Obviously, tobacco and nicotine have a inhibitory effect on wound healing, but has anyone seen anything published in a medical journal that demonstrates whether marijuana has any deleterious effect on healing? I did a brief search and found nothing that was published about the subject - other than at marijuana proponent web sites that say how it does everything but clean the kitchen sink.
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Had a patient ask me just after I had done a third toe amputation for a nonhealing ulcer with distal osteomyelitis about whether it was okay for him to smoke a little "weed". I have often implored patients to help me to help them by stopping smoking tobacco, but this was one I have not been hit with before.:D
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