19 Year Old Dies After Denial From Transplant List For Trace THC

#401
#401
......and says "damn bro, don't bogart dat, pass that sheet over here, lemme hit it"
 
#403
#403
Thunder Good-Oil said:
I'm not following the next to last comment. His positive test and the need for a transplant both happened at Thanksgiving.

I wonder if he had any respiratory issues before the Thanksgiving weekend.

Mickey Mantle had a history plus he was old. Good thing for him he had three strikes.
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A quick Google search will find you reports to complete the story. He didn't end up in compete lung failure for a couple of weeks, and his parent claimed that before smoking at Thanksgiving, he was clean for a year.
 
#404
#404
kiddiedoc said:
A quick Google search will find you reports to complete the story. He didn't end up in compete lung failure for a couple of weeks, and his parent claimed that before smoking at Thanksgiving, he was clean for a year.
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I'm sure you know this KD. But if you were to tell any Emergency Room doctor, AND I do mean ANY, that they should consider as reliable patient claims on what drugs and how much have been ingested (much less parent claims) you'll get a scournful "You don't know jacks$#1+! look from them, and deserve it.

But it's all they have in emergencys until the toxicology screen comes back. "People lie and people die".
 
#405
#405
Orangedogsrule said:
I'm sure you know this KD. But if you were to tell any Emergency Room doctor, AND I do mean ANY, that they should consider as reliable patient claims on what drugs and how much have been ingested (much less parent claims) you'll get a scournful "You don't know jacks$#1+! look from them, and deserve it.

But it's all they have in emergencys until the toxicology screen comes back. "People lie and people die".
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I discuss sex, drugs, alcohol, and tobacco every day with teenagers... I'm pretty keen to "underreporting." :thumbsup:
 
#406
#406
kiddiedoc said:
I discuss sex, drugs, alcohol, and tobacco every day with teenagers... I'm pretty keen to "underreporting." :thumbsup:
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Same thing happens in pre op history. For some reason they won't tell me they smoke weed but will tell the nurse or the tech. I always tell them it's safer that I know than anyone else since I'm the one putting you to sleep. Versed is usually when the truth comes out
 
#407
#407
Thunder Good-Oil said:
So pain meds are banned for those on the lists as well? Because medically they can be more damaging and are probably more addictive than marijuana.
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narcotic analgesics (when they arent full synthetics) are less toxic than smoking weed.
 
#408
#408
bigdaddy said:
Same thing happens in pre op history. For some reason they won't tell me they smoke weed but will tell the nurse or the tech. I always tell them it's safer that I know than anyone else since I'm the one putting you to sleep. Versed is usually when the truth comes out
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Lol:
"Once in a while" = Most every day
"Twice" = Seven times
"A few" = a pack/six pack/10-12 times
"Last month" = yesterday
"Not in a long time" = last week
"Socially" = heavily
 
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#409
#409
kiddiedoc said:
Lol:
"Once in a while" = Most every day
"Twice" = Seven times
"A few" = a pack/six pack/10-12 times
"Last month" = yesterday
"Not in a long time" = last week
"Socially" = heavily
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Pretty much spot on. When you get an honest answer it almost makes you shocked
 
#410
#410
kiddiedoc said:
A quick Google search will find you reports to complete the story. He didn't end up in compete lung failure for a couple of weeks, and his parent claimed that before smoking at Thanksgiving, he was clean for a year.
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I'm still not getting your point with the next to last sentence. His positive test was shortly after his parent says he smoked for the first time in a year:
"First, one night of MJ use is not going to trigger a positive 4 months later."
 
#412
#412
kiddiedoc said:
Lol:
"Once in a while" = Most every day
"Twice" = Seven times
"A few" = a pack/six pack/10-12 times
"Last month" = yesterday
"Not in a long time" = last week
"Socially" = heavily
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So somebody that consumes anything in moderation will have to lie that they take nothing in order to get a more accurate perception? All patients are assumed to be lying because some do? I guess I'm screwed since I don't smoke or drink... I can't say I consume negative quantities in order to compensate for the assumed to be lying adjustment.
 
#413
#413
So riddle me this. Tobacco use has been studied to a fare thee well and the results are pretty damning. Warning labels are on all products. Big Brother has taxed it almost into the ground in a effort to suppress use.

Why don't they make tobacco illegal?
 
