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01/30/2019 Gary S Smith, DPM
Medical Marijuana and Podiatry (Allen Jacobs, DPM)
I realize this is a controversial subject with many points of view. I am not against the legalization of Marijuana. I do believe that doctors and users need to be better educated because any view that comes across anti-pot seems to be a source of contention. First of all, there is no such thing as "medical marijuana". Any ailment you have from terminal cancer to depression and pain, marijuana will make you feel better.
Snorting coke, shooting heroin and over using opioids will make you feel better as well. This doesn't mean they are the best ethical choice of treatment. Ninety percent of heroin addicts say marijuana was their gateway drug. If you prescribe marijuana and a person becomes a heroin addict shouldn't you be held liable?
In my practice of 28 years and 20,000 patients in a very depressed area I have had several patients that had used marijuana daily. It's come to the point where they don't tell me they use pot, I tell them. If you are a man and use pot daily you will have serious impotence problems by age forty. In your forties, you will begin getting neuropathy. By the time you are fifty, you will have complete neuropathy in your feet and legs and be diabetic because smoking pot daily causes diabetes.
In your sixties, you will go on dialysis. All of you have seen these patients. When you have a diabetic patient with complete neuropathy but normal skin texture, palpable pulses, and normal hair distribution they are most likely a daily marijuana user. If you prescribe marijuana to a patient, even if the person is well on their way to these symptoms, you will be held liable.
Gary S Smith, DPM, Bradford, PA
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