CLOVIS CITY COUNCIL MEETING
July 18, 2022 6:00 P.M. Council Chamber
Meeting called to order by Mayor Flores at 6:04
Flag Salute led by Councilmember Whalen
Roll Call: Present: Councilmembers Ashbeck, Bessinger, Mouanoutoua, Whalen Mayor Flores
PUBLIC COMMENTS - 6:04
None.
CONSENT CALENDAR - 6:07
Motion by Councilmember Ashbeck, seconded by Councilmember Bessinger, that the items on the Consent Calendar be approved. Motion carried by unanimous vote.
1. Administration - Approved - Minutes from the July 5, 2022, Council Meeting.
2. Administration - Approved - Waive Normal Purchasing Process and Approve the Purchase of Replacement Desktop Computers and Servers using Competitively Bid Contracts with Purchasing Provisions for California State and Local Government Agencies.
3. Finance - Received and Filed - Findings & Recommendations from Community Facilities District Citizens Committee.
4. Finance - Approved - Res. 22-82, Measure C Extension Local Transportation Pass Through Revenues Certification and Claim Forms for 2022-23.
5. General Services - Approval - Claim Rejection of the General Liability Claim on behalf of Juan De La Torre.
General Services - Approved - Res. 22-83, Amending the City's FY 22-23 Position Allocation Plan by deleting two (2) Principal Office Assistant positions and adding two (2) Staff Analyst positions within the Fire Department.
Planning and Development Services - Approved - Bid Award for CIP 21-10 Fowler Avenue Street Improvements and Authorize the City Manager to Execute the Contract on behalf of the City.
Planning and Development Services - Approved - Final Acceptance for CIP17-28 Sunnyside Avenue Bike Lane.
Planning and Development Services - Approved - Res. 22-84, Final Map Tract 6166, located in the southeast area of Highland and Gettysburg Avenues (Lennar Homes of California, LLC).
10. Planning and Development Services - Approved - Res. 22-85, Annexation of Proposed Tract 6166, located in the southeast area of Highland and Gettysburg Avenues to the Landscape Maintenance District No. 1 of the City of Clovis (Lennar Homes of California, LLC).
PUBLIC COMMENTS REOPENED - 6:08
Brenda F.., resident, shared her concerns on the increased use of marijuana near her apartment complex and made a complaint regarding her call for service from the Police Department and how the officer handled the incident.
COUNCIL ITEMS - 6:17
6:17 - ITEM 13 - APPROVED - APPOINTMENT TO CITY REPRESENTATIVE TO THE
GOVERNING BOARD OF THE FRESNO METROPOLITAN FLOOD CONTROL DISTRICT (FMFCD) BOARD OF DIRECTORS.
The City Council presented a plaque honoring Roy Spina for serving on the FMFCD Board of Directors for the last 28 years.
Roy Spina, shared how he was appointed to the position 28 years ago by the late Council Member and Mayor at the time, Harry Armstrong. He also commented on his experience serving on the FMFCD Board and the important work that is done by the staff.
Motion for approval by Councilmember Ashbeck, seconded by Councilmember Bessinger Motion carried by unanimous vote.
Sargeant Green, commented on the importance FMFCD serving Fresno County residents including the City of Clovis and shared his goals and duties stepping into this new role.
PUBLIC HEARINGS - 6:37
6:37 - ITEM 11 - APPROVED - RES. 22-86, SPR2001-018A2, A REQUEST TO APPROVE A SITE PLAN REVIEW AMENDMENT FOR THE CONSTRUCTION OF A NEW ‡ 2,500 SQUARE FOOT VISITOR CENTER FOR THE BOTANICAL GARDEN LOCATED AT 945 N.
CLOVIS AVENUE. CLOVIS BOTANICAL GARDEN, ANNE CLEMONS, APPLICANT; CITY OF CLOVIS, OWNER; DWIGHT KROLL, REPRESENTATIVE.
