Health
Several groups say cannabis may help aging Americans manage pain
For the first time ever, more Americans are using marijuana daily than those who drink alcohol every day.
That’s according to the Society for the Study of Addiction.
One group that has sharply increased its marijuana use is senior citizens over the age of 65. Many are using the substance for ailments in place of prescription drugs, but they are having difficulty accessing medical cannabis.
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“There is very real psychopharmacology associated with cannabis, and I hadn’t learned anything about that in medical school,” said Dr. Zachary Palace, a board-certified geriatrician.
“As I started to learn more about it, I realized it’s a medication that can really be used very safely in the geriatric population.”
Palace is featured in a new video, alongside other physicians, patients and politicians, by the Commonwealth Project. Howard Kessler is founder of the effort, which is working to make medical marijuana more widely available, especially for senior citizens.
“Every day we are letting people suffer when we don’t have to,” Kessler said.
Other doctors are now specializing in treatment using cannabis. OB-GYN Dr. Melanie Bone says she sees success every day when it comes to treating senior citizens with marijuana.
Patients say it helps them sleep, makes them feel less drowsy than other prescription drugs — and others were able to stop taking morphine or opioids.
“Status quo was either to not teach at all or maybe a lecture,” she said. “It’s safe, it’s efficacious.” Her patients say it helps them sleep, makes them feel less drowsy than other prescription drugs and others were able to stop taking morphine or opioids.
“For 40 years, I always had pain with something, and now I don’t have it,” said one of Dr. Bone’s patients.
Since the Nixon administration, cannabis has been designated by law as a schedule 1 substance by the Drug Enforcement Association.
“America’s public enemy number one in the United States is drug abuse,” President Richard Nixon said in 1971 amid a crackdown on drug use.
Other schedule 1 substances include heroin, LSD and ecstasy.
“Schedule 1 says there’s no medical use for this substance, and it’s highly addictive and dangerous,” said Robert Kent, former White House general counsel of National Drug Control Policy.
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The classification is more restrictive than Schedule 2, which includes cocaine, fentanyl and meth.
Kent has helped develop drug policy for almost 20 years. He worked as part of President Joe Biden’s White House Office of National Drug Control Policy.
“Schedule 3 means there is a medical use,” former Massachusetts HHS Secretary Marylou Sudders said.
The Health and Human Services Department first recommended rescheduling for marijuana in August of last year. The agency determined cannabis had a use in the medical realm but that there were concerns about possible abuse or dependence on the substance.
“It’s an important move toward reversing longstanding inequities,” President Joe Biden said as the Drug Enforcement Administration moved to re-classify the drug in May.
The DEA announcement was the last major hurdle for rescheduling. The move becomes official after the Office of Management and Budget signs off, followed by a public comment period.
Kent has helped develop drug policy for almost 20 years. He worked as part of President Joe Biden’s White House Office of National Drug Control Policy.
“Everyone seems to be focused on commercial recreational marijuana. What I’ve been really hopeful for is it will open the door for so much more research to occur, and it’ll be much easier to do research,” Kent said.
“I’m particularly interested in research where we can look at use of cannabis, marijuana, as an alternative to prescribed opioids for treating pain and other medical conditions.”
“I’m particularly interested in research where we can look at use of cannabis, marijuana, as an alternative to prescribed opioids for treating pain and other medical conditions.”
Kent says some of the most promising benefits could be the reduction of overdoses.
“It is heartbreaking. Even [in] the most recent numbers from the federal CDC, we’re losing over 100,000 people a year to prescribed opioids,” Kent said.
Many senior citizens are now using cannabis to treat chronic pain, nausea from cancer treatment and other ailments.
“Geriatric patients can be on 10 or more meds very easily, and there’s such a high risk of side effects,” Palace said. “The most impactful effect we saw was pain management. In most cases, they were able to either eliminate or significantly reduce the amount of opioids they were taking, and we didn’t see any side effects.”
The Commonwealth Project proposes a large-scale demonstration model in the state of Massachusetts, similar to Medicare.
“The government takes full responsibility for the health care of people 65 and over, period,” Kessler said. “That’s their job.”
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Throughout the study, major payer providers would provide guidance and education to caregivers, pay for approved cannabis therapies for people 65 and over, and record the results.
“All it’s going to do is, in a structured, observed and controlled way, validate what we already know,” former Blue Cross Blue Shield Massachusetts CEO William Van-Faasen said.
Kessler says tens of millions of people could be helped with the project — but others say more evidence is needed.
“I’m not sure that rescheduling — a lot of people think we’re going to have research falling from the sky as a result. I hope they’re right. But I’m a little skeptical because I think it takes money, more than anything, for that research to happen. And so far, bio companies — they don’t see marijuana as a super viable product,” said Kevin Sabet, president and CEO of Smart Approaches to Marijuana.
For more Health articles, visit www.foxnews/health.
Sabet served as an adviser to the Clinton, Obama and Bush administrations. His organization believes cannabis should not be a substitute for medicine before treatments are FDA approved.
“Maybe it’s possible that the opioid manufacturers wouldn’t want it. I think we’re all open to it. Let’s study it, but let’s get the facts out right now. Seventy-five percent of people think that it’s harmless,” Sabet said.
“And they’re not realizing that it stays in your system for a while. It can cause these mental health breakdowns.”
