Dr. Karen Randall, an emergency physician of Pueblo, Colorado, sent a letter to the physicians of Vermont. Their state legislature narrowly passed a bill that would legalize marijuana, but it’s hoped that Governor Phil Scott will veto it. There was not enough time to read Dr. Randall’s at a Press Conference on May, 18, 2016. Here’s the contents of that letter:
Firstly, I’d like to thank you all for the opportunity to share some of my experiences as a physician in a region with heavy legal marijuana use.
In 2012, Coloradans voted to pass Colorado Amendment 64 which led to the state-wide legalization of recreational marijuana beginning in January of 2014. Since then, the number of medical and recreational dispensaries in Colorado has grown to more than double the number of McDonald’s and Starbucks combined. While individual counties could and did choose to abstain from allowing recreational marijuana sales, my county, Pueblo, was one of many that embraced Amendment 64 and the projected benefits of recreational legalization, even unofficially rebranding itself the “Napa Valley of Pot”.
This led to an influx of people looking to smoke without the risk of legal consequences and to cash in on the burgeoning “pot economy”. Unfortunately, many of these people arrived only to find that the supply of marijuana-related jobs was far outweighed by the demand, and few had backup plans. Since 2014, Pueblo’s homeless population has tripled, and our low-income housing have occupancy rates of 98% or more. We have seen a drastic increase in the number of homeless camps, and social services and outreach programs are buckling under the strain.
Our medical infrastructure is also reaching critical mass. Out of the 160,000 residents of our community, roughly 115,000 are on Medicaid. As a result, we have been losing primary care providers at an alarming and unsustainable rate. The largest local clinic has been looking to hire 15 new doctors, but has only been able to hire 1 in the past two and a half years. My emergency medical group has been able to fill less than half of our open positions. The average wait time to see a new primary care provider is months with the wait for a specialist even longer, and many primary care physicians in the area are no longer taking new Medicaid patients.
Additionally, the legalization of marijuana has led to normalization of behavior that in my professional opinion is strongly impacting our youth. Despite sales being legally restricted to those ages 21 and over, the Healthy Kids Survey of 2015 shows: 16% of Pueblo High School kids under the age of 13 have tried marijuana, 30% of high school kids had smoked within 30 days of the survey, 64% feel that it would be easy or very easy to get marijuana, and that 6.3 and 6.6% of respondents have used heroin and methamphetamines respectively, compared to 2% for the rest of Colorado. The number of ED visits for cannabis hyperemesis syndrome, accidental
pediatric ingestions, accidental adult ingestions and psychosis have sharply risen. There has been an increase in the number of babies testing positive for marijuana at birth (many internet and dispensaries are now recommending marijuana for nausea in pregnancy).
The potency of marijuana has risen tremendously since legalization, which is also a cause for significant concern. Almost all of what we do know about marijuana is based on studies where the marijuana was 1-3 mg of THC. Currently, dabbing provides 80-90 mg of THC; edibles provide 10 mg THC per bite and are frequently packaged in quantities to total 100 mg of THC. Fortunately, legislation has passed so that edibles must be packaged in safety packages and can no longer be sold as appealing candy gummies, suckers, etc. Currently, law requires that chocolate be labeled with a stamp and dose quantity but it still looks like a chocolate bar to a child.
Ads and claims to the health benefits of marijuana are rampant on the internet with reported cures for almost every ailment, yet there is very little research, if any to support those “health benefits” and frequently people come to the area with a disease process (for instance, Parkinson’s disease) and purchase marijuana. Many of those looking for cures are seniors who are not toleratant to the dosage/strength of the current marijuana being marked and they come to the ED with side effects.
I deeply appreciate having been given a platform to share my experiences with you today, and I strongly encourage the physicians of Vermont to consider the broader medical, economic, and social ramifications of the legalization of marijuana.
