Originally Posted by brian Do you think patients should have the right to use medical marijuana?
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As a 30 year veteran RN with ER, Critical care, dialysis, and hospice experience I have noticed a high degree of ethanol intake by 2 groups of people: the elderly and patients with chronic pain who are unable or unwilling to take prescribed pain meds, or whose MD's are guilty of undertreating their pain. I have a close relative who was in a near fatal car accident 20 years ago; he is 56 years old and had been self medicating his pain with large daily amounts of ETOH. Six months ago he had to detox when he learned during a hospitalization for respiratory failuren that he had developed cirrhosis. He is now on the list for a heart-lung transplant and he is taking PRESCRIBED pain medication finally. As a society, we Americans seem to be resolved to seeing our elderly waste away due to anorexia which is often accepted as part of the aging process. It's not. After interviewing hundreds of frail octo- and nanogenarians as to their medical history, I have found that loss of appetite is often secondary to poor pain management for arthritis, past injuries or surgeries. (When YOU'RE in pain, do you feel like eating?) How many times have I begged an MD for something stronger than darvocet for post op ORIF pain for a sleepless, restless, confused elderly patient only to have the MD d/c all pain meds and sedation? (They always say its the narcotics that is causing the confusion, etc.) If I had a nickel for all the elderly patients whose mentation cleared after their pain was FINALLY under control and they were able to get some much needed sleep... or a dime for those patients whose appetites increased when their pain was relieved. Yes, I am all for marijuana being made legal. Unlike ETOH, it is not toxic to every cell in the body, long term use does not result in cerebral atrophy, Wernicke's psychosis, and cirrhosis of the liver. It's first documented use was in 2700 B.C. in China when it was used to relieve pain DURING surgery. Since that time, aside from ritual uses, it has been predominantly used from the MIddle Ages, through the 1700's and 1800's for sedation, dysmenorrhea, and of course pain relief. Unfortunately, it is also the only drug that patients can grow in their back yard. It doesn't take a Kirkegaardian leap to figure that the inability to corner the market on production is probably one reason pharmaceutical companies aren't lobbying Congress to legalize its use. And as long as we have a preponderance of opiophobic doctors and a DEA that persecutes those MD'S who treat pain as aggressively as if they're the corner crack dealer, how can we possibly expect a reasonable outcome to this issue?? By all REASONABLE, LOGICAL standards legalizing marijuana should have been a no-brainer by this 21st century. Instead, since around 1980 or so, our governing bodies seem to have adopted "throw the baby out with the bathwater" as its guideline for all decision making. Everything is Black or White. PERIOD. I apologize for this being so long. I have a real problem being brief. Sorry.
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