Appendix B: Healthcare Practitioner-Reported Benefits 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.

Glaucoma

Benefit Score

Benefit Description

0 patient stopped taking the medical cannabis. he states he was driving when things started spinning and he immediately quit taking it

1 no improvement

5 Eye pressure improved to normal. Pt still continues on eye drops for glaucoma at same time.

5 the medical cannabis helps with her glaucoma symptoms but it does not help much with the pain. She says if she stopped working, it would help more but she can't take it when she works because she gets sleepy. It does help her with getting better sleep.

5 1. His eye pressures have been reduced. He has a history of glaucoma. 2. Sleeping better at night 3. Reports less anxiety

6 Good relief of arthritis pain. No apparent difference in glaucoma.

6 improved quality of life.

6 Pt is doing well. Cannabis dropped eye pressure, Latanoprost stopped. June 15 optometry appt pressure 15 and 16 Less HA, anxiety, depression. Off hydroxizine used for PTSD.

6 Resolution of numbness in arms, good reduction of pain, memory improved since off Lyrica, no cramps in feet

2

Benefit Score

Benefit Description

7 Decreased pressure in his right eye.

7

In pt's words: Pressure in eyes down 2 points in each eye, as tested. No more HAs, auras. Its incredible! Ophthalmologist is very happy with the results.

7 It reduces pressure for his glaucoma

7 significant improvement in pain with little or no effect on cognitive functioning

HIV/AIDS

Benefit Score

Benefit Description

5 60 % less pain, sleeping well

6 Sleep is much improved. Appetite is much improved.

6 Being able to sleep. Being able to relax. Having an appetite.

7 Doing great w/ cannabis. Nausea essentially gone. Appetite is fine. Clonazepam was decreased due to reduced anxiety, weening down.

7 no nausea, less pain, better sleep

7 Stable weight, stable mood. Less anxiety, better appetite.

3

Tourette Syndrome

Benefit Score

Benefit Description

1 Doesn't help with her Tourette's.

3 a bit less tic behavior and tiny bit calmer overall

5 helps with pain "some"

5 Pain control

6 Calmer, much less ticks (Touret syndrome). Worse when off cannabis x 4 days

6 Helps with controlling movement and relaxing as well as motivation

7 significantly improved symptoms

7 less involuntary movement, noises, increased ability to focus, decreased anxiety

ALS

Benefit Score

Benefit Description

4 Less twitching, pain, cramps, but only mild improvement. Pt has ALS

5 improved sleep

6 improved sialorrhea

Seizures

Benefit Score

Benefit Description

0 My understanding is that it was too expensive so the patient is not taking it.

2 Have not seen a decline in seizure frequency

3 calmer, less anxiety

4

Benefit Score

Benefit Description

3 Was on the fasting/fed study. Had 18 days of 100 mg did, Some reduction in seizures but not enough to stay on.

4 less szs, better behavior

4 Patient has experienced a reduction in seizure episodes.

5 Decrease seizure frequency. Improved behavior.

5 Fewer seizures; shorter seizures; has needed less rescue medicines

5 sleeps better, helps with digestive and stomach issues, and headaches.

5 1. improvement in frequency of seizures 2. anxiety is less

5 decreased cramping and tight muscle pain.

5 Helps with tremors and spasm. It also helps with his depression, PTSD, and anxiety

5 Improved mood and disposition

5 less szs

5 Pain control

5 Reduced seizures. Improvement in alertness and interaction.

5 relieves the pain, helps with mobility

5 patient is only 6, spoke with her mother to answer the questions mother states her seizure episodes are better controlled and that [PATIENT] has better focus and less spastic movements

6 Breakthru seizures are no longer happening with cannabis. Still on the same anticonvulsants, but planning to discuss dose reductions with the neurologist due to the above improvement.

6 decreased seizures and helped with sleeping and pain

6 improved overall function

5

Benefit Score

Benefit Description

6 less seizures

6 decrease szs

6 helps with anxiety

6 Improved seizure control

6 Improved seizure control

6 reduced seizure frequency

6 reduces dizziness, nausea and seizures

6 Decreasing depression levels, blackouts and frequency of seizures.

7

Seizures had stopped. Cognition was improved. Speech was improved. Pt felt more calm, happy, and relaxed.

7 patient has seen a decrease in seizures since starting the medical cannabis and states that her body feels more "mellow"

7 patient has not had a seizure since June.

7 alleviates muscle spasms completely- has not had any spasms in over 2 months.

7 decrease szs, improved behavior

7 eliminates the negative side effects of his seizure meds, patient no longer has seizures, except for on days when he doesn't take his medical cannabis, reduces pain

7 Frequency of seizures have decreased drastically

7 Helps with anxiety and seizures. Pain in more tolerable. Feels more happy and lifestyle is back to normal

6

Benefit Score

Benefit Description

7

In mom's words: "Fantastic! Lost 40lb, , better able to concentrate, fight/flight almost all disappeared, becoming R-hand dominant (naturally), able to walk on balance beam, seizures much reduced. This has been great for her. Off Haldol, Ativan, depakote. Reading and writing again. She lost it 1 yr ago, probably due to seizures."

7 less sz, more alert

7 moods, outbursts are better, her seizures are fewer too

7

Reduced anxeity Reduced irritability Decreased medications Decreased pain No seizures Resolved side effects from previous medications

7 seizure control, better sleep, mood improvement and stabilization

7 Was having seizures monthly, now one the last 4 months

7 Improved depression and overall well-being

Severe and Persistent Muscle Spasms

Benefit Score

Benefit Description

0 patient is no longer taking the medical cannabis

1 SE paranoia at middle dose, lower dose did not work. Did not persist with the dose adjustments and quit.

1 no improvement

1 none

1 he stopped taking it due to cost and lack of benefit.

7

Benefit Score

Benefit Description

1 patient states he stopped using medical cannabis products after 2-3 months due to ineffectiveness

3 Decreases spasms and pain

3 Some decrease in muscle spams.

3 some relief with pain

3 The patient notified our office on [DATE] that she had discontinued medical cannabis secondary to cost of therapy and confusion regarding dosing.

3 Analgesia and spasms, to a very small degree, after much discussion with the pharmacist and alterations to the "traditional' MMS pathways. She also noted some reduction in her anxious symptoms.

3 Some improvement in MS related muscle pain

3 States that he feels less pain, but narcotic use has not yet decreased.

4 1) lessen of spasticity

4 Fewer spasms, lower generalized pain

4 Patient states that that the medical cannabis helps him sleep at night.

4 Less muscle spasm

4 Patient has experienced a little bit of pain relief from medical cannabis.

4 Decreased neck pain from spasm

4 Less irritable per family but he's in a very bad way so perhaps its justified.

4 Less pain and muscle spams

4 CBD was helping more with inflammation, now using less CBD and more THC and doesn't seem to be helping as much...having a little less pain, patient did stop citalapram as depression has been better since starting

5 less pain

8

Benefit Score

Benefit Description

5 Reduced pain for a while. However, last 2 weeks pt is experiencing more side effects and stopped cannabis. She attributes the change to onset of menopause

5 reduced leg spasms while walking and at night, better sleep, overall good feeling, reduced general pain

5 better sleep, pain relief, tightness relief, body will actually relax

5 Help with muscle spasms and sleep

5 Helpful in pain and spasm, fibromyalgia. But too expensive to get enough

5 Reduced muscle spasms, helps takes his mind off of the pain, assists with napping throughout the day.

5 Pain in arm is significantly reduced. However, pain in neck is not relieved and movement in neck muscles continues.

5 Help with sleep and pain reduction

5 all body pain ( from ALD and Fibromyalgia) is better with fewer charlie horses. It keeps body calmer.

5 decreased problems with muscle spasms

5 improved comfort, fewer spasms

5 less spasms

5 Patient only taking this medication since [DATE]. However, she says it helps with her pain and muscle spasms.

5 calms legs down, decreases night time spasms, activitiy level has remained the same

5 decreased cramping and tight muscle pain.

5 decreased muscle spasms pain relief

5 decreased pain, coughing has gone away (doesn't smoke tobacco anymore)

9

Benefit Score

Benefit Description

5 Helps with tremors and spasm. It also helps with his depression, PTSD, and anxiety

5 It helps muscle and joint pain, sleep better.

5 Less pain and muscle spasm

5 less spasms, used as adjuvant to other prescribed meds

5 less spasticity

5 Lessens the pain and muscle spasms are not as frequent. Able to relax and manage pain better

5 moderate relief of spasm pain

5 Patient has had more benefit with her anxiety and depression than with pain, which is what she was certified for.

5 Patient states that medical cannabis helps with pain relief, less muscle spasms, and helps him sleep better at night.

5 Patient states that the medical cannabis has helped her insomnia, anxiety, pain, migraines, muscle spasms, and nausea.

5 Patient states the medical cannabis helps "relieve pain, relaxes his brain, and decompresses his body".

5

Pt says: I love it, I love it, I love it. Its relaxing. Anxiety is much less, much less uptight. Spasms persist. It helped a little, but pt joined a gym recently and spasms got a bit worse. Pharmacist suggested to increase dose.

5 reduced tremors, better outlook

5 reduces bladder spasms and pain

5 reduces headaches, helps relieve the associated neck pain

5 Significantly improved functioning.

5 Decrease in pain

10

Benefit Score

Benefit Description

5 Less pain in neck and shoulder muscles

5 less pain

6 Helped tremendously with muscle spasms. Helped with symptoms related to ciliacs disease. Sleeps better.

6 Patient states that CBD completely wiped out back muscle spasms, increasing his mobility, while the THC seems to just mask the pain.

6 Relief of pain Relief of spasm

6 Immediate relief for muscle spasms.

6 Less pain and less spasms

6 muscle tightness is a lot less, spasming is less, over all being able to move better, much more active, sleeping better esp with THC

6 Reduces pain and assists greatly with sleeping patterns. Patient notices a better quality of life while using cannabis. Reduces muscle spasms.

6 relieving the spasms, spasms don't get a bad, reduces about 65-70%

6 90% less muscle spasms, better sleep

6 Able to tolerate pain better, improved activity level

6 alleviates muscle spasms and finds immediate relief

6 assists with the numbness in his hands and spasms are not as intense

6 better sleep due to improved pain/spasms

6 Has improved his vertigo, pressure in ear and tinnitus due to Meniere's disease.

6 less pain and reduced spasticity

6 less pain, more relaxed feeling

11

Benefit Score

Benefit Description

6 Less spasm--and therefore, improved quality of life. "Another tool in the toolbox."

6 pain relief, ability to sleep

6 Patient states that the medical cannabis helps pain relief and gives him a better outlook on life.

6 Spasm and pain reduction from 8 to 3/10 on cannabis. But can't afford it most of the time

6

Takes low dose coconut oil pill from dispensary which helps with day to pain and light tremors. Decreased the frequency of his more serious spasms. Overall, getting better slowly w/ cannabis and PT. No SE's. Able to d/c tizanidine on medical cannabis. has available on prn basis.

6

Very greatful pt. Taking caps and vaporizer. Great help w/ chronic pain. Current pain 5/10, down from 9/10. It has helped pt to become functional. Migranal use down from 5 to 2/wk. Still occ migraines, less common. Hand ttremors almost resolved. Could not hold anything in his hands before. It has also helped w/ anxiety. Stopped clonazepam. Sleeping better. Trazodone reduced to 50 from 150, being weaned off.

7 Pain is much improved. Muscle spasms are completely resolved with regular use of cannabis. Discontinued lorazepam and cyclobenzaprine.

7 Able to be more active and do physical therapy. He is able to focus on tasks that need to be done at home and work.

7 no longer taking a lot of medications and has found a lot of pain relief

7 patient has experienced better, more consistent sleep, fewer muscle spasms, increased appetite and decreased anxiety levels

7 - sleep cycle greatly improved - able to go 6 miles on recumbent bike with spasms under control - falling less

12

Benefit Score

Benefit Description

7 He is much more comfortable despite persistent chorea due to advanced Huntington's disease.

7 Less intake of medications for muscle spasms. Instant relief and lasted longer than medications

7

It is helping pain, spasm, fatigue. Reduction of morning nausea. Sleep improved. Huge success. Able to exercise daily, no fatigue, able to attend evening classes. Big quality of life improvement. Pain 4/10 on cannabis, down from 8-9/10. Note cost of product necessary for this effect is $1,500/mo

7 alleviates muscle spasms completely- has not had any spasms in over 2 months.