Anne Clemons, Botanical Garden Representative, commented on the progress of this project leading up to this point and addressed Council's concerns with parking.
Pat Wynne, Botanical Garden Representative, addressed Council's question regarding buses and asked Council to encourage the Clovis Unified School District to have class field trips to the Botanical Garden which offers an educational opportunity.
Motion for approval by Councilmember Whalen, seconded by Councilmember Ashbeck.
Motion carried by unanimous vote.
ADMINISTRATIVE ITEMS - 7:07
7:07 - ITEM 12 - ADOPTED - ORD. 22-06, R2008-007A3, A REQUEST TO AMEND THE LOMA
VISTA COMMUNITY CENTERS NORTH AND SOUTH MASTER PLAN TO REMOVE THE
PLANNED LOCAL STREET IDENTIFIED AS MARENGO AVENUE WITHIN PLANNING AREA 1 AND PLANNING AREA 2 AND TO ADJUST THE UNDERLYING R-3 ZONE DISTRICT TO REFLECT THE MODIFIED CIRCULATION LAYOUT. AP MULTIFAMILY, LP, PROPERTY OWNER; WATHEN CASTANOS HOMES, APPLICANT; PRECISION CIVIL ENGINEERING, REPRESENTATIVE. (VOTE: 4-0-1 WITH COUNCILMEMBER WHALEN
ABSENT)
Motion for approval by Councilmember Ashbeck, seconded by Councilmember Bessinger.
Motion carried by unanimous vote.
COUNCIL ITEMS - 7:09
7:09 - ITEM 14 - APPROVED - A REQUEST FROM THE 500 CLUB CASINO FOR THE CITY COUNCIL TO OPPOSE PROPOSITION 26 WHICH, IF PASSED, WOULD LEGALIZE
SPORTS BETTING AT AMERICAN INDIAN GAMING CASINOS AND LICENSED RACETRACKS IN CALIFORNIA.
Tal Eslick, Representative for 500 Club and Taxpayers Against Special Interest Monopolies Coalition, commented on the issue regarding Prop 26 and the Southern California tribal casinos' initiative to remove competitors like card room businesses.
Councilmember Whalen indicated that he will be abstaining from voting on this item as he is a Judge Elect and is bound by Canon 5 of the California Code of Judicial Ethics where a judge or candidate for judicial office shall not engage in political or campaign activity that is inconsistent with the independence, integrity, or impartiality of the judiciary. He indicated that he doesn't refrain from all political activity as a Councilmember but for activities that are not directly impacting the City of Clovis, he will abstain from voting on.
Motion for approval by Councilmember Bessinger, seconded by Councilmember Mouanoutoua. Motion carried 4-0-0-1, with Councilmember Whalen abstaining. 7:19 - ITEM 15 - CONSIDER - TO PROVIDE DIRECTION ON THE MEASURE C RENEWAL, A
HALF-CENT SALES TAX DEDICATED TO FUNDING NEW ROADS, FREEWAYS,
SIDEWALKS, TRAILS AND PUBLIC TRANSPORTATION IN FRESNO COUNTY
RENEWAL BEING CONSIDERED BY THE FRESNO COUNTY TRANSPORTATION AUTHORITY.
Mike Leonardo, Fresno County Transportation Authority Representative, addressed Council's question regarding the allocation of Transit Oriented Development (TOD) funds and commented on the process to redefine TOD in the current Measure C plans. He indicated that there will be an opportunity to redefine TOD from its current definition in the
current plan that was proposed by the City of Fresno, and staff from each agency will work together in this effort to create a plan that is mutually beneficial.
The Council discussed the Measure C process and the events leading up to the current plan which was proposed by the City of Fresno. It was the consensus of Council to support and approve the current plan that will be voted on at the next FCTA meeting.
