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Daily Archives: February 16, 2011

This blog is a Kitsap Sun reader blog. The Kitsap Sun neither edits nor previews reader blog posts. Their content is the sole creation and responsibility of the readers who produce them. Reader bloggers are asked to adhere to our reader blog agreement. If you have a concern or would like to start a reader blog of your own, please contact sunnews@kitsapsun.com.

Cannabis Linked To Psychosis – Not Good Health

I voted yes for the use of marijuana for medical purposes in our state – unknowing Federal law still made it illegal.  Today I would vote a resounding NO – not in a cigarette form anyway – not as long as we have a Federal law against it and now because of the following article connecting cannabis use to psychosis.

I know people smoke pot but not around me.  I might have tried it at a young age but it wasn’t around then and later, when it was hitting the Kitsap schools my children attended I was too busy and no one I knew smoked it.  The subject didn’t come up.

Let me be clear:  I don’t care what people do with their own lives.  I smoked 40 years and understand the connection and addiction to drugs.

Trouble is all these years later I’ve got health issues that seem to stem directly from my own 40 year smoking addiction and have gathered opinions about it to share here such as….get educated about it first.

If one is going to smoke, use cannabis and other illegal drugs, then learn about them, study all you can find out about them – then from the basis of full  knowledge what you might be getting into long term – make your decision.  It is your decision, not mine.  Just get educated about it.  And that is why I’ve posted the following new information here.

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Cannabis Link To Psychosis

A new study has provided the first conclusive evidence that cannabis use significantly hastens the onset of psychotic illnesses during the critical years of brain development – with possible life-long consequences.

The first ever meta-analysis of more than 20,000 patients shows that smoking cannabis is associated with an earlier onset of psychotic illness by up to 2.7 years.

The analysis, by an international team including Dr Matthew Large, from the University of New South Wales (UNSW) School of Psychiatry and Sydney’s Prince of Wales Hospital, is published in the prestigious journal Archives of General Psychiatry.

In partnership with St Vincent’s Hospital and The George Washington University School of Medicine and Health Sciences, the study set out to establish the extent to which use of cannabis, alcohol and other psychoactive substances affects the age at onset of psychotic illnesses such as schizophrenia.

Cannabis is the most widely used illicit drug in Australia with 33.5% of the population reporting use at some time, according to the 2007 National Drug Household Survey. Some 18% of all secondary school students aged 12-17 reported using the drug at some time in their life, according to the 2004 Secondary School Survey. (UNSW’s National Cannabis Prevention and Information Centre.)

Building on several decades of research, the finding is an important breakthrough in the understanding of the relationship between cannabis use and psychosis, Dr Large said.

A number of previous studies have found an association between psychosis and the use of cannabis, alcohol and other psychoactive substances. However, the aim of this study was to specifically show the extent to which this is caused by cannabis use alone, he said.

The current findings support the view that cannabis use precipitates schizophrenia and other psychotic disorders, perhaps through an interaction between genetic and environmental disorders or by disrupting brain development, the team notes.

“The study re-analysed the results from 20,000 patients with schizophrenia or other psychotic illnesses from 83 previous studies. The study used meta-analysis – a modern statistical method – to show that an earlier onset of severe mental illness among substance users is a result of cannabis use, and cannot be explained by other factors such as alcohol use,” Dr Large said.

“Results of this study are conclusive and clarify previously conflicting evidence of a relationship between cannabis use and the earlier onset of a psychotic illness, with evidence supporting the theory that cannabis use plays a causal role in the development of psychosis in some patients.”

Dr Large said there was a high prevalence of substance use among individuals treated in mental health settings, and patients with schizophrenia were more likely to use substances than members of the wider community.

“The study raises the question of whether those substance users would still have gone on to develop psychosis a few years later.

“However, even if the onset of psychosis were inevitable, an extra two or three years of psychosis-free functioning could allow many patients to achieve important developmental milestones of late adolescence and early adulthood that could lower long-term disability arising from psychotic disorders,” Dr Large said.

“The results of this study confirm the need for an ongoing public health warning about the potentially harmful effects of cannabis.”

http://www.medicalnewstoday.com/articles/215998.php

More later…. Sharon O’Hara

Is Cycling Healthier for a Lung Patient with Right Heart Failure Than Walking?

I am a patient with questions and one of them is:

Is cycling better or healthier for a lung patient with Right Heart Failure than walking.

