Sep 8, 2013|
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Then okay. All right welcome to -- turned radio my name is what -- Eastman. And I'm here with -- eighteen. You have your voice now I do you know I don't. I'm thinking oh good good and you're listening to. New England's foremost addiction. And mental health program on WRKO. So in a strange weaken the dragon alcohol treatment business week. Because Molly has now hit the headlines as lake. This new drug that nobody's ever heard of it and you know it's really sad that we've had some deaths it's really tragic and it's a really. But. It it's become like this -- staring at. Well it's become a circus has that VMware you know we're really sorry to hear about this young lady's guide to the house of blues. It was -- means it's awful considering. I think Massachusetts has two overdoses and Dave from heroin. It's terrible -- uses seriously a problem but it's become quite hysterical and I think it's kind of our job to make sure that people get some. Real facts about the drugs and if anybody has any questions about -- Look it up on the web not on the scary places -- like at that. US drag. USDA in places like and it's an apparent hacking culture of let's. Look at it okay it's been I just got back -- Vegas and yeah the knowledge I mean the people need good information and you know Mali is is that drugs that. This has been making a lot of news these days people are fair they're they're afraid of this. It's not and you drag and you've been talking to us about it for years. And people have been taking various versions of it for a long long time it's not a good it's not something I recommend but it's been there and -- You know it's you know something happened with you recently somewhere people overdose but it's. Yeah it's it's a drug that's been around for a long time it's Indian Maine is that drug that it's kind of been based on it. I remember years ago that be that long long time ago. It was first. You know you. They served it over the borders to illegal yes when I was on a rock and roll through right they serve with Budweiser adds some and they call that Adam and leaders they call it even in the call this and Ecstasy. Yes and it's just I mean it's just. So -- so I think it's important that people talked their kids about drugs about it. Get information about it it's not a new drug it's not a hysterical -- Just you have to be reasonable people. Get and get some facts. You know if you talk to your kids who wants them a year about drugs and alcohol can make a huge difference if you do once every two weeks -- can probably be more of different. And so you know it's sad that this that people are afraid of this and that but and that this drug has kind of caused this -- You know this that the you know people are hurt hysterical about this but the fact of the matter is is that it's it's probably. You know from my perspective. It's it's good that people are talking about drugs because now who and I think you said that the best thing -- happy is that. Parents should be talking to their kids about drugs and often as kids. Did you tell him their pants about that it actually sure absolutely set so. Is part of being responsible citizens in this world -- -- tonight we're gonna do. Show are gonna -- marijuana one of one. -- around introduction of marijuana. Because what happens is that there's. There is so much misinformation about marijuana out there are saying. It's you know we can go away from reefer madness where it's gonna make you crazy lunatic in 12. To its could freely it's natural it's what you're supposed to be doing it's you know part of the -- -- should be. So we we would like to rehab -- -- to them. Talk about it we've noticed in our practice it's became you become much more prevalent. It in the past five years the number of people coming in -- smoking it every day has just increased and people just think it's okay. And I -- mostly young people with -- yet and it's the most widely used illicit substance in the world. You know not -- -- people walking around you know the common won't be surprised to see that. Also. 42% of Americans say they've tried it. Of those about 9% use it daily in May be in trouble with -- and that's you know. And we see it probably you know most we see mostly it eighteen between two. Year -- to use of the lot. And we're not here to say whether it's right or wrong we're here to try to provide you with the best information. And if you have questions. We'd like to ask you to just give us a call 6172666868. In the we've noticed is becoming much more acceptable. You know I mean it that he used to be considered a bad thing and now it's just what people do. You know and and people are constantly saying things like. My goodness it's not harmful it's beneficial but they're also saying it's better than. Well if you get a chance if you if you could start the world currency were gonna legalized one drug. Call might not have been the one we legalized but we don't have that lecturing. Selanne and tonight show we have this great see you go ahead and if you you can -- He's sitting right next to pick