Is it true that as one ages, the desire to buy branded goods decreases?

[nayr69sg]

I remain fascinated where all this is going. The vapes, pens, i mean just wow. Times have changed. The gist I got was the docs in US now making money off this so I was thinking our Canada Doc is gonna be rolling in some dollars.

I remember when I was there my own experience with medical was my company got me a PPO plan with Blue Cross Co and I had to go to the doc in their network. American attitude toward medicine was if doc did not prescribe MRI for ache in knee then its not a good doc. My friend there explain its defensive medicine Americans will sue if diagnosis is missed so alot of tests get ordered even if they are unecessary. I learnt this is one reason why the cost of medical is high there.

Dunno how this compare to canada.

Similar.

How do the USA docs make money by prescribing cannabis? Unlike SG in North America doctors cannot dispense cannabis.

http://www.cpsa.ca/standardspractice/cannabis-for-medical-purposes/

5.
A regulated member must not:

1. dispense or provide cannabis to any patient or person; or
2. apply to become a licensed producer of cannabis.

So if you aren't able to sell cannabis how to make money?

For myself I would say there is a demand and there is still a relative shortage of doctors willing to practice cannabis medicine and prescribe cannabis. So I am looking at niche market of patients. The day that many doctors are prescribing cannabis will be the day there is no need for my niche practice and I will have to find another sub field to go into or go back to general family medicine. So I am happy when doctors are still scared to prescribe it. I earn money from the consultation fee for seeing patients. Not selling cannabis. My patient numbers are not high so I dont really make a lot of money. But the work is more satisfying than family medicine where you have patients always disagreeing with you these days. Everyone has their idea about how to treat hypertension and diabetes and not everyone agrees to pharmaceutical drugs. It is like people going to TCM doctor and saying they want pharma drugs. Siao right? Now turn it around people going to western allopathic doctor and wants herbs and supplements and marijuana. Siao too right? Unfortunately the latter happens way more often than you think.

Medical schools will always talk about how not to waste resources. Colleges. Councils. Ministries of Health will also say the same. Medical associations will also play the political correct game of saying yes dont waste resources.

But there is also the movement that says patients come first. Listen to your patient. Work out a plan with your patient. Your patient is the main decision maker in the end as it is their body.

Now if your patient's expectation is knee pain = MRI and you try to explain why NO is the correct answer and they walk away angry.......you have a very upset customer there. And if luck turns out they had an osteosarcoma which is rare but not impossible and you missed it because you did not order imaging then you are screwed! No amount of saying oh College says dont misuse resources. Do you know how much money I have saved the system? None of that will help you. You are on YOUR OWN.

So after ONE such event or close shave, every doctor wises up and forgets about the bullshit they got brainwashed with in Medical School.

Practice defensive medicine. Why not? It makes patients happy that you are thorough and you leave no stones unturned. Patients like that (as long as they are not the ones paying). You also cover yourself and can tell yourself you are a thorough and conscientious doctor who wants the best for his or her patients. Why not?

Only the ones paying the bill will kpkb. Let them kpkb. There has yet to be any case where doctors were sued for ordering X-rays and MRIs.

In SG, joint pain leg or arm pain = X-ray (not MRI). At least when I left in 2010. So doesn't cost so much. And if something shows up we can still order the CT or MRI. (buck goes to the radiologist looking at X-ray now. If he misses the diagnosis then he is at fault. So you do see radiologists saying this is not clear and that suggest either Ultrasound or MRI or CT).

Hey if the system doesnt work to protect and help physicians then why should physicians stick their neck out to save the system money? I say fuck the system!

 

[eatshitndie]

CBD nobody uses recreationally lah. It is like taking a tylenol for fun?

Nowadays many forms. Sublingual spray. Oils. Capsules. Softgels. Miller decarb. Gummies. Brownies. Chocolates.

I think the game changer will be when we have sublingual tablets with rapid onset of action just like our oral dissolve tablets with Ondansetron and Lorazepam.

Will make it easier to prescribe too. And make it more acceptable to doctors in the mainstream.

Right now it is a different messaging to what drs are used to. Have to spend time explain vaping smoking dried flower vs oil tinctures.

now at (higher end, organic, and more eco-friendly) supermarkets targetted at entitled and self-absorbed millennials the health supplement aisles are stacked with “cbd” products. like you mentioned about the variety. even coffee beans are now infused with cbd oil. no “cbd” label can’t move products off shelves fast enough. it’s the new “organic” label, and it has taken over by storm, just like young chicks and their accompanying bf’s must wear lululemon and do yoga to follow the crowd and trend. thought they are independent, individualistic, and free thinking, but it turns out they are the new lemmings.

