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Pot Laws Pain Some Elders
Senior citizens who use medical marijuana to treat their ailments wonder why the federal government wants to just say no to them.
Eric Bailey | LA Times | 04/28/2005

SEATTLE — Betty Hiatt's morning wake-up call comes with the purr and persistent kneading of the cat atop her bedspread. Under predawn gray, Hiatt blinks awake. It is 6 a.m., and Kato, an opinionated Siamese who Hiatt swears can tell time, wants to be fed.

Reaching for a cane, the frail grandmother pads with uncertain steps to the tiny alcove kitchen in her two-room flat. Her feline alarm clock gets his grub, then Hiatt turns to her own needs.

She is, at 81, both a medical train wreck and a miracle, surviving cancer, Crohn's disease and the onset of Parkinson's. Each morning Hiatt takes more than a dozen pills. But first she turns to a translucent orange prescription bottle stuffed with a drug not found on her pharmacist's shelf: marijuana.

Peering through owlish glasses, Hiatt fires up a cannabis cigarette with a wood-stem match. She inhales. The little apartment — a cozy place of knickknacks and needlepoint — takes on the odor of a rock concert.

"It's like any other medicine for me," Hiatt says, blowing out a cumulus of unmistakable fragrance. "But I don't know that I'd be alive without it."

With the U.S. Supreme Court poised to soon rule on whether medical marijuana laws in California and nine other states are subject to federal prohibitions, elderly patients like Hiatt are emerging as a potentially potent force in the roiling debate over health, personal choice and states' rights.

No one knows exactly how many old folks use cannabis to address their ills, but activists and physicians say they probably number in the thousands. And unlike medical marijuana's younger and more militant true believers, the elderly are difficult for doubters to castigate as stoners.

Their pains are unassailable. Their needs for relief are real. Most never touched pot before. As parents in the counterculture '60s, many waged a generation-gap war with children getting high on the stuff.

Now some of those same parents consider the long-demonized herb a blessing.

Patients contend that cannabis helps ease the effects of multiple sclerosis, glaucoma and rheumatoid arthritis. It can calm nausea during chemotherapy. Research has found that cannabinoids, marijuana's active components, show promise for treating symptoms of Parkinson's disease and Alzheimer's, and perhaps may have anti-cancer properties.

A recent AARP poll found that 72% of people 45 and older believe adults should be allowed to use cannabis with a physician's recommendation. The poll found a similar proportion staunchly opposed to legalizing recreational pot. Even conservative elders such as commentator William F. Buckley and former Secretary of State George P. Shultz have supported marijuana as medicine.

Betty Hiatt and those like her are "more and more the face of the marijuana smoker," said Ethan Nadelmann of the Drug Policy Alliance, which advocates treating cannabis like alcohol: regulated, taxed and off-limits to teens.

"There's this sense that when you get old enough, you've earned the right to live your own life," Nadelmann said. "The mantra of The Drug War has been to protect our kids. But the notion of a drug war to protect the elderly? That's ludicrous."

Stories of suffering elders are not lost on John Walters, President Bush's point man in the war on illegal narcotics. But as he beats the drum for psychotropic abstinence, the drug czar doesn't mince words.

"The standard of simply feeling different or feeling better" does not make pot safe and effective medicine, said Walters, director of the White House Office of National Drug Control Policy. People who abuse illegal drugs such as crack cocaine feel a similar burst of euphoria, he said, "but that doesn't make crack medicine."

Congress and federal drug regulators have repeatedly rebuffed pleas to legalize medical use of cannabis, which is classified as a dangerous Schedule I drug, along with heroin and LSD. Walters argues that there is not a whiff of clinical proof qualifying smoked pot as medicine. Any beneficial compounds that do exist in the leafy plant, he said, should be synthesized, sent through the rigors of the regulatory process and packaged as a pharmaceutical, not smoked like black-market weed.

"This is not like growing a rosebush in your yard," Walters said. "This is a plant the products of which are used for serious and expensive abuse among illegal drugs."

Hiatt isn't seeking a recreational high at this early hour, with much of Seattle asleep.

She was diagnosed with breast cancer in 2001. Chemotherapy left her a wreck. She threw up anti-nausea drugs, so her oncologist suggested cannabis, legal for medical purposes in the state of Washington.

"I thought he was a little off track," she recalls. "I had never done anything like that. I was very uneasy."

A few puffs of pot smoke each morning help quell the nausea caused by her prescription drugs, she said. Her appetite is restored and she never gets high.

Her two granddaughters, ages 18 and 20, display a ho-hum attitude about Granny toking up.

"It's just totally the norm," said Jessica, the older of the two.

Hiatt's son Doug, a defense attorney, endorses his mother's use of medical pot, picking up her cannabis every few weeks from a collective not far from home.

