Newest articles on The Sacramento Press tagged as "medical cannabis"

Dispensary moratorium extended

2009-08-26T03:45:23Z

During Tuesday night's hearing, the Sacramento City Council voted unanimously to extend the citywide moratorium on medical cannabis dispensary openings and expansion for ten months and fifteen days, totaling a year of halted development.

The city is now 42 days into the moratorium's original 45. In that time, city government has been collecting information on cannabis clubs and invited existing dispensaries to register themselves within 30 days, a time window that closed on August 16. The registration has ceased; the research has not.

"We felt that 45 days was just too short," said City Special Projects Manager Michelle Heppner, who helped conduct the fact-finding mission. "Things moved very slowly. We would call the city, leave a message, get a call back in two days from the wrong person, it was hectic."

As outlined in the original moratorium, new cannabis clubs will be prevented from opening and existing clubs will be unable to physically expand their operations. There is no limitation on the number of patients a dispensary serves, however.

Cannabis club co-owner Lanette Davies spoke on behalf of the dispensary community and voiced her support for setting standards on practices.

American Association for Medical Cannabis state director and longtime medical cannabis activist Ryan Landers also spoke briefly, reminding the City Council of the seriousness of medical marijuana. "It saves people's lives, helps them keep medicine down, makes people eat. Cannabis is vital."

About 40 cannabis dispensaries registered with the city, a number that almost doubled the city's previous estimates. Those that did not register in the 30 day period will not be excluded from considerations, Heppner said. Registration consisted of providing basic information that proved the dispensary in question was open before June 15, but did not probe any further into the structure and practices of the businesses.

"We don't really know what [the clubs] do," Heppner said, "but that will be coming later when we consider regulations. That'll be the interesting part."

In the next few weeks and months, the research task force will communicate with dispensaries, compare regulatory options with other California cities and hold public meetings to invite comment. Current plans include an as-yet unscheduled meeting in late September and a law enforcement tour of Oakland dispensaries.

The moratorium will expire on July 13, 2010 unless it is further extended. Under city code, emergency ordinances can last up to two years.

The science of THC medicine

2009-08-20T04:49:07Z

Regardless of the smoldering controversy cannabis stirs up in Sacramento City Hall, the state Capitol and Washington D.C., the global scientific community has examined the drug with increasing interest recently. Local patients and doctors can't say enough about the groundbreaking potential of THC as a pharmaceutical.

There's a fairly large medical cannabis community in Sacramento, of patients, caregivers and researchers. Some dispensaries work directly with patients and doctors to bridge the gap between medical knowledge and social support.

Sacramento resident Thomas Coy has worked with the Capitol Wellness dispensary since it opened in 2004. He's a patient, an activist and a 28-year survivor of HIV/AIDS.

"Cannabis has helped me tremendously," he said. "I've been on medical programs and trials since 1983."

Cannabis allows Coy to cope with and overcome many symptoms of the virus. Smoking four joints a day helps prevent seizure, relieve nausea, fight pneumonia and stimulate his appetite.

"If it wasn't for medical marijuana, I'd be dead," Coy said. "Doctors say I'm a living miracle."

Despite a condition that many would find disabling, Coy keeps an active lifestyle and leads Cap Wellness support groups. Last week, Coy's HIV/AIDS group took a camping and whitewater rafting trip.

Coy counsels patients both socially and legally, and has worked for many years with the patients' rights advocacy group Americans for Safe Access. He has testified numerous times on behalf of federally-raided patients and clubs.

"I get out there and I raise my voice," he said. "I say 'this is medicine, hands off it.'"

Patients like Coy are a common sight at dispensaries and rallies, fighting for their rights to medicate for AIDS, cancer, multiple sclerosis, fibermyalgia, glaucoma... the list goes on.

Medical studies on cannabis took a long time to evolve, and Dr. Frank Lucido was there to watch.

Frank Lucido has been a general family practice doctor for 30 years. Since cannabis was legalized for medical use in 1996, he has been an outspoken and highly regarded supporter of herbal medicine. He spoke with The Sacramento Press to offer medical perspective on the drug.

"I started getting into it right away after it was legal," he said. "Every doctor knows they have about 20 slam-dunk patients that could benefit greatly from medical cannabis."

While Lucido was getting his M.D. in the '70s, doctors weren't learning about cannabis, aside from its reportedly high potential for abuse.

"The dangers of cannabis we knew were overblown," he said. "All of us saw people using cannabis in med school and still performing extremely well."

Once California's medical cannabis legalization measure, Proposition 215, got on the ballot, Lucido's interest was piqued. He had heard rumors that cannabis had some vague medical benefits and began checking out studies on what exactly cannabis did.

"There's still a lot we don't know, but we do know there are at least 70 reactive cannabinoids as well as many CBDs," he said.

