Displaying episodes by topic: patient care

More than 200,000 Canadians are registered Medical Cannabis patients.  Due to a cumbersome national system, many of these individuals discover the benefits of Cannabis alone, with little therapeutic expertise to guide them.  Learning about your medicine or just trying to access your medicine, these tasks are made easier when engaged with a business like Tantus Health; a Medical Cannabis Dispensary. Their consultants design natural wellness plans to educate individuals and provide personal guides to alleviates those frustrating unknowns that come when using Cannabis as medicine.  In this episode, Kirk and Trevor discover a Canadian licensed medical cannabis company who: provides quality medicine consistently, forms strong relationships with their patients, and helps west coast first responders suffering from PTSD.  With Tantus Health, you are not alone with your prescribed cannabis.

In this episode, Kirk and Trevor review “The Cannabis Cancer Connection” by Dr. Joe D. Goldstrich. Dr. Joe is a cardiologist who, in his retirement, became a self-descripted “cannabis oncologist”. He now applies pre-clinical cannabis research and his years of expertise and patient experience to his clinical cannabis practice. In his book, Dr. Joe discusses the “Art” of practicing medicine within an evidence-based system. He discusses the limitations of the available science behind medicinal cannabis, while at the same time challenging the medical system to recognize the plant’s potential. He has had successes and failures using cannabis as a therapeutic in cancer care and offers a balanced view of both. This book offers a good introduction to both cannabis and cancer, and will help individuals and families to better understand how cannabis can help those suffering from the disease. Dr. Joe also takes the reader deeper by applying the available knowledge and connecting it to his clinical practice making this a valuable resource to those practicing in the field of oncology.

We've got another amazing group of attendees from CannMed 23!

One evening they said dinner was on Lanai Beach. In Manitoba, if you are at a conference and someone says dinner is on Lanai Beach, then Lanai Beach is the name of a room. But in Florida, they actually meant dinner was on a beach. That sounds like a lovely idea, unless it is over 30 C and there is no shade. Thankfully, I brought a ball cap for my bald head and I met Dr. Joe Thompson also looking for some shade beside a pole. Dr. Thompson trained as a pediatrician, but now is the President & CEO of the Arkansas Center for Health Improvement. They have a program where they are going to analyze the data of people who got medical cannabis in Arkansas and see what happened to Health Outcomes. You want to hear about how that study will be done.

Dr. Leah Johnson Pharm D is a pharmacist and we met her in the Poster Hallway. Her Poster was about palliative care patients in California. Her group believes that if patients have access to cannabinoid medicine during palliative care, that will promote a better quality of life for the patients. Dr. Leah helps patients with their cannabis therapy and is a Cannabis Speaker and Educator across the US. She is on the Executive of the Pharmacist Cannabis Coalition of California (PCCC).

I met Akeem during the opening reception of CannMed 23. I didn't know anyone at the conference yet, so thankfully, he came up to me, read my name tag and introduced himself. Soon we discovered we were both from Canada, and we laughed over the fact the sliders were taken away too quickly. He told me he was nervous about a main stage talk he was giving. Now I understand why. He was giving a very technical, science heavy talk to a room full of cannabis doctors and researchers. But he killed it during his talk. He even handled challenges from the audience. I got to collect some audio from Akeem right after his talk. He’s from Mississauga. He’s a huge basketball fan. He has a nephew who Uncle Akeem really wants to become the next Lebron James. But for our story, Akeem is a Canadian lawyer turned hemp farmer turned CEO of the BioTech company Canurta Inc. His talk was about cannaflavins and their potential to treat glioblastoma, a common and aggressive form of brain cancer.

Bruce Mackler was involved with Prairie Plant Systems in Flin Flon when all “legal” Canadian Government Cannabis was grown in a mine in 2000. That became Cannimed in Saskatoon. And that got bought out by Aurora. Former lawyer that fought cases against the FDA. Former immunologist. His company, Ethicann, is developing a sublingual tablet for Multiple Sclerosis as a competitor to Stativex.

Dr. Rob Sealey returns to the podcast. Back in S3E7 he talked about Cannabis For Kids. Today we drive down the road to the other end of the age spectrum, Cannabis and Seniors. Dr. Sealey is super knowledgeable, but also pithy comment machine! Within this episode he says  "you wouldn't go into your local liquor store and say, which bottle of Marlow should I use for my arthritis." He also figures "if we're at all related to mice and some people are more related to rats, then you know, you got a pretty good shot as this could actually potentially help."  When filling your medicine cabinet there is "the great substitution effect of using cannabis because of its multi-modal aspects." Applying his knowledge he shares "I always am a booster of the endocannabinoid system." We can’t entice you any better that these quotes. Go Listen!

