Drawing a line between medication and medical marijuana, the Cleveland Clinic reiterated yesterday that the system does not support and will not recommend patients to use medical marijuana. The first legal sale in the state of Ohio is expected to happen next week as the program finally launches following months of delays. Further research, development and FDA approval of marijuana-sourced medications should absolutely occur, the hospital’s Medical Director of Employee Health Services Paul Terpeluk wrote yesterday, but that is wholly different from what will be offered in the market dispensaries in Ohio, he argued.
To be clear, there is a difference between medications and ‘medical marijuana’ in the popular sense of the term. In 2017, the National Institutes of Health supported 330 projects totaling almost $140 million on cannabinoid research.These are the types of marijuana-derived medicines Cleveland Clinic supports and prescribes. Unfortunately, that’s not what will be sold through dispensaries. Products such as vaporizers, edibles, oils, tinctures and patches all lack uniform dosing specificity. The levels of THC or CBD can differ greatly from one dispensary to another or one batch to another. By contrast, an FDA-approved medication offers uniformity; a medication bought in Cleveland today will be the same medication bought in Cincinnati or Denver or San Francisco a year from now.
The federal and state governments should support drug development programs that scientifically evaluate the active ingredients found in marijuana that can lead to important medical therapies.
Patients deserve to know that whatever they are using to control their symptoms is safe and effective. And clinicians need to have confidence that a treatment will work as intended. As a healthcare provider our goal is to help patients, to treat their conditions, to improve their quality of life and to ease their suffering ― within the bounds of scientific evidence.
This article appears in Jan 9-15, 2019.


Addicted to those $40,000 chemo infusions. #MedicalIndustrialComplex
Whatever happened to physician do no harm? You should all be very shamed of yourselves.
Of course! They will find a way to monetize the venefits of cannabis as much as possible. They will develop their own synthetic THC drugs and charge a hundred bucks a pill for some stupid generic drug with a lot of Xs and Js and Zs in its name or just call it “Weedol” or something like that. it’s not about helping the user or easing pain or other symptoms…it’s all about the BIG Moolah in weed cultivation and production.
The Clinic will get as big a piece of that pie in its own fashion…probably by pushing an inferior product at a much higher cost, and making sure insurance companies don’t want to cover it. The Clinic is the Big Dog On The Porch, and has the biggest bark and th ebiggest bite. Mostly in the butts of those who want help for their ailments via medical cannabis.
CC is an over-rated medical facility. I have had multiple negative experiences with their “doctors”. They are an Elites based organization that almost banned medicaid patients until they outcry was so large that they decided to continue. I think that was in 2016? I would never go to this Hospital system –I don’t know how they can even practice medicine with their Ego’s so outrageous. Just saying out of the 4 Drs that I have seen, 3 were so impressed with themselves and cruel that I’d not ever go back. Their OMbudsman program for patient advocacy also leaves a lot to be desired.