November/December 2016 Issue CNM by Cannabis Nurses Magazine

LIFESTYLES

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OPPORTUNITY

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EDUCATION November/December 2016

CANNABIS IS MY MEDICINE

EDITION

The Story of: Steve Cantwell

NFL: THE FUTURE By: Marvin Washington

A Better Approach to Comfort Care: By: Marcie Cooper MSN, RN, AHN-BC

Boo Williams, NFL

Heather Manus, RN Julie Monteiro, RN Marvin Washington, NFL

"Nurse Talk" "Nurse Talk" "Fifth Quarter " "Fifth Quarter " To Read more information about these upcoming shows go to page 30

Editor’s Letter Our One Year Anniversary and “Leaders of Nursing” Awards was a true success! Nurses from across the country came to learn about Holistic Nursing and the eCS Connection, networked and celebrated with like-minded individuals and professionals, and enjoyed the weekend packed festivities able to return to their communities to pollinate the world. Our mission is simple- we believe in the power of knowledge and uplifting others through education and pollinating the world one Nurse at a time. In this issue the National Nurses of “Nurse Talk” team up with former NFL Players, Marvin Washington and Boo Williams, from the AK Ventures production, 5th Quarter. These athletes know and understand the healing power of cannabis and are huge advocates in educating the NFL and strive to create new standards in professional sports. Marvin sets the stage and “wants the NFL not to follow the science, but to lead the science on Cannabis Research.” He hosts the show “5th Quarter” which is in an ESPN style series with interviews and discussions on the applications of cannabis in the treatment of athletic injuries and the many issues NFL Players experience and how cannabis helps. Dr. Jenny Wilkins, NMD, CRA, owner of Age Vital: Pharmacy, Research & Wellness, defines the Neuro-Psychiatric benefits of Hemp- Cannabidiol (CBD) to assist patients who need access. Product lines are offered and available in all 50 states. It’s important to understand the Hemp side of CBD and understanding its biology vs the cannabis CBD plant. Its evolution will change if grown indoors or outdoors and legalization will have an impact on the outcome. Staying focused on the difference on these two plant profiles can be tricky. However, Education is the key. We then take an honorary pause to National Hospice and Palliative Care Month this November 2016. Marcie Cooper MSN, RN, AHN-BC, discusses a better approach to comfort care with our elderly population in focusing on how cannabis can have an impact on end of life in easing one through transition. She discusses offering cannabis as a staple in a “comfort kit”. The HPNA in 2013, called for Nurses to understand the Evidenced-Based Research and to educate patients and families on the uses of and disease processes and symptoms that cannabis can be helpful for. We then gain focus back on professional sports to further define why marijuana is illegal with, Joe Rogan, a sports commentary representative setting it straight with cannabis ideals and the numerous years of prohibition and where we are headed as a country. The story of Steve Cantwell, a former WEC light heavy weight champion and UFC fighter, brings it home by sharing his story of how cannabis has assisted in his journey as cannabis is his medicine. Steve’s favorite quote he lives by is, “People say that marijuana is going to hurt my career. On the contrary, my fight career is getting in the way of my marijuana smoking.” –Nick DiazAthletes are realizing the beneficial values of cannabis and are demanding a right in using it as a first line of defense both pre and post games. If they are denied cannabis, many players are walking away from the game, like Nick Diaz, in order to maintain health and wellness and body homeostasis. A paradigm shift in thinking is occurring and players are demanding their health come before the sacrifice of the game especially when there is an easy solution - cannabis. We are on a mission to have cannabis accepted through all professional sports as a main-line form of defense and protect our professional athletes. As the year is ending it’s time to focus on family and friends and the many cherished memories we create. As Nurses, we give throughout the year and it’s important to remember the importance of taking care of you. May your Holidays be filled with inspiration so that you may come back next year and educate the world one patient at a time. We must Grow.

Julie Monteiro BSK, RN “Ask Nurse Juhlzie” Editor@Cannabis Nurses Magazine

Contributors Heather Manus, RN November/December 2016

Publisher

Robert Herman/ND1Media

Managing Editor

Julie Monteiro, BSK, RN

Creative Director

Heather Manus, RN

Contributors Heather Manus, RN Leslie Reyes, RN Marcie Cooper, MSN, RN, AHN-BC Lisa Buchanan, RN ,OCN Jennie Stormes, BSN, RN Arjun Walia/ Writer Joe Rogan Marvin Washington Eddie Lee “Boo” Williams Steve Cantwell Photography Nelson Ramirez Morning Coffee Productions AP Photo/Gene J. Puskar (Adrian Robinson Jr.) Wesley Hitt Via Getty Images (Adrian Robinson Jr.) Jim McIsaac/Getty Images (Tiaina Baul -Junior- Seau Jr.) Ellis Lucia/ NOLA.com (Boo Williams) Art peace : Alex-Gray-Dying Artiest: Alex Gray

We are currently accepting articles to be considered for publication. For more information on writing for Cannabis Nurses Magazine, check out our writer’s guidelines at: cannabisnursesmagazine.com/writers-guidelines or submit your article to: editor@cannabisnursesmagazine.com 4780 W. Ann Rd., Suite 5 #420 N. Las Vegas, NV 89031 Editor@cannabisnursesmagazine.com Online 24/7 at: cannabisnursesmagazine.com

Heather Manus is a native New Mexican and Registered Nurse specializing in all aspects of medical cannabis care. She is founder of the Arizona Cannabis Nurses Association and was honored for her efforts, and awarded the CannAwards “Best Charitable/Community Outreach Program" and Cannabis Business Awards “Activist of the Year.” She believes Cannabis is a gateway to health and it will be a first-line medication of the future.

Leslie Reyes, RN

Leslie Reyes, RN is a Board Member and the previous Secretary for the American Cannabis Nurses Association (ACNA). Leslie has worked as a Registered Nurse in Urgent Care, Psychiatric and Behavioral Health, and has been involved in cannabis patient advocacy for over ten years. She is a co-creator and co-author of the Core Curriculum in Cannabis Nursing owned by the ACNA, and continues to advocate for patients through education.

Marcie Cooper, MSN, RN, AHN-BC

Marcie Cooper RN, MSN, AHN-BC is Board Certified as an Advanced Holistic Nurse and is working to build a bridge between conventional healthcare and holistic nursing care including cannabis therapeutics. She obtained education, certifications and training in various complimentary therapies including Hypnotherapy, Auricular Acupuncture, Healing Touch and Aromatherapy. She incorporates cannabis education with patients while working in hospice and palliative care throughout Colorado, and has witnessed the incredible benefits of cannabis.

Lisa Buchanan, RN, OCN

Lisa Buchanan is an Oncology Certified Nurse (OCN) in Washington state who has worked with the seriously ill and dying for more than 20 years. She a member of the Oncology Nurses Society (ONS), American Cannabis Nurses Association (ACNA), and the Washington State Nurses Association. She has earned certificates in the Core Curriculum for Cannabis Nursing and in the Advanced Curriculum for Cannabis Nursing through ACNA.

Jennie Stormes, BSN, RN

Jennie Stormes, RN, BSN lives in the state of Colorado, and formerly in both New Jersey and Pennsylvania, is a member of the ACNA, a board member of American Medical Refugees as Vice Chair, Colorado Springs Chair for CannaMoms, and a parent member of the Special Education Advisory Committee for Colorado School District 49 (Falcon). She specializes in Pediatrics and neurology and has a passon for education.

Contributors Bio: Dr. Jenny P. Wilkins, NMD, CRA, AMC For more than a decade, Dr. Jenny Wilkins has been developing solid relationships with physicians and clinics throughout the United States. Her expertise is routinely recruited by functional and preventative care conferences to educate an international assembly of physicians regarding age-management and hormone therapy. Dr. Jenny is a television personality on ABC7 the 'Suncoast View', NBC's 'Daytime', TBN's 'Body, Soul and Spirit, and upcoming TV series, ”Medical Cannabis: The Healing Power of Knowledge”, a 30-minute series broadcasting on CBS and the CW in Fall 2016.

Bio: Marcie Cooper, MSN, RN, AHN-BC Marcie Cooper RN, MSN, AHN-BC is Board Certified as an Advanced Holistic Nurse and is working to build a bridge between conventional healthcare and Holistic Nursing care including cannabis therapeutics. Marcie’s nursing career took a turn when she began working with hospice patients in 2007 and immediately recognized the need for patient access to complimentary therapies. She obtained education, training and certifications in various complimentary therapies including Hypnotherapy, Auricular Acupuncture, Healing Touch and Aromatherapy. She uses these tools whenever possible to empower all patients. She began to incorporate cannabis education to patients while working in Hospice and Palliative Care throughout Colorado, and witnessing the incredible benefits of cannabis, time and time again in this setting.

Bio: Steve Cantwell

Former WEC Light Heavy Weight Champion and UFC Fighter

Steven Francis Cantwell (born December 8, 1986) was born in Long Beach, California and moved to Pahrump, Nevada at the age of 10. After being expelled in middle school and high school because of fighting, Cantwell began training in kickboxing at the age of 16, under the tutelage of Nick Blumgren at One Kick's Gym. He is known as a mixed martial artist who most recently competed in the Middleweight division of the Ultimate Fighting Championship. A professional competitor since 2005, Cantwell was the last reigning WEC Light Heavyweight Champion at the early age of 21 and also fought for the UFC. Today, Steve chooses cannabis as his medicine. It has lead him from extreme sports into to a healthy recovery that is free from damaging pharmaceuticals, and has transformed his life passion in now being a well-renown and successful legal grower in Nevada.

Contact Information Publisher ND1Media Editorial Robert Herman

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Reach Us By Post Cannabis Nurses Magazine 4780 W. Ann Rd., Suite 5 #420 N. Las Vegas, NV 89031 info@cannabisnursesmagazine.com www.cannabisnursesmagazine.com

November/December

Contents Table of

2016 19

features

inside

06: NEURO-PSYCHICATRIC BENEFITS

19 | EVER WONDER WHY MARIJUANA IS ILLEGAL?

OF HEMP-CANNABIDIOL (CBD)

By: Dr. Jenny Wilkins, NMD, CRA

12: NFL: The Future

By: Former NFL Player Marvin Washington

16: A Better Approach to Comfort Care:

What can Cannabis do for your Hospice Patient?

JOE ROGAN PERFECTLY SUMMARIZESâ&#x20AC;¦

By: Marcie Cooper, MSN, RN, AHN-BC

24:

Cannabis is my Medicine

The Story of: Steve Cantwell Former WEC Light Heavy Weight Champion and UFC Fighter

NEURO-PSYCHICATRIC BENEFITS OF HEMP-CANNABIDIOL (CBD) Dr. Jenny Wilkins, NMD,CRA Owner of AgeVital: Pharmacy, Research and Wellness CANNABIDIOL Having been able to largely identify the compounds responsible for the psychoactivity of cannabis, the therapeutic potential of the nonpsychoactive compounds is being thouroughly explored. The major psychoactive component of cannabis is ∆9tetrahydrocannabinol (9-THC), whereas cannabidiol (CBD) is the major and most widely studied of the other constituents. CBD, unlike 9-THC, does not activate the CB1 and CB2 receptors, which most likely accounts for its lack of psychotropic activity. It exerts its pharmacologic effects through multiple mechanisms. Clinical studies have suggested a wide range of possible therapeutic effects of cannabidiol on several conditions, including Parkinson's disease, Alzheimer's disease, cerebral ischemia, diabetes, rheumatoid arthritis, other inflammatory diseases, nausea and cancer. Several of these key studies are listed in the below reference list.