Thank you for your attention, Dr. Karen Randall, FAAEM Southern Colorado Emergency Medicine Associates Pueblo Colorado
Dr. Randall presented her experiences at a press conference in Pueblo on October 20, 2016.
The average medical marijuana cardholder in California is a 32-year-old male who uses it for chronic pain. If so many young people have so much chronic pain, it’s tempting to think medical marijuana is for “anyone who can fake an ache,” according to Professor Jon Caulkins of Carnegie Mellon
Two young women who wrote to Parents Opposed to Pot explained their need for medical marijuana to deal with traumatic childhoods. One said it was because her mother had committed suicide, while the other said she had experienced traumatizing sexual abuse.
Using marijuana in order to numb painful feelings, or for getting high, will only mask the underlying emotional pain. In all cases of psychological issues, including PTSD, marijuana works against true healing, no matter how much temporary relief it provides.
21st Century Strategies for Healing
Since pain or disease (dis ease) is imbalance, the body which created the disease can also be the body which heals the disease.
Dr. Libby Stuyt, a professional advisor to Parents Opposed to Pot uses Brain Synchronization Therapy to heal trauma in the body and bad memories. The neuroplasticity of the brain means that even post-traumatic experiences can be weakened or discarded. At the same time, the brain can relearn forgotten neural pathways.
Besides Brain Synchronization Therapy, Dr. Stuyt recommends both EMDR (Eye Movement Desensitization and Recovery) and Biofeedback based on heart rate variability.
Treating Root Causes Rather than Just the Symptoms
The good news is that there are ways to treat PTSD and chronic pain that don’t involve drugs, ways that treat the root causes rather than symptoms. “Medical” marijuana does not provide deep healing.
Medical marijuana is an addiction-for-profit industry which needs new users and promotes long-term use. Habitual users run the risk of becoming psychotic. Like continuous opiate users, they may also develop addiction.
The recent report from National Academy of Science found marijuana can give moderate relief to three medical conditions, pain being one of the conditions. Although the human body has cannabinoid receptors, marijuana’s cannabinoids are foreign to our bodies. They’re not endo-cannabinoids, the body’s natural occurring chemicals, but exo-cannabinoids. With marijuana use over time, THC will replace the cannabinoids associated with joy and happiness.
Therefore, it’s hard to claim THC is truly “natural” for humans.
Mind-body healing solutions are the “natural” solutions, and they cannot be addictive. They offer help for chronic suffering in ways “medical” marijuana and pharmaceutical medicines cannot help.
Marijuana-related suicide is a controversial topic because other websites include commenters who claim marijuana saved their lives. Pot interferes with the reward center of the brain, just like cocaine, alcohol and heroin. So when someone dependent on the drug doesn’t have it, their depression or anxiety becomes stronger than previously. After prolonged use, the brain eventually doesn’t function as well.
For this reason, it’s much wiser to rely on yoga, counseling, walking, and other exercise for depression and anxiety. (Others will say that anti-depressants are safer, although we won’t actually endorse them, and don’t think they’re always necessary.)
Marijuana increases the risk for psychosis more than any other drug. Marijuana is not the panacea the pot industry wants you to believe.
In today’s world, students have huge problems and challenges even if they don’t abuse substances. Marijuana is the most likely drug of abuse for teens. Any substance abuse –marijuana, alcohol, opiates, other drugs or a combination – generally makes the depression more difficult to overcome.
The town of Pueblo, Colorado has had an alarming trend of suicides among its teens, at least five this year. Although local officials link these deaths to bullying, Pueblo is infiltrated with marijuana and other drugs. Dr. Steven Simerville, head of pediatrics at a Pueblo hospital, has spoken about the connection between marijuana and teen suicide. In October, 2016, he said that all but one of teens who attempted suicide had THC in their toxicology reports.
A few years ago studies showed that 28% of all high school students are depressed. There are plenty of reasons for teens to be depressed in this society: hormonal change, social pressure, relationships and academics. The social media adds a layer of complication to the problem with cyber bullying. When a teen becomes an adult, additional challenges emerge, and for some, entry into adulthood is jolting.