7 better pain control

7 better sleep, less pain

7 Cannabis use has completely eliminated her anxiety and reduced muscle spasms.

7 decrease in muscle spasms, can sleep without nightmares

7 Fewer muscle cramps and reduced myalgia.

7 Greatly reduced pain and muscle spasms

7 He notes if he could afford it he could be off pain killers and muscle relaxants

7 helped a lot with managing pain and was able to discontinue medication. feels that her immune system has improved too

7 Helps with his insomnia, pain management, and appetite.

7 Improved comfort level, much less pain and spasms with fewer side effects than other meds she had taken (baclofen, Ultram). Is not requiring Botox injections for spasticity management since starting cannabis.

7 improved pain control

7 Nausea resolved Decreased anxiety and panic attacks Improved muscle spasms

13

Benefit Score

Benefit Description

7 No more constipation due to opiates and better sleep.

7 pain control and reduction of spasticity

7 Pain controlled and increased quality of life.

7

Pain is improved. Spasms are improved. Emesis is reduced. Sleep is improved.

7 Pain scale down from 8/10 to 3/10, off opioids, lorazepam and alcohol. Very happy pt. PTSD symptoms much less.

7 Patient has experienced lack of muscle spasms, sleeps through the night, and quality of life has drastically improved from use of medical cannabis.

7 Patient has experienced reduction in muscle spasms and cramping, pain relief, and gets better sleep at night.

7 Patient has stopped all opiate use due to cannabis. Patient's energy levels have increased significantly and interest in everyday activities has increased.

7 Patient reports diminished pain and improved pain tolerance.

7 Patient states that A1C has dropped significantly since using medical cannabis.

7 Patient states that the medical cannabis helps with pain relief and sleep. He states it also calms him down and makes it easier to focus on things.

7 Patients mood and depression have improved. Patients pain has improved.

7 Reduced anxiety and pain

7 Reduced pain. Improved functional status.

7 significantly less pain, no side effects, it is the most relief she had had from all her previous treatments

14

Benefit Score

Benefit Description

7 Survey done based on pt's taking cannabis for 2 months following certification. He can't afford it and is now worse. When on cannabis, he felt much less pain and had much better outlook

7 Had face pain as well and finds that it has helped reduce this. Muscle spasms are less frequent and finds immediate relief.

7 Less anxiety and muscle spasms gone

7 Incredible pain relief and better relief

Inflammatory Bowel Disease

Benefit Score

Benefit Description

0 patient has not been using the medical cannabis for several months and says he did not receive any benefit, he only tried it one time

3 Felt more relaxed, pain somewhat improved

4

It was difficult to figure out the type of product. It is helping his brain. Less hallucinations, nightmares, disorientation. Not waking up confused anymore. Pain is bad, cannabis distracts from pain somewhat. He does not care about it as much. No side effects, once the right product was figured out (sleepiness). Pain 6/10, down from 8-9/10. Opioid use reduced slightly

4 Decreased pain Decreased inflammation Decreased Crohn's symptoms

4 As of 9-9-16 pt had moderate but insufficient improvement of Crohn's disease with the use of cannabis for around 2 months. He was advised at that time to talk to the pharmacist to get the doses adjusted

4 Less fibromyalgia pain, more sleep

4 Decrease in abdominal cramping Decrease in anxiety

15

Benefit Score

Benefit Description

5 More appetite, more calm, slow weight gain. No abd pain.

5 Sleeping through nite, Before was defecating q 2 hours. Abd pain about 60% better. Defecating during day down by about 50% Overall improvement 70%

5 not as many stomach aches

5 Less nausea. Less abdominal pain from Crohn's disease.

5 Patient is able to sleep for longer periods of time throughout the night.

5 reduced cramping, increased appetite

5 reduced inflammation and cramping

5 this patient has end stage pain.

6 Pain control, including managing breakthrough.

6 patient has better pain management related to his crohn's disease, he is able to keep up his appetite and sleep through the night

6 It is working well. Less tense. It is helping w/ gut inflammation: less pain. Diarrhea about the same. No side effects.

6 Crohn's disease It is working fantastic. Iron up to nl. No SE Sleep great. Still has diarrhea, but no pain, no bleeding Off prednisone.

6 Decreased pain

6 helps with the pain, helps her with her ADLs

6 less pain, less cramping

6 Managing pain, decreased nausea symptoms

16

Benefit Score

Benefit Description

6 more regular BMs, less abdominal pain, more confidence

6 pain relief, anxiety relief, helps him sleep

6 less pain, eliminated pain medications, less nausea

7 Has completely stopped taking other medications and has not experienced any symptoms related to her chrones disease.

7 Patient states that overall stomach issues have gone away, CBD brings everything back to normal.

7 Decreased inflammation, which improves quality of sleep and appetite

7

Pt has Crohn's disease. He says: I am doing awesome! Used to have diarrhea 12-15 times a day, no more diarrhea now. Wt increased 141lb to 173lb Off prednisone and other meds. Everybody is just astounded. The only side effect is fatigue after the dose at night.

7 clarity, pain relief, better focus, less anxiety and nervousness, reduces symptoms, helps with nausea

7 eliminates headaches and nausea

7 Pain for Crohns has been relieved however pain for Back is a 2-3. Still needs more relief.

7 Pains is much improved and reduced to 4/10 BP is much improved.

7 Patient has experienced a better quality of life since starting the medical cannabis.

7 Sufficient relief of pain and spasm. Pt was able to get off oxycodone.

7 symptom relief, pain relief, easier to manage physically

17

Cancer

Benefit Score

Benefit Description

0

I am uncertain. He has chronic vomiting which is worse around chemotherapy days. We are continuing the cannabis but we have to use other drugs too to help with vomiting. The vomiting might be worse without cannabis. The family is also hoping to have anti-tumor effects from cannabis too which will be hard to assess given that he received radiation and is getting chemotherapy

0 Patient is no longer taking.

0 Patient reported feeling "high" after taking cannabis, thus she elected not to take again.

0 His nausea is under control but he is also on kytril

1 patient had intolerable side effects with only a couple of doses, and did not return because of a bad experience with the cannabis distribution center

1 patient states vaporizer equipment was faulty and too expensive so did not use it.

1 She did not feel there was any benefit and due to cost did not use beyond a few initial doses

1

She took cannabis for presumptive metastatic breast cancer pain control although she really wanted it for a non-approved indication--treatment of breast cancer. The cannabis proved to be too expensive and she ended using traditional anti-estrogen hormonal therapy for a positive benefit.

1 did not tolerate

2 This was prescribed for nausea and this particular patient did not seem to benefit very much from the medical cannabis.

2 some nausea control. She only took it briefly, since she was rapidly becoming worse.

2 Did have some pain control but does not feel this was significantly better then prescribed medication. Not actively using cannabis.

2 limited improvement in his pain control

2 some nausea control. Now has been able to stop this. No adverse effects.

18

Benefit Score

Benefit Description

3

Psychologically, the patient found it beneficial to have another treatment for his symptoms available. In practice, he did not utilize the cannabis much; while he found it helped with some of his symptoms (from head/neck radiation and chemotherapy) it was expensive and he used it only for a short time.

3 nausea management improved

4 improved mood, anxiety, mild pain relief

4

Patient stated that he started abusing other medications while using cannabis and needed to be checked into the hospital. He has now been off of the cannabis for a couple months and plans to go back on it when he is more stable. He stated that it did help while using it.

4 appetite improvement

4 Did help with cancer related pain

4 helps him sleep, helps with pain

4 increased appetite, better nausea control on chemotherapy

4 less anxiety

4 not a lot of benefit at this time due to the "cancer stuff" going on, isn't really sure what's helping with all the meds he's on

4 pt has seen improvement in pain and appetite

5 Patient was able to experience pain relief, muscle relaxation, decreased anxiety and better sleep. He stopped using the medical cannabis 6 months ago due to affordability as well as fatigue.

5 Pain control

5 appetite

5 better over physical feeling, lessened anxiety

5 improvement tin appetite and cancer-related cachexia

19

Benefit Score

Benefit Description

5 Less anxiety Nausea improved

5 Less medications, better sleep, and more comfort throughout the day

5 less pain, better appetite

5 pain control. improved appetite.

5 patient feels more relaxed at night and is able to get better and more consistent sleep

5 appetite stimulation

6 [PATIENT] was able to cut back on other medications for nausea related to his cancer: namely ativan and haldol. Additionally, it gave him a slight increase in his appetite, for which he was very grateful.

6 Excellent reduction in pain

6 Reduced anxiety with the dieing process

6 Post-chemo neuropathy defnitely responds to cannabis, possibly also to acupuncture. Pain on and off, up to 6/10 at times. Cannabis brings it down to 1/10. No side effects. Meds: none right now. Done w/ chemo for now.

6 appetite, pain

6 less pain, less nausea, better appetite

6 significantly less nausea and anxiety, less medication use

6 improved nausea management

6 More at ease and comfortable with daily stress. Anxiety is more controlled and less

6 Nausea, fatigue improved.

6 -pain relief during the day -able to sleep more at night

20

Benefit Score

Benefit Description

7 elderly lady with advanced myeloma, noticed increased appetite, lessened nausea and increased pain control. Passed away [DATE] on hospice.

7 severe chronic symptoms including nerve pain, nausea, anxiety after chemoradiation for tumor close to spine improved, decreased opioid use, improved functioning, weight gain.

7 patient has seen a drastic reduction in muscle spasms and finds her muscle pain is also soothed. She has been able to eliminate all NSAIDs and is getting better, more consistent sleep.

7 Sleeping, appetite, pain control, decrease in nausea

7 less nausea, more comfortable

7 appetite and nausea improvement

7 Better pain control, appetite

7 decreased nausea, increased apetite

7 Decreased pain

7 decreases nausea and improves appetite.

7 Less pain

7 Less use of narcotic pain medication, decreased side effects due to less narcotic pain medication

7 Pain controll

7 Pain is much improved and reduced to 4/10.

7 patient has had decreased pain levels and better, more consistent sleep

7 Reduced fatigue. Less nausea/vomiting with chemotherapy.

7 pain control in the setting of not wanting to take opioids

21

Benefit Score

Benefit Description

7 Patient reports less pain, less fatigue

Terminal Illness

Benefit Score

Benefit Description

4 Less SOB

6 [PATIENT] was able to cut back on other medications for nausea related to his cancer: namely ativan and haldol. Additionally, it gave him a slight increase in his appetite, for which he was very grateful.

6 Helped with anxiety/air hunger issues. Limited benefit as appetite stimulant and cachexia

7 less nausea, more comfortable

7 pain control in the setting of not wanting to take opioids

Intractable Pain

Benefit Score

Benefit Description

0 Pt has not been able to afford the cannabis so he has not been taken it in several months

0 none that I know of, but things might have changed from [DATE]

0 Patient states that he only went to the dispensary twice but did not continue to get medical cannabis because he did not like the psychoactive effects from the THC.

0

patient stopped taking the medical cannabis because she was finding it ineffective at lower doses and stated she was unable to function on higher doses as far as the THC products on the CBD products, she did not receive enough benefit to outweigh the cost

22

Benefit Score

Benefit Description

0 He tried medical cannabis and had some mixed results. So, to my knowledge, he has not continued going forward (as of the last time that I saw him in the office)

0 improved nausea from opiates, relieves pain moderately although she takes opiates on days with pain flares

0 Reduced pain Ability to rest

0 The patient was experiencing nausea and other GI symptoms. She discontinued use for a short time. She is still not using this consistently in order to see if this will be beneficial.

0 Again, incorrect entry in pain scale field. N/A is more correct but impossible to enter. Patient lost to follow-up

0 As of her last assessment, she had not yet found a formulation of medical cannabis that she could tolerate taking regularly.

0 can't afford it, not taking it. I entered 0 in pain rating. It is obviously incorrect

0 Decreased pain

0 did not tolerate

0

He was not on opiates. Chronic neuropathic pain and was hopeful the cannabis would be helpful for that issue where he has failed gabapentin and Lyrica historically. He has not followed up with me for the inquiry about the effect of the medical cannabis on his neuropathic pain but was hopeful that would be helpful.

