By Kim Smith
Last Christmas, Barbara Kaiser slid to her kitchen floor and just sobbed.
The
82-year-old Green Valley woman had spent decades baking hundreds of
cookies for her children, grandchildren and great-grandchildren for the
holidays, but this year, the pain won. She just couldn’t do it anymore.
Her
arthritis and chronic neuropathy were so bad it took her 15 minutes to
get out of a chair.
She couldn't stand upright and needed a walker just to hobble a few feet.
She couldn't stand upright and needed a walker just to hobble a few feet.
She couldn’t sleep more than two hours at a time.
“I
wasn’t suicidal, but I started wondering why I was waking up every day.
Why did I bother? The pain was just amazing,” Kaiser said.
Fast
forward seven months and she's no longer using her walker for short
distances, she’s back to baking cookies and making dinner, and she’s cut
her daily Oxycontin intake by one-third. She’s also sleeping through
the night.
What happened?
Medical marijuana.
“It’s
incredible and I want people to know about it,” Kaiser said during a
recent interview at her home. “I’m a perfect example of what it can do.”
Kaiser
is among a growing number of older residents in Arizona turning to
medical marijuana to deal with issues including chronic pain, Post
Traumatic Stress Disorder, cancer and more.
Just
over 132,000 Arizona residents have medical marijuana cards; more than
18,000 are in Pima County, according to the Arizona Department of Health
Services.
According to the
state, roughly 22 percent of current card holders are 61 and older, up
from the roughly 13 percent who held cards in 2011.
Kaiser is one of 1,300 people 81 years and older who hold a card in Arizona.
Tentative at first
Once
an avid hiker, Kaiser developed a host of chronic health issues over
the years and survived a bout with malignant lymphoma. She’s been
through chemotherapy, back surgery, knee surgery and has had too many
epidural steroid injections to count.
For
years, her doctor urged her to look into medical marijuana, but Kaiser
and her husband, Walter, 88, were dead set against it. First, the
federal government doesn’t distinguish between illegal recreational
marijuana and medical marijuana. Second, they feared it would be too
expensive.
Her quality of life
got so bad, though, that in February Kaiser and her husband decided she
ought to give medical marijuana a try. Unsure how to get a medical
marijuana card, Walter spent several days on the Internet before finding
a Tucson dispensary that put them on the right path.
The
Kaisers found the application process lengthy and involved and they
made some missteps, but she finally received her card March 30.
“I was excited and scared,” Kaiser said. “I was very frightened about the whole thing.”
But she was thrilled to find out there is a medical marijuana dispensary in Sahuarita, less than four miles from her home.
The
staff at Hana Meds introduced her to a “medical cannabis coach” who has
been working with her to find just the right strain of marijuana to
relieve her symptoms, Kaiser said. (See related story.)
Dan
Fernandez, general manager of Hana Meds, said they have about 2,000
active patients, the vast majority in the Green Valley area. The average
age of their clients is around 60, their oldest is 94.
Learning about it
Like
Kaiser, many of their patients are first-time users who don’t know
about the different chemical compounds in marijuana, the different
strains of marijuana and the various ways it can be consumed, Fernandez
said. Nor do they know the benefits and pitfalls of each.
David
Lamb, a patient consultant at Hana, said he and his colleagues are
specially trained on such things as cannabinoids (CBD) and
tetrahydrocannabinol (THC). They know which strains will cause which
effects and can recommend how the product should be ingested.
Hana’s
patient consultants direct patients to products and ingestion methods
based on their medical conditions and symptoms, Lamb said. They don't
make diagnoses.
“A good analogy
would be like antibiotics, there’s hundreds of different antibiotics
and each one can affect a different condition or infection differently,
so certain people need certain ones to address a certain condition,”
Lamb said. “Marijuana can be much the same way. The reason there are so
many different strains is because they can all interact even in very
small or very great margins (and) can react very differently depending
upon the patient and their needs.”
Medicinal
marijuana patients can smoke joints, use a pipe, use vape pens — which
are similar to eCigarettes — place drops under their tongue or purchase
marijuana-infused edible products such as honey, brownies, gummie bears
or cookies, Lamb said. Some dispensaries sell marijuana-infused coffee
filters, soft drinks and ice cream.
The right dosage
Kaiser
didn’t get any relief after using drops so she tried marijuana-infused
gummies. When she didn’t notice any effects from the first one, she
tried a second and then a third.
“By
the third one, Walter had to be put me to bed,” Kaiser said with a
laugh. “I said this isn’t going to work. I need to be able to function.”
Although she felt fine the next day, that third gummie made her clammy and she felt as though her head was swelling.
Undeterred,
Kaiser went back to Hana, and Lamb introduced her to a coach, who took
her marijuana, infused it with coconut oil and put it into a capsule.
She took her first one April 27.
“I
was able to give up my walker the following week,” Kaiser said. “I
still use it to go shopping or if I’m going someplace where I have to
walk a lot, but I don’t need it at home anymore.”
Since
then, Kaiser said she has been trying different strains of marijuana
and keeping a meticulous log detailing when she takes her capsules, when
she began feeling its effects, what the effects were and how long they
lasted. She does the same thing when she inhales from her vaporizer; she
takes two puffs a few times a day.
She’s
already cut down on her Oxycontin and she hopes to one day be able to
give it up completely, along with her neuropathy medicine.
It’s
important for patients to find a reputable dispensary with good staff
to help you navigate, Lamb said. Kaiser’s experience with the gummies is
common; dosages are tricky when it comes to edibles.
Lamb
starts his patients out with a small dosage of marijuana. He’s heard of
patients, particularly older ones, who never try marijuana again after a
bad first experience.
“We
slowly work toward the goal,” Lamb said. “We don’t try to get someone
stoned off the bat because it may be way too much for them, way too
potent for them and it’s going to be a frightening experience if it’s
too powerful. But it’s all in your head, there’s nothing bad happening
in your body.”
While some remain skeptical of the benefits of marijuana, Lamb said people should keep an open mind.
“If
you’ve got cancer, multiple sclerosis, Parkinson’s, different things
like that, you’ve got pain, seizures and other things going on. How much
of that is stress and anxiety?” Lamb asked. “If you can relieve stress
and anxiety, dealing with pain becomes an issue that is much easier to
address.
What I’m getting at here is, if you could harmlessly and benignly reduce the stress and anxiety that comes with these serious illnesses, you’ve fought half the battle right there.”
What I’m getting at here is, if you could harmlessly and benignly reduce the stress and anxiety that comes with these serious illnesses, you’ve fought half the battle right there.”
Plenty of research
Tom
Salow, a branch chief for the licensing division of the Arizona
Department of Health Services, said people ought to research medical
marijuana dispensaries like they do any other business. They should talk
to their friends and family about customer service and pricing.
DHS
inspects each dispensary twice a year to ensure they are keeping track
of their inventory and are labeling items correctly but the inspection
results are not public record.
There
also is no state oversight when it comes to the product itself, Salow
said. No one is making sure the marijuana product has the advertised
levels of THC or CBD or that dispensaries are selling patients the
strain they’ve paid for.
“We recommend people do their due diligence before making a purchase,” Salow said.
Kaiser still wakes up with pain, but, “I say to myself every morning to stop and think about what my pain was like before.”
Back then, Kaiser said she hurt from the top of her neck to her toes.
“I couldn’t even comb my hair, I felt useless,” she said.
Her children have been supportive and were thrilled to see her at a family reunion in Chicago in June, Kaiser said.
“I didn’t think I’d be able to go back in March,” Kaiser said. “I didn’t think I’d be able to sit on a plane that long.”
She
spent a little over $150 last month on marijuana, but it was well worth
it, Kaiser said. She hopes it will one day be covered by insurance.
“If
it’s doing me more good than Oxycontin, which is covered by insurance,
then I don’t know why insurance shouldn’t pay for it,” she said.
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