Why not pick up your medicine on the way home from work? Buying your cannabis from a recreational store is certainly more convenient, especially when there is a store in pretty much every neighbourhood. In this episode, we learn the advantages of following the Health Canada Medical Cannabis pathway. Justyna Johnson is a Medical Cannabis Educator employed by The Clinic Network. The enthusiasm for her job comes from spending her workday helping people navigate the medical cannabis system. Unlike the recreational store budtenders, Justyna’s job is to address your medical questions and guide her patients through the paperwork, discussing the programs offered by License Producers. This is where there is a difference between medical and recreational cannabis systems. Justyna shares her knowledge and understanding, demonstrating how those who use cannabis as medicine will benefit by not using the recreational system to buy their medicine.

What is the evidence? Where are the studies? There is no proof that cannabis can treat anything! Well…What if I told you there are lots of studies showing that cannabis has medical benefits? What if there was a study going on right now in Sarnia looking at Cannabis and Dementia in Long Term Care (LTC) homes? Dr. Blake Pearson and his partners in Lambton County are the epitome of “Think Global, Act Local”. They are tackling the pervasive problem of dementia in all LTC homes by seeing if cannabis can improve it in their local LTC system. Their study also measures if cannabis use in Dementia patients can help reduce Care Giver Burnout. This exciting research on the shores of Lake Huron is adding to the growing mountain of cannabis as medicine. We also take a left turn into “Green Washing”, but it is not what you think. Come have a listen.

Brent Alarie is informed he has COPD, then it was multiple sclerosis. No wait, he receives another diagnosis of blood cancer. These were just a few of the catastrophic verdicts given to describe how his body was betraying him. He needed to create change and prepare for his enviable death. With a new bucket list he started living his best life under the circumstances. A six-year painful journey, of the most insane symptoms and being bounced from one diagnosis to another, finally comes to an end. Brent is told he has chronic Lyme Disease. A new journey begins with learning to live with the on-going symptoms of Lyme and regular pharmaceuticals do not help with the chronic nerve-pain. He was never a drug-guy, but after a friend gave him Cannabis, he finds therapeutic relief. Brent shares how he now balances his life with nutrition and Cannabis. Kirk and Trevor bring their second story on how Cannabis brings relief to people suffering from this Monster sickness in which we call Lyme Disease.

Dr. Jen Anderson wasn’t very interested in cannabis. As a newly minted family physician, it just wasn’t on her radar. She wasn’t against it. But cannabis just wasn’t going to be a tool in her tool box, professionally. She became a mom, and one of her children started having seizures. Lots of seizures. After exhausting all the regular anti-seizure medications, she tried cannabis on her child. It helped. The cannabis helped a lot. But some of her colleagues in neurology were not happy she was giving her child cannabis. Without the cannabis, Dr. Anderson believed her son could die. Then the neurologist said words no parent wants to hear, “Well, yes he could…” You’ll just have to listen to hear how the twists and turns play out. 

The Victoria Cannabis Buyers Club (VCBC) is no stranger to defending the services that a compassion club can deliver. For decades, the VCBC has supported individuals with chronic and or life-threatening diseases by providing aid not available from government health systems. Kirk once again visits this west coast healing community. He examines how this celebrated organization is now fighting a $6.4 million fine levied against them as an unlicensed dispensary. Founder Ted Smith, a tenacious defender of human rights, explains this current challenge, the club’s relationships with growers, and the help his staff provides the medical cannabis community.

When you take a prescription medication, it goes into your body, does what it is supposed to and then leaves. Part of leaving the body often involves the medication getting broken down or metabolized by enzymes in the liver. One of the biggest medication metabolizing enzyme systems in the liver is called the Cytochrome P450 enzymes. Why should you care? Because cannabis can effect the Cytochrome P450 enzymes. That could cause there to be too much or too little of a prescription medication in your body to do its job properly. Dr. Lyndsey Anderson and her colleagues at the Lambert Initiative in Sydney, Australia have looked at how cannabis and the Cytochrome P450 enzymes interact. Let's have a listen!

Dr. Suzy Pinnick, a family physician specializing in palliative medicine and remote northern medicine, shares her cannabis story with Kirk. In this episode, the two health professionals sit in a casual masked conversation within the warmth of the NIC’s office of a northern nursing station during a deep Covid19 Canadian winter evening. She is quick to say she has very little knowledge of cannabis, yet believes it is important to learn. When she was asked by parents to prescribe cannabis for one of her pediatric palliative care patients, Dr. Pinnick quickly recognized how little she knew. Kirk brings the story to Trevor, how this experienced doctor is willing to learn as she practices; how she learns the art of medicine while applying the formal duties of a doctor.