0 More comfortable

0 patient claims to be highly allergic to hemp/marijuana. she states she had a severe allergic reaction when she tried it

0 patient decided after the medication question that he no longer wished to participate in the survey and disconnected the call

0 patient has not been taking the medical cannabis for several months because she just bought a new home and has not been able to afford it.

23

Benefit Score

Benefit Description

0 patient is continuing to take suboxone in conjunction with medical cannabis

0 patient is not taking the medical cannabis anymore as he has moved back to Texas

0 patient is not taking the medical cannabis. She said she bought a 5 week supply and it didn't do anything for her so she went to another doctor and got Oxycodone

0 Patient no longer on cannabis.

0 Patient only followed up once after certifying. He had only been on medcan for two weeks and had not yet found the right product. He and his wife stated they would continue to get his fentanyl from his oncologist.

0

Patient states that she only went to dispensary once and has not went back since for a refill because he provider for pain medications didn't want her on medical cannabis while she was on her pain medications. She also states that the cannabis didn't do much for her the first time and she couldn't afford another refill.

0 Pt could not afford cannabis. Pain score of 0, as entered is incorrect. Make it possible to fill out the form without pain score

0 Pt didn't get his original certification due to computer glitch. Still with significant pain on his MS Contin. Will reassess when appropriate.

0 Pt has not been able to afford the cannabis so she has not been taking it

0 She is not taking it.

0 According to Pharm D notes, the patient is using 4/7 days to help with sleep and pain level.

0 hard to say, in hospice now for mesothelemioma, the cancer has worsened after he started the cannabis, has been continued for palliation

0 He really did not take medical cannabis for very long

0 He thinks he might sleep a little better, otherwise no benefit.

0 Pt is not sure how much cannabis is helping. She takes it along with lorazepam both seem to reduce tension. Suggested to stop cannabis to see if she gets worse.

24

Benefit Score

Benefit Description

0 patient discontinued cannabis due to lack of improvement. Reported she was unable to afford the recommended cannabis

1 He stopped using due to cost and side effects.

1 Unable to afford

1 Did not help with pain

1 She states it helps her forget about the pain but doesn't reduce the pain severity as she reports that it causes her to "feel high"

1 none, has not helped pain

1 not much benefit for pain relief

1 Stopped cannabis because not any better after multiple products

1 patient had intolerable side effects with only a couple of doses, and did not return because of a bad experience with the cannabis distribution center

1 patient only took the cannabis for about a month and states that it was completely ineffective for her

1 Could not achieve reduction in Suboxone dose, did not see any benefit.

1 no good effect

1 no improvement

1 none

1 None

1 none=-pt reported stopping [DATE] because of hallucination

1 Patient discontinued use after trying pill form due to negative side effects

1 still had pain and did not have relief. Did not concentrate on seeing if there were any benefits, just focused more on the pain.

25

Benefit Score

Benefit Description

1 could not tolerate any of the cannabis products

1 no pain relief

1 patient says he stopped taking the medical cannabis after 3 months because it didn't help and all it did was make him sleep more and eat more

1 N/A - patient unable to tolerate use of medical cannabis due to side effect.

1 Did not help with pain

1 None

1 Did not help with pain

1 it did not work at all at low dose and caused severe side effects (HTN and tachicardia) at higher dose

1 None

1 None

1 Tried medical cannabis for 4 months without relief, so stopped taking in April.

1 Did not work for patient at all

1 discontinued because it was not effective

1 does not tolerate anything but pills due to memory issues.

1 He discontinue medical cannabis in the fall of 2017 secondary to lack of benefit

1 He quit taking due to cost

1 no currently utilizing program

1 Patient discontinued taking medical cannabis after trying it due to ineffectiveness

1 Patient has not been using medical cannabis due to cost.

26

Benefit Score

Benefit Description

1 Patient stated that she only went to a dispensary 2 or 3 times and she did not find the cannabis to be helping her at all so she hasn't been back since.

1 Has not helped with pain.

1 He did not ever get any benefit.

1 he pain is so severe he doesn't think anything will help at this point

1 no benefits and went back to opioids only on a prn basis

1 no improvement

1 no improvement

1 no pain relief benefit-she has discontinued taking

1 No pain relief; patient discontinued use

1 No results after trying 4 different preparations.

1 none

1 None She is not sure if it has any effect on her chronic pain status

1 patient no longer using

1 patient not currently utilizing the medical cannabis program

1 Patient stopped taking medical cannabis 2 months ago because he felt no pain relief from it.

1 Patient tried cannabis once and did not like it

1 Pt tried cannabis on and off a few times, did not get better and stopped trying

1 Pt tried cannabis x 2 weeks, did not feel better and stopped trying

1 PTSD and depression gone. Pain much better, More active, can walk now

27

Benefit Score

Benefit Description

1 She did not feel it was helpful for her pain.

1 She did not feel like the cannabis helped with her pain.

1 She did not feel there was any benefit and due to cost did not use beyond a few initial doses

1 she does not feel like she gets any benefit from the medical cannabis, finds it ineffective

1 unable to afford

1 unclear at this time, patient newly started using medical cannabis

1 had no pain relief with cannabis

1 slight improvement in sleep

1 None that I can deduce

1 Patient stated that she tried capsules and vaping, and oil and none of the forms worked for her pain at all.

1 did not reduce pain

1 it did not help

1 no benefit and too expensive for patient

1 not effective

1 did not reduce pain

1 did not reduce pain and did not tolerate side effects

1 did not tolerate cannabis

1 Did not tolerate side effects

1 finds that she sleeps well

28

Benefit Score

Benefit Description

1 Stopped due to side effects and cost

1 did not tolerate

1 did not tolerate side effects

1 did not tolerate side effects and stopped

1 has not tried yet

1 Patient did not utilize it long enough to experience any benefits.

2 For this patient, it was not helpful enough to reduce his opioid need. Thus, we mutually agreed to stop the cannabis.

2 some pain relief, improvement in sleep

2 reduces pain - but still is in process of adjusting

2 Patient has more relief with opioids

2 Relaxation in the evening; calming effect

2 Slightly reduces cervical pain.

2 No help for pain, some relief of nausea

2 Helps some with pain

2 some pain relief

2 sleep

2 Patient did not get adequate pain relief

2 Minimal pain relief. Pt could not get in enough THC due to side effects

2 Some relief of pain, but too much side effects, so she does not like it

2 has improved sleep little benefit pain

29

Benefit Score

Benefit Description

2 No relief with pain

2 she was unable to afford medical marijuana so did not titrate to a therapeutic level

2 Patient discontinued use after 1 month due to fogginess

2 patient does not get much benefit from the medical cannabis but the pain dissipates for an hour or two.

2 patient gets mild relief on occasion but it does not last

2 Reduced back pain slightly.

2 just starting to use, less anxious, no change pain, to use different forms

2 Less frequent and less painful UTI's.

2 minimal pain relief; did not help with sleep

2 no significant relief

2 The liquid form has helped her nausea and appetite.

2 unclear results

2 able to sleep better, headaches sometimes better

2 Able to wean off of fentanyl, but pain is inadequately controlled now.

2 benefit with sleep

2 Denies that the cannabis is helpful but was not very receptive to medical cannabis in the first place since his narcotics were going to be weaned. But medical cannabis is a safer way to control his pain.

2 Did have some pain control but does not feel this was significantly better then prescribed medication. Not actively using cannabis.

2 eating better, able to relax, has not cut down opioids

30

Benefit Score

Benefit Description

2 Effective for pain, but not affordable. Pt is considering moving to CO or OR. He tried product in CO, whole plant extract, it worked better than MN products and was significantly less expensive.

2 helped some with anxiety

2 Helps some with pain, but does not last long -- only about 3 hours.

2 Helps some with pain.

2 helps with nausea, not yet with pain

2 It does slightly help him sleep better at night, otherwise he does not feel like it is helping during the day at all.

2 It helped relax, but not pain. Pt didn't want to try higher THC product, so titration was not carried out.

2 makes oxycodone dose last longer

2 Mild sense of wellbeing

2 Mild to moderate pain reduction

2 minimal pain relief

2 More relaxed, less anxious

2 Not sure if providing pain relief.

2 Patient has been unable to utilize medical cannabis regularly secondary to cost.

2 Patient reports that the product obtained from his vendor was inadequate to treat his pain symptoms. Quantity necessary to get him to relief . was too expensive. He felt the CBD did help somewhat with his anxiety.

2 patient says the medical cannabis has been mostly ineffective for her but she says it does help her take her mind off the pain a little bit and she enjoys that it makes her feel "stoned".

2 Per PCP note sleeping better, less anxiety

31

Benefit Score

Benefit Description

2 Possible minimal help for pain, not definitive. Probably did not get to sufficient dose.

2 Previously taking Percocet 5mg/325mg BID. Trialed medical cannabis in addition, but found Percocet to be more effective for pain. Has stopped medical cannabis.

2 reduced pain

2 some benefit pain, ready to try to taper

2 [HIGH THC PRODUCT] helps him sleep better at night.

2 The patient is not certain how helpful the cannabis is.

2 This patient reports the oral suspension as beneficial however the vapor was not beneficial however Has come to the conclusion that the costs do not justify the benefit.

2 cannabis did not reduce pain nearly close to her opioid

2 did not reduce pain and could not afford

2 did not reduce pain, stopped cannabis

2 discontinued the cannabis as it only helped with sleep - still needs opioids for pain

2 "Numbs" the pain Improves sleep

2 did not help much for pain

2 did not help with pain, stopped cannabis

2 MInimal pain relief with medical cannabis

2 patient has not had good pain control with medical cannabis

2 Did not get much relief and he could not afford this

2 did not tolerate

32

Benefit Score

Benefit Description

2 patient discontinued after not much pain relief

2 stopped, could not afford

3 finds some pain relief

3 better sleep

3 has been able to eliminate prn lorazepam for extreme pain episodes

3 helping pain, mood, sleep

3 some improvement in pain for 3-4 hours each dose

3 THC particularly helpful for sleep. CBD seems to help reduce pain/inflammation during the day

3 He takes the medical cannabis at night which seems to help with pain and anxiety.

3 Pain better for 1 day

3 Better sleep at night

3 Helps some with pain

3 He did not feels as sedated

3 Helped pain, but he stopped it due to mental status changes.

3 mild improvement in pain

3 some pain relief

3 little less pain, little easier to get around

3 Less pain, sleeps better

3 Patient has not yet found benefit from medical cannabis but is trying all ratios and may ultimately find no benefit once completes all trials.

3 Some decrease in muscle spams.

33

Benefit Score

Benefit Description

3 reports did help pain , short trial at visit, vaporizer hurt lungs, to try other preparation

3 20% pain relief

3 Patient experienced slight relief of muscle spasms.

3 some relief with pain

3 Helped with pain but he didn't tolerate so he stopped taking it.

3 better pain relief than opioids

3 Helps with insomnia

3 Improved sleep

3 Less pain although he states it's not working as well as it did at first.

3 Able to be active longer without pain.

3 Able to reduce pain med.

3 Analgesia and spasms, to a very small degree, after much discussion with the pharmacist and alterations to the "traditional' MMS pathways. She also noted some reduction in her anxious symptoms.

3 Assisted in managing his pain.

3 Better sleep, less pain

3 decrease in pain PEG 3 scale went from 8 to 6.3; improved quality of sleep

3 Decreased opiate dose, pain relief

3 did not offer enough pain relief to allow decrease of pain meds

3 does help with pain, spasms sleep, using different forms, plans to decrease Dilaudid

3 Fairly minimal improvement of pain level, but off opiates by going thru Hazelden program. Unclear results.

34

Benefit Score

Benefit Description

3 He did not get benefit on his #1 pain complaint, but did get benefit on his #2 complaints

3 helps him take his mind off the pain, helps him sleep better

3 Helps with mid to upper back pain, but not low back/leg pain.

3 Improved function, reduced pain, improved sleep, reduced opioid pain reliever need

3 Improved sleep, but no pain relief. Likely dose not high enough, but pt can't afford more

3 marked improvement in nausea 25% decr pain

3 mild pain relief

3 mild pain relief, is able to manage pain better

3 pain improvement no functional improvement

3 Particularly helpful with sleep. This is true for many patients. THC dominant formulations particularly useful for this indication. Although no reduction opioid pain relievers, function is improved by 10% by cannabis.

