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As I most recently have some time, I had been searching on the web the other day. In search of new, interesting ideas, inspirational recipes that I have never tasted before, to impress my family with. Looking for a long time unfortunately couldn't come across any interesting stuff. Just before I thought to give up on it, I came upon this delightful and simple dessert by chance. The dessert looked so delicious on its pic, that called for immediate actions.
It had been easy to imagine just how it is created, how it tastes and just how much my hubby is going to love it. Actually, it is very easy to impress the guy in terms of puddings. Yes, I am a lucky one. Or perhaps he is.Anyhow, I went to the blog: Ambitiouskitchen and followed the step-by-step instuctions that were accompanied by impressive images of the procedure. It just makes life much simpler. I could suppose it is a bit of a inconvenience to take photos in the middle of cooking in the kitchen as you usually have sticky hands so that i seriously appreciate the effort and time she placed in to make this post .
That being said I am inspired to present my personal recipes in a similar way. Thanks for the thought.
I had been tweaking the main recipe to make it for the taste of my loved ones. I've got to say it absolutely was a great outcome. They enjoyed the flavour, the thickness and loved getting a delicacy like this in the middle of a busy week. They quite simply demanded more, many more. Hence the next occasion I'm not going to commit the same miscalculation. I'm gonna multiply the amount to make them pleased.

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You would certainly be hard put to find anyone who does not love a peanut butter and jelly sandwich, so these no bake cookies with peanut butter and jelly make kids and adults alike happy.
Something about the combination of creamy peanuts (with a little crunch in my house), and a fruity jam or jelly brings back memories of childhood days and school lunches full of a PB & J sandwich and piece of fruit. At least that's how it was growing up within my family.
Back the day, we ate our peanut butter and jelly sandwiches on soft, fluffy white bread. In fact , the bread was so soft that we could take a slice and squish it right into a tiny ball. If you're over 50, you may recall those Wonder Bread days.
Memories of those carefree childhood days were the inspiration for these no bake cookies with peanut butter, oats, and drops of strawberry jelly.
Here is the easiest cookie recipe you'll ever make - no baking, no complicated ingredients.
All you need are oats, peanut butter (100% peanuts I hope), honey, milk, a dash of vanilla and low sugar strawberry preserves.
Roll your concoction into little balls (sound familiar? ), press a well into the middle, and top with a dollop of jelly.
Chill for a bit in the refrigerator and you have a healthy treat ready to go that tastes such as a peanut butter and jelly sandwich. Remember the glass of milk!
On another note, we're celebrating our 5th blogiversary this week at Mother Rimmy's. This has been a ton of fun these past five years sharing recipes with you, and I'm looking forward to five more years.
Have a terrific week everybody!
Recipe: No Bake Peanut Butter and Jelly Cookies
Shake It Up! Take to almond butter in place of peanut butter with apricot jam. Delish!
½ cup almond milk
Line a cookie sheet with parchment paper.
Combine oats, honey, peanut butter and almond milk in a bowl.
Microwave on high 1 minute to soften oats and peanut butter. Stir well.
Using a tablespoon, make 24 balls and place them on the cookie sheet.
Slightly flatten balls and with your thumb make a tiny well in the center.
Drop strawberry jam into the center of each ball, then refrigerate for no less than 1 hour.
Store cookies in a container in the refrigerator to keep them firm.
Food energy: 82kcal Weight Watchers PointsPlus 2 Saturated efas: 0. 66g Monounsaturated essential fatty acids: 1 . 90g Polyunsaturated fatty acids: 1 . 22g Total fat: 3. 77g Calories from fat: 33 Cholesterol: - Carbohydrate, by difference: 10. 50g Total dietary fiber: 1 . 27g Protein: 2. 83g Total lipid (fat): 4. 05g Water: 7. 05g Ash: 0. 41g Total sugars: 4. 73g Calcium: 17mg Iron: 0. 47mg Magnesium: 30mg Phosphorus: 58mg Potassium: 89mg Sodium: 37mg
Hope you're feeling better now!
I love why these are no bake. And, yes, From the the squishy white bread. I cannot even imagine buying that white fluff today. I love my bread with substance.
My husband loves oatmeal cookies and I believe these are likely to be a hit with him. I imagine they will freeze well because if I do not freeze at least half, he'll probably eat all of them in a few days. Ha!
As I recently have a little time, I was surfing on the internet yesterday. Trying to find new, exciting ideas, inspirational dishes that I have never tasted before, to surprise my loved ones with. Hunting for quite some time but could not find any interesting things. Just before I wanted to give up on it, I came across this scrumptious and simple dessert by accident at ambitiouskitchen. It looked so scrumptious on its photos, it called for rapid actions.
It was easy to imagine just how it is made, its taste and just how much my hubby will want it. Mind you, it is extremely easy to impress the man in terms of puddings. Yes, I'm a blessed one. Or perhaps he is.Anyway, I got into the webpage and simply used the detailed instuctions which were accompanied by impressive images of the procedure. It really makes life much easier. I could suppose it is a bit of a effort to take photos in the midst of cooking in the kitchen because you most often have gross hands therefore i really appreciate the effort and time she put in to build this blogpost and recipe easily followed.
With that said I'm encouraged to present my own dishes similarly. Many thanks the concept.
I had been fine tuning the initial formula create it for the taste of my family. I can say it had been a great outcome. They loved the flavour, the thickness and enjoyed getting a sweet like this during a stressful week. They quite simply asked for even more, more and more. Thus the next time I'm not going to commit the same miscalculation. I'm gonna multiply the amount to get them delighted.

