I saw a 30-year-old woman today for her first follow-up visit 6 weeks after starting at-home #ketamine for treating depression. Her initial goals were to stop crying at work (near daily), to be able to be more social, and to have a feeling of belonging. She's been taking sertraline for 5 years, and more recently added lamotrigine, with minimal benefit. A friend encouraged her to have a visit with me. Today she reported that she hasn't cried at work once since her first dose of ketamine, she's become more assertive with a bully at work, is feeling more comfortable "being who I am," is using less #cannabis daily because she feels fulfilled without it, and has met and started dating a new partner. She's taking 160mg lozenge every 3-4 days with mild psychoactive effects that last ~1 hr and zero negative side effects. Of course, not everyone experiences such a rapid and profound response, but many do. Ketamine is a truly incredible tool - I'm thankful I can offer it to my patients.

Today I saw an 82yo woman for her initial visit hoping to get relief from back pain that makes it hard for her to walk and unable to enjoy all the great activities in the senior community where she lives. Very intelligent and had done a lot of research. She's taking morphine and Tylenol with little relief. She was adamant about wanting to avoid THC! It's amazing how much fear remains. So I'm starting her out on CBDA... good chance it'll help (like the Advil used to before it gave her an ulcer) but I suspect she'll eventually come around to the THC. When appropriately dosed it can be such a godsend for our elders. Too bad so many of them have been brainwashed to fear it more than morphine!

I decided to start posting an interesting case at the end of my days in the clinic. Today I had ~30yo trans-male who had widespread pain and a diagnosis of fibromyalgia, return for his first follow-up visit six weeks after his initial. I had started him on a 1:1 formula of THC:THCA, called Healer Pain, before bed. He worked up to 2mg of each and had a 90% improvement in his pain symptoms overall with no cannabis use required during the day. This is a profound response in a short time with a low dose. He continues to experience some symptoms of bipolar disorder and ulcerative colitis, so I suggested he add 0.5mg of each THC and THCA 1-2x during the day. I've found that most people do very well with 25% of their optimal bedtime dose of THC during the day with no impairment.

Can anyone recommend a good #homeschool science resource (book, curriculum, online program) for teaching science to my 8 and 9 year olds? #asknostr

Moving #cannabis to Schedule 3 only helps with research; all home grown and state programs will still be federally illegal. Schedule 3 means it can be dispensed by pharmacies as a controlled substance, which can't happen until the FDA approves it as a drug which they never will. This is just the Biden Anniston winning votes, it doesn't do much for cannabis. Now if the de-scheduled it that would be great...

What's the best combination of browser-based nostr client and lightning wallet? #asknostr

Anyone know of a good personal finance book or online course for my teenager? #asknostr