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The source of this article is the Concord Monitor: http://tinyurl.com/7vcxu Ailing elderly new face of drug Many turning to pot to ease pain By ERIC BAILEY Los Angeles Times -------------------------------------------------------------------------------- May 05. 2005 8:00AM 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 such as 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 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, perhaps even as anti-cancer agents. A recent AARP poll found that 72 percent of people age 45 or older believed 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 Shultz have supported marijuana as medicine. 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." 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. Stories of suffering elders are not lost on John Walters, President Bush's point man for 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 noted, "but that doesn't make crack medicine." Walters argues 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 received a diagnosis of 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. 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, Calif., man 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 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 the feeling in his fingers and the soles of his feet, and at times he 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 was forced out on the streets to score his weed. Dressed in a cardigan sweater against the coastal cool, he would amble along the ramshackle blocks adjacent 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 said. Now he gets his cannabis from a Santa Cruz dispensary serving 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." Although it was 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?" ( ------ End of article By ERIC BAILEY Los Angeles Times ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn