Ounce Oklahoma March April 2019 by Ounce Magazine

MULTIPURPOSE MGZ

OunceMag.com MARCH/APRIL 2019

Right now, Oklahoma is reg- sales. I talk with business owners istering thousands of new medi- every day who tell me their busical cannabis patients each week. ness was saved thanks to their America is watching as Oklahoma role in supporting the cannabis quickly becomes an epicenter for industry. healing. A budding new industry is beginning to sprout.

Oklahoma has a bright future and more education on the way.

The opportunity for growth Please share this magazine with expands beyond safe patient your friends, family, doctor, or access and industry license hold- legislator. Letâ&#x20AC;&#x2122;s spark the converers. Supporting businesses have sation! been busy creating the infragenerating millions in monthly

heartlandcannabislawyers.com

CO-FOUNDERS Corey Hunt Courtney Boze Shannon Anderson ADVERTISING Derrick Bryant (918) 303-2552

structure to support an industry

Erika Ross Gee egee@wlj.com 501.212.1305

CONTRIBUTORS Joe D. Goldstrich, MD, FACC Pepper Hernandez ND, PhD, CNHP David Bearman, MD Marcie Cooper MSN, RN, AHN-BC Erika Gee, Esq Rachel Bussett, Esq Shannon Taylor, CPA Ron Marlett Kara McCurry LPN Teresa Grossnicklaus Ruthie Deadmond Michelle Sullivan Krysta Wesselman

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A Nation Watches as Oklahoma Gets It Right.

For 119 years weâ&#x20AC;&#x2122;ve helped clients prepare for growth, so when it comes to cannabis we know what to expect. Our multi-disciplinary team of attorneys, led by Erika

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CONTENTS 7

THE LATEST RESEARCH: CANNABIS & CANCER

THE NERVOUS SYSTEM & THE CANNABIS CONNECTION

FIRST TIME MEDICATING WITH CANNABIS?

A FEW GOOD TERPENES

IN IT FOR THE LONG HAUL

WHAT’S IN MY WATER?

NEW OBNDD RULES: IS IT TIME TO PANIC?

I’M STILL STANDING [FEATURE]

WHAT’S THE DEAL WITH CANNABIS BANKING?

MARK YOUR CALENDARS: CANNACON OKC

SHINING THROUGH THE PAIN

OVERCOMING TRAUMA WITH CANNABIS

RUTHIE’S RIGHTEOUS RANT

GET LEGAL IN OKLAHOMA!

ASK DR. DAVE

TERPENE OF THE MONTH: LINALOOL

Ounce is the first magazine in Oklahoma to focus on medical cannabis patients, industry, and legislation. Printed in full color and delivered old school. Distributed in retail shops, medical clinics, and events throughout the state. For advertising information please visit www.ouncemag.com. The contents of this magazine, such as text, graphics, images, articles, and other material contained within the magazine (“Content”) are for informational purposes only and do not constitute medical advice; the Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read within this magazine. In the event of a medical emergency, call a doctor or 911 immediately. The articles contained in the magazine are the opinions of the author.

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THE LATEST RESEARCH:

CANCER & CANNABIS 6

OunceMag.com MARCH/APRIL 2019

n 2012, after a long career as a nutritional and preventive cardiologist, I began working with patients who wanted to use cannabis as medicine. Over the next two years, I worked with over 3000 patients, helping them to use cannabis for everything from migraine headaches to Crohn’s disease. I did see a few cancer patients and most only wanted to use cannabis to relieve symptoms of their chemotherapy. In 2014 a patient with liver cancer asked if cannabis might be used as the primary treatment for his cancer. I had seen a few articles in the medical literature describing the use of cannabis in preclinical studies; studies using animals or using cannabis to kill cancer cells growing in a petri dish, but I couldn’t honestly answer the patient’s question because I had no experience in this area. I suggested he use an extract in a syringe that was available at a local dispensary in California. Later in 2014, while attending a medical cannabis conference for medical professionals in Denver, I saw x-rays of two patients with brain cancer who had used cannabis to treat their brain tumor and the tumor had definitely gotten smaller under the influence of the cannabis. From that point forward, I knew that my medical mission in life was to learn how to help patients use cannabis to treat their cancer. I will be forever grateful to the presenter at the Denver conference, Mara Gordon, for teaching me what she knew about using cannabis as an anticancer agent. Since that time, I have worked with about 400 patients who wanted to use cannabis as part of their anticancer treatment. Cannabis can be used with chemotherapy if accommodations are made for drug metabolism. When searching for cannabis research, I create Google Scholar alerts, so anything published in the medical literature on the use of cannabis to treat cancer comes to my inbox. I’ve learned a lot and have refined the therapeutic protocol considerably since 2014.

In October 2018 I was invited to present at the very same conference in Denver that got me started on this journey. I was asked to share what I had learned about using cannabis to treat cancer. What follows are those findings in a condensed form.

BACKGROUND The cannabis plant contains over 500 compounds. The latest research has identified at least 144 unique cannabinoids, over 200 terpenoids (the compounds that give the plant its aroma) and other com-

binds to this receptor, a series of events is often initiated that leads to cancer cell death. However, researchers from Spain and Israel have shown that when THC is accompanied by other compounds in a full plant extract, cancer cell death more likely and the is enhanced. THC (and CBD) can also stimulate the cancer cells to oxidize themselves. For this reason, I do not recommend the use of antioxidants when cannabis is being used for anticancer therapy. THC also helps shut off the blood supply to the tumor, stunt tumor growth and prevent metastases.

CBD Strain is a term used to describe bacteria and viruses but is not applicable to the plant kingdom. The proper term to describe varieties of cannabis is Chemovar. For example, you wouldn’t go to the grocery store and ask which strain of lettuce, iceberg or romaine, would be best for your salad tonight. ” —JOE D. GOLDSTRICH, MD, FACC

pounds called flavonoids and polyphenols. Working together, as an ensemble or entourage, these compounds can cause cancer cell death.

THC Tetrahydrocannabinol (THC) is the main cannabinoid responsible for inducing cancer cell death (apoptosis). Cancer cells almost always have a cannabinoid receptor on their surface and when THC

Some tumors are more responsive to cannabidiol (CBD) than others. There is a gene called ID-1 that is prevalent in very young children. This gene simulates cell and tissue growth. As children get older, the activity of this gene declines. Certain tumors reactivate this gene and when reactivated, it can contribute to cancer cell growth and metastasis. CBD can help inactivate ID-1. In addition, CBD can directly kill cancer cells through several mechanisms unrelated to the receptors that bind THC.

BEST STRAIN* (CHEMOVAR) Each cannabis chemovar (the preferred term to replace the word strain*) has a different chemical makeup or entourage/ ensemble. If all the compounds needed to support THC and CBD are not available, the cancer-killing capacity of the extract may not be fully powered. Some of these essential cannabinoids don’t even have a name yet. In an attempt to include all of the cancer killing compounds necessary, some physicians have begun recommending combining extracts from several different cannabis chemovars to enhance the anticancer treatment.