Suicide is Increasing Above National Rate in Colorado
The opposite is occurring in Colorado. Suicide rates in Colorado have reached all-time highs, according to a recent report by the Colorado Health Institute. Each one of Colorado’s 21 health regions had a suicide rate higher than the national average.
Those old enough to go into dispensaries can see how the pot industry advertises marijuana to treat depression or anxiety. Dispensaries prey on the vulnerable. For veterans and those without a job, it’s hard to resist.
When the pot industry tells us that “no one ever died from marijuana,” they’re being dishonest. There’s a popular strain of marijuana called Purple Suicide. There’s also a line of vape pens called Suicide Girls, specifically marketed for using honey/hash oil. Makers of the vape pens and marketers of Purple Suicide are onto something: marijuana use increases the suicide risk.
When they assert the numbers of those who die from alcohol each year, please ask who is tracking deaths from marijuana. Maybe it is time for the CDC to start tracking marijuana-related deaths. Please read Part 3, The Common Element.
Drug Policy Alliance, NORML and Marijuana Policy Project are optimistic. They’re huffing and puffing now, having won 7 out of 8 states with marijuana ballots in the November election. They also smirk knowing that President-elect Trump supports states’ rights for marijuana. In 20 or 30 years, they’ll have freedom and no one else really matters. Pot lobbyists don’t explain the real picture. What if the whole country ends up just like Humboldt County?
Humboldt County Leads the Way
The oldest, strongest marijuana culture in the USA is not in Colorado, but in Humboldt County, California. Humboldt, Mendocino County and Trinity County also form this region called the Emerald Triangle. When Sabrina Rubin Erdely set out to write about rape culture for High Times Magazine, she missed the boat by not going to Humboldt County. Instead she wrote a fabricated story about a gang rape at a highly academic East Coast college campus. What an irony that a magazine promoting marijuana legalization for years fails to notice that rape is taking place in its community! There’s politically-motivated denial and deflection, but heavy weed smokers tends to have lots of delusions.
There were 2,000 domestic violence calls in 2015, an increase of 80% over the previous four years.* A routine domestic violence call in December led to a huge bust for guns and weed. Marijuana gained a foothold in Humboldt nearly 50 years ago, and it seems guns and weed are a way of life since that time.
See the video about the ecological damage from illicit marijuana grows
Environmentalists convinced politicians that the logging industry must stop cutting down the redwoods. So the marijuana growers found an opening and they’re clearing out the trees! Aerial views show the redwood forests pockmarked by marijuana grows. It doesn’t seem that High Times and Alternet have caught on to the irony that marijuana green is not environmentally green.
In May of 2008, approximately 1000 of gallons of red diesel overflowed from an indoor marijuana grow’s fuel room into a creek. The marijuana grower had left a valve open when pouring a larger diesel tank into a smaller one. The fuel had spread so far down the rugged stream bed when a neighbor smelled the pungent odor and investigated. He found “20 to 30 pools of red diesel” far below the spill. The environmental cleanup was a massive operation, from damage which rivals the impact of an oil spill in the ocean.
Marijuana and Fire Damages
Fires are frequent throughout California, and marijuana sometimes causes these fires, including hash oil (BHO) explosions. The massive Soberanes fire this summer uncovered several illegal marijuana sites. Marijuana growers may have started the fire.
The true irony is that when recreational marijuana was legalized in Colorado, these home explosions grew more frequent, rather than less. In one week of April 2014, there were four BHO explosions. BHO fires didn’t occur in California before 2010, so liberalizing pot laws and expanding marijuana access created a new problem. (In 2010, pot was decriminalized in California.)
Murders, Suicides and Missing People
If a tv news magazine were to expose the murder, rape and sex trafficking in Humboldt, reporters may be at risk. An investigative journalism report released in September revealed that some trimmigrants and girls end up getting abused or raped. The marijuana apologists mislead by insisting that murders and rapes happen because prohibition forces growers into hiding.
There were at least 22 murders in Humboldt County in 2016. Only 134,000 people live in the county. (Often it’s difficult to distinguish murder from suicide, which occurs at a rate twice the national norm.) Humboldt reported 352 missing people in 2015, more per capita than any other county in the state.
Domestic Violence, DUIs and Humboldt’s Other Problems
Humboldt County district attorney Maggie Fleming sat down for an interview with Paul Mann of the Mad River Union recently. (The entire article is in Lost Coast Outpost.) “We see DUIs all day long in this community …. There are people who are drinking or using prescription meds or smoking marijuana or using methamphetamine or heroin and driving at 2 o’clock in the afternoon. Some of our fatalities are in the middle of the day,” Fleming explained.
She listed multiple factors powering Humboldt crime: high rates of driving while intoxicated; the county’s nightmarish marijuana, drug and alcohol culture; the prevalence of domestic violence and the deep-rooted poverty that inflicts childhood trauma and impairs children’s health, often with lifelong afflictions, including criminal behavior. She definitely sees the crime is a result of the drug culture. Both those with substance abuse problems and those selling drugs for financial gain instigate the crime.
“I see firsthand how marijuana is a social and environmental disaster,” a policeman from the Emerald Triangle wrote to PopPot.org. “Youth access, abuse, transient population moving in to grow or trim, associated criminal behavior all rising.”
“Where there is pot …there are other drugs…..and all the behavior associated with lives less enabled,” he said. “The money isn’t worth the social cost to our world.”
–Emerald Triangle policeman
It’s clear that having a marijuana culture adds to the use of other drugs. Those laid back from smoking too much dope will try amphetamines to get them back up again. It also leads to rampant alcohol abuse, since booze just enhances the effect of the drugs. People think the homelessness problem in Humboldt is caused by mental illness, but one social worker in the area disagrees. He is certain that rampant drug/alcohol abuse precipitates the problem. Politicians in both parties remain clueless of how drug use creates mental health problems. Their ignorance will continue as long as it’s politically incorrect to blame pot for anything.
Seven hundred homeless children without parents or guardians in nearby Mendocino County, also part of California’s “Emerald Triangle” growing region. These street kids sometimes work on the pot farms, but basically no one has ever loved them enough to care for them. They’re likely to become drug users too, and the cycle of multi-generation drug use will continue.
Pueblo is a Warning to Other Places
Four years after Colorado legalized marijuana, the small city of Pueblo is another example of how pot commercialization can destroy life for the residents. “I can no longer allow my 13-year-old to walk the dog, one mother said. There was recently a murder 3 blocks from our house.” Pueblo failed to pass two referendums which would have closed dispensaries and growing sites in the city and county. Some people think of marijuana as an economic panacea for lost jobs in the steel industry. However, it has created a huge increase in the homeless population. Pueblo doctors recently made videos showing the damage marijuana is doing to the health care in the community.
International cartels have moved into Pueblo and bought up property for their marijuana grows. The black market is booming. Russians, Cubans, Argentinians and Cambodians have come to town. Pueblo, Boulder and Denver lead the state in percentage of high school students using pot, but in Pueblo there are more problems. Fully 12% of high school seniors have also used heroin.
Is marijuana growing also going to replace tobacco growing in Kentucky and Tennessee? Will it be a substitute for the coal mines that shut down in West Virginia and Pennsylvania? When policy is driven by knee-jerk reactions without careful planning, chaos follows.
At this time, the United States has more than half of the world’s illicit drug users. Six percent of America’s high school seniors are daily marijuana users. It appears that the legacy of drug use is going to continue creating this problem for America’s children. Humboldt County is the future of our country if we continue to believe marijuana use is perfectly harmless and normal.