Tuesday, June 26, 2018

CBD Extracts online vary in their actual concentrations.

There is growing consumer demand for cannabidiol (CBD), a constituent of the cannabis plant, due to its purported medicinal benefits for myriad health conditions.1 Viscous plant-derived extracts, suspended in oil, alcohol (tincture), or vaporization liquid, represent most of the retail market for CBD. Discrepancies between federal and state cannabis laws have resulted in inadequate regulation and oversight, leading to inaccurate labeling of some products.2 To maximize sampling and ensure representativeness of available products, we examined the label accuracy of CBD products sold online, including identification of present but unlabeled cannabinoids.
CBD bought online can have a wide range of variation from labeled amounts. Tinctures are less variable.

Monday, June 25, 2018

CBD for Epilepsy: FDA Approves Prescribed CBD as an Epilepsy Medication, but there is a catch ...

Epidiolex adds another tool indicated for DRAVET and LGS ... but wait, CBD must still be rescheduled by the DEA. 

Will CBD be completely rescheduled? Call your legislator to ensure CBD a relatively safe and non-addictive substance is rescheduled. - JR

FDA Green Lights Marijuana-Based Pharmaceutical Drug

June 25, 20185:33 PM ET
 Allison Aubrey - 2015 square


The U.S. Food and Drug Administration has approved a marijuana-derived drug for the treatment of two rare and serious forms of epilepsy, Lennox-Gastaut syndrome and Dravet syndrome, that begin in childhood but can persist in adulthood.

The drug is made from purified cannabidiol, or CBD, a compound found in the cannabis plant. The drug will be marketed under the brand name Epidiolex.

CBD has medicinal effects, but it does not cause the mind-altering high that comes from THC, the primary psychoactive component of marijuana.

The FDA says this is the first drug approved in the U.S. that contains a purified substance derived from marijuana. The agency has previously approved drugs made from synthetic versions of THC and other marijuana constituents.

Dr. Rotenberg prescribes CBD for refractory epilepsy
under the CURT program
approved by the  State of Texas
"This approval serves as a reminder that advancing sound development programs that properly evaluate active ingredients contained in marijuana can lead to important medical therapies," said FDA Commissioner Scott Gottlieb during a call with reporters about the approval.

Anxiety Relief Without The High? New Studies On CBD, A Cannabis Extract
Anxiety Relief Without The High? New Studies On CBD, A Cannabis Extract
Several states have legalized CBD oil specifically for the treatment of intractable epilepsy or seizure disorders. And, as NPR has reported, CBD supplements are available widely online and in dispensaries in the form of oils or tinctures. CBD oil has gained popularity with consumers as a remedy for a variety of other ailments. However, the legal status of these products is uncertain, as is their quality. They're not regulated the way pharmaceutical drugs are, so the consistency and dose can vary widely.

Having an FDA-approved, pharmaceutical-grade CBD drug will open up a new treatment option for epilepsy patients by delivering a high-quality, consistent dose

Saturday, June 02, 2018

SPECIAL EDUCATION: Are we killing kids or just letting them die?

"Is there a difference between killing someone and letting them die?" 

Suppose you were walking by a person drowning in the bathtub. If you do nothing, did you kill them?

Often posed as a common biomedical ethics dilemma, the situation begs the question about "passive versus active". I never thought that this life and death drama might apply to public education.  I have seen this dilemma play out again and again at the micro and macro levels in our Texas public educational system.

Here is this week’s outrage. 

How many hours of advanced training are required BEFORE a certified general education teacher can teach a special education student? 
  • Go ahead....Guess. 
  • Zero

How many hours of advanced training are required before a general education teacher teaches Gifted and Talented? 

Texas Administrative Code requires 30 hours of pedagogic training before teachers can instruct gifted & talented students. The code also requires SIX hours yearly to maintain this certification.

How does this disparity play out? An educational plan may put a general education teacher straight out of school OR perhaps even a "Teach for America" instructor in charge of a special education student's INDIVIDUALIZED educational plan with minimal oversight by a certified special education teacher. 

A general education teacher without any specialized training is responsible for planning, monitoring and reporting on details MANDATED by federal law, and MONITORED by the TEA. Can you guess what happens next for many children?  

On its face, it appears that our laws mandate that Texans keep on walking while special education children thrash in the bathtub. 

Its time we put our money and attention on both sides of the bell curve. 14% of HISD children are identified as GT. 15% of children have a learning difference. 25% of families have a child with a chronic health problem. 

 Its time that Texas took equal pride in how we gather in the sparks of all our children who learn differently, on both sides of the curve.  

I am grateful to have met HISD trustees, educators and professionals who are aligned on this same vector for change. But, we need help undoing unhelpful beliefs and practices translated into rules - written and unwritten. Its difficult to fix the plane while we are flying in it. 

  • Ensure special ed families are involved in your campus PTO.
  • Ensure special ed families are on your campus planning committee.
  • Listen with an open mind to children and parents who live another reality. 
  • Advocate for change in our laws. 

Educational equity is not just an issue of morality. Its a compelling public infrastructure problem impeding growth and development. 

Taking action, we send an unconditional message to all people that we care how a child grows and becomes, no matter what. 

Dr. Josh

(Parenthetically, BY willful neglect, are we  forcing our teachers and administrators to violate Federal Law? We set our well-meaning educators up to deny free access to public education). 

CONCUSSION Symptoms can Persist 1 to 2 years later! You just have to ask.

Administrators commonly reject a family applying for 504 because concussion symptoms are temporary. 