RAW CANNABINOIDS The unheated cannabis plant does not contain THC or CBD. It contains the acidic

OunceMag.com MARCH/APRIL 2019

forms, THCA and CBDA. These acidic compounds are converted to THC and CBD when heated. These acidic compounds work differently in the body. THCA does not bind to the cannabinoid receptor on the tumor cell. CBDA does not deactivate ID-1. However, THCA and CBDA have anticancer activity via different mechanisms. There is still much research to be done but it appears that THCA may be more potent than THC when treating prostate cancer and CBDA may be as important as CBD when treating breast cancer. In addition, CBGA, (and CBG) also found in the raw plant, may also have anticancer activity. Adding raw cannabinoids to the anticancer protocol may be helpful for certain tumor types (the prostate, breast, etc.).

SOLVENTS There are a number of solvents that can be used to extract the cannabinoids from the cannabis plant. Ethyl alcohol, car-

bon dioxide, butane, and other solvents have been used. Each solvent has different chemical properties and will extract different compounds from the plant. Because we donâ&#x20AC;&#x2122;t yet know which specific compounds are needed in the entourage/ensemble to cause the highest possible cancer killing, some physicians are suggesting that patients combine medicine extracted from more than one solvent. Cannabis oncology is an evolving and emerging specialty that will become more and more effective as we are able to compile the results of multiple clinical trials that sadly have not yet even been started. *Strain is a term used to describe bacteria and viruses but is not applicable to the plant kingdom. The proper term to describe varieties of cannabis is Chemovar. For example, you wouldnâ&#x20AC;&#x2122;t go to the grocery store and ask which strain of lettuce, iceberg or romaine, would be best for your salad tonight.

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ABOUT THE AUTHOR Joe D. Goldstrich, MD, FACC is a retired cardiologist with a focus on nutrition. Currently, Dr. Joe is a cannabis clinician and spends most of his days researching the medical science of cannabis.

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The Nervous System & the Cannabis Connection BY DR. PEPPER HERNANDEZ, ND, PHD, CNHP, NHC

eurons in the brain communicate via electrical impulses and neurotransmitters. The nervous system is a complex collection of nerves and specialized cells known as neurons that transmit signals between different parts of the body. The nervous system is comprised of mainly two parts: the peripheral nervous system, which includes the nerves and ganglia on the outside of the brain and spinal cord, and then the central nervous system, which includes the brain, cranial nerves, and spinal cord. Cannabinoids have been proven in studies and much research to prevent the degeneration of the nervous system in several ways. The damage that leads to or causes central nervous system disorders can include trauma, massive amounts of stress, infections, degeneration, congenital problems, structural defects, tumors, blood flow disruption, and/ or autoimmune disorders. Which there are many supplements, foods, and meditations that can help along with CBD to balance the nervous system. The central nervous system disorders are a broad category of conditions or diseases that affect the spinal cord or brain. There are many different types of central nervous system disorders, some of which include: seizure disorders (which I am very familiar with), cancer, inflammatory diseases, arthritis, schizophrenia (and other mental disorders), depression and/ or neuropathy. While central nervous system disorders can vary greatly from each other, all the disorders cause a

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loss of sufficient, intact nervous system circuits that orchestrate particular functions in the body. Symptoms that are usually associated with central nervous system disorders vary depending on the specific condition, but can include everything and anything from headaches, stress, fatigue, tingling or loss of feeling, muscle weakness, loss of sight or double or blurred vision, memory loss, impaired mental ability, lack or coordination, tremors and or back pain. The human body has a fatty acid called amide hydroxylase (FAAH) which is an enzyme that breaks down the neurotransmitter, anandamide in cannabis, which is associated with the neural generation of motivation and pleasure. CBD suppresses the effect of FAAH in the body, creating higher levels of anandamide, which in turn naturally binds to Cannabinoid type 1 receptors (known as CB1), which are concentrated in our central nervous systems. The cannabis plant contains at least 85 types of cannabinoids, including CBD and THC. Which means that overall this helps calm the nervous system and help it find balance. CBD successfully stimulates the release of 2-AG, an endocannabinoid that stimulates both CB1 and Cannabinoid receptor type 2 (known as CB2). These receptors play a key role in regulating mood, memory, appetite, sleep, and reduction of inflammation within the human body. For this reason, topical treatments of CBD can help reduce brain inflammation associated with autoimmune disorders,

and which may lead to damage of the neurons’ fatty covering. Reducing inflammation in the brain may also be used to treat neuropathic pain, which is caused by damage to the somatosensory nervous system. Studies have shown that cannabis has neuroprotective effects and supports the health of the brain and spinal cord which of course then helps in the treatment of a variety of central nervous system disorders. The cannabinoids found in cannabis, including cannabidiol (CBD) and tetrahydrocannabinol (THC), have shown they effectively protect neurons and astrocytes from damage, modulate inflammatory reaction and assist in neuroregeneration. Cannabis based CBD like THC is one of the major cannabinoids found in cannabis, though unlike THC it has no psychoactive properties. So it is perfect for those who have a life that involves pure focus, like mine. CBD binds to the cannabinoid type one receptor in the brain so CBD doesn’t create any of the known “altered” like effects associated with THC use. A dosage of 20-40 mg of Cannabis based CBD has also been used to successfully treat my anxiety and nervous system disorders. Please check with your health care provider to see what may work for you. All information in this article is for educational purposes only. Please check with your educated primary health care physician, naturopath or cannabis therapy consultant before beginning any new diet or lifestyle change. Also remember not all CBD is equal. Only

Dr. Pepp er of natura explaining the joys l medic ine.

purchase CBD from the actual cannabis plant and flower. Not powdered industrial hemp, unless you live in a non-legal state. Lets get to repairing the nervous system. Here are some foods that can help as well. It is recommended to consume foods rich in magnesium daily to work with the central nervous. Foods such as these are high in magnesium: Cocoa: Dark chocolate has almost 500 mg of magnesium per 3.5 ounces. Green leafy vegetables: Swiss chard, kale, green-leaf lettuce, spinach Fruit: Banana, apricot, avocado, melon, plum Nuts: Almonds, cashews, hazelnuts, walnuts Legumes: Peas, lentils, tempeh Cereal: Brown rice, millet, oats Seeds: Pumplin, sesame

Potatoes: Red, vfingerlings, purple peruvian Pumpkin: Winter squash, buttercup Bone Broth: Turkey (has the highest amount of tryptophan) Other medicinal plants have relaxant effects on the nervous system and can help along with cannabis. Try mixing them in with your CBD concentrate or tea blend at night. Here are a few: Lemon balm Ginkgo biloba Hypericum Basil Lavender Passionflower Cognition, which simply means mental functioningâ&#x20AC;&#x201D;concentration, decision making, problem solving abilities, reasoning and learning is extremely important, obviously. So Here are the top

