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Can I Trust My Physician Won’t Judge Marijuana Use?

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As many patients fill out their intake forms for their health care providers, some feel a concern that their honesty about aspects of their lifestyle may cause them to receive prejudiced healthcare. Part of being a great physician or health care provider is the ability to be non-judgmental about patients and their lifestyle choices. Asking can I trust my physician won’t just marijuana will get an answer of trust is essential to medical care.

The patient must trust the doctor with personal information in order for the physician to give the best advice for that particular patient. This requires the physician or other health care provider to show the patient that they have an open mind and the patient to trust the provider.

But we must realize that doctors are people with their own biases based upon their upbringing, world experience and personality.

rolling a marijuana joint
Photo by Kampus Production via Pexels

RELATED: Should You Still Consult With Your Doctor After You Get A Medical Marijuana Card?

When asked by friends and patients who express concerns about their physicians, I tell them that if they cannot trust their physician with personal information, they need to change physicians if possible.

So how do we navigate the disclosure of cannabis or any recreational drug use in the health care setting? We should begin by thinking about both explicit and implicit bias.

Explicit bias refers to one’s awareness of their pre-exisiting beliefs and makes decisions based upon them. These biases are often easily identified by others.

Implicit bias is an unconscious belief or feeling which can also affect decision making without the person being aware if their influence.

When there’s a conflict between a person’s explicit and implicit attitudes-for example “people say they are not prejudiced but give subtle signs that they are, for example-those on the receiving end may be anxious and confused.”¹

“The individual words that physicians use can be a signal of implicit bias. Words such as “we”, “ours” or “us” can be used by people in power over those of lesser power. This is seen using language such as, We’re going to take our medicine, right?”²

RELATED: Should You Tell Your Doctor About Your Marijuana Use?

I have always felt that straightforward, non-aggressive questions regarding any issues, conscious or unconscious can help clarify confusion. It is at least worth a try. On the other hand, if the negative bias appears too strong or the anxiety too great, I would recommend a change in provider.

There was a recent online survey that showed 81% of patients withheld medically relevant information. Of those, 81.8% withheld information because they didn’t want to be lectured or judged.³ Well, that generally does not sound like a trusting relationship.

marijuana nug
Photo by Kirill Vasikev / EyeEm/Getty Images

So how do we get through this conundrum: real bias by the physician, fear of bias by the patient and withholding information? We also need to recognize that there can be bias, positive or negative, of the patient towards the health care worker.

There is a weight on the patient’s side of the equation. Regarding the use of cannabis, I would give the same advice in giving a history as I would for alcohol use, exercise and eating.

First, the patient should be honest with themselves. This is best done by keeping an accurate diary of the use of cannabis; whether medical or recreational or both. With this in hand, the physician is given more definitive information for their judgements of patient care. An answer of “just a moderate amount” or “only socially” gives such a wide variance of quantity that it can be misinterpreted. Although it is quite boring to do so, having a diary of use over two weeks, along with effects, can significantly improve a discussion about cannabis.

In the end I feel honest, straightforward discussions with accurate information leads to better health care. Age or type of advanced training of a healthcare professional does not increase or decrease bias. There is continued research about bias which will improve our knowledge of the issues.

“On a more discrete level, we are trying to achieve a better understanding of how situational factors like stress and time constraints could activate bias and influence treatment decisions.” 4

I like to think that health care providers go into their chosen field with an open mind about their patients and their lifestyle choices. In the end, healthcare workers are well educated, but are people too, with their own imperfections trying to partner with their patients for better health care.

____________________

¹ Monitor on Psychology, March 2019 pg 33
² Health Communication, Vol 32, No 4, 2017
³ JAMA Netw Open. 2018;1(7):e185293. doi:10.1001/jamanetworkopen.2018.5293
4 Monitor on Psychology, March 2019 pg 37



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Can An Air Purifier Get Rid Of The Marijuana Smell

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Cannabis is legal to more than 50% of the population and more people are consuming. As additional states consider legalizing, what about the famous smell? Governor Ron DeSantis has made it a point talking about how cities will stink if weed is legal. Well, marijuana does have some stink, but most smoke outside or in their own home. And Florida is a state of cars and indoor spaces. Smoking cannabis, like tobacco, will be not be allowed indoors except in homes. But occasionally, you are in someone else’s space and, well, things happen.  What to do? Can an air purifier get rid of the marijuana smell?