and she's lovely addition to that evening and he has -- that. So we this is that we have with us doctor Stacy Kruger and she's the director of cognitive and clinical Merrill imaging care at McLean hospital's brain imaging center say that three cuts. And she's assistant professor of psychiatry at Harvard Medical School. She's -- -- many many studies. Of them Ireland and we talked about a few of them she knows a lot of people we know we do -- search. -- but the one of the ones -- we're gonna talk about tonight is how it how much money used a effects executive functioning the kind of planning part of the rain. In both adults and T yes and this is the interest in part for me happy is that. She studied the impulse control and heavy marijuana users and how marijuana impacted the moods in people. With bipolar disorder. Right and we dodged some bipolar that's like write him and you know we get a lot of people who come in. Smoking marijuana into our clinic right turn in Arlington. I'm smoking marijuana and the question is is is this helping them. Or is this hurting me. And so welcome Stacy. Thank you Thanksgiving and -- to actually do things so what we really can you talked to. Can you tell us what Carolina is like what it does to people who smoke sure. So as you appropriately students hope so many people smoke it. It's at an all time high and high school seniors which is especially concerning. People are also starting to smoke at earlier and earlier -- that's when the brain -- not yet fully developed for what happens when you smoke so you you might have been joint split the -- depending on your choice and it. Whatever your mode as your happens to -- you lineup -- full -- Alamo Bowl upon we still have those guys come and. You might catch him what happened. You smoke and goes into your -- it finds its way into the bloodstream. Ultimately finds its way to the brain where we have these things called command and interceptors. We have the brain said -- received the case we do retail. And then these are specifically Stevie Wonder sectors which are predominant and lots of parts of the brain. So in your frontal cortex really throughout the -- so what happens is it binds to these -- sectors and you get. And the fact. You have increases and things like pleasure you have increases and things like. Appetizer or other drives -- increased a few well things suddenly seem a whole lot better for many people who beacon to smoke and it actually takes effect when you smoke pretty quickly. You know doctor Gruber a lot of people say that it it just helps them chill out and if you're anxious -- about about anything at all. That that in a little marijuana helps that's that's exactly right so. Unlike so many drugs and one of the things and actually let me let me to looking and sort of patients with bipolar disorder and why they may or may not be smoking. Is that unlike other drugs people seemed to report this unusual almost economy. Response. If they felt anxious are really really hyper they couldn't relax they smoke they felt -- -- it felt really depressed and down that smoke a little it felt less sent. You know. -- I was musician for many years -- -- get itself. It I was a musician for many years and I remember marijuana in the 1970s. But the marijuana we have these days and it's a little different than the marijuana that we had back in 1979. I often hear this is not your -- -- here that all the time this -- your grandfather's -- right. And so with the University of Mississippi that he's great studies and potency they seized drugs from all over the country. And they do nothing but sit and passing it and determine what petite sees it -- template and want to try to command and all this. And in the 1970 users from 33 and a half percent on average. Now you can get stronger we then you get hashing get sent to me get all sorts ethics. Now the average efforts to somewhere around 8%. So it's a big difference and again has little sense to me all these other strains are much much stronger so it isn't the same -- Strip is is all that done actually it isn't it it thinks it. From what I understand since I I don't have much to do with -- I think because if there's not a lot expressed -- -- -- I think they certainly are there -- they're quite expert and it. This is their bread and butter and they often cross pollinate different species of marijuana and they -- higher levels of -- C low levels for things like he'd be here can have a dial. Which actually doesn't it. So there's lots of variation but as far as I understand it's apparently -- You're listening to right -- radio on WR TO with woody and -- and we have doctors Staci Gruber with us they we're talking about marijuana. -- if you have questions about marijuana. Now would be a good time to pick up the phone and give us a call. Give us call 6172666868. We're gonna go away for up. Quick break and will be right back with doctor. -- -- Welcome back to right turn. Radio mining is what he's not here with -- teams in our guest tonight his doctors Staci Gruber who's the director of the cognitive and clinical neural imaging -- at McLean Hospital. McLean hospital's brain imaging center and she's also assistant professor at. The of of psychiatry at the Harvard Medical School. We're talking about marijuana. 