10 food for brain and nervous system health that are known to help with cognition: Spinach Dark green leafy vegetables Whole grains Cocoa Nuts Garlic Olive oil Red wine Green Tea Omega 3 fatty acids Blueberrries ABOUT THE AUTHOR Dr. Pepper Hernandez is a Naturopathic Nutritionist, Cannabis Therapy Consultant & Holistic Health Consultant

OunceMag.com MARCH/APRIL 2019

First time medicating with Cannabis? BY KARA McCURRY, LPN

s cannabis awareness grows in Oklahoma, hesitation and uncertainty linger across a population that is conscious of its medicinal benefits, while remaining fearful of the unknown caused by decades of stigmas. Patients are coming out of the shadows and into the light at record speed. As of writing this, there are over 45,000 patients that have applied for an Oklahoma medical cannabis card. Licensed patients have educated themselves and invested in the decision to medicate with cannabis in place of pharmaceutical medications. Patients are reporting: “I feel safer medicating with cannabis.” “The side effects aren’t near as bad.” “I know the medications do long term damage to my organs.” “It works better than Gabapentin and narcotics.” Just as there are benefits, there are risks and concerns, as with any other medication or herbal supplement, there are also risks and precautions that should be taken when medicating with cannabis as well. Overall, cannabis has been proven to help calm nerves and alleviate stress as well as reduce blood pressure and protect organs from damage caused by stress. As patients play double dutch with the idea of switching to “the devil’s lettuce” they sift through the years of misinformation and rhetoric

that masked the true identity of the plant otherwise known as cannabis. Some are still under the impression that cannabis makes people, “act all wild and crazy!”. Misinformation such as this spreads fear based on assumption and not facts. Patients who are on the fence are advised to get educated and seek out resources online. Suitable Google search terms for beginners to research: endocannabinoid system, cannabinoids, cannabis terpenes, cannabis cultivars, cannabis route options, and cannabis effects. Patients are advised to discuss interactions with medications and or reducing or stopping medications with your physician. Patients have expressed apprehension of physician’s refusing services because of

the uncertainty and contraindications with cannabis and other medications. First expectations and fears can be alleviated by setting aside a specific time when there isn’t anything pressing to be done, in a relaxed and peaceful environment, so that you can be aware of the experience and how it affects your body. This should be practiced with each new experience of different “strains”, or cultivars, and routes until you are familiar and can manage daily activities without fear of appearing high or mishaps attributed to cannabis use. Listen to your body and start off in small doses. Edibles and topicals can provide longer duration of relief while inhalation and sublingual routes provide a quicker onset. Incorporating vitamin B6 into the regimen and balancing diet with cannabis medicating schedules can also increase the desired effects of your regimen. First-time patients are encouraged to seek out a mentor and or professional for guidance and always fact check any advice or suggestions on your treatment.

ABOUT THE AUTHOR: Kara McCurry is a licensed practical nurse in Oklahoma. She is a medical cannabis patient, advocate, and educator.

When starting with cannabis, be sure to go “low and slow”—especially with edibles or sublinguals.

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IN THE KNOW!

A Few Good Terpenes JOE D. GOLDSTRICH, MD, FACC

he cannabis plant is loaded

This information should be taken with a

is best known for its ability to inspire cre-

with unique and useful chemi-

grain of black pepper because the desig-

ativity and prevent memory loss associ-

cal

haven’t

nated names of various cannabis chem-

ated with THC use. Chemovars thought to

even scratched the surface on all the

ovars may vary from region to region and

be high and alpha-pinene are Jack Herer,

potential benefits available from this

their genetics are not always found to be

OG Kush, Romulan, Bubba Kush, Island

miraculous plant. Along with at least 144

consistent.

Sweet Skunk, Trainwreck, Strawberry

compounds.

cannabinoids, over 200 terpenes have been identified so far. When dimethyl-

PINENE

allyl pyrophosphate (DMAPP) combines

There are two forms of pinene, alpha,

with isopentenyl pyrophosphate (IPP)

and beta. Alpha-pinene is the most preva-

and catalyzed by GPP synthase, geranyl

lent terpene of all the terpenes in nature.

pyrophosphate (GPP) is formed and GPP

Both forms are found in cannabis. Alpha-

gives rise to all the terpenes and all the

pinene, the fragrance of pine needles and

cannabinoids found in the plant! Other

turpentine, is also found in Rosemary.

genetics in the plant determine which

Beta-pinene, also found in pine needles

cannabinoids and which terpenes will be

is found in cumin and frequently accom-

created in any individual chemovar. What

panies its better-known sibling. Beta-

an amazing gift from mother nature! And

pinene also has antibiotic and antineo-

you can relax now because the chemistry

plastic activity. Alpha-pinene is known

lesson is over.

to be a bronchodilator and may be the

Let’s look at a few of the individual

compound in cannabis that helps relieve

terpenes and learn about their special

asthmatic symptoms in some patients. It

attributes.

is also said to be anti-neoplastic, antibi-

In the sections below, I will also provide information on chemovars purported to be high in each of the designated terpenes.

otic and anti-inflammatory. Alpha-pinene

Cough, Blue Dream, and Chem D.

MYRCENE While alpha pinene is the most prevalent terpene in all of nature, myrcene, also called beta-myrcene, is the most prevalent terpene found in cannabis chemovars and is also found in hops, where it provides much of the hops perfume. Myrcene has powerful sedative effects and most people would agree that it is the terpene most highly responsible for the “couch-lock” effect. When using cannabis to help with sleep, it’s best to find chemovars high in myrcene (linalool, terpinolene, nerolidol, and phytol also have sedative effects) and low in alpha-pinene. That’s not always easy to do. I saw a recent analysis of several chemovars from central California and many of the plants with the highest amounts of myrcene also h a d

the highest amounts of alpha-pinene. One such chemovar was Purple Urkle, which usually does not help patients sleep. The cannabis chemovar which in my hands has been most helpful for my patients seeking relief from insomnia has been Afghani. It is purported to be high in myrcene. As a rule, the Kush and Purple varieties of cannabis seem to be the most useful for helping patients sleep.

LIMONENE Limonene is the perfume of citrus fruits and is found in their rind as well as in many cannabis varieties. Like alphapinene, it is an “upper” and has also been reported to help neutralize THC induced anxiety. It has antifungal, antibiotic, antiinflammatory and anti-neoplastic activity and many patients find it extremely useful for treating the symptoms of GERD (gastroesophageal reflux disease). The chemovars with “Lemon” in their name almost always have high limonene content. Hindu Kush, Cinex and GG #4 Are also rich in limonene.

BETA-CARYOPHYLLENE Beta-caryophyllene (BCP) is one of the most unique terpenes because it also functions as a cannabinoid in that it binds to the CB2 receptor, just like THC. To the best of my knowledge, no other terpene does this. And, since black pepper is loaded with BCP, you can activate the non-psychoactive CB2 cannabinoid receptor with black pepper on your food. BCP is anti-inflammatory and its action on the CB2 receptor may provide pain relief, especially when combined with THC and CBD. According to Ethan Russo, MD, “Basic experiments have demonstrated strong evidence for cardioprotective (heart), hepatoprotective (liver), gastroprotective (stomach), neuroprotective (nerve), nephroprotective (kidney), antioxidant, anti-inflammatory, antimicrobial (bacteria) and immunomodulator (immune) activities.” Many tumors, especially several types of breast cancer and tumors of the gastrointestinal tract express the CB2 receptor. Beta Caryophyllene could be an

adjunct in their treatment. Cultivars high in BCP include members of the Cookie and Kush Families as well as GG#4, Super Silver Haze and Skywalker.

