Feds Squash Doctor Training on Cannabis for Pain

As reported by the Associated Press, The American Academy of Pain Medicine has cancelled its plans for a webinar in July aimed at training doctors on the use of cannabis instead of opiates for pain. The cancellation followed "a request from the U.S. government agency that provided the funding." The agency was the Substance Abuse and Mental Health Services Administration, or SAMHSA, a division of the U.S. Department of Health and Human Services (HHS).

“We cannot speak to the reason that SAMHSA has asked that we not proceed with this webinar, but the webinar will no longer take place,” AAPM spokeswoman Megan Drumm said in an email to AP.

Scheduled speakers for the course, titled "Opioid Prescribing Amidst Changing Cannabis Laws,” were pain doctors from the University of Texas and the University of California, San Diego. They planned to cover how to select patients for medical cannabis, appropriate products and doses, and how to “wean opioids in patients on chronic opioid therapy,” according to the course description.

A study released in March concluded that only 9% of medical schools are teaching students about cannabis as a medicine.  “I’m not surprised by the findings,” commented Mark Steven Wallace, MD, chair of the Division of Pain Medicine at UC San Diego Health and one of the speakers scheduled for the now-cancelled webinar. Dr. Wallace said there is an opportunity for experiential learning on the topic at pain clinics like his, where medical cannabis is recommended “every day.”

Dr. Wallace has observed that some chronic pain patients arrive at the clinic after having tried and responded negatively to medical marijuana. “Quite often that’s because they have not been using the right formulation or have been using too high a dose,” he said. “We find that a low dose of a strain that combines THC [tetrahydrocannabinol] with CBD [cannabidiol] is most effective, but you won’t find that mentioned in the literature or taught in the classroom.” 

Juno/Hera and the Asterion Plant

Juno by Rembrandt (1665)

The month of June is named for the Roman Goddess Juno, known as Hera in Greek mythology.

Hera's devotees wove garlands made from the asterion plant to adorn her statues as an "offer to divinity," according to the historian Pausanias (Description of Greece 2. 17. 1 - 2). Asterion ("little star"; "river of stars"; "star-like leaf") was one of the ancient names for cannabis, according to the first century C.E. Greek physician Dioscorides,* writes scholar Maugerite Rigoglioso in The Cult of Divine Birth in Ancient Greece. 

While others (Kerenyi) have identified the asterion as "a sort of aster," Rigoglioso counters that the aster's dominant feature, the flower, is not mentioned by Pausanias in describing the asterion plant. In History of Pre-Clusian Botany in Its Relation to Aster botanist Edward Sanford Burgess writes that cannabis sativa was among the plants known as "asterion" to the Greeks "from the division of its somewhat radiate leaves"; it was also known as the "plant of the doves." Pausanias said "the priestesses use it for purifications and for such sacrifices as are secret" and Dioscordes said it was called "sacred herb" in this context. The asterion was "twined to create garlands in accord with the widespread use of cannabis for rope-making in the Greek and Roman worlds," (Butrica 2002, "The Medical use of cannabis among the Greeks and Romans," Journal of Cannabis Therapeutics 2(2): 51-70).

Writings at least as early as the 5th century BCE indicate that the Greeks knew cannabis to be a substance capable of engendering a non-ordinary state of consciousness. The Greek god Dionysus is known today as an alcoholic, but some modern scholars (e.g. Jonathon Ott and Brian Muraresku) think what we call Greek wines used alcohol mainly to make tinctures of psychoactive plants. Some of these infusions are thought to contain hemp, dubbed "potammaugis" by Democritus (c.a. 460 b.c.) and possibly why we call it "pot" to this day.

Will Roseanne Try Medical Marijuana on Her Comeback Season Finale?

UPDATE 9/18 - Roseanne now says her namesake character will be killed off with an opiate overdose on the spinoff "The Conners." That would be fitting since the 14 states with the highest number of painkiller prescriptions per person all went for Trump, who won 80% of the states that have the biggest heroin problem.

Oh, and Elon Musk has also done some Ambien tweeting. 

UPDATE 5/29 - The series has been cancelled by ABC after Barr sent an offensive tweet. She now says she was "Ambien tweeting" and didn't know the target of her tweet was African-American.

