To date, medical marijuana is legalized in the United States in 30 states, including the following:
Alaska, Arizona, Arkansas, California, Colorado, Kanektyut, Delaware, DC, Florida, Hawaii, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York York, North Dakota, Ohio, Oregon, Pennsylvania, Rhode Island, Vermont, Washington, and West Virginia.
Each of these states has its own rules and recommendations regarding the use and development.
Here in Florida, Medical Marijuana Legalization Initiative, also known as Amendment 2 was adopted November 8, 2016 for qualified patients under the supervision of a qualified and licensed medical marijuana. In addition, this amendment has been accepted with a total of 6,518,919 (71.32%) votes "YES", and 2,621,845 (28.68%), "Voices".
The federal government classifies marijuana as a drug in Schedule 1, which makes illegal the appointment of doctor marijuana to their patients. These doctors of marijuana can make recommendations on the use of cannabis is only in accordance with national legislation, which can operate up to 1 year. Patients can not go to the pharmacy to fill a prescription for medical marijuana.
In accordance with strict rules, doctors marijuana is prohibited to join any distributors and cannabis dispensaries.
In accordance with this amendment, only certain patients suffering from "exhaustion." The disadvantages that relate to its provisions related PTSD (posttraumatic stress disorder), chronic muscle spasms, multiple sclerosis, seizures, epilepsy, glaucoma, Crohn's, disease, cancer, HIV / AIDS, the ALS (amyotrophic lateral sclerosis or Lou Gehrig's disease, and # 39). ; disease) and Parkinson's disease.
Despite the fact that the above mentioned diseases were listed as "primary debilitating condition," in accordance with this provision, in Amendment 2 is also indicated, "or any other negative / state of such severity / symptoms as determined by a physician, the opinion that the used marijuana for medical purposes prevails over any possible health risks. "
Currently, Florida, about 56 well-known and familiar medical marijuana.
More information and specifics on this topic is available on the website of Ministry of Health of Florida (http://www.floridahealth.gov) on how to become a medical marijuana patients in Florida. For more information on the amendment 2 can also be found here.
Parkinson & # 39; S disease
A few months ago I came across a video on Facebook of a man with Parkinson's disease, to take pictures of cannabis. Before and after the videos were very impressive. Before starting treatment, you will be able to see significant tremors, stuttering and bad posture of this man. After the video shows a very different face. His speech was clear and audible. He had no stuttering, shivering, and he showed a very controlled movement. This man walked and talked like a normal person would. He also shared how it has improved their quality of life.
As a physical therapist, who is exposed to a variety of cultural circumstances, I personally have mixed feelings about medical cannabis. As a health worker, it is quite the wealth, to witness one of the most significant changes in my patients using cannabis.
Mr. George. L. Parkinson's disease
For more than five years, Mr. George. L. came to me for treatment and physical therapy in connection with the problems caused by Parkinson's disease. Knowing the progressive nature of the disease, I watched this gentle soul to cope with the consequences of this debilitating ills. His chief physician would have sent him to treatment if he begin to develop weakness, stiffness, chills, and, most likely, balance problems, when he said that the house falls.
We would see him for about six to eight weeks each time. We have worked to improve his coordination, strength, flexibility and balance for the main goal – to keep it in the safety and self-sufficiency at home, because he lives alone. In addition, to avoid the drop, which inclines it to more severe injuries and complications.
A few weeks ago, he came to the office to sign physiotherapy when he again sent his doctor. After working with this patient for many years, I tried to find that it has changed. I was looking and looking, as he did his initial assessment. Perhaps he noticed the curiosity attracted me because he recognized me. No longer able to restrain my curiosity, I asked him: "Mr. George, what did you do?" Mr. George just laughed and asked me why curiosity!
Well, I finally got to the point that Mr. George. He had little jerks on the right hand, where he showed the typical bumps of the disease. The neck was lined and has not shifted to the right side. Moreover, his performance was more intuitive! Another thing that struck me was that it was better. Not perfect, but he was able to turn around without having peratasovvats what I saw, as it does for many years.
He finally shared with me that he began taking cannabis treatment more than a month, as recommended by his neurologist. His friend, apparently mentioned to him the video on Facebook of a man with severe Parkinson's disease. This man was a picture of medical cannabis, and the change has been seen only in a few minutes. This is, perhaps, pushed him to consult with your primary physician, and then his neurologist.
The changes that I have seen Mr. George. After just over a month was on medical cannabis are essential. His performance improved. His voice is deeper and more audible. He had no stuttering, and he had more control over his right hand trembling from almost non-existent. It is also worth easier. His balance and coordination have improved, especially because when retraining balance improved he is now receiving.