3 patient states the medical cannabis helps with pain reduction

3 reports some benefit with pain, periods better function, has not wanted to decrease dose yet

3 Sleeping better Decreased night time pain levels

3 States that he feels less pain, but narcotic use has not yet decreased.

3 cold not afford and stopped

3 decreased use of opioids

3 decreasing pain pump

35

Benefit Score

Benefit Description

3 He does feel that this is helping with his chronic pain symptoms. Unfortunately, around the same time as starting medical cannibus he acquired a new acute pain problem that is longer lasting, so it will be difficult to understand full benefit.

3 little

3 PCP note indicates some benefit

3 reports less pain but still has daily HA.

3

Sleep good Nausea and vomiting gone Migraine pain 20% better Still in bed a lot of the time, but able to manage kids better

3 less pain, not able to decrease tramadol

3 pain relief

3 decreased pain, had to stop due to side effects

3 helps with sleep, anxiety, racing thoughts

4 being able to sit instead of stand when using cannabis

4 improved sleep, less pain

4 Pt states: "Nothing bothers me, even pain. I don't think about it". This is when she takes cannabis. She can't afford it on a consistent basis. It appears to reduce sensitivity/reaction to pain, not pain itself.

4 improvement in pain

4 less back spasms, better sleep

4 Patient states that medical cannabis helps with pain relief.

4 reduced pain more functionality

4 Fewer spasms, lower generalized pain

36

Benefit Score

Benefit Description

4 pain relief, anxiety relief

4 Some pain relief. Side effects interfere w/ dose adjustment. But pain drugs reduced: tramadol down from 8 to 5 a day

4 Patient states that that the medical cannabis helps him sleep at night.

4 Pt reports much better sleep and relaxation. improved quality of life, overall function improved

4 Better sleep, pain down 50%, anxiety better

4 Decreased pain Improved sleep

4

It was difficult to figure out the type of product. It is helping his brain. Less hallucinations, nightmares, disorientation. Not waking up confused anymore. Pain is bad, cannabis distracts from pain somewhat. He does not care about it as much. No side effects, once the right product was figured out (sleepiness). Pain 6/10, down from 8-9/10. Opioid use reduced slightly

4 LESS USE OF RX OXYCODONE

4 More calm, less severe neck pain and anxiety.

4 patient had a mild decrease in typical pain

4 Patient states he is doing better overall. He has increased quality of life, and decreased pain from a 9 to a 7.

4 Sleep and anxiety 50% better, pain 40% better, spasms 30% better

4 some pain control

4 Better pain control. Improved sleep. Improved quality of life.

4 Helps some with pain. Definitely helps him sleep better at night.

4 Mixed results; takes edge off pain during day but has not reduced opioids. He is able to sleep great at night, 6-8 hours uninterrupted which is biggest improvement.

37

Benefit Score

Benefit Description

4 Patient states that the cannabis makes him more relaxed and helps take the edge off the pain.

4 reduced Oxycodone dosage some reduction in pain

4 Reduces pain levels.

4 pain relief

4 1. Takes the edge off his pain. 2. Improves his sleep hygiene.

4 IBS 70% better Pain only 15% better but MRI neck much worse and scheduled for surgery

4 Nausea 75% better. Her lower abd pain 30% better, but severe upper abd pain no better. Sleeps better

4 Relaxation when pain is extreme.

4 50% pain relief

4 decreased opioid use

4 Decreased pain, improved sleep

4 pain relief, tapering down on opiates

4 "Lets me forget about my pain." "I would be able to reduce my opioid use if I could afford more medical cannabis."

4 Better sleep Less abdominal pain over pancreas Less nausea

4 Better sleep, less pain

4 Decreased joint pain

38

Benefit Score

Benefit Description

4 decreased pain increase in function

4 decreased pain meds

4 fewer muscle spasms

4

He reports it helps him sleep better at night, but it has not really helped his daytime pain. Overall, he considers it a success since quality sleep is so important for pain reduction.

4 helped sleep m headaches, decreases opioids about 25%

4 Helps pain somewhat. Too expensive to be able to afford high enough dose.

4 helps some with the pain

4 helps somewhat with pain

4 Helps with general body aches and pains but does not help with sharp axial back pain

4 improved pain, decrease spasm more function

4 Improved prevention of HAs but did not assist with breakthrough headache pain

4 Improvement of burning and tingling of peripheral neuropathy, but not back pain. Dose probably low

4 intermittent benefit from decreasing pain

4 Less fibromyalgia pain, more sleep

4 less muscle soreness

4 Less pain, better sleep

4 Pain control opiod reduction

4 pain lessened but not gone completely

39

Benefit Score

Benefit Description

4 Pain was improved for first 2 months, then pt stopped using it and started using different products.

4 Patient has experienced pain relief from the medical cannabis.

4 patient is still taking tramadol, says she has some pain relief and some better sleep

4 Patient states his pain improved, though it is difficult to measure how much as he is unable to afford to take is as recommended

4 Patient states that he sleeps through the night now with the use of medical cannabis.

4 Patient was happy to come off of the hydrocodone

4 Pt has had multiple surgery in last 6 months, I believe it is helping not to further increase his pain medication dose.

4 reduced opioid use

4 Reduced pain med seeking, but lately not able to afford and post-surgical pain

4 reduction in pain up to 25%, more active, thinking happier

4 relief of migraine headaches

4 relieves some of the pain, helps with sleep

4 Sleeps better Decreased usage of narcotic medication

4 some reduction in pain, better sleep

4 Better function

4 decreasing pain pump

4 helping to take edge off of reducing fentanyl patch

4 helps with sleep

40

Benefit Score

Benefit Description

4 improved pain and sleep

4 Less pain medications

4 Not sure if it is benefitting him much at this time.

4 pain relief

4 Unable to continue cannabis due to cost

4 decreased opioids

4 Feels better when he can afford it, but can't afford enough.

4 Able to do more physical activity with less pain. Very helpful with arthritis.

4 50% pain relief with medical cannabis

4 Less pain - 50% better, better sleep

4 pain relief

5 pain level decreased increased sleep improved relaxation

5 reduction in dosing of narcotic. However, cost of the medical cannabis may cause her to d/c the program.

5 Feels better and able to manage her pain symptoms better

5 less pain

5 good pain relieve from trigeminal neuralgia and relief of associated anxiety

5 better sleep, less pain in his legs and neck.

5 better sleep, more alert during day at work, less medication

5 Better sleep. Better mood (less anxiety). Some pain relief.

41

Benefit Score

Benefit Description

5 decreased anxiety decreased back pain

5 Good help with pain, especially at night so pt can sleep. Use is limited by cost. Uses PRN only.

5 has been helping decrease the methadone from 180 to 50 mg day

5

Has helped him be more comfortable with him pain level. He was on high dose opioids which weren't helping his pain level. Now with medical cannabis he is more comfortable again. So pain meds have not been decreased, but without medical cannabis they would have needed to be increased.

5 helps with pain, helps with sleep, keeps him motivated

5 Improved sleep, pain relief

5 Less pain

5 More consistent pain control with fewer lows between med doses

5 no longer dependent on opiate for pain

5 Noted that cannabis helps with pain management and anxiety.

5 decrease dose oxycodone benefit several hours

5 more active without pain, sleeping better

5 patient only uses the medical cannabis at night and in doing so is able to experience reduced pain levels and better, more consistent sleep. he also believes it help keep his BMs regular

5 patient was initially able to get prolonged sleep but says that benefit has worn off somewhat. She does still experience the benefit of muscle relaxation

5 resting better, sleep, neuropathic pain

5 Tried cannabis x 1 mo. Felt better. Could not afford more. It helped w/ pain a lot, not perfect (6/7) and sleep

42

Benefit Score

Benefit Description

5 The pills helped with minor pain control

5 Reduced pain for a while. However, last 2 weeks pt is experiencing more side effects and stopped cannabis. She attributes the change to onset of menopause

5 she feels more confident in ability to reduce prescription opioid

5 Able to assist with pain, nausea and vomiting. Neck and back pain has been more tolerable with cannabis. Less anxiety and more sleep throughout the night. Feels he's been more active and back to his normal routine of life prior to pain.

5 A significant reduction in suicidal ideation and symptoms of depression. Improved sleep.

5 Cannabis works well in other areas, but does not help neck enough. Diarrhea w/ oral prep. It helps peripheral neuropathy sx, sleep better. Pain 3/10, not complete relief. He still needs clonopin. No drug changes. It reduces nausea from tramadol.

5 Help with muscle spasms and sleep

5 Helped improve sleep and pain control

5 Helps pain and PTSD symptoms with minimal side effects (dry mouth)

5 Improved sleep and decreased pain at night. Decreased muscle spasms.

5 Increased sleep throughout the night which significantly decreases his pain throughout the day.

5

Migraines controlled on the medical cannabis. Helps significantly with both the pain management and stress due to his small business. Pain level improves from 9/10 to 6/10 with cannabis. Was able to stop NSAIDs completely after using cannabis. Side effects- reports minor "grogginess" which improves with a cup of coffee. Lasts less than one day. Might be harder to get up early the next morning if he uses cannabis the day before.

5 Pain is improved and reduced to 5/10

5 Pain is much improved and reduced to 4/10.

43

Benefit Score

Benefit Description

5 pain reduction increase in functionability

5 Pain reduction, namely of neuropathic-quality pain

5 pain relief and drug use reduction

5 Pt states: " It helps pain, sleep better, more relaxed, less anxious. Pain 6/10 on it, down from 8-9/10. Side effect: increased tinnitus. Meds: Percoset reduced from 6 to 3 a day. "

5 Reduced muscle spasms, helps takes his mind off of the pain, assists with napping throughout the day.

5 sleeps better, helps with digestive and stomach issues, and headaches.

5 stops phantom pains almost completely makes irritable bowel pain bearable increased appetite

5 better sleep reduced pain levels reduced headaches

5 decrease in migraines and nausea

5 Decreased migraine days

5 decreased naproxen and really helped with inflammation

5 getting off of medications, pain is tolerable, and she's more active. Has had lost of weight since.

5 helps relieve pain, eliminates the need for hydrocodone, takes the edge off

5 Incomplete pain relief, likely due to insufficient cannabis dose. Pt was encouraged to talk to the pharmacist to adjust the dose

5 Is able to manage pain throughout the day with the use of Cannabis

44

Benefit Score

Benefit Description

5 Pain in arm is significantly reduced. However, pain in neck is not relieved and movement in neck muscles continues.

5 pain relief; able to take during work; taper off opioids

5 patient has experience a reduction in pain as well as in anxiety

5 Patient states that medical cannabis helps with pain relief, sleep, appetite stimulation and anxiety.

5 helps with muscle pain, but does not help with nerve pain. She says it keeps her body calmer so her muscles aren't cramping up all the time

5

Incomplete but significant relief of pain and joint swelling, limited by diarrhea (side effect). Worse now as he is in TX for last 2 months and was afraid to smuggle cannabis with him across state borders. Pain is 8/10 off cannabis and swelling significantly worse.

5 Help with sleep and pain reduction

5 less anxiety, somewhat less pain used for only one time following evaluation

5 pain relief

5 better pain control without pain medications

5 decreased reliance on oral opioid dosing, improved GI symptoms

5 I only saw patient once after he certified. He was not able to go to dispensary right away. He was seen in follow up by one of my colleagues, and he did wean off his C2 opioids, so I am basing my answer on that.

5 increased pain relief

5 Pain is improved to the point of not needing Percocet.

5 pain relief increased

45

Benefit Score

Benefit Description

5 Patient only taking this medication since [DATE]. However, she says it helps with her pain and muscle spasms.

5 reduction in use of narcotics increased ability to sleep reduction in throbbing spasms.

5 It helps a little w/ pain, sleep, eating. D/c'd valium. Oxycodone same dose. Pain 2/10 on cannabis w/ oxy. Off cannabis 4/10.

