Of PCP\’s and THC

The drug test came back abnormal.  There was THC present.  I walked back to Mrs. Johnson and raised my eyebrows.

\”What\’s wrong?\” she asked, not used to whatever kind of look I was giving her.

\”Uh, you forgot to mention to me that you smoke weed.\”

She blushed and then smirked.  \”Well, yes, I guess I forgot to put that down on the sheet.  I don\’t do it real often, but sometimes it takes mind off of things.  I just get real anxious about my kids, my husband…and my heart problems. I only smoke one or two a night\”

She\’s not your usual picture of a pot-head.  She\’s in her sixties, has coronary heart disease, irritable bowel, hypertension, is on Medicaid, and is the essential caricature of the the poor white folk who live in the deep south.  And she smokes weed. 

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Buckle Up

Lipitor can destroy your liver. Back surgery can leave you paralyzed. People who take Chantix might kill themselves. You may never wake up from a simple surgery. These statements are all true.  They also are very confusing to many of my patients when I am prescribing drugs or recommending surgery.  What should they do when

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