NEUROPROTECTIVE EFFECTS OF CBD:

The main mechanism is the capability of CBD to restore the normal balance between oxidative events and antioxidant endogenous mechanisms that is frequently disrupted in neurodegenerative disorders, thereby enhancing neuronal survival. The second key mechanism for CBD as a neuro-protective compound involves its anti-inflammatory activity that is exerted by mechanisms other than the activation of CB2 receptors, the canonic pathway for the anti-inflammatory effects of most of cannabinoid agonists. Anti-inflammatory effects of CBD have been related to the control of microglial cell migration. CBD have also shown to increase memory and cognition in mouse models. Other mechanisms proposed for the neuro-protective effects of CBD include: (i) the contribution of 5HT1A receptors, e.g. in stroke, (ii) the inhibition of adenosine uptake, e.g. in neonatal ischaemia and (iii) specific signaling pathways that play a role in b-amyloid plague reduction and tau hyperphosphorylation in Alzheimer’s disease.

CANNABIDIOL AND ANXIETY

CBD decreases defensive behaviors evoked by panic attacks and posttraumatic stress disorder (PTSD). CBD have also shown to be effective in obsessive-compulsive disorder (OCD). Moreover, CBD can interfere in learning and/or memory of aversive events, processes that have been associated with PTSD pathophysiology.

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CBD can interfere in learning and/or memory of aversive events, processes that have been associated with PTSD pathophysiology. Clinical studies confirmed that CBD has anxiolytic properties. CBD blocks the anxiogenic effects of high doses of the main psychoactive THC, it was demonstrated that CBD could also reduce anxiety in healthy volunteers during a neuroimaging study or after a simulated public-speaking procedure. More recently another study showed that CBD (600 mg p.o.) decreases anxiety in treatment -naive social phobic patients. CBD increases intracellular calcium concentrations via mitochondrial uptake and release and/or activation of typeL voltage-gated calcium channels. CBD is proposed to activate or modify the function of several receptors in the Central Nervous System (CNS). CBD inhibit the anandamide hydrolysing enzyme (fatty acid amide hydrolase, FAAH) and the adenosine transporter, indirectly increasing the levels of these neurotransmissions. CBD has also a potent action in inhibiting oxidative and nitrosative stress, a mechanism that has been related to its neuroprotective effects with implications for the treatment of Alzheimer’s, Huntington’s and Parkinson’s diseases.

It decreases the neuronal damage promoted by Beta-amyloid protein deposit and attenuates the depletion of tyrosine hydroxylase, dopamine and GABA levels by modulating the expression of the inducible nitric oxide synthase and reducing the production of reactive oxygen species (ROS)-generating NADPH oxidases. CBD facilitates eCB-mediated neurotransmission by blocking the metabolism and uptake of anandamide.

CANNABIDIOL AND PSYCHOSIS

CBD inhibits THC-induced anxiety and psychotic-like symptoms such as disconnected thoughts, perceptual disturbance, depersonalization and resistance to communication. The antipsychotic-effects of CBD have also been demonstrated in humans. In healthy volunteers, the decrease of the perception of illusory image induced by nabilone, a synthetic cannabinoid drug with THC-like properties, was reduced by CBD.

CANNABIDIOL AND DEPRESSION

Cannabis sativa exerts significant effects upon humor, which include euphoria and mood elevation. CBD facilitate the activation of 5-HT1A receptors, suggesting that it might also have antidepressant like properties. 5HT1A receptors modulate responses to stressful stimuli and are proposed to mediate the effects of antidepressant drugs. Stress exposure is a key etiological factor in depression and models used to study antidepressant-like effects are generally based on acute responses to inescapable aversive stimuli, which are prevented by antidepressants. Alternatively, considering the nature of depression as a chronic psychiatric disorder, some models investigate drug effects upon the diverse consequences of chronic stress, including anhedonia and changes in exploratory activity.

CBD AND ALZHEIMER’S DISEASE

Alzheimer's disease (AD) is the most common neurodegenerative disorder, characterized by progressive loss of cognition. Over 35 million individuals currently have AD worldwide. Unfortunately, current therapies are limited to very modest symptomatic relief. The brains of AD patients are characterized by the deposition of amyloid-beta and hyperphosphorylated forms of tau protein. AD brains also show neurodegeneration and high levels of oxidative stress and inflammation. The phytocannabinoid cannabidiol (CBD) possesses neuroprotective, antioxidant and anti-inflammatory properties and reduces amyloid-Beta production and tau hyperphosphorylation in vitro. CBD has also been shown to be effective in vivo making the phytocannabinoid an interesting candidate for novel therapeutic interventions in AD, especially as it lacks psychoactive or cognition-impairing properties.

CBD treatment would be in line with preventative, multimodal drug strategies targeting a combination of pathological symptoms, which might be ideal for AD therapy. Thus, this review will present a brief introduction to AD biology and current treatment options before outlining comprehensively CBD biology and pharmacology, followed by in-vitro and in-vivo evidence for the therapeutic potential of CBD. We will also discuss the role of the endocannabinioid system in AD before commenting on the potential future of CBD for AD therapy (including safety aspects). The limited effectiveness of current therapies against Alzheimer’s disease (AD) highlights the need for intensifying research efforts devoted to developing new agents for preventing or retarding the disease process. During the last few years, targeting the endogenous cannabinoid system has emerged as a potential therapeutic approach to treat Alzheimer's disease. The endocannabinoid system (eCS) is composed by a number of cannabinoid receptors, including the well-characterized CB1 and CB2 receptors, with their endogenous ligands and the enzymes related to the synthesis and degradation of these endocannabinoid compounds. Several findings indicate that the activation of both CB1 and CB2 receptors by natural or synthetic agonists, at nonpsychoactive doses, have beneficial effects in Alzheimer experimental models by reducing the harmful Beta-amyloid peptide action and tau phosphorylation, as well as by promoting the brain’s intrinsic repair mechanisms. Moreover, endocannabinoid signaling has been demonstrated to modulate numerous concomitant pathological processes, including neuroinflammation, excitotoxicity, mitochondrial dysfunction, and oxidative stress. The present paper summarizes the main experimental studies demonstrating the polyvalent properties of cannabinoid compounds for the treatment of AD, which together encourage progress toward a clinical trial.

CBD AND EPILEPSY

Epilepsy is the fourth most common neurological disorder and affects people of all ages and means the same thing as "seizure disorders". Epilepsy is characterized by unpredictable seizures and can cause other health problems. Epilepsy is a spectrum condition with a wide range of seizure types and control varying from personto-person Having seizures and epilepsy can also affect one's safety, relationships, work, driving and so much more. Almost a third of patients with epilepsy have a treatmentresistant form, which is associated with severe morbidity and increased mortality. Recent clinical studies have shown that CBD is very effective in treating epilepsy. CBD clinical studies shown its effectiveness in treating Dravet syndrome or Lennox-Gastaut syndrome, two epilepsies with polymorphic seizure disorders.

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Gomes, F. V., Reis, D. G., Alv es, F. H., Correa, F. M., Guimara˜es, F. S. & Resstel, L. B. 2012 Cannabidiol injected into the bed nucleus of the stria terminalis reduces the expression of contextual fear conditioning via 5-HT1A receptors. J. Psychopharmacol. 26, 104 –113. ( Schier AR. Cannabidiol, a Cannabis sativa constituent, as an anxiolytic drug. Rev Bras Psiquiatr. 2012 Jun;34 Suppl 1:S104-10. Zuardi AW. Cannabidiol, a Cannabis sativa constituent, as an antipsychotic drug. Braz J Med Biol Res. 2006 Apr;39(4):421-9. Epub 2006 Apr.3. Jacobsson SO, Rongård E, Stridh M, Tiger G, Fowler CJ. Serum-dependent effects of tamoxifen and cannabinoids upon C6 glioma cell v iability. Biochem Pharmacol.2000;60:1807–13. [PubMed] nonpsychoactive cannabinoid, on human glioma cell lines. J Pharmacol Exp Ther. 2004;308:838–45. [PubMed] Massi P, Vaccani A, Bianchessi S, Costa B, Macchi P, Parolaro D. The nonpsychoactive cannabidiol triggers caspase activ ation and oxidative stress in human glioma cells. Cell Mol Life Sci. 2006;63:2057–66. [PubMed] Fowler CJ. Delta(9) -tetrahydrocannabinol and cannabidiol as potential curative agents for cancer: A critical examination of the preclinical literature. Clin Pharmacol Ther. 2015 Jun;97(6):587-96. doi: 10.1002/cpt.84. Epub 2015 May 2. Massi P et al. Cannabidiol as potential anticancer drug. Br J Clin Pharmacol. 2013 Feb;75(2):303-12. doi: 10.1111/ j.1365-2125.2012.04298.x Zuardi AW. Cannabidiol: from an inactive cannabinoid to a drug with wide spectrum of action. Rev Bras Psiquiatr. 2008 Scuderi C. Cannabidiol in medicine: a rev iew of its therapeutic potential in CNS disorders. Phytother Res. 2009 May;23(5):597-602. doi: 10.1002/ptr.2625. Iuv one T1Cannabidiol: a promising drug for neurodegenerative disorders? CNS Neurosci Ther. 2009 Winter;15(1):65-75. doi: 10.1111/j.1755-5949.2008.00065.x Mechoulam R, Hanu L. The cannabinoids: an overview. Therapeutic implications in v omiting and nausea after cancer chemotherapy, in appetite promotion, in multiple sclerosis and in neuroprotection. Pain Res Manag. 2001 Summer;6(2):67-73. Robson PJ. Cannabinoids and schizophrenia: therapeutic prospects. Curr Pharm Des. 2014;20(13):2194-204.

Campos, A. C. & Guimara˜es, F. S. 2008 Inv olvement of 5HT1A receptors in the anxiolytic-like effects of cannabidiol njected into the dorsolateral periaqueductal gray of rats. Psychopharmacology (Berl.) 199, 223 –230. (doi:10.1007/s00213-008-1168-x) Gomes, F. V., Resstel, L. B. & Guimara˜es, F. S. 2011 The anxiolytic-like effects of cannabidiol injected into the bed nucleus of the stria terminalis are mediated by 5-HT1A receptors. Psychopharmacology (Berl.) 213, 465 ,473. (doi:10.1007/ s00213-010-2036)

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Bio: Marvin Washington

NFL: The Future

By: Former NFL Player Marvin Washington

Marvin Washington is a Retired NFL player who played a total of eleven years with three teams: The New York Jets, Denver Broncos and San Francisco 49ers. He was a member of the Denver Broncos 1998 Super Bowl winning team and was voted by Sports Illustrated as the 36th best N.Y. Jet of all-time. Washington has gone on record discussing contact and “collision” sports based on first-hand experience. A voice for former NFL players in the NFL’s Concussion Lawsuit, Washington addresses the truth about the outcomes as well as the effects of Chronic Traumatic Encephalopathy (CTE). Washington openly discusses the effects of head injuries, and is actively educating to the public and news media about existing and potential new research that validates the use of the nonpsychoactive cannabinoid - cannabidiol (CBD) - to proactively address neuroprotection. Washington speaks at industry events about “whole plant” legalization, cannabis vs. opioid addiction, diversity business opportunities, and how cannabis plays a role in sports at all levels. Washington continues to advocate that cannabinoids as Neuroprotectants “make the game safer” and can protect professional, recreational and youth athletes without any psychotropic effects or impact on performance. Groups that Washington has addressed include: sports (recreational, youth, collegiate and professional), military service members, military veterans, and individuals battling concussions and brain injury around the world.

