohol?
Marijuana is not addictive, and has far fewer negative health consequences (if you don't smoke it, then there are practically no negative health consequences).
Jan 8, '14I guess I don't understand - what's the big deal about other people using marijuana? I personally would NOT use it unless I had cancer, but I use caffeine and drink wine. I understand that others should not be affected by other people smoking, so it makes sense that if you cannot smoke cigarettes somewhere then you shouldn't be able to smoke pot.
Actually, I tried to get off coffee a few weeks ago and tried to cut down too quickly. I went 24 hours without coffee. I drank green tea instead and I guess I underestimated the amount I would need to avoid withdrawal. I awoke with the most awful headache ever in my life. I literally stumbled into the kitchen feeling like I was going to die and fumbled around to find Tylenol. Even Tylenol didn't help the pain and then the most awful vomiting I ever had started. I had to stand in the kitchen for a while with my head against the wall, because it hurt to move before I stumbled back to bed. I had no idea I could have withdrawals like that from caffeine. I knew I could get a headache and feel bad, but literally that was the sickest I had ever been. I couldn't even drink coffee because as soon as I did I vomited. Then I managed to get some caffeine powder in and finally I felt better about an hour later. Caffeine is a serious drug and I hate being dependent on it, which is why I am now tapering down on coffee.
If marijuana is not additive, and caffeine is addictive, where is the problem? If you cannot use it while at work, driving or in other dangerous circumstances just like you cannot use alcohol and it can have medicinally positive effects, then I think it makes sense that they legalized it! I agree that it should be illegal if it is harmful to a persons health, but alcohol is harmful if used beyond moderation as well as caffeine. People get drunk using alcohol and personally, I think that's more dangerous than the effects of marijuana.
I can't wait to see what the studies say regarding using cannabis for the treatment of cancer!!!
Jan 8, '14I have never smoked a cigaratte in my life much less used pot. But I think that nicotine is way more addictive and harmful (no medicinal property of nicotine seems to be on record unlike THC) than THC. We need to legalize THC and outlaw nicotine.
Jan 8, '14Quote from achotioYour right that not everybody has the skills and time to grow plants. Especially in the case of Cannabis grown in your backyard. This would probably be unsuccessful in budding in such a way that would provide a product capable of the popular effects of marijuana. The plant is indigenous to Central and South Asia and requires lighting, nutrition, and watering characteristic of that region. On top of that, the gender of the plant must be identified and appropriate action must be taken to eliminate breeding which leads to a useless product also.Of course taxing something that you can grow in your own patio or back garden can be difficult, but is not impossible, and still the government can get millions from taxes. Not everybody has the skills, the time, the patience, the space etc to grow their own tomatoes, and some people just prefer go to the professional or the shop to buy
It requires technical skill that your average person would not usually possess. The government could also prohibit the sale of homemade product, by penalty of law, as is its policy on EtOH. Or to make things more interesting (profitable), the federal government could mandate licensure to home grow. You can't blind yourself with homegrown cannabis like you can with homebrewed alcohol, so it would be safe. And they could charge people for license applications. I wonder if they've ever done a cost-benefit analysis on this versus the expense of DEA pursuit of illegal marijuana trafficking (which would also become a nonissue with federal legalization/decriminalization).
Quote from achotioAgreed completely. It should be treated as a private issue with due warnings from the Surgeon General printed on every sale.I totally agree, and i add that there are many other presentations and preparations to consume cannabis, like cakes, brownies, oil, cream, inhalers, spray, etc. smoking is always a health risk regardless of is the smoked substance is tobacco, cannabis, heroine or cocaine... so smoking in public places should be banned, as to do it in a closed space in the presence of vulnerable people. Smoking in a private place or home, with no exposure to other vulnerable people is a private issue and as health professional all we know that health education and promotion can have some effect, but ultimately everybody has the last word about what they do with their bodies.
Further on that point, we should be taking a serious look at these employers prescreening for nicotine as a condition of hire. Unemployment and intentional understaffing are already big enough problems in this country without employers pressing their advantage with such draconian policies pressing into ordinary peoples' private lives.
Jan 8, '14I think everyone's fear that everyone will become a pot-head if marijuana is legal is ridiculous. Cigarettes have been legal, I dont smoke. Alcohol is legal, I dont binge drink. And millions of people are just like me. I think we need to continue trusting adults to behave responsibly and use drugs responsibly. Millions of Americans smoke marijuana everyday, and I am sure many of them are not going to work high, are not driving high. Many enjoy it responsibly. The legalization of it isnt going to mean that everyone gets high all day long and that the productivity of our society comes to a standstill. Thats what I think everyone is afraid of and they need to get over it. And yes, caffeine is highly addictive and can stop your heart if you drink too much of it in one sitting, and our children can buy cans and cans of rebdull at the store and there is no stopping them.
Jan 8, '14Quote from TU RNFalse. I knew kids in the 8th grade who grew pot and sold it, all different types of it, too. Nowadays everything is on youtube as well. Anyone can grow weed if they have the desire (not legally of course)..
It requires technical skill that your average person would not usually possess. .
As more and more states begin to legalize recreational use, we will see an increase in unnecessary MVAs and deaths related to impaired driving. That is something I will NEVER be okay with.
Simply put, legalizing weed for recreational use has no benefit to the public.Last edit by jmiraRN on Jan 8, '14 : Reason: spelling