 

[nayr69sg]

now at (higher end, organic, and more eco-friendly) supermarkets targetted at entitled and self-absorbed millennials the health supplement aisles are stacked with “cbd” products. like you mentioned about the variety. even coffee beans are now infused with cbd oil. no “cbd” label can’t move products off shelves fast enough. it’s the new “organic” label, and it has taken over by storm, just like young chicks and their accompanying bf’s must wear lululemon and do yoga to follow the crowd and trend. thought they are independent and free thinking, but it turns out they are the new lemmings.

Canada laws don't differentiate CBD from THC. All under cannabis.

I know in USA if you say HEMP or CBD then it is not cannabis. All legal. Like saying Vit C.

So we don't see that kind of products in Canada cos you still need to have a licence to sell CBD as it is considered cannabis.

The Canadian cannabis companies are having it tough because of all the red tape.

Whereas in the states it is far more lucrative a market.

 

[eatshitndie]

Canada laws don't differentiate CBD from THC. All under cannabis.

I know in USA if you say HEMP or CBD then it is not cannabis. All legal. Like saying Vit C.

So we don't see that kind of products in Canada cos you still need to have a licence to sell CBD as it is considered cannabis.

canada is more restrictive in cannabis sales than californicate then. before it is legalized, docs must prescribe to patients under “medical marijuana” restrictions. now, those docs who make money from marijuana prescriptions have moved on. 2 hemp stores are opened before pandamic near my quiet neighborhood, and suddenly cars, trucks and suvs zoom by from nowhere to get to those stores. the city opened a new road at the same time the stores opened, and my neighborhood road that connects to that road is now used as a shortcut. can easily see customers and their vehicles are not the desirable kind. not one tesla nor porsche lines up at the store.

 

[nayr69sg]

canada is more restrictive in cannabis sales than californicate then. before it is legalized, docs must prescribe to patients under “medical marijuana” restrictions. now, those docs who make money from marijuana prescriptions have moved on. 2 hemp stores are opened before pandamic near my quiet neighborhood, and suddenly cars, trucks and suvs zoom by from nowhere to get to those stores. the city opened a new road at the same time the stores opened, and my neighborhood road that connects to that road is now used as a shortcut. can easily see customers and their vehicles are not the desirable kind. not one tesla nor porsche lines up at the store.

yes prior to legalization it was same here. Docs must prescribe to patients. So there were many pot heads who say they are patients.

Since legalization the numbers of patients have dropped tremendously.

I started medical cannabis work only AFTER legalization as I did not want to be prescribing to pot heads pretending to be patients. So now the patients we have are real ones and they are not that many really.

 

[Scrooball (clone)]

When you are a student, u go for cheapo branded such as Jean Paul Gaultier ah Beng wallets, then u move on to Louis Vuitton when u start to work. When u are in your late 30s, u buy branded watches such as Rolex. If u are doing well, maybe an Audemars Piguet. Then ultimately when u are in midlife crisis, u get a BMW.

 

[eatshitndie]

When you are a student, u go for cheapo branded such as Jean Paul Gaultier ah Beng wallets, then u move on to Louis Vuitton when u start to work. When u are in your late 30s, u buy branded watches such as Rolex. If u are doing well, maybe an Audemars Piguet. Then ultimately when u are in midlife crisis, u get a BMW.

bmw, merc, and audi in sillycon valley are a dime and dozen, especially bmw. very popular among younger tiong and neh fobs who have just promoted themselves from toyota camry’s, rav4’s, highlanders, honda accords, crv’s, pilots. to be “above” the crowd and cloud, one drives a porsche or a maserati. if one drives an alpha romeo it doesn’t turn heads anymore as it is a piece of junk. teslas have becum the must-have among the millennial in-crowd who also must carry an iphone 12, wear lululemon tights, sling rolled up yoga mats, type away on macbook pros, drink philz coffee, eat avocado toast for breakfast, and walk around with shiba inu’s.

 

[nightsafari]

I remain fascinated where all this is going. The vapes, pens, i mean just wow. Times have changed. The gist I got was the docs in US now making money off this so I was thinking our Canada Doc is gonna be rolling in some dollars.

I remember when I was there my own experience with medical was my company got me a PPO plan with Blue Cross Co and I had to go to the doc in their network. American attitude toward medicine was if doc did not prescribe MRI for ache in knee then its not a good doc. My friend there explain its defensive medicine Americans will sue if diagnosis is missed so alot of tests get ordered even if they are unecessary. I learnt this is one reason why the cost of medical is high there.

Dunno how this compare to canada.

Canada totally different. Totally. Socialised and centralized healthcare. Everything in 1 way or another is at the behest of the gahmen.

 

[Chase]

Loved Giordano when I was young and then stop buying for more than 10 years.
Lately I bought a lot from Giordano again, will buy a lot more from them to support them because their share price dropped 80% in the past 24 months.

I still remember, Giordano - World Without Strangers.

Jimmy Lai's company NEW DIGITAL share price raised from HK0.10 to HK1.50 this week.