November/December 2016 CANNABISNURSESMAGAZINE.COM

t’s Wednesday, October 22nd, 2021- Isaiah Evans, a defensive lineman with the New York Jets, has just finished up dinner with his wife, Cheryl, and his daughter, Sydney. Isaiah, who has been a starter for the past six years on the team, has his routine down, and knows that after dinner midweek, it is film study time. He goes into his den, turns on the film of the Buffalo Bills football team, and takes out his anti-inflammatory prescription, which is a must, as he has a hard practice tomorrow that he cannot miss, because he knows, “The best ability of a National Football League (NFL) player is availability.” He begins to vape, from his vaporizer pen, given to him by the team physician and/or team trainer. The vape pen has a mix of cannabis oil specifically for Isaiah, which has a ratio of 80% CBD and 20% THC with a variety of terpenes specific in aiding in his ailments. His treatment plan is free of traditional nonsteroidal anti-inflammatory drugs such as but not limited to: Indocin (Indomethacin) and Tivorbex, and Naprosyn (Naproxen) and other Brands: Naprelan, Aleve, Ec-Naprosyn, Rugby, Midol, Anaprox. Harmful opioid and barbiturate medications have also been decreased and/or replaced by medical cannabis. These were the trends of the NFL from the past 50 years, which is known to increase a player’s risks for heart attacks, strokes, and devastating your liver. Thanks to the NFL Collective Bargaining Agreement (CBA) that was negotiated in 2020, by the NFL and the NFLPA, Cannabis is now an approved medicine (in all varieties of administration) and is utilized as a preventative method of treatment, prescribed by the team doctor, for use by NFL Players, as a proven anti-inflammatory, neuroprotectant, and an anti-oxidant, to be efficient in treating NFL Player’s many injuries and medical issues. That’s the Future... “I want the NFL not to follow the science, but to lead the science on Cannabis Research.” - Marvin Washington -

f there is a sport in our nation that should lead the way and use Cannabis as a neuroprotectant and for pain management, it’s the NFL. Football is a

collision sport[2] not a contact sport[3] with most of those collisions, happening with velocity of speeds up to 40 miles an hour. The crackdown on helmet-tohelmet collisions has resulted in reappraisals of the sport. [4] An image of two helmets smashing together —which had been a staple for 20 years—was dropped in 2006 from Monday Night Football on ESPN. However, the injuries still occur and our NFL Players are left dealing with the healing process as the game goes on. If the NFL wants to continue to be the number one sports league in the world, it must acknowledge and solve its safety issue and protect current and future NFL Players. The head and body are constantly being put-at-risk for lifelong damage at the namesake of entertainment of the most famous American Sport. The solution will come through science and research, not through equipment. The NFL has an industrial disease, called Chronic Traumatic Encephalopathy (CTE) which is a progressive degenerative disease of the brain found in people with a history of repetitive brain trauma, including symptomatic concussions as well as sub-concussive hits to the head that do not cause symptoms.[5] Symptoms include but are not limited to: a decline of recent memory and executive function, mood and behavioral disturbances (especially depression, impulsivity, aggressiveness, anger, irritability, family disruption, suicidal behavior and eventual progression to dementia). The disease can only be diagnosed post-mortem. The Boston University conducted a study where a total of 87 out of 91 former NFL Players tested positive for the brain disease (CTE) at the center of the debate over concussions in football, according to new figures from the nation’s largest brain bank focused on the study of traumatic head injury. [6] [8] [9] Thus, proving a need for the NFL in addressing the issue of safety with its players. Suicide[26] is the ultimate manifestation of the disease CTE. [20] [21] Fourteen (14) known Ex-NFL Players have committed suicide, who have been proven to have suffered with CTE, with the most famous being, Tiaina Baul "Junior" Seau Jr., in 2012, who was a linebacker in the National Football League. Known

“I want to make the game (of football) safer.” - Marvin Washington -

The National Football League Collective Bargaining Agreement is a labor agreement which reflects the results of collective bargaining negotiations between the National Football League Players Association (NFLPA) and National Football League (NFL) team owners. The labor agreement classifies distribution of league revenues, sets health and safety standards and establishes benefits, including pensions and medical benefits, for all players in the NFL. The first collective bargaining agreement was reached in 1968 after player members of the NFLPA voted to go on strike to increase salaries, pensions and benefits for all players in the league. Later negotiations of the collective bargaining agreement called for injury grievances, a guaranteed percentage of revenues for players, an expansion of free agency and other issues impacting the business of the NFL. The NFLPA and team owners have negotiated seven different agreements since 1968.[1] Now its time to negotiate cannabis into the mix with the governmental research that is on the table. for his passionate playing style, he was a 10-time All-Pro, 12-time Pro Bowl selection, and named to the NFL 1990s All-Decade Team. [7]

JIM MCISAAC/GETTY IMAGES

Tiaina Baul -Junior- Seau Jr. #55

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he most recent Ex-NFL Player committing suicide, Adrian Robinson Jr., came out publically on October 14th, 2015, when Robinson's family announced that a diagnosis of Chronic Traumatic Encephalopathy (CTE) was confirmed through officials at the Concussion Legacy Foundation at Boston University.[10] [11] AP Photo/Gene J. Puskar

Pittsburgh Steelers linebacker Adrian Robinson (57) sits on the bench during an NFL preseason football game against the New York Giants in Pittsburgh Aug. 10, 2013.

No helmet will protect your brain, but cannabis can protect it as it is a neuroprotectant. U.S. Patent No.6630507 which is held by the United States government covers the potential use of nonpsychoactive cannabinoids - chemical compounds found within the plant species cannabis sativa - to protect the brain from damage or degeneration caused by certain diseases, such as cirrhosis.[12][13] [14] Neuroprotectant, means protectant, thus, Cannabis can protect your brain. The government knows it to be fact, so why not, the NFL, lead the way on the research? It will not only prevent future NFL Players with CTE, a major issue in football, but will assist in all collision sports. In considering professional sports, we must also consider our children who participate in collision sports and the risks that they may endure during youth and adolescence. Surprisingly, the second highest incidents of concussions in sports, is girls high school soccer. [15] [16] A study found that for every 10,000 "athlete exposures" -- a student participating in a soccer game or practice -- there were 4.5 concussions among girls and 2.8 among boys. The study found that the rates of concussions in girls' and boys' high school soccer had risen over the nine-year study period. [17]

Until the acceptance of its use, many parents are considering the use of CBDs, cannabidiol, the non-psychoactive cannabinoids in cannabis and or hemp, as a safe preventative option for their children in their diet. For those without access to this plant, parents are beginning to realize the significance and potential risk of injury to their children, and are opting them out of participation. Chris Nowinski, founding executive director of the Sports Legacy Institute, a nonprofit focused on research and prevention of brain trauma, agrees with the importance of enforcing new rules. "The fastest way to make high school soccer safer is to limit rough play," he said. "Right now, there are potentially more collisions being allowed than should be." [18] However, this suggestion does not mention the use of CBDs for our youth as this is a new concept and research in this area is in demand. Professional Sports and the American people also have a prescription pill addiction. Ex- NFL Players are four-times (4xs) as much at-risk to abuse prescription pills, then the general population.[19] What do we know can do the same thing that opiates can, which is non-toxic, non-addictive, that is safe and is known for no deaths? Cannabis. There are well over 114 plus cannabinoids (i.e. CBD/THC/CBN/ CBG) that can be safely utilized however, the most familiar being CBD, a cannabinoid found in the cannabis plant, is now being used in drug treatment centers, to fight addiction.[22] [23] [24] [25] It is in its infancy, but the signs are encouraging, as anecdotal stories and research from around the world is proving its success. Cannabis is Medicine. When looking back at sports and its history, Boxing, Horse Racing and Baseball, were the top three (3) sports in the U.S. in the 1950's. The first two, did not adapt to change and look where they are now. I, as an Ex-NFL Player who played for well over a decade in the NFL, do not want to kill the game. I want to “make the game (of football) safer”. Cannabis can do that and I want the NFL not to follow the science, but to lead the science on Cannabis Research. It can solve its safety issues and make all sports head towards better player safety throughout our nation. Let’s research it, let’s conduct appropriate clinical trials, and follow the science behind the plant. Cannabis has been going against an organized eighty-year lie, and the NFL can lead the way, in leading the truth about Cannabis. The 20,000 Ex NFL Players, not only need it, but deserve it. WESLEY HITT VIA GETTY IMAGES

ootball, soccer, MMA, boxing, wrestling and the military, all have a closed-head injury problem, and Cannabis, can solve it by being used as a first line of defense as preventative medicine.

November/December 2016 CANNABISNURSESMAGAZINE.COM

Adrian Robinson Jr.

The college football star played for the Pittsburgh Steelers and the Denver Broncos (above) the same year they went to the Super Bowl.

Sources

https://en.wikipedia.org/wiki/National_Football_League_collective_bargaining_agreement

https://en.wikipedia.org/wiki/Helmet-to-helmet_collision

https://en.wikipedia.org/wiki/Contact_sport

http://www.popularmechanics.com/adventure/sports/a2954/4212171/

https://www.bu.edu/alzresearch/ctecenter/chronic-traumatic-encephalopathy-faqs/

http://www.sternneurolab.org/chronic-traumatic-encephalopathy/

http://www.espn.com/espn/otl/story/_/id/8830344/study-junior-seau-brain-shows-chronic-brain-damage-found-other-nfl-footballplayers

http://www.pbs.org/wgbh/frontline/article/new-87-deceased-nfl-players-test-positive-for-brain-disease/

http://www.espn.com/espn/otl/story/_/id/14417386/nfl-pulls-funding-boston-university-head-trauma-study-concerns-researcher

10.

"Adrian Robinson Jr. had brain disease CTE, autopsy shows". ESPN.com. Retrieved October 15, 2015.

11.

http://www.espn.com/nfl/story/_/id/13886586/autopsy-shows-ex-nfl-player-adrian-robinson-jr-killed-april-had-brain-injury

12.

http://patft.uspto.gov/netacgi/nph-Parser?Sect1=PTO1&Sect2=HITOFF&d=PALL&p=1&u=%2Fnetahtml%2FPTO% 2Fsrchnum.htm&r=1&f=G&l=50&s1=6630507.PN.&OS=PN/6630507&RS=PN/6630507

13.

https://www.google.com/patents/US6630507

14.

http://www.thecannabist.co/2016/08/22/marijuana-patents-6630507-research-dea-nih-fda-kannalife/61255/

15. 16.

http://www.medstarsportsmedicine.org/research/which-youth-sports-cause-the-most-concussions https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2140075/

17.

http://jamanetwork.com/journals/jamapediatrics/fullarticle/2375128

18.

http://www.cnn.com/2015/07/14/health/youth-soccer-safety

19.

http://www.espn.com/espn/eticket/story?page=110128/PainkillersNews

20.

http://thesportjournal.org/article/chronic-traumatic-encephalopathy-cte-and-former-national-football-league-player-suicides

21. 22.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4249716 https://www.sciencedaily.com/releases/2009/07/090706090440.htm

23.

Lynch, M. E., & Clark, A. J. (2003). Cannabis reduces opioid dose in the treatment of chronic non-cancer pain. J Pain Symptom Manage, 25(6), 496-498.

