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Anxiety Associated with Dying

Medical ConditionCancer

54 year old woman dying of metastatic breast cancer, restless and anxious and confused – requiring regular doses of Ativan for minimal relief but not able to communicate with family due to side effects of the benzodiazepine.

Systemic mastocytosis and medical marijuana

Medical ConditionSkin disorders

A 21-year-old college student with systemic mastocytosis uses inhaled medical marijuana to relieve symptoms and gain homeostasis.

46 year old male carpenter with slowly progressing Dupuytren's contacture of his right 3rd finger was advised to try using a home made concentrated cannabis salve with an occlusive barrier (nitrile glove) at bedtime in order to reduce daytime pain. Patient returned one year later for his medical cannabis recommendation withnear complete resolution of the contracture.

This case highlights the use of harm reduction approaches, motivational interviewing techniques and cannabidiol, in a person, diagnosed with cluster A and B traits - other specified personality disorder 301.89 (F60.89), personal history (past history) of sexual abuse in childhood V15.41 (Z62.810), obsessive-compulsive disorder 300.3 (F42), major depressive disorder 296.22 (F32.1) alcohol related disorder 303.90 (F10.20), Substance induced psychotic disorder with onset during intoxication (F12.259) and attention-deficit disorder predominantly hyperactive/impulsive presentation 314.01 (F90.8) who suffered severe psychosocial stressors and relapsed after over ten years of sobriety on alcohol and cannabis.

Congenital nystagmus improved by marijuana

Medical ConditionAdverse effects

19-year-old high school graduate, works 30 hours a week as a cook in a cafeteria, wears corrective glasses for myopia, has congenital horizontal nystagmus in both eyes. Marijuana slows or relieves eye movements, improving vision and ability to read.

Marijuana helps narcolepsy

Medical ConditionNeurodegenerative disorders

A 32-year-old male, furniture mover of 13 years, found relief of daytime sleep attacks and experienced more restful sleep with marijuana.

Achalasia, status post myotomy

Medical ConditionAdverse effects

About 2 years post lower esophageal sphincterotomy for achalasia, this 35-year-old female suffered from general dyspepsia associated with difficulty falling asleep. She used both inhaled and ingested marijuana daily in small amounts which relieved her symptoms without the need of additional medications.