Myrcene has powerful sedative effects… and is the terpene most highly responsible for the “couchlock” effect.” —Joe Goldstrich, MD, FACC

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THE BUSINESS OF CANNABIS

In It for the Long Haul BY SHANNON TAYLOR

n the cannabis industry, we hear IRC 280e continuously. Many owners know the history of this tax code, and that it is important but their understanding of it stops there. Cannabis accounting is by far the most complex matter in this industry. It is extremely important for those owners who are “in it for the long haul” to not neglect this crucial aspect of the business. First, let’s define what the Internal Revenue Code section 280E is and why it is important. This federal statute states that a business who participates in the trafficking of a Schedule I or II controlled substance is banned from taking any tax deductions or credits. The IRS added an exclusion to 280e in fear their tax code would be challenged as unconstitutional. This exclusion known as IRC 471, allows the deduction of the cost of goods sold with an extremely restricted definition of what can and cannot be included. According to the National Cannabis Industry Association, “280E specifically denies a deduction or credit for any expense in a business consisting of trafficking in illegal drugs “prohibited by Federal law or the law of any State in which such trade or business is conducted” which translates to only “Cost of Goods Sold” as the only deductible expenses. This means administrative costs, executive salaries, marketing and advertising, banking fees, etc., are non-deductible expenses for any cannabis business and subjects them to much higher taxes as most normal business deductions are prohibited. This challenge is one all cannabis businesses deal with and

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must be factored into financial modeling.” The truth behind this tax code is, cannabis business owners are taxed on the revenue they have used on required business expenses. Typically finding themselves being taxed at a 70% tax rate and sometimes higher. It would not be unreasonable to say that in some cases an owner may find they owe more taxes than their net profit. Therefore, cannabis accounting is extremely important in this industry. Hiring an accounting professional who knows what can and cannot be allocated to the cost of goods sold is the foundation of maximizing allocations and reducing tax liability. Let’s talk about a few key components. Cannabis accounting needs to follow GAAP or Generally Accepted Accounting Principles. Cannabis accounting also goes beyond simply purchasing accounting software. It consists of a specialized chart of accounts, cost accounting, absorption costing, documentation, strategy, and budgeting. If you’re a grower or processor you should know about Form 8300. While this form may seem like a tedious task, the penalties of not filing this form can be large and cause another financial burden. Cannabis accounting is typically not cheap. Many new business owners are tight on cash. I know firsthand how tight this cash flow can be. Not only because I have been a new business owner a few times but because I have worked with new business owners within my practice. However, this is the one area you do not want to neglect. Not attending to this extremely important area of a cannabis business will

eventually land you in hot water. If you think hiring an accounting professional is expensive, wait until you are audited and see the tax bill you’re handed. Speaking of audits, all cannabis companies need to be prepared to be audited. Cannabis itself is a red flag and will trigger an audit. During an audit, it becomes the owner’s responsibility to prove the IRS wrong. As a cannabis owner, you must ask yourself if you are confident enough to defend yourself. The reality of this depressing and frightening tax code is, it is here to stay and will apply to any cannabis business until cannabis is de-scheduled. It does not mean you cannot have an empire of a business. What it does mean is as a cannabis owner you need to seek help from a qualified accounting professional. When you do, be sure you find one who is following the key components mentioned previously.

ABOUT THE AUTHOR Shannon Taylor is an accountant who is currently pursuing her master degree in Forensic Accounting. She is a proud medical cannabis patient advocate and founder of Bella Donna Business Solutions located in Oklahoma City. Shannon may be reached at 405-633-0864

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NEW OBNDD RULES

IS IT TIME TO PANIC? BY ERIKA GEE, ESQ.

any of you are familiar with the new emergency rules issued by the Oklahoma Bureau of Narcotics and Dangerous Drugs (OBNDD), but there are a lot of questions in the industry about the requirements of these rules and how they apply to cannabis businesses. This article will cover some of the new changes and how they affect cannabis growers, processors and dispensaries. The full text of the new rules is accessible at: https://bit.ly/2NKmhQZ. First, a bit of context. The OBNDD rules make some cannabis-specific changes to the existing Controlled Drug Act and its regulations. Cannabis is, of course, regulated differently than controlled drugs distributed in hospital and pharmacy settings, so the existing laws didn’t really work for cannabis. In addition to that, State Question 788 included some specific requirements that are different from the way that OBNDD regulates other industries. These rules attempt to bridge those gaps and clarify which aspects of the laws apply to cannabis and which do not. The primary takeaway for business owners from the rules should be: formalize your security system and procedures. Many of you have alarm systems and locks in place, but may not have an overall system that will meet the new requirements. At a minimum, you should have the following in place for any operating cannabis business:

OunceMag.com MARCH/APRIL 2019

Monitored security system, including cameras on the exterior, storage areas, retail space, and grow space. If you use keyed entry, it’s a good practice to set different alarm codes for each employee. Self-closing, self-locking doors, with a

keyless entry system wherever possible. If you must use keys, make sure that only necessary employees have a key. With a keyless entry, set a different code for each employee/owner so that you can track access if necessary. Procedures to limit access to larger quantities of cannabis and cannabis products as much as possible. For example, in a dispensary, only designated employees should be able to access the product storage area. In a processing facility, any inErika Ross Gee egee@wlj.com 501.212.1305

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process products should be locked up and inaccessible with the exterior door keys/ codes after normal working hours. Your procedures should also cover visitors to your facility, with a log of non-employees and an escort policy for each visitor. If you have an outdoor grow facility or a greenhouse with transparent walls, you should have an 8 ft chain link or wooden fence that obscures the view of the growing area. You should also take note of the details added to existing OMMA rules for other requirements. The OBNDD rules require that cannabis must be transported in a locked container out of public view, and clearly labeled as “Medical Marijuana or Derivative.” In addition to OMMA’s rules on inventory tracking and reporting, the OBNDD rules now require the facilities to maintain those records for at least seven (7) years. ABOUT THE AUTHOR Erika Gee is the team leader of the For 119 years we’ve helped clients prepare for growth,

