rgejman
Joined 17 years ago
Joined 17 years ago
Maybe the culprit truly is dirty oil based extraction of THC... but if so, that will remains a problem for as long as there is no regulation of the official market as well as an operating black market.
OTOH we may end up with a situation like we have in the world of muscle builder / hormone supplements where most people are fine but some users get really sick (e.g. deer hormones sold at regular stores causing severe kidney injury), but not enough of them get sick to get the CDC/FDA involved. I've seen those cases in the hospital and the patients are always confused as to how this could happen because they got the supplement from a vitamin store.
With respect to some of the European posters below who have been using vape products for years: I would not be surprised if there were health consequences to those devices that had not been identified in Europe. The US has one of the best disease identifying-apparatuses in the world (the Centers for Disease Control) and a tradition of surveillance and reporting that is unparalleled. If a substance is harmful to health, it's got a better chance of being found here than anywhere else.
1. It will have a chilling effect on physicians giving informal ("curbside") consults to colleagues. That leads to worse patient care overall. For instance if your doctor doesn't know what's up with you, he/she may not be able to curbside consult phone a colleague to get a 2nd opinion. This happens all the time in medicine and is one of the advantages of being at a medical center with lots of doctors: you can double check weird cases with your colleagues.
2. Direct admission to the inpatient ward are no longer common because outside physicians don't run hospitals anymore. Hospitals are run by teams who specialize in inpatient medicine -- and they almost always function best if the inpatient admission is preceded by an ED visit because the ED can rapidly get tests, imaging and collateral to figure out what's wrong—and if the problem needs inpatient management or not. Direct admissions, in bypassing this step, often put patients at risk by skipping the rapid information gathering process that the ED employs.
The "admitting privileges" they discuss in this article are a relatively meaningless and outdated practice in medicine today (with certain exceptions, such as obstetricians and some other surgeons).