101. Give us a call. At 6172666868. So it's the state feared to have seen that. Went -- and it sounds so peaceful and pleasant and you know everything's great -- -- What are are there any problems associated with I -- you've studied this say you know there yes what is the problem. Associated with smoking -- so what we see especially in individuals who start smoking regular -- so to get into some of our studies they have to individuals have to smoke a minimum. -- five of seven days. They have to have smoked 2500 times in their often young lives. And they have to have positive and that -- urine testing positive for urinary cabinet to the have to really be smoking pretty regular if stocking cap. Yet to have happen. Exactly and so what do we see in these books specifically in the individuals who start prior to age sixteen. They seem to be very specific. Problems issues with what we call the executive functions of these are things. Controlled by their frontal cortex a -- your brain right behind her eyebrows that. The last to come online in -- the first to go and very sensitive to drugs and alcohol during a developmental vulnerability like during adolescence and emerging adulthood. And what we see is there's some difficulty with obstruction. Regulating impulsive behavior the ability to inhibit. An inappropriate response. And difficulty with decision making things like this repetitive incorrect responses they can't really utilized feedback from people can you give some examples. Sure so individuals and some of these studies. Complete lots of Europe cognitive tests as -- pencil paper tasks of different types of functions that we often see as. You know. In one task for example subjects have to sort cards given a specific set of rules and unbeknownst to them the rule change. So how quickly they can determine that the rule changed and try something -- was what we're looking -- And for the individuals who start smoking early they have much greater difficulty with this then the adults and the people who starts smoking after 816. They will put a card cannot say that's incorrect the credit card down that -- for the same exact thing that's incorrect. They'll do it again thing for these pre separations -- repetitive incorrect responses they can't utilize feedback to change their behavior. I mean it's it is one -- Talk to parents which they do often I say you know it's kind of the part of the brain that it takes the longest and it's kind of -- it. Drives you crazy about adolescence. If that part doesn't about the people don't be they don't become grown ups and that's right so your ability to plan and again make good and sound decision sort of you know on the fly. People used to say things like walking and chewing gum at the same time it's not quite that simple not to do more than one thing it wants. And to be able really to reach -- environments and to change your behavior appropriately if you can't do that I've talked to lots of parents say why can't you just listen when I say the first time. You could -- can't fix it can't. He had been out yet I think I love the questions that we get from parents with a concerns are. Is this going to have long term. Ramifications is this can cause long term problems doctor but had very good question and longitudinal studies are still a little bits. -- -- the literature we have some very recent data from some longitudinal studies but. They're not quite as thorough or complete as we have hope they might be. There's there's an absolute need for this in in the field we need to look at people. Long term is one of the things that's been coming up that this Sunday group says has put out there that there's not enough research but there's not enough recent. So in a -- You know -- and find out what's gonna happen -- kid does it. Does it mean that it just postpones it -- start crying out pianist when they -- smoking and -- they start developing that's. And -- things we talked to pass bad -- we're really trying to keep the drug use low until they're about 2627. When things are kind of a little more stable in the brain and -- -- and they weren't at the -- had a deal with dramatic situations and -- it you know deal with feelings and had a plan. Things and it's a great way to put it you know you're sort of quote under construction. Why you're 161718. Years old even though they think and feel that there -- talks. But they're not really able to see sort of a long term ramifications of doing lots of things binge drinking is another issue. -- they have a hard time understanding that they only drink once a week but it's fifteen drinks did if it's fair is that that it right. And that -- link -- famous playmate and make it. Ailment tried cocaine once but it just turned twenty years for nine years -- I. So that's the problem. Well question here. Now. A lot of people say marijuana they said this in the 1970s I heard it and that marijuana as the gateway drug. Is there truth to that. So again I think there's