5 1. REDUCTION OF OTC MEDS

5 60 % less pain, sleeping well

5 able to relatively decrease opioid analgesics while on cannabis but could not afford to continue it

5 Able to sit longer, able to do activities longer now with medical cannabis.

5 Able to tolerated pain better, improved activity level

5 Assists with taking his mind off of the pain

5 better function

5 better function, fewer meds,

5 better function, fewer pain meds

5 better function, less pain, less need for other medicine

5 better sleep due to decreased pain levels

5 better sleep with less pain

5 Can do more activities More mobility

5 Cannabis did assist with anxiety and stress from pain.

46

Benefit Score

Benefit Description

5

Cannabis helped pain a lot, but due to high doses required for good results, pt had to stop it and resume full dose of oxy. He is feeling worse on oxy than when he was on cannabis, with pain going from 6/10 on cannabis to 9/10 on oxycodone. Infusion pump is being considered. His pain clinic is also refusing to give him oxycodone if he takes cannabis

5 decrease in pain overall

5 decreased med use

5 decreased muscle spasms pain relief

5 decreased opioid use

5 decreased pain

5 decreased pain levels, decreased anxiety levels

5 Decreased pain resulting in increased ability to function, i.e., cook supper and care for family at end of day. Also notes improved quality of life, i.e., not a crabby wife and mother.

5 Decreased pain with shoulder pain. He is being re-evaluated for back pain.

5 Decreased pain, able to increase activity level.

5 Decreased pain, better sleep and better appetite

5 decreased pain, coughing has gone away (doesn't smoke tobacco anymore)

5 decreased pain, increased mobility

5 decreased use of norco

5 does not feel like needs to increase dose opioid as did before, helps sleep, anxiety, mood

47

Benefit Score

Benefit Description

5 Doing better. Using cannabis for pain. Pain down to 4/10. It stops nausea about half the time. Continues on imitrex and toradol prn. No side effecs. Toradol shots reduced 50% Still working w/ [MANUFACTURER] on dose titration.

5 eliminated vicodin reduced nerve and muscle pain reduced stiffness

5 Finds that she sleeps better, pain is tolerable, and alleviates her hip pain.

5 He describes it substantially improved his sleep restoration albeit does not change his daytime pain. Mind you this is a gentleman who takes only one hydrocodone/APAP 5/325 by mouth daily when necessary…

5 helped with sleep, not much with pain

5 helps him sleep, reduces pain levels

5 Helps manage his pain better, improved appetite and healthy weight gain. Overall better quality of life.

5 helps with anxiety and depression, helps with the pain, helps her relax

5 Helps with her glaucoma and anxiety. Pain is manageable. Finds a lot of relief for her stomach pains

5 Helps with migraine.

5 helps with pain "some"

5 improved pain relief, sleep, and relaxation

5 Improved quality of life

5 improving pain without opioids

5 increase in daily activity, decrease in symptoms of PTSD, decrease in pain.

48

Benefit Score

Benefit Description

5 Increased activity. Walking time frame increased from 5-10 minutes per time. Not fallen in one month

5 Increased functioning and participation in family life and activities. We have discussed his pain level and effects of medical cannabis but has not retaken PEG scale.

5 increased sleep at night. improved mood increased appetite

5 It has allowed me to use minimal doses of tramadol and cyclobenzaprine

5 It is difficult to determine as the patient has missed three follow-up appointments for evaluation. She is on my cancellation list to be seen in the near future.

5 less pain and no side effects

5 less pain, better sleep

5 less pain, less nausea with pain, better mood

5 Less pain, more active, sleeps well

5 less pain, not having to take pain meds

5 less sedated and improved QOL

5 less spasms, used as adjuvant to other prescribed meds

5 less, pain, better function, far less opioid

5 Lessens the pain and muscle spasms are not as frequent. Able to relax and manage pain better

5 Makes pain more bearable and patient experiences a more positive attitude as a result of the medication.

5 Manages her arthritis and fibromyalgia pain much better than her oral medications.

49

Benefit Score

Benefit Description

5 Manages pain

5 Not taking pain medication has helped reduce opiate induced constipation and other stomach issues. Makes pain tolerable.

5 now off narcotics

5 pain 70% better, sleep good

5 Pain control via a remedy the patient considers natural and that "keeps my head clear." Helped with nausea and improved her appetite so that she has increased her BMI from 19 to 22.5.

5 Pain management

5 Pain not as intense, easier to live with it.

5 Pain reduction (peripheral neuropathy), anxiety reduction, relaxation. Too expensive to afford adequate dose for optimal relief

5 Pain reduction from 9 to 7/10, off opiates which did not work real well and caused side effects.

5 pain reduction can sleep

5 Pain relief

5 Pain relief not as good as from tramadol, but good enough, and pt feels better using cannabis

5 pain relief, less dependence on opioids

5 patient has been able to get better, more consistent sleep and reports feeling more relaxed. She also has seen a reduction in pain levels.

5 patient has benefited with decreased pain levels and increased ability to perform ADLs comfortably, including an easier time with toileting. He has increased mobility and lessened nerve pain.

50

Benefit Score

Benefit Description

5 patient has experienced fewer muscle spasms and decreased pain levels

5 Patient has had more benefit with her anxiety and depression than with pain, which is what she was certified for.

5 patient has increased pain management and is able to get more consistent sleep at night

5 Patient states she is able to sleep all night long without waking up in pain

5 Patient states that his pain and stress have gone down significantly since starting medical cannabis.

5 Patient states that medical cannabis has helped increase his appetite and get better sleep.

5 Patient states that medical cannabis helps with pain relief, less muscle spasms, and helps him sleep better at night.

5 Patient states that the medical cannabis has helped her insomnia, anxiety, pain, migraines, muscle spasms, and nausea.

5 Patient states the medical cannabis helps "relieve pain, relaxes his brain, and decompresses his body".

5

Pt has chronic pancreatitis w/ pain and cachexia. Pt had less pain and improved appetite and gained some wt when using cannabis. She reduced oxycodone. Then her pain dr refused to treat her if she was on cannabis and she stopped. I encouraged her have the pain dr talk to me to coordinate treatment.

5 Pt was seen in August 2017 for acute illness and no formal pain assessment tool done. However, she appears to be taking less tylenol #3 and told me that she feels medical cannabis helps her pain and sleep at night.

5 reduced anxiety levels, reduced pain levels

5 reduced pain levels, reduced achiness

51

Benefit Score

Benefit Description

5 reduced pain better sleep better mood

5 reduced pain, better sleep, more overall comfort

5 relieves muscle spasms and relieves achiness, helps her sleep better

5 relieves the pain, helps with mobility

5 reports more physcially active due to less pain, sleeping better, stopped trazadone

5 she has less pain in her back is from Polycystic kidneys and this has a calming effect - less anxiety.

5 She is eating and sleeping better, getting out of bed and functioning daily. Significant but not complete pain reduction. "It has made a major difference" in the life of patient and her family

5 She reported with use her pain was reduced to 2-3/10 (averages 6+ without) and she was only taking Vicodin BID instead of QID.

5 Sleeping well, less pain

5 Some pain relief and muscle relax

5 Spasms greatly improved. Knee and back pain significantly improved. Appetite and sleep improved

5 Starting to help more for pain after transitioning from SL spray to oil liquid.

5 Tapering off opioids is the best benefit; pain relief second

5 this patient has end stage pain.

5 Was able to stop all opiate use and is able to manage pain just with cannabis.

5 Cannabis makes pain tolerable and probably reduces it some. Pt was also started on prednisone and plaquenil at same time

5 consistent pain control

52

Benefit Score

Benefit Description

5 Decr pain, better sleep, less nausea, better appetite

5 decrease in opioids

5 Decrease in pain

5 decreased opioid use

5 decreased opioids

5 Improved sleep

5 It has helped some, but unable to reduce opioids as of yet....challenging patient.

5 Less back pain

5 Less pain in neck and shoulder muscles

5 Pain 50% better, sleep much better

5 Reduced pain, helps sleep

5 Improvement in pain relief and sleep

5 Off of opioid medication. Concern is around now considering getting pregnant and no evidence weighing risks of MC use during pregnancy

5 Taper off opioids, sleep aid, anxiety

5 less pain

5 Helps with sleep and appetite

5 Decreased pain and increased functioning.

5 discussion pending F/U

5 helps with sleep, appetite, feels can focus better more calm, not that helpful yet with pain, trying different forms

5 Sleep, pain

53

Benefit Score

Benefit Description

6 improved physical functioning with less drug use otherwise

6 patient states much better sleep and decrease in pain. Pain more "stable" than it has been in months.

6 less oxycodone, improved quality of life, decreased nausea and pain

6 It helps body to relax, sleep is improved. Pain better. No change in drugs. Better feeling of wellbeing. Titrating slowly. No perfect relief yet, but still, very happy with the results

6 Good pain relief, minimal SE

6 less spasms, improved pain relief better sleep

6 No need for pain killers when on cannabis

6 Pain is a lot more manageable and frequency of headaches have decreased

6 Patient states that CBD completely wiped out back muscle spasms, increasing his mobility, while the THC seems to just mask the pain.

6

1. Arthritis pain in knees, feet, and Left hand markedly improved. 2. Neck pain improved. 3. Sleep improved. 4. Anxiety improved.

6 Improved quality of life in regards to fibromyalgia and IBS. "Feeling much more comfortable"

6 Improvement in pain control. D/c Xanax, Vicodin, and Ambien Sleep improved

6 Migraines are reduced with use of cannabis. Drugs used for migraines in addition to cannabis are much more effective when used in conjunction with cannabis

54

Benefit Score

Benefit Description

6 Patient states that medical cannabis helps her get a good night sleep, and pain relief.

6 reduced pain levels

6 Sleep improvement, pain reduction

6 Patient states that he is able to sleep through the night.

6 Significantly decreases pain

6 Patient was able to return to work and increase productivity.

6 Patient states that the medical cannabis helps greatly with her pain relief, sleep, anxiety, and depression.

6 relieves pain

6

Sleep OK 70-80% of the time, 6-8 hrs, improved from 4 hr on a good night. Pain 2-3/10, down from 7-8/10 Anxiety much improved. Meds: was not on them before cannabis. Side effects: sometimes some grogginess on waking. Some appetite increase.

6 1.) D/c narcotic pain meds. 2. Reduction in joint pains

6 Ability to control pain without opioids, more active with family, improvement in sleep

6 Adequate pain reduction with PRN use of vaped cannabis. Happy pt

6 Car accident has caused a lot of pain in leg and nerve pain, but using cannabis helps alleviate the of the pain. No longer on medication. Anxiety is controlled along with depression.

6 decreased pain and decreased use of opioids

6 Eliminating opiates and controls pains so she is able to work

6 Helps nerve pain and some with sleep

55

Benefit Score

Benefit Description

6 Less pain and less spasms

6 Marked reduction in pain.

6 Muscle relaxing, sleeping better, and managing pain.

6 Pain 90% improved

6 Pain control, including managing breakthrough.

6 Pain is improved. Pt is more active and has a higher quality of life.

6 Pain is significantly improved and reduced

6

Pain is significantly improved and reduced to 3/10. Muscle tension is significantly improved. Mood is improved. Sleep is improved. Appetite is improved.

6 Pain Management and reduces muscles spasms

6 Pain management, appetite, sleeping,

6 pain relief, helps with sleep, better appetite, helps him concentrate

6 patient has a better quality of life and is able to better perform ADLs, increased ROM and mobility, pain reductions, patient is able to stay more active

6 Pt says: Very happy w/ it. It saved me many times. It takes away 85% of pain. Helps sleep at night.

6 Pt states: " It's helped a lot: reduced pain, improved sleep, more energy. No side effects. Occ a bit drowsy., less now. Stopped gabapentin. Pain 3-4/10, down from 7-8/10.

6 reduced anxiety, manages pain, and helps with relaxing which gives him more feelings and emotions besides the pain

6 Reduced pain. Decreased muscle spasms. Improved sleep.

56

Benefit Score

Benefit Description

6 Reduced pain. Rare use of NSAIDs. Previously used regularly.

6 Reduces pain and assists greatly with sleeping patterns. Patient notices a better quality of life while using cannabis. Reduces muscle spasms.

