Category: Clinical Practice

The Best Dispensaries on the East Coast – Who’s Got the Best Buds?

May 26, 2019

There’s nothing like getting the best weed in town. It’s one of the things that you certainly look forward to. The trip to the dispensary is one thing but finally getting your hands on the product is a whole new experience.
Now that weed is legal in most areas in the east coast, the challenge now is where to find the best buds in the area. There are a lot of dispensaries in these states but there are only a few that are considered the best ones. Here’s a list of famous dispensaries that people all over the country are raving over.

Health For Life

The first on our list is this MD medical cannabis source. This dispensary has lots of locations all over the state, so don’t worry about distance – you can just find one near you. This dispensary is best known for its consistency.

The dispensary itself is also an experience because of their modern facilities and friendly staff that aim to give their customers a great time. The interiors will make you feel like it should also be a top tourist destination.

Since it opened in 2018, lots of customers eventually became their patrons. If you want great facilities, friendly staff, and best consistencies, head on over to this place.

New England Treatment Access

This dispensary from the Commonwealth of Massachusetts is known for offering premium medical marijuana to its clients. Their shelves are filled with various products that you can choose from. From edibles to topicals, you’re guaranteed to find something you might like here.

They have several branches in Brookline and Northampton that you can visit, whichever’s closer to you. This dispensary also offers the service of letting its clients know if there’s a line in any of their branches. If you want to be informed, then this is the place to be.

Thomas C. Slater Compassion Center

Located in the state of Rhode Island, this dispensary is committed to giving you only the best kind of buds. Their products are certified to be safe and affordable because this is one of those dispensaries that provide the highest grade of medical marijuana.

If you want reliable and affordable, this is the dispensary for you. Just head up to this ocean state and bring your card along.

Wellness Connection of Maine – Portland

Don’t underestimate the northernmost state of Maine because this state has one of the best dispensaries in the country. Wellness Connection of Maine, especially in Portland will give you a great experience.

Their products are reliable because you’re sure that they’re tested for their consistency and purity, no need to worry about their content. They also aim to create new products to become one of the leading dispensaries in the area.

Breakwater Treatment & Wellness

Located in the Garden State of New Jersey, this dispensary is known for being one of the most diverse dispensaries in the area. If you’re looking to try new things without compromising your safety, this is the place to be.

Their buds are grown in state-of-the-art facilities with experts supervising over the production. The products that they offer are quite advanced and enhanced through their various projects. You’re not just trying out new products, you’re trying out the best that the industry has to offer.

Head on over to the state and enjoy amazing buds from this dispensary.

Southern CT Wellness & Healing – Milford

This well-known dispensary in the state of Connecticut is due to their outstanding customer service. Nowadays, people are looking forward to staff who are accommodating and friendly. The dispensary itself also provides a comfortable atmosphere, even to first timers.

They have a wide selection of products that customers can choose from. You’re sure that their products come from high-quality strains that lead to their massive sales. Their branch in Milford is one of the well-known branches, so make sure you get to visit that one.

TerraVida Holistic Centers

In Delaware, this is one of the most famous dispensaries because their staff are friendly and their products are some of the best in the industry. The atmosphere is great for waiting because they offer cookies and drinks, just like a spa experience.

There’s a long waiting line because their products are just the best. Don’t worry because you’ll be well-accommodated. Customers take their time because there are just so many to choose from.

The list could go on and on but this list shows the best among all the ones you can find in the east coast. Make sure you bring your card and just take your time in finding the right buds for you. Each of these offer the best of their products and they won’t disappoint. What are you waiting for? Head to the nearest one!…

Skin Diagnostic Aids Used in Clinical Practice

May 23, 2019

It is also known as dermoscopy. This technique refers to the examination of the skin using skin surface microscopy. A dermatoscope (or dermoscope) is a device used for the examination of cutaneous lesions. It has a hand-held device with a magnifier with either cross-polarized or non-polarized light or a liquid medium of oil between the instrument and the skin to illuminate a lesion without glare from reflected light. The device is useful for examining pigmented lesions such as naevi and potential malignant lesions such as melanomas. There are specific dermoscopic patterns that aid in the diagnosis of the following pigmented skin lesions such as melanomas, moles (benign melanocytic naevi), freckles (lentigos), atypical naevi, seborrhoeic keratosis and pigmented basal cell carcinomas. Evidence suggests that while dermatoscopy improves the diagnostic accuracy for melanoma compared to the unaided eye, it requires sufficient training and is not recommended for untrained users.

