Marijuana Smoker Norman Smith Booted From Cedars Sinai Hospital Liver Transplant List: Medical Pot Advocates Outraged

Categories: Marijuana

marijuana-bottle.gif
Medical marijuana advocates are getting behind the plight of a cancer patient who says he has been kicked off a liver transplant list at Cedars Sinai Medical Center because he smokes medical marijuana.

The California-based group Americans for Safe Access has sent a letter to the Beverly Hills-adjacent hospital asking that 63-year-old Norman B. Smith be re-listed. It says the medical center is demanding the liver cancer patient abstain from pot smoking for six months before it will consider letting him back on the list.

Patients who are on medical marijuana have to sign a statement agreeing to stop and to submit to random drug tests, according to the center: If a patient doesn't stop or fails tests, he can be kicked off the list.

Cedars spokeswoman Sally Stewart tells the Weekly:

We make no moral or ethical judgement about marijuana usage. Our concern is strictly for the health of our patients.

The center states that patients who smoke pot can be susceptible to the possibly fatal mold Aspergillus, which apparently isn't good at a time when transplants make their immune systems vulnerable.

Other hospitals make patients stop smoking for six months prior to consideration for the list. Cedars does not.

"We want to do liver transplants," Stewart says. "We want to save peoples lives."

Medical pot advocates admit that Smith tested positive for pot use last February and was booted from the list as he was two months away from a possible transplant. They say he needs to be back on it because his cancer has emerged from remission.

The supporters claim that the hospital now wants Smith to take a six-month break from weed -- pot they say his own Cedars doctor has recommended as a remedy for the effects of chemotherapy and back pain.

[Clarification]: Cedars tells us the pot-recommending doctor is not a Cedars employee but does attend to patients there sometimes.

The ASA states:

Dr. Steven D. Colquhoun, the director of Cedars-Sinai's Liver Transplant Program compared Smith's legal medical marijuana use to "substance abuse." In a letter sent to Smith in May, Dr. Colquhoun indicated that the liver transplant center "must consider issues of substance abuse seriously since it does often play a role in the evolution of diseases that may require transplantation, and may adversely impact a new organ after a transplant."

The group is demanding the Cedars change its policy and allow pot smokers to stay on weed while they wait for transplants.

ASA chief counsel Joe Elford:

Denying necessary transplants to medical marijuana patients is the worst kind of discrimination. Cedars-Sinai would not be breaking any laws, federal or otherwise, by granting Norman Smith a liver transplant, and it's certainly the ethical thing to do.

[@dennisjromero/djromero@laweekly.com/@LAWeeklyNews]


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14 comments
malcolmkyle
malcolmkyle

An appeal to all Prohibitionists:

Most of us are aware by now that individuals who use illegal drugs are going to get high, 'no matter what.' So why do you not prefer they acquire them in stores that check IDs and pay taxes? Gifting the market in narcotics to ruthless criminals, foreign terrorists and corrupt law enforcement officials is seriously compromising our future. If you remotely believe that people will one day quit using any of these 'at present' illegal drugs, then you are exhibiting a degree of naivety parallel only with those poor wretches who voluntarily drank the poisoned Kool-Aid in Jonestown.

Even if you cannot stand the thought of people using drugs, there is absolutely nothing you, or any government, can do to stop them. We have spent 40 years and over a trillion dollars on this dangerous farce. Practically everybody is now aware that Prohibition will not suddenly and miraculously start showing different results. So why do you wish to continue with it? Do you actually think you may have something to lose If we were to start basing drug policy on science & logic instead of ignorance, hate and lies? 

Maybe you're a police officer, a prison guard or a local politician. Possibly you're scared of losing employment, overtime-pay, the many kick-backs and those regular fat bribes. But what good will any of that do you once our society has followed Mexico over the dystopian abyss of dismembered bodies, vats of acid and marauding thugs carrying gold-plated AK-47s with leopard-skinned gunstocks? 

Kindly allow us to forgo the next level of your sycophantic prohibition-engendered mayhem. 

Prohibition Prevents Regulation : Legalize, Regulate and Tax!

notta_pot_smoker
notta_pot_smoker

Calling them "pot smokers" just rings as biased.  "Pot" should not be the term used - it is cannabis or marijuana, these are patients on medication.  You aren't saying that this man wants to get "cut up," "go under the knife," and the doctors aren't, "Doc."  There's also a damn good chance that many cannabis patients don't even smoke, they vaporize or consume edibles after learning of healthier alternatives.  Whether you agree with it or not, it shouldn't show through in your article so blatantly.  These aren't pot smokers, they are sick and dying people.

lamedicalmarijuana
lamedicalmarijuana

Sooner or later terminally ill medical marijuana patients will seek vigilante justice possibly using violence

If you take away someones ability to live and treat them like an animal

Don't be surprised if they react like an animal

Some times people like Dr. Steven D. Colquhoun, the director of Cedars-Sinai's Liver Transplant Program have society turn against them in the most vicious of ways

malcolmkyle
malcolmkyle

I've actually heard that idea expressed quite often lately. There must be at least a million people knocking about with a desperate unquenched thirst for restorative justice.