Some doctors say rescheduling could lead to more studies and awareness about the benefits of cannabis.
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“I think the danger is right now, because you have so many states where there are products on the market,” Kent said.
“We should all understand there are seniors who are using — they’re going to these dispensaries in states that have legalized the use. And so it’s already occurring. I think actually Howard’s proposal would control it in a much more significant way.”
Health
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Health
One state leads country in human bird flu with nearly 40 confirmed cases
A child in California is presumed to have H5N1 bird flu, according to the San Francisco Department of Public Health (SFDPH).
As of Dec. 23, there had been 36 confirmed human cases of bird flu in the state, according to the California Department of Public Health (CDPH).
This represents more than half of the human cases in the country.
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The latest pediatric patient, who lives in San Francisco, experienced fever and conjunctivitis (pink eye) as a result of the infection.
The unnamed patient was not hospitalized and has fully recovered, according to the SFDPH.
The child tested positive for bird flu at the SFDPH Public Health Laboratory. The U.S. Centers for Disease Control and Prevention (CDC) will perform additional tests to confirm the result.
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It is not yet known how the child was exposed to the virus and an investigation is ongoing.
“I want to assure everyone in our city that the risk to the general public is low, and there is no current evidence that the virus can be transmitted between people,” said Dr. Grant Colfax, director of health, in the press release.
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“We will continue to investigate this presumptive case, and I am urging all San Franciscans to avoid direct contact with sick or dead birds, especially wild birds and poultry. Also, please avoid unpasteurized dairy products.”
Samuel Scarpino, director of AI and life sciences and professor of health sciences at Northeastern University in Boston, is calling for “decisive action” to protect individuals who may be in contact with infected livestock and also to alert the public about the risks associated with wild birds and infected backyard flocks.
“While I agree that the risk to the broader public remains low, we continue to see signs of escalating risk associated with this outbreak,” he told Fox News Digital.
Experts have warned that the possibility of mutations in the virus could enable person-to-person transmission.
“While the H5N1 virus is currently thought to only transmit from animals to humans, multiple mutations that can enhance human-to-human transmission have been observed in the severely sick American,” Dr. Jacob Glanville, CEO of Centivax, a San Francisco biotechnology company, told Fox News Digital.
“This highlights the requirement for vigilance and preparation in the event that additional mutations create a human-transmissible pandemic strain.”
As of Jan. 10, there have been a total of 707 infected cattle in California, per reports from the California Department of Food and Agriculture (CDFA).
For more Health articles, visit www.foxnews.com/health
In the last 30 days alone, the virus has been confirmed in 84 dairy farms in the state.
Health
Chronic Pain Afflicts Billions of People. It’s Time for a Revolution.
“In the beginning, everyone thought they were going to find this one breakthrough pain drug that would replace opioids,” Gereau said. Increasingly, though, it’s looking like chronic pain, like cancer, could end up having a range of genetic and cellular drivers that vary both by condition and by the particular makeup of the person experiencing it. “What we’re learning is that pain is not just one thing,” Gereau added. “It’s a thousand different things, all called ‘pain.’”
For patients, too, the landscape of chronic pain is wildly varied. Some people endure a miserable year of low-back pain, only to have it vanish for no clear reason. Others aren’t so lucky. A friend of a friend spent five years with extreme pain in his arm and face after roughhousing with his son. He had to stop working, couldn’t drive, couldn’t even ride in a car without a neck brace. His doctors prescribed endless medications: the maximum dose of gabapentin, plus duloxetine and others. At one point, he admitted himself to a psychiatric ward, because his pain was so bad that he’d become suicidal. There, he met other people who also became suicidal after years of living with terrible pain day in and day out.
The thing that makes chronic pain so awful is that it’s chronic: a grinding distress that never ends. For those with extreme pain, that’s easy to understand. But even less severe cases can be miserable. A pain rating of 3 or 4 out of 10 sounds mild, but having it almost all the time is grueling — and limiting. Unlike a broken arm, which gets better, or tendinitis, which hurts mostly in response to overuse, chronic pain makes your whole world shrink. It’s harder to work, and to exercise, and even to do the many smaller things that make life rewarding and rich.
It’s also lonely. When my arms first went crazy, I could barely function. But even after the worst had passed, I saw friends rarely; I still couldn’t drive more than a few minutes, or sit comfortably in a chair, and I felt guilty inviting people over when there wasn’t anything to do. As Christin Veasley, director and co-founder of the Chronic Pain Research Alliance, puts it: “With acute pain, medications, if you take them, they get you over a hump, and you go on your way. What people don’t realize is that when you have chronic pain, even if you’re also taking meds, you rarely feel like you were before. At best, they can reduce your pain, but usually don’t eliminate it.”
A cruel Catch-22 around chronic pain is that it often leads to anxiety and depression, both of which can make pain worse. That’s partly because focusing on a thing can reinforce it, but also because emotional states have physical effects. Both anxiety and depression are known to increase inflammation, which can also worsen pain. As a result, pain management often includes cognitive behavioral therapy, meditation practice or other coping skills. But while those tools are vital, it’s notoriously hard to reprogram our reactions. Our minds and bodies have evolved both to anticipate pain and to remember it, making it hard not to worry. And because chronic pain is so uncomfortable and isolating, it’s also depressing.
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