24.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4444130

25.

http://www.drugfree.org/news-service/opioid-addiction-treated-medical-marijuana-massachusetts

26.

http://www.integration.samhsa.gov/health-wellness/NC_Mag_Web_Revised.pdf

Noveber/December 2016 CANNABISNURSESMAGAZINE.COM

A Better Approach to Comfort Care: What Can Cannabis do for your O Hospice Patient? ne quiet, gray morning last December, I took my turn as the on-call midwife at Marin

risk for asthma and obesity, is prudent in this era.3–5

By: Marcie Cooper MSN, RN, AHN-BC

November is National Hospice and Palliative Care Month, and as a Hospice Nurse, I wanted to share my experiences in this article to honor the patients and families I have cared for. How Hospice Started Dane Cisely Saunders, both a Nurse and a Social Worker, opened the first Hospice House in England in 1967. This Hospice was known as “St. Christopher’s House”. The purpose was to offer a homelike environment for terminally ill patients that focused on pain management, as well as preparing the patient for death. The Hospice movement as we know it started to take off in the 70’s after Dr. Elisabeth Kubler-Ross wrote a bestselling book, “On Death and Dying”. In her book she interviewed more than 500 terminally ill, dying patients. Kubler-Ross believed in giving these patients a voice and making their final days both comfortable and meaningful. Hospice is a Medicare or insurance benefit that can be utilized when a patient has been given a terminal diagnosis with a prognosis of six months or less to live, if the disease carries on the expected and normal trajectory. Palliative care is a newer level of care that has been adopted for chronically ill patients who can benefit from also

November/December 2016 CANNABISNURSESMAGAZINE.COM

having a home team of medical professionals to help manage symptoms and provide support without necessarily halting “life-saving” or aggressive treatments such as chemotherapy while both services seek to provide symptom management. Hospice has greater support in terms of preparing patients and families for the dying process.

Through My Eyes As a Hospice Nurse for over eight years, I have witnessed a transformation in the care we provide terminally ill patients. I began Hospice in 2007, and I have always been an after-hours nurse. Working after-hours means only seeing patients when called upon, normally due to the need to control symptoms, because of a change in condition, or to attend a patient’s death.

Continue on next page...

Art peace : Alex-Gray-Dying Artiest: Alex Gray www.Alexgray.com

In 2007, we did not have a “comfort kit”, and actually flushed medications after a patient passed away. (Sorry EPA!) Not having a comfort kit meant I needed to be quick and resourceful when symptoms got out of control- this is how I became a Holistic Nurse. Simply put, I could not rely on medications I didn’t have access to in order to treat patients’ symptoms. Healing touch, aromatherapy, and guided imagery were my go to methods in the beginning, and essentially became my “comfort kit”. Fast forward to Denver, Colorado in 2010; I started working for a progressive hospice that incorporated aromatherapy, Reiki, massage, music thanatology, as well as a comfort kit. Comfort kits are truly needed to ensure that symptoms can be managed quickly and effectively, at any hour of the day. This keeps us from jumping through hoops to get written prescriptions in the middle of the night or the weekend and then waiting hours for delivery. The comfort kits are certainly needed, but they have room for improvement. Comfort kits typically come filled with opiates, anxiolytics, and antipsychotics- all prescriptions commonly used to manage end of life symptoms like pain, dyspnea, agitation, anxiety, and terminal restlessness. When faced with uncontrolled symptoms the Nurse will generally collaborate with the patient and family members to try to find solutions to resolve symptoms. One comment that I have heard all too often from patients and family members is, “Isn’t there something else we can do?” Many patients are already sleeping more than they wish and are left lethargic from medications. The thought of adding another drug to treat symptoms that will yet have more unwanted side effects just isn’t ideal for many.

A Shift in Care Fast forward to January 1, 2014. Amendment 64 is in effect and recreational cannabis sales start in Colorado. Colorado already had a good

functioning medical cannabis program, but unfortunately waiting 30-45 days for a medical card was not an option for many patients who were running out of time.

Nurse Marcie Cooper with "Meemaw"

Even so, I frequently had patients who had accessed cannabis. Amendment 64 increased the patients I came across using cannabis. This amendment did more for my Hospice patients than I think anyone could have foreseen. Now when I was asked that question of despair, “Isn’t there something else?” I had a real option to share. I have been able to educate patients and families and they are able to decide at that moment to give cannabis a try. They are able to send a family member to the nearest dispensary to pick up some products, and immediately treat symptoms naturally and with less side effects. The Hospice and Palliative Nurses Association (HPNA) issued a position statement on medical cannabis in 2014 as well. While there are components of “The Use of Medical Marijuana” that may not be quite accurate such as a statement that claims, “Long term effects of inhaled marijuana include….Lung Cancer…”,one may look at a study from 2013 for more insight, which finds “Although marijuana smoke contains a number of carcinogens and cocarcinogens, findings from a limited number of well-designed epidemiological studies do not suggest an increased risk for

the development of either lung or upper airway cancer from light or moderate use…” (Tashkin, 2013) Heavy use however, was not accounted for in this particular study. The HPNA does at least call for Nurses to understand the Evidenced-Based Research and educate patients and families on the uses of and disease processes and symptoms that cannabis can be helpful for. It calls for Nurses to provide patients with cannabis resources and that is exactly what I have been doing for the last 5 years. When patients and family members are considering what direction to take they should be armed with all of the knowledge and options so that they can make informed decisions. Having cannabis as a viable option for patients has repeatedly led to improved patient outcomes and improved quality of life for my patients. In fact, two and a half years into recreational cannabis in Colorado, I would estimate that 50 % of Hospice patients that I see in private homes now already have some form of cannabis products that they are using. Unfortunately, cannabis is still not allowed in most Nursing Homes or Assisted Living Facilities, so these patients are limited on what they can use for symptom management, and are predominately limited to pharmaceuticals with side effects for managing their symptoms. This is the same for patients in illegal states. This is not acceptable and as patient advocates we must continue to lobby for change and educate each other on the benefits for patients. Recently, I found myself being interviewed with Tennessee State Representative, Jeremy Faison, discussing the very subject of cannabis for Hospice Patients. It is encouraging to see that the movement continues to spread and lawmakers are listening to the voices of Nurse who are witnessing the remarkable benefits of cannabis with patients first hand.

Noveber/December 2016 CANNABISNURSESMAGAZINE.COM

Cannabis for Symptom Management

Cannabis is being used by many Hospice patients for improved pain management. Many patients use cannabis products in conjunction with Opioids or NSAIDS and report that they have successfully been able to decrease their prescriptions while using cannabis. One study reported that patients saw a 27% decrease in pain after initiating cannabis. (Abrams, Couey, Shady, Kelly, and Benowitz, 2011) I have seen many patients decrease sedating opiates and even a few stop opiates all together. Patients are benefitting from many different forms of cannabis including topical applications, transdermal applications, tinctures, edibles, as well as the traditional form of inhaling. Decreasing Opiates alone can significantly improve quality of life when symptoms are being managed more efficiently through adding cannabinoids.

they even start transitioning. Whether these symptoms occur chronically and ongoing or start rather suddenly while patients transition, cannabis can still be a helpful addition. The pharmaceutical treatments commonly used for patients with these symptoms are not ideal, but sometimes they are certainly warranted. Anxiolytics, Anti-Psychotics, and Benzodiazepines are the go-to in Hospice presently, and of course they are available in the comfort kits. The side effects for these medications are so severe that they have a special “Black Box Warning” issued for many of them. “Elderly patients treated with…antipsychotics… have an increased risk of death…” and

Nausea and Vomiting are commonly seen in disease processes at end of life, and especially in cancer patients. The addition of cannabis for these patients can be extremely beneficial. Not only can cannabis be effective in decreasing the nausea and vomiting but it can also increase patients’ appetites. For patients who have cancer, the benefit can be even more remarkable due to antiproliferative properties known to exist in cannabinoids. “More recently, scientists reported that THC and other cannabinoids such as CBD slow growth and/or cause death in certain types of cancer cells growing in laboratory dishes. Some animal studies also suggest certain cannabinoids may slow growth and reduce spread of some forms of cancer.” (Cancer.Org) Anxiety, agitation, and terminal restlessness are all very common and sometimes difficult to manage symptoms that patients can display near end of life. Some patients, such as Alzheimer’s or Dementia patients can display these symptoms for a very long time before

November/December 2016 CANNABISNURSESMAGAZINE.COM

Nurse Marcie Cooper with Hospice Patient "Meemaw" Mrs. Lois Cox | Born: 08/02/1929

“a significantly higher mortality rate than (those with) no antipsychotic use from 30 days to 180 days after the initial prescription.” (Yan, 2008) Cannabis can be used in some preparations to promote relaxation and sleep while decreasing combativeness. I have witnessed the effects of Alzheimer’s patients using cannabis and these patients have all been smiling and eating. One even seemed to have more memory as a side effect, and could recall her Children’s names only when the cannabis was at its peak levels.

Finding the Perfect Spot

One day I hope to see a wide variety of cannabis products in every Hospice patient’s comfort kit. Cannabis can have amazing effects on Hospice patients including improving mood, appetite, and sleep. The addition of cannabis in a patient’s regimen can lead to decreasing other prescriptions drugs including opiates, anxiolytics, antipsychotics and benzodiazepines which can lead to patients being alert yet calm and balanced. Patients may find healing in their final days by having the ability to be awake and participate in celebrating their lives and sharing memories with their loved ones. Patients may not need to be comatose for days or weeks leading up to their passing. Wouldn’t your patient or family members appreciate more quality time? Cannabis is not a magic fix for every symptoms and every patient, and neither are pharmaceuticals. Being open to learning about this plant though, may certainly bring about improved quality of life for patients as they become empowered to experiment through access, education and acceptance alone. This is always the job of the Hospice Nurse, to empower the patient and assist in giving the patient the tools they need in making the decision they want for this last journey. Being a Hospice Nurse is better when the side effects of the medication your patient takes is laughter and bliss. It sure beats having a side effect of constipation any day, for both the Nurse and the patient!

Resources:

Abrams, D. I., Couey, P., Shade, S. B., Kelly, M. E. and Benowitz, N. L. (2011), Cannabinoid–Opioid Interaction in Chronic Pain. Clinical Pharmacology & Therapeutics, 90: 844–851. doi:10.1038/clpt.2011.188 Marijuana and Cancer. (n.d.). Retrieved October 18, 2016, from http:// www.cancer.org/treatment/ treatmentsandsideeffects/physicalsideeffects/ chemotherapyeffects/marijuana-and-cancer Tashkin, Donald P. "Effects of Marijuana Smoking on the Lung", Annals of the American Thoracic Society, Vol. 10, No. 3 (2013), pp. 239-247.doi: 10.1513/ AnnalsATS.201212-127FR Yan, J. (2008, July 18). FDA Extends BlackBox Warning to All Antipsychotics. Psychiatric News. Retrieved October 18, 2016.

EVER WONDER WHY MARIJUANA IS ILLEGAL? JOE ROGAN PERFECTLY SUMMARIZES…

By: Arjun Walia/ Writer The thing that eats away at most marijuana support seems to be the fact that, after decades of research, the ability of the active constituents found within cannabis (THC, Cannabinol) to completely destroy cancer cells in the lab is firmly established in scientific literature. For example, here is a link to a molecular biologist explains how THC kills cancer cells. https://www.youtube.com/watch?

It’s important to keep in mind that, although the fact that marijuana is illegal it is, in my opinion, absolutely ridiculous and unjustifiable, there are still some concerns when it comes to smoking it that should be pointed out. With all of the support for the legalization of marijuana, we still can’t assume that it’s just safe for anybody to inhale via smoking. You can find out more in the article linked below:

v=nzoiAHM3hdM

http://www.collectiveevolution.com/2016/04/25/6-scientific-reasonswhy-you-should-consider-not-smoking-weed-ona-regular-basis/

If you do a google search for scholarly peer-reviewed studies on cannabis and its ability to fight cancer, you will find hundreds of publications. Not only does cannabis have the ability to destroy cancer cells (without heating the plant; when you do this you change its chemical composition and lose many of its medicinal benefits), it also has a wide array of other healing potentials that have been seen to treat epilepsy, depression, Chron’s disease, Parkinson’s disease, and many more. Though it’s clearly a medicinal substance, it can still be abused just like anything else. It makes absolutely no sense at all why cigarettes and alcohol remain legal, despite their clear detrimental impact on human health, but marijuana remains illegal, with absolutely no strong evidence proving that it can be as harmful as those other substances.

