Chronic Pain
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121CN BC: Addiction As Chronic Disease: A Self-Fulfilling Prophecy?Sat, 22 Jul 2017
Source:Victoria Times-Colonist (CN BC) Author:Petrescu, Sarah Area:British Columbia Lines:Excerpt Added:07/25/2017

Marc Lewis is a neuroscientist who believes the opioid crisis is made worse by a medical profession that views addiction as a chronic brain disease.

"I think it's harmful. It completely disempowers addicts and takes away the likelihood that they will fix themselves," said Lewis, who spoke Friday at a forum on addiction organized by the Salvation Army Addictions and Rehabilitation Centre. This was his first visit to Victoria.

He views addiction as a developmental and psychological issue that "develops like other mental and emotional behavioral habits," starting as early as childhood and exacerbated by traumatic experiences.

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122 US As Trump Wages War On Legal Marijuana, Military Veterans Side WithSat, 22 Jul 2017
Source:Los Angeles Times (CA) Author:Halper, Evan        Lines:173 Added:07/25/2017

U.S. Atty. Gen. Jeff Sessions is pressing Congress to allow federal law enforcement to target medical marijuana operations in states where they are legal. (July 21, 2017)

U.S. Atty. Gen. Jeff Sessions is pressing Congress to allow federal law enforcement to target medical marijuana operations in states where they are legal. (July 21, 2017)

The Trump administration's attack on legal marijuana, already stymied by large states determined not to roll back the clock, is increasingly confronting an even more politically potent adversary: military veterans.

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123 CN MB: Province's Stance On Legalization Frustrates MarijuanaSat, 22 Jul 2017
Source:Brandon Sun (CN MB) Author:Clarke, Tyler Area:Manitoba Lines:147 Added:07/25/2017

While Brandon's political representatives encourage the delay of the legalization of marijuana, local advocates of the plant are saying the day couldn't come soon enough.

Picking up related paraphernalia at Growers N' Smokers on Friday, veteran Michael Gibson said that his "disrespect" for Premier Brian Pallister is "huge, right now."

This week, Pallister publicly requested that Prime Minister Justin Trudeau delay legalization for an extra year beyond the proposed date of July 1, 2018.

With too many questions that still need answering, we're just not ready for legalization, Brandon East Progressive Conservative MLA Len Isleifson said, sharing in some of Pallister's concerns about marijuana, more accurately called cannabis.

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124 CN ON: Pot Couple's 'Offence Of Compassion'Sat, 22 Jul 2017
Source:Record, The (Kitchener, CN ON) Author:Monteiro, Liz Area:Ontario Lines:127 Added:07/25/2017

In potentially precedent-setting case, operators of marijuana dispensary get an absolute discharge

KITCHENER - A provincial court judge granted an absolute discharge to a young Kitchener couple who were running an illegal marijuana dispensary in Waterloo.

Justice Colin Westman said Nour and Shady Louka committed "an offence of compassion" when they operated a medical marijuana dispensary in uptown Waterloo and sold pot to adults with medical marijuana licences.

Westman described the couple as "activists in favour of their fellow human beings" and running a marijuana dispensary was "essentially civil disobedience."

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125 US KY: Oped: Ky.'s New Opioid Law Will Only Result In More DeathSun, 16 Jul 2017
Source:Lexington Herald-Leader (KY) Author:Bloom, Josh Area:Kentucky Lines:92 Added:07/19/2017

As the death toll from opioid overdoses in Kentucky and the rest of the Midwest continues to soar, it's truly disconcerting to see that policymakers are taking steps that are not only devoid of medical and common sense, but virtually guaranteed to make matters worse.

The recent passage of the ill-conceived House Bill 333, which imposes a three-day limit (with certain exceptions) on opioid prescribing, reflects a fundamental misunderstanding of the reasons behind the addiction epidemic.

All this new law will accomplish is to make matters worse for both pain patients and addicts. The former will suffer needlessly; the latter will die in even greater numbers.

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126 US MI: Oped: In Easing Chronic Pain, Marijuana May Be A Better ChoiceSun, 16 Jul 2017
Source:Detroit Free Press (MI) Author:Clauw, Daniel Area:Michigan Lines:112 Added:07/19/2017

Chronic pain is a tremendous public health problem. The Institute of Medicine estimates chronic pain affects 100 million Americans at an estimated annual cost of $600 billion. But the rampant use of opioids to treat chronic pain stands out as the least-defensible and most-harmful of our maltreatments. Many U.S. physicians remain resistant to this, though I would argue other options should be considered.

More than 14,000 Americans died in 2014 from unintentional overdose of prescription opioids, making this the leading cause of death among younger individuals in many states, according to the Centers for Disease Control and Prevention. Countless others continue to take opioids not because they have meaningful pain and functional improvement, but because they enjoy feeling numbed, or simply have not been presented with more appropriate and helpful therapeutic options.

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127 CN NS: Researchers Want Two Weed StreamsTue, 18 Jul 2017
Source:Metro (Halifax, CN NS) Author:Fida, Kashmala Area:Nova Scotia Lines:81 Added:07/19/2017

Dalhousie duo say recreational, medical need to be separate

Dalhousie researchers are lending their voices to the debate on keeping the medical and recreational streams of marijuana separate.