Her other son doesn't share that unfettered faith. Dan Hiatt, an assistant district attorney in Atlanta, was shocked to learn his mother was seeking relief from a drug that has landed many a pusher behind bars, his mother recalled. (Dan Hiatt declined to be interviewed.)

But he never tried to talk her out of it, Betty Hiatt said. "I don't think he likes it, but he accepts it. He loves me. He knows I wouldn't be doing it for fun."

Hal Margolin, 73, claims the same dependency.

Pain drove the Santa Cruz resident to the drug. It began a decade ago, as the cervical vertebrae at the top of Margolin's back calcified, strangling a bundle of nerves and producing a searing sensation in his extremities. His feet can feel as if they're being scalded by boiling water.

Margolin tried to address the unrelenting agony the standard way, buying maxi-packs of Advil and Aleve. An operation made things worse. He lost feeling in his fingers and the soles of his feet, and at times was reduced to crawling to the bathroom. Despite a prosperous retirement, a good marriage and two happy grown children, Margolin contemplated suicide.

He tried pot at a friend's urging. A few tokes and the pain seemed to recede to the background, Margolin said. "I was no longer obsessing" about it.

Finding marijuana early on was no easy task. At times, the bald and bespectacled retiree turned to the streets to score his weed.

Dressed in a cardigan sweater against the coastal cool, he would amble along the ramshackle blocks next to the town's beachfront Boardwalk. Mustering his courage, Margolin would approach one of the street kids he figured was dealing. Most of the time they scoffed.

"They thought I was some kind of undercover cop," he says.

Now he gets his cannabis from a Santa Cruz dispensary that serves 200 patients, many terminally ill. In a decade of operation, the cannabis cooperative has lost more than 150 clients to cancer, AIDS and other ills. A woman who used pot to tame the painful aftereffects of polio died last year at 93. Margolin now is among the oldest.

For him, marijuana has been "the difference between clinical depression from the pain, and carrying on with my life."

Though part of the U.S. pharmacopeia early in the 20th century, cannabis was outlawed during the Depression. In recent decades, advocates have repeatedly failed to gain federal approval for doctors to prescribe the herb.

An exhaustive 1999 study by the National Academy of Science's Institute of Medicine concluded that marijuana can help curb pain, nausea and AIDS-related weight loss. The study warned against the toxic effects of the smoke, but said cannabis could be given under close doctor supervision to patients who don't respond to other therapies.

Now several small drug companies are pressing forward with prescription forms of the drug, such as the cannabis mouth spray that G.W. Pharmaceuticals of Britain is expected to soon begin marketing in Canada.

During the buildup to prescription forms, the raw plant shouldn't be ignored, said Dr. Raphael Mechoulam, a pioneer in cannabinoid chemistry at Hebrew University of Jerusalem. If it helps the elderly fight pain until prescription drugs are available, he said, "then why not?"

Not everyone embraces cannabis, even some who try it. Betty Hiatt's daughter-in-law, Laura, recalls her own mother's unsuccessful attempts to use the drug while being treated for ovarian cancer.

Laura Hiatt's mother initially resisted trying marijuana, but when she finally did, "she didn't like it," Hiatt said. "It hurt her throat. I was very surprised she even tried it, but she was so sick."

Others found ways around lighting up.

Catherine Ballinger, 94, saw a busy retirement undercut by infirmity. A fiercely independent woman who worked for years as a technical illustrator during the heyday of Southern California's aerospace industry, Ballinger lives in pain. Her right hip and knee grind bone on bone and arthritis bedevils her. She can hardly walk. Pain forced the Torrance woman to give up a beloved hobby, painting seascapes while perched on the Pacific bluffs.

She was never a smoker, so Ballinger's doctor recommended trying cannabis baked into brownies. Her agony receded, Ballinger says, allowing her to sleep. Although no miracle cure, the brownies made life tolerable.

"If those guys in Washington had the pain I suffer," she said, "they wouldn't put up all these legal barriers for patients to obtain medical marijuana."

Although controversial even in states that have approved it, medical marijuana remains illegal in most of the U.S. But even outside havens such as California and Washington, a few marijuana patients have enjoyed a free pass.

For nearly three decades the U.S. has provided cannabis grown on a University of Mississippi farm to a few seriously ill people in a special federal program. The effort, launched in the mid-1970s to settle a "medical necessity" lawsuit brought by glaucoma patient Robert Randall, was shut to newcomers in 1992 as a flood of AIDS patients sought entry. Over the last decade, others have sued to get in but failed. All that remain are seven survivors, many pushing their golden years.

Randall died in 2001, but Elvy Musikka of Sacramento is a feisty 65. The oldest is Corinne Millet, 73, a Nebraska grandmother suffering glaucoma. The wife of a surgeon, Millet credits the government marijuana with saving her sight.