During therapy sessions, Mr. J could faster with greater accuracy bounce on the floor. We saw him tossing and catching the ball in standing, but no one holds on to it. We used to have someone standing behind and detained him because he had a slow response and reflexive reaction. His gait is also improved. A month ago he would have dragged his right leg and was very short deck steps. He lost his balance at the slightest attempt to turn or lift his leg higher to stand on one leg.
These seemingly subtle changes in it for almost a month use of medical cannabis changed his life. He shared that he feels more relaxed and less concerned about the drop. He can deal with simple household chores with more confidence and is able to carry more modern therapeutic exercises during physical therapy sessions. It does not feel tired and can do more tasks during the day.
Mr. G is still in this way and would like to share this experience and tell me your story. Knowing him and his origin, he is not the type of person who would take marijuana indiscriminately for simple relaxation and indulgence.
On Mr. J.
Mr. George. Originally from Central New York and moved to Florida. He was diagnosed with Parkinson's disease about seven (7) years ago. He was the designer of a very prestigious Chinese manufacturer of Syracuse, whose client with & # 39 are the White House, five-star hotels and prestigious restaurants. He was also a member of the barber barbershop as a tenor SPEBSQSA (Society of preservation and promotion of the barbershop quartet who sing in America), and was a member of several amateur Broadway shows in New York. He was a teacher of the art for high school students, presenting the image.
His life changed when he was called into service sometime in 1986. He began treatment, which, according to him, were mainly people who had tumors. He traveled abroad to expand its medical service. It attracted so much attention that even the media noticed and covered his service several times. He is now retired and lives in Palm Bay, Florida.
Worthy to know that special someone who has done a lot for his young age. He devoted much time and affection to help others. I deeply appreciate the humanitarian service that J had, and how his ministry touched so many lives. I consider him one more insincere hero of his time.
His willingness to share a fragment of its history – it is a privilege. Moreover, to be able to work with him to improve his progress, and to see his motivation and determination for many years – it is a very inspiring experience.
Personal Battle Mr. George. L. Parkinson's disease.
Mr J. as he shared, he was officially diagnosed with Parkinson's disease nearly seven years ago. He was under the care of internal medicine doctor practicing in Palm Bay, Florida.
About Parkinson's Disease
As described employees of the Mayo Clinic: "Parkinson's disease – a progressive disease of the nervous system that affects movement It develops gradually, sometimes with a barely noticeable tremor in just one hand, but at the same time a tremor may be well developed aware of the signs of Parkinson's disease, it is… violation and often causes stiffness or slowing of movement. "
The following effects of the disease include the following: an inarticulate person also known as maskiravany fatsyi or gipamimiya and reduced speech quality that can be blurred, soft and even stuttering. They are very common in patients with whom I have worked. The ability of the patient's foot is also affected. It is a loss of swing arm on the rigidity of the body, stiffness and mixing steps, which result nekaardynatsyi.
Unfortunately, this disease is a progressive and modern medicines are aimed at improving the symptoms, but not necessarily drugs.
Currently, there are numerous studies on the treatment, including surgery to control certain areas of the brain and electrical stimulation.
However, at this time there is no standard therapy for the treatment, according to the National Parkinson Foundation.
In addition, the recommended medications, lifestyle changes, exercise and rest.
Modern designed drugs include: Carbidopa-levodopa, Carbidopa-levodopa, dopamine infusion, MAO-B inhibitors, Katehol-O-methyltransferase (COMT inhibitors) antsihalinergiki and amantadine. -Krynitsa: Organization Mayo Clinic
Deep brain stimulation (DBS) – a procedure in which electrodes are implanted in certain areas of the brain with the generator implanted in the chest near the collarbone, which sends impulses to the brain to reduce the symptoms. However, this is not a & # 39 is the treatment and involves a lot of risks and side effects. And medication and DBS does not stop the progression of the disease.
Parkinson and physiotherapy
Physiotherapists work with these types of patients during different stages of the disease. This is primarily due to the reduction of functionality as a result of nekaardynatsyi, dyskinesia (involuntary movement) and rigidity, making purposeful and spontaneous movements is very tiring.
These problems can make even the most basic functions as feeding, care and toilet. The gait becomes extremely unstable. Stirring walk very common where it is difficult to make the first move (due bradykinezii – very slow movement), but when they go to stop them is also very difficult. Many of these patients are at high risk of falls and a large amount of aging stages becomes completely dependent care.