Based on medical terminology I clearly don’t understand – it APPEARS to say so to this patient…based on the paper I blogged on and the paper I found using the Google search for:  oxyhemoglobin desaturation.

“Oxyhemoglobin desaturation can be quite severe and can even lead to damage to vital organs, particularly the heart, to the point of being life-threatening.3”

Identifying Sleep Disordered Breathing in Neuromuscular Disorder Patients

by Joshua Benditt, MD, and Louis Boitano, MS, RRT

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Chronic Obstructive Pulmonary Disease is one thing, add bone on bone left hip and a person has to really fight to move it and I’m doing in the pool what I can’t do ‘on land’ easily – leg up and loosen and build muscle around that hip so I can ride again.  One day the muscling should support it and make it comfortable enough to ride my recumbent trikes again.

I KNOW it will work because when I had physical therapy last year, the personable and talented Anna Marx at Kitsap Physical Therapy in Silverdale put me on a machine I could not only tolerate – a recumbent elliptical – over time I actually loosened up enough where I could and did – close my eyes and built speed and a rhythm on that machine – exactly like riding a recumbent trike, a horse…without the pain of the bone on bone left hip!

I’ve begun working out four days a week with an amazing professional swim instructor and I hope and expect to regain much of the function I lost.  There is nothing to lose and everything to gain. It appears to be working – a ‘study’ in itself.  More later.

That said, what about my question:

Is cycling better or healthier for a lung patient with right heart failure than walking?

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BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) exhibit greater oxyhemoglobin desaturation during walking than with cycling. The purpose of this investigation was to investigate differences in ventilatory responses and gas exchange as proposed mechanisms for this observation.

http://pugetsoundblogs.com/copd-and-other-stuff/2011/02/08/a-new-study-for-copders-mechanism-of-greater-oxygen-desaturation-during-walking-compared-with-cycling-in-copd/

Read more: http://pugetsoundblogs.com/copd-and-other-stuff/#ixzz1DTzzcGaW

Read more: http://pugetsoundblogs.com/copd-and-other-stuff/#ixzz1DTzg8nOT

“Oxyhemoglobin desaturation can be quite severe and can even lead to damage to vital organs, particularly the heart, to the point of being life-threatening.3”

Identifying Sleep Disordered Breathing in Neuromuscular Disorder Patients

by Joshua Benditt, MD, and Louis Boitano, MS, RRT

Joshua Benditt, MD, is a professor of medicine at the University of Washington School of Medicine, Seattle. He is also director of respiratory care services, Northwest Assisted Breathing Center, University of Washington Medical Center. He can be reached at benditt@u.washington.edu. Louis Boitano, MS, RRT, is codirector of the Northwest Assisted Breathing Center, University of Washington Medical Center. Boitano can be reached at boitano@u.washington.edu.

The symptoms of sleep disordered breathing in patients with neuromuscular disease can be subtle, but once recognized and treated, symptoms can improve.

http://www.sleepreviewmag.com/issues/articles/2007-01_03.asp

I don’t know how this all fits together for us – I also have sleep apnea and sleep with a bi-pap and concentrator bleed in to the bi-pap.

More later… Sharon O’Hara

Lung Support Air Quality Better Breathers – TODAY

TODAY!

Better Breathers Club Meeting

Date: 02-16-2011

Time:  1:00PM

Location:  Harrison Medical Center –

Silverdale Campus – Rose Room

Indoor and Outdoor Air Quality

No one is more affected by air quality than individuals living with lung conditions.  Join us for education and tips on how to increase your awareness of January 2011

Better Breathers Club Meeting

Date: 02-16-2011

Time:  1:00PM

Location:  Harrison Medical Center –

Silverdale Campus – Rose Room

Indoor and Outdoor Air Quality

No one is more affected by air quality than individuals living with lung conditions.  Join us for education and tips on how to increase your awareness of the air quality in Kitsap County.  Learn quick ways to find out our outside conditions in advance before you go outside.

Speaker:  Joyce Belnap, RRT

Supervisor

Respiratory Therapy Department

Topics: Pollen Counts, Outdoor Pollutants, Indoor Air Quality

Joyce Belnap, RRT

Supervisor

Respiratory Therapy Department

air quality in Kitsap County.  Learn quick ways to find out our outside conditions in advance before you go outside.

Look forward to seeing you all soon!!!

***

Sorry I can’t be there and hope someone will take notes for me.

More later… Sharon O’Hara