Melanie Nicholson welcomes Dr. Rob Sealey, Cannabinoid Medicine Specialist, to the show to discuss the benefits of cannabis in a medical use capacity. Dr. Sealey breaks down misinformation and differentiates between recreational and medicinal cannabis use for listeners. Dr. Sealey recounts how he was initially a GP but found his way into cannabinoid medicine through the encouragement of a particularly challenging patient who wanted to be the first to use cannabis medically in 2001. Through his experience advocating for her, everything he learned about cannabis and the benefits he witnessed in his cannabinoid patients, he eventually left his family practice to focus on cannabinoid medicine full time. Dr. Sealey explains how cannabis can work with the body’s endocannabinoid system to help with receptors otherwise overloaded or unresponsive, thus shutting down pain from various ailments. He clarifies the many differences between rfull-timeecreational cannabis and medical cannabis and discusses how cannabinoid medicine can assist with arthritis, chronic pain, epilepsy, and a host of other issues. He is informative and passionate about how far research into cannabis can go in helping people manage pain. “And we're starting to look at the endocannabinoid system, when it breaks down, it's implicated in fibromyalgia, irritable bowel syndrome, migraines, PTSD, asthma, osteoporosis... The list is going on and on. We're finding out that the missing link of why we're unable to manage a lot of these conditions is endocannabinoid dysfunction. It just goes haywire or it gets depleted. And that's why the opportunity to use cannabis in a variety of conditions is there.” - Dr. Rob Sealey About Dr. Rob Sealey Born in Saskatoon, Saskatchewan, Dr. Robert Sealey, B.Sc, M.D, attended the University of Nebraska on an athletic scholarship where he graduated with a Bachelor of Science in Biology. He then returned home to complete his medical degree at the University of Saskatchewan followed by a rotating internship in Akron, Ohio. Since 1991, Dr. Sealey has had a full service family practice including hospital and long term care facilities in Victoria, British Columbia. Besides his work in General Practice, he has volunteered his services around the world including South Africa, Kenya, Vanuatu (South Pacific) and the Dominican Republic. He was also co-host of the nationally syndicated radio program “WiseQuacks” for over eight years. As an active member of the peer sharing group Physicians for Medicinal Cannabis along with the Canadian Consortium for the Investigation of Cannabinoids, the International Cannabinoid Research Society and the International Association for Cannabis, Dr. Sealey has been involved in both the clinical and research aspects of Medical Cannabis since 2001. With this background, he is acknowledged as an expert in cannabinoid medicine and accepts referrals from other physician colleagues including general practitioners, nurse practitioners, pediatricians, nephrologists, cardiologists, gastroenterologists, respirologists, oncologists, neurologists, rheumatologists, physiatrists, orthopedic surgeons, pain specialists, addictionologists, psychiatrists and geriatricians. As well, sensing a void in knowledge among his peers regarding the use of Medical Cannabis in clinical practice, Dr. Sealey has travelled extensively around the world as one of the few instructors in this field of medicine. With the legalization of recreational marijuana across Canada in 2018, he is also an invited keynote speaker at public and professional events for his opinion on the potential implications of this ground breaking decision. Dr. Sealey resides in Victoria with his wife Lana. __ Contact Melanie Nicholson | Melanie Lynn Communications Inc. Website: MelanieLynnCommunications.comInstagram: MLCSocialTwitter: MLCSocialFacebook: MLCSocialEmail: info@melanielynncommunications.comContact Dr. Rob Sealey Website: DrSealey.com__ Transcript Melanie Nicholson: [00:00:03] Hey, everyone, and welcome to It's A Theory. I'm Melanie Nicholson, and I'm taking you inside the world of leaders and entrepreneurs who are taking ideas and concepts and putting them into action. What really happened when they put theory into practice? Today we're talking about medical cannabis as a method of harm reduction with Dr. Rob Sealey. Harm reduction is an evidence-based strategy focused on safer use or managed use of drugs or substances, meeting people where they're at and not necessarily requiring people to completely stop using a substance. Dr. Sealey has been involved in both the clinical and research aspects of medical cannabis as a substitute for opioids and other substances since 2001. He's a big advocate in tackling misinformation regarding medical cannabis in clinical practice, and he currently practices in Victoria, BC on Vancouver Island. Let's chat with Dr. Sealey. Thank you for joining me today, Rob. I want to start with a bit of your