In the video below, the well-researched Joe Rogan shares a number of points as to why marijuana is and has been illegal for so long.

https://www.youtube.com/watch?v=d7fa4gV06pg

Special Thanks to: http://www.collective-evolution.com/ ARJUN WALIA http://www.collective-evolution.com/ author/arjun/

Rooted in ancient plant wisdom and expanded upon through science, Nature Nurse products support the endocannabinoid (eCB) system in balancing the mind, body, and spirit. THC

Lip Petal Balm CBD

THC/CBD 1:1

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Instantly hydrate and visibly renew lips or skin on the go with Lip Petal Balm, the product you won’t want to leave home without. Lip Petal Balm moisturizes, softens, and temporarily relieves pain, leaving lips or skin moist and smooth like dew on flower petals. Lip Petal Balm also soothes skin that has become inflamed, itchy or flaky due to insect bites or varying skin conditions. Lip Petal Balm is delightfully created by blending skin enriching oils, conditioning plant butters, eCB system targeted herbal extracts and therapeutic grade essential oils. Made with Love and all natural ingredients. No artificial coloring or fragrances are used for Nature Nurse Products. Available varieties: Natural and CBD (online worldwide) or THC (Qualified patients and dispensaries only).

www.NatureNurseHealth.com Noveber/December 2016 CANNABISNURSESMAGAZINE.COM

Bio: Eddie Lee “Boo” Williams

After the Game Ends January 2nd, 2015 |By: Lianna Patch | http://www.livingneworleans.com Former NFL athlete Boo Williams champions care for retired players. Since his retirement from the NFL after the 2006 season, former New Orleans Saints tight end, Eddie Lee “Boo” Williams, has been anything but inactive. “Most of my time, I’m back and forth from San Diego to Mandeville,” he says. In California, he works with the Crosby Center, a rehabilitation clinic offering brain scans and neurological treatment, as well as psychotherapy, for mental health disorders and addictions.

Eddie Lee "Boo" Williams (born June 22, 1979) is a former American football tight end who played for the New Orleans Saints from 2001 to 2005. Williams struggled with a multitude of depression, anger, and anxiety issues after retiring from football, the cause of which he attributes to head trauma sustained during his NFL career. After nearly taking his own life in 2011, Williams spent four months at the Crosby Center in San Diego for diagnosis and treatment of the problems he was suffering from. Williams later worked with the Crosby Center to help other NFL players dealing with similar issues post-retirement. Williams uses cannabis to treat the chronic pain and other health issues that have resulted from his career in the NFL. He cofounded the Gridiron Cannabis Coalition to advocate for the NFL to remove marijuana from its list of banned substances. The organization is also involved with research to study the pain-relieving and neuroprotective benefits of the drug and is currently working on other productive projects. Stay tuned for more of Boo!

Williams has personal experience battling the demons of depression, anger and anxiety. After nearly taking his own life in 2011, he spent four months at the Crosby Center, undergoing brain scans to pinpoint areas of potential brain injury and participating in therapy to manage his depression. Now, Williams works with the center to advocate for NFL athletes and other contact-sport players who have suffered concussions and other head injuries. The effects of traumatic brain injury can include depression, anxiety, attention deficit disorder, eating disorders, post-traumatic stress disorder and what Williams calls “Hulk Syndrome” — uncontrollable, inexplicable rage that can have a debilitating effect on players and their loved ones. “It’s a program for mental health, basically,” he says. “We’re helping a lot of athletes to get their self-worth back — helping a lot of guys to see what exactly is going on inside their brains.” He describes the Crosby Center as a “one-stop shop” for athletes whose participation in physically punishing plays has taken a toll on their bodies and minds. “The NFL does not give a damn about these athletes after they’re finished, because they’re finished,” Williams says. “If they can’t work, how are they supposed to make a living? Everyone tells you they make a million dollars — well, they don’t. You only have your insurance five years out of the league, and then you don’t have insurance.” The Crosby Center’s NFL-athlete program brings in 15 former football players at a time for a three- to four-week rehabilitation program. Some athletes, like Williams, stay longer. “They’re housed [and] fed three to four times a day,” Williams says. “They have acupuncture; they have massage; they have yoga; they have training three times a week.” A legal team helps athletes document their injuries so they can qualify for settlement compensation. During treatment, athletes also get involved with the local community. “Every Saturday, we have a community outreach program where we take the athletes out to children’s hospitals [and] homeless shelters,” Williams says. “Helping other people becomes healthy for you. That’s part of the rehabilitation process. We’re doing everything possible to rehabilitate these guys’ minds.” Previously, Williams founded the Boo Williams Athletic Academy, a facility on the Northshore where an after-school program that helped kids finish their homework and athletic practice before their parents arrived to pick them up. “It was basically a training and educational center,” Williams says. “We had 100 computers for the after-school programs. Kids came in and did all their studies … after that, they would train.”

Ellis Lucia, NOLA.com

New Orleans Saints tight end Boo Williams was injured in the second half of the Saints' 21-6 exhibition loss to the Baltimore Ravens in the Louisiana Superdome on Aug. 26, 2005.

“My experience with cannabis has taught me that it is a far better option than the pills that get shoved at players.” - Boo Williams -

November/December 2016 CANNABISNURSESMAGAZINE.COM

In helping kids complete these two time-consuming activities before dinner, the afterschool program aimed to give families more time to connect at home. “Now you can sit down and talk to your kids; see what’s going on in school,” Williams explains. “These days, kids don’t get a chance to talk to their parents.” In the interest of a “big career move,” he closed the academy, but hopes to open another center in New Orleans. “The educational part is definitely needed in New Orleans,” he says. Williams has four kids ranging in age from 10 months to 13 years old, and he’s currently expecting a fifth. “I love kids,” he says. “When I grew up, I had sisters, but it was such an age gap. I want all my kids to be around the same age, so they can grow up and play together.”

EVENT

Robert Herman & Julie Monteiro, the Co-Founders of Cannabis Nurses Magazine, would like to thank all the Nurses, Doctors, Scientists, and Patients that contribuited to the success of the First Year on the Magazine. ~ We salute you ~ We are comminted to this coming year of the magazine and will still bring you the lastest research and information about the medical bennefits of the Cannabis Plant.

knowledge is power

cannabis nurses magazine one year annversary "leaders of nursing" awards | october 1st, 2016 22

November/December 2016 CANNABISNURSESMAGAZINE.COM

Noveber/December 2016 CANNABISNURSESMAGAZINE.COM

CANNABIS IS MY MEDICINE

The Story of: Steve Cantwell Former WEC Light Heavy Weight Champion and UFC Fighter As far back as Steve can remember he was a fighter. As a troubled youth, Steve Cantwell, began training and competing in martial arts. At age 17 he was sponsored by the local "Floyds Ace Hardware" enabling for him to move to Las Vegas to live, train, and compete as a professional. At 20 years old Steve was signed by World Extreme Cagefighting (WEC) an American Mixed Martial Arts (MMA) promotion that was founded in 2001. It is here where he won his first world title at age 21 making him the youngest WEC Light Heavy Weight Champion. After his contract transferred to Ultimate fighting Championship (UFC), Steve began developing and fighting with several serious injuries. Normal treatment options in sports directs athletes to a combination of pharmaceuticals and Steve, knowing the dangers of pain pills from close friends and family, knew he had to find an alternative way to manage what was sure to be a lifetime of chronic pain. Being familiar with Cannabis and knowing a little of its medicinal values, Steve began researching, studying and "testing" the medical benefits of this plant within his own life. He discovered that it had beneficial value that would assist in his recovery and lifelong battle

with knee injuries, arthritis, broken noses and head trauma amongst other injuries all contributing to severe chronic pain. He states, Marijuana eases my pain and reduces inflammation.” Cannabis is his medicine.

Why do you choose Cannabis as your medicine? “People say that marijuana is going to hurt my career. On the contrary, my fight career is getting in the way of my marijuana smoking.” - Nick Diaz -

November/December 2016 CANNABISNURSESMAGAZINE.COM

“Doctors were handing (pain pills) out like candy, and some very close people to me unfortunately trusted their doctors, and they got hooked on pain pills before they knew it,” Cantwell said. “And it just drastically changed the course of their lives.” He said marijuana eased his pain. In addition to reducing inflammation, he forgot about the aches with each puff. “I did need relief, and the plant was the answer,” he said. Throughout his journey he discovered the values of medical cannabis, and began his interest in farming. Steve grew up showing interest in plants from fruit & vegetable gardens to coral reef fish tanks. After becoming a legal Nevada Medical Marijuana Patient, Steve began cultivating Cannabis indoors. Having years of experience with coral reefs he felt more comfortable starting with hydroponics and bottled nutrients. He started with rock wool cubes, to coco core, to bag soil and bottled nutrients, to mixing and recycling super soil, to finally what he believes to be the safest most sustainable style on planet earth using organic living soil. He now is part-owner and a cultivator for an established state-approved grow facility in Pahrump, Nevada called, Green Life Productions LLC. www.GLPNV.com

How does your grow facility differ as being “organic” from others in the state of Nevada?

“We use cover crop as companion planting to help create and attract more biodiversity within our soil. We use dynamic accumulators to fix nitrogen acting as a living mulch and much more. Our goal is to introduce and grow healthy beneficial life that out-competes negative pests and pathogens creating symbiotic relationships above and below our soil.”

Talk about anxiety and sports- how has cannabis helped you in your professional sports career and now?

As an athlete, I was hardly able to benefit from cannabis, only post fight for a short period of time mostly for pain and inflammation. Now days I’m able to use it when needed and after 15+ years of training/competing in martial arts I find comfort knowing I found a safer long term solution.

As an Ex-WEC Fighter and UFC fighter what is your prospective? Should Cannabis be allowed to be taken by athletes as a “First-line of Defense” in both Pre/Post Games?

Yes. Cannabis can be a solution to a lot of problems athletes face. It helps both mentally and physically and can assist greatly in pre and post events and should be a legal option for athletes. The problem is that it’s viewed as a performance enhancing (Schedule 1) narcotic vs. a quality-of-life enhancing dietary supplement. As athletes we make a lot of sacrifices to be champion, cannabis shouldn’t have to be one.

How can Cannabis change the future of Sports?

Cannabis is nothing new the only thing we can hope to change is how people view it. Behind the scenes cannabis has played a bigger role in sports than people realize or would like to admit. Athletes can help educate the masses about the medical benefits of cannabis and how to properly use it rather than turning to prescription drugs.

Steve Cantwell and wife Kouanin Villa

“Some people still doubt the validity of medical marijuana. The simple truth is... This plant can help people relax, laugh, eat, and sleep. Four of the healthiest & safest things a person can do.” - Steven Cantwell -

Noveber/December 2016 CANNABISNURSESMAGAZINE.COM

ITâ&#x20AC;&#x2122;S BEEN A WHOLE YEAR THAT CHEF HERB HAS BEEN CREATING MEDICATED RECIPES FOR ALL TO ENJOY. DO YOU HAVE A HEMPED UP HOLIDAY RECIPE THAT YOU WOULD LIKE TO SHARE WITH CHEF HERB? CONTACT CHEF @ WWW.COOKWITHHERB.COM

CRANBERRY SALSA DIP WITH CREAM CHEESE INGREDIENTS -1 (12-ounce bag) or 3 cups fresh cranberries, rinsed and drained -1/4 cup minced green onions -2 small (approximately 2 tablespoons) jalapeno chile peppers, cored, seeded and minced -1/2 cup granulated sugar -1/4 cup fresh cilantro leaves, minced -2 tablespoons finely grated fresh ginger -2 tablespoons fresh-squeezed lemon juice -2 (8-ounce) packages cream cheese -4 ounces (8 tablespoons) THC butter -Cranberries and/or cilantro sprigs for garnish DIRECTIONS Rinse, drain, and pick over cranberries, (discarding all that are soft or bruised). Place them in a food processor; pulse until finely chopped but not mushy. Place crushed cranberries in a bowl; mix together with onions, jalapeno peppers, sugar, cilantro leaves, ginger, and lemon juice. Cover with plastic wrap and refrigerate at least 4 hours so flavors develop (salsa will be too sharp and tart to begin with). In a food processor, mix butter and cream cheese until smooth. On a serving plate, place cream cheese; cover with the dip. Garnish, if desired, and served with crackers.

