Doctors Debate Telling Patients to Smoke Marijuana

Perhaps you know whether you’d want to use marijuana to relieve severe pain or nausea. But if you were a doctor, what would you tell patients who asked about taking something that’s against federal law?

The New England Journal of Medicine poses the question to its readers and on Wednesday presented arguments for and against from doctors.

The hypothetical patient is 68-year-old Marilyn, who has cancer and who says the standard medications are not relieving her pain and nausea. She lives in a state that allows medical marijuana use and says her family could grow it. She is asking her primary care doctor for advice.

“I endorse thoughtful prescription of medicinal marijuana for patients in situations similar to Marilyn’s,” writes Dr. J. Michael Bostwick, representing one side. Doctors should turn to marijuana only when “conservative options” fail, he says.

“Simply to allow a patient with uncontrolled symptoms of metastatic breast cancer to leave the office with a recommendation to smoke marijuana is to succumb to therapeutic nihilism,” Drs. Gary Reisfield and Robert DuPont write on the other side.

– Read the entire article at The Los Angeles Times.

Comments

7 Comments

  1. gutrod on

    These same doctor’s would prescribe you addictive opiate’s in a heartbeat to ease your pain while denouncing medicinal cannabis. Apparently they know what’s best for us.

  2. NotRom on

    Yes there is a rather demented and deliberate double entendre to this use of the phrase “conservative options”.

    What he is also implying, other than toeing the party line, is that marijuana must be dangerous because it’s illegal and big pharms are save because they’re fda black labelled.

    Highly criminal and it just underlines the nature of their corruption and symptom focused side shows.

    They’re fucking clowns, squirting you in the face while they steel your wallet.

    Since when do doctors having a debate about what herb should get prescribed whilst using loaded words like “conservative options” and perversion like “therapeutic nihilism” equate to empirical EVIDENCE BASED SCIENCE YOU FUCKING CON ARTISTS?

    That they are even having a debate should be all the evidence Mernagh would ever need!

  3. Anonymous UK on

    I presume the ‘conservative’ epithet refers to the political and legal status of the medicine (cannabis) NOT the medical efficacy. This attitude probably violates the hippocratic oath and all that is considered good practice in medicine.

    Also ….

    MARIJUANA USE DOES NOT NECESSITATE SMOKING !!!

    You can vaporise, eat it, use oil, take a pill etc. Anyone that speaks of marijuana use as smoking is either stupid or deliberately trying to give it a bad image. Medical patients should not be smoking and they don’t need to in order to benefit from cannabis as a medicine. If smoking works then that is OK but I can’t believe that one of the other methods of ingestion would not work as well and be healthier for the patient.

    (sorry for the abbreviated bad language but this makes me so mad)

  4. Anonymous on

    I’ve heard from many people in nd asking there doctors about it and they ALL say it’s illegal, but to actually use for it has many medical qualities

  5. NotRom on

    ““conservative options”.

    ahaha…

    I keep forgetting that we pay these medical doctors for political pandering, religious musings, and philosophical misunderstandings.

  6. NotRom on

    ““Simply to allow a patient with uncontrolled symptoms of metastatic breast cancer to leave the office with a recommendation to smoke marijuana is to succumb to therapeutic nihilism,” Drs. Gary Reisfield and Robert DuPont write on the other side.”

    “therapeutic nihilism” ? What the fuck is that supposed to mean, if nothing? Good job there doctors fucking.. seinfeld, was it, and teflon?

    Now preach to us some more about giving in to futility and despair as you continue concentrating the limits of discussion to your criminal and illogical desire to merely “control symptoms”.

    What more a destitute notion of authority do you fucking want? But, you know, hey…. DON’T LET THE FALSE AUTHORITY OF YOUR OVERINFLATED LAB COAT LUSTRE EGO’S GET IN THE WAY OF WHAT MAKES THEM ACTUALLY FEEL BETTER WHILE MARKET AND FORCE FEED YOUR FAILED AND TOXIC SYMPTOM CONTROLLERS FOR AS LONG AS IGNORING THE FUCKING ISSUES THEMSELVES REMAIN PROFITABLE AND NOBODY BURNS YOUR SORRY CRIMINAL ASSES ALIVE FOR IT.

    Plus they probably throw in a nice golf vacation like what, twice a year? And who can blame ya right? Not like anybody does anything about it….. what’s it matter? Hm, I think I’m understanding what “therapeutic nihilism” means now.