Regularizing the approach to the irregularly irregular.

摘要

TO THE EDITOR: I greatly appreciate the well-presented article by Drs. Jerry, Collins, and Streem in your April 2012 issue.As a specialist in integrative addiction medicine, I have had first-hand experience with many of the medical concerns described by the authors, and I expect to learn more about optimal management strategies as we learn more as a profession.The final case reported in the literature involved a 25-year-old man who was brought to an emergency department by coworkers who had witnessed seizure-like activity.4 He was reported to have smoked an incense product about "45 minutes prior to presentation,"4 indicating that the seizure-like activity happened within that time frame. Two synthetic cannabinoids (JWH-018 and JWH-073) were detected in the patient's urine.