BLACKBERRY ARUGULA SALAD INGREDIENTS -16oz rinsed and drained arugula -1/2 cup fresh blackberries -2 teaspoons organic apple cider vinegar -1 teaspoon organic blackberry jam -4 tablespoons THC olive oil 1/4 teaspoon sea salt -1/2 teaspoon ground pepper

November/December 2016 CANNABISNURSESMAGAZINE.COM

DRESSING: Combine apple cider vinegar, Blackberry preserves, and THC olive oil. Chill. Pour mixture over rinsed and drained arugula. Sprinkle sea salt and pepper to taste. Sprinkle berries on top for garnish.

HOW TO ROAST A TURKEY - ROASTING YOUR THANKSGIVING TURKEY MANY VARIABLES CAN AFFECT THE ROASTING TIME OF THE WHOLE TURKEY: -A partially frozen bird requires longer cooking. -The depth and size of the pan can reduce heat circulation to all areas of the bird. -An oven cooking bag can accelerate cooking time. -A stuffed bird takes longer to cook. -The oven may heat food unevenly. -Calibration of the oven’s thermostat may be inaccurate. -The rack position can have an effect on even cooking and heat circulation. -The meat thermometer must be placed properly in the thigh joint. -All these factors must be considered when roasting a turkey. TURKEY ROASTING INSTRUCTIONS: 1. Oven Temperature - Set the oven temperature to 325 degrees F. Preheating is not necessary. 2. Be sure the turkey is completely thawed. Times are based on fresh or completely thawed frozen birds at a refrigerator temperature of about 40 degrees F. or below. 3. Placing Turkey in Roasting Pan - Place turkey breast-side up on a flat wire rack in a shallow roasting pan 2 to 2 1/2 inches deep. 4. Basting the Turkey - Brush the turkey with THC butter before roasting it in the oven. This will contribute to browning and adds a mild THC buttery flavor. 5. Turkey Cooking Times - See chart below. 6. Taking the Turkey’s Internal Temperature •Pop-Up Thermometer - If your turkey has a “pop-up” temperature indicator, it is also recommended that you also check the internal temperature of the turkey in the innermost part of the thigh and wine, and the thickest part of the breast with a meat thermometer. •Temperature of Cooked Turkey - The temperature must reach a minimum of 165 degrees F. in the thigh before removing from the oven. The center of the stuffing should reach 165 degrees F. after stand time. 7. Removing the Turkey From the Oven - Once you remove the turkey from the oven, tent it with aluminum foil and allow it to rest for 20 to 30 minutes, so the meat can firm up and hold the juices, making it easier to carve. •Letting the Turkey Rest - Resting allows for the redistribution and reabsorption of the juices in the meat. This makes for ultra-moist, flavorful meat while also giving the turkey a chance to cool for easier carving. If you skip this important step, you will both burn yourself and end up with a flood of juices on your carving board, not to mention a dry turkey.

TO LEARN MORE ABOUT

CHEF HERB COOK WITH HERB

APPROXIMATE TURKEY COOKING TIMES: The new roasting times are based on the recommendations above and on a 325 degree F. oven temperature. These times are approximate and should always be used in conjunction with a properly placed meat thermometer. UNSTUFFED TURKEY 4 to 8 pounds.............1-1/2 to 3-1/4 hours 8 to 12 pounds................2-3/4 to 3 hours 12 to 14 pounds...............3 to 3-3/4 hours 14 to 18 pounds...............3-3/4 to 4-1/4 hours 18 to 20 pounds...............4-1/4 to 4-1/2 hours 20 to 24 pounds...............4-1/2 to 5 hours STUFFED TURKEY 8 to 12 pounds................3 to 3-1/2 hours 12 to 14 pounds...............3-1/2 to 4 hours 14 to 18 pounds...............4 to 4-1/4 hours 18 to 20 pounds...............4-1/4 to 4-3/4 hours 20 to 24 pounds...............4-3/4 to 5-1/4 hours.

HERB’S THC TURKEY STUFFING The below recipe is a guideline for making your turkey stuffing. Depending on your family’s taste, add or delete ingredients (onions, celery, mushrooms, and or nuts) to make to your liking. Be creative! INGREDIENTS -1/4 cup THC butter or THC oil -1 large onion, chopped -2 cups chopped celery -1 pound fresh mushrooms, sliced -1 loaf day-old bread, toasted and cut into 3/4-inch cubes (about 10-12 cups) -1 egg, beaten -Stock from the turkey giblets and/or chicken broth (approximately 1 to 2 cups) -1 cup chopped walnuts or pecans -Salt and freshly ground pepper to taste -Dried crushed sage to taste -Dried crushed thyme to taste DIRECTIONS To make turkey giblet stock, place the turkey giblets (giblets and neck), water, and salt in a small saucepan over low heat; bring to a simmer and simmer for about 1 hour, uncovered. Remove from heat and strain the stock into a container for use with the stuffing. Alternatively, you can use chicken stock or just plain water with this recipe. In a large pot (large enough to hold all the prepared stuffing) over low heat, melt THC butter or THC oil. Add onion, celery and mushrooms; sauté until soft. Mix in bread cubes and egg with enough chicken broth to moisten. Add nuts, salt, pepper, sage, and thyme; stir until well blended. Proceed to stuff turkey in your usual way. Immediately place the stuffed, raw turkey in an oven set no lower than 325 degrees F. If you choose not to stuff your turkey, place stuffing in a oven safe pan and roast at 325 degrees for 35 minutes or until golden brown on top. Stuffs a 20-pound turkey.

GO TO WWW.COOKWITHHERB.COM. Noveber/December 2016 CANNABISNURSESMAGAZINE.COM

BUTTERY SMASHED ACORN SQUASH INGREDIENTS -1 pound (3 medium) yellow-flesh potatoes, cut into 3/4-inch chunks -1 small acorn squash (about 1 pound), peeled, seeded and cut into 1-inch chunks -Salt -3 tablespoons THC butter, divided -8 to 10 fresh (2 to 3-inch) sage leaves, stacked and cut across into ¼-inch strips -1/2 cup 1% milk (approximate) -Freshly ground black pepper, to taste DIRECTIONS In a 3-quart saucepan over high heat, add potatoes and squash chunks with water; add 1 teaspoon salt. Bring just to boil; reduce heat to medium, cover, and cook until tender, approximately 12 to 15 minutes. In a small frying pan or saucepan, add 2 tablespoons of the THC butter and the sage. Tilting pan and watching closely, cook about 3 minutes, until butter foams and begins to brown; remove from heat and keep warm. When potatoes and squash are cooked, remove from heat and thoroughly drain the water off. Reduce heat to low, return pan with the drained potatoes and squash to burner, and shake 1 to 2 minutes; remove from heat. Roughly mash with hand masher leaving mixture chunky. Gently mix in remaining 1 tablespoon THC butter and enough milk for consistency desired. Season with salt and pepper. Spoon into a large serving bowl and drizzle with brown butter/sage mixture. Makes 4 servings (about 4 cups).

CHEF HERB’S TASTY BUTTER RECIPES In a medium-size bowl, whip 1/2 cup unsalted THC butter (room temperature) until fluffy. Combine the softened THC butter and other ingredients (listed below) together until they are completely blended. TIPS FOR PREPARING COMPOUND BUTTERS: •The THC butter must first be brought to room temperature and softened by beating it. •The flavoring ingredients must be very finely chopped or pureed. If any extra liquid develops, it should be drained off thoroughly before mixing in the butter. •For the flavor to better penetrate the THC butter, allow it to stand at cool room temperature for a few hours before refrigerating. •Compound butters may be stored in freezer, tightly wrapped. Use a sharp knife dipped in hot water for cutting the frozen butter. Amounts below are guidelines - adjust to your taste. Let your imagination be your guide! In a large bowl, cream THC butter and sugar until light and fluffy. Gradually beat in honey and egg. Add pumpkin and milk; mix well. Combine the flour, baking powder and salt; gradually add to creamed mixture and mix well. Stir in the dates, pecans and poppy seeds. Chile Pepper Butter -1 chile pepper, deveined and seeded, finely chopped -1/4 teaspoon fine grain sea salt Chive Butter -1 tablespoon fresh chives, chopped -Pinch fine sea salt

November/December 2016 CANNABISNURSESMAGAZINE.COM

Chocolate Hazelnut Butter -Powdered cocoa to taste -Sugar to taste -1 to 2 tablespoons finely chopped hazelnuts Creamy Brown Sugar Butter -2 tablespoons heavy cream -1 tablespoon brown sugar Honey Butter -1/2 cup honey Honey Fruit Butter -1/4 cup honey -2 tablespoons fresh-squeezed orange juice -1 small banana -Marmalade Butter -1/2 cup marmalade (lemon, orange, or grapefruit) Kalamata Olive Butter -1 small clove garlic, minced -1 teaspoon finely chopped fresh parsley -1/4 cup pitted chopped kalamata olives Raisin-Nut Butter -1/2 cup finely chopped toasted walnuts -1/4 cup finely chopped raisins -1 tablespoon fresh-squeezed orange juice -1 tablespoon sugar -1 teaspoon ground cinnamon Rum Raisin Butter -3 tablespoon raisins or currants -2 tablespoons rum -Sugar to taste -1/4 teaspoon pure vanilla extract Sweet Citrus Butter -1/4 cup honey -2 teaspoons grated orange or lemon zest -1 tablespoon fresh-squeezed orange or lemon juice -2 tablespoons sugar -2 teaspoons ground cinnamon White Chocolate Butter -2 tablespoons white chocolate, melted and cooled -Ground cinnamon to taste

STONER’S SMASHED ROASTED GARLIC MASHED POTOTOES INGREDIENTS -11 medium head garlic -1 tablespoon THC olive oil -2 pounds russet potatoes, peeled and quartered -4 tablespoons THC butter, softened -1/2 cup milk -salt and pepper to taste DIRECTIONS Preheat oven to 350 degrees F (175 degrees C). Drizzle garlic with THC olive oil, then wrap in aluminum foil. Bake in preheated oven for 1 hour. Bring a large pot of salted water to a boil. Add potatoes, and cook until tender, about 15 minutes. Drain, cool and chop. Stir in THC

butter, milk, salt and pepper. Remove the garlic from the oven, and cut in half. Squeeze the softened cloves into the potatoes. Blend potatoes with an electric mixer until desired consistency is achieved.