6 Reduction in pain, significantly, 80% improvement.

6 Relaxes muscles to avoid spasms and sleeps better.

6 relieved pain, able to increase activity

6 Sleep and pain better, more relaxed

6 Took some pain symptoms but mainly stomach pains have been relieved more than neuropathy.

6 Very happy with results: migraines managed much better with cannabis

6 Eases pain

6 pain relief inflammation relief muscle spasms relief

6 Patient has experienced less pain and stopped smoking cigarettes.

6 Significant migraine pain reduction. IBS not improved. Anxiety improved

6 Improved function and reduced narcotic use.

6 less severe headache

6 patient experiences reduction in pain as well as being more social and having a better attitude. He feels happier overall.

6 Pt had better pain control

6 It is working great. Cancer came back. Pt just finished another course of chemo in Dec. Cannabis is helping with side effects, adding energy, helping sleep a lot. Chemo did help, doing better. SE: none Meds: no change, taking none.

57

Benefit Score

Benefit Description

6 "Amazing results". Pain is not fully controlled due to cost. However, off all pain drugs and feels good enough. Sleep much better. Migraines much less.

6 "it's making all the difference" Pain less, sleep better, general wellbeing better

6 1. Marked decrease in narcotic use. 2. Totally off all anti-anxiety meds 3. Reduction in pain scores and anxiety

6 50 percent reduction in pain and muscle spasm in amputated leg

6 able to improve funtion, working 6-70 hours week and decreasing opioids

6 Able to manage pain better during the day without feeling like her mental state is being compromised.

6 Able to manage pain much better

6 Being able to sleep. Being able to relax. Having an appetite.

6 benefit for headaches, stopped suboxone, decrease butalbital

6 better appetite, less sweating, decreased pain levels

6 better mobility, pain relief

6 better movement, less pain, overall feels better

6 Better sleep, Off pain meds

6 Cannabis has improved her attitude greatly and she is in a healthier mental state due to use.

6 Cannabis made a huge difference: pt can sleep, has better appetite, pain a lot less and she is able to do much more. No side effects.

6 Decrease in overall arthritic joint pains. Decreased fatigue secondary to decreased pain

58

Benefit Score

Benefit Description

6 decreased overall pain and improved appetite

6 Decreased pain and inflammation. Hasn't had to take prednisone for her RA since being on MC. Improved quality of life and ability to function.

6 Decreased pain. Decreased anxiety. Improved appetite.

6 Discontinued muscle relanxant and nerve pain medications. Assists with some pain relief

6 doesn't feel like a "zombie" like he does on narcotics, helps with pain, helps with sleeping, better appetite, more desire to live his life

6 Dramatic but incomplete pain relief. Mother states: "cannabis has been a godsent". Very greatful.

6 eases his pain, helps him get to sleep

6 Feels in control of her pain management. Sleeps much better, using less sleep meds

6 Helps ease some of the pain, muscle spasms, and with sleeping.

6 helps him get up in the day and puts him to sleep at night, reduces pain levels greatly

6 helps with managing pain, glaucoma, relaxing/sleeping, and anxiety/stress. Better appetite

6 helps with pain and helps him unwind

6 helps with the pain, helps her with her ADLs

6 Improved pain control. Reduced anxiety. Weight gain

6 improved sleep, able to stop opioids

6 improved sleep, decreased pain

6 It has helped her daily pain and sleeping. She stopped cannabis for a period of time as she wasnt sure it was helping, but she learned it did help

59

Benefit Score

Benefit Description

6

Less despondency about chronic/intractable pain He loves having another "tool in the toolbox" when dealing with pain The vaporized version works within 5-10 minutes Less prn breakthrough opioid pain medication use--really, almost none

6 less nausea, less pain, better sleep

6 less need for hydrocodone

6 less need for NSAIDs, not on opioids

6 less pain and reduced spasticity

6

Less pain Less severe pain Better stress management Better sleep

6 less pain, improved function

6 Less pain, less stiffness and able to get out more

6 less pain, more relaxed feeling

6 Moderate pain reduction. Significant improvement in sleep.

6 mood stabalization increase in activities of daily living

6 MP pains are relieved. Pt is able to socialize, get out of the house better.

6 Much less pain, sleep much better, demeanor much better

6 No longer has required the use of narcotics to treat his chronic pain

6 Off narcotic analgesics however remains on Lyrica.

60

Benefit Score

Benefit Description

6 Off opiates. My life is so much better!!!. Less stress, walking more, all a lot better. Pain much less, 3/10. No SE. Meds: still on cyclobenzaprine, 1.5 a day, down from 3 gabapentin: 2 a day, down from 3 Off oxycodone.

6 Overall pain is much improved and reduced to a 2/10. Pain in legs in improved. Sleep in improved.

6 pain 8 to 5/10 with cannabis, stopped several drugs.

6 Pain control

6 pain control

6 pain control, better mood, mental clarity, anxiety and depression reduced

6 Pain control, improved sleep, positive mood

6 Pain is able to manage pain much better, improved quality of life in terms of activity, eliminated negative side effects from opiate use

6 Pain is improved Sleep is much improved

6 Pain is significantly improved and reduced to 4/10. Sleep is much improved.

6 Pain management

6 pain relief

6 Pain relief

6 Pain relief, helps with depression

6 Pain was interfering with him falling asleep. Cannabis has provided good pain control and additional benefit of helping with sleep

6 patient experiences a reduction in pain, muscle spasms and anxiety and finds he is able to control his pain better

61

Benefit Score

Benefit Description

6 patient experiences faster and better pain relief, he is able to take his mind off of his pain and focus on other things, he has seen a reduction in the amount of muscle spasms that occur

6 Patient has a better outlook on life and gets a good nights sleep.

6 patient has a better quality of life due to decreased pain levels and better, more consistent sleep

6 patient has experienced a reduction in pain levels which has helped him in being able to focus on things besides the pain better

6 Patient has experienced pain relief and less anxiety.

6 Patient has experienced pain relief, anxiety relief, and sleeps better at night.

6 Patient has experienced sleep at night and is able to cope with the pain a lot better.

6 patient states medical cannabis works well but is too expensive

6 Patient states that her pain and muscle spasms have decreased drastically.

6 Patient states that medical cannabis has reduced lower back pain and arthritic pain all over his body.

6

Pelvic pain-85% improved Fibromyalgia pains-70% improved Sleep improved Stress reduction

6 Pt is on cannabis as needed for arm pain. It works well for it, pt stopped advil. Pain 8/10 down to 2/10 on cannabis

6 Pt states: Did great the first month. Used 50% less narcotics. Pain was 6/10, much more tolerable. Opiate constipation improved. Agoraphobia also improved. It was great! Grand slam home run! Off medical cannabis now due to high price.

6 Pt states: It is helping. Less pain. Oxycodone amount reduced from 3 to 1 a day, Sertraline dose reduced from 100 to 50 qd. Pain 2/10. No side effects. Head is clearer, more energy. Very happy with the results.

62

Benefit Score

Benefit Description

6 Pt took it for 2 weeks. He reports gentle pain relief, he liked it a lot. Unfortunately, he could not afford the dose necessary for pain relief on sustained basis

6 reduced pain

6 reduced pain levels, better movement, better sleep

6 reduced pain meds, reduced pain levels, better quality of life

6 reduced pain, better mobility, better sleep, lessened anxiety

6 reduced pain, calmer feeling

6 reduced pain, discontinued pain medications, calmer feeling

6 reduces muscle spasms greatly, no longer needs to take pain medicaiton

6 reduces pain and assists with sleeping patterns

6 reduces pain levels, better sleep, mood improvement

6 reduction in neuropathic pain, particularly helps sleep at night

6 relieves pain, reduces muscle spasms

6 Reports better control of chronic back and neck pain

6 Resolution of numbness in arms, good reduction of pain, memory improved since off Lyrica, no cramps in feet

6 Significant reduction is pain.

6 Sleep better, excersize more with less pain

6 Sleep improved, pain improved. Decreased nausea, better appetite. DEcreased anxiety. Decrease in PTSD/flashback and nightmares she used to have.

6 Sleeping better. Less anxiety. Reduction in pain medication use.

6 sleeps better, doesn't have to take OTC pain relievers, helps eliminate pain

63

Benefit Score

Benefit Description

6

Sleeps better, not depressed. Pain very effective for being able to manage pain till 8-9 PM. Has a 50/50 liquid and THC vap. Controlled with blend till evening then needs vaporizer. Not on any pain meds. No longer needs venlafaxine for depression. Doesnt have cognitive changes, sl energized and focused with CBD. Has lost about 50 lbs because active again. Sleep better. Pain 4/10 minor HAs. But evening HAs can go up to 10.

6 sleeps much better and assists with pain. Reducing medications and relaxing.

6 spasms are less frequent

6 The patient cannot afford to buy it with enough regularity. but when he does take it he feels it helps the pain.

6

The patient stated that she has had difficulty affording medical cannabis, although has noted significant benefit from medical cannabis in regard to her intractable pain and muscle spasm. She has had significant relief from muscle spasm. She also acknowledged that her anxiety and nausea have decreased significantly with the use of medical cannabis. Secondary to decreased muscle spasm and pain, her mood has improved significantly. She stated that she has not been utilizing medical cannabis for 3 weeks secondary to inability to afford her medications and has noted increased symptoms

6 The patient's pain, anxiety, and sleep have all dramatically improved. His mother states he has experienced a "very good" response to medical cannabis.

6 The veteran has better functional ability and has been able to get better quality sleep. He has not changed his medication utilization at this time.

6 Use of Medical Cannabis is allowing the patient to be stabilized with her pain medications and does not need to increase her dosaging

6 Very greatful pt. Good relief of pain without side effects. Unfortunately too expensive, so pt can't get enough for full relief and has to take some pain killers too

6

Virtual visit. Pt is using cannabis and doing quite well. Pain much more tolerable. Both Klonopin and Vicodin reduced 75%. Pain around 4/10, reduction of 20% compared to full doses of narcotics. No side effects. Pt's pain doctor is supportive of cannabis use. However, the company she works for apparently has a policy against allowing THC in pt's urine if they are on narcotics, even if it is legal. So they are threatening to cut him off Vicodin completely

64

Benefit Score

Benefit Description

6 When pt can afford cannabis, he takes it for pain and to relax. It works well. Pain before use 9/10, after use 5-6/10. No side effects

6 being more active without pain

6 Decrease in pain and ability to relax. Most of throbbing pain is in the evening and it helps calm that and is able to sleep better.

6 decreased opioid use

6 decreased pain

6 He feels it is helping his pain enough that he has been able to wean down and off 2 medications that he had been taking for a long time

6 improvement of pain and anxiety

6 Medical cannabis was highly effective in alleviating her thoracolumbar chronic pain, she takes no other prescribed medications relative to this Pain issue, therefore the cannabis did not replace or lessen any other medications.

6 opioid med reduction

6 opioid use reduction

6 pain relief, sleep improved

6 Patient states that she is able to sleep through the night and has no sharp pains anymore.

6 prevents rebound headaches and does not get headache migraines as frequently anymore

6

Pt states: " It is helping a lot: pain relief, sleep, appetite, food tastes better, smell is waking up slowly, less stuffy. Pain: 5/10, down from 8/10. Off almost all tylenol, naproxen, ibuprofen. Still on Enbrel. No major side effects. Some dry eyes. Blinks more. Less nocturia: from 2 down to 1 or 0 x a night."

6 Quicker pain relief, less side effects. However a bit more fatigue than before on opiates

65

Benefit Score

Benefit Description

6 REDUCED OPIOID USE

6 reduced pain Eliminated chronic opiod use

6

significantly reduced pain, has new diagnoses and multiple sources of pain-ehlers-danlos with recent foot fusion, osteoarthritis, fibromyalgia, multiple surgeries with complications, psoriatic arthritis. Is on Suboxone, when she can afford it the cannabis is very helpful for pain, sleep and anxiety

6 Tapering off of opiate medication, good pain relief for low back and general, diffuse pain

6 70% relief of pain with medical cannabis Independence from opioid medications

6 improved pain relief, better rest

6 Pt reports increased ability to walk and exercise, better quality of life, Still using opiods

6 Patient states that her pain relief is manageable now.

6 Decrease in pain and spams

6 stopped fentanyl patch, off opioids, helps sleep, nausea , appetite ¨Äwesome¨¨

7 she has been able to stop opioids, and wants to stop some of the neuropathics. She feels better on medical marijuana than other treatments.

