Table of Contents Appendix B: Healthcare Practitioner-Reported Benefits from Surveys... B-2 Severe and Persistent Muscle Spasms... B-2 Cancer... B-4 Seizures... B- Crohn s Disease... B- Terminal Illness... B-7 HIV/AIDS... B-7 Tourette Syndrome... B-7 Glaucoma... B-8 ALS... B-8 B-1
Appendix B: Healthcare Practitioner-Reported Benefits from Surveys Note: Word choice and spellings have been retained as written by respondent to avoid inadvertent mischaracterization of intent. Brackets have been used to explain words redacted to prevent individual identification or for other reasons. Benefits are broken down by qualifying condition and by benefit score rating. Severe and Persistent Muscle Spasms 2 Muscle spasm relief 3 4 Decreased nighttime muscle spasm and better sleep. Less spasms Less spasms muscle spasm relief, anti nausea and improved appetite. Patient tells me no real change in spasms (MS) but he thinks his emotional state is somewhat better SPASM REDUCTION "Relief of pain" Better sleep fewer large seizures Generalized increase in the feeling of well being, with less overall spasms Improvements in muscle spasm relief which have also improved anxiety and sleep. pain Patient is on the fence with the benefits of Medical cannabis. She appreciates the pain relief which allows her to sleep better SPASM REDUCTION Avoid frequent ER visits decrease pain in legs related to MS spasitity Decresed pain and muscle spasticity Her sense of muscle tightness or discomfort, and associated restorative sleep, have improved significantly. Improved quality of life improvement in spasticity and gait B-2
Less cramps and spasms less spasticity Much more calm, decreased spasticity and tone. pain associated with muscle spasticity reduced spasticity Reduces spasticity so I can now sleep better than before. Reduction in pain intensity relief of spasticity Calmer disposition. Decrease in paralytic spasms in lower extremities from spinal cord injury. It is a way for HIM to control pain. decreased muscle spasms Decreased painful muscle spasms associated with ALS. decreased rigidity and muscle spasms less episodes of seizures lesspain Much improved muscle spasticity without sedation and constipation Muscle spasm relief No spasms and pain all night. Also she is able to sleep all night without waking up. Overall increase in the quality of my life. pain and anxiety relief reduced muscle spasms and pain Reducing polypharmacy (has come off benzo, narcotic analgesic, and antidepressant since starting medical cannabis) and thus reducing adverse effects related to the same. relief of spasticity "wonderful pain reduction" Availability of cannabis, relieving anxiety Decreased tics Decreased muscle spasms decreased pain diminished muscle spasms For the first time in my life I am properly Medicated. Has improved my well being and overall symptoms my health, mental and spirituality. improved spasticity and improved pain from the spasticity It has allowed me to taper off some of my opiate pain medications. less lower extremity muscle spasms B-3
Less muscle spasms muscle spasms pain pain and anxiety pain and anxiety Pain control and improvement in the quality of life. Pain relief Pain relieving of muscle spasms Reduced muscle spasms Reduced muscle spasms, cramps, and muscle pain. Sleeping better. reducing the amount of opiate pain medication needed to control pain and muscle spasms. Reduction of neuropathic pain Relief from chronic pain significant reduction in spasticity and improvement in pain from spasticity Sound sleep with reduction in muscle cramps and pain. the constant vomiting The patient reports that he feels more relaxed with this medication Cancer 0: Not Enough Information to Report 1: No Benefit Currently not taking, tried it and didn't seem to help pain. 2 3 4 He continued to smoke marijuana instead as he found that more helpful for his symptoms - he has a past heavy marijuana smoker helps with pain and sleeping through night pain control Help with chemotherapy induced nausea Pain relief Help with nausea it appears to be helping her nausea nausea and appetite are better, he is less anxious nausea, appetite B-4
Pain control Reducing nausea and improving appetite during chemotherapy Relief of nausea and pain. Sense of control over her symptom treatment. It was difficult to get a subjective report from patient on symptom relief with cannabis. decrease in nausea Decreased nausea from chemotherapy Improvement in anorexia Patient has noticed improved pain in her extremities with the cannabis, but is using this mainly at night because of the side effect of drowsiness relief of nausea Anti nausea Antiemetic effect. decreased nausea from chemotherapy (reduced pain is close) improvement in anorexia and nausea pain mgmt Reduction of neuropathic pain Seizures No Score Parents report seizure improvement Patient was not able to receive CBD because he is in federally financed group home. Father returned med to [MANUFACTURER]. 1: No Benefit epilepsy control She was on it for her epilepsy and did not experience a benefit so I believe she stopped medical cannabis. 2 3 maybe minor decrease in seizure seizure redution Subjective improvement epilepsy control Seizure reduction SPASM REDUCTION B-
Walking better, initially many fewer seizures (this effect was not sustained beyond 3 weeks despite changing dose) 4 decreased seizures fewer large seizures improved appetite- No improvement in seziures improved comfort, decreased seizures Pain relief reduced seizures reduced seizures per family report Reduction in pain intensity 40% reduction in seizures, less need for emergency rescue meds Decrease in seizure frequency; this in turn leads to more alert, directable, interactive improvement in pain. less episodes of seizures Reduced frequency and duration of seizures reduced number and severity of seizures IMPROVED SZ CONTROL Less seizures less irritable lessened seizures, improved alertness and quality of life Reduced muscle spasms Reduction in seizure frequency with reduced personal injury and behavioral issues. the constant vomiting Crohn s Disease 2 4 Better sleep Decreased frequency of loose stools, cramps. goal was to reduce pain, improve quality of life pt reported reduced anxiety/stress related to unpredictable sxs from Crohn's Relieves pain B-
Substantial relief of abdominal pain Decreased frequency of stooling with firmer stools. more consist function pain control Terminal Illness increased appetite nausea, appetite pain Improvement in anorexia relief of nausea The patient has been able to decrease his opiate pain medications significantly. improvement in anorexia and nausea Reduced pain and improved muscle function. HIV/AIDS pain control increased appetite reduced nausea reduced nausea and reduced anxiety reduced pain His weight gain. Improved quality of life Decreased ER/clinic visits- cost saving Tourette Syndrome decrease in his involuntary tics less tics The medication has relieved the serious motor tic, and has made it possible for him to taper off opiates and several other medications B-7
Glaucoma 3 Lower pressure Her sense of muscle tightness or discomfort, and associated restorative sleep, have improved significantly. ALS Less pain, better sleep. Decreased pain, improved sleep, less anxiety associated with respiratory difficulty Decreased painful muscle spasms associated with ALS B-8