Nurses Continuing Education Training – Nov. 19th – Others Welcome Too!

Patients Out of Time will be presenting “The Endocannabinoid System and Cannabis: What Healthcare Professionals Need to Know“. This all day seminar is the perfect opportunity to expand the number of Advance Practice Registered Nurses (APRN) in Hawai‘i who are willing and qualified to certify and renew medical cannabis patients.

The general public, patients, interested individuals, and doctors are also welcome to attend to expand their knowledge of the medical uses of cannabis!

Details below:

Download the PDF file .

http://dpfhi.org/wp-content/uploads/2016/11/Nursing-CEU-One-Page.pdf

 

Time: 10:00 a.m. – 5:00 p.m. [Registration from 9:00 – 10:00 a.m. – drinks and snacks will be available]. Lunch will not be provided.

Location: Hawai‘i Dispensary Alliance, Real Office Centers, 1110 Nu‘uanu Ave. #6, Honolulu, HI. PLEASE NOTE: This venue is not wheelchair-accessible.

Contact Hours: Provider approved by the CA Board of Registered Nursing, Provider #16044, for 6 contact hours

Cost: $100.00 for all attendees until November 18, $120 to register at the door on November 19. A syllabus will be provided for all attendees registering to claim CEU credits.

Description: This timely and provocative seminar will include an overview of cannabis, the various cannabinoids (endogenous, phyto-cannabinoids and pharmaceutical cannabinoid products) and the newly discovered endogenous cannabinoid system (ECS) that is present in all humans. By understanding the ECS, it becomes more clear as to how and why cannabis is a safe and effective medication for a wide array of illnesses and conditions. The healthcare professional’s role in patient care and education regarding the safe use of cannabis, including ingestion methodologies and interactions with prescription opiates, will be discussed. State and federal laws regarding cannabis as medicine will also be presented.

The event will feature:

g43802Presenter: Mary Lynn Mathre, RN, MSN, CARN, is a medical cannabis consultant and addictions nurse consultant, co-founder of Patients Out of Time, and Past President of the American Cannabis Nurses Association.

 

 

g4380Presenter: Wendy Gibson, RN, BSN, a cannabis nurse and ACNA member who is involved in helping shape medical cannabis laws and educating health care professionals in Hawai‘i. She happily serves as the Field Organizer for The Medical Cannabis Coalition of Hawai‘i and The Drug Policy Forum of Hawaii.

g4420Presenter: Stephen P. Pingree, Tax Defense Attorney and Alliance member. Stephen has legal and business experience with the Medical Marijuana (MMJ) law and regulations in the State of Nevada; as well as Federal and other states’ MJ laws and regulations. He is well versed in the Hawai‘i MMJ law (HRS 329D) and DOH MMJ Rules and Regulations.

 

 

Medical Marijuana Dispensary Licenses Issued on 5/20/16

P medical-marijuana

Congratulations to the Winners of the Medical Cannabis Dispensary Licenses! They are:

City and County of Honolulu

 Aloha Green Holdings, Inc., Thomas Wong, Charles Lee

Manoa Botanicals, LLC, Brian Goldstein, Alan Gottlieb

TCG Retro Market 1 LLC dba Cure Oahu, Tan Yan Chen, Colbert Matsumoto, Richard Lim, Kent Walther, Scott Kuioka, Dana Tokioka, Franklin Tokioka, Tobias Martyn, Duane Kurisu

Hawaii County:

Hawaiian Ethos LLC, Shelby Floyd

Lau Ola LLC, Richard Ha, Dylan Shropshire

 

Maui County

Maui Wellness Group LLC, Gregory Park, David Cole

Pono Life Sciences Maui LLC, William Mitchell, Robert Wong, Michael Takano, Racquel Bueno, William Farley, Darrell Lee, Gregory Wood

Kauai County:

 Green Aloha, Ltd., Justin Britt

We know that all of these groups have worked hard to put the applications together and now are working as quickly as possible to put together the grow sites, the manufacturing sites and the dispensary sites. We are hopeful that the first dispensaries will be open by the end of the August. And, we look forward to working with dispensary owners, health care providers, community leaders, patients, families and caregivers to help ensure a smooth roll-out. We hope EVERYONE will participate in helping create supportive educational programs and community outreach.