CITY MANAGER COMMENTS - 8:06
COUNCIL COMMENTS - 8:07
CLOSED SESSION - 8:15
ITEM 16 - GOVERNMENT CODE SECTION 54957.6 CONFERENCE WITH LABOR NEGOTIATORS AGENCY DESIGNATED REPRESENTATIVES: JOHN HOLT, ANDREW HAUSSLER, SHONNA HALTERMAN, AND SCOTT G. CROSS EMPLOYEE ORGANIZATION:
UNREPRESENTED EMPLOYEE: MANAGEMENT EMPLOYEES
Mayor Flores adjourned the meeting of the Council to August 1, 2022 GILY OF CLOVIS Meeting adjourned: 9:10 p.m. *
912
Lose. Flores
Mayor
Karey Cha
From: Public Comments < [email protected]>
Sent: Monday, July 18, 2022 4:47 PM
To: Karey Cha; Andrew Haussler; Rebecca Simonian
Subject: [External] Public Comment for City Council
Council Meeting Date: 2022-07-18
Item Number (put "O" if your comment is regarding an item not on the agenda): 0 Full Name: Andres Martinez Pais
Email: [email protected]
Comment: Good evening Clovis City Council,
Thank you for allowing me to leave a public comment tonight. I wanted to bring to your attention the California Mortgage Relief program, which has already distributed millions of dollars to thousands of eligible homeowners who are behind on their mortgage or property tax payments. Eligible homeowners can receive up to $80,000 in mortgage payments and $20,000 in property tax payments that they do not need to pay back! In order to qualify, a homeowner must meet a set of requirements that can be found on the website at:
https://link.edgepilot.com/s/31518104/6tPfFDmsFUiYToJ-BOildw?u=https://camortgagerelief.org/. The website is available in 6 different languages and help with the application process can be easily reached by calling the program's call center at 1-888-840-2594.
The program will last until all of the funds from the billion dollar budget are distributed, so if any of your constituents or community members are in need of mortgage or property tax relief, please have them apply now! If you have any questions please feel free to email ([email protected]) or call me (626) 660-8183, and I would be happy to assist anybody interested in applying for relief.
Thank you,
Andres Martinez Pais
Supporting Files (2 Max.):
---
Date: July 18, 2022
Time: 4:47 pm
Remote IP: 108.203.15.166
Links contained in this email have been replaced. If you click on a link in the email above, the link will be analyzed for known threats. If a known threat is found, you will not be able to proceed to the destination. If suspicious content is detected, you will see a warning.
Public Comments
July 18, 2022
1 Karey Cha
From: Public Comments <[email protected]>
Sent: Monday, July 18, 2022 4:48 PM
To: Karey Cha; Andrew Haussler; Rebecca Simonian
Subject: [External] Public Comment for City Council
Council Meeting Date: 2022-07-18
Item Number (put "O" if your comment is regarding an item not on the agenda): O Full Name: Cruz Avila
Email: [email protected]
Comment: SB 930 Bill
Wanted to provide information on bill to Clovis City Council If passed, SB 930 would allow closing times for on-sale retailers to be extended from 2 a.m. to 4 a.m. as part of a "pilot program" conducted by the ABC. The pilot program may be conducted in seven cities: San Francisco, Oakland, Fresno, West Hollywood, Cathedral City, Coachella, and Palm Springs.
This bill recycles previously, failed bills: SB 58-Wiener (2019), SB 905-Wiener (2018), SB 384-Wiener (2017), and SB 635- Leno (2013).