a lot of controversy regarding the term gateway. And some people feel that gateway is the absolute pathway from a perceived sort of lesser drug like marijuana even -- it's thick skin it's a schedule one sort of most most. Consider the most harmful. Two other drugs like Carolina Palestinians and the things. There are not a ton of states to suggest that there's a clear pathway from marijuana use to other illicit substances. Some people might think that marijuana could be gateway to more positive things if in fact medicinal marijuana addresses some of the symptoms that people have been. Long suffering from. But is there a risk that marijuana use would affect those neural pathways that that mine and -- -- sorry don't mean to. -- of solid but. In your opinion so long term at at I I think my answer would be it really depends on how much how frequently and that what teachers starting. And medicinal marijuana use is really in its infancy with regard to search we don't know much. And so much has to do with the method and mode by which this is delivered. The strength the potency to frequency and helpful this individual made me. They enacted -- recommend medical marijuana for everybody apparently no it. I mean I think when things that people and they listen to stuff like this feeling it's the end is it just you know making news as big deal out of nothing you know. The biggest response I ever get is. You know it's not a problem I've been doing for years it's not a problem. You know. Maybe the other kinds of things that problem but I'm not can give them around the it's an earth man -- it's not optional I hear it's natural arsenic is natural to match I would suggest that. Doesn't that -- I can repeat did exactly you know. The problem as what you see in these folks especially again the one to begin smoking earlier. First of all in our studies the people who started smoking card age sixteen smoked one and half times as often and two and a half times as much marijuana per week. Than those who started later. And maybe that doesn't seem important. But if in fact you then realize that marijuana use is related to the type of cognitive work processing issues that these folks have that is important yes let's. Well I mean a drug visitors drug and we you know we see tolerance insensitivity back in in in. Any substance use and so you're saying that marijuana use. Is just like any other drugs that. The marijuana use increases. You know it. That yet it basis. Also. Serve my point as little bit different from tolerance it it it's suggests that the people who start smoking earlier smoke more often and smoke higher amounts. Not necessarily because of tolerance actually it says specifically for tolerance. It's almost as if it's sort of more habitual for them and there's not any perceived negative impact from them by and large so they smoke more -- Most of our guys don't -- tolerance actually. Surprisingly it's important to hear ya so. Impulsivity -- doing stand adolescents and impulsivity and yes we look at impulsively sort of across the board and emerging adults. And what we find is that smokers in general compared to people who don't smoke these are. Very well matched samples and that I should say that's the people who smoke that we're looking. Don't to any other drug that's really important. And lots and lots of literature out there includes people who smoke but the house to other substances. Makes you -- just marijuana. We exclude them if they tried anything else more than five to ten times in their lives which is pretty restrictive and in the substance abuse and restrict. So we restrict that and what we find is in general smokers are more impulsive. -- -- Recently cup abroad impulsive discounts and other measures that the special report they're more impulsive than people who don't smoke. We see that's really interesting is in the early onset smokers people who became regular smoking prior to 816. That impulsivity. Is directly related to a measure of white matter micro structure in the brain. -- ET which came first then. At the impulsive yes right very good question what we see in what we would hypothesize is happening is that earlier onset of use disrupts white matter. Development because there's also very clear correlation the earlier they smoke the earlier the onset of these. The lower the white matter integrity or coherent I -- matters critical for communication from. One part of your brain to another. Ben we seem impulsive he's related to an act so earlier onset -- white matter coherence Norway medical care and higher impulsive. So we would suggest. That earlier onset of these is disrupting my matter which makes you more polls and do we know that for sure enough to get it over what period of time Cummins. You've been clicking -- for how many years so we've. This is my third large scale study of marijuana smokers but importantly. Actually these folks it's not a longitudinal fatal cross sectional. And what we see we're really looking at people who are adults they are. Typically over eighteen when we see them but they're reporting their use. Sort of retrospect argument stamina