Monthly Archives: February 2011

The Sixth National Clinical Conference on Cannabis Therapeutics

In Blog // on February 17th, 2011 // by // No comment

A Report on the 2010 Conference: with photos, captions and text by Mark Mathew Braunstein

Held biannually, this conference about cannabis as medicine was the sixth in ten years, for which both momentum and attendance has steadily increased. Enrollment totaled 320 for 2010, among whom were 28 physicians (MDs), ten registered nurses (RNs) and dozens holding an array of PhDs, notably in psychology and the biological sciences. Among the speakers, two hailed from Canada, two from Brazil and one from Israel. Many of the participants could be heard speaking English with thick accents. Thus, contrary to name, the conference’s scope actually was international. Indeed, humans propagate it and medicate with cannabis throughout the world.

All the participants clearly were pleased. The words “great conference” were spoken by many, in their many accents. While members of the audience expressed aloud their satisfaction on many occasions, their real testament was manifested by-near capacity attendance throughout the entire program. Absenteeism could not have been easier, as multiple exit doors surrounded the auditorium all along the rear and two side walls. But throughout the two days, nearly all the seats remained filled, and the audience attentive. Everyone looked lively and aware and awake.

While the cost of the registration might have seemed prohibitive and thereby dissuaded some from attending, that was a false impression, because several key features of the conference went unpublicized. One great plus is that the city of Providence is New England’s second largest city, which retains the charm that Boston long ago shed with its burgeoning size. The conference was held just south of Providence in a luxurious five-star hotel within five minutes of the airport, and yet out of the flight path of the jets. And though a scant two minutes off the interstate highway, the hotel’s spacious park-like expanse of lawn and trees buffers it from the roar of vehicular traffic. This all may sound like hype in a travel brochure found in the racks of a tourist office, but is nonetheless true.

As a bonus, the cherry trees that line the hotel’s long driveway greeted us in their full regalia. Due to an exceptionally wet and warm April, those trees blossomed prematurely, two weeks ahead of schedule, but right on time for us very botanically-inclined. That floral display was a portent of more good things to come.

At registration, we were handed another unpublicized bonus in the form of the program. Its thick, heavy twoinch binder came laden with printouts of many of the speakers’ presentations and texts. We were also provided on both days with bountiful buffet lunches and plentiful snacks and beverages. While the nutritional content of much of the food and all of the beverages fell below my own whole foods vegan standards, it certainly appealed to everyone else, who indulged themselves with abandon. Anyway, the cuisine was chosen by the hotel management and served by the hotel staff, not by the conference staff.

The all-volunteer conference staff kept busy tending to matters more important than the food, namely keeping the events synchronized and the exhibits organized. Clearly, they succeeded at both. If there were any kinks in the schedule, we in the audience never suspected it. Special thanks is owed to the otherwise unacknowledged but energetic and efficient volunteers of the Rhode Island Patient Advocacy Coalition (RIPAC, ripatients.org). As for Rhode Island itself, Americans should applaud its most diminutive state as one of only four that recognizes other states’ registries of cannabis patients. Not even California does so. Thus visitors from outside Rhode Island remained within the law. The RIPAC t-shirt logo states it well: I am in a state of compassion.

Boundless accolades must be accorded to the two tireless founders and longtime directors of Patients Out of Time (POT, medicalcannabis.com) Al Byrne and Mary Lynn Mathre, RN, are the primary organizers of this and the five biannual conferences that preceded it. They too have worked long and hard as volunteers, and for patients they will never know and never meet. As we all fall ill and we all will die, we all are patients out of time. The program? Everything else is but window dressing; it was for the view through the window that brought us to assemble there. The program of The Sixth National Clinical Conference on Cannabis Therapeutics addressed the interests among the broad spectrum of those with advanced scientific and medical degrees, and among us

patients too. But heralding cannabis in its title was slightly misleading. Actually, its medicinal constituent cannabinoids, as well as our bodies’ own endocannabinoids, are what the conference more specifically discussed. Discussion of the plant itself was mostly tangential.

One speaker deserves special mention. The illustrious Dr. Andrew Weil, MD, is a world-renowned authority on the confluence of alternative with allopathic medicines. It is worth noting that in 1987, early in his medical career, he offered 14 pages of testimony to the U.S. Food and Drug Administration (FDA) to advocate rescheduling cannabis out of Schedule I of the Controlled Substances Act. Yet cannabis still languishes in that lowly perch for drugs deemed to be of no medical value, despite recent calls from even the very conservative American Medical Association (AMA) to reexamine its scheduling. As though returning to his roots, Dr. Weil addressed us via live video broadcast.

