By Dr. W. Gifford Jones
Saturday, December 1, 2001
I've been a medical journalist for 27 years. It's made me a terrible skeptic. But for good reason. I've seen too many distortions of the truth in medicine. I've seen too many colleagues sit-on-the-fence rather than take a stand on controversial issues. I've seen too many fight the use of painkillers when they could ease the agony of dying cancer patients. Above all else I've seen too often a complete void of common sense. Now I'm seeing it again, patients who need marijuana to ease their suffering but can't obtain it.
In July 2001 the Federal Government legalized the use of marijuana for terminally ill patients. And for patients suffering from cancer, multiple sclerosis, spinal cord injury, AIDS, severe forms of arthritis and epilepsy. Marijuana alleviates severe nausea, persistent muscle spasm and seizures associated with these diseases. Marijuana can also be legally prescribed for other diseases when conventional medication failed.
My initial reaction was, "halleluja". The government had finally taken a reasonable stance. But it didn't make the purchase of medical marijuana easy. Not like picking up your prescription from the local pharmacy.
Patients must first find a physician who will write a letter stating that marijuana is needed because conventional medication has failed. They must then write about themselves and their medical condition. They also have to indicate if they wish to grow their own supply or obtain it from a licensed dealer. This information along with two passport-sized photographs must be sent to Health Canada's Office of Cannabis Medical Access.
But it appears the government has legalized a medication it doesn't possess. Sources tell me that Health Canada is growing some in an abandoned mine which won't be available for a year. In the meantime ill patients have to obtain marijuana from authorized "compassion clubs" (there are about 20 in Canada) which also require a doctor's letter.
Even in good health this would be a tough assignment. But if you're nauseated or vomiting due to AIDS or chemotherapy this process becomes a nightmare. The first major obstacle is obtaining a doctor's letter.
Since first initiating a study of this problem I've been contacted by numerous patients who can't find either a family doctor or specialist to sign on the dotted line. Physicians argue that more research is needed to test the safety of marijuana. Yet a report from The Harvard Medical School says that "one of marijuana's greatest advantages is its remarkable safety".
Critics forget that our so-called "safe" drugs often cause drug reactions and sometimes death. Most drugs have a list as long as your arm of possible drug reactions. But to my knowledge no one has ever died from an overdose of marijuana. Tests on mice show that the ratio of marijuana needed to overdose to the point of intoxication is 40,000 to 1. By comparison for alcohol it's 5 to 1 to 10 to 1!
Opponents always mention "the slippery slope theory". That people will go from marijuana to a variety of illegal drugs. But this is a legal, political and law enforcement problem, not a medical one. Besides, patients suffering from these severe diseases are seldom "slippery slope customers".
I can understand that no doctor wants his office loaded with people seeking illegal marijuana. But surely this shouldn't be a problem. It's easy to document which patients are receiving chemotherapy or suffer from multiple sclerosis or AIDS. Yet I could not find a major cancer center in Toronto or neurologist who was prescribing marijuana.
This issue reminds me of the battle I fought in the 80's to get heroin legalized for terminal cancer patients. The facts of its benefits were documented. But I was fought all the way by the Canadian Cancer Society, cancer specialists , pharmacists and the RCMP. All due to political, moral and religious reasons. Like marijuana, heroin was not considered a "nice drug"! Yet the British had been using it for 90 years to treat cancer patients, women in labour, heart attacks and burned children with excellent results.
I don't condone smoking marijuana for pleasure just as I'm appalled to see so many people still smoking tobacco. But I can't understand how any doctor could refuse to write a letter for those suffering from the terrible complications of AIDS and other diseases when marijuana can offer comfort. And surely there should be an easier way for patients to eventually obtain marijuana. The best route, I believe, would be a doctor's prescription to be filled at a pharmacy.
W. Gifford-Jones M.D is the pen name of Dr. Ken Walker graduate of Harvard. Dr. Walker's website is: Docgiff.com
My book, �90 + How I Got There� can be obtained by sending $19.95 to:
Giff Holdings, 525 Balliol St, Unit # 6,Toronto, Ontario, M4S 1E1
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