New MMJ State (MA) What to Expect? Find Dr?

JiggyJack

Well-Known Member
Here's an update. My PCP called me back and said he wouldn't support a recommendation. He didn't even give me a chance to explain how MMJ is helping me with my chronic pain. I haven't taken the pills he's prescribed me in almost a year thanks to MMJ.

I found it difficult to have a conversation about the specifics of my use when I am not using it legally. And given all the reasons why a doctor can release your medical records I really didn't want to risk anything getting to a third party (like work) as long as I was not approved. Because of this I tried to express myself and my needs as discreetly and round-about as I could. I think he got frustrated with me because he basically hung up on me mid-question. He was not at all open to understanding my usage and its benefits.

Well, I printed out my records and went over to CannaMed as suggested and after a good discussion they entered me into the system and now I have paid my $50 and am awaiting confirmation back from the state. Very smooth and easy process (fingers crossed).

I guess now I can feel comfortable discussing MMJ with my doctor now, but I'm not sure he'll be okay talking to me about it. If not, I guess it's time to find a new doctor.

This whole situation is crazy.
 

grokit

well-worn member
Here's an update. My PCP called me back and said he wouldn't support a recommendation. He didn't even give me a chance to explain how MMJ is helping me with my chronic pain. I haven't taken the pills he's prescribed me in almost a year thanks to MMJ.

I found it difficult to have a conversation about the specifics of my use when I am not using it legally. And given all the reasons why a doctor can release your medical records I really didn't want to risk anything getting to a third party (like work) as long as I was not approved. Because of this I tried to express myself and my needs as discreetly and round-about as I could. I think he got frustrated with me because he basically hung up on me mid-question. He was not at all open to understanding my usage and its benefits.

Well, I printed out my records and went over to CannaMed as suggested and after a good discussion they entered me into the system and now I have paid my $50 and am awaiting confirmation back from the state. Very smooth and easy process (fingers crossed).

I guess now I can feel comfortable discussing MMJ with my doctor now, but I'm not sure he'll be okay talking to me about it. If not, I guess it's time to find a new doctor.

This whole situation is crazy.
I wouldn't bring it up unless he does, because he has obviously made up his mind to be unfriendly to the cause. If he asks about your pain meds and why you're not taking them, just tell him that you're always on the lookout for healthier alternatives and leave it at that unless he wants specifics. If he does then tell him that the pills make you sick, and the mmj does not. If he still has a problem with it, change providers.

:2c:
 

CarolKing

Singer of songs and a vapor connoisseur
Here's an update. My PCP called me back and said he wouldn't support a recommendation. He didn't even give me a chance to explain how MMJ is helping me with my chronic pain. I haven't taken the pills he's prescribed me in almost a year thanks to MMJ.

I found it difficult to have a conversation about the specifics of my use when I am not using it legally. And given all the reasons why a doctor can release your medical records I really didn't want to risk anything getting to a third party (like work) as long as I was not approved. Because of this I tried to express myself and my needs as discreetly and round-about as I could. I think he got frustrated with me because he basically hung up on me mid-question. He was not at all open to understanding my usage and its benefits.

Well, I printed out my records and went over to CannaMed as suggested and after a good discussion they entered me into the system and now I have paid my $50 and am awaiting confirmation back from the state. Very smooth and easy process (fingers crossed).

I guess now I can feel comfortable discussing MMJ with my doctor now, but I'm not sure he'll be okay talking to me about it. If not, I guess it's time to find a new doctor.

This whole situation is crazy.
Congratulations on your courage. It's hard to talk with doctors regarding cannabis for pain and other issues. Many professionals in the medical field are closed minded when it comes to cannabis as medicine. My doctor was willing to give me opiates but not sign for a mmj certification. It's beyond stupid, it's greed from the pharmaceutical companies and ignorance and closed mindedness from our doctors. Many people are predjudice against cannabis including our physicians.

The HMO that I'm a part of won't give cannabis recommendations and certifications. In Washington state most people go through offices that specialize in issuing cannabis certifications. Patients see usually a doctor, nurse practitioner or naturopath. We bring in all our documentation from our doctors, including any xrays or tests. It took me all of about 20 min to a half hour to get my recommendation, plus a $170 fee. My insurance didn't cover mmj certification.