background. I love your story. How did you end up specializing in medical cannabis? Rob Sealey: [00:01:10] This is a question my mom asked me all the time. She said, what the heck happened? You took a wrong turn somewhere in the back. But, you know, I started out as a GP, so I trained over 30 years ago, went through the usual, you know, medical school and all the rest of it and set up a family practice. And I was doing that for probably about five, seven years before I came across a patient that challenged me. And not that I didn't have a lot of patient challenges, but this one particularly stood out because she was a patient that had chronic back pain and she was on disability. And there became a time when my only function was basically seeing her every couple of months to refill her opiates and she was on high-dose morphine, getting all the side effects related to it. She wasn't eating, she was nauseous. And the other aspect that I was doing was just simply filling out her insurance. And I knew that my role was pretty limited and I was pretty discouraged. And she certainly was as well. But one day she came to me back in 2001, maybe it was late 2000, and said, you know, Rob, Canada is going to have this incredible opportunity to be one of the first countries to allow cannabis for therapeutic purposes to be legal. And I went, Oh, okay, well, that's interesting, but I don't know what that has to do with me. And she said, Well, I want to be one of the first patients, if not the first patient in Canada, to go through the process. And I thought she was joking because I didn't know anything about cannabis. Rob Sealey: [00:02:37] And I, you know, I still had the stigma growing up, you know, hearing about Cheech and Chong and going to the movies and all the rest of it. You know, it was an illegal substance and we were afraid of it. And we certainly didn't know much about it in the medical world. But she had sort of dabbled underground at that time and was having some success. And she wanted to come out of the shadows and become this patient, this advocate for others. And I said, well, you know what? I have no idea what you're talking about. I have no experience. And she said, Don't worry, Rob, I'll teach you. And I thought, Wow, that was pretty interesting. I mean, she said, I'll come along the journey with you and we can learn together. And I still put her off, you know, for a couple more visits. And she was very, very persistent. And she, you know, got the application in front of me. It took major hurdles, took nine months. We had to get second opinions. We had to get a passport photo. Anyway, she did become one of the first patients. And I was amazed at her response to using cannabis for her back pain was able to get her off of her opiates and get her back to work after she was off work for over six years at that point in time. And this was very, very unusual when a person's been on that long of a disability. So anyways, I did learn from her and after that point I kind of tried it in a few other patients here and there, but I stayed pretty underground. Rob Sealey: [00:04:02] I didn't want to be that pot doc that, you know, my colleagues would frown upon. And so I kind of quietly did it underground for a while. And then some of my colleagues started to hear that I was doing this and some of them actually complained to the college, thought I should have my license taken away. And I continued to persevere, though, and more and more of my patients were starting to get some benefits. And I started to have some of my colleagues send me their patients. And so I did this kind of referral basis while still trying to keep a family practice going at the same time. So I was sort of seeing patients end of the day or weekends for cannabis, and it became a point where I had such a huge demand. I mean, this is, you know, in the last five, seven years ago that I decided, you know, I can't do both. I'm going to do just cannabinoid medicine. So from there, I'm full-on cannabinoid specialist in regard, there is no such thing. I make it up. I'm probably the only cannabinoid specialist. I've decided that it should be its own specialty. And so I take referrals from all sorts of other physicians and nurse practitioners, whether it be for pain management or addiction medicine. Even the oncologists are sending me some of their patients. So it's become a really interesting field of medicine that I kind of found this niche all because of this patient who really challenged me. And I was very, very thankful that she did that in the first place. Melanie Nicholson: [00:05:30] And when you think about across the country, like is this specialty still just very, very tiny? Rob Sealey: [00:05:37] It is. There's a number of cannabis clinics where physicians, nurses, counselling staff will gather together and they'll help navigate patients through the system and coach them on dosing and administration methods and that sort of thing.