Philippe Lucas from Tilray comes on the discuss the TOPS (Tilray Observational Patient Study).  It looked at around 2000 medical cannabis patients across Canada prospectively and gather tons of data.  Some of the most interesting findings include medicating with cannabis seems to reduce opioid use and the use of prescription medications in general.  Plus, there was no signal that the study participants wanted more and more cannabis which implies limited drug seeking and addition behaviors from medical cannabis.  Numbers, data, cannabis, a great chat with Philippe, are you as excited as Trevor about this one?  Have a listen.

In this episode we explore a series of unfortunate events started when a Registered Nurse decided to illegally grow cannabis as medicine. Society may consider nurses one of our most trustworthy groups however, employers and professional colleges have policies and procedures suggesting otherwise because the profession is plagued with addiction issues. This episode explores what happens when a nurse self-medicates using cannabis and is seen as having an addiction issue. There is a mismatch in understanding needs and medicine. Kirk and Trevor wonder if this is one of those stories where Cannabis is misunderstood and due to this lack of understanding, we are left with one less nurse.

Although universal health care is considered a Canadian right, ensuring your unique needs are fully met can be a challenge. Kirk and Trevor meet Susan Hagar, from Nurse on Board, your healthcare navigation partner. Working for you and your family, a Nurse “will take the stress out of dealing with medical challenges and will design a plan tailored to your specific needs.” Acting as your personal health care manager, they work collaboratively with the health professionals involved with your care. Are you interested in Cannabis and your doctor is not? Nurse on Board offers Cannabis Competent Nurses, who will accompany you to your doctor appointments and guide you and your doctor, with better understanding how Cannabis can be used in your care plan. In this episode, we learn how self-employed nurses help our current health care system meet needs of individuals. We also learn how health professionals can learn to be Cannabis competent through online education.

Rather than measure the wing span of mosquitoes, Dr. Lynda Balneaves RN became a nurse. Her story begins with recognizing a love for people and for travel. Her academic journey, of supporting people and health care providers with engaging in shared decision-making related to complementary and integrative health care, includes some of Canada’s earliest cannabis research. The scholastic chronicles, of this Doctor Nurse, speaks to how we can never truly plan our life path, but we do have the power to be properly prepared for opportunity. This episode will guide care givers in their practice responsibilities with cannabis, while increasing the expectations of those who receive care through it.

If you suffer from headaches, Dr. Carrie Cuttler, Assistant Professor at Washington State University, may offer some insights. This episode explores how migraine sufferers may benefit from cannabis. In her study, this cannabis researcher, uses Strainprint data to track people who use inhale cannabis to treat their migraines. Kirk and Trevor explore her research and also discuss how diminished anandamide levels, an important endocannabinoid, may also contribute to the headache pain.  A deficiency in the `bliss` molecular causes a pain in the ...head? 

Kirk and Trevor discuss PTSD with Dr. Mike Hart founder of ReadyToGo Clinic.  Dr. Hart talks about how PTSD, migraines, IBS and some other conditions are due at least in part to an endocannabinoid deficiency.  That means cannabis is an obvious treatment for PTSD.  Also hear how cannabis can also be used in sports medicine and about Kirk's Runners' High on the Columbia Ice Fields.

Kirk and Trevor talk to Janna Champagne.  Janna was a critical care cardiac nurse thriving in a high pressure, high stakes, life and death work place.  Suddenly her life was derailed by an illness.  Janna discovered how cannabis could help her life and has become a Cannabis-Specialty Nurse to help others.  Along the way, Janna found another benefit of cannabis to her family.  Come listen to how cannabis helped Janna's daughter through an Autism puberty crisis and probably spared her from out of home placement.

"Marijuana Study Finds CBD Can Cause Liver Damage".  This article in Forbes by Mike Adams blew up on Cannabis Twitter.  What is the truth?  Does the ubiquitous CBD beat up on the poor defenceless liver?  Is this just junk science and hyperbole?  Well...we called up the study authors and asked them.  Get ready to be schooled by Dr. Igor Koturbash , Dr. Bill J. Gurly and Dr. Mitchell R. McGill.  This conversation goes through the basic science involved in toxicology studies for any new medication.  Get ready to nerd out on why mice are really livers with legs, acute vs chronic dosing studies and much more.  Spoiler alert... these highly educated gentlemen don't hate CBD.  They just want there to be more study on what CBD does to the liver and how it might effect other medications a person is taking.  Be mindful in your cannabinoid use and have a listen. 

Kirk and Trevor are live on stage at HempFest Saskatoon for a second time!  This time Trevor talks with Sue Letwin(@LetwinSue).  Sue has Lyme Disease.  She explains how this misunderstood condition effects her life and how cannabis is helping her.  In fact she finds the THC helps her more than CBD.  And she make her own edibles.  Come learn from Sue with us!