4. Irv Rosenfeld Celebrates 22 Years of Government-Sponsored Medical mar1juana Use http://stopthedrugwar.org/chronicle/363/irv.shtml There are not many people who can say they have the federal government's permission to smoke mar1juana -- seven, to be precise -- but Florida stockbroker Irv Rosenfeld is one of them. This weekend will mark the 22nd anniversary of Rosenfeld's acceptance into the Food and Drug Administration's (FDA) Investigational New Drug (IND) program. Ever since 1983, Rosenfeld has received a monthly shipment of mar1juana amounting to about 300 joints from the US government's Mississippi mar1juana farm. That adds up to more than 3,000 ounces smoked over the decades. The weed helps alleviate the pain from a rare bone disorder Rosenfeld suffers from called multiple congenital cartilaginous exostoses, which is marked by bony protrusions in the body's long bones. Like most people living with the disease, Rosenfeld originally treated it with a raft of opioid pain relievers and muscle relaxants. Never a social mar1juana user, Rosenfeld tried pot in college in an effort to win friends, but what he found was that it worked wonders for his pain. "I moved to Miami to go to college and moved into a complex with lots of students," Rosenfeld told DRCNet. "They always wanted to drink wine and smoke pot, but I always said no. I realized I wasn't making any friends and gave in to peer pressure and starting trying it. I smoked it and didn't notice anything, but about the tenth time I tried it, I noticed that I had been sitting and playing chess for half an hour. That was the first time in years I had been able to maintain a position for that long." Somewhat skeptical of what he had experienced, Rosenfeld asked his doctor if there was any medical benefit. Like most medical professionals, Rosenfeld's doctor had no idea, but encouraged Rosenfeld, who comes from a medical family, to research it himself. From that point, Rosenfeld embarked on the years-long journey that eventually led to his becoming an official US government medical mar1juana patient. It wasn't an easy road, said Rosenfeld. "I found that prior to 1937, mar1juana had a long history of medicinal use in the United States and, through trial and error, I found that it really was mar1juana and not something else that was working for me. I wanted to be sure; after all, you don't want to believe an illegal drug is helping you. I called my doctor and said I wanted a prescription," the Florida stockbroker related. "He said he couldn't do that because it was illegal and I would have to win permission from the federal government." Rosenfeld quit college and devoted himself full-time to getting federal approval for using medical mar1juana. "It took me 10 years to get accepted," he said. "For the first five years, I wrote up my own scientific projects, but the FDA stonewalled me. But then I met Bob Randall, the first federally approved medical mar1juana patient, and he convinced me to keep at it. We got the University of Virginia law school and medical school behind the effort, and after the law school threatened to sue the FDA, they gave me a 15-minute hearing." Rosenfeld went in with no illusions that he would win FDA approval, but he was in for a surprise. "We were taping everything because we figured they would turn me down and we would go to court and sue. I gave my speech, I told them about how when I smoked mar1juana it enhanced the effects of my opioid pain-reliever, and when I mentioned that, a visiting Venezuelan oncologist got up and said if mar1juana might enhance the efficacy of opioids, that should be studied. At that point, everything changed. You could feel it in the room, you could see it on people's faces. My program was approved." And ever since, Rosenfeld has been smoking as many as 12 joints a day of government-grade mar1juana. "I feel great," he enthused. "I'm very fortunate," said Rosenfeld. "I can take my medicine without having to worry about breaking the law. Because of this medicine, I am a working member of society and a taxpayer," Rosenfeld said. He is also in good health. At least, that's what a 2001 study of medical mar1juana patients in the IND program found. Four of the seven official patients participated in the "Chronic Cannabis Use in the Compassionate Investigational New Drug Program Study" conducted by Dr. Ethan Russo in Missoula, Montana, that year. That study showed "very few adverse effects in the patients," said Russo in an interview last year. None showed signs of brain damage, immune system problems or hormone problems, Russo said. "The truth is cannabis is very effective for a wide variety of medical conditions including pain, spasms, multiple sclerosis and glaucoma," said Russo, who has been practicing for 20 years. "Irv's functioning has gotten better over time, not worse, as what you might expect in someone with his condition." "Although Irv has had to smoke this stuff all these years, his lungs are just fine, or at least they were through 2001, when we studied him in Missoula" said Al Byrne of Patients Out of Time (http://www.medicalcannabis.org), a group with which Rosenfeld has worked for years and on whose board of directors he currently sits. "And the government propaganda mill says that if you smoke too much too long your brain shrivels up. All you have to do is look at Irv and the work he does and you can see that's bull****," he told DRCNet. "These supposed adverse impacts of mar1juana use are a longstanding claim of the government," said Byrne. "One of the reasons we formed Patients Out of Time in 1995 was to refute that government propaganda, one point at a time. That's why we entered into the Missoula study as well." While Rosenfeld is one of the fortunate few who were accepted into the IND program before it was shut down by President George Herbert Walker Bush in 1992, he remains committed to making medical mar1juana available to whoever might benefit from it. "If we can change the law, mar1juana could be used medicinally," he said. "The problem is that the government has not done any studies. The other side always says we need more research. My response is that they haven't wanted to research me for 22 years, but if they really want research, they need patients. Let's set up some compassionate care protocols in different medical centers, let each center have 50 patients each, and study it for three years. Then, if it is shown to be detrimental, we'll discontinue it. But if it is shown to be beneficial, the studies would not only continue but be enhanced and expanded." It all sounds reasonable enough, but there is a problem. "The government really doesn't care about these sick people and it doesn't want to know if mar1juana will help them," said Rosenfeld. "That's the problem."