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AN INTERVIEW WITH DR. FARRAH AGUSTIN-BUNCH

r. Farrah Agustin-Bunch used to run abilities. The War on Drugs has always a very busy clinic north of the Fili- been international because of supply and pino capital city of Manila until late demand for all drugs is international. But last summer. In August 2018 Dr. Farrah’s in the last two years, the Philippines has clinic was raided at gunpoint by Filipino waged one of the bloodiest drug wars authorities and she was forced to shut down against its own people on the planet. the clinic. Dr. Farrah was forced to flee her Since taking office in 2016, President home country. Rodrigo Duterte has overseen the extrajuDr. Farrah’s patients sought her out to dicial execution (ie: state-sanctioned murtreat cancer and chronic disease, most after der) of over 5,000 Filipinos who dealt, postrying and failing sessed and/or used with traditional pharillegal drugs—or was maceutical options. simply accused of it. While we were Not only is Dr. FarFeeling it was no rah a trained medilonger safe in the passing through cal doctor, but she Philippines for her Oklahoma, we liked also grew up learnto practice natural what we saw ing about herbalism medicine, Dr. Farrah and natural mediand her family set and decided that cine from her father, out exploring the for our family, Antonio Agustin, United States to find Oklahoma is OK!” who had developed a new home and a line of herbal prodlanded in Oklahoma. —Dr. Farrah ucts that she has Today she is working since improved and with patients in the promoted in pracSooner State as well tice. The products as developing a line she developed were the linchpin of the of cannabis oils with local producer Cangovernment’s case against her. Tek Labs. She hopes that cannabis can bring Despite nationwide legislation promot- about a revolution in natural medicine and ing the use of traditional herbal medicines, care. specifically the Tradition and Alternative OUNCE MAGAZINE: How did you end up Medicine Act of 1997 (TAMA) which states choosing to live in Oklahoma? the goal of the Filipino government to DR. FARRAH: We needed to leave the “improve the quality and delivery of health Philippines quickly and decided our emercare services to the Filipino people through gency relocation would be to Austin, Texas the development of traditional and alterna- because my husband was familiar with tive health care and its integration into the the area, but a funny thing happened on national health care delivery system” the the way to Austin! While we were passing nation currently has a chaotic and bloody through Oklahoma, we liked what we saw approach to regulating both legal and illegal here and decided that for our family, Oklamedical substances. homa is OK! Just like in the United States and most OZ: How do you see cannabis changing of the modern world, the lack of propri- the way people look at their healthcare in etary ownership of medicinal plants found Oklahoma? in nature has led to international policies DF: One of the biggest healthcare issues discouraging their use or discrediting their regarding cannabis has been the long term CONT’D ON NEXT PAGE

OunceMag.com MARCH/APRIL 2019

and consistent denigration of cannabis by the media. It’s been a very effective public relations campaign to demonize one of the most useful and therapeutic plant varieties in the world for the benefit of pharmaceutical interests. Nowadays, we’re very fortunate to have a proliferation of accessible scientific data on the overwhelming evidence supporting cannabis and its considerable benefits. This has led many Oklahomans to a forward-thinking stance on the issues of cannabis as an integral part of an effective statewide healthcare system simply based on the evidence. This presents a genuine opportunity for Oklahoma to serve as an example for the future as a truly integrative healthcare system on a large scale. Natural, safe and scientifically proven therapeutics such as cannabis should always be considered as front-line treatment options. If we as doctors are truly giving informed consent to patients, then evidence-based medical decisions and treatment options for patients should highlight cannabis benefits instead of simply focusing upon pharmaceuticals, especially in the areas of pain management. According to the U.S. National Academies of Sciences, Engineering & Medicine, cannabis is a better and safer way to treat pain. “The committee found evidence to support that patients who were treated with cannabis or cannabinoids were more likely to experience a significant reduction in pain symptoms.” When medical interventions are guided by marketing and dogmatic beliefs instead of solid scientific data, then health science policy has gotten ahead of actual health science. That is the state of modern medicine we find ourselves in. OZ: You advertise, “I believe that everyone has the right to visit with a world-class medical doctor without paying anything at all. That’s why every check-up, consult, exam, and visit with our doctors is ALWAYS 100 percent free. No one is ever required to spend a single peso [Filipino currency] here. My concern is patient outcomes, not income. God has given me healing knowledge, and I am compelled to share it with my patients because I love them all.” Why is this an important part of what you do? DR. FARRAH: I’ve always felt that my focus needed to be on my patient outcomes instead of my patient income. Most of what I prescribed in the Philippines were natural, evidencebased medicinal plants that people could source themselves for little or no money at all. I never wanted a lack of money to keep people from visiting a doctor, so I decided when I became a doctor that I wouldn’t charge “professional fees” of any kind. Many people avoid doctors because they’re more afraid of the cost of the doctor visit than they are of the potential illness. I invented several specialized products for problems like cancer, but nobody was ever obligated at my facility to spend for anything. Many did, simply because of the irrefutable track record of treatment successes that I was able to generate from my protocols and products during my 15 years in clinical practice and experience in treating 150,000 patients. OZ: President Rodrigo Duterte has waged an incredibly violent war on illegal drugs in the Philippines, in light of this aggression towards users of street drugs and a national policy meant to

OunceMag.com MARCH/APRIL 2019

support and promote natural herbal medicines, can you put the raid on your clinic into perspective? What is the inconsistency in the policy? DR. FARRAH: More Filipinos have died from high speed, high impact lead poisoning from our police for possessing and trading in cannabis than would ever die from using it. According to the U.S. Drug Enforcement Agency, cannabis has killed exactly zero people —Dr. ever in the history of the world. The Philippines “official” national policy to promote natural medicines comes down to scarcely more than lip service, unfortunately. The Department of Health and FDA are legally mandated to promote

natural medicine as part of the TAMA, yet they illegally raided my facility with 50 heavily armed (with machine guns), combat-ready police at the behest of nine pharmaceutical companies and five medical societies without a sniff of due process or jurisdiction because my clinic was just far too effective. My facility was seeing about 500 patients per day which were sigFarrah nificantly affecting the bottom line of many hospitals, clinics, oncologists and pharmaceutical companies. People would come from all over the world daily to be treated; famous actors, politicians, former heads of state and even royalty.

I believe everyone has the right to

visit a world-class medical doctor

without paying

anything at all.”

No matter who people are or where they’re from, they just want to live and will go where they feel they can get the best results. I believe that what’s far more important than a patient’s will to fight their illness is for them to actually have a fighting chance with their choice of treatment modality. My extensive experience has demonstrated that natural medicine provides many with that fighting chance. OZ: In what ways do you plan to be part of the cannabis community in Oklahoma? Do you find Oklahomans are open to natural medicine? DR. FARRAH: I simply want to be a resource to the Oklahoma cannabis community. I’m establishing a knowledge base of experts in the industry so that lay people can get real answers when it comes to their questions regarding cannabis and its’ broad spectrum of uses. Oklahomans are far more open to natural medicine than my medical peers in the Philippines.

OunceMag.com MARCH/APRIL 2019

405-455-5043 www.Elysium-industries.com 8920 S. Sooner Rd Oklahoma City 28 OunceMag.com MARCH/APRIL 2019 Oklahoma, 73135

OKLAHOMA CANNABIS BUSINESS UPDATES

What’s the Deal with Cannabis Banking? BY MICHELLE SULLIVAN

t’s no secret that banking options for cannabis-related businesses are limited. Banks which accept cannabis clients often have long waiting lists and high fees. Why is this? Many assume it is because cannabis is federally illegal, so banks fear this would increase their liability and exposure to anti-money laundering laws and regulations. This is partly true. One of the primary reasons banks do not wish to serve cannabis businesses is the extensive regulatory requirements that must be observed. In February 2014, the U.S. Treasury Department’s Financial Crimes Enforcement Network (“FinCEN”) issued guidance to clarify Bank Secrecy Act (“BSA”) expectations for financial institutions wishing to provide services to cannabis-related businesses. FinCEN explained that the decision to open, close or refuse any particular account or relationship is a financial institution’s risk-based decision, and that thorough due diligence is a critical aspect of making this assessment. Specific activities for due diligence were identified in addition to determining whether the cannabis-related business implicates any one of the eight enforcement priorities for the Department of Justice identified in the Cole Memo with respect to the Controlled Substances Act or violates state law. In January 2018, the Cole Memo was rescinded by then AG Jeff Sessions.

To meet BSA obligations, financial institutions must file Suspicious Activity Reports (SAR) on activity involving a can-

We hear from cannabis-related businesses who have had bank accounts shut down on a regular basis.” nabis-related business using one of three cannabis-specific SARs. Financial institutions are also expected to recognize “red flags” that indicate a cannabis business may possibly be engaged in activity that implicates one of the Cole Memo priorities or violates state law. In addition, banks are required to file Currency Transaction Reports (CTRs) on the receipt or withdrawal by any person of more than $10,000 in cash per day. Many banks and credit unions find the combination of federal cannabis pro-

hibition and the regulatory compliance requirements too resource intensive and costly to outweigh the benefits of servicing cannabis-related businesses. Therefore, their policy is to close accounts of any business or individual discovered to be associated with cannabis. We hear from cannabis-related businesses who have had bank accounts shut down on a regular basis. In some instances, their personal bank accounts are also closed by the financial institution. The disruption caused to their business prompts a search for cannabis-friendly banking options, which have been increasing in recent years but fall short of the demand. As of September 2018, FinCEN reported there were 375 banks and 111 credit unions managing cannabis businesses accounts. Yet, the majority of these institutions maintain a low profile and do not promote their cannabis-friendly policy. This makes it challenging for cannabis businesses to find them, so word of mouth among cannabis and ancillary businesses is a popular method of identifying cannabis-friendly banks. ABOUT THE AUTHOR Michelle Sullivan is Chief Compliance Officer and Director of Risk Management at Dama Financial which, as an agent of cannabis-friendly bank partners, provides cannabis businesses access to a secure, transparent banking solution. Learn more at DamaFinancial.com

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ark your calendars, CannaCon is coming to Oklahoma City! The expo will be held Thursday, April, 18th (10AM-6PM) and Friday, April, 20th (10M-5PM) at the Cox Convention Center. CannaCon is an opportunity to meet amazing cannabis industry leaders like FAST Labs, Twisty Seeds, Futurola, True Terpenes, Stronghold Protection Group LLC, Ooze, Dr.Zodiakâ&#x20AC;&#x2122;s Moonrock, and many more! CannaCon also offers a variety of educational seminars. SQ788 co-author, Chip Paul, will be talking about Influencing the Endocannabinoid system with non-

cannabis plants. Other exciting topics include Maximizing ROI with The Latest in Horticulture Technology Maximizing, Deductions for Your Budding Business: Proper Accounting & Recordkeeping and, Expanding Your Cannabis Business Internationally, just to name a few! You do not want to miss this one! Early bird ticket pricing is available at: cannacon.org until April 17th.

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OunceMag.com MARCH/APRIL 2019 31 Consume responsibly.

OunceMag.com MARCH/APRIL 2019

SHINING

through the Pain BY TERESA GROSSNICKLAUS

annabis being legal allows me to meet people with years of experience and years of hiding it in order to remain respected in business and in life. After legalization, people get a true look at what cannabis users are like. I never really comprehended chronic pain until I myself had to live with it. So naturally, when I met Kimmi I couldn’t help but feel we were destined to be friends. It was after several exchanges on Facebook that I was given the privilege of finally meeting this sweet inspiring lady. Kimmi is happily retired and worked as a nurse most of her life so she’s no stranger to medicine. It was a pretty day considering it was December when I found myself in a coffee house in Tulsa with Kimmi and a new friend the both of us had met just that day. For someone boasting with personality she sure didn’t have much to store it. She was smaller than me and I stand 5’2” and I’m probably a size 4 depending on the store. Christian Nordqvist wrote an article for Medical New Today entitled “Cannabis Does Not Reduce Pain It Makes It More Bearable” He states in this article, “According to MRI brain imaging scans in this latest study, areas of the brain that interpret pain were not affected significantly when people took THC. It appears that cannabis affects people’s emotional state in a way that makes pain less awful.” Along with pain comes the stress. Along with pain comes exhaustion, irritability and most importantly a desire to

wake up one day and just feel normal. Unlike other pain sufferers, this isn’t a victim story. This is a story of a courageous woman who fought hard against the dying of the light. I can say this just from the brief few months I’ve known her she smiles even when her eyes don’t. She laughs harder at herself than she would anyone and she’s

I’m pretty pleasant. I have a pretty good outlook on life. I get overwhelmed, so I smoke cannabis. I’ve been smoking forever.”

always grateful for whatever advice or information we throw her way. This was an observation easily made by those who know her. There’s rarely a serious moment when we talk and even talking about her health seemed difficult. I suppose there are too many wonderful things to discuss instead of difficulties.

There is a level of strength or weakness when talking about struggles. There are two things you gain from telling a sad story: You either gain pity or you get respect, you’re either a victim or you’re a survivor. With strong survivors like Kimmi being a victim and not obtaining respect is unheard of. When I see tears from a survivor it’s rarely tears of sadness, but more so tears of exhaustion. It’s tears of holding everything inside. Being a survivor means you step up and stop depending on others to decide what’s best for your body. It’s clinging to those flashes of light when every part of you just wants to sleep through it all. Fibromyalgia is a disorder that causes widespread musculoskeletal pain. Research has suggested that fibromyalgia causes pain sensation to become amplified and largely affecting how the brain processes pain signals. One of the most difficult things to tackle is pain and there’s a huge fluctuation of pain sufferers looking to cannabis to alleviate the symptoms that come with pain. This is what Kimmi and many other fibromyalgia patients suffer through daily. She meditates with cannabis to deal with the mental effects and has been trying different cultivars and products. Each new cultivar, she tries she makes a point to write a review which over time have become more and more impressive. She typically follows with pricing and where she purchased it. “This beauty here is Tangie,” she boasts: “Just look at her. She has a citrus smell with a hint of skunk you can taste CONT’D ON PAGE 34