aspect teen Agnieszka and sure. We're gonna go away for break you're listening to right -- radio and gives the call 6172666868. Will be back with marijuana one on one with the doctor. Welcome back to right -- radio winnings to the east and I'm here at abbey -- And in the house tonight we have. The State's doctors Stacy -- From queens hospital. And give us a call 6172666868. If you have questions about marijuana. The interesting things about the show is that you know everybody sitting around saying well. And a -- but I've you know when he talked about doing the show it's like alcohol so much where it's in the and that's fine but there's also big talked about well it's not addictive. And them. Wouldn't mind and -- They see also finds that that that it is addictive that people get in trouble with. With. With marijuana. I once had a client who late he came -- it was just this wonderful wonderful guy -- like. Demonized talk about -- given up this thinking of that. But I don't wanna give up now want to sit well being being someone -- is intently giving people options well maybe you could smoke just a little he's like. There's not just a little had it. And so he instead of me convincing him he -- had to convince me that he had a problem any he couldn't if he smoked a little he smoked all day everyday. And was he addicted. He couldn't not smoke. And that was in I could not -- and missed it terribly. He felt ground -- he his his relationship was in trouble because of not smoking. You know because that's who knew he was perhaps -- The opinion of the conversation of the person who comes into your office. And says yamana you know -- have a problem with marijuana. And you know sometimes when -- get a little like you know. When -- get a little upset or something you know little -- -- controller -- something my friends to say hey man just you know chill out smoking you know taking hit. -- -- you know and and chill out and I do when I'm OK so I'm on OK I don't. You know if I smoke a little bit of -- I don't get upset. So so -- if you run into ninety get a feeling that people are addicted then I mean that you -- twists and so. So certainly people can endorse the signs and symptoms of what we used to call dependents. And -- -- now -- Written edited dictionary that doesn't exist in DSM five we not talk about Merrill on our candidacies disorders and abuse and dependence have been pulled together. So this so that means is delete it just lefty physical addiction has to be more it can also be an emotional politics well. It actually now includes an hour with. Marijuana withdrawal syndrome so if there's now -- recognition of the fact that individuals who smoke regularly can actually undergo physiological withdrawal syndrome. Which people did not endorse. Often before this. -- people have trouble where they feel addicted so. One of the big differences I think in language is going for independence which referred to physiological dependence or physical dependence. To addiction. Which really sort of speaks more to the drug seeking nature of the craving if you have a compulsive I have to get -- have to get it. -- that's that's a little bit different do some people have it you know I've heard the number between nine and 10%. -- quote criteria for physiological dependence and now the term quote addiction. In our studies. Many of our individuals who smoke 46 sometimes 810 today. Do not meet DSM prior DSM four criteria. For dependents because. It requires that it's from -- intent interfering with your life somehow exactly and it's not because this and I guess that's right they don't report any perceived. Issue in you know their their social or occupational or educational. Experiences it's facilitator for many of them. I mean if if your if your friends will -- cut your girlfriend -- but you know it's just in his what you do in the evening when you watch -- movie. Then there's men even additional mile and is not interfering with your life you can say it's not it's not into child exactly. So I'm putting YouTube's you run into people who who decide whether or not to give up pot how heavy -- them that. You know I mean it's interesting because you most people that we work with happier people who come to us with the king with. Many different substances. That they abused and sometimes they come to us with there it there addicted to some substance like -- Opiate or or alcohol orders. And you know they saved. You know I would really want to put down opiates that I wanna hold on -- -- marijuana ordinance and say OK and that that's an interest in conversation let's do that let's look at me opiates just that's the most dangerous right. And let's talk about the marijuana use you know let's do first things first here but the marijuana use I really wanted to ask you how is that helping you. And you know and I think that that sometimes doctors that we we really flying. That the marijuana use. Is helping them. And that it kind of goes under that hypotheses of self an indication that that. The marijuana is meant is helping them with some type of underlying issue whether it's mental health that you were