When referring to physical therapy, patient education regarding the appropriate exercises, movement strategies, objectives, modifications, training distance and prevention strategies fall from & # 39 are part of the overall care plan and functional interference. They are also often referred to as curative therapy for speech problems, and feeding, as well as occupational therapy for basic functions and self-protection functions of the hands or upper limbs.
Mr. J & # 39; s battle
I first worked with Mr. George about 5 years ago. Although at that time he was not in the advanced stages of the disease, it has already showed the main visible symptoms: chills, hands and neck, maskiravany full face, rigidity and significant nekaardynatsyya. He walked very slowly, confused and a long walk from room to room, because it was not able to make quick turns. When he turns around, he usually loses his balance and falls. His reflexes were very slow. He could hardly catch the ball or bounce off him. His speech was slurred, barely audible, and he had a stutter. It was difficult to get up and down with simple curbs and stairs. Several times he has fallen out of balance problems.
Mr. J. continued to keep a program of physical therapy and was always very motivated. For each episode, about which he was talking about us for many years, he always showed an improvement and always performs a specific exercise program, which we ordered. Due to the progressive nature of the disease, however, it would be worse and we had to work with him again.
He shared the story of the first time I noticed a change in him from Parkinson's. The first thing he mentioned was when taught art to high school students in the class of Art in New York. He said that gradually he found it difficult to draw and use your right hand when he was a jerk. The others followed, changing facial expression, stiffness and sense of cruelty constantly. It became progressively worse until his move to Florida.
Once under the care of a therapist, he was appointed Sinemet and other medications that he was taking for years.
The last time I saw him on medication, was in early 2016, when in his right hand were tremors and involuntary twitching in the neck. His maskiravanyya fatsyi were pragresavanyya face almost suhly, and he went and so much moved. He could hardly move one foot in front of another. He also reported on the fall of the deteriorating problems with balance.
That's why I saw him in March this year, saw in it a significant change, which he associated with medical cannabis.
Medical cannabis: capsules and Gunma
He went on to share his story. After hearing about the potential benefits of cannabis in Parkinson's disease, he consulted with his primary doctor, who sent him for further consultations with their neurologist. His neurologist recommended to try medical marijuana because of the progressive nature of Parkinson's disease.
Then Mr. J. began using capsules with cannabis, wherein he stated that it contained about 30 units to 25 mg capsules. It cost him about $ 80, including shipping. With its shipment came exemplary package with a comedic version of about 5 girls in the pack. Capsules were bitter, he said, and he took 1 capsule daily.
He added that after taking the first capsule he felt so calm and relaxed. He could move around more easily and get out of bed, it is better to climb and become the chair. He also noted that his thrusts were significantly less than the first time.
Mr. George said that he likes the rubber hemp is better because it tastes like candy and delicious than the capsules. Especially comedies that effect seemed much faster than in the capsule of action and much cheaper. Capsules per piece cost about $ 3 apiece, and gum would have amounted to about $ 1 per unit, he added.
To simulate the effect of gum, Mr. John said that he tried to melt the capsule under the tongue to lift the hem of her bitterness. He chewed chewing bear candy. It worked for him.
To date, Mr. J. continued physical therapy, when we see that he is more able to endure and perform training at a high level, which previously he could not do. On his right hand was very small, without a shudder, he no longer feels the tension in the neck, and his reflexes are improving. I see it in its ability to make a turn and not to lose balance. We should not keep him until he catches or throws the ball bounces to improve their protective reflexes vypravlyayuchyya required him to not fall. it can lift your legs up when walking, and his shuffling is much less.
Even recognizing the progressive nature of the disease, just inspiring to see how this very soft, friendly, intelligent and talented man overcomes simple everyday functional obstruction caused by this debilitating and irreversible disease.
For the population that suffers from a debilitating disease, daily victory of the ability to move and perform tasks that most of us seem so trivial – it is a blessing.
Currently, the legalization of medical marijuana will be held in Congress. We all have different positions and a strong opinion on this matter. Research continues on its pros and cons. I believe more awareness of its existence as an alternative treatment of various diseases that do not respond to conventional medicine and treatment.
Як медыцынскі работнік, ён проста выконвае магчымасць быць сведкам функцыянальных змен у містэра Дж., Наколькі ён здольны заставацца незалежным і самадастатковым, нягледзячы на парушэнні.
У цяперашні час я працую над пошукам чалавека, які можа падзяліцца са мной негатыўнымі эфектамі медыцынскай марыхуаны. Я хацеў бы пачуць ад вас і быць у стане падзяліцца сваім падарожжам і вопытам, вядома, ананімна.
Калі ласка, звяжыцеся са мной, калі вам ёсць чым падзяліцца.
Маё прывітанне з выдатным днём і да майго наступнага артыкула!