Our Caesar salad recipe is a tiny departure from the true purist version, but to be perfectly honest, we think it includes a lot more flavor. The garlicky croutons certainly are a great addition and the dressing is robustly flavored and easy to make because we've substituted mayonnaise and fish sauce for the raw egg and anchovies. It makes a fantastic first course or side salad, or you can top it with slices of grilled steak, pan-seared chicken or sautéed shrimp to produce a complete meal.
Freshly ground black pepper to taste
1/4 cup freshly grated Parmesan cheese
For the croutons:
1 tablespoon butter
For the dressing:
2 tablespoons lemon juice
1 to 3 teaspoons fish sauce (see notes for subtitutions)
1 clove garlic, very finely chopped
1/2 teaspoon Worcestershire sauce
1/2 teaspoon Dijon-style mustard
Start by making the croutons. Preheat the oven to 225°F and line a small baking sheet with aluminum foil.
Heat the butter and olive oil in a large skillet over medium heat. Add the garlic and sauté just until fragrant, 30 seconds (do not brown). Add the bread cubes and toss them with the butter mixture until it's all been absorbed, about 1 minute.
Season with a pinch of salt and transfer the croutons combined with the toasty items of garlic to the prepared baking sheet. Bake until the croutons are crisp on the exterior, but still slightly soft internally, 7 to 10 minutes. Remove from the oven and set aside to cool.
While the croutons bake, prepare the dressing. Whisk the coconut oil, mayonnaise, lemon juice, 1 teaspoon of the fish sauce, garlic, Worcestershire sauce and mustard together in a small bowl.
Taste and add more fish sauce until you're happy with the flavor. In the event that you feel the dressing is a touch too thick add 1 or 2 teaspoons of water to thin it. Put aside.
Place the lettuce in a large bowl. Add the dressing and a few grinds of black pepper. Combine thoroughly, then add the grated Parmesan cheese and croutons (including the toasted components of garlic). Toss again, taste and adjust the seasoning if necessary.
Transfer to individual plates and serve immediately.
Makes 4 side dish servings, 2 to 3 main course servings when topped with a protein
Recipe Notes and Substitutions:
If you do not want to use mayonnaise in the dressing, utilize the type of egg substitute that comes in a refrigerated carton. Follow the quantity recommendation for 1 egg. You can also make use of a pasteurized whole egg if you prefer.
You can also replace the fish sauce with 4 jarred or canned anchovies, rinsed, drained and mashed, or 1-1/2 to 2 teaspoons of anchovy paste from a tube.
Notice: All recipes, pictures and articles on MyGourmetConnection® are copyright protected
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Elena Tubb Apr 30 '17 · Tags: |sep|
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Daniela Bowman Apr 30 '17 · Tags: |sep|
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Ola Holton Apr 30 '17 · Comments: 1 · Tags: |sep|
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Jerold Lyles Apr 30 '17 · Comments: 1 · Tags: |sep|
news today liveSphinx Asia Wealth Management News Letter 1st Quarter 2011

We are recommending five (5) stocks for immediate purchase to implement a portfolio sector and issue shift in equities that emphasizes the undervalued nature of corporate assets where the whole is priced at less than the sum of its parts. This situation is emanating from segments of the Chinese market.

We have, as well, a certain turnaround situation in the US industrial sector. In addition, we are the beneficiaries of some highly regarded private research, that our clients have successfully relied upon in the past, to identify terrific opportunities in emerging industries and technologies; all poised for big quick moves once these fundamental realities become evident to main stream investors.

We also have a new recommendation in the gold market where we have generated substantial gains for our clients in the past.

From these recommendations, our clients will have great opportunities for massive gains over the next 6 months to 2 years. These 5 stock picks are now must own positions that will move higher regardless of overall market sentiment.

Buy Gammon Gold (NYSE: GRS)

Buy Yahoo!, Inc. (NASDAQ:YHOO)

Buy General Motors (NYSE: GM)

Buy GreenCell Technologies (XETRA: GT5.DE)

Buy DirectView Holdings, Inc. (OTC.BB: DIRV)


Gammon's recent exploration success forms a core of my updated investment thesis. During the first half of 2010 alone, Gammon discovered three new deposits at its Ocampo gold and silver mine, and it swiftly replaced nearly two-thirds of estimated 2010 production with
127,750 gold-equivalent ounces (GEOs) in new reserves. One of those three deposits, Santa Eduviges, has been fast-tracked for development, and production is expected to commence any day now.

Capital Gold's (AMEX:CGC) board has unanimously endorsed Gammon's proposed merger. The pro forma company emerges as a titan among the smaller mid-tier gold producers. Capital Gold's El Chanante mine will double Gammon's gold reserves to 3 million ounces -- apart from Gammon's existing trove of 66 million ounces of silver. Gammon sees pro forma production averaging 230,000 ounces of gold per year for 2011 and 2012 at a jaw-dropping production cost of $78 per ounce.

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A forthcoming preliminary assessment of Gammon's Guadalupe y Calvo project, a cementing of the Capital Gold merger, and impressive reserve expansion from that successful 2010 exploration campaign could all provide dramatic upside catalysts during 2010

We recommend the purchase of Gammon Gold (NYSE: GRS) at $8.00 per share

From these recommendations, our clients will have great opportunities for massive gains over the next 6 months to 2 years.

For more Details of our Quarterly News Letter: see website
Jacklyn Ledet Mar 10 '17 · Tags: |sep|
It really is never ever too late in your life to begin a fitness plan. If it is a location that you have not paid for focus to before, there are several essential items that you need to take into account well before you think about fit and well developed once again. In the end, we don't want you harming yourself. Listed here is a set of stuff you should think of.

Take some ideas for introducing workout to the daily schedule? Consider just introducing much more activity to all you do. Wandering into a more h2o fountain or restroom at your workplace will heighten the number of actions you take in each day and strolling a little bit faster when going up steps or walking all over a parking lot could add high intensity to individuals methods.

If you're trying to get in much better condition, don't take the time training when you have a cool, the winter flu, or any other disease your system needs to combat off of. Why? Your whole body has various goals than you are doing -- when you're ill, it will try and reinstate your well being prior to it will invest any sources to muscle mass-building.

When choosing an exercise routine, select something that you enjoy carrying out. If you like undertaking the schedule, then you will adhere to it. Should you fear your schedule, you may constantly make excuses as to why you can't or don't want to get in your exercise routine for a day.

For everyone who will take physical fitness very seriously, taking in a wholesome level of health proteins will support your exercise initiatives considerably. Protein makes you truly feel whole and most importantly, will assist you to develop muscle tissue and enable you workout for a longer time without having strenuous out. Red meat, chicken breast, pork, sea food, and legumes are great dishes that have lots of healthy proteins.

Be careful to shield your the neck and throat when performing an exercise program that concerns ab crunches. A great way to minimize stress on your the neck and throat when performing ab crunches is to secure your tongue in the roofing of your own mouth. This aligns your throat and makes it much simpler to do the ab crunches.