Problems with SB 930:
• Disregards 40 years of peer-reviewed, public health research on the dangers of extending last call • Ignores $34 billion in annual alcohol-related harm & 11,000 alcohol-related deaths in California • Subsidizes and rewards late-night alcohol-sellers at tax-payer and state expense A few of the many harms/problems if SB 930 were to pass I look forward to speaking with City Council
Cruz Avila
Alcohol Justice, Executive Director
415-302-5092
Supporting Files (2 Max.):
Date: July 18, 2022
Time: 4:48 pm
Remote IP: 50.76.38.66
1 INNOVATIONS PHARMACYTODAY.ORG
Pharmacists tread carefully into
the world of medical cannabis
The Healing Corner, a medical cannabis dispensary located "They don't need any special cer- in Bristol, CT, could pass for a spa. A potted sedge and tification; they just need to register weeping fig tree stand between padded chairs and loveseats. with the State of Connecticut to certify The walls are painted a cool taupe, and a blue tabletop foun- patients," Slomski said. To work with patients using medical cannabis, how-
tain softly burbles in the reception area. There's even a smiling Buddha ever, pharmacists are encouraged to statue in the consultation room, where David Slomski, PharmD, or one educate themselves by participating in of the other three Healing Corner pharmacists reviews a menu of the continuing education and keeping up to dispensary's offerings to select a product that will best suit a patient's date on any developments in the medi- disease state and treatment goals. But make no mistake-the Healing cal cannabis field. A dispensary phar- Corner is devoted to the care of patients who have tried and failed to macist must be onsite at the dispensary find relief through traditional medications. facility during business hours.
When Connecticut finally allowed The legal outlook is hazy medical cannabis dispensaries to Joseph Friedman, RPh, MBA, is chief begin seeing patients in 2014, Slom- operations officer at PDI Medical, a ski didn't waste any time jumping on dispensary located in Buffalo Grove, board. Fresh out of University of St. IL. Illinois does not mandate that phar- Joseph School of Pharmacy in Hart- macists be involved with the dispensing ford, Slomski-—now dispensary man- of medical cannabis, but Friedman has ager at the Healing Corner--was eager been an active participant and advocate to seize the opportunity to be an entre- for pharmacists as providers of medical preneur and pioneer in the industry. cannabis and is a frequent presenter at "My license number is three," he said. health conferences across the country.
Slomski is also chair of the Connecticut nesota, New York, and Pennsylva- Among pharmacists, one question he Pharmacists Association (CPA) Medi- nia-went on to mandate pharmacist said he gets a lot is, Id love to get into cal Marijuana Dispensary Academy, a involvement in the provision of medi- this industry. Am I going to be taken is continuing education creator and pre- cal cannabis. Though pharmacists are away in handcuffs?" senter, and winner of CPA and Phar- a common thread, the laws vary widely "There are questions that have to do S:
macists Mutual's 2015 Distinguished in what qualifying conditions make with federal law versus state law, and S Young Pharmacist Award patients eligible for the program, how which one really takes precedence, even it Connecticut was certainly the right pharmacists and prescribers become in a particular state where medical can- place to do it. It was the first state in authorized to prescribe or dispense, nabis is legal," Friedman said. fi the nation to mandate that a registered whether pharmacists or physicians States that allow medical cannabis pharmacist be onsite at all medical can- must be onsite at dispensaries or be typically treat it as if it were a Schedule nabis dispensaries. available as a consultant only, and more. Il drug, based on the rules and regula- Here's how it works in Connecti- tions imposed to dispense it—-the Ore- Pharmacists get in the game cut. To get a medical marijuana card, gon Board of Pharmacy even officially The law permitting the use of medical a patient must be diagnosed by a Con- reclassified it as Schedule II in 2010—so i:
cannabis in Connecticut was enacted necticut physician or advanced prac- it can be used therapeutically. Even so, in 2012, and it took 2 years to work out tice registered nurse as having one or no one can say for certain how or if the issues such as how to license dispen- more qualifying conditions. The only federal government will take any legal saries and pharmacists, where medical stipulation is that the provider has an action against pharmacists and other cannabis providers would obtain their active controlled substance registra- dispensers of what remains a Sched- products, and what conditions would tion in good standing and has access ule I drug federally. The picture is even qualify patients for a card. to the Connecticut Prescription Moni- hazier since U.S. Attorney General Jeff Four more states-—Arkansas, Min- toring Program. Sessions has indicated his Department www.pharmacytoday.org
28 PharmacyToday • JANUARY 2018
Public Comment Handout
THE
Healing
CORNER
1o
ecial cer-
register
to certify
ork with
bis, how-
raged to
sting in
irg up to
he medi- Timothy Wang, security; Briana Nocera, patient access ry phat- representative; Amanda Labbe, PharmD; Juli Bradley, office ipensary manager; Bobby Lavoie, CPhT; Marlene Chasse, CPhT; Slomski; and Geri Ann Bradley, RPh.