RELATED: Red States Lean Green This Election

Additionally, lots of people are traveling and being in mew spaces, especially in legal states. Friends, guests, clients all have different habits.  In fact, Gen Z and millennials took, on average, nearly five trips in 2023. Gen Xers and Boomers to four. Millennials and Gen Zers also say they devote, on average, 29 percent of their incomes to travel, compared with 26 percent for Gen Zers and 25 percent for baby boomers. So this a variety of AirBnBs, friend’s couches, and more. Air purifiers can be highly effective at eliminating cannabis odors from indoor spaces. The key to success lies in choosing the right type of air purifier withappropriate filtration technology.

skunk mail
Photo by Flickr user boviate

The most effective air purifiers for cannabis odor utilize a combination of HEPA filtration and activated carbon filters. Here’s how they work.

HEPA Filtration: High-efficiency particulate air (HEPA) filters remove tiny particles from the air, including smoke particles that carry odor molecules. This helps reduce the overall concentration of cannabis smoke in the air.

Activated Carbon: The real workhorse for odor elimination is activated carbon. These filters are highly porous and adsorb odor-causing volatile organic compounds (VOCs) and gases, effectively trapping the molecules responsible for cannabis smell.

When selecting an air purifier for cannabis odor, here is what to consider. Look for units with large activated carbon filters, ideally containing several pounds of carbon for maximum odor absorption. Choose a purifier powerful enough to cycle the air in your space multiple times per hour for best results. And ensure the purifier is rated for the size of the room where it will be used.

RELATED: What’s That Smell? Why Your Marijuana Smells Skunky

While air purifiers are effective, combining them with other strategies can enhance odor elimination. Designate a specific smoking area to contain odors. Smoke near an open window when possible. Use lower-odor cannabis strains. And lastly clean surfaces regularly to prevent odor buildup.

By using a high-quality air purifier with both HEPA and activated carbon filtration, along with these additional measures,



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Best Blissful Moments To Consume Marijuana

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Everyone seems rushed, irritated and even annoying – sometimes you just want to mental slip away – marijuana might be a short term answer

Work, kids, the election year and social media can all make our day to day rushed, irritating and stressed.  Sometimes you just want to mental slip away and let your troubles fall evaporate and let your body and soul relax and enjoy a moment. Cannabis can help you have an hour or two to just be in the moment.  And unlike alcohol, there isn’t a hangover which can or can’t pop up afterwards. Microdosing is another option as you engage in activities to just let you sink into a relaxed mood. Here are the best moments to slip into bliss by consuming marijuana.

Here are the best blissful moment to consume marijuana and right your soul.  Just remember if you vape, using an oil or go old school and smoke, you will feel THC quickly.  Edibles, including gummies, can take 30-60 minutes to hit.

Taking a bath

If has been a long and you you and your body are exhasuted and a hot bath is always inviting. Set the scene with scented candles and relaxing tunes then consume a little marijuana. Once you’ve settled in, achieve physical and psychological serenity. The warm water and soothing tunes will align with the plant and let your anxiety float away.

Enjoy a good meal

all you can eat resturant goes bust after people eat all they could
Photo by rawpixel.com

Microdosing can be a hit here as you just want to take the edge off.  Cannabis will help you savor every flavor and enjoy each dish.  You’ll be awed by every appetizer, soup, salad, entrée and decadent dessert that arrives at your table. Certain strains will help you avoid the munchies so you don’t go overboard.

Working out with weed.

1 in 3 people have improved workouts after smoking marijuana
Photo by juan pablo rodriguez via Unsplash

Working out and marijuana gives an endorphin high. The runner’s high” is very much akin to the cannabis experience, because exercise activates the endocannabinoid system in the same way as consuming weed. It can also give your metabolism a boost. For runners, it alleviates the tedium of putting one foot in front of the other. For those who opt for exercise machines, which are designed to isolate individual muscle groups, cannabis will allow you to focus more keenly on the contraction of those muscles. Many yoga enthusiasts swear by cannabis because it marginalizes linear thought and focuses awareness on breathing and proper alignment.

RELATED: Is There A Link Between Runner’s High And A Marijuana High?

Clean your home or gardening

Some people find bliss in a clean house or a beautiful garden. Some strings of Cannabis will place you in a zone of achievement – even actual play! Pay attention to your thought processes. You’ll find that the mind entertains itself as the body scrubs the bathroom. It will bounce happily from topic to topic and wrap itself around pleasant ideas. You’ll solve problems and find solutions.

RELATED: Can Taking CBD Make It Easier To Digest Political News?

Movies & music

Cannabis lets your mind settle and focus, which makes experience amazing. Music is richer, jokes are funnier.  Some people feel it is like you are in the movies or part of the music. Whether you are settled in a big, dark, comfortable movie theater/auditorium or snuggled on your couch, your mind can lose itself. All of your senses are deprived except for sight and sound. And because cannabis seems to promote empathy, involvement with the action on-screen is enhanced. You might want to focus on more upbeat movies and not on extreme action or horror.

