vol2 - Page 180
Page 180
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6
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arrest for purchase or use of an illegal drugs to possibly
serious medical complications from contaminated sources or
adulterated materials. In my experiences patients are willing
to run these risks to obtain relief from the debilitating
nausea and vomiting caused by their chemotherapy treatments.
41. By the !ate 1970_s_ many physicians engaged in the
practice of ontology were being asked about marijuana_s thera-
peutic uses. While I never initiated such a conversation, I
did find myself making leading statement,s to patients. For
example, if a patient was having a particularly difficult time
on chemotherapy, we would discuss news stories, including the
possibility that marijuana might have some medical value. If
the patient was curious to know more, I would provide the
informationo If a patient directly asked me for information on
marijuana, I believed it was unethical for me to withhold
information on the drug's medical uses simply because the drug
is illegal. I am a physician, not a lawyer or policeman. My
first obligation is to the welfare of the patient.
42. This type of patient/physician communication is
awkward and unnecessary° _owever, even _ithin the confines of
a patient/physician relationships marljuana's illegality and
Schedule I classification creates serious barriers to clear,
cogent communication. As a physician, X know that, once armed
with the facts_ patients are going to find marijuana and begin
using it in a medically unsupervised way_ Yet, to deny such
information to patlents creates an ethical dilemma.
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