In the absence of good science, phar-
is chief macists who treat patients using medi-
dical, a cal cannabis rely on each other to solve
• Grove, ill Adult- and Comprehensive tenacious problems or share cases in CBD/ow No marijuana which a patient has responded partic- at phar- medical-use medical THC product
regulated laws marijuana law access law ularly well to a certain strain, dosage, or pensing law
nan has delivery method. It's a bit of guess and
Source: National Conference of State Legislatures check, but by working together, medical dvocate
medical cannabis pharmacists have put together
of Justice may be willing to crack down their own sort of research. enter at ditions can be treated using cannabis,
on cannabis. "When [Connecticut pharmacists]
yuntry. "We've reached the threshold of dosage forms, labeling requirements, first got started, we were making edu- stion he quantities that can be purchased, and
more than 50% of the states [allowing so on," she said. cated guesses in terms of recommend- get into ing the appropriate dosage forms and
or approving] medical marijuana leg-
e taken
islation, but in terms of federal law, the It's not easy being green strain types for patients. We did this DEA and FDA have refused to reclas- by leveraging our resources in other e to do Federal prohibition also restricts the
sify marijuana as anything other than a countries, like Canada and Israel. They w, and amount of medical cannabis research
Schedule I drug. So, on a national basis, both have federal medical marijuana e, even that can be conducted, and that's a
al can- it continues to be illegal," said Gina major issue for health professionals programs, so they have some double- Moore, PharmD, MBA, assistant dean blinded, placebo-controlled clinical tri- for clinical and professional affairs at who are open to treating patients with als where they're comparing cannabis nnabis cannabis but wary of a lack of scientific
hedule University of Colorado Skaggs School evidence. extracts to conventional pharmaceuti- of Pharmacy and Pharmaceutical Sci- "Doctors and pharmacists aren't see- cals. So early on and even continuously, 'eg ala- ences in Aurora, CO. we're always scouring the publications le Ore- ing peer-reviewed articles and research
Megan Veselov, PharmD, a former that hit the shelves," Slomski said. ficially studies in their trade magazines and "Now that the patient count has 10--S0 New York dispensary pharmacist who scientific journals," said Friedman. is now an instructor at Albany College grown and we've been in operation ren so, of Pharmacy and Health Sciences in "A lot of the traditional drug infor- for 3 years, it's gotten to a point where r if the mation compendia do not contain infor- we've been documenting our patient ¡ legal Albany, NY, urges pharmacists to stay mation about marijuana uses or drug on top of evolving policy, especially at outcomes," Slomski said. "And when other the state level. "There is a lack of stan- interactions. At least the evidence is we get a new patient, we do have a lit- iched- dardization in laws between states, starting to be published, whether or not tle bit of a database where we could s even it's anecdotally. But pharmacists should
which can be confusing for patients and see, 'Okay, this patient's similar demo- al Jeff providers. Each state has different reg- look at different sources of information graphic, similar symptom relief--these iment for potential drug interactions for mari-
ulations regarding what medical con- are things that have worked well for juana," said Moore.
day.org www.pharmacist.com other patients, and that allows us to JANUARY 2018 • Pharmacy Today 29
INNOVATIONS PHARMACYTODAMORe-
make a better recommendation for our know the species and the ratios of the glaucoma, amyotrophic lateral sclero-
newest patients."
