Why are doctors reluctant to embrace cannabis?

WRITTEN by SY

 | Last revised

Aug, 2021

Two of Australia’s leading cannabis doctors urge other medical practitioners to explore the potential of medical cannabis for their patients

In 1964 Bob Dylan released a song titled ‘The times they are a-changin’. He wrote the song as an anthem of change for the time. I doubt he realised the relevance his lyrics would have in Australia in 2021, but they aptly surmise the journey of our fast-changing medical cannabis landscape.

The medical cannabis industry is blooming in Australia. According to FreshLeaf Analytics, there are currently 45,000 active cannabis-medicine patients in Australia, and this number is forecast to grow to 75,000 by the end of the year. But, more importantly, the number of authorised prescribers has jumped from 29 to 179 since December 2019 [1]. So times certainly are a-changin’, and in the best way possible.

While these stats are all positive indicators of the forward momentum within Australia, there is still resistance from some doctors who subscribe to aging, and frankly false, stories about cannabis.

Dr Jon Teh and Dr Jamie Rickcord are two Australian doctors who are both long-time cannabis advocates and are leading the change we need to see within the medical establishment; they are creating a new narrative for cannabis and pushing Australia into a greener future.

Dr John Teh, Medical Director of PlantMed, and Dr Jamie Rickcord, Founder of Ananda Clinics, have been successfully prescribing cannabis medicine since its legalisation in 2016. They are strong proponents of changing the system and are urging other medical practitioners to explore cannabis as an adjunct therapy for their patients.

They may be following paths less travelled in Australia, but we hope to soon see many more doctors following in their footsteps.

Why doctors should be open to prescribing cannabis

Both Dr Teh and Dr Rickcord work tirelessly to educate, inform and dispel myths and stories for both patients and practitioners. They both run successful medical clinics where cannabinoid medicine takes centre stage and is offered in combination with traditional and integrative practices.

Given cannabis has faced a hundred years of prohibition and stigma, it’s not surprising that its use as a first-line treatment is a relatively new concept within the medical community. 

Doctors are naturally conservative and risk-averse, and thanks to the false narratives surrounding the plant, there is a considerable lack of awareness and knowledge. Undoubtedly, many doctors and medical professionals need additional education to help them identify cannabis’ place in modern medicine and further bridge the gap between fact and fiction.

Dr Rickcord and Dr Teh both believe that cannabis can, and will, change the current scope of medicine and disease management, having seen the positive patient outcomes first-hand in their respective clinics. 

While both doctors are accustomed to seeing high success rates in patients, the referring doctors are constantly amazed and surprised by the positive results achieved. Importantly, these outcomes give practitioners the confidence to continue referring patients.

It’s a journey of acceptance, education and understanding for the medical community, but the roots of change are slowly threading into the mainstream.

Traditional medicine vs cannabinoid medicine

Traditional western medicine treats symptoms instead of the underlying disease, with the over-prescription of medications such as opioids often a band-aid solution to a much deeper issue.

This is where cannabis medicine differs. The cannabinoids work to replenish and stimulate the human endocannabinoid system, controlling mood, pain, executive function and social behaviour. This, in turn, helps move the body into a state of balance where it can effectively fight disease.

Dr Jamie Rickcord sums it up nicely, saying,

“the [endocannabinoid system] evolved millions of years ago and was perfected, and now it’s virtually the same across every species on the planet, and there’s a plant that’s a potent medicine for it.”

Dr Teh goes on to say,

“the fact that a molecule from the cannabis plant is exactly the same shape, not roughly but pretty much the same shape as our natural cannabinoids which we secret in our body. That’s how the medicine works. The molecules are the right shape to fit the receptors.”

The bodies innate ability to work in synergy with nature and heal is profoundly amazing.

What does the patient journey look like?

The thought of discussing medical cannabis with a doctor may be daunting, especially if they are hesitant or even resistant to the idea. So finding a clinic or practitioner that is cannabis-literate and supportive is an important step.

Cannabis medicine is the same as any sub-specialty area of medicine. The patient experience at both PlantMed and Ananda Clinics isn’t dissimilar to a regular visit to the doctor.

An appointment might look something like this:

  • Book in for an initial consultation either with or without a referral letter.
  • Medical history is taken.
  • Patient concerns and outcomes are discussed.
  • Treatment options are discussed.
  • If cannabis is deemed the right medicine, the doctor will go through the approval process via the TGA’s special access scheme (SAS-B).
  • Once approval has been granted, the medicine will be dispensed to the patient with very clear instructions and titration guides.
  • Follow-up appointments are set to discuss dosage and address any questions or concerns.

The most important part of the process is patient education. Ensuring they understand the medicine, the dosage and how to take it is imperative. Empowering patients with knowledge is critical to successful outcomes and continued acceptance in the community.

The way forward for Australia

As we see governing bodies start to implement top-down change regarding cannabis legislation, we can expect to see cannabis medicine filter into our everyday lives. The most significant change implemented in recent months has been the availability of low-dose CBD oil over the counter in pharmacies. Although, we are yet to see any approved products hit shelves as yet.