psychological or emotional issue. Certainly people say that and in fact one of the things that we spent a lot of time doing is characterizing our samples for. Clinical rings so we do a ton of -- ratings of two on efforts to. You know one of the things we often hear -- well it's a healthy control sample why don't wanna give a depression and well if you don't if you don't look you don't know what the potential difference may be. In fact. At baseline we look at our smoking samples they aren't significantly different from healthy controls on any measure of anxiety and depression. We didn't state treat measures we give them all sorts of fashion positive negative aspects -- profile from the states you name it we get it. We don't see any huge difference does that mean that there's not some underlying. Other issue that we're not tapping perhaps and perhaps and maybe the marijuana use is actually mitigating. Those scales course right so maybe -- is very anxious and they smoke all the time. They're they're they're coming out just like the rest let the average there might. The verdict may be out how the marijuana is helping him or hurting them but it's you know it's uninteresting piece let's go to the phones we have you on. On the phone John you're live on the air with woody and happy. Ugly I have a I misspoke by that given up in 1988. You know it into the -- -- schools skills -- there's like cognitive thinking. We messed up and edited. Tried recycling. The end of like smoke and now Wada and it really is the gateway drug like Michael Savage this society gateway drug how -- drugs. I got excited when I would hit seventeen his load and you know with a heavy pot smoke and that is it nearly destroyed by. And ambitions motivation as well it might -- How did you stop. Yes -- how to do it. All star gate. That's -- -- -- -- -- -- you know is both psychologically addictive they send it back with us. I'm that I could be and straighten out it was a legal. There they go -- people think it's legal not would be legal limit then I don't think. It's very expensive to John isn't it. I said it's very expensive isn't. I expensive jet fly it on the line and another group like quit. Well thanks I think this I thank you down for calling I think this is. If people stopped because anyone think that worries me is that illegal mainly because it's illegal. Kids don't feel like it's illegal anyway. You know isolate legally which clearly I -- I -- -- sort of like a little pregnant right legally it just right so it decriminalize had to say they'll -- -- The interesting thing is that there's a great chart from the monitoring the future study which directly relates the perception of risk and harm and use. And that's perception of risk and harm drops. Use is going up and -- is beautiful it's it's interest I saw SS it's really quite compelling and so all of our discussions and all of our. Sort of back and forth about legalizing marijuana and the usage and this and now -- now we have recreational marijuana. Used it's legal in two states and we have -- my wife and twenty plus the District of Columbia so of course there's going to be a question well. For talking about it. And it's recreational acceptable in two states how could it be that risking her again -- what's interesting if I remember cigarettes are also legal. But this as safe cigarette smoking has gone down because it's become less acceptable -- So I mean it is possible change that's absolutely. An -- but but I do think this idea. Fewer people in stat because they're not scared again and I mean. Right I think in the state of Massachusetts I think -- were allowed to at this point have a two accounts that right before. Territory has tried you know I don't know seven -- you know -- turning point four grams and insulate a hundred dollar I mean this that's pretty benign so you're speeding tickets can cost a whole lot more than. Have have we talked about who's using marijuana we know that a lot of young people are using marijuana in your your work at McLean. Is there are of a range. Ages that you're working. We except individuals from. We have a lower limit of twelve actually but most of our folks are seventeen to eighteen and they go off weapon to their good sort of mid to late thirties I was really early for a really. But the majority of individuals that we've seen them in the last probably three now four years are really between eighteen and 26 catches not surprising given that we're in the Greater Boston area. And colleges are rife with individuals were happy to come and sign up for the studies sure so. Climbing in do you think that this is this is late night and this is you have no idea I have 98 but I think that this is becoming. You know our parents had. Our pet parents had Martinis I don't know that we had we had that just the perfect clips of red line is this kind of the next. You know it is a next generation -- coming up in this is there. Recreational drug you know and they very Romney it's certainly clear that the perception of risk -- harm if it continues to strike. That and and use continues to increase -- with younger and younger