To learn more about the licensees please read this Civil Beat Article.

To read more about the merit SCORING system and see the scores, check Hawaii Dispensary Alliance postings HERE.

 

Happy New Year — 2016 will be a Big Year for Medical Marijuana Dispensaries

Happy New Year Everyone!  January is going to be a very busy month for the Medical (Cannabis) Marijuana Program in Hawaii.P medical-marijuana  With the passage of HB321, (now referred to as ACT 241), up to 16 Medical Marijuana Dispensaries may be opening this year!! There may be up to 6 dispensaries on Oahu, 4 on Hawaii Island, 4 in Maui County, and 2 on Kauai. This could generate up to 800 jobs, according to an article in the Star Advertiser.

Thank you to everyone who helped to make this a reality.


The Patient Registry will continue to be administered by the Department of Health’s Harm Reduction Services (formerly STD/AIDS prevention) branch. You can sign up for program updates on their website. They succeeded in transferring a paper-based system into an online system, created a way to track statistics as well as a way for law enforcement to verify patient validity, while maintaining patient confidentiality. They reported that in November 2015, they registered 12,630 medical marijuana patients. While initially, registrations were delayed, they report that most of the cards are now being sent out within two weeks. Patients who wish to learn how to create an online application can watch this VIDEO.

The Medical Marijuana Dispensary Program will be Administered by the Department of Health’s Office of Health Care Assurance  (OHCA). They are the people who oversee licensing, surveys & inspections of adult day health centers, ambulatory surgical centers, home health agencies, hospitals, intermediate care facilities for individuals with intellectual disabilities, skilled nursing and intermediate care facilities, and clinical laboratories. Frequently Asked Questions will be published on their website.  Pacific Business News reports that Attorney Margaret “Peggy” Leong, is the new head of the program. Read about the Seed to Sale tracking company, Bio Track THC, chosen by the DOH,  HERE in MJ Headline News.

Time frames for Dispensaries in 2016:

January 11th — Applications will be made available by OHCA.

January 12th to 29th — Applications will be accepted. Panel will begin review & merit scoring.

April 15th — Winners of licenses announced. Growers may begin growing.

July 15th — First Dispensaries may open their doors.


The Interim Administration Rules, HAR 11-850 (published 12/15/15) are available HERE.  The Drug Policy Forum of Hawaii (DPFHI) and the Hawaii Dispensary Alliance (HDA) and legislators presented concerns at an Informational Legislative Briefing, held on December 28, 2015. You can watch the two-hour long briefing HERE thanks to Olelo.


Events to watch for in January:

January 15th (Friday) from 4-5pm–Tune in to the Jeff Davis Radio Show (AM Radio Station 1080 -KWAI) to listen to hosts Wendy Gibson (Field Organizer for The Drug Policy Forum of Hawaii, and Antoinette Lilley (President of Hawaii Dispensary Alliance) talk about medical cannabis in Hawaii.

January 20th Opening Day at the State Capitol.  Always an exciting day and good way to meet your legislators. 

January 30 and 31st — Come to the Hawaii Cannabis Expo at the Blaisdell Center.

Educational Opportunities.  You can learn more about:

* How to participate in Hawaii’s Legislative Process through the Public Access Room (PAR). Watch their videos HERE.  Learn how to write testimony HERE.

* Cannabis and Health Issues by watching the “Medical cannabis Health Summit, a FREE, Online session with 20+ of the world’s top experts, doctors, scientists, and entrepreneurs will deliver ultra-compelling, 22-minute presentations about the most important cannabis and health issues today.

Date: Saturday, January 23– Sunday, January 24 from 9 am – 5 pm, Pacific time. Register soon!

JOIN in the discussion through the Medical Cannabis Coalition of Hawaii’s e-mail newsletter updates and Action Alerts HERE.

Halloween Cannabis Candy Scare Needs Perspective

Regulation is the best way to protect our Keiki.

Last month, two Hawai’i teenagers wound up in an Emergency Room after consuming an illegal product laced with an extremely high concentration of cannabis.

At the time, we put out a statement (below), which still holds true as the story gets recirculated in the run-up to Halloween.

Scares like this tend to crop up at this time of year.  It merits mentioning that in Colorado, which legalized recreational marijuana in 2014, there were ZERO cases of cannabis candy poisoning on Halloween that year.

You may have seen the September 29, 2015 Hawaii News Now video about the Hawai’i teens that wound up in an emergency room after ingesting fruit roll-ups laced with some type of cannabis extract.  Thankfully, the teens had a brief ER stay and are now doing fine.

Here’s what you need to know to complement the report:

  • The product is clearly illegal and intended for recreational purposes.
  • The media report’s reference to“medical marijuana” is spurious. Few, if any, medical marijuana patients would have any interest in this potentially dangerous item.
  • Therefore, as there was no quality assurance in the making of these rolls, it is highly possible that the product contains contaminates such as mold, pesticides or solvent residues.
  • The symptoms like vomiting are expected results of ingesting a high dose of a concentrated substance or a contaminated product.
  • Cannabis has been used medically for decades to treat gastrointestinal conditions such as Crohn’s disease and nausea. However, when used recklessly or recreationally, large amounts of cannabis can cause gastrointestinal problems and more.

Ultimately, this is exactly the type of situation that is more likely to happen when you have no regulation of a market and a total absence of quality control. In addition, a black market like this does not care about our keiki or check IDs.

Next year, Hawai’i will see the opening of its first medical marijuana dispensaries, addressing all of these problems. 

Dispensaries will have tight security and adhere to strict regulations. They will sell only safe and tested products. They WILL check IDs–prohibiting sales to anyone under age 21.

Most importantly, we are glad that the teens received the medical attention they needed and that they recovered from this scary experience. We hope that they will tell their peers about the need to avoid these types of dangerous scams.

To learn more about how to TALK TO TEENS about drugs, please read SAFETY FIRST: A Reality-Based Approach to Teens and Drugs.

Safety First

When Will Hawaii’s Patients Be Able to Buy Medical Marijuana? On PBS

When Will Hawaii’s Patients Be Able to Buy Medical Marijuana?

That was the question answered by panelists on the PBS Insights interactive discussion. INSIGHTS ON PBS HAWAII aired “When Will Hawaii’s Patients Be Able to Buy Medical Marijuana?”on Thursday, April 9, 8:00 pm. This will be rerun on Sunday, April 12 at 2:00 pm.

INSIGHTS ON PBS HAWAII is a live public affairs show. The panelists were: House Representative Della Au Belatti, Pamela Lichty, President of the Drug Policy Forum, Doug Chin , Attorney General, and Alan Shinn, Executive Director of the Coalition for a Drug Free Hawaii.

If you missed it, you can VIEW it by clicking HERE.

If you missed “What’s Next for Marijuana in Hawaii” on Civil Cafe–You can watch it now!

On February 19, 2015 the Civil Cafe panelists answered questions about “What’s Next for Marijuana in Hawaii”. In case you missed it, pop some popcorn and sit back and enjoy two hours of the panel discussion with questions from the audience. The four panelists were:

Senator Will Espero, Wendy Gibson R.N. from the Drug Policy Forum, Alan Shinn from Drug-Free  Hawaii and Capt. Jason Kawabata from HPD’s Narcotics/Vice Division.

Click HERE for the link to Civil Cafe on Olelo.

Civil Cafe Cory Lum photoPhoto by Cory Lum.

Is it really Medicine? A NOT so brief (but interesting) History of Medical Marijuana

If you are a Medical Marijuana (cannabis) patient then you know the answer is “YES” when someone asks “Is marijuana really a medicine?” It’s a question that some people are still asking—so here’s a little background of how marijuana has been used throughout history.

The oldest documented use of marijuana (cannabis) as medicine goes back to about 2900 BC in China.

What about use in the United States?

1652: The British Herbalist Nicholas Culpeper wrote about medical uses for Hemp (the cannabis plant). George Washington did too,  between 1745 and 1775.

1850 to 1937: many patented marijuana preparations were sold in apothecaries (pharmacies).Cannabis Indica as medicine

The Pharmacopoeia

In 1851: Cannabis was included in the United States Pharmacopoeia, the book used to identify and standardize (the then mostly botanical) drugs in medical use.