They keep saying we need more study, but despite having a program in place already, they don't want to ACTUALLY do studies because they are well aware of what the results would be. It is execrable that they will deny sick people access to a drug that already helps many thousands of people to cope with pain or deal with ailments.
They also don't want the masses to be cured by a plant that can easily be grown for free in their living room. The would prefer you line the pockets of you local doctor, insurance company and pharmacutal company by being restricted to perscription drugs to relive your aliments.
I don't question the medical benefits of mj. It is hard to believe, however, that it isn't bad for your lungs. andy, what research is out there on this question?
I feel the same way. I understand that it kills pain, but your body was not designed to inhale smoke. Of course, your body was not designed for a lot of things, but I believe that the inhalation of smoke (of any kind) is particularly unnatural. It just seems there are better ways to treat pain than encouraging everyone to light up. As I don't know much about the medicinal properties of mar1juana, perhaps one of you could answer for me: What exactly is it in mar1juana that kills the pain? I'm assuming that it's a chemical, and if so, would it be possible to isolate this chemical and put it in pill form? I'm not sure of the possibility or the costs of such an action, but it's something I've wondered.
Damned interesting read, andy. Thanks. So this fellow is still getting legal shipments after G.H.W. Bush ended the program in '92? I wonder how he's managed that. The fact that pot hasn't been allowed for medicinal use is just stupidity on the part of the Federal government. Whatever happened to individual rights, the rights of the states, and local control? I thought those were Republican positions? Not that the Republican Party is the only one guilty of stupidity on this issue. We have our share of stupid Democrats on this issue as well. There are several health problems that benefit from using MJ, glaucoma being one of them. That is a much more prevalent problem than the one Mr. Rosenfeld has. MJ has been proven to help reduce the eye pressure that is central to glaucoma, which can lead to blindness. Keep D&D Civil!!
THC They have done so but its apparently not as effective for some reason. Of course, its illegal anyway.
Virtually none since the government will not allow studies as a result of the (at the least) mis-scheduling of mar1juana as a Schedule I drug (which is a drug that has NO medical efficacy and high potential for abuse). In this man's case, the researchers have not found any lung problems even though he has been (legally) using pot for well over a decade. Keep in mind that marijauna has never been documented to have killed even a single person in the history of the world.
THC, TetraHydroCannabinol, is the active ingredient and is what kills pain, relieves pressure in glaucoma patients, and reduces nausea as in the case of AIDS wasting syndrome. They already have, it is a drug called Marinol, a pill form of THC. It has been shown to be absolutely ineffective for controlling nausea (you have to swallow and process the pill before it works on nausea and most AIDS patients vomit up the pill before it can be processed), has had limited success in controlling pain (compared to smoked mar1juana), and has been moderately successful with glaucoma patients (though again, not as effective as smoked MJ). Much of it probably has to do with the fact that there are cannabinoids other than THC that have complementary effects when smoked with the THC.
The government decided to grandfather in the existing patients so that they would not sue and possibly open Pandora's box for everyone. They (the FDA and DEA) knew that in an open court battle on the efficacy of mar1juana as a medicine, they would lose and lose horribly. Instead of taking up that fight, they allowed the seven patients who were already in the program to continue. All of the politicians seem very stupid on this issue with a few notable exceptions. This stupidity extends across party lines and is not exclusive to any group...except politicians in general. They are all so afraid to be painted as "soft on drugs" that they will agree to anything that the big money interests (PDFA, alcohol industry, pharmaceutical industry, cotton industry, logging industry) want to appear "tough on crime."
What about ingesting the leaves themself? Is the effect only pronounced when the substance is burned?
It is a common misperception. A pharmaceutical company (I forget which one) extracted THC during the time when the federal medical MJ program was getting started. They were going to do efficacy trials and tests to see which of the two worked better until the program was ended.
You know how many professional athletes smoke weed? I've seen numbers as high as 60 percent of the NBA, which is one of the most cardio-vascular sports on earth. The biggest pothead I know, who's been a daily smoker for 20 years, runs six miles a day. He's been in several marathons and triathlons during this time period. I've known athletes that, soon after taking up serious cigarette habits, couldn't even climb a few flights of stairs withouth losing their breath. Sure, this isn't terribly strong evidence, but I wouldn't say it's safe to assume that all smoking has the same effect on the lungs.
One of my professors who teaches a drugs and behavior class told us last night about a study he read which had been following their subjects for several decades. Their findings concluded that smoking mj once a week for a year can lead to a loss of 10 IQ points by the time you're 60. I'll leave it up to you if that seems to be that big of a deal. No, I don't have a link and I don't know if this study has been published since it seems it was just concluded. If you really want more info I can e-mail him and get better details.
No evidence, and I'm not well versed in the causes of cancer etc, but prima facie, I find it hard to believe that smoking a joint without a filter isn't worse than smoking a cigarette. I know very fit people who smoke, and it doesn't seem to affect their phsyical performance. Even most people who smoke up to their 40s, those that I know don't show any ill effects from smoking. That doesn't mean that it won't have bad effects on their health down the line.