Cannabinoids are essentially the 'stuff' in cannabis that gets people high. They're a family of chemicals that mimic a substance that the human brain naturally produces, a cannabinoid known as anandamide. There are receptors for anandamide throughout the body and brain. There's a wide variety of cannabinoids in cannabis, but most are concentrated into delta-9 tetrahydracannabinol, known colloqually as THC. More background on THC can be found at 3dchem.com.

Generally speaking, the more THC, the more potent the cannabis, at least for its relaxing properties. THC can be used as a sleep aid, pain suppressant, anti-inflammatory, anti-convulsant, appetite stimulant, muscle relaxant and - perhaps most commonly known - as an anti-depressant.

CBD is an acronym for cannabidiol, a family of substances in cannabis that are a bit of unexplored territory. In ongoing research, CBDs have been found to have anti-viral and even anti-tumor properties. Yes, this means that cannabis may help to prevent cancer, according to recent UCLA studies.

"It was announced about two or three years ago that cannabis didn't increase the risk of cancer, and it was briefly stated that certain doses might even be protective," Lucido said. Several other studies that have successfully used cannabis to shrink tumors in mice have been ignored despite their results, according to Lucido.

It's popular wisdom that it is impossible to overdose on cannabis, as the estimated lethal dosage adds up to smoking 1,500 pounds in 15 minutes. Yet, as it turns out, even if you took in a lethal dose (with Janis Joplin's lungs and Willie Nelson's stash), you'd still survive. Interestingly, there aren't cannabinoid receptors in the medulla oblongata, the part of your brain that controls breathing and other vital functions.

"That means that someone who smokes a fatal dose may be very sleepy, but they wouldn't die," Lucido said.

Although impossible to die from any dose of cannabis, smoking pot does carry other side effects. There's one major one — the side effect that isn't a side effect: Getting high. The psychoactive effect of cannabis can be either a euphoria (pleasant) or a dysphoria (unpleasant); some people enjoy it, others don't. If they turn to cannabis for relief from serious illness, however, dysphoric patients can get over their dislike and even become immune to the 'stoned' effect, something many sources have noted.

Cannabis can also be a mild lung irritant, but that can be avoided by eating a pot brownie or using a vaporizer.

Given the wide potential of cannabis' medical usage, it is still fairly uncommon for doctors to make regular recommendations for patients to use the drug.

"Most doctors are hesitant to recommend cannabis because of two reasons," Lucido said. "Either they don't know about its medical properties or they're afraid of the medical board and law enforcement. I keep myself to a very high standard and I was still investigated by the medical board."

Lucido, a private practice doctor, said that he screens his patients by asking for corroborating evidence of their condition. He quizzes any applicants under the age of 21 with two questions. First: "Are you living at home?" Second: "Are you hiding it from your parents?" He said this sifts out about 90 percent of young applicants.

While cannabis can have remarkable effects on the lives of people living with terminal disease, those cases are fairly rare. More commonly, patients seek treatment for mental tension and physical pain. A survey of Lucido's 1,045 patients in 2008 found that 61% medicated for chronic pain, 7% for anxiety, 6% for migraines, 4.4% for gastrointestinal disorders (indigestion, nausea, anorexia), and 3.4% for depression. Many other disorders take up the last 18%.

New studies consistently point out new uses for cannabis medication, as the University of California Center for Medicinal Cannabis Research (CMCR) continues to conduct research throughout the state on THC's effects on everything from spinal cord injury to MS muscle disorders. Interestingly, Lucido said he recently heard of another application for the sensual herb: increasing the female libido. While licentious cannabis-smoking females were key plot devices back in the 'Reefer Madness' days, new findings have shown that cannabis' come-hither effects can be used to stimulate a dormant libido.

Scientific exploration of cannabis' medical properties has yielded some promising fruit. Now, with increased local and national attention, research seems likely to keep on growing.

Photos courtesy of AngelJustice.org and David Scharf and Peter Dasil of Corbis

Bud business: Cannabis clubs explained

2009-08-14T05:23:35Z

As part of the fact-finding process of the cannabis dispensary moratorium, the Sacramento city government is taking a look at how, exactly, medical pot stores operate. Without many precedents to refer to, dispensaries don't have solidly established business practices. All dispensaries are somewhat similar, but none are alike.

Dispensaries all have the same basic foundation. By state law, pot shops must be collectives or cooperatives of medicinal cannabis patients.

After ill Californians get cannabis recommendations, they have the ability to medicate and cultivate as they see fit. Last year, California Attorney General Jerry Brown published some guidelines on how many plants (six) and how much prepared cannabis (8 oz) independent patients should grow or possess at one point in time, but such guidelines aren't law. Instead, these guidelines are sort of a threshold of acceptability to avoid state legal action. Brown's recommendations are more binding of cooperatives, which he requires to operate within the law.

