Quotes from Mary Jane
what country has the highest marijuana consumption rate?
Nigeria
How many marijuana overdoses were reported this last year in the US?
How much marijuana is safe in pregnancy?
None
Which of the following celeberties has a blunt roller on their payroll?
a. Lady Gaga
b. Snoop Doggy Dog
c. Seth Rogan
d. Khloe Kardashian
e. Wiz Khalifa
Bonus points: how much a year do they get paid?
Snoop Dogg pays a person between $40,000-$50,000 per year to roll blunts for him, he said during a recent appearance on The Howard Stern Show.
A couple come to you because they have been trying to concieve for 1 year now. They vape THC on the reg. They ask if this can effect reproduction in any way??
It can decrease spermatogenesis up to 25%
A 26 y/o G2P2 comes in for her post partum visit and she and her husband are giggling and smell like they smoked the morning away. She asks what the scientists say about breastfeeding after smoking. She has heard breast is best and will also help her shed the baby weight but asks you what effect her THC use has on her bundle of joy.
Limited human data suggest that THC also appears in breast milk. There are insufficient data to evaluate the effects of marijuana use on infants during lactation and breastfeeding, and in the absence of such data, marijuana use is discouraged. Breastfeeding women should be informed that the potential risks of exposure to marijuana metabolites are unknown and should be encouraged to discontinue marijuana use.
Name the person who said: "I think people need to be educated to the fact that marijuana is not a drug. Marijuana is an herb and a flower. God put it here."
Who is Willie Nelson
What is Kief?
The crystals on Marijuana leaves (yes, one of our patients named their child this)
Is medical marijuana real?
No (per acog)
Because marijuana is neither regulated nor evaluated by the U.S. Food and Drug Administration, there are no approved indications, contraindications, safety precautions, or recommendations regarding its use during pregnancy and lactation. Likewise, there are no standardized formulations, dosages, or delivery systems. Smoking, the most common route of administration of THC, cannot be medically condoned during pregnancy and lactation. Therefore, obstetrician–gynecologists should be discouraged from prescribing or suggesting the use of marijuana for medicinal purposes during the period before pregnancy, and during pregnancy and lactation.
Who said: "Why drink and drive if I can smoke and fly?"
Hint: He died from melanoma
Who is bob marley
What disease is thought to be caused by marijuana use?
schizophrenia
There is substantial evidence that chronic cannabis use, especially during adolescence, is associated with later development of schizophrenia. The mechanisms responsible for the association between cannabis use and schizophrenia remain unclear. Some experts believe that early cannabis use is a causal factor in developing schizophrenia.
A 19 y/o G1P0 is at her new OB visit with you. You ask her if she drinks, smokes or does drugs. She asks if she will get in trouble with the law if she tells you about what might be in her dirty sprites.
Per ACOG patients should be informed that the purpose of screening is to allow treatment of the woman’s substance use, not to punish or prosecute her; however, patients should also be informed of the potential ramifications of a positive screen result, including any mandatory reporting requirements. Seeking obstetric–gynecologic care should not expose a woman to criminal or civil penalties for marijuana use, such as incarceration, involuntary commitment, loss of custody of her children, or loss of housing
How many US states have legalized social marijuana?
15
Alaska, arizona, california, colorado, illinois, maine, Massachuets, Michigan, Montana, New Jersey, Nevada, Oregon, S. Dakota, Vermont, Washington
Describe Cannabinoid hyperemesis syndrome.
Cannabinoid hyperemesis syndrome is a well-defined but apparently relatively rare syndrome involving episodic severe nausea and vomiting and abdominal pain which is relieved by exposure to hot water (shower or bath) [94-96]. Topical capsaicin has shown some benefit, but standard antiemetics and antidopamine agents are of little or no value [97]. The pathophysiology remains unknown, but patients are almost always daily cannabis users for at least one year and symptoms resolve within one to two days of cessation of cannabis use. Diagnosis is usually made after symptom resolution with cessation of cannabinoids after other causes of n/v are ruled out. (UTD)
A patient comes to your office and states she smokes the reefer daily. She is curious about the effects it may have on her bundle of joy. She asks how much of her blunts cross to the baby? You tell her:
In animal models, THC crossed the placenta, producing fetal plasma levels that were approximately 10% of maternal levels after acute exposure.