#414
#414
Thunder Good-Oil said:
So somebody that consumes anything in moderation will have to lie that they take nothing in order to get a more accurate perception? All patients are assumed to be lying because some do? I guess I'm screwed since I don't smoke or drink... I can't say I consume negative quantities in order to compensate for the assumed to be lying adjustment.
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pretry much. Why people lie to doctors about recreational drug use and alcohol is beyond me. If someone tells me they are clean I believe them. If they tell me the drink a few beers a day I ask if that's 2 or 6. Most say two and some days more so I push daily use to 6 max. As for drugs, either you do or don't and when was last dose/for how long. Also, are you on Suboxone or other narcotic antagonist. But you don't have to say negative if you don't do any. It's really your health that is at risk when you lie to a medical provider.
 
#416
#416
bigdaddy said:
Same thing happens in pre op history. For some reason they won't tell me they smoke weed but will tell the nurse or the tech. I always tell them it's safer that I know than anyone else since I'm the one putting you to sleep. Versed is usually when the truth comes out
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Show me legitimate studies on how marijuana is contraindicated in patients undergoing surgery.

kiddiedoc said:
Lol:
"Once in a while" = Most every day
"Twice" = Seven times
"A few" = a pack/six pack/10-12 times
"Last month" = yesterday
"Not in a long time" = last week
"Socially" = heavily
Click to expand...

It's sad doctors assume EVERY patient is lying. I hate it for the patients who actually give an honest answer and you automatically multiply that by 3 in some judgmental fashion.
 
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#417
#417
Coug said:
It's sad doctors assume EVERY patient is lying. I hate it for the patients who actually give an honest answer and you automatically multiply that by 3 in some judgmental fashion.
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Lighten up, Francis. You might be surprised at the number of immaculate conceptions I've seen, too.
 
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#418
#418
Coug said:
Show me legitimate studies on how marijuana is contraindicated in patients undergoing surgery.



It's sad doctors assume EVERY patient is lying. I hate it for the patients who actually give an honest answer and you automatically multiply that by 3 in some judgmental fashion.
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I sure will but you need subscriptions to see them
 
#420
#420
bigdaddy said:
https://www.aana.com/newsandjournal/Documents/cannabis_1280_p526.pdf
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This paper from almost 3 decades ago concludes that due to several interactions of weed with the body and anesthetic drugs used in surgery, that surgery should be delayed for THC ingestion if possible, or only local anesthesia used if not possible. Those results will probably not have changed since the paper was produced.

However, as it was written in the late 70s, are there any available that are more recent, like from this century?
 
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#421
#421
Orangedogsrule said:
This paper from almost 3 decades ago concludes that due to several interactions of weed with the body and anesthetic drugs used in surgery, that surgery should be delayed for THC ingestion if possible, or only local anesthesia used if not possible. Those results will probably not have changed since the paper was produced.

However, as it was written in the late 70s, are there any available that are more recent, like from this century?
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The science of THC hasn't changed but that was one of the only "free" ones I have. You could take my word for it as an anesthetist and 20 years of education and experience that THC/MJ have adverse effects to anesthesia and surgical outcomes. Those being pneumonia, uvular swelling, atelectasis
 
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#422
#422
bigdaddy said:
The science of THC hasn't changed but that was one of the only "free" ones I have. You could take my word for it as an anesthetist and 20 years of education and experience that THC/MJ have adverse effects to anesthesia and surgical outcomes. Those being pneumonia, uvular swelling, atelectasis
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Thanks. So, what I'm hearing is pneumonia after and/or lung collapse during surgery are real possibilities for those who have used weed. How long before surgery should they stop to eliminate these weed induced possibilities?
 
#424
#424
Orangedogsrule said:
Thanks. So, what I'm hearing is pneumonia after and/or lung collapse during surgery are real possibilities for those who have used weed. How long before surgery should they stop to eliminate these weed induced possibilities?
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As well as cardiac issues and possible ischemia and infarction. Mainly the highest risk is those that smoked or dosed and came in for emergency so as long as you aren't high the THC shouldn't cause too much harm. If you are a chronic user and smoke it I would suggest stopping for at least six days to help with lung issues. As for edibles and oils, not much research on those but being clean is the safest way to survive surgery and anesthesia without complications. And always tell your provider what you take. We aren't going to turn you over to the cops. We are trying to make sure you are safe and comfortable as possible
 
#425
#425
bigdaddy said:
The science of THC hasn't changed but that was one of the only "free" ones I have. You could take my word for it as an anesthetist and 20 years of education and experience that THC/MJ have adverse effects to anesthesia and surgical outcomes. Those being pneumonia, uvular swelling, atelectasis
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Wouldn't the possibility of adverse effects be highly, positively correlated to how recent the use? I'd assume that there are different results for use a day before a surgery versus a week. Also, is this study only looking at subjects that smoked the marijuana and not those that, for example, ate brownies? Are the results similar for users of alcohol?

Edit: some questions answered in post just above.
 
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