Displaying episodes by topic: patient care

Friday, 05 August 2022 07:54

E89 - Its About Smoking Lyme

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.

Tuesday, 29 December 2020 12:13

E61 - One Less Nurse - Paul Martin

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.

Tuesday, 08 December 2020 11:49

E59 - Nurse on Board with Susan Hagar

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.

Sunday, 01 November 2020 20:04

E57 - Cannalogue

 

Dr. Mohan Cooray is a specialist in internal medicine, gastroenterology, hepatology, and advanced endoscopy. After graduating from the University of Toronto’s Life Sciences program with the highest distinction, he was accepted into the prestigious Michael G. DeGroote School of Medicine at McMaster University and was recognized for his achievements with the Outstanding Gastroenterology Resident Award in 2015. Dr. Cooray was quickly recruited for a highly coveted position at the Michael Garron Hospital in Toronto, where he worked with patients undergoing treatment for digestive diseases. Internists are doctor's doctors; they are all about the evidence. And Dr. Cooray did not start out believing cannabis was a reasonable treatment for his patients. What changed his mind so much he helped found a company, Cannalogue, that aims to get cannabis and cannabis education out to medical patients? You gotta listen!
 

 

Is cannabis something to fear when it comes to prenatal health? The easy answer is yes, when we consider the universally acceptable care plan of all pregnancies are best lived following a healthy diet, doing appropriate exercise, and consuming no unnecessary drugs or medications. With cannabis becoming more widely used as a medicine and consumed recreationally by a growing population, it is important to fully understand how cannabis affects human development and family health. In their second episode discussing Prenatal Cannabis Exposure, Kirk and Trevor explore the implications of cannabis use in pregnancies with Virginia Commonwealth University’s Dr. Mishka Terplan of the Department of Obstetrics and Gynecology and Psychiatry. It may surprise you to discover how care giver behaviours and social policy may actually be more harmful to a family’s health and wellbeing than the mother using cannabis during pregnancy. What does current research actually say about the threat of prenatal cannabis exposure to the unborn child? How can understanding the bigger picture of women and family health help change our current policies on prenatal health?
 
Let us start by saying, we encourage pregnant women toward balanced diets, proper exercise, and we discourage unnecessary drug and alcohol use.  But, what if a mother consumes cannabis during pregnancy? In this episode Kirk and Trevor begin to explore prenatal cannabis exposure and are joined by Dr. Ciara Torres, Adjunct Assistant Professor in the Department of Psychology at Columbia University.  This neuroscientists near six-year meta-analysis found prenatal use of cannabis does not lead to cognitive impairment of children.  Dr. Torres discusses how her study, published May 2020, offers policy makers a better understanding of how cannabis affects newborns.  Often babies are removed from a family when it is discovered a mother used cannabis during the pregnancy; this action may actually be more harmful than the exposure.  Proper prenatal care is paramount when predicting the future success of an unborn child. This episode is designed to start the debate, so have a listen and offer your feedback by sending us a note to This email address is being protected from spambots. You need JavaScript enabled to view it. 
Saturday, 18 April 2020 21:24

E48 - Doctor Nurse – Lynda Balneaves

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.

Tuesday, 28 January 2020 08:10

E44 - Gaba Gaba High!

Ian Mitchell is an emergency physician, the Site Scholar for the Kamloops Family Medicine Residency Program and is occasionally photographed teaching whole rooms full of people to stick their fingers in their ears while opening their mouths really wide like they are in a silent scream.  He caught our interest with an article and talk he did about gabapentin vs cannabis.  Gabapentin was originally developed as a seizure medication, but it wasn't really good at that.  Now it is routinely used for migraines, back pain, diabetic nerve pain and a variety of other conditions.  There isn't great evidence for gabapentin and all its uses.  Cannabis is just gaining the evidence it needs to show it is good for all different types of pain and other conditions.  But it is still shunned by mainly clinicians.  Is it fair the gabapentin is commonly used and cannabis is not?  Plus we go down a cool rabbit hole into some novel uses of ketamine.
Saturday, 11 January 2020 21:36

E43 - Survey Says: Migraines want Canna-bliss

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? 

Thursday, 19 December 2019 16:12

E42 - PTSD: getting to the Hart of the matter

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.

 
Tuesday, 26 November 2019 08:09

E40 - Autism

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.

 
Thursday, 15 August 2019 14:28

E33 - Liver Let Die? A CDB Story

"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!

 

You can find us on

© Reefer MEDness. ALL Rights Reserved. | Login | Webdesign by Bankert Marketing Inc.