cannabinoids and I know what they do, sis (ALS), Crohn disease, and seizures. "There's a lot of networking and and I know what this patient is trying More states are beginning to include
conversations that go on. I don't know to accomplish, and so I make my rec- pain, PTSD, and problems with sleep. everything, I don't claim to know every- ommendations based on that," Fried- Some are less explicit-the District of thing, but I do reach out and have con- man said. "There's a little bit of trial and versations with those who are more Columbia and California both allow error, but we try to minimize the error use for any condition that cannot be knowledgeable, " Friedman said. and get to a benefit a lot faster than just "The problem is standardization- adequately treated by other means and throwing products at them and saying, that limits a patient's ability to perform every dispensary's product is differ- 'Hey, try this."* activities of daily living. ent. Manufacturers may have similar "Once I understand the patient and "I did not necessarily expect the
dosages of THC [tetrahydrocannabi- the medications they're on and the goal diversity of patients finding relief with nol] and CBD [cannabidiol], but the of therapy, I make sure they understand medical cannabis [in New York]. There
varying excipients may potentially what cannabis is and how it can help tends to be a stigma or stereotype of alter the absorption, distribution, and cial
them," Friedman said. "I go through individuals who use cannabis, but we can
metabolism. So it's very hard to extrap- the different routes of cannabis admin- really see every demographic and a olate data in products available in var- istration and help them understand the ious states. But we're doing that any- wide variety of medical conditions," difference between sativa and indica. I said Veselov.
way because it's the best we have," said talk about the strains and the THC and But there are also patients for whom
Melani Bersten, PharmD, a dispensary CBD ratios. So, these are quite compre- medical cannabis might not be a good pharmacist in Minnesota. hensive conversations—it's never just a when pharmacists compound medi- choice. "One of the things we look out C 5-minute thing. There's a lot to it." for are any cardiovascular comorbidi- cations, we understand the basic phar- ties, because especially with the inhaled macologic properties and hypothesize Who could benefit cannabis, it could decrease blood pres- what will happen in the body. Our only from medical cannabis? sure with a paradoxical increase in solution under the current legal restric- Most states with medical cannabis laws heart rate. So any of our cardiovascu- tions is to start low and go slow and limit its use to patients diagnosed with lar patients, we're going to caution them prepare our patients for the experimen- a predefined set of qualifying condi- about that, " Slomski said. tal nature of the medicine."
tions. Common qualifying conditions "Consulting with patients on their "As far as selecting the strains, I are cancer, HIV/AIDS, multiple scle- medical cannabis requires assessing
know what we have in inventory. I rosis, cachexia or wasting syndrome, the patient's goals of therapy and asso- CBD oil and the myth of natural" cures patients are both using medical cannabis and taking *I think in general people think that CBD and THC the following drugs-"just to name a few possibili- are cure-alls and that because they're natural prod- ties," he said. ucts, they don't have drug interactions, there are no • Warfarin side effects. I see it all the time online You have • Zonisamide a migraine? Try CBD oil, "You have pain, try CBD • Eslicarbazepine acetate (Aptiom-Sunovion) oil, said Matt Makelky, PharmD, clinical neurol- • Cyclosporine ogy research fellow at University of Colorado (UC) • Calcium channel blockers Skaggs School of Pharmacy and Pharmaceutical • Benzodiazepines Sciences. Makelky also works at UC Hospital's epi- • Haloperidol (Haldol-Johnson & Johnson) lepsy clinic. "And the reality is that CBD does inter- • Atorvastatin (Lipitor-Pfizer) "I act with some medications, and if you're doing this * Simvastatin unguided, bad things could happen." "If I were in the pharmacy and somebody came Makelky participates in research on GBD's effect up and said, I'm thinking about using CBD, what do on Parkinson disease, using certain products with you think?' I would want to know what meds they're reliable properties to "figure out the holy grail of on. And if they're on any prescription meds, they doses"-not an easy feat, since DEA places "cum- need to talk to their doctor because there's just no bersome" regulations on product sources, access, guidance, and the doctor needs to know," Makelky and storage but little guidance on compounding. said.