ages that's the other statistic that's so. Compelling here the not the average age of first -- has dropped from just under eighteen to a little over seventeen doesn't sound like a lot that's a whole year. In less than two years of sampling so and it's a big numbers and it's it's huge numbers can't think exactly. Exactly well and they talk about the kids that the first time their offered pot. That's doing Nancy configuring even if they sing now right. Right because more and more people think it's okay to be smoking at thirteen or 141 of the things that we do as we asked them. We sort sort of column modified time my fallback essay telling about the first time you ever stopped. The civil what do you mean so where were you with whom had to do it where you know and they can take you back because everybody remembers exactly one that was that was the first aren't smoking regularly. We it's it's really important to note first attempt is different from regular use and that's the big thing. I wanna learn more about that the first exposure to marijuana and done we're talking to doctors Stacy Kruger. From -- McLean Hospital we're talking about marijuana. 101. Give us a call 6172666868. And we will be right. It's. Welcome back to right turn the radio my name is -- -- and I'm here with caddie dean. And doctor Staci Gruber not read here. Expect -- unfavorably has been a long day a tough tough. Day out on the golf course that's right -- money own personal -- give us cause 617. -- 2666868. Let's go to the phone lines we have Dave on opponents -- your live on the air with Debian woody. Hi hi hi guys I just like to give a call and I'm really excited BR KO. Probably it. I'm -- western -- -- actually listen you guys on the Internet. I'm in and I just like I couldn't help but like overhear your topic and it's dominated -- that this was what's going on right now acute social change. I mean marijuana has been accepted the six. You know as being you know the next step to you know tricking our call for example I mean. I mean I hear about people out of their cars around -- balls all the time. It. And you aren't you hear about all the time we don't hear about like -- -- resource. You know observational joy in fact they'd probably rather go to like you know -- -- start adding kittens into all of this -- The deal is -- -- assortment -- -- thirteen. Obviously there's there's exceptions rule in your studies about cognitive abilities and be able to function in society -- of social you know. Interacting person but. I don't think it just all orders as what governor Scott literally it -- -- that this that bottom line. I think -- or sing I mean I think -- saying it chains. I think ultimately I just think it's not has -- nine alcohol snapped a nine it's not as benign as any any pretense in this. That's not. Who a day but I also wanna say that for some people it it's it's. Of something that they use and safety for quite some time for others maybe not. So let me do -- do all the time. I don't know why won't you do it all the time like I mean I used to do all time when I was younger but. I'm not I don't know maybe you know. What times a week or something -- all small you know little marijuana and just kind of mellowed me out I mean that's really all this and just like governor -- the same thing. I mean alcohol can mellow you out marijuana is gonna value out it just -- somewhat if you want you order a short period one a a little marijuana and I think you are -- He -- it changed its basic how how much do you smoke in a week. Oh gosh hardly anything I mean really I mean maybe. You know two or three times a week -- you know spent a couple of bucks but come up and huge it's a grand two grand 60 no no probably just got -- George. -- about it yeah I mean I don't I don't -- -- -- of the smoke alphabet or whatever word out policy of bird you know another time. -- -- -- -- -- -- See you are you are is -- the UN that casual pot smoker and you're exactly do we would not be boring about. Well I just you know and -- but but I mean the the idea of leaving it behind. I have to you know I have to -- so it makes people in this room go. Continue to act so I mean I think that's and then the difference right -- plus plus he said he used to smoke quote all the time how how much did you used to smoke in Europe. When you're young I would I was young I used to smoke every day and they'll be out trees and probably the ages fourteen -- like where you're starting assess him. I mean obviously I was I was smoking is you know recreational drugs back and you know late seventies. He needs it -- and school everything went fine you know everything is fine I mean I graduated and went -- to spewed ecology and got a degree in community college and indications and you know doing a job in working and being a functioning member of society -- -- -- it you have to drink cocktails with the fact. So I gave thanks for the -- on record area. Yeah order smoking in the murder one of them you know I've. You -- Thank you Dave for that call I think Wheatley I think what that shows is. He is the 91%. He's the people who he is. There are a lot