The FDA-approved language on bottles of Ambien says it can cause "Abnormal thinking, behavioral changes and complex behaviors: May include 'sleep-driving' and hallucinations." Too bad she didn't use Ambien like Tiger Woods did. At least she didn't crash her car on Ambien, like Patrick Kennedy did (yes, the same one who is now an anti-marijuana campaigner).

UPDATE 5/22 - The episode didn't touch medical marijuana; instead Roseanne is saved, Forrest Gump style, by a flood and federal disaster money. But TV guide predicts her pain problems will be part of the plot next season.

An AARP Magazine interview with Roseanne Barr and John Goodman, who play the TV couple Roseanne and Dan Connor again in this year's wildly watched comeback season, says that the show will have them "making sense of selfies, medical marijuana, rising health care costs and the growing divide between the superrich and the rest of us."

If the show does address cannabis this season, it must do so in its season finale, scheduled for this Tuesday at 8 PM on ABC. Last week's episode set it up perfectly, revealing that Roseanne has been stashing pain pills in secret to deal with a knee problem, for which she hopes to avoid expensive surgery.

Gayle King Outs Oprah, Plans to Try "A Marijuana Cigarette" with Amy Schumer

Gayle King, guesting on The Ellen Show, mimed smoking pot when the subject of Ellen's recent birthday party came up. Turns out the party smelled strongly like pot, and although Ellen said she doesn't like smoking it, she joked that her writers have it on hand. It had come out that Amy Schumer told King at the party that she wants to get her high, and King says she's planning to try it.



King also said she wasn't telling tales out of school when she told Ellen that Oprah "has smoked a little marijuana too."

Miley Cyrus: Marijuana is My First and True Love

UPDATE 12/18: Miley now says her mom got her back into smoking, and that she does it once in a while (but not while working). 

Miley Cyrus, who has famously taken a break from smoking weed, was asked about her hempen hiatus on Jimmy Kimmel's show last night. The exchange went like this:

Kimmel: "You are no longer smoking I understand."

Cyrus: "I want to be, but no."

Kimmel: "Now that it's legal here in California, you've decided...."

Cyrus: "That's the way I...I'm a rebel!"

Kimmel: "Why aren't you smoking anymore?"

Cyrus: "Because I am very focused on what I'm working on right now." (Apparently that's either on designing clothes and shoes for Converse, or being back together with Liam Hemsworth. You can hardly blame her for the latter.)

She raised her hand as though taking an oath when she added:  "I also think it's the most magical, amazing...it's my first and true love. It's just not for me right now at this time in my life, but I'm sure there will be a day I will happily indulge. "

Barbara Graham: "Paying for a life of little sins"?

From the trailer for I Want to Live with Susan Hayward

Susan Hayward won the Best Actress Oscar in 1959 for her portrayal of Tokin' Woman Barbara Graham in I Want 
to Live.

The film opens in a jazz club, where two men smoke pot. Nelson Gidding's screenplay for the opening sequence reads:

A RIBBON OF SMOKE
silver gray whirling sinuously against a black background. As it diffuses and drifts out of frame, more smoke keeps coming. Simultaneously with a crash of modern jazz, a series of stylized shapes and forms appear and disappear....The music is the beat of the beat generation—real cool, cool jazz suggesting sex, speed, marijuana, hipsterism and other miscellaneous kicks. Synchronized with this music, the changing patterns of shape and form are also highly evocative of the fever and the drive, the loneliness and craving, the furies and tenderness—even the rebellion and religion—of BARBARA GRAHAM. 

The Shalala Shuffle: Former HHS Chief "Evolves" on Marijuana

Former US Secretary of Health and Human Services Donna Shalala has become the latest Drug Warrior to "evolve" on marijuana.

Shalala, who is now running for a Congressional seat in Florida, tweeted on 4/20: "Decriminalizing marijuana shouldn't just be a policy priority — but a moral imperative." The tweet links to a page on her website where you can sign up for her campaign, and donate!

Yet, although Shalala once admitted to smoking pot in college in an interview with Diane Sawyer, as H&HS chief in 1996 she stood with Attorney General Janet Reno and Drug "Czar" Barry McCaffrey threatening to revoke doctors' licenses for recommending medical marijuana (a successful civil challenge later backed the government off). "Marijuana is illegal, dangerous, unhealthy and wrong," Shalala said at the time. "It's a one-way ticket to dead-end hopes and dreams."