"We don't want to get it too high and they have toxic "I think the big takeaway point is that CBD is effects, or too low and they're not getting any re- good, but it's not benign. It can interact with other drugs, and we don't understand it enough to where St
CBD is thought to be an inhibitor of CYP 3A4 and people should be administering it to themselves CYP 2D6. Makelky cautions pharmacists whose without any physician or pharmacist involvement." 30 PharmacyToday • JANUARY 2018 www.pharmacytoday.org www. sclero-
lizures.
any other substance that somebody
r.clude
1 sleep. might be taking and to get a full his-
tory and understand some of the
trict of
ı allow adverse effects that might be present,"
said Moore.
in ot be
ns and Veselov agrees. "Many patients are
erform utilizing cannabis for their various
medical conditions but may be hesitant
to be open about it. Cannabis is just like
ect the
ef with any other medication, with drug inter-
actions, side effects, and dosing consid-
. There
erations. We need to be including it in
ype of
but we ciated symptoms, as the diagnosis of said Minnesota's Bersten. "It's fast-act- our conversation with our patients and cancer, ALS, or any chronic disease is make sure we are as educated on canna- and a ing [and] avoids the gut and the liver
accompanied by comorbidities like anx- bis as we would be with any therapy," tions," iety, depression, and insomnia. Medical to a greater extent than swallowing she said. cannabis."
cannabis can affect multiple symptoms
w20m. Drug interactions are a big factor Seeing results across various systems, which affects in making choices about medical can- a good quality of life," said Bersten. "Pharmacists are trained to do consul- ok out nabis treatment. "Drug interactions
Connecticut dispensary pharma- tations, record keeping for controlled orbidi- cists gained authority to treat pediat- have not been very well documented, substances, and keeping [of] accurate nhaled ric patients with certain conditions in because unfortunately, with [medical inventories," Slomski said. "So when d pres- October 2016. "We are currently treat- marijuana] being federally illegal, there health care providers realize pharma- ase in ing six pediatric patients. We're using haven't been controlled trials here in cists are doing the dispensing, that this vacu- high-CBD cannabis oils or tablets to the United States to see what the [inter- is operated almost like a traditional n them treat their seizure disorders with some actions] are," said Slomski. pharmacy, it makes them feel much of these medical cannabis preparations "We work very closely with physi- more comfortable adding medical mar- i their that aren't intoxicating-they don't have cians for patients who are on warfarin ijuana as a therapeutic option for their essing THC, which causes the euphoric effect and antiepileptic drugs, especially with patients." associated with cannabis use, but they the pediatric patients. There's a fairly "Medical cannabis is bringing us well-documented interaction between back to treating the patient as a whole provide the therapeutic effect of CBD," CBD and clobazam (Onfi-Lundbeck), laking Slomski said. and supporting patients for symptom sibili- so for any of our patients who are on self-management through education, How should patients use [Onfil, we always get on the phone with or referring to a physician as recom- cannabis? the physician to make sure that they mended," Bersten added. "A lot of people's perception about med- keep a close eye on those levels," Slom- Though Slomski has found an entre- ical marijuana is what they see on the preneurial outlet and new way to prac- Friedman also uses caution with
news. You see file footage from Colo- tice pharmacy by working in the rado, California, where there's jars of patients taking drugs that expe- dispensary, seeing patients' marijuana on display, and that's just rience has shown could interact quality of life improve is not the case," Slomski said. with medical cannabis prod- what's most rewarding ucts. "Corticosteroids, warfa- "It's just tremendous when "Everything that [Healing Corner rin, some hospital-adminis- has] is in the conventional prescription parents tell us their child was tered antibiotics. Certainly, there able to either cut back on the ame bottles, labeled as a conventional pre-
Fat co scription. And there are a lot of other are additional drug interactions amount of traditional antiepi- they're things besides the smokable form--tab- where something's going to make you leptic drugs that they are on, with the lethargic, and cannabis can accentuate
Rey lets, capsules, sublingual preparations supervision of their child's neurologist, that," he said. "Cannabis increases the by substituting with some of these med- like sprays, breath strips, tinctures- level or effect of a lot of different medi- melky and we find that the vast majority of ical cannabis products," Slomski said. our new patients who are naive to can- cations, and whether that's going to be "And it's a great source of pride to nabis go to those dosage forms," Slom- clinically significant or not is certainly have patients with PTSD come in and ski continued. something to have a conversation with say, 'Hey, I slept for 8 hours for the first ither
the patient about." time in 15 years'-something as simple where Still, "having an inhaled delivery
"I think we're just starting as that. To hear that from patients, it's route-oils for vaporization-is ideal become aware of more drug interac- ent" for many of our patients using can- fantastic."
