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Should I tell my nuerologist that I smoke?

Discussion in 'Marijuana Consumption Q&A' started by KaminaMaximus, Sep 17, 2012.

  1. So here's the thing. I was diagnosed with Tourette's when I was about 8 or 9. I'm 20 now. I'm pretty sure I have ADHD. I've always had trouble focusing and remembering things, I'm pretty much constantly in motion. I have to make a conscious effort to stay still. Anyway, I've had these symptoms pretty much my whole life, but I never really thought about it too much. After losing my financial aide at school, I realized I need to do something about it.
    I've only been smoking about 2 years, the first year of which I probably smoked less than 10 times. This year I pretty much smoke everyday. It's the only way I can get a good night's sleep and have even a little focus on anything. Anyway I recently switched doctors and during the initial interview I said that I have smoked before. I said that I started 2 years ago and smoked very little last year, and a little more this year. It was an intern or something filling out a paper and she didn't seem to care much, but I don't know how my doctor would react. My doctor referred me to a neurologist and I was wondering if I should tell her that I smoke. I'm really worried that it will affect my diagnosis even though I've had these symptoms my whole life and started smoking recently.
  2. You smoking is an attempt at self medication. As long as you tell her that, it'll be fine.
  3. eh why would she really need to know tho
  4. If your doctor is stupid enough to think that you smoking marijuana over the last two years caused the tourette's you've had your whole life, then it's probably time to find a new doctor anyway. :p

    I think you should tell them.
  5. #5 hurb1, Sep 17, 2012
    Last edited by a moderator: Sep 17, 2012
    I wouldnt. Some specialists/doctors will turn you away if you tell them about how you use marijuana(refusing to see you again until you quit cuz they want you on THEIR drugs.) Keep it as a need to know basis. If they havent asked you then they dont need to know. If it was important, they would have already inquired as part of a checklist.
  6. Nahh, it has nothing to do with your condition, so she has no reason to know that.

  7. Might just be good for yet another doctor to hear that marijuana is helping someones condition.

    It's not like the doctor is going to report you to the police or some shit. They can't even legally do that.

    Worst case scenario, you find out that your doctor is a dumbass and it's time to get a new one. :p
  8. ... most doctors have you fill something out that says how often you drink, smoke, etc. Then they sit down and go over it with you, asking more detailed questions. There is absolutely no reason to hold something like that back, most doctors will treat you no matter what you do and they're legally bound to not divulge that information to ANYBODY without a court order. Seriously, turning people away because of their lifestyle choices is HIGHLY unprofessional, not the kind of doctor I'd trust to be clinically neutral when treating patients. Extrapolate that into all lifestyle choices and you see my point, doctors aren't supposed to do that and the ones that do can go fuck themselves.
  9. Yes, tell him. -experienced in that question
  10. You gotta be straight with your doc if you want them to be able to do their job, all their training and research won't help them if you stack the deck against them by withholding information. It's possible that your limited success self-medicating with weed will tell her something useful.. it's also possible that weed has impacted you in ways you cannot recognize from the first person point of view, which your doc would otherwise assume are natural for you or perhaps caused by something else, muddying her diagnoses.

    Even if it doesn't end up mattering much, letting her know at least ensures that she'll keep any interactions with weed in mind if she proscribes something. A bud of mine chose to test one of those "no weed with so-and-so meds" admonitions and learned the hard way that the doc wasn't kidding about it being a bad time.
  11. Tell and back yourself up! :D

    Science/Germany: Clinical study on THC in TOURETTE's syndrome (news – 2000)
    International Association for Cannabis as Medicine

    Combined Treatment of Tourette Syndrome with Delta-9-THC and Dopamine Receptor Antagonists (full – 2002)

    Treatment of Tourette's syndrome with Delta 9-tetrahydrocannabinol (THC): a randomized crossover trial. (abst - 2002)
    Clinical Studies and Case Reports

    Science: THC effective in TOURETTE-Syndrome (news - 2002)
    International Association for Cannabis as Medicine

    Treatment of Tourette Syndrome with Delta-9-Tetrahydrocannabinol (Delta9-THC): No Influence on Neuropsychological Performance (full - 2003) Neuropsychopharmacology - Abstract of article: Treatment of Tourette Syndrome with Delta-9-Tetrahydrocannabinol ([Delta]9-THC): No Influence on Neuropsychological Performance

    Delta 9-tetrahydrocannabinol (THC) is effective in the treatment of tics in Tourette syndrome: a 6-week randomized trial. (abst - 2003)
    Clinical Studies and Case Reports

    Cannabinoids reduce symptoms of Tourette's syndrome. (abst - 2003)
    Cannabinoids reduce symptoms of Tou... [Expert Opin Pharmacother. 2003] - PubMed - NCBI

