Vessel Blockage Common in Young Stroke Patients Who Smoke Pot | Medpage Today

Intracranial arterial stenosis was found to be the main etiology of stroke in cannabis users, occurring in 45% of these patients compared to just 14.5% of noncannabis users. Among non-users cardioembolism was the most frequent cause of stroke, occurring in 29.3% of patients compared to 14% of cannabis users.

Source: Vessel Blockage Common in Young Stroke Patients Who Smoke Pot | Medpage Today

YIKES.

Anesthesiology News – Increased Use of Hydromorphone Over Morphine Ups Adverse Events, Study Finds

At a time when there is growing concern about opioid abuse, hospitals are increasingly embracing a much more powerful painkiller without clear benefits, explained Padma Gulur, MD, lead study author, of the Department of Anesthesiology and Perioperative Care at the University of California, Irvine.

Researchers from the Massachusetts General Hospital (MGH), in Boston, launched the study after noticing a four- to fivefold increase in the amount of narcotics being prescribed for pain. They examined data gathered in the University Health Systems Consortium from 38 hospitals covering more than 1.3 million patients who were given either hydromorphone or morphine. The goal was to determine whether opioid choice influenced outcomes.

The initial assumption was that MGH physicians were simply being more aggressive in treating pain. The researchers decided to look at whether the shift to hydromorphone resulted in better patient outcomes, as measured by readmission rates and other benchmarks. They found that hospital use of hydromorphone rose 17% and 22% among medical and surgical patients, respectively, from October 2010 to September 2013.

Source: Anesthesiology News – Increased Use of Hydromorphone Over Morphine Ups Adverse Events, Study Finds

A Blunt Discussion About Marijuana: Drug Has Risks, Benefits

A family physician and a patient provided their perspectives on the risks and benefits of medical marijuana during the 2015 Family Medicine Experience in Denver.

Source: A Blunt Discussion About Marijuana: Drug Has Risks, Benefits

According to a 2013 survey(www.samhsa.gov) by the Substance Abuse and Mental Health Services Administration, 5.7 million Americans use marijuana daily, up from 3.1 million in 2006. Nineteen percent of Americans ages 18-25 indicated in the same poll that they had used marijuana in the past month. The drug is linked to nearly 500,000 ER visits annually.