Commune with nature

Losing yourself in nature is great, whether an urban stroll or a walk on the beach, forest, meadow, etc. you realize the outside is great place. Re-establishing the connection with fresh air, birds singing and the nature can delight your soul. After consuming, you can observe the world’s palette of colors, feel the wind, bask in the sun. Allow your worries and problems to diminish.

Getting it on

Photo by rawpixel.com

RELATED: 4 Ways Weed Works in The Bedroom

Evidence indicates  cannabis users report physical and sensual enhancement, making for a fuller time of enjoyment.. Cannabis eases anxiety, giving an opportunity to go with the flow and delight in the experience.



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Watch: A ‘water sommelier’ pairs joints, bongloads, and dabs with the right H20

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Dasani is the “chicken nuggets” of water—stripped, processed, and rebuilt from the ground up.

Topo Chico mineral water helps bring out the flavor in a strain like Hashburger.

And tap water is way smarter than Smart Water.

These are just a few takeaways from our chat with a bonafide water sommelier who has tips on getting high and staying hydrated.

To help us wrap our heads around water as both a resource, lifestyle, and cannabis companion, we spoke to Milin Patel, a London-based and world-famous water sommelier, consultant, and coiner of aquatasteology, who has etched out a niche studying and spreading accessible information on his favorite subject—that H2O. 

“I look at the ways water interacts in our built environment, from food manufacturing to power generation, to hospitals…You ask people, ‘can you describe the taste of water?’ They’ll be like, ‘hey, it’s just water, it doesn’t taste anything.’ Mother Nature has more flavor than Coca Cola and Pepsi Cola put together. But we’ve just never been educated from a young age to respect and drink water in a certain way,” he told me.

In short, we made a hydro homie for life. Summer solstice is here and the longest day of the summer is only the beginning of the hottest days. Water is the key to not only health, but better breath, and a happy time on THC.

For more, follow Milin Patel | World of Water Consultancy at Instagram: @hydratetheimagination.

So what’s the secret? ‘Total Dissolved Solids’

Vichy Catalan has a lot of flavor thanks to 2,900 parts per million total dissolved solids. (Vichy Catalan)
Vichy Catalan has a lot of flavor thanks to 2,900 parts per million total dissolved solids. Plus the mosaic tile embossing on the glass is dope. (Vichy Catalan)

Much like cannabis, water has a terroir; each source, be it a spring, river, or glacier, influences a water’s taste, feel, and interaction with other substances—like cannabis. The key is looking for single-sourced spring water, and then examining the mineral content. This is where the character of water comes from, called the total dissolved solids (TDS).

TDS is measured in milligrams per liter (mg/l) or parts per million (ppm) and encompasses:

  • carbonates
  • bicarbonates
  • chlorides
  • sulfates
  • phosphates
  • nitrates
  • calcium
  • magnesium
  • sodium
  • potassium
  • iron
  • manganese, and other minerals

But why does TDS matter so much? Well, it’s the chief architect of water’s taste and character that you will experience. Think of low-TDS water like white wine, vs high-TDS water like a tough red.

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Patel states:

Different waters have varying mineral compositions. Some may have higher levels of minerals like calcium, magnesium, or bicarbonate, which can subtly help increase the longevity of the flavor of the cannabis strain on the palate, and also increase the taste profile of the water to emerge. Low TDS waters may feel light and soft. Medium TDS waters might have a bit of a weight and mouthfeel. High TDS waters are pretty punchy; they have an earthy flavor, maybe sweet, maybe sherbet, a bit sour—very joyful.”

TDS charted:

  • Pure to soft water: 0 to 150 ppm
  • Average tap water: 150 to 400 ppm
  • Mineral water: 500 ppm and up.

Fun fact: Vichy Catalan mineral water in Barcelona has 2,900 ppm TDS!

By contrast, Topo Chico Mexican mineral water has 600 ppm TDS.

Add some bubbles:

“Sparkling water can add a refreshing and effervescent element to the experience. The bubbles can cleanse the palate between cannabis inhalations, plus providing a unique sensation of the bubbles. Plus help suppress the munchies.”

A low-TDS water like Fiji, which flows over silica-rich volcanic rocks, will feel smoother than the naturally-carbonated Topo Chico, which comes from Monterrey, Mexico.

Distinct flavors and experiences can emerge even within waters with similar TDS content; in our video interview, Amelia tried a volcanic water from Hawaii that she found a lot silkier than Fiji; a naturally-carbonated water from Poland was far more tart than the crisp taste of Topo Chico or San Pellegrino (which is spring water with added carbonation).