NO BAKE PUMPKIN PIE WITH GINGERSNAP COOKIE CRUST

GREEN BEAN CASSEROLE

INGREDIENTS -3 large eggs, separated -3/4 cup firmly-packed light brown sugar -1 (15-ounce) can solid-packed pumpkin -1/2 cup milk* -1 teaspoon ground cinnamon -1/2 teaspoon ground nutmeg -1/2 teaspoon salt -1 envelope unflavored gelatin** -1/4 cup cold water -1/4 cup granulated sugar -Sweetened whipped cream (optional) * If desired, substituted some of the milk with either whisky, brandy, or rum (your choice). * 1 (1/4-ounce packet) of granulated unsweetened gelatin = total of about 2 3/4 teaspoons gelatin

INGREDIENTS -3 (14.5-ounce) cans French-style green beans, undrained -4 uncooked bacon slices, chopped -2 tablespoons chopped onion -1 green bell pepper, cored, seeded, and chopped -1/2 cup chopped pimiento, drained -2 tablespoons THC butter or THC oil -1 (10 3/4-ounce) can cream of mushroom soup, undiluted -1 (2-ounce) can mushrooms, undrained -1/2 pound processed American cheese, cut into cubes -1/4 teaspoon Worcestershire sauce -1 cup crushed Ritz crackers or canned onion rings (your choice) -THC Butter DIRECTIONS Preheat oven to 350 degrees F. In a large saucepan over medium-high heat, cook green beans with bacon pieces and onion long enough to cook bacon and season beans; remove from heat. Drain bean mixture and place into an ungreased 2-quart casserole dish. In the same saucepan over medium heat, sauté bell pepper and pimiento in THC butter or oil. Add mushroom soup, mushrooms, American cheese, and Worcestershire sauce. Cook, stirring occasionally, until cheese is melted and mixture is thick. Remove from heat and pour over beans. Sprinkle the top with crushed Ritz crackers or onions rings and dot with THC butter. Bake, uncovered, 30 minutes or until top is golden brown and thoroughly heated. Remove from oven and serve. Makes 8 servings.

GINGER SNAPS INGREDIENTS -1 cup THC butter, softened -4 cups all-purpose flour -1 cup white sugar -1/3 cup molasses -1 egg -1/2 teaspoon lemon extract -2 teaspoons ground cinnamon -1 teaspoon ground ginger -1 teaspoon ground cloves -1/2 teaspoon baking soda -1/4 teaspoon salt DIRECTIONS Cream the THC butter for 2 minutes at medium speed. Add 2 1/2 cups of the flour plus the sugar, molasses, egg, lemon extract, cinnamon, ginger, cloves, baking soda and salt. Mix well on medium-high speed. Stir in the remaining flour until blended. Cover and refrigerate dough for at least 2 hours. Preheat oven to 350 degrees F (175 degrees C). Remove dough from refrigerator, and with a teaspoon, scoop out rounded measures of dough. Roll dough into balls and place 2 inches apart on ungreased cookie sheet. Flatten slightly with the bottom of a glass dipped in white sugar. Bake at 350 degrees F (175 degrees C) for 11 minutes. Let stand for approximately for 30 seconds on cookie sheet before removing to cooling racks. Cool completely and store in airtight containers.

DIRECTIONS Preheat oven to 350 degrees F. Position baking rack in the center of your oven. Prepare pie pastry of your choice. In top of a double boiler, combine egg yolks, brown sugar, pumpkin, milk, cinnamon, nutmeg, and salt; whisk to thoroughly blended. Place the pan over the boiling water. NOTE: The bottom of the pan should not touch the boiling water below. Cook, approximately 15 to 20 minutes, stirring frequently until thick (like a pudding). Remove from heat. In a small bowl, combine unflavored gelatin and cold water, stirring until gelatin is completely dissolved. Add gelatin mixture to the hot pumpkin mixture, stirring to combine. Cover bowl with wax paper to prevent mixture from forming a “skin.”Let cool to room temperature, and then place in the refrigerator until partially set, approximately 1 to 1 1/2 hours. In a large bowl, beat the egg whites until soft peaks form. Gradually add the granulated sugar and beat until stiff peaks form. Using a spatula, gently fold the beaten egg whites into the partially set pumpkin mixture. Do not over mix; retain some streaks in the mixture. Gently pour the pumpkin mixture into the pie crust of your choice. Cover and refrigerate at least 2 hours or until filling is set. This pie may be prepared up to 2 days in advance. Store in the refrigerator until ready to serve. Serve with sweetened whipped cream. Makes 8 servings.

GINGERSNAP COOKIE CRUST: INGREDIENTS -1 1/2 cups (about 40 cookies) gingersnap cookie crumbs, finely ground -1/4 cup granulated sugar -1/3 cup unsalted THC butter, melted and cooled DIRECTIONS In a food processor, grind gingersnap cookies and sugar until fine, but still crumbly; add THC butter, blending until combined well. Press mixture onto the bottom and up the sides of a 9-inch glass pie plate. Bake crust for approximately 15 minutes or until crisp and golden around the edges. Remove from oven and let cool on a wire rack before filling.

Noveber/December 2016 CANNABISNURSESMAGAZINE.COM

CREATING HER-STORY!

Things are changing rapidly in the cannabis marketplace, with constant product innovation, improved standards and the emergence of brand building, professional marketing and public relations in the cannabis space. AK Ventures CEO, Kerri Accardi, knows medical cannabis is ready to go mainstream. Her new broadcast series, “Medical Cannabis: The Healing Power of Knowledge” is scheduled to debut this fall, supported by some of legal cannabis’ top new brands. With a passion for the plant, New York business savvy, and sheer determination, Accardi has forged partnerships with leading channels in every major U.S marketplace that, for the first time in history will allow cannabis brands to be seen on mainstream broadcast television. Each episode will contain segments covering areas of interest to viewers who may be learning the truth about cannabis for the first time. AK Ventures SPC is simultaneously launching an online media network called, ‘Hmm... Did You Know’ that will offer full series, bonus content, and cannabis industry commercials! www.hmmdidyouknow.com On HDYK, each series will be divided into ten episodes of 4:20, with two 15 second cannabis industry graphic commercials placed per episode. The intention is to create an alliance and education globally while taking the cannabis industry from virtually zero commercials to over 100, within 6 months professionally produced and placed in series “as seen on CBS”. Using the legacy of network television, AK Ventures intends to introduce cannabis as a beneficial plant to mainstream America. HDYK takes it global! Nurse Talk Hosts, RN Nurses Heather Manus and Nurse Juhlzie Monteiro, are leaders in the healthcare revolution, educating, and taking health back into their own hands after experiencing the Healing Powers of Cannabis first hand! “Nurse Talk” seeks to educate, inspire, and empower the masses through the healing power of Medical Cannabis. We will learn how cannabis works with our bodies, our endocannabinoid system, our cannabis receptors and the many mis-conceptions. Through interviews, exploration, product reviews and more we will learn from professional healthcare Nurses through their Patient and Professional POV’s. Fifth Quarter Marvin Washington, former NFL Superbowl Champion and staunch advocate for Cannabis takes on a tour of the Cannabis Industry, plant, and many components of the effect on athletes. Featuring Dispensaries, Labs, and Cannabis Businesses in an ESPN style series we will have interviews and discussions on the applications of cannabis in the treatment of athletic injuries and the many issues NFL Players experience. 420MEDIA was founded in 2014 specifically for the cannabis industry to showcase their brands and products through high end digital content, integrated marketing, advertising, PR and websites. www.420MEDIA.us

November/December 2016 CANNABISNURSESMAGAZINE.COM

ABOUT THE SERIES

Boo Williams, Nurse Heather Manus, and Juhlzie Monteiro, Marvin Washington, and Kerri Accardi

â&#x20AC;&#x153;The Healing Power of Knowledge" is a modern television variety show with a strong focus on information and educating viewers on the cannabis industry as a whole. The show will focus on topical discussions, interviews, product reviews, sports medicine, journalistic and political pieces about cannabis. Cannabis Nurses Heather Manus and Juhlzie Monteiro talk with military Veterans, Roger Martin and Michael Kravitz, about using cannabis to treat PTSD.

10.16 V2.2

Heather and Juhlzie share their educational conversation with the CannaMoms; a group dedicated to

raising awareness about the benefits of cannabis medicine for critically or chronically ill, medically-complex, and special needs children. The audience is introduced to the emotional story of 15- year old medical refugee and Crohnâ&#x20AC;&#x2122;s survivor / thriver, Coltyn Turner, and his family. Cannabis advocate and former NFL Star Marvin Washington tours a medical dispensary and shares his passionate belief that it is "time for cannabis to be looked at as a solution, not a problem."

Celebrity and athlete appearances are also in store as cannabis-savvy public figures stop by to show their support for cannabis education.

:30

30 minute episodes will premiere during primetime on Saturday evenings, with ten promotional spots airing the week leading up to each broadcast.

AK Ventures is producing each program and all promos independent of CBS. All programming will be vetted according to FCC regulations and CBS program guidelines.

is the plant that every Cannabis consumer thinks they know. It’s the closely related species of Cannabis that can’t get you high, but makes stronger, longer lasting clothes than any other fiber (without the need for extensive pesticide use, like with cotton) and provides a host of other planet-saving uses such as renewable fuel. California’s Proposition 19 would legalize all forms of Cannabis plants, and technically that includes hemp (although a 25 square foot garden of hemp isn’t much of a hemp farm). However, Prop 19 does suggest amendments to include industrial hemp later and legalization of both hemp and pot is immanent in California, regardless of Prop 19’s outcome. As the Cannabis movement expands from a rolling snowball into a full-blown avalanche of momentum, Cannabis legalization is going to show up in every election from now until it’s a reality. Industrial hemp bills gain support each year in California, despite Governor Schwarzenegger’s constant veto. With the topic of Cannabis legalization on everyone’s lips, marijuana enthusiasts everywhere are wondering - What will a legalized (or largely decriminalized/regulated) hemp and cannabis market look like? How will the dominoes fall? What does it mean for the consumer? While many imagine pot-bars and pre-rolled packs of joints sporting corporate logos, there’s a crucial bit of horticultural information that the Cannabis Movement is overlooking. If industrial hemp varieties of Cannabis are grown anywhere near outdoor marijuana crops, the marijuana crops would be essentially destroyed by an invisible but potent force of nature: pollen. While indoor production of marijuana has been on a dramatic rise for the last decade (especially the last 5 years), outdoor marijuana still accounts for the majority of overall annual production. Ironically, one of the major reasons that growing seedless pot, or “sinsemilla” (Spanish for “without seed”) outdoors is even possible is due to the current prohibition on hemp, which would otherwise pollinate nearby marijuana

November/December 2016 CANNABISNURSESMAGAZINE.COM

order to understand this ironic problem, we need to once again go back to the board and look at some Cannabis Botany. Plants are scientifically defined and named according to their genus and species names. Cannabis is the “genus” name of the plant in question and the “species” names include familiar titles like sativa and indica – i.e., Cannabis sativa, Cannabis indica, etc. Hemp is technically defined as a subtype of sativa, but many consider Cannabis hemp to be quite separate from other sativa plants, mainly due to the total lack of THC, the primary psychoactive compound. Industrial hemp varieties produce less than 0.3% THC while medicinal varieties have 10-20+% THC. However, most of the time when botanical taxonomists define plant species; they do so based on whether or not a plant can interbreed with other closely related plants. In other words, plants typically defined as a species can only mate with other plants in that species. But Cannabis sativa, Cannabis indica and Cannabis hemp can all cross-pollinate and produce hybrid seeds with each other. This is why many Cannabis botanists actually consider Cannabis to be the name of the species, with other names like sativa and indica designating sub-species or varieties. Ok, so all Cannabis plants, hemp and pot both, can breed together - what’s the big deal? Hold on for one more bit of botany and it’ll become clearer. Despite the similarities between pot and hemp as far as cross-pollination is concerned, the THC producing varieties of Cannabis (sativa and indica) are also quite different from hemp in one very important trait. Sativas and indicas grow into separate male or female plants (the botanical term for this is dioecious). Producers of medical marijuana grow only the female plants because those flowers, when unfertilized, swell up with psychoactive resin instead of non-psychoactive seeds. Growing female

marijuana flowers exclusively is easy because the flowers are on separate plants. Hemp plants, on the other hand, are “monecious”, which means that they produce male and female flowers on every stalk. Because male flowers cannot be removed from the crop, massive amounts of pollen are released into the air and can be carried by the wind for many miles. If pollen from these monecious fiber varieties of hemp lands on a crop of female marijuana plants, the marijuana plants will immediately lose potency and value because the flowers that should be filling with potent resin are filling up with non-psychoactive seeds instead.

conditions will destroy pollen immediately, so seasonal factors will greatly affect the issue and how quickly the drift occurs. Geographically protected mountain gardens far from hemp fields may never see this effect if the prevailing winds come from hemp free areas. For other areas, Cervantes suggests planting as late as August outdoors, after the hemp crops have finished flowering, but this would undoubtedly also reduce the potential yield from such outdoor gardens. June and July would be filled with pollen in the air, but are also usually filled with sunshine and currently supply a great deal of energy and crop size to outdoor gardens.

