Monday, 14 January 2019

Where Are the Doctors?

A few doctors are willing and ready to work with the cannabis industry, but there is a need to meet them halfway.

Everyone with alot of  experience with cannabis industry has at one point had a conversation with patients, friends or relatives about cannabis’s effectiveness as medicine. Most Patients are very familiar with its effectiveness to control disease symptoms, includes pain and control various diseases themselves. We all have a chance to educate when an someone asks, “It’s not only for pain, but it actually treats the disease?”

You may have to dive into the technical details and explain that THC and CBD are partial agonists for the endocannabinoid system’s CB1 and CB2 receptors, among other things. We also may discuss cannabinoid-induced apoptosis (cellular suicide activated by the presence or removal of a stimulus) among malignant cells. In response, we often receive blank stares.

Obviously, it would make alot of sense if patients had these  uncomfortable conversations with doctors before turning to cannabis-industry members. Doctors’ ignorance of the endocannabinoid system and avoidance to engage with our industry keeps them from jumping in. We’ve talked to a few, they fell into the following categories.

Prehistoric medical training: Many medical school professors, and the doctors those professors trained, completed their respective educations before the early ’90s, prior to the discovery of the human endocannabinoid system. Those doctors typically do not know that the endocannabinoid system exists.

Conventional medicine: Many doctors live quite well working within established medical practice care standards (defined treatment protocols for each disease state) and insurance-driven drug formularies (lists of drug products covered by each source of insurance). Many doctors find it unreasonable to risk their licenses to practice by involving themselves or their patients in unproven medicine.

Doctors who fall into those buckets, medical marijuana is, at best, an unproven novelty. There are, however, three other groups to consider. Each of these three groups accepts the thought that marijuana may be extremely effective in treating various disease states:

Yes, but not in my practice: This first group understands at least some of the science behind medical marijuana, but is not willing to accept any risk from cannabis involvement.

The few good ones: Finally, there are a few doctors who are both knowledgeable and involved. Even when they start with little or no awareness of medical marijuana, given a patient with an unresolved need, these doctors follow their professional responsibilities wherever they may lead. Most professions have some great professionals; medicine is no different.

Can We Help the Situation?

Doctors have spent long hours and long years with biology and chemistry texts and in laboratories, all focused on human health. As a group, our focus is typically elsewhere. Some of the issues for these doctors might originate from how we present ourselves to them, like being heavily focused on the recreational market or on our businesses’ bottom lines.

If we wanted to make a serious attempt to engage doctors, how might we do this, and what might be in it for us?

 Disclaimer: the principles contained here is not designed nor meant to be a substitute for professional medical advice, it is only achieved for educational confidences only. You should recognise full responsibility for the way you decide on to use this information.

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