RECREATIONAL MARIJUANA DON’T BE FOOLED DR SIEGEL

The etymology of the word Recreation follows: Recreation is derived from Middle English recreacion, which is derived from Anglo-French, derived from Latin verb recare, meaning to create anew, restore, refresh.

The meaning of recreation is the restoration to health, from re- + creare to create [Merriam-Webster Dictionary]

So let us get this straight. ‘Recreational Marijuana’ should mean marijuana to restore health, but if an individual manifiest the side effects, when not used medically, getting high, memory loss, psychiatric disorders, anxiety, depression,  and numerous others, restoration of health would appear an oxymoran, a contradiction and contraindication for use.

Conversely, ‘Medical Marijuana’ is prescribed by doctors for pain relief treatment of ill patients and not for the ‘recreation’ of normal, non-pathologic humans. These are 2 distincly different indications for use.

“”>A common misperception among youth is that marijuana use is without harm. However, adolescent marijuana use may have measurable, durable and potentially irreversible effects on later cognitive function and mental health.”

There are severe Neurocognitive side effects. Heavy marijuana use is associated with short-term declines in attention, executive function and memory [36].

Acute intoxication results in decreased coordination, distorted spatial perception, and altered awareness of the passage of time, all of which may be detrimental to, for example, the adolescent athlete [37].

Clinicians may counsel youth that many of the above effects exhibit a ‘hangover’ period lasting at least one day and perhaps even several days after last use, with some subtle effects evident even one month later [38].

In the acute intoxication period, marijuana use clearly results in a near doubling of the odds of motor vehicle accident and fatal collision [39], despite the belief among many youth that marijuana does not impair driving abilities [40].

A recent prospective study by Meier and colleagues demonstrated that regular cannabis use in adolescence was associated with an 8-point decline in intelligence quotient (IQ) measured at 38 years of age in adulthood [41].

This effect persisted despite controlling for comorbid drug and alcohol use, mental illness, and educational level. Among the adolescent cannabis users, cessation of cannabis use was not associated with restored IQ in adulthood, suggesting that during this critical period of brain development, long-lasting and non-modifiable changes may be taking place.

Chronic marijuana users may exhibit reduced brain volume in memory centers such as the hippocampus and amygdala [42, 43]. Cannabinoid receptors, which are intricately involved in normal brain development, may mediate these long-term changes [17, 42].

Perhaps most vulnerable to regular marijuana use is white matter, with functional imaging studies showing impaired axonal connectivity that is worsened by earlier age at onset of use [43].

There are many severe Psychiatric side effects. Of the associations of marijuana with mental health outcomes, the strongest is with schizophrenia.

A recent meta-analysis demonstrated that lifetime use of cannabis is associated with a 41% increase in the odds of subsequent psychosis and that odds are even greater odds among heavy users [44].

These data are supported by another recent prospective cohort study [45]. Although marijuana use preceded the development of symptoms of schizophrenia in the longitudinal studies conducted to date, an underlying common cause leading to both use of marijuana and to subsequent psychosis is possible.

The evidence linking marijuana with depression and anxiety is conflicting. Two recent systematic reviews both concluded that there was an association between heavy marijuana use and depressive symptoms, but acknowledged that effects were reduced or eliminated after adjusting for confounders [44, 46].

A recent longitudinal study of high school students not included in these meta-analyses showed that heavy marijuana use preceded depression, but not suicidal ideation or attempt [47]. One of the above two systematic reviews also examined anxiety disorders and concluded that studies differed so greatly in methodology and findings that further research was needed [44].

A more recent study following adolescents into adulthood showed that those continuing daily use at age 29 years had nearly triple the odds of an anxiety disorder [48].<“”  [Hadland SE, Harris SK. Youth Marijuana Use: State of the Science for the Practicing Clinician. Current opinion in pediatrics. 2014;26(4):420-427]

Impulsivity, impaired attention, memory, and decision-making are manifest among adolescent marijuana users. [Psychopharmacology (Berl). Dougherty DM1, Mathias CW, Dawes MA, Furr RM, Charles NE, Liguori A, Shannon EE, Acheson A 2013 Mar;226(2):307-19]

Impaired Marijuana Neurocognitive Behavior references are many.

Dr. Siegel warns, besides ‘getting high’, everyone should be aware of Marijuana’s potential side effects

[Dr. Marc Siegel opinion: Smoking pot routinely may seem harmless but don’t be fooled (even if it’s legal) Jan 4, 2018]: Please read this complete reference.

“Dr. Marc Siegel is a practicing internist, who serves as an associate professor of medicine at NYU Langone Medical Center and as the Medical Director of Doctor Radio with NYU Langone and SiriusXM Satellite Radio.

A highly respected physician, Dr. Siegel has authored several publications:

“False Alarm: the Truth about the Epidemic of Fear,”

“Bird Flu: Everything You Need to Know about the Next Pandemic,”

“Swine Flu: the New Pandemic,” which was profiled by Publishers Weekly.

He has also written columns that have appeared in The Los Angeles Times and The New York Daily News and appeared on numerous TV medical productions.

Dr. Siegel graduated from SUNY Buffalo School of Medicine & Biomedical Sciences and completed his residency training at the New York University Medical Center.”

