J. Julian Grove

@PhxCountryClub Proud Dad

📢 HUGE Congratulations to Harper! Our 9 year old Member who just won her last 2 orange ball tournaments! One in Scottsdale and 1 in Mesa. Everyone at Phoenix CC is so proud of you!! . . #pcc1899 #phoenixcountryclub #tennis #champion #tennischamp … instagr.am/p/CHvvUtrlt7x/

While I continue to advocate for responsible opioid prescribing, this was the culmination of my 2019 research showing great benefit in our chronic pain subgroup with CBD and the potential for opioid reduction.

@DanLairdMD Agree completely with @DanLairdMD, in fact, from a physicians view, there are inherent disincentives to rx opioids given the amt of time, energy, power, communication with pharmacists and third-party providers that an approval requires, and often needs repeating 6 months later

Just curious, what planet are you living on? Here on earth, there are no “incentives” to prescribe opiates. CPPs on opiates are hassled at every turn, discriminated against, and generally treated like complete sh*t. You have absolutely no idea what you’re talking about... 🙄

@rolling_enigma Happy birthday from Phoenix, AZ!

I was born with a rare Neuromuscular condition called Nemaline Myopathy. When I was a baby, the Doctors told my parents that I'd only survive a year. Today is my 45th birthday. It would really mean a lot to me if I got birthday greetings from around the World. Thank you.

Chronic pain is a disease. Chronic pain is more prevalent than cancer, diabetes, and heart disease combined. Chronic pain is real.

Everything wrong with medicine is physicians arguing CBD is not safer than Benzos. I really struggle how physicians can be so blinded by “evidence” and not pause to think how one drug can kill you and one can’t. Why do docs overthink things? #commonsense #medtwitter

IMPORTANT: Newsweek Exposes the Truth: Please RT: Doctors Are Taking Away Opioid Prescriptions From A Growing Number of Patients, Report Shows newsweek.com/doctors-taking…

@Peter_Grinspoon Agree and embarrassing, I’m personally looking forward to a degree of regulation in this market.

Report Shows CBD Products Often Have Too Much Or Too Little CBD Yikes...this is really bad. #CBD #5dbf8cab3420" target="_blank" rel="nofollow noopener">forbes.com/sites/javierha…

Something seriously needs to change here.

@Rxpalli8r @NarouzeMD @painfreeED @ASRA_Society Agree 100%

#CBD for #opioid weaning in patients on chronic opioids. 12-month data. N#233 75% of patients achieving >33% reduction in their opioids 55% of patients achieving >50% reduction in their opioid #cannabinoids #MedicalCannabis #ASRAFALL19 @ASRA_Society epostersonline.com/ASRAFALL19/nod…

@NarouzeMD @ASRA_Society And thank you for help putting on another great ASRA conference. Well done.

@NarouzeMD @ASRA_Society Thank you Dr Narouze for the highlight...I agree with many of the comments (Dr Mikhail had mentioned he would also like to see some functional data) and I totally agree...more work to be done in this promising niche of our pain pharmacology world.

@KNLCBD @NarouzeMD @Peter_Grinspoon @ASRA_Society I think there are many different and very good products, but to say “definitively test opioid reduction” is a tough study to do. OME, length of time on opioids, pharmaco-genetics (both opioid receptor and endocannabinoid receptors) would have to be accounted for to name a few.

@Rxpalli8r @NarouzeMD @painfreeED @ASRA_Society James, this was an initial prospective study where we had better than anticipated results, as such I did not want to change our parameters. Patients were on the entire spectrum of opioids (fentanyl, oxycodone, hydrocodone, methadone, oxymorohone, hydromorphone and others).

@Lambert_Usyd Thank you for highlighting what we feel is a great data on CBD...after the study I had many thoughts...We know that CBD has anti-inflammatory properties, however I feel there are separate nociceptive (pain relieving) mechanisms...TRPV-1 receptor getting looked at.

More data showing #CBD reduced chronic #opioid use. #Cannabinoid and #pain researchers, are the prevailing theories that CBD is analgesic or that it is potentiating opioids through pharmacokinetic or pharmacodynamic means? Poster presented at #ASRAFALL19 @JulianGroveMD

@PainDocTony Excellent point Dr Bui! Many of us both providers and patients need to remember this.

@PainDocTony Dr Bui, perfect niche and I think you will benefit us all (providers and patients) as there is so much information to disseminate. Well done.

Another day where I put in 45 minutes to try to help an opioid-receiving patient, somewhere in the USA who is being abandoned. Not sure I can come up with individualized letters for all 10 million. It would be awesome to see health systems and regulators take this on with vigor.