Medical Marijuana: Health Risks and Benefits in California San
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Transcript of Medical Marijuana: Health Risks and Benefits in California San
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Medical Marijuana: Health Risks Medical Marijuana: Health Risks and Benefits in California and Benefits in California
San Francisco San Francisco NORML Conference NORML Conference
April 19, 2002April 19, 2002
Tod H. Mikuriya, M.D., President
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Marijuana and Health Marijuana and Health Risks and BenefitsRisks and Benefits
for California Physiciansfor California Physicians• Federal Threats & Actions
• State Harassment– Medical Board
• County DA’s
• Sheriffs & Police
• Organized, corporate, and individual medicine
• Marginalization and stigmatization
– Exclusion from conferences• “Advocacy = undesired bias
– “Abortion doctor”• “Mill doctor”
– Censorship from publications
• Intellectual challenge, clinical experience with patients, expanding upon medical intelligence prior to removal from clinical availability.
• Continuing experiences of confidence and trust of patients.
• Freedom from managed care• Opportunities to optimize
management of chronic conditions and advocate for the patient.
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1996 Federal Threats & Actions 1996 Federal Threats & Actions Against California PhysiciansAgainst California Physicians
• Removal of DEA Controlled Substances – Moving to take Mollie Fry, M.D.s DEA #
• Drop from Medicare – None Yet
• Federal law suits- Injunctions prevent
• IRS audits- None yet
• Termination of grants- None yet
• Actions without threat: Evolving & Covert
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Benefits of medical marijuana for Benefits of medical marijuana for California PhysiciansCalifornia Physicians
• Continuing experiences of confidence and trust of patients.
• Opportunities to optimize management of chronic conditions and advocate for the patient.
• Intellectual challenge, clinical experience with patients, expanding medical intelligence prior to removal from clinical availability.
• Freedom from managed care
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Patients’ Medical Marijuana Patients’ Medical Marijuana BenefitsBenefits
• Safe and effective medicine to manage chronic serious medical conditions.– Immunomodulator Analgesic– Mood and affect modulator; easement– Anti-Spasmodic anticonvulsant– Harm Reduction Substitute
• Multiple and concurrent therapeutic effects
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143
16871584
1629
1310
277
39 2 1
0200
400
600800
1000
12001400
1600
1800
0 to10
11 to20
21 to30
31 to40
41 to50
51 to60
61 to70
71 to80
81 to90
91 to100
Age Distribution of PatientsN= 6573
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Therapeutic Categories of Cannabis UseN = 6573
41%
27%1%
4%
0%
27%
Analgesic Immunomodulator 2709
Antispasmodic Anticonvulsant 1758
Appetite Stimulant 75
Harm Reduction Substitute 260
Hypothermogenic & Other 2
Psychotherapeutic: Antidepressant / Anxiolytic 1770
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Cannabis Pharmacological SafetyCannabis Pharmacological Safety
• Free from unwanted side effects compared with “mainstream” polypharmacy and non-medical drugs- alcohol and nicotine..– Compared with opioids, steroids, NSAIDS,
sedatives, tricyclics, and benzodiazepines– Improved quality of life
• Mobility, emotional well being and control of pain
• Less money spent on drugs to control side effects
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Medical Marijuana BenefitsMedical Marijuana BenefitsPsychosocialPsychosocial
• Relief from criminal status– Improved self esteem– De alienation
• Increased participation in community
– Decreased fear and paranoia
• Improved critical thinking
• Optimal coping with chronic illness
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Medical Marijuana Medical RisksMedical Marijuana Medical Risks
• No pharmaceutical potency standards
• No guarantees of purity or freedom from contamination– Pesticide residues, biologic agents, or heavy
metals
• No dose consistency of oral products
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Medical Marijuana RisksMedical Marijuana Risks
• Endemic Negligent Governance– Criminal Justice System
Attorney General’s Office consensus without tutelary mandate policy: Counties do their own thing
County and local absence of Training and Information Bulletins or General Orders.
Problematic prosecutorial, court, and probationExcessive discretionary powers
Subpoena abuse
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Medical Marijuana RisksMedical Marijuana RisksPhysicians and Health CarePhysicians and Health Care
• Gross and pervasive non-compliance because of federal threats.
• He who pays the piper calls the tune– Medicare, MediCal federally funded– Federal academic medicine funded grants– Federal Veterans Administration Hospitals
• General fear and ignorance of physicians
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A Statewide Audit is CriticalA Statewide Audit is Critical
• I propose a statewide effort to Implement the Compassionate Use Act of 1996.
• Beyond the current federal assaults on California patients, physicians, taxpayers, and voters, unless a systematic effort is organized and motivated with adequate funding, efforts conceiving and passing propositon 215 will have gone for naught.
• Only a comprehensive audit with remedial civil remedy will ensure the will of the voters five years ago.