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Dr. Frank D'Ambrosio talks to Health Europe to explain how he has become not only a lawyer, but also a consultant on Cannabis political reforms.
For twenty years Dr. Frank D 'Ambrosio was an orthopedic surgeon, so why in recent years he completely changed his course and established a clinic in California to prescribe cannabis as a medication? D-Ambrosio is now a passionate campaigner and advocates fighting for Cannabis political reforms, and cannabis to be recognized for their medical benefits and has traveled extensively to spread the word, advising governments and even the Global Healthcare Commission.
Health Europe spoke to Ambrosio about his experience as one of the first to recognize the healing benefits of hemp and, in particular, it is potentially a substance that could replace opium usage for chronic pain, which often leads to dependence. Here he tells him his inspirational story, explaining how he discovered the potential of hemp, treating the stigma lasting, and why he often advised to put it in cooking.
How and when did you first have been warned about the benefits of Cannabis as a medication?
I did not teach anything about cannabis or the endocannabinoid system in a medical school and this was something that I came in the 1990s after I graduated. I always knew that people used cannabis for emergency problems and sleeping, but I did not really start seeing it as a medication until about five or six years ago, as a spin surgeon, I had a full office of patients. who were addicted to opioids. I was looking for a method of trying to prevent people from the opposites, but there were really not many options.
During my research, I began to read more about cannabis as a safe alternative to opioids and so I experienced some of my patients. I could see incredible results, just incredible and so the rest was a story. This was before anyone even realized that we really had an opio-epidemic in the US and no one talked about it. It was the easy and accepted thing to do when a patient enters the emergency room with a fracture – prescribe them with the appropriate cozy and wait for them to heal. I did not realize it needed only one prescription for 10-day delivery of opioids – what was the standard response to which we obeyed if someone came to the emergency room with a fracture or painful kind of injury. Only a 10-day prescription is needed for a person to develop and an optional problem.
From there it has become a question to transform my practice of one performing orthopedic surgery in one of the treatment of people with opio problems. From there it became a heroin and then it was alcohol; It has become only a pile of medicinal diseases and a set of sick processes that we have begun to take part. The more I saw and the more I did, the more I learned about how important cannabis could be for a great deal of problems that people suffer in acute and chronically. So it really started, and it simply grew up and expanded.
We see here in Europe that they are the patients who bring these information
to their doctors and thus driving a change. Is that related to your experience as a doctor?
I would like to think that I was active in that. Patients did not look for me with cannabis questions until I suddenly set me up as a professional doctor, who openly favored cannabis as a medication. When I established my practice, it was one of those situations, where & if you build it, they will come & # 39; – so I built it. The situation in Europe is slightly different because at least in the United Kingdom, I have seen that it is a country that produces the largest amount of cannabis to meet export and medical uses throughout Europe and the world and yet they have won. even allow their own patients and citizens to use it. I'm almost beyond hypocritical. It seems so unpleasant to me that it is reasonable for all others to use cannabis as a medication, but the citizens of your own country can not.
When I visited Britain, I spoke to parliament and after that the last November changed the law to allow people to access a cannabis to treat medical conditions. However, they desperately set up pathways to basically prevent the whole situation. General doctors are not allowed to recommend a cannabis to their patients, patients can not ask them for cannabis, they must go to a specialist doctor for advice and prescription, and the normal doctors then send them not to prescribe it.
Doctors authorized to prescribe cannabis are in a real situation, because they feel that they can not prescribe a cannabis due to the risk of losing their ability to function as doctors. The other problem is that patients do not offer the possibility of trying a cannon until they have exhausted all other traditional resources. It seems absurd to force people to pass all the troubles to access something that you can grow naturally, which will help tackle a huge amount of problems. I just find it incredibly opposing intuitive. The updated guidelines that will appear later this year may be helpful, but ultimately, if doctors are still afraid to write the prescriptions, then nothing will change. I hope education is the answer and there is nothing more insidious or monetary.
Last November, you spoke to the World Health Organization's Department of Drug Independence on the potential of a hemp to save more dependent pharmaceutical use. Which reception has been met and has it caused any change to date?
