At present, 29 states plus Washington, D.C. have approved the use of marijuana for medical purposes while overall attitudes towards marijuana have become more permissive. There is increasing evidence for the use of marijuana in treating pain and spasticity, plus there is evidence for its use in treating nausea caused by chemotherapy. There is even a website that touts the use of marijuana to treat nausea caused by pregnancy, which just goes to show that much information on many websites cannot be trusted, especially from .com websites.

The American College of Obstetrics and Gynecology recommends that women who are pregnant, likely to become pregnant, or are at an age where they can become pregnant, should not use marijuana or any products

Every few years there is a new fad in medical testing. A while ago it was homocysteine, then it was high-sensitivity CRP (C - reactive protein). Lately Vitamin D testing is all the rage.  Everyone, it seems, is ordering 25 hydroxy (OH) Vitamin D levels. But is there really a need to do Vitamin D screening on healthy patients? Unnecessary screening can lead to vitamin supplements and other testing, which raises the costs of health care.

Vitamin D is necessary for proper bone health. The most

Hemoglobin A1c (HbA1c) is a common and practical measure of average glucose (blood sugar) levels during the preceding three to four months. It is used both to diagnose diabetes and to measure diabetic control. Hemoglobin A comprises 97 percent of the hemoglobin found in normal red blood cells. HbA1c is a subtype of Hemoglobin A to which glucose binds permanently. The higher the amount of glucose in the blood, the higher the level of HbA1c will be. The average lifespan of a normal red blood cell

 Diabetes mellitus is a common disease with multiple complications. The most common neurologic symptom among patients with diabetes is a distal (hands and feet, or farthest from the heart), symmetric polyneuropathy, or peripheral neuropathy. This complication is estimated to affect between 10 and 50 percent of patients with diabetes. A minority of patients with neuropathy will be symptomatic and will have either positive symptoms (burning, tingling) or negative symptoms (numbness, weakness)

Fentanyl is a powerful synthetic opioid, or narcotic, that is posing an increasing worldwide public health risk. First synthesized in 1960, fentanyl was and still is used for general anesthesia in operating rooms. It is 50 to 100 times more potent than morphine. It is also used in hospice settings for pain relief. It is available as an injectable liquid, pill, spray, oral lozenge, white powder, and patch (Duragesic). Unfortunately it is appearing in the illegal street drug market where it is

For more than a century, head trauma has been linked to neurodegenerative diseases later in life, especially dementia/Alzheimer’s disease, Parkinson’s disease and ALS (Lou Gehrig’s disease). These conditions have been reported to be substantial in those who played contact sports, especially football. Recent publicity has focused on the dangers of football, especially as played in high school, college, and professionally. There have been links claimed to chronic traumatic encephalopathy later in

Vertebral compression fractures are the most common type of osteoporotic fractures and are associated with significant disability, morbidity, and mortality. Anyone who has had one will tell you that the pain can be severe and may last for months. In many cases only part of the vertebral body collapses, giving the vertebra a wedge-like shape. When this occurs in the mid or thoracic spine it causes the spine to bend forward giving the patient a stooped posture. Twenty five percent of

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