it on the tip of your tongue. She’ll give you a nice head high. Don’t worry though you’ll have plenty of energy to get things done like cook a big tasty meal because taking care of munchies won’t be enough. This beauty leaves you happy with the world while she works on your pain…” There are pharmaceutical pain medications, but like most of us have learned it doesn’t take long before the dose must be increased, or it stops working altogether. One of the things most pain sufferers do is avoid medication until necessary or continually changing them to avoid increasing the dose. It is an entire life adjustment figuring out what you can take at what time, what you can drive on and what will it alter your thinking. It’s a balancing act to maintain sanity but really attempt to not become your pain. As Kimmi and I discussed, with time comes the effects of aging and those effects don’t all need a pill. Most doctors are merely alleviating the effects of time then medicating the effects of the medication. A vicious cycle to which nobody is getting

well. I can’t say cannabis can tackle pain in its entirety, but like a lot of us who have been researching and consuming, finding the right combination without the help of lab testing has proven to be difficult. Once mandatory testing is in place having the right potency combined with the right combination of terpenes will work, but with the Oklahoma cannabis industry still in its infancy, we must wait to truly have access to what we need to create cannabis-based medicine that works. Pain is something that I have been working to tackle and I had reservations about being so open about cannabis not helping my chronic pain because I realize there are people who do feel relief. I didn’t want my experience to be the standard as I’ve seen the wonders it has done for my liver. There are different types of pain and despite what I have read I know what I feel. It was my desire when I was first injured to avoid narcotics at all costs. One reason I can give for why cannabis works for some and not others could be because what most

people suffer from is their body’s own ability to fight pain and how it has been replaced by narcotics. I think of patients like Kimmi and how much more enjoyable waking up every morning would be without hurting. What we learn through our experiences is nothing short of solid research. We can take our pain and let it take us down or team up as I have with my sweet friend.

ABOUT THE AUTHOR Teresa Grossnicklaus is a mother, artist, and advocate for medical cannabis. She is using her passion for plant based extracts to educate others through her company T3 Cannivation.

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A BRIGHT GREEN FUTURE FOR OKLAHOMA!

Overcoming Trauma with Cannabis BY RON MARLETT

e couldn’t stand loud noises, was easily startled if woken up, and could rage at his family for no discernible reason. She couldn’t shake the fear that her attacker would come for her again. Neither found it easy to trust others or ever feel completely safe anywhere. They both suffered from post-traumatic stress disorder (PTSD). It is estimated that 70 percent of adults in the United States have experienced a traumatic event at least once in their lives and of those, 20 percent go on to develop a post-traumatic stress disorder. Most people think of veterans who have seen the horrors of combat when they hear the term PTSD. Thirty-one percent of all combat veterans who served in Vietnam suffer from the disorder. Veterans who served in other combat zones such as Afghanistan and Iraq also experienced significant degrees of trauma and have committed suicide at a rate that accounts for 22 deaths daily according to VA statistics. Trauma can be experienced by anyone who witnessed any form of violence, injury or catastrophe. A traumatic experience is one that is outside the realms of normal human experience. On April 19, 1995, thousands of Oklahomans were traumatized by an experience that no one could have imagined. Finally, trauma experienced by children in their families such as parental addiction, violence, physical and sexual abuse can lead to a lifelong struggle to find and

maintain healthy relationships. One of my clients from years ago returned from Vietnam and could never feel safe or comfortable anywhere. He was fearful of trees because of what they meant in the combat situations he was in, was easily startled, prone to episodes of rage, and had intrusive memories of his combat experiences. At the conclusion of his treatment, he could walk in the park, was calmer around those he loved and was able to offer a ride to an Asian person having car trouble. Another client had survived a mass shooting. He had suffered from years of guilt over surviving and could not face family members of those who died. At the

end of treatment, he realized that he had done the best he could and, while still sad, no longer felt guilty. Other clients have survived childhood abuse, either physical, emotional or sexual and have been able to make new decisions about their experience, where blame belongs and move on to happier lives.

RECOVERY FROM TRAUMA Physicians have thought that if they could reduce the severity of those symptoms that people would be able to overcome the trauma. The notion is wellintentioned but just doesn’t work out very well. You see, if all a physician does is numb the symptoms, the patient can still be stuck in the trauma. They may feel more relaxed but given the right set of triggers, they find themselves awash in old familiar pain and emotional turmoil. Typically people who are numb cannot process the trauma and overcome it. The use of addictive opiate pain medications and anti-anxiety medications can create a whole new set of problems. The rates of addiction and overdose have skyrocketed and have gained national attention. So, people taking opiate-based pain medication or anti-anxiety medications are left feeling like criminals because of the ostracism from using a drug that was legally prescribed. It is ironic that those using legal medications face scrutiny that was reserved for those seeking non-conventional medication like cannabis. CONT’D ON NEXT PAGE

CANNABIS AND TRAUMA RECOVERY Since the passage of SQ 788 and the legalization of medical cannabis in Oklahoma, our patients have an unprecedented opportunity to finally put their PTSD behind them. The effectiveness of cannabis in treating PTSD and the depression and anxiety that tag along with it is well known. The exciting thing about using cannabis as a treatment for PTSD is that it does not interfere with the patient’s ability to process their trauma. A recent study in Molecular Psychiatry found that patients were not as prone to being triggered, could relax, and were more open to learning different ways of coping with their trauma, and that “plant-derived cannabinoids such as cannabis may possess some benefits in individuals with PTSD by helping relieve haunting nightmares and other symptoms of PTSD.” Cannabis clinics in Canada have found that when cannabis is used in conjunction with other therapies, that the probability of a successful recovery from PTSD increased exponentially. The reduction of those symptoms literally increases the effectiveness of psychotherapy.

THE FUTURE IS GREEN AND BRIGHT There has never been a more exciting time to be alive in Oklahoma. Having cast off the “reefer madness” mindset that ruled our state, we can begin by giving our patients more options and greater outcomes than ever. That future in treating PTSD with cannabis begins when our patients apply for their medical cannabis cards and seek out professional help. The legalization of a God-given plant and medication, the use of that plant in treating people suffering from PTSD, and the ongoing research into cannabis and psychotherapy ensure that we all face a greener and brighter future. About the Author Ron Marlett is a clinical social worker specializing in the treatment of depression, anxiety, and posttraumatic stress disorder. His office is located in NW Oklahoma City and he can be reached via telephone at 405-842-4911.