The Task Force on Cannabis Legalization and Regulation published recommendations in a framework for legalization of cannabis in Canada in 2016.

It stated recreational marijuana be accessed separately from medical marijuana.

The Canadian Medical Association (CMA) came out against that recommendation in favour of a single stream instead.

The task force noted patients felt a separate system was necessary to avoid losing their current access rights to cannabis.

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128 US KY: Bevin And Beshear Ask Judge To Dismiss Medical MarijuanaThu, 13 Jul 2017
Source:Lexington Herald-Leader (KY) Author:Cheves, John Area:Kentucky Lines:89 Added:07/14/2017

Gov. Matt Bevin and Attorney General Andy Beshear want a Frankfort judge to dismiss a lawsuit calling for the legalization of medical marijuana in Kentucky.

In a motion filed Monday in Franklin Circuit Court, Bevin's attorneys said medical marijuana is a "political question" that should be decided by the General Assembly, not a judge.

"Since at least 2014, the legislature has debated bills advocating for the lawful use of medicinal marijuana in every legislative session," attorney Barry Dunn wrote for the governor's office. "The General Assembly will consider legalizing medicinal marijuana again in the 2018 session. It is solely within the General Assembly's constitutional powers to determine whether to make medicinal marijuana lawful."

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129US: Study: Adults With Mental Health Disorders Consuming More OpioidsMon, 10 Jul 2017
Source:Tennessean, The (Nashville, TN)          Area:United States Lines:Excerpt Added:07/14/2017

Adults with mental health disorders are consuming more than half of all painkillers prescribed in the United States, according to a new study.

While adults suffering from depression, anxiety and mood disorders represent just 16 percent of the nation's population, they received 51 percent of all opioid prescriptions.

Researchers at the University of Michigan and Dartmouth-Hitchcock Medical Center said that rethinking pain management among this group is "critical" to combat a growing national opioid addiction epidemic - -- one that has hit Tennessee particularly hard.

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130 CN BC: CannabusinessSun, 09 Jul 2017
Source:North Shore News (CN BC) Author:Seyd, Jane Area:British Columbia Lines:424 Added:07/11/2017

The greening of a grey economy

Down in North Vancouver's Lower Lonsdale, just a couple of blocks in from the neighbourhood's bustling main drag, the LotusLand Cannabis Club's storefront proudly displays its green logo in a stripe across the front windows. The words "British Columbia's finest," almost look official.

Inside, through a set of double doors that help keep the smell of marijuana off the street, there's a chalkboard with daily specials behind a large gleaming display counter. The light and airy atmosphere feels a bit like a high-end coffee or chocolate shop. Except it's not. On top of a low table in a seating area, there's a tray with Zigzag rolling papers.

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131CN BC: Editorial: Change Strategy On Pain DrugsSun, 09 Jul 2017
Source:Victoria Times-Colonist (CN BC)          Area:British Columbia Lines:Excerpt Added:07/11/2017

A new window has opened on the epidemic of overdose deaths engulfing our province. It is being alleged in the U.S. that some manufacturers of opioid drugs misled physicians about the addictive power of these medications. Several states, including Ohio, are suing pharmaceutical firms on that basis. They claim physicians were told that later generations of opioids such as oxycontin - a powerful painkiller - were much less addictive than earlier versions. In 2012 alone, pharmacies in Ohio dispensed 790 million opioid pills.

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132 US FL: Medical Marijuana Bill Passes In Florida LegislatureThu, 06 Jul 2017
Source:Orlando Sentinel (FL) Author:Sweeney, Dan Area:Florida Lines:148 Added:07/10/2017

The medical marijuana industry officially has its guidelines with the passage of a bill out of the Florida Legislature on the last day of a three-day special session.

The votes were 29-6 in the Senate and 103-9 in the House. The few no votes were mostly Democrats who wanted fewer restrictions in the bill, but also a few Republicans who remain against the idea of medical marijuana on principle.

Gov. Rick Scott said he "absolutely" will sign the bill. That means big changes for patients, caregivers, doctors and growers, compared with the far more limited medical marijuana law passed by the Legislature in 2014, which resulted in seven grower/dispensers in the state.

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133US NY: Veterans To Cuomo: Allow Medical Marijuana For PTSDWed, 05 Jul 2017
Source:Journal News, The (NY) Author:Campbell, Jon Area:New York Lines:Excerpt Added:07/07/2017

ALBANY - Veterans groups are pressing Gov. Andrew Cuomo to allow those with post-traumatic stress disorder to use medical marijuana, urging him to sign a bill that will soon head to his desk.

The state Senate voted late last month to add PTSD to the list of illnesses and ailments eligible for the state's medical-marijuana program, about six weeks after the Assembly voted to do the same.

It remains unclear, however, whether Cuomo will sign the bill that could significantly expand the number of eligible patients in New York's medical-marijuana program, which is among the more restrictive in the nation.

