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Dr. Grinspoon is a widely recognized expert on cannabis science and drug policy. He regularly appears as an expert on national television and radio programs, including NPR’s All Things Considered, NBC Nightly News, C-SPAN’s Washington Journal, Fox and Friends and Fox News. He is quoted frequently in the national media, in such venues as People, the New York Times, New York Magazine, the Washington Post, USA Today, the Wall Street Journal, the Chicago Tribune, and the Boston Globe. He is a TEDX speaker. In Finland, children don't go to school until their seven years of age and before then they just play. Between 7 and 16, they are given almost no homework and they sit almost no tests until they graduate from high school. Free play is the beating heart of Finnish kids' lives and by law teachers have to give kids 15 minutes of free play for every 45 minutes they are teaching. And the outcome is that only 0.1% of their kids are diagnosed with attention problems and Finns are the most literate, numerate and happy people in the world. Peter Grinspoon, M.D. is a primary care physician and cannabis specialist at Massachusetts General Hospital and an Instructor in Medicine at Harvard Medical School. He is the author of the recent book, Seeing Through the Smoke: A Cannabis Specialist Untangles the Truth About Marijuana.He is a certified Health and Wellness Coach as well as a board member of the advocacy group Doctors for Cannabis Regulation and has been providing medical cannabis care for patients for two decades.
Peter Grinspoon, M.D . is a primary care physician and cannabis specialist at Massachusetts General Hospital and an Instructor in Medicine at Harvard Medical School. He is a certified Health and Wellness Coach as well as a board member of the advocacy group Doctors for Cannabis Regulation, and has been providing medical cannabis care for patients for two decades. It does carry risks, such as dependency, particularly if started young and he does state that one in ten can become dependent, but this is much less than tobacco, alcohol and opiates. COLLAPSE OF SUSTAINED READING: In a study of 26,000 Americans between 2004 and 2017 the proportion of men reading for pleasure had fallen by 40% and in women it was down to 29%. By 2017 the average American spent 17 minutes a day reading books and 5.4 hours on their phone. Some 57% of Americans now do not read a single book in a typical year. In experiments where two groups are given the information in a printed book and the same information on screen, when asked questions about what they had just read, people remembered more information in written form. As we lose our capacity for deep reading that comes from books, we are then becoming less likely to read books. It’s like when you gain weight, it gets harder and harder to exercise when you don't do it and the same could be true of our ability to read long texts any more with sustained attention. By focusing on the most critical purported harms—driving, pregnancy, addictiveness, memory—and by focusing on the most commonly cited medical benefits—relieving chronic pain, sleep, anxiety, PTSD, autism, and cancer—Seeing Through the Smoke will help patients, parents, doctors, health experts, regulators, and politicians move beyond biased perceptions and arrive at a shared reality towards cannabis.Seeing Through the Smoke is an unflinching examination at the grossly misunderstood drug that uses data-driven medical science and a critical historical perspective to reveal the truth behind cannabis. In this balanced and measured investigation, Cannabis specialist and Instructor in Medicine at Harvard Medical School Dr. Peter Grinspoon untangles the reality behind cannabis, revealing how we ended up with radically divergent understandings of the drug and pointing a way toward a middle ground that we can all share. The Brain and Mind Centre and Discipline of Pharmacology, University of Sydney, Sydney, NSW, Australia. What lessons have we learned from our eight-decade-battle over cannabis? How can we apply this to the future so that our society can derive maximum gain and minimum harm from cannabis, and so that this issue ceases to provide further fodder for the culture wars? Finding a Way Forward Full Book Name: Seeing through the Smoke: A Cannabis Specialist Untangles the Truth about Marijuana Program of Neurosciences, Center for Applied Medical Research (CIMA), University of Navarra, Pamplona 31008, Spain; Department of Biochemistry and Genetics, School of Science, University of Navarra, Pamplona 31008, Spain; IdiSNA, Navarra Institute for Health Research, Pamplona 31008, Spain.
Program of Neurosciences, Center for Applied Medical Research (CIMA), University of Navarra, Pamplona 31008, Spain; Department of Biochemistry and Genetics, School of Science, University of Navarra, Pamplona 31008, Spain. However, if a patient is specifically taking a cannabis-based compound to treat a given ailment that has insufficient evidence for its use, the patient has the potential to cause more issues. As clinicians, we definitely have a responsibility to continue to educate our patients on best practices and preferred practice patterns. How would you describe the current research landscape for cannabis use and vision? As we reconsider what is and isn’t true about cannabis, hopefully we can bridge, or at least narrow, the divide between those who continue to remain skeptical about cannabis, the ‘Reefer Pessimists’ and the cannabis enthusiasts, or the ‘Cannatopians’. One of the most powerful actions of cannabis, both helpful and inconvenient, is that it helps us to forget. Forgetting is going to constitute a large piece of this reconciliation between the dueling parties about the nature of cannabis. Both sides have to do their share, with or without the use of the temporary, short-term fuzzifying effects of cannabis. My one gripe is that at times it does feel somewhat like an extended advertorial for Drug Science, a UK based drugs advisory body and research organisation founded by Nutt in the aftermath of his infamous dismissal from the chairmanship of the Advisory Council on the Misuse of Drugs in 2009.Destigmatize all aspects of cannabis usage so that people who need it medically don’t feel bad about using it and so that people who do start using it problematically can get empathic, non-judgmental help. Don’t smoke! (Unless you are a very occasional user). There’s no reason to expose yourself to combustion products, such as tar, benzene, polycyclic aromatic hydrocarbons, etc. (Even though cannabis has never been shown to cause lung cancer or COPD, there’s no reason to inhale all of this crap.) If you prefer to use cannabis inhalationally, use a dry herb vapor- izer, which doesn’t combust the cannabis, but instead heats it to a lower temperature (which is enough to extract the cannabinoids) and which produces a less irritating vapor. Or explore edibles, tinctures, inhalers, oils, suppositories, patches, and lotions—there are lots of options these days.
Learn enough about cannabis so that you can be your own advocate; this will help you speak with doctors and budtenders alike.S Miller et al., “Δ9-Tetrahydrocannabinol and Cannabidiol Differentially Regulate Intraocular Pressure,” Invest Ophthalmol Vis Sci, 59, 5904 (2018). PMID: 30550613. I think eye care professionals need to ask specifically about cannabis use. In some places, we might still expect patients to report this in our intake forms asking about “illicit drug” use, but not all patients will want to answer such a question. Additionally, with increased legalization, cannabis is no longer considered an illicit drug in many places and thus specifically asking about cannabis use is important. From there, asking about the regularity of use as well as the dosage, type, and form can be important (certain forms have much higher concentrations and certain forms, like edibles, have delayed effects). Know the relevant laws in your area, and don’t get tangled up with law enforcement. You can’t (yet) legally fly with cannabis. Other states where the legality is different might not accept your medical cannabis card and could even arrest you if they don’t (yet) have legal medical cannabis. Nutt attempts to answer the question that cannabis became illegal not through science, but through politics, the media and society.
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