nabis for immediate symptom relief," tions that are possible with marijuana, and we need to treat marijuana like Rachel Balick, reporter day.org www.pharmacist.com
JANUARY 2018 • Pharmacy Today 31
930 Am CITY OF CLOVIS
Received
JUN 23 2022
ADMN/CITYMGR
APPLICATION FOR APPOINTMENT TO COMMISSION OR
COMMITTEE
(Please complete a separate form for each commission or committee appointment desired.) Name of commission or committee you are interested in serving on: Fresno Metropolitan Flood Control District
Name: Sargeant J. Green
Home Address: 540 Jordan Avenue City: Clovis Zip: 93611 / Phone Number: (559) 230-9050 Number of Years Clovis Resident: 23 Email Address: [email protected]
Current Employer & Position: California Water Institute at Fresno State, Project Director Business Address: 2703 Barstow Avenue, Fresno, CA 93740 Business Phone: (559) 278-8653 Years/Months Employed: 15 years, 2 months Please list past or present City appointments, as well as any other public service appointment or elected position held with dates served:
No City appointments
Current public service position
Board of Director, Tule Basin Land and Water Conservation Trust Past public service positions
Member, California Water Quality Monitoring Council, 2007 - 2016 Association of California Water Agencies, Chair of Water Quality Committee, Chair of Clean Water Subcommittee, member of Board of Directors and Executive Committee, 2002 - 2016 Member and President, I-5 Business Development Corridor, 1996 - 2004 Member, Board of Directors, Fresno Slough Water District, 1996 - 2000 Member and Chair, Fresno County Water Advisory Committee, 1990 - 2004 (committee disbanded) Please list all clubs/organizations you belong to and any volunteer work you have performed:
North Spartan League, Fresno, baseball coach
Clovis Junior Soccer League, soccer coach
Item 13
What experience or special knowledge can you bring to your area of interest? Please list occupational experience, if applicable:
I have worked in the water industry for my entire career, including as a Senior Water Resource Scientist with the Calfornia Regional Water Quality Control Board in the Fresno office, as General Manager of Tranquillity Irrigation in Fresno County, Secretary-Manager of two Resource Conservation Districts, as a private consultant conducting property environmental cleanups, staff Project Director and Center for Irrigation Technology, Executive Director at Fresno State's water programs and finally as the Associate Director of Water Resource Policy Initiatives for the California State University Chancellor's office.
List any affiliation you believe may present a conflict with serving on a City Commission or Committee:
None
Why do you want to be on the Commission or Committee?
I hope to offer the Flood District my service and experience in a way that continues to make it premier water management organization. I have special experience in groundwater quality matters and investigations which will continue to be a challenge under the new Sustainable Groundwater Management Act. The District facilities are intimately integrated into groundwater management and will continue to be an important aspect of the local groundwater sustainability plan.
Saigeon Sen 6-22-2022
Signature Date