what Mike said.
Here's my relevant and recent experience that kind of puts it in a nutshell and simultaneously scares the SHIT out of me
I've gone through the whole Pain Management Clinic - BigPharma guinea pig thing... NEVER EVER AGAIN.
Admittedly I think I've GOT to be a statistical outlier and their systems have no way to deal with them
As someone who used to design stuff for a living, that's just bad design, period.
The Pain Management group I paid out of pocket for (along with the prescriptions), and the doc is one of the best in so cal. After hitting me with every opiate (including fentanyl, although they never gave me dilaudid) as well as record levels of Neurontin (2400mg) at a time I could ill afford the (unknown to me at the time) cognitive impairment it causes, and various flavors of muscle relaxers, large doses of benzos, lyrica, effexor... twice I came close to having a seizure 'cause the doc and pharmacy had crossed wires and I ran out of meds and went cold turkey separately from lyrica AND xanax. I weaned off of the Neurontin pretty slowly as well. At one point I tried to ditch Lyrica, but my pain level was better with it and probably a year after weaning off of it I went back on it. Neurontin never gave me anything positive and it was positively detrimental to my bank account!
Recently to humor my oncologist ('cause I'm viewed as a 'non-compliant' patient by other doctors) I agreed to wean off of Effexor to try Cymbalta. Good lord... I took my sweet time weaning off of it, having had a nasty response weaning off of Paxil decades ago. Halfway through my pain level doubled... I persevered and weaned off of it, tried the Cymbalta for 3 days, that's all I could take, and started titrating my dose back up on Effexor. To no avail, what I didn't know was that my myeloma was progressing on a new route (hence the jump in pain)
It was the Pain Management Group that recommended my 1st Medical Cannabis doc (on the QT of course!), Dr. Denny (Lake Forest, CA., last I heard he was up around Sacramento now) was a cool guy, he read my records and just shook his head and said 'ok, you're opiate system is pretty weird, let's see how your cannabinoid system works', and he was prepared to prescribe me large amounts due to my resistance to other medications.
But I digress...
I recently experienced my first ambulance ride to the hospital, the long sit in an ER bed, being admitted at 4am and LOTS of repetitive questions that about drove me crazy.
Due to the myeloma, the bone around my hip is 'soft' and my hip dislocated (and popped right back in)... it was one of those 'cartoon stars' kind of things
I screamed bloody murder and was trying to deep breathe while my friends peppered me with questions (are you ok? what happened? what can I do?).
In the ER and after being admitted, they had a parade of medical folks coming through and every ONE of them asked me 'what are you doing for pain management?' 'what is your pain level, would you like pain medication?'... I explained in detail to them that I was HIGHLY resistant to oral, transdermal and intramuscular Opiates, muscle relaxers, etc. and that I used a medical cannabis decoction of my own design that came from organic crops and was lab-tested. It wasn't until probably an hour or so before I was discharged (I normally save the decoction for trips out of the apt, it works very well for around 4 hours - it used to last almost 7, but my pain level is insane and it had worn off by this time) a nurse I'd seen before came in and saw me eating some chocolate and asked me what kind it was... so I showed her
It's a 1-1 CBD-THC ratio dark chocolate that I use for emergency medication when I'm out of the apt. She broke into 'standard approved hospital procedure' mode and started telling me 'you can't do that in here', to which I replied 'I just ate the evidence and I'm headed home'.
I called the hospital in a few days and asked to speak to someone about their policies... this person who worked in 'patient advocacy' there proceeded to castigate me for self-medicating and the dangers of drug interactions, etc. I reminded him that I had not been given ANY medication while in their care, so there was no potential drug interaction (and I asked him if he understood the cytochrome P-450 mechanism!).
After some useless trips down logical blind alleys, he admitted he'd have to ask a number of people to find out exactly what the policy is and that he'd get back to me. No word back yet
He persisted for the longest time with the 'prescribed' and 'filled' model, until I reminded him that in legal states those things did not fit his model (at least in CA) and that there was a difference between a legal recommendation and a prescription. A hospital doctor cannot write a prescription for organic varietals and have the hospital pharmacy fill it. (the optimist in me wants to add 'not yet!')
Considering my diagnosis, I'm scared shitless that some idjit who doesn't see or understand that the new paradigm includes legal medical cannabis is going to decide that patients like me are excluded unless we toe their line
Has anyone else experienced this in other legal states or other parts of CA?