Post-concussive symptoms after a mild traumatic

brain injury during childhood and adolescence

Pages 617-626 | Received 08 Apr 2017, Accepted 07 Feb 2018,
Published online: 15 Feb 2018

Objective: Mild traumatic brain injury (mTBI) is common injury during childhood and adolescence but the long-term outcomes are poorly understood. This study examined post-concussive symptoms and behavioural outcomes in children and adolescents up to 24 months post-mTBI.
Method: Parents of children aged 8–15 years with mTBI completed the BASC-2 and Rivermead Post-Concussion Symptoms Questionnaire at baseline, 1-, 6-, 12- and 24 months post-injury. An age-matched traumatic brain injury-free cohort was recruited and assessed at 12- and 24 months.
Results: PCSs decreased significantly over the first 12 months post-injury.
At 12- and 24 months post-injury, the mTBI group reported more PCSs and behavioral symptoms compared to controls.

Parents of children with mTBI were more likely to report ≥4 problematic symptoms
(28% at both time points) vs  controls (7.7% and 1.7% at 12 and 24 months, respectively).

The mTBI group was 4.63 times more likely to have four or more ongoing PCS symptoms at 12 months post-injury compared to controls.

Headache was the most common acute post-injury symptom (55%)
the most commonly reported persistent symptoms were:

  •  irritability, 
  • frustration, 
  • forgetfulness and 
  • fatigue.

Conclusions: PCSs are common 2 years post-mTBI in childhood or adolescence.
Given this, additional intervention and support is needed for families post-injury.

Monday, May 21, 2018

Ritalin, School Shootings, Ignorance - Col North You are wrong. So wrong.

Dear Col North,
Image result for oliver  north wallace
I salute you and your service. I'm a 10 year veteran of the USAF.

Most respectfully, YOU ARE WRONG to link adhd treatment with school shootings.  Video HERE  

Early antisocial behavior IS linked to such shootings.  

 P.S. Please dont blame mental illness tomorrow. Serious mental illness only accounts for 3% of shootings.

Childhood ADHD is  associated with adolescent and adulthood arrests (RR: 2.2, 95% CI: 1.3-3.5), convictions (RR: 3.3, 95% CI: 2.1-5.2) and incarcerations (RR: 2.9, 95% CI: 1.9-4.3).

BUT ADHD  treatment reduces rates of criminality, and substance abuse. Perhaps the unnamed kids you are referencing were inadequately treated? Perhaps they were non-compliant?

You, the NRA, and good law-abiding Americans risk credibility and good-will when you squawk falsehoods.

I assume that you are not yet informed. I do not expect that you would spread fear of treatment among good people, as to do so would perpetuate  the very problems you claim to oppose. 

Please call me with questions. 

Most Respectfully,

Dr Josh

Want data? More here 

Criminality and ADHD



Treatment Effect



Monday, March 26, 2018

Cannabis for Epilepsy - Low doses of CBD already working!

Medical cannabis working in kids with epilepsy. Answer to family prayers?!?
Very gratifying day.- JR

Cannabis for Epilepsy - Low doses of CBD already working!

10-year-old boy one of first in Houston area to receive legal cannabis oil.The oil is used to treat his seizures that are caused from epilepsy.

Low THC Marijuana  Cannabis / CBD for Epilepsy in Texas 

Author: Ron TrevinoPublished: 5:52 PM CDT March 26, 2018

Ten-year-old James Challenger is one of the first patients in the Houston area to start using legal marijuana prescribed by a doctor.

It comes in the form of cannabis oil and only a small group of Texans are allowed to use it. They are epilepsy patients who are not getting any results from other medications.

James’ parents say it’s the answer to their prayers after he began taking the oil March 20.

"We saw a drastic improvement in him,” said Michael Challenger, James’ father. “His face lit up, his personality lit up, he is much happier.”

"I can show you school records of just horrible marks, to now where we haven’t had one bad mark since we started the medicine on Tuesday afternoon," says Mikelle Challenger, James’ mother.

The oil is prescribed by their neurologist, Dr. Josh Rotenberg, and it’s not covered by their insurance. M & M figure on spending around $200 a week for the oil. But, they say, if their son continues to improve, it’s well worth it.

Tests have shown James has been having at least a hundred seizures a day, and the 15 pills he takes each day don’t seem to help and have major side effects.

"He had been described as unhinged, just out of his mind, he wasn't there, you'd look at him and his eyes just weren’t there," Mikelle said.


The family is very involved in their church community. In fact, James’ grandfather is an associate pastor Sagemont Church. M...

The way this family sees it, the cannabis oil is the answer to their prayers.

Video Here from KHOU

Sunday, March 11, 2018

Special Education Report about HISD from AIR American Institutes for Research (AIR)

The AIR American Institutes for Research (AIR) report of HISD special education is accessible.


This report poses fundamental and even spiritual questions about how our community treats our most vulnerable children. 

Special education should not just be "integrated".  SPED should lead. 

Biology has diversity. Our kids are not McNuggets. SPED is the advanced course in educational theory and application.   If we fail SPED we are failing all children. 

And, I hope its translated to Spanish.

Offer feedback to your trustee or to Trustee at Large @annesung.

Dr. Rotenberg

Here is my summary of the report(my personal opinion, representing no one):  

For the most vulnerable of our children...

In a state that actively discourages identification and treatment of the approximately 15% of children with developmental disorders....

HISD has decent people, trying their best. 

But, HISD also:

  • Under-identifies children while not really communicating/ understanding the process for identification.
  • Places children without data ("sorting hat" vs data based approach?)
  • Inequitably deprives children of resources (e.g resource room).
  • Pokes the "I" out of the IEP.
  • Supports no accountability.
  • Does not adequately communicate.
  • Does not adequately train.
  • Suffers instructional / outcomes failure for SPED.
  • Has no idea a) what happens in transition or after graduation nor attends to this on its report.