It will be changing here in about a year. The state legislature is involved and screwing it all up for the medical patients. I'm not sure yet what will be happening I can only imagine with the high tax system we have in Washington for recreational. It will cost more I know that much.

I received my certificate almost a year ago. I go in again this Friday to have mine renewed.

EDIT
It sounded very rude that he rung up on you mid sentence plus very disrespectful. I would be furious. I realize they are busy and they get tired of patients droaning on, but that's his job and you are paying for his services.
 
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howie105

Well-Known Member
Hi FCers,

So, MA passed MMJ last night and I happen to live in MA and use MJ for my IBS and Anxiety. The last time I had my physical, last year, I told my Dr. I had started using MJ and she was against it. I explained I understand, but its the only thing that helps and she wasn't going to sway me with her statements on if being a gateway drug etc...

So, my question to FCers in MMJ states is what should I expect? How long does it take for everything to go into effect? How long before I can expect to see Dispensaries pop-up? I am betting I will need to find a new Dr. who will prescribe MMJ to me so is there a good way to find a Dr. who will do so or is it pretty much just keep checking with Drs until I get lucky?

Thanks for all and any help anyone can provide.

PS. I wish I lived in CO, hahaha

If you are happy with your Doctor except for the herb thing then work it out with the practitioner. Good docs are hard to find, much harder then pot.
 

JiggyJack

Well-Known Member
It sounded very rude that he rung up on you mid sentence plus very disrespectful. I would be furious. I realize they are busy and they get tired of patients droaning on, but that's his job and you are paying for his services.

I was really angry but knew it wasn't worth calling back. Basically he said "okay, well good-bye" and he was gone.

Thanks to everyone who chimed in. I'm feeling pretty good where things stand now. All I have to do now is wait for my temporary card from the state and I already have a line on a potential caregiver.

I was amazed at how great I felt when they told me that as of that moment I was legal. I knew it stressed me out to be classed an "outlaw" since I generally believe in the value of law and order but to walk out that door a "free man" was awesome.
 

CarolKing

Singer of songs and a vapor connoisseur
It was an awesome feeling when I got my mmj certificate. I was so nervous before I went in to see the naturopath but it was very easy. I had more than enough documentation, they didn't even use all that I had. I brought in copies of surgeries and X-rays and tests from 10 years back (not everything but important stuff)

Folks be careful if you vote for recreational cannabis. They promised us that medical cannabis wouldn't change, they lied. It's going to change big time in Washington if the Governor and State Legislature get their way. It will be difficult for some to get the CBD strains and other things that folks have relied on for almost 20 years. I feel like I wish I would have wised up years ago and got my mmj cert sooner.
 
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zor

Well-Known Member
Congrats on reaching the desired goal, @JiggyJack, I'm very happy for you!

I'm just a bit confused, I'm quite sure doctors/clinics can't release your medical records without your explicit permission, outside of a few very specific situations (suspected child abuse, disease outbreaks, birth and death). HIPAA is one of the cornerstones for protecting our privacy, so unless you allow your doctor's office to forward the files there is really no way for your workplace to get them.
 

JiggyJack

Well-Known Member
I'm quite sure doctors/clinics can't release your medical records without your explicit permission, outside of a few very specific situations (suspected child abuse, disease outbreaks, birth and death).

The last time I read it, the list of specific situations seemed longer than that. And I remember thinking that it really opened the door to abuse (even if highly unlikely). I could be completely wrong. And I don't remember any specifics at all to back that up.

(Usually once I get the idea of something the details rarely get in the way so I tend to not remember them unless I think they might be import later.)

Also, given the ease of data breaches, any information that is "out there" (as in, I can go to the web to access my current medical records) is not really secure despite what HIPPA states. I would say this is unlikely but it seems to be happening an awful lot, including to health insurance companies. And for this particular example of not wanting to discuss MMJ "on-the-record" would really not impact my life in a negative way if it "got out" anyway.

So those thoughts are what shaped how I went into the conversation with my doctor.

Unneccessarily-paranoid? Sure. (Damn side-effects :freak:!)
 
JiggyJack,
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JiggyJack

Well-Known Member
JiggyJack,

JiggyJack

Well-Known Member
I hate that I am triple-posting but it's been three weeks and I thought I'd share that my registration with the state is complete (just under three weeks to process currently) and my temporary card is printed. Just waiting on my plastic card and now trying to figure out the best way to obtain my medicine. Being legal doesn't seem to make that a whole lot easier yet.
 

CarolKing

Singer of songs and a vapor connoisseur
A Note from Americans for Safe Access
MA-Legal_Manual_2013cover-c.jpg




We are committed to ensuring safe, legal availability of marijuana for medical uses. This legal manual describes the law on medical cannabis as it applies to patients and caregivers in this state. In this legal manual you'll find information on:

Mission of Americans for Safe Access
Patients’ Rights Project
 

Chicken Charlie

MicroDose Cognoscente
The Boston Globe is reporting that "the states's first medical marijuana dispensary, Alternative Therapies Group in Salem, is expected to open shortly, after receiving a temporary waiver Friday that will allow it to sell cannabis that has not been tested for pesticides and other contaminants. The one-time waiver was granted because laboratories in Massachusetts are not yet able to complete the quality testing required by the state health department rules. It is unclear why the labs were not able to conduct that testing."

"Patient's have waited to access marijuana for medical purposes far to long. This waiver will allow industry laboratories a little more time to reach full operation while proving safe amounts of medical marijuana for patient's that need it." (Governor Charlie Baker)

(Note) The identified dispensary will be allowed to dispense a maximum of 4.23 ounces for use over two months under this three month waiver.
 

howie105

Well-Known Member
The identified dispensary will be allowed to dispense a maximum of 4.23 ounces for use over two months under this three month waiver......Its good to be using one of those high efficiency vapes. :)
 
howie105,
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darkrom

Great Scott!
The Boston Globe is reporting that "the states's first medical marijuana dispensary, Alternative Therapies Group in Salem, is expected to open shortly, after receiving a temporary waiver Friday that will allow it to sell cannabis that has not been tested for pesticides and other contaminants. The one-time waiver was granted because laboratories in Massachusetts are not yet able to complete the quality testing required by the state health department rules. It is unclear why the labs were not able to conduct that testing."

"Patient's have waited to access marijuana for medical purposes far to long. This waiver will allow industry laboratories a little more time to reach full operation while proving safe amounts of medical marijuana for patient's that need it." (Governor Charlie Baker)

(Note) The identified dispensary will be allowed to dispense a maximum of 4.23 ounces for use over two months under this three month waiver.


I can shed some light on this. The reason they can't do the testing is that the cut off values the DPH/state has set are IMPOSSIBLE to reach. They set levels so low that they are unobtainable. The levels of various contaminants are WELL below food in the store etc. They are 100% going to have to fix this, or they are going to have to grow the cannabis in a bio-dome in space to get these kinds of results.

I hope ALT opens soon. 4 ounces in 3 months? Whats that 1 gram per patient for a day then they are out? I am pretty close to Salem, so you guys can bet your ass when they open I'll be there ASAP and post some info for you all.
 

zor

Well-Known Member
It makes you wonder who set these thresholds to begin with...:shrug: Doomed to fail from the beginning?

I'm in the metro boston area but I too will make a pilgrimage to our first dispensary when it opens :) I wonder how long their inventory will last....
 

darkrom

Great Scott!
So I just got an email to start making appointments but my friend did not yet. Planning on keeping everyone updated. Hopefully they accept my appointment for Wednesday 24th at 12;30
 

darkrom

Great Scott!
I'll be there today and I won't forget to describe as much as I can.


Update:


Posting from inside the belly of the beast. My quick summary is there are only 2 strains. Testing is holding them back. White rhino and serious happiness are the 2 strains. Around $380 an oz. Nice friendly staff. My honest recommendation is wait 2-3 weeks until you can come without an appointment (got taken in an hr late sadly :/ ) and you will have more options.