Irvin Rosenfeld calls their little band the nation's most exclusive club aside from living ex-presidents. At 52, Rosenfeld is the youngest — and he expects to be smoking pot as medicine for decades to come. A dozen joints a day curb riveting pain from a rare disorder that causes bony protrusions to poke like cattle prods into his muscles.

Despite his copious marijuana consumption, Rosenfeld has prospered as an investment banker in Fort Lauderdale, Fla. His longtime boss marvels at his energy. Without marijuana, Rosenfeld said, "Instead of being a productive member of society, I'd be a burden."

Among medical marijuana's biggest blocs are AIDS patients, including many longtime survivors edging toward old age.

Doctors diagnosed Keith Vines with the disease in 1986. He nearly died in 1993, as AIDS stripped him of 60 pounds. When pills didn't help, his physician advised marijuana.

For years an assistant district attorney in San Francisco, Vines felt like a "fish out of water" skulking into a medical marijuana dispensary the first time. But pot increased his appetite. Nausea from his medications ebbed. At 55, he has smoked it for a decade, limiting use to a few times a week.

Now this law-and-order guy would love to sit down with John Walters or the president, close the door and talk.

He'd tell them about losing friends and feeling despair. He would talk about retiring early from a job he loved, after AIDS compromised his short-term memory. He'd ask that they stop fighting the sick and elderly.

"Survival," Vines said, "is struggle enough."

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frolic

I want to disagree with Walters here as I have felt bad, extremely bad and feeling better is a definite improvement. That I would say makes pot medecine. Few of the drugs I take are "safe". If the intended or expected effect is feeling better then it is effective. ergo speekum plaino

king cola

She is, at 81, both a medical train wreck and a miracle, surviving cancer, Crohn's disease and the onset of Parkinson's. Each morning Hiatt takes more than a dozen pills. But first she turns to a translucent orange prescription bottle stuffed with a drug not found on her pharmacist's shelf: marijuana.

This article is about people being sick and diagnosed with all kinds of diseases so i don't think i'm off the subject when i write what i'm going to.

It's all about how many pills they sell, the pharmacuticals don't give a sh*t what marijuana does for the people. I consider pot a natural cure and it can be said because it's labled a drug, but an illegal one. A lot of people have cancer and other diseases but what some people don't know is that in a health store you can find things that could benefit toward helping your sickness but they can't say what the natural product does. I'm sure if pot were legalized it would be sold in a health store and not a pharmacy. Supposedly natural remmedies are safer than a lot of pharmacutical drugs. They can't say this can cure cancer or prevent such and such a disease because the FDA forbids them. To them if it's not marketed as a drug, it can't cure or prevent a disease and have even raided stores clearing the shelves and throwing the people in jail for selling natural herbs and other things because they said it can cure this or that disease and then also charged the people with selling a drug without a license and selling a illegal drug that's not on the market. Even if someone gives an opinion and says this remmedy could cure this disease they have threatend to throw the person in jail for saying it.

Other countries don't harrass people for selling natural remmedies and can say what does what, you can also do a search on natural cures and things, not sayin to believe everything you read but it's still worth doing a search on, some of these sites with physicians will say what does what for you. All our country does is say here, forget natural remmedies, take a pill. If something is considered just a disorder, and they sell a remmedy that can take care of it, the FDA can't do anything, but if you read up, they now call more and more things diseases instead of disorders so they can market more drugs to handle the problem because then these health stores can no longer say this natural remmedy will cure or prevent such and such a disorder because it's now considered a disease. I mean there used to be a commercial that said orange juice prevents cancer, no longer see that commercial and they are now trying to get all viatmins and minerals including orange juice labled as a drug so they can control it.

The least this country can do for people who have a disease is be easier on them for smoking a plant which seems to work better than these pills they hand out. My sister uses pot sometimes for recreational use, well one night she told me she had a bad migrane headache, she smoked some pot and it went away. Just taking a few puffs until the symptom goes away makes more sense than going out and buyin a bottle of pills and taking about a dozen of them in a day, only to have to get a refill faster than you would with a bag of grass.

A few puffs of pot smoke each morning help quell the nausea caused by her prescription drugs, she said. Her appetite is restored and she never gets high.

Without pot i'm guessing this woman would probably starve to death.

Her two granddaughters, ages 18 and 20, display a ho-hum attitude about Granny toking up.

"It's just totally the norm," said Jessica, the older of the two.

That's true, it really is normal, it's normal for anyone to use pot for medical reasons, it's been like that since the 1700's and maybe even earlier, it's nothing new, these politicians just make it sound like it is.

Her other son doesn't share that unfettered faith. Dan Hiatt, an assistant district attorney in Atlanta, was shocked to learn his mother was seeking relief from a drug that has landed many a pusher behind bars, his mother recalled. (Dan Hiatt declined to be interviewed.)