A fantastic suggestion to help you get suit is to engage a fitness trainer. Personalized personal trainers have extensive know-how about exercise routines and nutrition and they can create a customized workout program for you. They also show you how you can workout correctly and provide you with enthusiasm when you really need it.

Nice looking ab muscles will give you interest anywhere you go. To obtain wonderful abs, execute this easy exercising for 5 minutes, each morning. Lay level lying on your back on the floor or with a yoga exercise mat. Gradually cycling your thighs and legs down and up within the air flow, just like you were actually pedaling a bike up a hillside. As you push your thighs and legs apart, be sure to fully increase your thighs so your knees are direct.

It is simple to keep your back again from injuries when weight lifting by squeezing your butt cheeks collectively securely. This will cause your posture to further improve although picking up because it stabilizes your spine. This stabilization shields your rear from tension or injuries, so try accomplishing this throughout your next bodyweight picking up program.

Don't overcompensate for exercise by eating far more meals, or else you will basically end up eating excess calories. Whilst exercise does improve your healthy requirements, the rise is just not visibly big. You don't need to make a aware energy to improve the food intake except if you will work out for several hrs each day.

It is not necessarily bad to do situps, but prevent undertaking them an unacceptable way since you can lead to a lot of damage to your lumbar region. Do not do them as you have your feet attached. An excellent alternative to situps is to do stomach crunches using a rolled cloth located in your spine.

Right after your workout, when you are in pain, usually do not acquire ibuprofen, acetaminophen, or other soreness reliever. Studies have revealed these particular pills will not aid to relieve muscle tissue tenderness. In reality, scientists think that taking any sort of pain reliever right after a exercise can certainly suppress just about any muscles progress.

While using assistance previously mentioned, just a little imagination, and following receiving the all-obvious out of your medical professional, you will certainly be able to jump right into a exercise routine with vim and vitality. Be sure you handle things gradually initially, and make increase your energy when your fitness as well as degrees increase. The body will surely be grateful for your time and effort.

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Cheryl McCullers Nov 22 '16 · Tags: |sep|
Word ($1.99) by BorderLeap, LLC is a new word game about unscrambling words. If you love word games but have been than your normal crossword or word search game, then Word² is worth looking into. If you enjoyed other games like the Harmony games and Alpha Omega in the programmer, then this will be a no brainer.

It should come as no surprise to anyone that I enjoy words since I write for a living. I'm undoubtedly a much better word person than I 'm with numbers, so personally, word games are one of my personal favorite music genres out there. I ’ve gotten bored with some word games because they mostly feature the same Scrabble or Boggle-like gameplay, and it only gets tiring over time. When I saw Word², I was intrigued because it was something that deviated from the standard in the music genre. Then Word² does not disappoint if you love a challenging word game.

Unscramble the words and solve the squares in Word

Controls in Word² are simple enough — merely tap on letters and you’ll see where you can swap them with in the square, which is done with another spigot. As mentioned before, if your letter is in a tile that was white, then that means it's in the appropriate position and cannot be moved further. Sometimes, you may need to rearrange a letter multiple times to be able to get it into its correct position.

The game starts out easy enough with 3×3 grids, but things will become more challenging as you advance — the boards can get as large as 6×6, which will need a lot more hours to figure out. Fortunately, this means lots of content for the price, which is fantastic. The developers have also noted that 7×7 squares will be coming later on at the same time, so there is something to look forward to if you're able to find a way to solve all 80 puzzles. There's also Game Center support for leaderboards (amounts reached) and accomplishments for solving all squares of a certain size.

As a huge fan of word games, I’m loving Word² a lot up to now, while I’m still in the 3×3 amounts. I love the minimal aesthetic, the music is soothing, and controls are simple enough. The gameplay differs from most word games and these puzzles can be more challenging than they appear, especially since the programmers included abbreviations and some acronyms for some levels as well. I’m not a devotee of paid games having in-app purchases overall, but each amount is completely solvable without hints or clues, so it is just a shortcut for people who get frustrated.

I recommend giving Word² if you're a fan of word games and want a title that's unlike the typical fare you would find on the App Store. Word² is available as an universal downloading for just $1.99 with discretionary in-app purchases.