Not bad for the first. I expected some hassle but right now its a LONG wait and only 2 strains. Haven't seen the actual buds yet still just waiting for orientation video. I'll update with my feelings if it's worth the price or not.
 
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zor

Well-Known Member
I placed an order for some meds last night and took a moment to appreciate my situation. It's been about 6 months since i received my MMJ card and certification, leafly lists 15+ delivery services, ALT in Salem has opened up, and a plethora of different strains and methods of intake are available. This is a far, far cry from where I was this time last year, having to deal with a shady and unreliable dealer to help manage my anxiety and insomnia.

If you are a MA resident and qualify for MMJ I strongly, strongly urge you to get a certification!
 

JiggyJack

Well-Known Member
Just came across this...

House Bill 2065

I guess it has been in the works for a while. There will be a hearing on it on July 14, 2015 at 1 p.m. Go to the hearing if you can and share your opinions.

If this passes it will make finding a caregiver that much easier.

Highlights include:
10 patients per caregiver.
Reciprocity for out of state patients.
Protection from state prosecution and penalties.​
 

Farid

Well-Known Member
Any updates on the MA dispensaries? I just got my temporary card from the DPH. I've heard bad things about the Salem place, and mixed things about In Good Health in Brockton. Are there are any other dispensaries that are worth it, or should I stick with caregivers?
 
Farid,

zor

Well-Known Member
Congrats @Farid and welcome to the club! I've been sticking with caregivers which has been good overall but some of my favorites have clear up disappeared :(
 
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JiggyJack

Well-Known Member
@Farid I've been meaning to write a review about all three dispensaries but haven't gotten around to it yet but I'll share some thoughts now. I have not used a caregiver because their minimum purchase requirements are more than I can generally shell out at one time so I can't compare that. If your caregiver is working for you I'm not sure you'd have any reason to go to a dispensary other than for the simple joy of walking into a store and being able to choose from a wide variety of product. Coming from prohibition this is a wonderful experience.

TL;DR: Three open dispensaries in Mass. NETA and IGH are nice with great products and staff, ATG sucks as dispensaries go but has good quality flowers.

Salem: Alternate Therapies Group (ATG)
Sucks in so many ways. First, you have to make an appointment. I missed my appointment time by 15 minutes and had to wait 45 minutes until the next hour before they let me in. At least now it seems they have regular appointment times available on their website so you don't have to jump on them the second they are posted. But they are only open Tues, Wed, Thurs as far as I have ever seen (~10 am - 5:30 pm). Second, so far they have rarely had more than two strains at any given time. Also, they only sell flower in minimum of 1/8, no grams. In the two times I have been I have yet to buy any flower there since they have had nothing I was willing to commit to a full 1/8 without trying first to see if it worked for me (even vaping daily I use less than a gram a month). From other reviewers and what people in line there have told me the product is excellent. They have some pretty strict limits on how much you can buy but that seems to be standard for all dispensaries for now. For some reason ATG has chosen to be as non-transparent and un-customer friendly as possible. At least now they publish what strains they have on their website for flowers and vape pens. Unfortunately, even if you check right before leaving your house, they likely will not have what was listed by the time you get there. The facility itself is pretty dark and depressing (think Sweeny Todd meets a proctologists office). You can't see the product before you buy and they do not accept credit/debit cards. Somehow the other two dispensaries are able to do so (for a fee). In fact, to make matters worse, they have a cash machine in the waiting area which now has a big sign on it saying they can't let you use that. Most of the small staff seem like nice people but I don't get the same sense of passion/knowledge for their work like you get at the other two dispensaries. The only thing I have purchased here was a vape pen for $60 (no battery which would have been an extra $15/20). It is strain specific (White Rhino) which I like better than the pens in Maine which are "Sativa" vs. "Indica". However, like Maine, they are PEG-based which I am not a big fan of. The only reason I will ever go back to ATG is if they start offering edibles in sufficient quantities and reasonable pricing to make the trip worthwhile. But to be fair, if you can be happy with their limited selection (which may be better than your other options and certainly better than nothing) and their minimum/maximum purchase limits then there is probably no reason not to use ATG. However, in my opinion, unless they step up their game ATG is going to have a hard time staying in business once other dispensaries open in their area.