Mind the acidity, or pH

Water is either alkaline, neutral, or acidic. For example, high alkaline waters (low pH) will have a nuance of smooth, silky ,and bitter taste. Slightly acidic waters (high pH) may have a delightful citrus snap.

(EPA.gov)

Temperature matters

Room temperature, cold, and iced water all produce different nuances to the hydration experience. Room temps work best for flavor, iced water for throat relief.

(Note: You should be drinking, like, 64 ounces of water per day.)

Watch out for purified water

It’s hard to improve on nature, so be wary of highly processed or treated water. Patel is not a fan.

“Purified water, often positioned as a pinnacle of purity, is, in reality, nothing more than tap water subjected to an industrial processing line. Opting for purified water might not align with your best interests. “

Consider this: purified water is essentially the ‘chicken nugget of waters’ in my opinion. It undergoes extensive processing and ends up being sold back to you at very high prices.

Milin Patel, World of Water Consultancy

Natural spring water has more character, and by extension, more impact.

“Before taking that refreshing sip, delve into the source and filtration process, as it could make a world of difference in your overall water experience.”

Some pairing ideas:

When smoking straight Flower (joint, bowl, bong):

  • Water pairing: Crisp and neutral spring water before combustion can complement the clean taste of smoking pure cannabis. As you burn through your bud, a higher TDS and sparkling water can help break up the residue and keep your mouth receptive to terpenes.
  • Cannabis Strain: Consider a balanced hybrid like Blue Dream or RS11 for a smooth experience. 

Smoking a blunt, spliff, or with tobacco:

  • Water Pairing: A still, high mineral-rich water can enhance the flavor profile, while a robust sparkling water with a touch of acidity can cut through the tobacco taste.
  • Cannabis Strain: A robust strain like OG Kush or GMO Cookies can pair well with the rich flavors of a blunt, while a milder strain like Northern Lights can complement the tobacco without overpowering.

Vaping:

  • Water Pairing: A soft (low-TDS), still water can refresh you between vape sessions. Ideally the water is room temperature, which allows the palate to better absorb flavor.
  • Cannabis Strain: Try a flavorful strain like Pineapple Express, Jealousy, and Tropicana Cookies for a pleasant vaping experience.

Dabbing:

  • Water Pairing: Opt for room-temperature water to cleanse the palate after each dab. If the dab is too excessive, or you misfire on temperature, then iced or cold water with bubbles will provide immediate relief. 
  • Cannabis Strain: Concentrates often have intense flavors, so choose a strain like Gelato or Runtz for a well-balanced experience.

More tips:

  • Drink water at room temp to best understand its flavor
  • Smoke a joint or take a dab with low-TDS water for maximum flavor, like Icelandic Glacial. Chase the hit with high-TDS water like Evian to bring out new notes. Then bubble water to reset the palate.
  • Smoke delicate sativas with low-TDS water to amplify the subtlest notes.
  • Smoke hard-hitting indicas with high-TDS water like Topo Chico for a taste safari.
  • Seek out niche, regional mineral waters for new layers. Hit the Vichy Catalan in Barcelona. The Topo Chico in San Diego, CA.

Aside from the “nugget” waters, there are no “right” or “wrong” waters, but you may find you prefer one type when smoking a joint and another when firing up a dab. There are also different times in your sesh that different waters might serve you; a softer water preps your palate, while a more mineral-heavy water may better help quench your thirst and complement terpenes when cottonmouth sets in. 

“In summary, just as the right wine enhances the flavors of a meal, choosing the appropriate style of water can elevate the taste of terpenes,” Patel says, “promoting the entourage effect and contributing to a more enriching experience of cannabis, both in terms of flavor and potential health benefits.”

Looking for the top bottled waters?

Much like finding your preferred cannabis cultivar or family of strains, the fun of finding the right water for you comes from experimentation. While your local grocery will likely stock a few popular brands, smaller neighborhood stores in cultural neighborhoods often stock unique options. Single-source waters will list their source site and mineral content on the bottle; it may be worth keeping a notebook to keep track of your pairing journey. 

The Los Angeles Times tried 70 of them in 2023. They liked:

  • Mountain Valley
  • Aqua Carpatica
  • Castle Rock
  • Acque Panna
  • Fiji
  • Starkey

The top-selling bottled still waters in the US are:

  • Aquafina
  • Glaceau (Smart Water)
  • Dasani
  • Poland Spring (Nestle)

(So basically water snobbery is like music snobbery—where the big corporate best-sellers are detested in favor of weirder, more regional brands. Good to know!)





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