"California law isn't really specific on any of this stuff," a spokesman from Capitol Wellness Collective said, who requested SacPress to not use his name. "It's still evolving."

If multiple patients pool their resources, they can quickly come into possession of far more cannabis than the guidelines suggest or that they're even capable of using. Remember, this plant grows like a weed. A single indoor plant can grow up to six feet tall, producing up to 10 ounces - so even within guidelines, stockpiles can overflow.

If they feel like making a practice out of it, state law allows them to open a dispensary. Dispensaries often start with several growing patients and occasionally another entrepreneur who may not grow or have a doctor's recommendation for THC medicine.

Aspiring club owners must then make the difficult decision of where to set up shop. Dispensaries have to take on a number of concerns when shopping for property, said American Association for Medical Cannabis State Director Ryan Landers. "They need to be a good distance from other dispensaries to avoid being redundant, and they have to be away from parks or kid-friendly businesses."

AAMC is a nationwide activist group that works with lawmakers and law enforcement to make medical cannabis safer and more available.

Friendly landlords are also a must, as opening a pot shop can be a touchy matter.

"Nobody wants to lose their property for renting to a dispensary, so they usually think twice," Landers said. "It's never happened in Sacramento, though."

Accessibility is another major component of a shop's location. Many cannabis patients have limited mobility, and private transport may be a luxury they physically or financially can't afford. Local dispensaries choose to open near bus or light rail lines. Clubs usually avoid busy metro areas: None are presently open in the heart of the downtown grid. Capitol Alternatives, a club on 16th Street, was raided by DEA agents and local police in April 2006, though no charges were made, according to news reports. The club reopened the next day at another location.

Then there's the question of how the medicine gets to the dispensary in the first place. As mentioned before, most dispensaries are run by cultivating patients, but once demand goes up, for the sake of stable prices, so must supply. Patients outside the dispensary are invited to donate their excess medicine if they have an abundance, which is common. Contributions are given free of charge and serve to keep prices down and to increase the variety of strains available. According to local club owners, there is a wide network of patients making regular donations.

Dispensaries are always nonprofit businesses, as required by state law. This means that all of their profits need to be redistributed back to the community. Employee salaries are included in that interpretation of 'community.' According to a spokesman for Hugs Alternative care, about 25 percent of profits go back to salaries. With the remainder, clubs also give back in other ways.

Every club gives a charitable amount back to patients who donate their excess medicine, usually in the range of $100 an ounce, according to local club owners. Doing some quick math, at $50-60 per eighth-ounce, this adds up to a $300 or more profit margin on each ounce sold.

Some clubs also use their excess earnings for other health services, like massage therapy or group counseling, and a few even offer hobby classes and other services.

"At Capitol Wellness Collective, we have a lot of basic outreach programs," CWC's spokesperson said. "We have a full-time spiritual counselor, condition-specific support groups, a masseuse, cooking classes and peer counseling, all of which are provided free of charge."

Some local clubs also make donations to charities to redistribute their income. Capitol Wellness donates to Loaves and Fishes, the local Shriner chapter and "other people that are just doing great work," according to its spokesperson.

Lastly, dispensaries point out that they usually offer 'compassion plans,' that reduce or eliminate the cost of medicine for disadvantaged patients. Veterans can often get a discount, as can the disabled and patients with MediCal and Medicare.

"Clubs should never present an undue hardship to the people that need medicine most," Landers said. "Medical cannabis saves lives."

Dispensaries are almost always incorporated. They charge sales tax for their wares and pay federal and state taxes, although they aren't federally listed to avoid DEA entanglements. They usually employ between five to 10 full-time employees and pay a "comfortable" salary, according to club owners and employees.

"As profits go up, so do salaries. If we're in a good time, we'll meet up and discuss pay," Clyde Baker from Hugs Alternative Care said.

Patients can volunteer their time to help out at some local dispensaries, and some receive free medicine in return for their time. Alexander Skibo volunteers at Northstar Healing Collective and positively loves doing it.

"This is the most convenient arrangement I've ever had with any medicine," he said. "I haven't been able to drive a car since my injury, so walking in to volunteer is just great. I'm definitely a proponent."

Specifics on the actual cannabis commerce that takes place at dispensaries are tough to get. Questions on profits, salaries and even day-to-day business are usually met with "that's a private matter." Some general facts can be learned, but accounting figures will be checked out by the city government, if even then. Clubs still have two more weeks to register with the city and prove they were open before the moratorium's June 16 requirement. After that point, if clubs fail to register, they'll get hit with a misdemeanor every day they stay open.

"That'll add up really quickly," Landers said. "Most clubs have already registered, but we're still expecting more."

For more information on the legality and aesthetics of local medical cannabis, or the moratorium, refer to these previous SacPress articles.