Wood’s light

Wood’s light is a lamp emitting long-wave UVA used to examine pigmentary changes in the skin and fluorescent infections. This ultraviolet light source is used to screen for the fungal infection, tinea capitis; however, only certain species fluoresce (green) (Microsporum canis and Μ. audouinii). Other uses include highlighting patches of pityriasis versicolor caused by Pityrosorum yeast which fluoresces yellow; erythrasma, a bacterial infection affecting the skin folds, caused by Corynebacterium fluoresces green and vitiligo which delineates patches which can be otherwise missed.

Mycology

Mycology can be used to identify superficial fungal infections including yeasts (candidiasis and pityriasis versicolor), dermatophytes (ringworm/ tinea – tinea unguium) or moulds (e.g. Scopulariopsis) using scales scraped from the edge of a scaly lesion, nails using a blunt instrument such as blunt scalpel blade or blunt edge of a stitch cutter. Scrapings of scale should be taken from the leading edge of the rash (as this is where active spores are most likely to be found) after the skin has been cleaned with alcohol, such as surgical spirit or 70% alcohol. This minimises contamination and is an aid to microscopy if greasy ointments or powders have been applied. Samples can be collected on kits providing black paper envelopes (e.g. Dermapak), which can be easily transferred to the lab. It is essential to have an adequate sample and provide full clinical details if the test is to be successful; whilst the precise quantity is difficult to quantify, as a general rule it is worth including as much material as possible so that full laboratory investigations can be carried out. It is always useful to have enough skin or nail to repeat the culture if necessary. Sample the discoloured, dystrophic or brittle parts of the nail only, gently digging as far back as possible from the distal part of the nail. For dermatophyte infections, samples should be taken from the distal nail and from debris under the nail (subungual debris). For superficial onychomycosis, the scraping should be from the nail surface and for Candida infections (e.g. a chronic paronychia) a swab should be taken from the proximal nail fold.

Hair can be plucked from the affected area with forceps; the infected hairs come out easily. The scalp may then be scraped with a blunt scalpel. Preferably, the sample should include hair stubs, the contents of plugged follicles and skin scales. Hair cut with a scissors is unsatisfactory as the focus of infection is usually below or near the surface of the scalp.

Biopsy

Where diagnosis is unclear but there is a differential diagnosis, an ellipse of skin can be taken through the edge of a lesion. There is a need to ensure that normal and abnormal skin (epidermis, dermis and fat) are included in the sample. Incisional, excisional and punch biopsies may be taken. Punch biopsies provide only limited sample, which may be inadequate for histological examination. Typically, the punch biopsy includes the full thickness skin and subcutaneous fat in the diagnosis of skin diseases. A round-shaped knife ranging in size from 1–8 mm is taken. The smaller size punch (1 mm) helps to minimise bleeding and assists in the vhealing of the wound without stitching. To diagnose many inflammatory skin conditions, the common punch size used is the 3.5- or 4-mm punch.

Bacteriology

The source of bacteria can be determined by swabbing a fluid sample pustules, vesicles, erosions and ulcers.

Patch testing

It is a technique used to diagnose contact allergic dermatitis based on the principle of delayed hypersensitivity (an immune response). Evidence of contact allergy is derived from a patient history (such as occupation), clinical examination and patch testing. The aim of the patch test is to ascertain allergic contact dermatitis by aiming to reproduce a rash on a small controlled area of skin using standardised batches or trays of allergens (termed batteries) or those commonly used at work or home. Standard batteries of substances (now often pre-prepared) are comprised of patches made up of Finn chambers and hypoallergenic tape that are applied to the patient’s upper back; they should incorporate probable (standard battery) and possible substances (e.g. occupational specific) based on their history. The results are read at two stages, 48 hours and 72 hours; this timing sequence is related to the type IV hypersensitivity reaction, which is a delayed immune response. Care is needed to avoid misleading results from contact irritants that are distinct from hypersensitivity reactions. Differentiation is not always easy, however, the use of standard allergens and rigorous technique are required.…