The rest of the conference was not virtual nor video, but real. Viewed online, the program provides scant information. Nevertheless, to gain an inkling of its content, go to: www.medicalcannabis.com/Clinical-Conferences/2010- upcoming-conference

As it no longer is upcoming, be advised that the aforementioned URL soon will change, after which you can access it through the index for all past conferences: www.medicalcannabis.com/Clinical-Conferences/clinicalconferences

Among the above listings, be sure to scroll to the bottom of the pages for the 2002 and 2004 conference, where are found links to online videos. Soon the videos for the 2006 and 2008 conferences will be posted online also. Meanwhile, to access many of the videos all in one place, though not categorized by year, here’s a third useful URL: www.youtube.com/cannabistherapeutics

(if you find navigation confusing, click on Uploads, and then scroll down the right-hand scroll bar)

Beyond its vital information, the conference generated much inspiration and fostered a deep sense of community. Some readers may need reminding what a dark and lonely place it was in the early 1990s for us who espoused the medicinal virtues of cannabis. For instance, in 1991, when I confided to my doctor my use of cannabis to treat the pains and spasms of spinal cord injury, he shut the door else his staff might overhear us, and despite my pleadings, he refused to enter it into my medical report. “Herbal remedy” is all he would risk inscribing. Since then, when medicinal marijuana won the California referendum in 1996, and thereby turned the tide on our nation’s long lost War on some Drugs, every new study adds further concrete evidence that proves us right. And this conference provided the perfect gathering place, both of all the evidence, and of all of us adherents. Though the content was scientific, the mood was festive.

No videos can replicate the conference’s energy and excitement. You had to be there. Can’t wait two years to attend the next conference? Then don’t wait. This summer, a similar conference comes to Toronto with some of the same speakers — for instance, Mary Lynn Mathre, RN, and Professor Robert Melamede, PhD (a.k.a. Doctor Bob). That’s the Medical Marijuana & Hemp Expo, sponsored by Treating Yourself, the magazine you right now are reading. For further info, go to www.medicalmarijuanahempexpo. com

Hope to see you there!

Mark Mathew Braunstein wrote “Getting High & Staying Healthy: How to Reduce the Health Risks of Smoking Marijuana” in Issue 13 of Treating Yourself, and “A Walk on the Wild Side: Paraplegia & Marijuana” in Issue 16 of Treating Yourself. You can download the complete issues from TY’s website at treatingyourself.com or his individual articles from Mark Braunstein’s website at markbraunstein.org.

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Methods of Marijuana Consumption

In Blog // on February 9th, 2011 // by // No comment

Medical Cannabis can be ingested in many different ways. Effects may vary slightly with different methods of consumption. The length of time it takes for the medicine to take effect, and the length of time that the medicine remains effective, can vary greatly with different methods of consumption.

Smoking Cannabis
The most common ingestion method has traditionally been to smoke the dried flowers and/or leaves of the cannabis plant. Dried cannabis can be smoked in a pipe, rolled into a cigarette (or ‘joint’), or smoked using a water pipe (commonly called a ‘bong’). Water pipes were once thought to filter out some of the carcinogens in cannabis smoke, but studies suggest that there is no significant health benefit to smoking from a water pipe over other smoking methods. Regularly smoking any plant material can have a negative impact on pulmonary health, and therefore Peace in Medicine recommends patients use vaporizers or edible forms of medicine whenever possible.

Vaporizing Cannabis
A vaporizer is a device that allows the patient to separate the cannabinoids (the therapeutically effective chemicals in cannabis) from the plant material without burning. This is possible because cannabinoids vaporize (turn to a gaseous form that can be inhaled) at a temperature lower than that required for burning. As a result, the patient can inhale without taking in the burned plant material that constitutes “smoke”. While scientific studies are lacking, it is commonly believed that vaporizing is a healthier form of ingestion than smoking cannabis. Vaporizing is believed to mitigate many if not all of the negative effects of smoking. It tastes better as well. If you are used to smoking your medicine, you may think that you aren’t “getting anything” at first when you vaporize, because vapor does not burn the throat. Even though the vapor doesn’t burn, it is still quite effective. Use caution and wait a few minutes to feel the full effects before taking more.

Edible Cannabis
Edibles are foods cooked with butter or oil that has been infused with cannabis. Edible cannabis usually takes longer to take effect (20 minutes to an hour or more) and the effects generally last longer than smoking or vaporizing. Edibles taken on an empty stomach will take effect significantly faster than if taken immediately following a meal. It is difficult to know how strong an edible medicine will be, and because it can take an hour or more to feel the full effects, it is easy to over-medicate. Use caution! If you have taken your medicine in an edible form, wait at least an hour to be sure you know how strongly it will affect you before taking more.

Edible Treats
Any food that contains butter or oil can be made with cannabis-infused butter or oil, but the most common edibles are cookies, brownies, cakes, or candies.

Oils and Honeys
Cannabis infused oils can be used directly in foods, consumed in capsules, or mixed with honey to be used in tea or on other foods.

Tinctures
A tincture is a concentrated form of cannabis in an alcohol solution. Tinctures can be taken under the tongue or mixed into water or other beverages.

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