7

His pain can be debilitating, this is a helpful resource without concern for physiologic dependence. He reports has used it appropriately as guided by his pharmacist. His pain being treated has allowed him to function well at home and work and has limited health related anxiety that stems from this ongoing issues with pain related to spondylitis arthropathy.

7 less pain, more active

7 Managing pain

7 Patient notes improvement in pain and pain tolerance

66

Benefit Score

Benefit Description

7 Assists with the day to day pain and prevents him from resorting back to opiates to cope with pain. Aids in digestion and sleep schedules.

7 Can count on medical marijuana to work for pain management. Improvement in anxiety and depression symptoms. Able to participate with family activities.

7 Able to wean off narcotic pain medication, fentanyl patch and oral morphine. Nausea controlled and able to stop Zofran. Sleeps better.

7 better sleep, more motivation to get out and do things, reduced pain

7 Dailypain scores down to 2-3 from 8 on average. She has been able to be more physically active and play with her son which she could not do before. She is now exercising daily and has lost over 25 pounds

7

Helps patient manage his pain more efficiently, Patient has lost about 30 lbs, he states that it takes the edge of but does not alleviate pain completely. Patient feels very clear headed on the cannabis as opposed to how he would feel on the opiates. His sleeping patterns have improved greatly.

7 No opioid meds. Able to do more activities at home.

7 patient has experienced pain relief as well as better, more consistent sleep

7 Reduced the frequency of migraines drastically- prior to cannabis patient was getting 1-2 migraines a week and is now only getting one a month at most.

7 being able to go back to living her life

7

She reports she is able to enjoy life, work, family again. She has stated multiple times "it has given her life back." She wakes with less pain and helps reduce nausea from migraines. She has started doing new recreational activities such as hunting/fishing with a friend.

7 Patient said medical cannabis helped a lot with pain relief.

7 Able to be more active and do physical therapy. He is able to focus on tasks that need to be done at home and work.

7 Colitis is better and migraines are less. No longer has to miss work!

67

Benefit Score

Benefit Description

7 helped assisted with pain management

7 Patient has experienced a loss of use of alcohol and pain medications, more exercise, sleeps through the night, and quality of life has improved.

7 Patient states that medical cannabis is not as addictive as other medications he was previously on and helps quite a bit with his pain relief.

7 Patient states that she has experienced reduced pain, muscle spasms, headaches, nasea, and increased appetite.

7 Patient states that vapor cartridges helps her feel immediate pain relief compared to the capsules.

7 Was able to stop using medication and sleep better. Anxiety was under control

7

It helped trremendously for CA and post-surgical pain. R foot collapsed transverse arch, pain in 2nd toe, better w/ cannabis Pain 8 to 2/10 w/ cannabis. Side effects: none, except possibly some dry mouth. Stopped all pain killers: tylenol, advil, prescription. Heals faster.

7 It is helping a lot. Pain is relieved when she has a flair, from 9-10 to 0-1/10 in minutes. Taken prn. Side effects: munchies. Prednisone is reduced by half

7 able to do ADLs with less pain

7 Able to exercise again, pain is tolerable most days, and she notes that

7 Allows patient to be a lot more mobile than he has been in the past and continue working and stabilized pain immensely.

7 back of her legs are not knotty anymore and do not cramp up like they used to, walks easier, less pain overall

7 Back pain is much improved and reduced to 3/10. Able to move and stand up better. Sleep is much improved.

68

Benefit Score

Benefit Description

7 Decreased pain, sleeping better at night

7 Eliminated the use for opiates, and it has alleviated a lot pain, sleeping has improved, he has gained 5 pounds

7 great relief of pain

7 Has helped a lot with sleep and no pain when he sleeps.

7 Helps relax, sleep, and alleviate pain and muscle spasms.

7 helps with pain and inflammation. helps with sleeping as well.

7 Improved pain symptoms with better quality of life and improved ADLs

7 Less pain, able to be more active. Pain is much more tolerable.

7 Managing pain completely and no longer feeling nauseous

7 no longer taking a lot of medications and has found a lot of pain relief

7 Pain and anxiety relief

7 Pain is improved. Sleep is improved.

7 Pain is much improved and pt rates benefit of cannabis to be 7/7. Much more relaxed. Appetite is improved.

7 Pain is much improved and reduced to 2/10.

7

Pain is significantly improved and reduced to 3/10. Asthma is much improved. Able to use hands more to do manual work. Able to be more active. Bp is more under control. Hgb A1C is reduced to 6.4 (from 10 before).

7 pain relief, decreased opioid use

69

Benefit Score

Benefit Description

7 pain relief, off of narcotics, better sleep with longer stretches, wakes up less at night, her mind is clearer without the fentanyl

7 Patient has been able to taper down on opiate medication and manage her pain better and perform her daily duties more efficiently. She has also been able to continue working.

7 patient has experienced fewer headaches and fewer muscle spasms which have lead to increased appetite, better concentration, decreased panic attacks, decreased anxiety, more patience, less irritability and more motivation

7

Pt states: "It has been life changing. Not one migraine since starting it.. Occ every day HAs handled by the vaporizer immediately. Fairly minor side effects, only w/ vaporizer. Has not tapered off the chronic meds yet, but planning to start soon. Off the triptan.

7 quality of life has improved greatly and is able to function. Pain is much more manageable and she is able to go to the gym on a more regular basis. Improved sleep patterns, reduction of irritability

7 reduced pain levels, reduces swelling related to arthritis

7 Relieves with pain and is able to get off of opiate medication. Is able to control his pain better with cannabis than when he was on opiates.

7 Sleep and physical activity function has "vastly improved"

7 Sleep much better and pain is 75% better

7 Sleep, calmer, less pain

7 Sleeping better, decrease pain, decrease fogginess, less anxiety, less muscle tension and strain, no shaking or muscle twitching. Helps cope with pain. Able to function much better.

7 Patient has experienced less anxiety and greatly reduced pain.

7 patient has increased ROM and mobility, she has a better attitude

7 - sleep cycle greatly improved - able to go 6 miles on recumbent bike with spasms under control - falling less

70

Benefit Score

Benefit Description

7 He is much more comfortable despite persistent chorea due to advanced Huntington's disease.

7 less pica, better able to communicate, improved fine motor skills and development

7 Sleep at night, participate with duties and kids much longer.

7

Doing very well. Was on oxicodone 10mg 5x a day. By Oct he was off oxicodone. Off naproxen. Testosterone was reduced by opioids, so he was started on testosterone. He was able to stop that as well once levels came up. Life-changing treatment.

7 It helps a lot. "I couldn't say enough about it" Much better than the pain pills. No side effects. Pain level from 10/10 to 1/10 with vaporizer use. Sleep much better. No waking, no tossing and turning. Very happy pt.

7 It is working very well. It took some trial and error, but eventually we figured it out. Migraines can be prevented by taking cannabis when neck tension is experienced. Sleep improved. No SE Meds: off Imitrex, Xanaflex, amitriptylline.

7

- Pain is improved significantly, being reduced from 7-10/10 to 3/10, with cannabis - Reduced migraines - Reduced anxiety - Pt is able to eat more

7 100% more energy during the day, better mood, improved relationship with family due to feeling better, reduced pain significantly

7 Able to be more active, pain is decreasing.

7 Able to be more active, spend time with family, decrease medication burden

7 Able to get off of medication, more productive now that her pain is tolerable, and better quality of life.

7 Able to sleep. This is big for him

7 absolute better quality of life

7 alleviation of pain, feels more alert since he is not dwelling on the pain

71

Benefit Score

Benefit Description

7 Almost complete relief of knee pains when using it. Drug use was already very low, that's why no change

7 Assists with managing pain levels greatly

7 back pain is actually better now with medical marijuana and then it never was with hydrocodone.

7 barely noticed pain, helped sleep throughout the night, and assisted with other conditions

7 better pain control

7 Better pain control, can be more active, sleeps better at night.

7 better sleep, better day as she is able to focus more, she can do things she has interest in again

7 better sleep, less irritability, less pain, better quality of life, more sleep

7 better sleep, less pain, easier time with physical therapy

7 better sleep, less pain, more relaxed, more normal function than on pain medication

7 better sleep, wakes up without feeling exhausted, can do her physically demanding job a lot better

7 Cannabis use has completely eliminated her anxiety and reduced muscle spasms.

7 Dealing with pain-still has pain but doesnt bother him much, less irritated, dont have urge to smoke cigars

7 decreased anxiety, depression and stress, reduced pain

7 decreased pain

7 decreased pain

7 Decreased pain

72

Benefit Score

Benefit Description

7 decreased pain and improved overall function, patient is able to weight lift, work with a trainer 2x per week and swim.

7 decreased pain, decreased spasm, improved mood

7 decreased pain, improved sleep

7 Decreased pain, sleeping better.

7 Decreasing medications. Pain better controlled, able to be more active. Decrease in arthritic pain. Walking without a cane.

7 Discontinued medications for pain, decreased pain, stable mood.

7 eliminated all pain and use of pain medications

7 Eliminated medications, including ambien which was 10 mg nightly, helped with nerve pain, and losing some weight.

7 eliminates headaches and nausea

7 eliminates the negative side effects of his seizure meds, patient no longer has seizures, except for on days when he doesn't take his medical cannabis, reduces pain

7 eliminating anxiety reduction in pain

7 elimination of pain, return to function

7 Fewer headaches, not as severe, sleeping better, improved appetite.

7 Finds a lot of pain relief, increase appetite, and more comfort in overall quality of life.

7 Flare ups don't last as long. Able to sleep better and muscles feel more relaxed

7 Greatly reduced pain and muscle spasms

7 had great pain relief but was not able to continue due to cost

73

Benefit Score

Benefit Description

7

He feels better when he uses it. He uses it as needed. It helps sleep and anxiety as well besides the back pain. Pain 9-10 down to 2-3/10, instant relief on cannabis. It works much better than narcotics. Stopped hydrocodone, ketorolac, tramadol, gabapentin.

7 He has seen a lot of improvement in pain and as a result, his activity level has improve. He can stand, sit, and walk longer because his pain is better controlled. He also has improved sleep, appetite, and vision.

7 helped a lot with managing pain and was able to discontinue medication. feels that her immune system has improved too

7 Helped mainly with pain management and allow the patient to be more productive on a day to day basis.

7 Helped with a lot of his pain and was able to decrease anxiety medication for his anxiety

7 helped with appetite, sleep, anxiety, and pain.

7 Helps manage pain more and helps decrease mood swings

7 Helps with his insomnia, pain management, and appetite.

7 Helps with managing pain, depression, and muscle spasm. Was in chair for 2 years from over 2 surgeries, and now she is able to be independent and on her feet again. Has her quality of life back because her anxiety has been eliminated.

7 Helps with pain, joint aches, restless legs. Sleeps much better at night. Able to be more active because of improved pain.

7 Improved muscle spasms and ROM of neck. Decreased frequency of cluster headaches (previously 20/day now 2/day).

7 improved pain control

7 improved pain control with less narcotics, patient feeling better and more alert on less narcotics. and less anxious and less constipated

7 Improved sleep, nausea control and pain control

74

Benefit Score

Benefit Description

7

Increased activity. She was rarely walking before because of pain, is no longer needing a wheelchair because she can walk further distances on her own. Does use a cane at times but has increased her activity level and ability to walk substantially since starting medical cannabis. This has made a remarkable difference for her!

7 interestingly, patient's psychiatrist was also able do decrease psychotropic medication usage as well. Patient is doing very well.

7 Less frequent headaches, decreased neck pain, "relaxes brain and on even keel", decreased angry outbursts

7

Lower back pain is much more tolerable. Tendonitis flare ups have been much reduced. Anxiety has significantly improved. Depression is significanlty improved. Able to to be much more physically active.