Marijuana was listed as useful for treatment for numerous afflictions including: neuralgia, alcoholism, opiate addiction, tetanus, typhus, cholera, dysentery, leprosy, incontinence, gout, convulsive disorders, tonsillitis, insanity, and excessive menstrual bleeding.

The supplies (indica flowers) used in making the medicine came mainly from India. These supplies were interrupted by World War I.

1913: the U.S. Department of Agriculture announced it had succeeded in growing domestic cannabis of equal quality to the Indian cannabis. By 1918, about 60,000 pounds were produced annually, from pharmaceutical farms.

1920s through 1940’s: Reefer Madness was born. Driven by industrialists, racists and law enforcement media hype–the public responds with mass hysteria about the dangers of Marijuana to society. Alcohol prohibition ends and Marijuana begins to take its place.

1937: The American Medical Association opposes the passage of the Marihuana (Stamp) Tax Act, which  charged doctors, pharmacists and producers for sales. The required stamps are expensive to buy and only a few are issued, discouraging everyone involved in cannabis sales. Cannabis products disappeared from pharmacy shelves and in 1943 cannabis was removed from the Pharmacopeia.

1964: Dr. Rafael Mechoulam and colleague, Dr. Yehiel Gaoni, identified and synthesized delta-9-tetrahydrocannabinol (THC).

1970: Marijuana becomes illegal and classified alongside heroin as a Schedule I drug—a class of drugs that are considered to have NO medicinal value.

1976: The Federal Governments recognizes that marijuana has medicinal use. The Investigational New Drug (Compassionate Use) Program (IND) is created to allow Robert Randall to use marijuana to treat his glaucoma. Other patients enroll and also receive 300 rolled marijuana cigarettes per month to treat their conditions.

1978: Individual states begin recognizing marijuana as useful medicine. New Mexico becomes the first state to create a medical marijuana program.

1980: Marinol, a synthetic version of THC is fast-tracked as a prescription medicine, primarily for AIDS and cancer patients.

1990sScientists discover two types of Cannabinoid receptors in the human brain (CB1 and CB2 ) which buffer the effects of THC.

1992: Scientists Discover Endocannabinoids –your body’s natural cannabinoid system. The ECS controls central and peripheral nervous system functions, energy intake, processing and storage, the immune response, reproduction and cell fate production system. New era for medical research begins!ECS neurons

1999: The IND program is shut down to new applicants (by President Ronald Reagan) after too many (hundreds of) patients applied. Although officially terminated, the 13 remaining patients continue to receive government-issued marijuana

2000: Hawaii Legislators recognize that marijuana is medicine and create the Medical Marijuana Program.  Qualifying conditions include: cancer, glaucoma, HIV (+) status, chronic or debilitating disease: Severe pain, severe nausea, seizures (epilepsy), severe & persistent muscle spasms (from Multiple Sclerosis or Crohn’s Disease), severe weakness, malnutrition or weight loss (wasting syndrome & cachexia).

2003: The U.S. Department of Health and Human Services receives Cannabinoids Patent (patent (US 6,630,507 B1)  for the therapeutic use of “cannabinoids as antioxidants and neuroprotectants, suggesting it may be useful in the treatment of neurodegenerative diseases such as Alzheimer’s disease.”

TODAY (2015): MANY MEDICAL PRACTICES INCLUDE

MARIJUANA AS A MEDICINE

In Israel, cannabis therapy is incorporated into clinical, hospital, and nursing home settings. In Canada, physicians can approve a specific amount of cannabis for their patients which is delivered to their home. There are TEN PHARMACEUTICAL drugs based on chemicals found in the cannabis plant.

In the United States: 23 States have medical marijuana programs. The Department of Health assumed administration of Hawaii’s Medical Marijuana program, making improvements immediately.

Health Care Professionals are attempting to educate other Health Care Professionals and Patients. This includes the work of the  Society of Cannabis Clinicians, the American Cannabis Nursing Association, and the United Patients Group.

So, NOW if anybody still wonders if you think that Marijuana is really medicine—please tell them that this question was answered a very LONG time AGO…. and please help them find educational resources (like this article).