Legalising medical cannabis has been a positive first step within Australia and provides clean and safe plant medicine as a treatment option. Currently, 80-90% of cannabis is obtained illegally within Australia, which means it’s challenging to regulate the product’s quality, safety, and efficacy. Dr Teh believes legalising recreational cannabis will remove the industry’s illicit nature and help build a high-quality and reputable cannabis market within Australia.

 

HinterlandCo logo.

References

1. Fresh Leaf Analytics, "Patient, Product and Pricing Analysis".
Fresh Leaf Analytics.
https://freshleafanalytics.com.au/wp-content/uploads/2021/03/FreshLeaf-Analytics-H1-2021.pdf.
2. News UN, "UN commission reclassifies cannabis, yet still considered harmful".
News UN.
https://news.un.org/en/story/2020/12/1079132.

11 Comments

  1. Simon

    My psychiatrist prescribed me with 1mg x3 a day. I suffer chronic back pain as well as major depressive disorder, anxieties and PTSD.
    All of which are reduced in their severity with non opioid medications finally off the bad stuff and the cannabis really does help. Don’t know why there aren’t more open minded doctors out there trying to help the cause.

    Reply
    • Hinterland co.

      Thanks for sharing Simon,

      This is exactly what more doctors need to pay attention to. It’s actually dangerous that doctors don’t consider this as a treatment option.

      Reply
  2. Sandra Mynard

    Cannabis is a plant unlike alcohol & cigarettes which poisons are legalised. Cannabis is banned because it enables our third eye Pineal gland and the ruling glass do not wish us to have that advantage. The world is run by the billions owned by the elite cabal who do not want us the people to have any advantage hence anything beneficial has been hidden & banned.

    Reply
    • Hinterland co.

      Let’s hope we follow the lead of other countries. It is exciting to think that cannabis might contribute to a wider awakening and breakdown of some of the existing elite you discuss. I agree.

      Reply
  3. Leanne

    I became incredibly disillusioned with our current system. Over 2 decades I was prescribed a lot of anti psychotics, anti depressants and pain medications. Was told several times “this one is not addictive” however when trying to come off them it was pure hell. It took me nearly two years to come off everything and I was considering having to go back on something because, even with fortnightly psychology sessions I was struggling massively.
    CBD oil has definitely helped my depression, insomnia and pain to a point where I am better able to cope with it all. It’s all still ‘there’ but it is more manageable and controlled.
    I sure don’t need any fancy study to tell me it jolly well helps more than all that synthetic garbage with the horrendous side effects.

    Reply
  4. Kerry

    Hi
    I see medical staff both Doctors and Nurses who refuse to see any medical advantages in using Cannabis oil for any treatment

    Unfortunately I believe most of them are only speaking on what they are taught at University. There does not seem to be much taught on either alternate medicines or natural remedies and very little on healthy eating and nourishment. I believe a lot of our medical problems can be helped and maybe in some cases cured firstly through a change in our diets and reducing toxins we put in our bodies through cleaning products and cosmetics.

    Maybe Doctors should push a change in diet and lifestyle before jamming prescriptions down our throats and a more advanced inclusion in their studies of nutrition and healthy living

    Reply
    • Hinterland co.

      Completely agree with you Kerry.

      I’m not sure there would be such a great need for cannabis medicine if the governments prioritised and implemented educational programs to promote healthier holistic lifestyles, good food, exercise and reducing toxins and chemicals as you mentioned.

      I think many doctors enter this profession with good intentions but end up exhausted and disempowered by the end.

      Reply
    • Sy

      Hey Kerry,

      Great comment and I couldn’t agree with you more! I read somewhere that a medical student in the US spends 20 hours in total covering nutrition during their degree, not sure if it’s the same in Aus. I’m sure you can learn a lot in 20 hours, but I’m certain it’s not anywhere near enough time to gain an understanding of the intricate link between what we eat and our health.

      There’s definitely a movement of doctors across the world who are waking up to the BS, and they know that good health depends on basic upstream interventions like being outside in the sun, eating non-GMO and organic food, removing toxins, and connecting with community. Hopefully, more people will wake up and see the benefits of using what nature has provided to take care of themselves instead of relying on a pill that treats symptoms and not the root cause.

      Reply
  5. Ray

    I am enjoying your articles very much. I support your views and look forward to the day when plant based treatments are legalised and are made readily available to people who are trying to cope better in this crazy times.

    Reply
    • Hinterland co.

      It’s a good point about the times we’re living in, they are crazy indeed. Any natural medicine/plant which can help relieve symptoms of anxiety/stress would be a great help now. Who knows how long this will all last.

      Reply
  6. Carmen Grima

    I have been on tablets for pain a long time like 30 years and sick of all the tablet’s i have taking so i decided to give all my tablets up and started taking the oil i feel much better know, they just won’t us to keep taking tablets its up to us to give it a go to see for owe self i am going for wood know and that is the way i am going to stay.

    Reply

Submit a Comment

Your email address will not be published. Required fields are marked *

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Recommended reading

Others you might like

Hinterland co. member

We’ll send you information about CBD oil and medical cannabis in Australia

Hinterland Logo.

Disclaimer. While we strive to relay the most factual education available, this shouldn’t replace official medical or legal consultation and recommendation. This is for educational and entertainment purposes only. Happy days.

Hinterland co. Byron Bay, Australia

info@hinterlandco.com.au | hinterlandco.com.au

Pin It on Pinterest