You end up with among the most exciting competitions HBCUs have ever seen when football and game shows fuse together.

Battle of the Rivals matches two competition historically Black colleges up and challenges their football trivia knowledge for the opportunity to win cool prizes. This year’s show, brought to you by Cricket Wireless, took place in Washington, D.C, with host Jamal Jimoh quizzing the contestants on their understanding of the classic sport.

In round two, " Team Royal Blue entitled "World Scramble and Team Light Blue Blue had to use the hint they’re given to unscramble the football connected word on their boards. The first hint was "This is an exercise between two teams." Team Light Blue replied the first one right, unscrambling the word "scrimmage." They also scored a point for the second clue, ultimately winning that round, although Royal Blue got the last one right.

There are still two more rounds, and a bonus round the winner of rivalry schools. Which school would you think knows more about football? Appreciate every one of the actions in the video above!

Language columnist David Astle scrambles name or a recent news story in the news every week.

Your challenge would be to unscramble the offering and reveal the answer, using the anagram as your clue.

Unscramble the words and solve the squares in Word

The visuals in Word² are straightforward and clean, which should appeal to minimalists everywhere. The game has a level aesthetic that makes it blend in nicely with the general look of iOS that are modern, and the serif style typography is classy looking and rather timeless. Colours symbolize the difficulty degree of the puzzles, but they're vivid and all vibrant in look, and the game shows off various hues in the background to ensure that it resembles giant pixels. There is a choice to toggle that as well, which is nice, if you’re the type of person who favors lighter, pastel color schemes. While there are not a lot of animations in a word game, the few that you do have when moving letters near or transitioning from menu to game are subtle and unstable. The game has a quite soothing soundtrack playing in the background to enable you to focus on the puzzles, and nice audible feedback is provided by the sound effects .

There are two methods to get help: clues and hints if you get stuck. While clues give players a notion of the words they should be searching for, hints will allow you to see where a letter pair should go. The game is quite generous initially and gives you 15 hints and 10 clues to start with, but if you run out you ’ll need to get in-app purchases.

Word ² is level-based, with 80 phases to solve. By dragging your finger horizontally across the big square in the middle of the level selection screen you are able to browse through the levels. Yet, you won’t manage to obtain puzzles without solving the one first, which will be pretty clear-cut. Since each puzzle has pairs of words that can be read both horizontally and vertically the goal of the game will be to unscramble every one of the words in the square. Words that are solved will be emphasized in white, and this implies you have to unscramble words not only once, but twice and locked in place.

Today's anagram jumbles an event of 20 letters, breaking down those letters into three words: (6,6,8), with two proper nouns involved.

Seems like a tall order, to unravel such a phrase that is long, but not once you hear the anagram, which will throw light on what that occasion might be.
Ricky Moyer Nov 16 '16 · Comments: 1 · Tags: |sep|
Just 1 percent up for the state's medical marijuana program, and two . of the largest hospital systems in the state have banned their physicians from participating

The lack of eagerness threatens to undermine the fledgling program by restricting use of the drug that has shown promise in alleviating pain and other serious ailments.

"Undoubtedly there aren't going to be enough physicians, given the level of demand anticipated," said Gene Ransom, CEO of MedChi, the state's professional association for doctors, which has not taken a position on medical marijuana.

"That is going to create an issue."

Only 172 physicians have enrolled to be able to recommend patients for medical cannabis, based on information obtained by The Baltimore Sun through a public records request from the Maryland Medical Cannabis Commission.

That means most patients wouldn't be able to see their own doctors, and patients in rural areas may have difficulty gaining access to the drug. About 95 percent of the physicians that have signed up for the program say they plan to work in the Washington suburbs or the Baltimore region.

The doctors come from a broad variety of specialties, from family care to weight loss, reproductive medicine, emergency medicine and tattoo removal. One is a shrink and addiction specialist who's considering recommending marijuana for pain management to head off dependence to opioids.

Some said they'd recommend medical marijuana included in a practice that was separate, although some plan to work for consultancies that are being set up to see marijuana patients.

Some physicians and researchers are not just concerned about patients but also about major bottlenecks for patients going to be certified to use medical marijuana and after that getting diagnosed by one doctor. That gap in care coupled with a deficiency of comprehension about when to recommend cannabis could ask maltreatment.

