I`ve discovered that I`m not alone if I find cannabis useful in reducing the amount of opiate-based drugs I need to find adequate relief. I met a doctor in California who reported that since the passage of the Medical Marijuana Act in 1996, many of his patients said they would get better pain relief with fewer opiates by combining them with cannabis [1]. Years later, the first results of the double-blind placebo-based cannabis study also appeared to support this effect [2] and more recently, the promise of cannabis to reduce opioid-overdose rates was highlighted [3]. If the contract is terminated, I will not be a patient of Dr. – and will urgently consider a treatment of chemical dependence when they are clinically indexed. In the coming weeks, in an army hospital, I would face acute pain caused by my injuries, which contained broken and broken bones, and damage to parts of my small intestine that were removed with my spleen. The worst injury was a hip fracture that never healed. Avascular necrosis began, resulting in a total hip replacement. Over the years, I always have pains that are considered only long-term and chronic.

If you are invited to sign a pain management agreement, it is important that you understand every detail of what you sign. In this way, you can respect all the rules and provisions of the treaty. If you don`t understand something, you should ask. Keep in mind that failure to comply with all the terms of the agreement can have serious consequences. In theory, these agreements are not only intended to protect the patient from addiction, but also the doctor if the patient somehow abuses the drug. National Center for Ethics in Health Care. Ethical considerations in the treatment of opioids for chronic pain. April 2005. www.ethics.va.gov/docs/infocus/InFocus_20050401_Opioid_Therapy_for_Chronic_Pain.pdf. Appeal on April 28, 2015. Since the VA`s medical marijuana policy came into effect, the VA has rejected the old “pain contract” and introduced a policy based on consent to knowing treatment, with a non-punishable pain agreement that specifically mentions medical marijuana. If you study this new AV #1005 directive [7] and the accompanying manual, you will find that drug testing is intended to improve communication between doctor and patient and that the patient`s signature is necessary, as the VA believes that long-term opioid use puts the life-threatening condition at risk to need written consent.

Drug testing is never intended to be punished.

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