“”> Dr. Siegel on the health risks of more people smoking pot

A-Team member breaks down the stats after California legalizes recreational marijuana.

This reporter agrees with Dr. Siegel who said, “As a physician, I am caught between wanting marijuana users and addicts to be treated as patients, and not criminals, while at the same time being very aware that regular marijuana use carries significant health risks.”

“I believe we should treat habitual users and warn them of the associated risks – not punish them.”

Even if a state or a society decides that it is wise economically and politically to make marijuana legal, at the same time we must be prepared for the health consequences even more than the legal ones.

There is enough scientific evidence out there for me to discourage regular marijuana use for most people.

The new action by Sessions comes on the heels of California becoming the seventh and largest state (plus the District of Columbia) on Monday to legalize recreational marijuana.

About 90 businesses received state licenses to begin legal marijuana sales in California at the start of 2018 and sales are booming. In addition, 29 states allow the sale and use of medical marijuana.

What are the associated medical risks from increasing usage? This is a critical question we must not ignore.

  • traffic accidents, since marijuana is known to impair judgement.
  • Statistics from Coloradosince recreational marijuana was legalized show a doubling of tetrahydrocannabinol (THC), the substance in marijuana that gets users high, in the blood of those involved in fatal car accidents.
  • Though alcohol impairs a driver much more, THC stays in the bloodstream longer.
  • If the two are combined, as they sometimes are, the risk is magnified.
  • Study, Columbia University School of Public Health found while alcohol increased the risk of causinga fatal car crash by 5 times, also testing positive for pot increased it by 62%. Those drivers who had both pot and alcohol in their blood at the time of a fatal crash were 6 times more likely to have caused the accident.
  • American College of Obstetrics and Gynecology recommends against using marijuana while pregnant, no matter what.
  • Centers for Disease Control(CDC) warns that “marijuana use during pregnancy can be harmful to your baby’s health.”
  • CDC research shows low birth weight in infants, along with developmental and attention problems in children born to mothers who smoke pot regularly during pregnancy.
  • Study just released from Kaiser Permanente in California, Journal of the American Medical Association revealed 7% of pregnant women surveyed smoked pot, including almost 20% less than age 24.
  • The number of pregnant women using marijuana will only increase now that recreational marijuana is legal in California.
  • long-term marijuana use has associated with decreased school and job performance, memory loss, and psychiatric disorders including anxiety and depression.
  • With the increase in edible marijuana comes a dramatic increase in Emergency Room visits from overuse, especially among adolescents, who may be getting more THC than they realize. Symptoms include acute anxiety, rapid heart rate and paranoia.
  • Patients with known heart disease are more likely to have heart attacks in the hour following smoking pot.
  • Pot smoke is also known to cause wheezing and airway inflammation in lungs.

Important to note there is evidence that marijuana is a gateway drug to other drugs, both licit and illicit, including nicotine. This evidence must concern us even as we try to gain control over the opioid epidemic.

Marijuana should not be used to treat morning sickness. Marijuana should not used for medical treatment without doctors advice and prescription or used for any kind of recreation without considering Marijuana’s potential side effects.<””

The Trump Adminisstration is a “law and order” and “states rights” administration. [Marijuana Policy Is Best Left Up to the States, by Michael Tanner, Feb 28, 2017, Natinal Revieew]

The Attorney General and Department of Justice have weighed-in on the legalization of Marijuana. [Department Of Justice’s pot memo creates big decision for US attorneys, by Lydia Wheeler, Jan 7, 2018, The Hill]

“”>Attorney General Jeff Sessions is leaving it up to federal prosecutors to decide whether to crack down on marijuana in states where medical and recreational use are legal.

{{{ Appears there will be no ordered intervention into states’ rights, unless there develops nefarious actions the states cannot control. mbmsrmd }}}

In rescinding the Obama-era policy that relaxed enforcement of federal marijuana laws on Thursday, Sessions opened the door for federal prosecutors to begin pursuing cases.

But the memo didn’t explicitly call for action, experts noted.

“It could have been a harder line memo,” said Don Stern, a former U.S. attorney for Massachusetts.

“The attorney general didn’t order them to enforce federal law under all circumstances, which suggests he understands the decision will depend a lot upon the state regime of regulation, the resources available and other priorities.”

Sessions this week pulled back an Obama-era directive known as the “Cole memo” that told U.S. attorneys to give lower prioritization to prosecuting marijuana-related cases.

The Obama memo helped create an environment for the legalization movement to flourish.

Six states — Alaska, California, Colorado, Maine, Massachusetts, Nevada, Oregon, Washington — and the District of Columbia have legalized the recreational use of the drug, and two other states, Maine and Massachusetts, could soon follow.

Meanwhile, public opinion has shifted in favor of marijuana legalization, with a Pew Research Poll this week finding that 61% of people support allowing sales of the drug.<“”

Again as above recommended, “Marijuana should not used for medical treatment without doctors advice and written prescription or used for any kind of recreation without each individual considering Marijuana’s potential side effects, clearly stated by medical experts” for everyones’ education and understanding.

While all citizens are supposed to agree to follow the ‘Rule of Law’, as an act of their continued or new citizenship, harsh criminal prosecutions and incarcerations for Marijuana use of any kind, unless associated with another criminal act, should be reduced.

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