The program could become "a facade for recreational use," Ransom said.

Unlike other pharmaceuticals, which are approved by the FDA and come with prescribing guidelines, some physicians said not enough is understood about medical marijuana to understand how and when to advocate it. It's also not legal under national law, and hospitals and physicians are concerned about accountability.

Vanessa Lyons, a spokeswoman for the cannabis commission, said more physicians are expected to enroll for the program over time, particularly as suffering patients with few alternatives engender sympathy. Lyons also said the business in Maryland is still evolving, and many physicians are probably waiting until the program is closer to establishing next year.

"More physicians will sign on as patients begin going to them and asking about the process," she said.

The state legislature authorized in 2014 the medical cannabis program but has been beset with delays, mostly coming in the licensing process for processors, growers and vendors.

The commission faces three lawsuits from companies that assert the procedure was unfair. One claims ignored two and racial diversity claim they were passed over to reach geographic diversity that was better.

Doctor participation is voluntary, so there are no conditions for racial or geographical diversity, Lyons said.

Lyons emphasized that the commission's assignment is "to create a procedure for supplying safe and powerful medical cannabis to patients." She noted the state's Board of Physicians, which handles doctor licensing, will manage physicians in the medical cannabis plan.

To register with the cannabis commission, doctors must attest they are registered to prescribe controlled substances and that their medical license is active and in good standing.

Physicians recommending cannabis must have a "bona fide" relationship with patients, which requires doctors to review medical histories, conduct assessments, maintain records and track patients so long as they are using marijuana.

The Maryland program is limited to severe conditions that cause symptoms for example seizures, pain, nausea or wasting, debilitating medical ailments that need palliative or hospice care, and patients with chronic diseases such as glaucoma and post traumatic stress disorder.

Shannon Moore, a Frederick mom of twins with a life-limiting form of epilepsy generally known as Miller-Dieker Syndrome, trusts more doctors consider participating, including her sons' physicians.

She combines a feeble kind of cannabis, purchased legitimately online, with her sons' drug cocktail to control seizures. She expects medical marijuana would permit her to reduce their reliance on pharmaceuticals that can have side effects that are major.

Moore also sits on the cannabis commission of the state. She said legal concerns about liability are overblown, pointing to some 2002 federal appeals court decision that affirms doctors' First Amendment right to discuss marijuana with patients and recommend its use.

Doctors cannot prescribe cannabis under a 2005 Supreme Court decision.

The administration of President Barack Obama has declined to prosecute doctors who comply with state laws permitting medical marijuana. It is not clear what President elect Donald J. Trump would do, but he's expressed support for states to be able to decide the problem.

"The takeaway message is, physicians have a safe right to protected speech with their patients," Moore said. "The Maryland law was set up to align with that right. .... I expect more physicians have an open mind about helping patients without lots of alternatives."

Dr. Patricia Frye, owner of Takoma Park Alternative Care, came out of retirement as a pediatrician a few years ago to advocate medical marijuana via telemedicine to California patients. She sees opportunity in Maryland.

She said she realizes varieties and what doses to recommend that patients use and has studied how bud can be used for various states. She would generally recommend the drug to people who have been diagnosed by their doctors with disease.

"I 'm not a rubber stamp, but there are hardly any patients I probably wouldn't recommend it for," Frye said. "The reason is there are not many patients that wouldn't profit from it."

Frye summarized exceptions: She wouldn't advocate it to pregnant women, to minors unless their parents approve, or to individuals with serious psychiatric illnesses unless a mental health physician is involved with treatment.

Dr. Karen Clarke-Bennett, a primary care and wellness doctor with the Odenton medical spa A Better You, said she expects to bring new patients by offering medical marijuana. She anticipates treating clients with ailments such as PTSD, stress, arthritis and seizures. Until she can learn more about the drug she doesn't plan to market the service.

"I surely would not need to offer a service I 'm not 100 percent prepared to offer. ... I am going to take my time and do the appropriate training before I offer anything," Clarke Bennett said, adding that she has had difficulty locating training opportunities.

Training programs are being developed by other states such as Pennsylvania; Maryland hasn't.