of people who've tried pot use AK healing may -- sees it Marvin decided to stop and stopped. Mentally into. Think thing is and and I I take nothing away from actually believe them you know everything was great he graduated from school went community college haven't had a life. My question is said the people to -- our studies to report having any problem -- But the individuals who began smoking parred 816 certainly looked very different from the ones who started smoking later and it's not that they necessarily perceive themselves as having difficulty. We just see trouble. What did you know sort of alterations if you -- these. These types of kind of process he's their brains canceled different theirs they're there white matter micro structure looks a bit different. -- avenue long term negative impact certainly if you listen to him he's he's okay. Right well you're saying memory things of that that when you see look differently. So what we see them most striking difference earlier on these final executive functions so. Against her the ability to shift set the ability to make decisions the -- to inhibit them and inappropriate responses in favor of something that's you know. The appropriate response. They're terrible trouble. And unless you're looking and it sort of in -- thing. That is in a lab doing or or even at home in answering these computerized batteries can do that with studies. And -- really assessing that I'm not sure you'd necessarily know how you did or didn't -- How can you know how you would've been if such and such hadn't had a great -- so it stopped. You know it's set he was great he stopped he. Doesn't cut down well he cut down a cease cut down a tunnel plot sounds so if you if your brain is so you have a brain on drugs. And now to bring in my off -- does it come back. Cancer really really great question and actually some study suggests that. If your -- -- for even a shortest when he maintains a lot of the cognitive differences we see begin to correct. Some of the changes that we've seen in previous cities of regional cerebral plant floor blood flow through the brain. Or functional activation. Look a little bit longer to take sort of back to that normalized fruit and we're not really sure of it. The grant that we're doing now is actually from -- study exactly that it's sort of a message of hope. What does your brain look like after you stopped using drugs were looking for people more abstinent for minimum two years. Your doctor Gruber thank you and you you don't you don't really like about this -- is the -- happened. A calm conversation. About drugs. Instead of two people yelling each other and they agree well we know we have this this. Awful epidemic of opiate use in Massachusetts we know that we -- it's just awful we just had this terrible incident with them with. With -- you in in the press and continues to play itself out in this kind of circus like manner. We've we've had you know methamphetamine and and other stem other substance use going on. But it's so nice to that we can actually have an intelligent conversation and hopefully people that are listening -- -- something about marijuana. It is not benign but it's not you know -- it's not. You know it's not a black -- -- thing. There may be some benefits of it there are definitely some side effects of using it that aren't couldn't aren't what you want your kids. And it's worth talking match and he talked you into. You can't tell your kids that if he smoked -- the first time you're -- drive your -- into a -- it's not the way conversations -- you need to have a conversation. With -- with your parents. About you know. Moderation. Maybe quitting if you think you're in trouble trying quitting for too many days and see appear any difference in don't trust yourself asked. It asks something else it. It going -- if you hear any different. We've we've had doctors Staci Gruber on our show today doctor thank you some treatments and my -- what a terrific piece would love to have you back it was a answers you know I'm. It's interesting because you know that right turn we provide. Entertainment on the weekends for people who are looking for all ways to go out and enjoy a music and comedy we have an amazing comedy show coming up on Saturday night. Not this Saturday this Saturday is it to my. Atlantic. The moved the comedy show is in October that -- but this weekend is the open Mike Hsu anyone in the community on the website would like to do perform a song and yet just go to our website you can and that's right -- turned out or you're just Google right turn and also like to say participate in recovery month. For people in recovery it's coming up at the state house on -- that's when he sixth. And then also I wanna invite you all would go to our website and and and looked at arms fundraisers and an awesome and it's when he seventh about the 27 of October we have Joan Osborne. We have trombone shorty we have Paula Cole Evan Dan know from lemon heads. IGE Smith Simon Kirk from bad company. Berry who drove my -- the list just keeps going on Steve Sweeney is going to be the host. -- be safe asked for help.