7 Manage pain without opiates, improved sleeping patterns, relieves anxiety and depression due to pain

7 More relaxed, not needing to take as much narcotic pain meds.

7 Muscles spasms are less frequent, pain tolerable, calms patient down and helps with decreasing other medications.

7 No longer has opiate induced constipation. Reduced medication and immediate pain relief and muscle relaxing.

7 no longer on depression medication, pain is more tolerable, and less frequent muscle spasm

7 No more constipation due to opiates and better sleep.

7 no more medications and side effects from medications.

7 no more pain medications and side effects caused by pain medications, takes care of his pain

7 Not on oral medications and reduced pain in half.

7 off opioids; pain relief, increased activity and mobility

75

Benefit Score

Benefit Description

7 pain and swelling reduced, she can sleep at night and for the whole night, she functions better in general

7 Pain control has been excellent, and she reports being able to return to normal function

7 pain control, relaxes him more even when there is pain; he doesn't worry about it much

7 Pain control. Helped clear is skin condition.

7 Pain controlled and increased quality of life.

7 Pain for Crohns has been relieved however pain for Back is a 2-3. Still needs more relief.

7 Pain is much improved and reduced to 3/10.

7 Pain is much improved and reduced to 4/10.

7 Pain is much improved and reduced to 4/10. Anxiety is much improved. Sleep is much improved.

7 Pain is much improved. Anxiety is much improved.

7 Pain is significantly improved and reduced to 4/10. Pt is more relaxed. Appetite is improved.

7 Pain is significantly improved.

7 Pain meds reduced 90% (tramadol and flexeril). No side effects. Very impressed w/ results. Pain level 1-3/10 on cannabis, 5-6/10 before.

7 pain relief, decreased opioid use, decreased side effects

7 pain relief, discontinued opioids, less lethargy

76

Benefit Score

Benefit Description

7 Pain relief, reduction of inflammation, improved general well-being. Very happy with results

7 Pain under control off all pain meds, most of the time. More energy, feels much better in general due to removal of medication side effects.

7 Pains is much improved and reduced to 4/10 BP is much improved.

7 patient experienced a reduction in pain levels as well as decreased stress and irritability

7

patient has a much better quality of life, she has a reduction in pain and in anxiety, she is less depressed and more relaxed, she is able to focus on her day and her tasks as opposed to focusing on and worrying about her pain levels. Patient still deals with her insomnia but she is better relaxed at night so is able to get come sleep

7 patient has experience pain relief and better sleep which has lead to being able to work more hours, being able to get out of her house more and being able to be "normal" as she put it.

7 patient has experienced a decrease in back pain levels, resulting in better sleep and the ability to be more active

7 patient has experienced a decreased in pain and anxiety levels resulting in better, more consistent sleep

7 patient has experienced a reduction in pain levels as well as decreased depression and anxiety symptoms, he is also getting better, more consistent sleep

7 Patient has experienced an improved quality of life and does not have withdrawal symptoms when he runs out of medicine.

7 patient has experienced decreased pain levels, increased appetite and better, more consistent sleep

7 Patient has experienced his pain levels are down, he is more comfortable with his pain, his anxiety has gone down, insomnia is not an issue anymore, and positive thinking.

7 Patient has experienced lack of muscle spasms, sleeps through the night, and quality of life has drastically improved from use of medical cannabis.

77

Benefit Score

Benefit Description

7 Patient has experienced less frequent not as intense or long of migraines.

7 Patient has experienced muscle relaxation and pain relief.

7 patient has experienced pain relief as well as less tingling/numbness

7 Patient has experienced pain relief, appetite stimulation, and better sleep.

7 patient has experienced reduced pain levels and increased ROM, he has also experienced an increased appetite and better, more consistent sleep

7 patient has experienced reduced pain levels which have lead to better, more consistent sleep and an increased appetite

7 Patient has experienced reduction in muscle spasms and cramping, pain relief, and gets better sleep at night.

7 Patient has noted a dramatic benefit with the combination of cannabis and a spinal stim. device, the biggest change I've seen with cannabis so far.

7 Patient is able to completely manage his pain on just the cannabis alone. Patient have lost 70 lbs and is just living an extremely healthier lifestyle all around. No longer has symptoms of sleep apnea.

7 patient is able to sleep a solid 8 hours through the night, his pain level is greatly reduced and he states the cannabis "helps everything"

7

Patient is able to walk without pain in his foot and has increased activity while using cannabis. He spends quality time walking with his grandchildren. He can stand in his kitchen and do dishes and prepare food which she has great difficulty with without the cannabis. Quality-of-life and sleep is greatly improved.

7 Patient is almost pain free, and now is able to exercise 5 days a week, no longer taking oxycodone.

7

Patient is happy about not being on as many medications as he was in the past. Patient is also in the process of weaning off of Gabapentin. Helped manage pain better, decreased symptoms of anxiety, and greatly improved his sleeping patterns along with appetite.

7 Patient is off hospice and gained 70 lbs, his appetite has improved greatly, overall quality of life has taken a complete turn and patient is extremely happy with the

78

Benefit Score

Benefit Description

results. He has found that the oil works much better for him and has seen huge improvements since then.

7 patient reports a decreased feeling of "fire", pain reduction and better, more consistent sleep

7 Patient said: " It is working wonderful! Now I can sleep due to pain reduction. No side effects. Have not been using any other pain meds: off naprosyn and vicodin. Amazing! Can't say enough good about it. It's been such a life saver!".

7 Patient says: Life changing therapy: no pain, good sleep, no anxiety, no depression, nausea much better. No side effects. Pain 0/10. Condition: connective tissue disease.

7 Patient stated that medical cannabis has helped greatly with her pain relief.

7 Patient states he has been experiencing a better quality of life.

7 Patient states that A1C has dropped significantly since using medical cannabis.

7 Patient states that he can move while on the medical cannabis and he's playing hockey again, he is fully functional compared to how he was on opioids.

7 Patient states that he can tolerate pain and quality of life is so much better.

7 Patient states that he has experienced increase in sleep and appetite, and decrease in anxiety and pain.

7 Patient states that her quality of life has improved, she is more mobile, and nausea has decreased.

7 Patient states that his muscles are very relaxed and his mood is uplifted when he uses medical cannabis.

7 Patient states that medical cannabis has greatly helped reduce her pain and intake of other medications she was previously taking.

7 Patient states that medical cannabis has helped with her anxiety and insomnia tremendously, and helps a great deal with pain relief as well.

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Benefit Score

Benefit Description

7 Patient states that medical cannabis helps his mind forget about the pain and makes him drink more water.

7 Patient states that medical cannabis helps increase his appetite, decreases his pain and anxiety, and helps him focus.

7 Patient states that medical cannabis helps with pain relief as well as anxiety relief.

7 Patient states that medical cannabis soothes him, calms him down, and helps stop him from thinking negative things.

7 Patient states that she has felt relief from insomnia after 25 years, anxiety, and pain management.

7 Patient states that the medical cannabis helps greatly with pain relief, making him more active, and increasing his appetite.

7 Patient states that the medical cannabis helps with pain relief and sleep. He states it also calms him down and makes it easier to focus on things.

7 Patients mood and depression have improved. Patients pain has improved.

7 Pt is not on cannabis currently due to inability to afford it. When used, it was doing wonders on pain of FM and RSD, mood much better, appetite better, wt gain, sleep better.

7 Pt is very happy w/ the results of cannabis tx. Using vaporizer. She says: "It's amazing. Sleep and appetite better, not moody, much better able to move due to reduced stiffness. Pain much reduced: 2/10".

7

Pt reports: It is helping a lot. It's helping pain, GI issues (gastroparesis w/ reduction of wt), anxiety, depression, sleep. Weight up from 108lb to 125lb due to improved eating and less gut problems. Pain 5/10, down from 9-10/10 No longer needs Xanax, need for sumatriptan is much less, and it helps a lot better. Off all opiates (occasional Vicodin, tramadol).

7

Pt reports: It is life-changing. Pt really likes the pharmacist guidance in MN compared to CA. Abdominal pain completely resolved. Joint pains much less, now 3/10. No meds, no change. Side effects: none. Sleep and appetite better. Very happy pt

80

Benefit Score

Benefit Description

7

Pt says: "Off opiates. Sleep awesome. Digestion normal. Pain was around 7-8 on opiates. On cannabis, pain is still present, but not as intrusive. 5/10. I don't care about the pain as much. Attitude is much better. Pain is ~50% less. Pills and oil are easier to regulate than vaping. Wife knows when I didn't take my pills and tells me to go take them".

7

Pt states: It is working well. It helps sleep at night. It calms my overactive bladder, relaxes me. It helps pain, relieves spasm. It helps a lot! Pain 3/10, down from 6/10. No side effects. Meds: stopped amitryptilline, methotrexate. RA is in control off methotrexate!.

7 Pt states: " It is working very well. Much better than any meds. Back pain and HA improved. Pain 4/10, down from 9-10/10. I don't know what I would do without it. Depression, anxiety improved Stopped antidepressants."

7

Pt states: "Doing really good. Colitis and arthritis is much better, PTSD and depression much better. Much worse when off cannabis for a couple weeks due to inability to afford. Immediately better in all respects on resumption. Pain 3/10 at worst when on cannabis. Meds: stopped Norco, Ativan. Much less migraines, so Fioricet stopped when on cannabis". Pt sounds excitedly happy when reporting this.

7 pt very pleased off Oxycodone 15 mg day and methadone 15 mg day, less anxious, better function, hoping to get workcomp to pay

7 Really helped with managing pain

7 Really helped with pain management, slept better, increase an appetite.

7 reduced pain levels, better mood, fewer pain meds

7 relaxed muscles less spasticity

7 relaxes muscle spasms/knots, swelling in the ankles, and relieving pain.

7 Relaxes muscles and alleviates the pain.

7 relief of pain able to sleep better

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Benefit Description

7 Relieved stomach pains

7 significant improvement in pain with little or no effect on cognitive functioning

7 Sleeping and pain control

7 Sleeping better at night, pain is better controlled with medical cannabis.

7 Sleeping much better at night, pain no longer wakes him up. Can walk and climb stairs better with much less pain.

7 Sleeps better throughout the night and pain is manageable

7 Stop opiate use, no longer experiencing left leg numbness and cramping

7 Survey done based on pt's taking cannabis for 2 months following certification. He can't afford it and is now worse. When on cannabis, he felt much less pain and had much better outlook

7 Tapered off opioids completely; 80% pain relief and improvement in activity; also tapering off Ambien.

7 The assessment is made on prior experience of taking cannabis, up until 2 mo ago. Pt can't afford it last 2 months

7 There has been a great deal of benefit - a decrease in the amount of scheduled medications - able to sleep better - able to function and work.

7 Very good pain control.

7 Very good pain relief. Too expensive to afford enough for complete relief. Stopped narcotics

7 assisted with pain management, more frequent and consistent bowel movements, decreased anxiety symptoms and improved appetite.

7 better pain relief and improve rest/sleep

7 helps with managing pain and relaxing. Sleeps much better and better quality of life with social events now that his pain in manageable.

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Benefit Description

7 Improved depression and overall well-being

7 Patient was unable to walk for any distance. She is now able to walk several miles per week.

7 Tapering off all opioids, improved pain relief, less "foggy" than opioids

7 Incredible pain relief and better relief

None Patient uses cannabis for sleeping mainly. It does help with pain as well but she is not using it as much as she was in the past due to job searching.

None Pain, but patient stopped after 3 months due to blurry vision.

None Reduced constipation.

None He has not done this due to cost

None could not afford

None decreased opioid use

None decreased oxycodone dosage

None decreased pain, still continues gabapentin

None Patient believes it works better than opiates. He is no longer constipated due to recent cannabis use and is lowers his pain levels dramatically.

None unable to continue due to cost

None did not help with pain reduction so stopped cannabis

None could not afford

None Couldnt contact

None No benefit. Used it once and "did not like it" so is now using it "the old fashion way".

None not able to afford

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Benefit Description

None Not using medical cannabis because it is too expensive

Minnesota Department of Health Office of Medical Cannabis 85 E 7th Place, Suite 220 PO Box 64882 St. Paul, MN 55164-0082 651-201-5598 health.cannabis@state.mn.us www.health.state.mn.us

10/11/19

To obtain this information in a different format, call: 651-201-5598.