Some physicians say they may never recommend medical marijuana because they fear repercussions from national authorities, but desired to place themselves on the Maryland list in case they decide to achieve this.

One of them is Dr. Nicholas Scotto, a psychiatrist and dependence doctor. While medical cannabis isn't approved in Maryland for dependency, he finds a narrow use: by patients who use opioids as directed for pain and have become reliant. Scotto said bud prevent some from going to abuse drugs and could replace or reduce the amount of prescription opioids those patients take.

Scotto points to nationwide that has lead to a record number of overdose deaths and the continuing opioid dependency outbreak in Maryland. Many abusers get their start with a prescription for opioids for pain.

"Opioids are considerably more dangerous than marijuana," he said. "Perhaps we can get some people off them or at least decrease their dose. It's wise. At this time it is just an idea I was thinking about."

Habit has been grappled with by Scotto and says that is not unusual for professionals in his field — they become interested in treating addiction due to their own experiences.

The state Board of Physicians found Scotto guilty of "unprofessional conduct in the practice of medicine" in the late 1990s. He recognized at the time that he was addicted to prescription medications.

He complied with the conditions of his probation that ended in 2003, in accordance with the Board of Physicians.

Other doctors also said they did not intend to make medical cannabis a large part of their practices.

Dr. Devinder Singh, leader and medical director of plastic surgery at Anne Arundel Medical Center, said he'd only advocate marijuana for a modest number of patients who suffer persistent pain from migraines. Such patients are seen by him because some can be treated with botox injections or surgery to cut on nerves around the scalp.

"It would be another tool for doctors in the business of migraine treatment," said Singh.

Some of the doctors who signed up do not specialize in areas of medicine for which medical marijuana has an approved use.

Several doctors who enrolled with the medical marijuana plan listed the addresses of recently created consultancies. Greenway Consultants has advertised initial evaluations of patients wanting to be certified for medical pot for $200. The company has said so doctors could establish relationships with patients offices opened ahead of the launch of the plan.

Some important health systems said they would not let their doctors to recommend medical marijuana, including LifeBridge Health, which operates Sinai Hospital in Baltimore as well as other hospitals and medical facilities, and MedStar Health, which has seven hospitals in Maryland and several doctors' offices.

Both mentioned that marijuana is not legal under national law as the reason.

Several emergency room doctors from the Greater Baltimore Medical Center said they haven't made plans for where and how they'd see patients because medical cannabis is for long-term illnesses that are not typically treated in the emergency room.

John Lazarou, a GBMC spokesman, said the hospital has no position on its doctors recommending medical marijuana but stressed that no one would be advocating the drug in the emergency section. He said the participating emergency doctors would be acting "independent of, and unrelated to their GBMC ED practice."

Dr. Jeffrey Souryal, one of the GBMC physicians, said he became interested in the medical uses of cannabis after watching his father die from pancreatic cancer seven years ago.

"The worst part was the pain and in the last year his loss of desire," Souryal said of his dad. "He just withered away before he passed manner."

Ransom said some doctors may not desire to go against the wishes of their employers, although medical systems may not be able to prevent their physicians from getting into the medical marijuana company on the side.

Other medical suppliers, including Kaiser Permanente and Johns Hopkins, are formulating policies on medical cannabis.

For now, Kaiser plans to let doctors to discuss the possible advantages and hazards of medical cannabis with patients who reside in Maryland, as long as they comply with both national and state law. While state law permits physicians to recommend medical cannabis, federal law does not.

Johns Hopkins officials said in a statement that a team of administrators and clinicians has been working to create a medical marijuana policyby contemplating possible scenarios, including how to take care of patients who've been certified to use medical marijuana by a physician outside of Hopkins' network.

"Legalized medical cannabis is new for Maryland and thus new for Johns Hopkins," the hospital said in the statement. "We do not have all of the solutions yet, but it is something we take very seriously and will continue to investigate internally as well as with counterparts across the country."

About two dozen states have medical marijuana programs. In Washington, D.C., sales commenced in 2013 and the amount of doctors participating has tripled to more than 360. Practically 4,300 patients are in the program.

Other states have permitted or plan to permit recreational use of marijuana.
Blythe Slavin Nov 12 '16 · Tags: |sep|
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