OunceMag.com MARCH/APRIL 2019

Ruthie’s Righteous Rant BY RUTHIE DEADMOND

annabis isn’t the same as it was in the 60s and 70s… With the testing available today there is no reason to take chances of smoking “creek weed” that leaches the toxins out of the polluted ground. This is medical grade cannabis clean and full of nutrients. Grown in the best soil available. Quality growers have their crops tested for mold and other contaminants. Oklahoma medical cannabis is also grown at full attention, not just in someone’s basement. Now, Oklahoma pastors, doctors, lawyers, and even senators are all aboard and actively participating in a new legal industry. Elder care is changing. We have taken care of our children, and our children’s children, and our elders. If we are lucky, we’ve taken care of each other. Now it is time to take care of ourselves. Pain, stress, and a lack of rest are very unhealthy in our so-called “Golden Years”. What do we plan on doing when the medical industry has us tapped out on pharmaceuticals before our final pains of this life? When the Rx doesn’t work anymore??? Or when our livers stop fighting to survive? The healing FACTS about Cannabis are coming out. It’s not a gateway drug. It’s an exit drug, says Dr. Uma. We have all been affected by opioids! If not personally, through someone we love. Cannabis is leading the way out of the opioid addiction crisis. We must make sure the retirement centers and nursing homes allow ALL medicine, even natural ones, just as they have allowed cigarettes. Quality of life is not something that should

be reserved for the young. Those who have the energy and strength to fight should use it in fighting for those who don’t. Our elders have been through more than our youth, and their bodies and minds have taken the punishment of time on a scale that most of the middle generation cannot comprehend. Mental Health is just as important as physical health. Family life, be it blood or social friends, they need to be supportive. If you are looking for a retirement village or nursing home, always remember to ensure cannabis friendly living. Find like-minded people to cohabitate with. Share knowledge and don’t be afraid to ask questions. We all have to start our journey of learning somewhere, but that journey should never stop.

OunceMag.com MARCH/APRIL 2019

HOW TO GET LEGAL IN OKLAHOMA IF YOU HAVE ANY QUESTIONS, YOU MAY CALL THE OKLAHOMA MEDICAL MARIJUANA AUTHORITY DIRECTLY AT (405) 522-6662 OR EMAIL THEM AT OMMA@OK.GOV.

COMPLETE APPLICATION

TALK TO YOUR DOCTOR

Print and complete the patient information portion of the physician recommendation form.

Schedule an appointment with an Oklahoma Board Certified MD or DO. During your visit present the Physician Recommendation Form for your doctor to complete and sign. Note: Minor patients need a recommendation from two physicians.

You can download a copy here: http://omma.ok.gov HOW TO REGISTER AS A CAREGIVER If you are homebound you may choose to designate a caregiver. Complete the Adult Patient Caregiver Designation Form. You may withdraw your designated caregiver at any time using the Patient Withdrawal of Caregiver Form.

OunceMag.com MARCH/APRIL 2019

This is NOT a prescription, your doctor’s signature is simply certifying you have a medical condition and may receive therapeutic benefits from the use of medical cannabis. This form must be submitted to OMMA within 30 days of the physician’s signature to be valid.

Register with OMMA. Access the patient portal and create an account. Please note whichever email address designated to log in will be used by OMMA to send notices once the account is created. The application fee is $100 (Medicaid patients will pay a reduced fee of $20) and can be paid using a Visa or MasterCard credit or debit card. This fee is nonrefundable. You will receive an approval letter including your Patient Identification Card within 14 days of submitting the application.

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Dear Dr. Dave, Since December 2016, I have had three back surgeries and daily pain in the range of a 6 to 8 on a scale of 10. I am taking three different pain meds, but still, have bad pain. What would you recommend? Is it better for me to use just CBD or a combination of CBD and THC? -Travis

Dear Travis, We have a lot of positive experience (in my clinic) using both high THC and a combination of THC and CBD in a 1:1 ratio. The dose of THC should be at least 15mg. At that level, you might want to add in CBD both for the anti-inflammatory effects and also the effects of balancing the euphoria associated with THC. According to a discussion I had recently with a physician/herbalist, if you take a product with more CBD than THC, it doesnâ&#x20AC;&#x2122;t work as well as 1:1 or less. I have had some reports of people taking 25-40 mg of CBD a couple times a day and getting relief. You may also want to incorporate the therapeutic use of the spice turmeric as well as the kratom leaf as both have analgesic (pain relieving) properties, but do not have the fatal side effects of opiates. Also, if you have an innerspring mattress, you will likely get some benefit from a type with better support. Some chronic back pain patients have reported some benefit from mattresses that absorb shock with springs already built into the heel.

Got A Question for Dr. Dave? This question was submitted by someone just like you! Visit www.ouncemag.com/drdave to submit a question. ABOUT THE AUTHOR David Bearman, M.D. is one of the most clinically knowledgeable physicians in the U.S. in the field of medicinal cannabis. He spent 40 years working in substance and drug abuse treatment and prevention programs and was a pioneer in the free and community clinic movement. His career includes public health, administrative medicine, provision of primary care, pain management and cannabinology.

SEE THE AWCS JOURNAL ON OUNCEMAG.COM

â&#x20AC;&#x201D;Dr. Dave

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he fruits of SQ788 have been harvested and now a growing number of Oklahomans have access to medical cannabis (49,637 at the time of writing this). Most states limit the conditions in which patients may qualify for medical cannabis. Part of 788â&#x20AC;&#x2122;s beauty is that it gives power to the physician to recommend medical cannabis at their discretion. Cannabis works for a variety of ailments and is known to influence an array of different moods. This flexibility is made possible through a multitude of terpene profiles found in each cultivar. Knowing the terpene profile found in different varieties will help patients customize their experience and achieve the greatest medical benefit. A familiarity with terpenes will also help guide a patient to a suitable replacement if their favorite cultivar is rare or out of stock. While Oklahoma has not yet set testing regulations, other states have regulations requiring terpene testing in addition to moisture, microbial, potency, heavy metals, residual solvents, and more. Complete testing is beneficial for patients, especially those with compromised immune systems. Terpene testing is also important for patients with allergies, one of the more common allergens being linalool. Linalool is found in large quantities in lavender. The terpene is also present in clary sage, sweet basil, patchouli, and

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many other species. Linaloolâ&#x20AC;&#x2122;s sweet smell makes it a popular staple in the perfume industry and the calming effects make it a desirable component for many lotions and bath products. In animal studies, linalool has been shown to reduce anxiety and depression. Lavender oil is approved by the European Medicines Agency as a medicine that can be used for relief of mental stress, exhaustion, and also to aid sleep. Additionally, linalool has also been shown to decrease aggressive behavior in mice. Patients with issues of the central nervous system could also receive benefit from this compound. However, patients should be sure to consult with their healthcare provider before discontinuing any medications. The journey to better health should be fun and exciting. We recommend new patients log their experiences in a journal. Record the product, amount of consumed, time to onset, length, make notes of any unwanted side effects and any other important details. Journaling will help new patients to quickly find a medication regimen that works for their lifestyle.

DIRECTIONS:

1. Scra-a-atch 2. Sniff 3. Relax!

REFERENCES http://www.chm.bris.ac.uk/motm/linalool/linaloolh.htm https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3612440/ https://www.ema.europa.eu/documents/herbal-summary/ lavender-oil-summary-public_en.pdf https://www.ncbi.nlm.nih.gov/pubmed/19962290 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437114/

ABOUT THE AUTHOR Courtney Boze is a medical cannabis patient advocate and the co-founder of Ounce Magazine. Courtney spends most of her time with her dog, Bean, and loves when people talk terpy to her! EDUC ATION SPON SORE D BY:

Okie Tokie Farm (405) s 42 0-60

00 Selec t Hea lthcar Selec e tHeal thcare .org

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