It only put many behind bars because of prohibition. There was one guy who worked for the FDA that was against one drug going onto the market because of the danger, but wasn't listend to because they wanted to get their money, he was right, it killed people, no one went to jail over it. Someone smokes some pot for medical use, it never killed anyone and they wanna lock the person up and throw away the key.

But he never tried to talk her out of it, Betty Hiatt said. "I don't think he likes it, but he accepts it. He loves me. He knows I wouldn't be doing it for fun."

Even if you do it for fun, why should it matter, it's not killing anyone and if anything might be preventing people from even getting sick. I like to smoke it to relax before going to sleep, it helps relieve stress. Glaucoma runs in my family, by me smoking pot once in awhile i'm sure it will help prevent me from ever getting it someday. I don't consider myself abusing a drug because i can go as long as i want without even using it.

Now several small drug companies are pressing forward with prescription forms of the drug, such as the cannabis mouth spray that G.W. Pharmaceuticals of Britain is expected to soon begin marketing in Canada.

During the buildup to prescription forms, the raw plant shouldn't be ignored, said Dr. Raphael Mechoulam, a pioneer in cannabinoid chemistry at Hebrew University of Jerusalem. If it helps the elderly fight pain until prescription drugs are available, he said, "then why not?"

I'm sure smoking the raw plant would be more beneficial than having things produced in labs, i'm sure when they take things from marijuana and make it into pill form, other chemicals are being added. It's like eating raw vegetables, people claim that it's healthier than cooking them up.

Laura Hiatt's mother initially resisted trying marijuana, but when she finally did, "she didn't like it," Hiatt said. "It hurt her throat. I was very surprised she even tried it, but she was so sick.

Well who said anyone has to smoke it? Theres food people can cook it up into.

"If those guys in Washington had the pain I suffer," she said, "they wouldn't put up all these legal barriers for patients to obtain medical marijuana."

They put up legal barriers to protect the drug industry. It's a billion dollar buisness and theres people even in the White House who have investments in these drug companies and will protect them. If the pharmacutical wasn't controlling marijuana and people could get it anywhere legally, or even from a doctor who gets it from someone who grows it and still saying legally here, a lot more people might turn to trying marijuana for medical reasons. If it helps them more than anything else, the sale of prescription drugs would decrease which would also lower the stock on shareholders if they were at one time top selling drugs.

For years an assistant district attorney in San Francisco, Vines felt like a "fish out of water" skulking into a medical marijuana dispensary the first time. But pot increased his appetite. Nausea from his medications ebbed. At 55, he has smoked it for a decade, limiting use to a few times a week.

Now this law-and-order guy would love to sit down with John Walters or the president, close the door and talk.

I would love to see all these people sit down with john walters on the air and tell their stories but i'm willing to bet it wouldn't change his mind about what he says about it one way or the other. I also say the same about Bush, his father hated drugs of any kind and i still say hes all about trying to please his father so therefore when it comes to supporting pot for medical reasons, it more than likely wouldn't happen, but i guess if you don't give it a try we will never know. His father was the one that had another prison built just to house drug offenders. Supposedly Bush Jr. is tied in with drug companies anyway so if that's true then i don't think it would do any good. He would still probably say the samething the others say, well they have a pill you can take. Maybe a live tv inerterivew would be better though because lots of people would watch and if they said some kind of bullsh*t like that in front of a lot of viewers it would really make a difference.

Congress and federal drug regulators have repeatedly rebuffed pleas to legalize medical use of cannabis, which is classified as a dangerous Schedule I drug, along with heroin and LSD. Walters argues that there is not a whiff of clinical proof qualifying smoked pot as medicine. Any beneficial compounds that do exist in the leafy plant, he said, should be synthesized, sent through the rigors of the regulatory process and packaged as a pharmaceutical, not smoked like black-market weed.

In conclusion again it's all about the pharmacutical to these people like Walters. He talks of smoked marijuana, then says the pharmacutical should break up the compounds, yet people can just take the marijuana and cook it. It was said awhile back that theres about 60 compounds that are beneficial in marijuana. I bet they would take the compounds and divide them up instead of putting it as 1 drug, they would probably throw a few compounds into a few different pills and sell them that way. What's the point of breaking up the compounds, 60 is just a estimate, theres over 400 chemicals in marijuana and theres way too many in there that could be beneficial, certaintly doesn't mean that all 400 chemicals are toxic if it even is toxic. As for him saying black market weed, well legalize it then! If someone wants to smoke the raw material it's probably more effective and it's just a waste of time to even trying to synthesize all the compounds. He just says this because hes a drug czar, he knows even if they do this, people are still going to smoke marijuana so he gets to keep talking trash about it.

P.S, everything i said is just my opinion, lot of the information i put into what i said i read up about first so some or most of it could be inaccurate.