Well, it was first an incredible experience of many people from around the world; Hemp was just one of the medications discussed that day for recalling. In 1961 during the first meeting of the Drogodependence Expert Committee it was considered one of the most dangerous drugs available and was planned as one category of heroin and LSD.
None of the committee has again dealt with it until last November, so it took 50 years. I had the opportunity to go there and shared with them my experience in relation to my practice and what I did with opioids and how it was very useful for many patients. After that, the commission then voted on whether to send their findings and recommendations regarding possible changes and a reflection to the entire World Health Organization.
This happened in November, and they announced this year in January that they recommend that cannabis be planned accordingly. I would like to think that this is part of what I said. In addition, with all the literature that is at the moment, there is really no reason why the Drogode Independence Expert Committee would not agree that it should be removed from one scheduled and reprogrammed one.
That will now be transmitted to the entire World Health Organization is a voter, I understand that this will be ever in the fall. I hope that the entire organization follows the recommendation of the Drogode Independence Expert Committee, and in fact realizes a declaration or reclamation of hemp.
What can you tell us about the advantages of using a hemp in cooking, does it have advantages compared to other ways of consumption?
Cooking with hemp is really an alternative way of introducing the cannabinoids into the system. There are people who have lung problems that do not smoke as well as people who can not breath or even those who are only looking for a more palate way to consume cannabis. This is particularly applicable to some of my older patients who have never used it before, since there was misinformation circulating about cannabis already in the 1930s.
Many people will not smoke cannabis and they will not want it – they are not just interested in these delivery methods, so it's just another way for them to introduce the cannabinoids, putting them into cooking and food that they are doing. I give it an opportunity to deal with more people by showing them an alternative method of managing the cannabinoids in their system.
The other thing to mention is that when you introduce a cannabis in food or in any food form, then take longer so that the cannabis starts working and it also needs to leave your system longer. When inhaled cannabis as steam, the action of action is immediate, because it absorbs directly into the blood flow through the lungs. When it is inserted into the gastrointestinal tract, it must digest and navigate the entire system and circulate in the intestine for a while before it is actually carried out. There are various advantages and disadvantages to use tube and introduce it to the system through various delivery methods – provided people understand the risks and benefits of the beginning and are aware of the power, since this is not a problem. I'm just another way for people who would like to consume cannabis without getting involved in lungs.
It has been described as a medical cane & mitoprotector. Do you still meet people's resistance while trying to educate them, and if yes, is this so common today as it was always?
I certainly think it's better than it, people a bit more receptive. It is like physics, the first rule of physics, that an object rests tend to remain. You must overcome this by pressing that rock to move it before it starts to progress. You have to push the rock through a hemp, but this is not hard to push now as before. With more young patients more easy, but when you consider the old generation, it is a bit harder to push the rock to understand that cannabis is not everything that has been taught to you. Bad things will not happen to you if you use a cannabis, it's not all that has been told you are. We just need to push the rock on now.
Unfortunately, doctors are some of the most difficult to educate, since they have already learned everything they think they need to learn, and they are resistant to change. They are also resistant to other doctors who tell them something that is opposed to what they have learned and have strong opinions about them. I often find that, with regard to other doctors, the seeds of my cannabis knowledge fail to fall into the rocky ground of their minds. There are still many that can be done.
What advice would you give to medical professionals throughout Europe regarding the benefits of a cannabis, because the legal and regulatory framework is built? What can you learn from your experiences in the United States?
I hope they are able to open their minds and not be so rigid in their thinking just because just because they have taught things in a certain way. I would advise them to open their thoughts on the possibilities and innovation.
Great innovations take place constantly, and people resist them. Some people have resisted the fact that we are a Heliocentric universe and have insisted that Earth was the center of the universe and that thinking otherwise is heresy. See, finally it is accepted that it was actually true. I personally feel that I am in the right direction of this story, and I think that for 100 years we will finally look back at this time and they will congratulate their heads asking ourselves the thing.
People will believe what they want to believe, but I'll just ask them to open their minds. There are endless options and many ways to change. Just consider a cannabis as one of the arrows in your shade when you try to take away a disease.
Dr. Frank D Ambrosio
Orthopedic surgeon
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Please note, this article will appear in number 10 of the Health Europe Quarterly, which will be readable in July 2019.
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