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134 US: U.S. Opioid Prescriptions Fall, But Numbers Still High: CDCThu, 06 Jul 2017
Source:Philadelphia Daily News (PA) Author:Thompson, Dennis Area:United States Lines:98 Added:07/06/2017

Prescriptions for opioid painkillers have dropped since 2010 in the United States, but the number of Americans getting the highly addictive medications is still too high, a new report shows.

Prescriptions declined from a peak of 782 morphine milligram equivalents (MME) per person in 2010 to 640 MME per person in 2015, according to researchers from the U.S. Centers for Disease Control and Prevention.

"Half of U.S. counties saw a decrease in the amount of opioids prescribed per person from 2010 to 2015," said CDC Acting Director Dr. Anne Schuchat. "Overall, opioid prescribing in the United States is down 18 percent since 2010."

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135 CN ON: Marijuana Dispensary Operators Plead Guilty, Hope For AbsoluteWed, 28 Jun 2017
Source:Record, The (Kitchener, CN ON) Author:Paul, Gordon Area:Ontario Lines:88 Added:07/03/2017

Prosecutor calls for $10,000 fine to deter others

KITCHENER - Granting an absolute discharge to a young Kitchener couple who operated an illegal marijuana dispensary in uptown Waterloo would send the wrong message, a federal prosecutor told a judge on Tuesday.

Some people will conclude the risk of running a dispensary is worth the reward, Kathleen Nolan said.

"The floodgates will open," she told Justice Colin Westman.

Nour Louka, 30, owned and operated the Waterloo Dispensary, which sold marijuana out of a second-floor business on King Street. Her husband, Shady Louka, 32, was a part-time, temporary employee.

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136CN PI: No Magic BulletTue, 27 Jun 2017
Source:Guardian, The (CN PI) Author:Wright, Teresa Area:Prince Edward Island Lines:Excerpt Added:07/01/2017

Dr. Hendrik Visser, WCB medical adviser, says board seeing increasing claims for coverage of medical cannabis

The medical adviser for the Workers Compensation Board of P.E.I. says he believes the jury is still out on the effectiveness of medical marijuana.

Dr. Hendrik Visser is responsible for reviewing cases and providing medical opinions on injury claims submitted to the WCB in Prince Edward Island.

During a presentation at the Workers Compensation Board (WCB) annual meeting in Charlottetown Monday, Visser raised concern about the increasing perception of cannabis as a "magic bullet" among physicians.

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137 CN BC: New Opioid Restrictions Create Greater Drug Crisis, DoctorsMon, 26 Jun 2017
Source:Globe and Mail (Canada) Author:Bains, Camille Area:British Columbia Lines:78 Added:07/01/2017

Desperate for relief from unbearable pain following knee surgery, Lorna Bird says she was forced to buy drugs from the Downtown Eastside streets of Vancouver when her doctor stopped prescribing an opioid in response to new standards aimed at preventing fatal overdoses.

"I started with heroin because I couldn't stand the pain," Ms. Bird said, recalling her fears about dying from fentanyl-laced street drugs because "everybody was croaking" and she didn't want her grandchildren dealing with that outcome.

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138CN PI: Editorial: Medical RejectionThu, 29 Jun 2017
Source:Guardian, The (CN PI)          Area:Prince Edward Island Lines:Excerpt Added:06/30/2017

It appears that Dr. Hendrik Visser isn't your typical medical adviser for the Workers' Compensation Board (WCB) of P.E.I. The position usually goes to a doctor who has spent a number of years in private or general practice, is getting close to retirement and assumes this less strenuous role, while easing towards hanging up the stethoscope.

Apart from testifying at appeal hearings over disputed medical claims or decisions, the adviser often keeps a low profile, and is rarely the public face of the WCB.

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139 CN BC: Editorial: Does Busting Pot Shops Make Sense At This Point?Wed, 28 Jun 2017
Source:Lake Cowichan Gazette, The (CN BC) Author:Rondeau, Andrea Area:British Columbia Lines:62 Added:06/30/2017

It's a Catch 22 for marijuana dispensaries.

Municipalities are not granting them business licences because technically they are still illegal (though that is soon to change). But then they get in trouble for operating without a business licence.

Not surprisingly, many, including the Town of Lake Cowichan's new addition Green Tree Medical Dispensary, are not letting that stop them from setting up shop in anticipation of their product becoming legal July 1, 2018.

In North Cowichan several dispensaries have carried on in spite of fines from the municipality. And there are still more operating in the regional district that don't need businesses licences at all.

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140 CN ON: New Opioid Strategy Coming SoonTue, 27 Jun 2017
Source:Intelligencer, The (CN ON) Author:Hendry, Luke Area:Ontario Lines:129 Added:06/27/2017

Local LHIN, and Kingston health unit join forces

A new strategy intended to reduce opioid drug-related harm in southeastern Ontario could be approved as early as August.

It's a partnership between the South East Local Health Integration Network (LHIN) and Kingston, Frontenac, Lennox and Addington Public Health. Directors of the LHIN approved the document in principle Monday, with revisions expected this summer.

That area's new medical officer of health, Dr. Kieran Moore, led the health unit's research. He was unavailable Monday for comment.

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