Dr. Paduch is New York state registered medical marijuana prescriber. As a urologist and men’s health expert, Dr. Paduch treats men with chronic pain syndromes, bladder issues related to spinal cord injuries, Parkinson’s disease, or multiple sclerosis.
Medical marijuana use is approved in NYS for following conditions (conditions highlighted in bold are main areas of Dr. Paduch’s expertise in use of medical marijuana)
- Acute pain – as an alternative to opioids. As of July 12, 2018, registered practitioners may certify patients to use medical marijuana as a replacement for opioids, provided that the precise underlying condition for which an opioid would otherwise be prescribed is stated on the patient’s certification. This allows patients with severe pain that doesn’t meet the definition of chronic pain to use medical marijuana as a replacement for opioids.
- neuropathy; focus on sensory and motor neuropathies affecting genital and urinary tract; like paresthesias, sensory disturbances, loss of sensation
- chronic pain; focus on chronic prostatitis, chronic scrotal, penile, and genital pain interfering with daily activities and requiring opioids, or not responding to alternatives therapies
- cancer; focus on genitourinary malignancies only
- spinal cord injury with spasticity; focus on genitourinary consequences of spinal cord injuries (permanent or transient) like bladder over-activity and neurogenic bladder, pelvic floor spasticity, pelvic and genital pain
- HIV infection or AIDS; focus on genitourinary consequences of HIV infection and AIDS-like bladder over-activity and neurogenic bladder, pelvic floor spasticity, pelvic and genital pain
- multiple sclerosis; focus on genitourinary consequences of MS like bladder over-activity and neurogenic bladder, pelvic floor spasticity, pelvic and genital pain
- post-traumatic stress disorder; patient must have a psychologist or therapist before certification and not respond or not tolerate alternative forms of treatment
- Parkinson’s disease; focus on genitourinary consequences of Parkinson’s disease like bladder over-activity and neurogenic bladder, pelvic floor spasticity, pelvic and genital pain
- inflammatory bowel disease; focus on genitourinary consequences of MS like bladder over-activity and neurogenic bladder, pelvic floor spasticity, pelvic and genital pain
- Huntington’s disease
- amyotrophic lateral sclerosis (ALS)
For Dr. Paduch to certification patient for medical use of marijuana, the patient must be registered in the EPIC (the electronic medical system used by Dr. Paduch’s office). Both the established or new patient of Dr. Paduch’s can qualify. For new patient’s medical records supporting the necessity for medical marijuana need to be provided. As an alternative, appropriate evaluation by Dr. Paduch will be performed to fulfill the criteria for medical marijuana. Patient’s health insurance may cover the assessment of medical conditions which may qualify patient for medical marijuana use, please check with your health plan.
Visit for new patient certification are not covered by insurance and payment in cash or by check (no credit cards accepted) is required at the time of the visit. The visit for certification of the new patient is different from appointment for medical evaluation and recommendations of different treatment options. New patient certification is a time-consuming process which has to be performed by registered practitioner hence one-time fee is required for each new patient certification. The certification are good for up to one year.
Every patient enrolled in the medical marijuana program has to see Dr. Paduch’s at minimum 3 months interval to assess response to therapy, adjust the dose, and report any side effects. The visits have to be face to face. The follow-up visits are part of medical treatment and therapy and may be covered by insurance. However, we can’t warrant such coverage, hence please check with your health plan.