In a 1998 article titled Hemp and Marijuana: Myths and Realities, David West, Ph.D. points out: “Hemp fields, in fact, could be a deterrent to marijuana growers. A strong case can be made that the best way to reduce the THC level of marijuana grown outdoors would be to grow industrial hemp near it. An experiment in Russia found that hemp pollen could travel 12 kilometers. This would mean that a hemp field would create a zone with a 12-kilometer radius within which no marijuana grower would want to establish a crop.” 12 kilometers is about 7.5 miles. Noted Cannabis author Jorge Cervantes also points out that pollen from the mountains of Morocco can travel across the Mediterranean Sea to Spain onto crops intended to be seed-free (The straight of Gibraltar is about 9 miles wide at it’s narrowest, indicating an effective pollen range of well over 10 miles). Cervantes claims that pollen can drift up to hundreds of miles under dry conditions.

Hopefully, an increased awareness of this issue can help the Cannabis movement make the best decisions as we move toward legalization. Local municipalities traditionally used for outdoor marijuana production can perhaps regulate where hemp is grown and choose sites that keep pollen out of the main prevailing winds. Hemp crops grown strictly for fiber can be harvested before flowering while crops grown for seed could perhaps be grown in less populated areas. As we get closer to legalization, outdoor pot grows will become more common and the first few years after legalization will undoubtedly come with an influx of outdoor production. However, the influence of industrial hemp will show up at some point and it’ll be the “Pandora’s Box” of the Cannabis world. Given a long enough timeline, hemp will escape and seed itself everywhere, just as it did in Kentucky and other states where it still grows wild after more than 6 decades of eradication efforts. Despite the hundreds of millions of dollars spent annually to eradicate wild hemp, it still flourishes across much of the Midwest. More than any other type of Cannabis, hemp highlights the idea of eradication as preposterously foolish. Its durability and adaptability makes the task of getting rid of it impossible. But that’s also the way nature designed it and one of the many reasons why it’s such a valuable crop resource.

So, let’s say conservatively that hemp can pollinate other outdoor cannabis crops at a 7 – 10 mile range with enough influence to essentially ruin crops intended to be seedless. If that’s our radius, then hemp crops can create a 20 mile wide circle around them where cultivated marijuana would become seeded. Seeds produced by the union of hemp and medicinal forms of Cannabis would not only displace THC in the pollinated plants, they would produce a resulting generation of offspring that could self-seed and later, produce pollen of their own. With a viable range of 10 miles in all directions, it’s easy to see how just a few seasons worth of pollen drift could create self-seeding hemp plants in many of the same areas where marijuana is currently grown outdoors. Perhaps hemp fields wouldn’t immediately pollinate large outdoor grows a hundred miles away, but after a few seasons of pollen spreading, self seeding plants would pop up in remote guerilla grows all over the place. Remote grows ruined by seeds would more than likely be abandoned as it would not be worth the risk to haul out worthless plants. Those seeds will likely start again next season as hemp and its pollen would continue to spread beyond the boundaries of industrial cultivation each year. So, if you grow outdoors and you live at least 10 miles from the next nearest marijuana garden or hemp field, you may be alright. But since everyone in California is within 10 miles of an outdoor marijuana garden (and everyone in the famed Emerald Triangle is within about 10 feet of an outdoor marijuana garden), it won’t take long for pollen drift to impact the areas that produce the most outdoor pot each year if hemp is also planted. Some hemp producers that grow strictly for fiber harvest the plants before flowering, eliminating much of the pollen. Still, those same fiber crops traditionally need to have a portion of the crop left standing to produce seed for the following season. Even a small portion of a hemp field left to seed could produce enough pollen to frustrate outdoor growers miles away. Any hemp crop grown for seed would have to flower and inevitably would produce vast amounts of pollen in the process. In fact, there are few plants on earth that produce as much pollen as Cannabis and people with pollen allergies will want to stock up on allergy medicine if industrial hemp is to be grown in your area. The real question is not whether or not hemp will impact outdoor marijuana in a post legalization world, but rather how much impact it will have and how quickly it will occur. Pollen remains viable over great time and distance if kept dry, but wet

As for outdoor marijuana production, well, it’s gonna take a hit at some point. How much and when will depend on many factors. As the methods and supplies for controlled environment growing become more efficient, cheaper and more widely available, more growers will turn to controlled environments – grow rooms and greenhouses where the air can be filtered not only for pollen, but mold and mildew spores as well, which is a good thing. Of course, it’s very convenient to simply plant outdoors and let nature do her thing, but greenhouse grown sinsemilla will always be superior to pot that didn’t come from a controlled environment. So perhaps the silver lining to this will be an influx of cleaner, high quality greenhouse bud in the long run. Let’s not forget that the super potent hybrid varieties of marijuana that exist today are the direct result of prohibition. In countries where Cannabis is grown for hash, little work is done to improve the genetics of the plants. I mean, who cares about a few points worth of THC one way or the other when you’re just gonna turn the whole acre into hash anyway. But as prohibition attempted to eradicate pot in the US, grower ingenuity and resourcefulness teamed up with some Dutch breeding and – voila! – We now have plants that push the upper limits of how much THC marijuana can hold. We can grow more and stronger medicine in smaller spaces than ever before. Plus, we also now have strains in every flavor under the sun from chocolate to pineapple to artificial grape flavor (how does nature even know how to make the smell “artificial grape flavor”, anyhow?). So keep that chin up – hemp is a good thing. So are greenhouses and I think those looking to position themselves according to future trends would be wise to invest in a greenhouse with air filtration anyhow. There may be a few seasons worth of extensive outdoor production in a post-legalization setting, but sooner or later, hemp will do what it does best and we’ll just have to take our cue from the plant and learn to adapt to our new, post legalization environment.

Remember – that which doesn’t kill us only makes our medicine stronger. Noveber/December 2016 CANNABISNURSESMAGAZINE.COM

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Resources

Recommended Books

Marijuana - Gateway To Health : Clint Werner

This timely book delves into the ongoing quagmire between the scientific community and the federal government concerning the medicinal properties of marijuana. While the Feds continue to insist that marijuana has no accepted medical value and is too dangerous to use, this ignorant statement blatantly contradicts the results of many promising studies. Author Clint Werner has examined the current research, and summarized it in "Marijuana: Gateway to Health."

Medical Cannabis Primer For Healthcare Professionals by:Bultman & Kingsley

Medical Cannabis Primer is the most scientific, fact-based medical cannabis text for physicians and healthcare providers to date. This first edition will be the first of many and it has already become the healthcare standard text on this topic. Vireo Health LLC is the leader in true science- and medicine-based cannabis derived pharmaceutical educational products and strives to provide quality, even-handed education materials for patients, the public, and healthcare providers. Our core team of physicians and scientists is reforming the defunct medical cannabis industry.

November/December 2016 CANNABISNURSESMAGAZINE.COM

The Cannabis Health Index: Combining the Science of Medical Marijuana with Mindfulness Techniques To Heal 100 Chronic Symptoms and Diseases This comprehensive sourcebook combines evidence-based insights from more than 1,000 studies from cannabinoid and consciousness research to present a convincing case for the powerful healing effects of medical marijuana on over 100 chronic symptoms and diseases.

Cannabis Pharmacy: The Practical Guide to Medical Marijuana The most comprehensive, easy-to-use book available on understanding and using medical marijuana. Revised and updated with the latest information on varietals, delivery and dosing, and treatable conditions.

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Apps for Health-Care Professionals Smartphone apps and web-based tools are increasingly important resources for health-care practitioners. Check out these great tools and put a wealth of health-care information in your pocket.

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A browse-able and searchable app that provides short descriptions of more than 1,700 obscure medical eponyms. http://goo.gl/BKP0H

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Keep over 300 outstanding anatomical flash cards on your device. This app enables you to carry the popular Atlas of Human Anatomy (4th edition) and its detailed anatomical illustrations on your phone or tablet. http://goo.gl/jr9Th

This app provides up-to-date drug information on your device, including contraindications, nursing considerations, patient teaching and integration of the nursing process. http://goo.gl/em9E1

03 MANAGEMENT GUIDELINES FOR NUSING PRACTITIONERS WORKING WITH ADULTS The app is a best-practice guide for health-care professionals who work with adult patients. Other apps in the series provide guidelines for working specifically with women, with children, with older adults or in family practices. http://goo.gl/o2hC6

04 JOURNAL WATCH This tool from the Massachusetts Medical Society notifies you about new papers published on topics of your choice. http://goo.gl/dxbrd

05 3M PREP This app provides a detailed rationale for selecting surgical prep solutions. You can view how to correctly apply solutions while listening to a detailed set of instructions. http://goo.gl/QGwsY

November/December 2016 CANNABISNURSESMAGAZINE.COM

08 CNOR EXAM PREP The Competency and Credentialing Institute, the governing body of the Certified Nurse Operating Room (CNOR) credentialing program, has created the CNOR exam prep app to help perioperative nurses prepare for the CNOR exam. The app helps individuals assess their exam readiness and develop critical thinking skills; it also provides tips for success, reviews knowledge related to the CNOR exam and can enhance test-taking confidence. http://goo.gl/n1DMo

09 EPOCRATES Rx The app includes a drug guide, formulary information and a drug interaction checker. This product also includes continual, free updates and medical news. Additionally, the app works on your device when you are offline, so you can look up information without a wireless connection. http://goo.gl/fqchG

10 MACEWAN LIB The MacEwan University Library app simplifies searches for books and articles. It allows you to place a hold on library catalogue items, renew items, download full-text resources and perform many other tasks. http://goo.gl/YAUQe

Nursing Conferences

2016/2017

Come meet the National Cannabis Nurses at these future Events!

November 2016 Conferences

Take Note

Marijuana for Medical Professionals - National Cannabis Nurse Lectures CME Certified Conference on Canabis Medicine November 14th - 16th, 2016 | Denver, CO http://www.marijuanaformedicalprofessionals.com

Marijuana Business Conference & Expo November 16th - 18th, 2016 | Las Vegas, NV https://mjbizconference.com

December 2016 Conferences The Emerald Cup - National Cannabis Nurse Lectures December 10th & 11th, 2016 | Sonoma County Fairgrounds, CA http://theemeraldcup.com/faqs

January 2017 Conferences *Winter Recess *

Future 2017 Conferences 1st Annual Institute of Cannabis Research Conference - National Cannabis Nurse Lectures April 28th- 30th, 2017 | Pueblo, CO http://www.csupueblo.edu/ICR/2017

11th National Clinical Conference on Cannabis Therapeutics Patients Out of Time ~ Cannabis: Protecting Patients and Reducing Harm May 18th - 20th, 2017 | Berkley, CA

http://www.medicalcannabis.com/2017-national-clinical-conference-on-cannabis-therapeutics/

If you know of other Conferences available that are based on Cannabis Therapeutics that you wish to be listed in future issues please email us at: editor@cannabisnursesmagazine.com Noveber/December 2016 CANNABISNURSESMAGAZINE.COM

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