Brockton: In Good Health (IGH)
Like ATG, IGH has had a spotty opening record but I think we can expect that from all new dispensaries as they come online. Part of it is getting the waivers from the state to be able to sell and part of it is the testing requirements. Right now they seem to be closed more days than open, and their hours are not consistent yet, but they are great when they are open. IGH's official communication on the website has gotten much better but was pretty bad early on. They have one employee who posts on Reddit and he provides a lot of useful information there. This location looks like what you'd think a dispensary should look like. It is bright, clean, has display cases for all their products and the staff are friendly and seem truly knowledgeable about their products. Unlike ATG you can pick up and smell the product before you buy. They already offer some edibles which ATG has yet to offer. I've tried their cookies (the ones in the display case looked a lot nicer than then ones that came home but they were very good). Other than my first visit to preregister before they were open (which took very little time) I went all the way down there twice to find they were either closed or the line was too long for me to wait. On my third visit (fourth time there including pre-register) I got in and bought the cookies and a gram of flower. This actually shows an advantage to the ATG appointment system. It is probably less likely you will show up to find ATG completely closed. Everyone in line there who purchased before had nothing but good things to say about the quality of the flowers. Unlike ATG, IGH provides several nice handouts about their products although their patient handbook is kind of weak. I'm not sure what, if any, maximum limits they put on purchase beyond the 4.23 oz. every 60 days required by the state.

Northhampton: New England Treatment Access (NETA)
This is my favorite so far. It has the most luxurious and comfortable space. If only they'd let you consume there, I'd hang out all day. They publish a daily menu available at the dispensary but nothing on their website to help patients know what is available. They said they going to have a patient portal for registered patients where you could see the menu and prices but that is not up yet. Their handouts are the most informative and useful of the three dispensaries. Seems like for now at least they have close to 20 people working in the facility, I counted 12 behind the counter helping to serve patients. Everyone is very friendly and happy to answer any and all questions. They have an express line which I didn't use but I imagine it keeps any wait to a minimum. When I went the only wait I had was while one guy kept arguing with them at the door because his documentation was not up-to-date. I would have kicked his ass to the curb a lot quicker but they very patiently explained that unless his state docs were all in order he was not getting in. Like ATG and maybe IGH, NETA has limits on what you can buy, at least for edibles. They only allow 1 edible purchase of each type (1 nugget, 1 lozenge, 1 chocolate bar, etc) which bummed me out because what I really wanted was to get a few of each. I've only tried the capsules so far but they worked very well for me. I did not get a vape pen from NETA because I still have two others at the moment, but their vape pen uses coconut oil instead of PEG and are strain specific so I look forward to getting my cartridges there in the future. $25 for a small and $40 for a large but I don't know how many milligrams or doses in each of those. $10 for the battery. As far as I know they have been open 7 days a week since launch, 10 am to 7 pm which is the best record so far. One concern I have is they list 10mg doses on their menu for the edibles but the labels list a lot less. For example, the 10mg nugget really had 5.12mg, the 10mg lozenge had 6.54mg and the 10mg capsules each had only 8.8mg.

All in all, on average, the pricing at all three of these dispensaries seem higher to me compared to the Maine dispensaries (I use Wellness Connection in Portland). Flower at NETA is closest at $15/g but the edibles are generally higher. I get a cost of approximately $1.50-2.00 per dose from the Maine cookies. IGH is $4.00/dose for their cookies and the Nuggets/Lozenges from NETA are $5/dose. For capsules, Maine is $3.00/dose while NETA is $4.00/dose.

IGH is closest to my home so I will probably use them most often but I like NETA the best overall. If Maine and NETA were equally close however, I'd choose Maine for now. But I expect NETA and IGH will both become excellent options once they are in full swing. I can't wait for more to open. Central Ave Compassionate Care, Inc in Ayer has had their final certificate since 5/20/2015 and must be almost ready to open. And I believe Patriot Care in Boston has the green light from the city to move forward on Milk Street.
 
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