    Science: THC effective in TOURETTE syndrome in a 6-week trial (news - 2003)
    International Association for Cannabis as Medicine

    Tourette syndrome is not caused by mutations in the central cannabinoid receptor (CNR1) gene. (abst - 2004) Tourette syndrome is n... [Am J Med Genet B Neuropsychiatr Genet. 2004] - PubMed - NCBI

    [123I]AM281 single-photon emission computed tomography imaging of central cannabinoid CB1 receptors before and after Delta9-tetrahydrocannabinol therapy and whole-body scanning for assessment of radiation dose in tourette patients. (abst – 2004)
    [123I]AM281 single-photon emission computed ... [Biol Psychiatry. 2004] - PubMed - NCBI

    Cannabinoids In Medicine: A Review Of Their Therapeutic Potential (full – 2006)

    Cannabinoids for Tourette's Syndrome. (abst - 2009) Cannabinoids for Tourette's Syndr... [Cochrane Database Syst Rev. 2009] - PubMed - NCBI

    Tourette's syndrome. (abst – 2009) Tourette's syndrome. [Curr Top Behav Neurosci. 2009] - PubMed - NCBI

    Medical Marijuana and Tourette's Syndrome (news – 2009)

    Oral Delta 9-tetrahydrocannabinol improved refractory Gilles de la Tourette syndrome in an adolescent by increasing intracortical inhibition: a case report. (abst - 2010) Oral delta 9-tetrahydrocannabinol imp... [J Clin Psychopharmacol. 2010] - PubMed - NCBI

    Science: Cannabis effective in the treatment of TOURETTE Syndrome and attention deficit hyperactivity disorder (ADHD) (news – 2010)
    International Association for Cannabis as Medicine

    Cannabinoids improve driving ability in a Tourette's patient. (news – 2011)
    International Association for Cannabis as Medicine
  12. I'd tell your doctor. Say it's the only thing you've found to help you.
  13. Yea tell him if you want increased insurance rates. I guess it depends where you live.

  14. I think I love you Granny...
  15. I have an 8 year old son who was diagnosed by a very well respected pediatric neurologist as having ticks but has tourettes like symptoms. In my opinion, neurologists are nothing more than educated guessers and really is more of a waste of time because they do nothing more than ask a few questions and prescribe medicine that really isn't good for anyone let alone an 8 year old. Vitamins work just as well and when my son is of age I will probably suggest cannabis, which he would probably have experimented with by then.
  16. You don't need to tell the intern or nurse or aide. Tell the doc tho, in case it affects any meds (doubt it). I tell ALL my doctors, even for an ER visit. Alcohol is a bigger red flag than MJ, but you shouldn't hold back things from your doctor.
  17. You really should tell them the more they know about you the better the chance they can treat you for any current and future medical problems. There are laws in place offering you some protection regarding information you provide to your doctor and there staff. I live in an area where medical is not sanctioned and my doctors are aware and ive yet to have a negative response other than all would prefer i stuck to edibles or vaporized instead of smoking. Overall most doctors i have met seem to have a rather neutral opinion about mmj and believe it may be helpful to some.

    Besides once you tell them perhaps they will approve and see that it helps you and then we would have another medical proffessional with good opinions about mmj.
  18. #18 coraygc, Sep 18, 2012
    Last edited by a moderator: Sep 18, 2012
    Nobody would go to school over 10 years to be a guesser now would they?

  19. I don't agree with him, but I can understand why he thinks that way because in a lot of cases a neurologist can give you an idea of what is going on, but they're not the primary doctor and don't choose how the patient is treated.

    I experienced a lot of that first hand when my grandmother was in the hospital and her primary doctor was saying that we should just put her in hospice care and let her go because she's not going to live much longer.

    Whereas her neurologist was like "yeah, she could have a few more years left in her, I don't think anyone should give up just yet".

    Her primary doctor still kept pressuring us and even had the nerve to say that the neurologist didn't know what she was talking about because she's just a "brain doctor and not an 'actual' doctor". :rolleyes:

    Turns out my grandma pulled through and lived a couple more years after that shit.

    Doctors are just people. Neurologists, just people. They're all just people. And they have opinions. Some right, some wrong.

    If one doctor gives you a shitty opinion... get another. There's no reason to take everything one doctor says as 100% true.

  20. I apologize if I offended you in any way. I'm sure in other neurological conditions neurologists have ways of determining a patients exact condition. In my son's case, over 3 years of the doctor telling us that it could be ticks, maybe tourettes but it may turn out not to be tourettes, or it could be adhd. Here's a prescription which MAY help if not something stronger with considerable side effect MAY be an answer. So far still no diagnosis. That sounds like a guesser to me.

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