Chas Holman
Chas Holman

Did this doctor take an oath to 'heal' the sick? Part of the Hippocratic oath every doctor takes is   'I will neither give a deadly drug to anybody if asked for it, nor will I make a suggestion to this effect. In purity and holiness I will guard my life and my art.'.

Yet Doctor God of Cedar Sinai has decided cannabis prescribed by another doctor at Cedar is bad, so the man can't have a liver transplant. Yet if he was on oxycontin for the pain, it would very much be eating away and destroying his very real liver, yet he could still have a transplant regardless. 

Whomever made this 'medical' decision for this man, denying him that which they would grant to a him if he were on any host of any coctail of federally accepted dangerous narcotics instead of a mostly benign herb that DOES NOT effect your liver in any which way.

This decision by Cedar was made based on politics and power and has nothing to do with helping the sick.

I am so angry I could spit.. this 'doctor' needs to get out of the medical profession and become a politician or an undertaker like he seems to have much more of an aptitude for.

I mean how the heck does he even sleep at night? It must feel very powerful to be that high on a pedestal where you can make life and death decisions for others based on your personal feelings.

Did I mention one of his professional colleges at Cedar prescribed the cannabis in the first place?

Outrageously screwed up.. where are the voices of the medical profession to say loudly this is not right? I have one of the top orthopedic surgeons in the country, both he and my family doctor of over 40 years are quite pleased I choose to eat cannabis to get some relief rather than the daily morphine that was killing me (and my liver). Inside their office behind closed doors they extol the benefits of eaten cannabis to a guy in my position over some of the worlds most dangerous narcotics (that really were physically killing me) but outside of their office, they are afraid for their very careers lest they stand up to some whacky head doc at Cedar or some 25 yr old cop running 75 yr old grandpa into jail for eating cannabis for a degree of stinking relief the worlds strongest narcotics don't even afford.

Duncan20903
Duncan20903

It's been a long, long time since the practice of administering the Hippocratic Oath was a common event in the nation's medical schools. There are graduates that pay out of their own pockets for private ceremonies, but it's been decades since the medical profession decided that they much prefer the Hypocritic Oath.

Clifton Middleton
Clifton Middleton

This is the disgrace of prohibition, the harm and damage to citizens. The idea that marijuana is a toxic drug and should be a controlled substance is a lie that society requires everyone to accept or be killed.

garciacd
garciacd

If you refuse to work with the program, the program refuses to work with you. This is especially true of marijuana, which has no proven medical value. It's all smoke and mirrors for the pot heads.

malcolmkyle
malcolmkyle

I'm probably not the first person to call you out on your lies, but here goes:

In response to passage of California's medical marijuana law, the White House had the Institute of Medicine (IOM) review the data on marijuana's medical benefits and risks. The IOM concluded, "Nausea, appetite loss, pain and anxiety are all afflictions of wasting, and all can be mitigated by marijuana." The report also added, "we acknowledge that there is no clear alternative for people suffering from chronic conditions that might be relieved by smoking marijuana, such as pain or AIDS wasting." The government's refusal to acknowledge this finding caused co-author John A. Benson to tell the New York Times that the government "loves to ignore our report … they would rather it never happened." Joy, JE, Watson, SJ, and Benson, JA. Marijuana and Medicine: Assessing the Science Base. National Academy Press. 1999. p. 159. See also, Harris, G. FDA Dismisses Medical Benefit From Marijuana. New York Times. Apr. 21, 2006

The following text is taken directly from the US government's National Cancer Institute website: 

* ANTI-TUMOR EFFECTS 

One study in mice and rats suggested that cannabinoids may have a protective effect against the development of certain types of tumors. During this 2-year study, groups of mice and rats were given various doses of THC by gavage. A dose-related decrease in the incidence of hepatic adenoma tumors and hepatocellular carcinoma was observed in the mice. Decreased incidences of benign tumors (polyps and adenomas) in other organs (mammary gland, uterus, pituitary, testis, and pancreas) were also noted in the rats. In another study, delta-9-THC, delta-8-THC, and cannabinol were found to inhibit the growth of Lewis lung adenocarcinoma cells in vitro and in vivo. In addition, other tumors have been shown to be sensitive to cannabinoid-induced growth inhibition.

Cannabinoids may cause antitumor effects by various mechanisms, including induction of cell death, inhibition of cell growth, and inhibition of tumor angiogenesis and metastasis. Cannabinoids appear to kill tumor cells but do not affect their nontransformed counterparts and may even protect them from cell death. These compounds have been shown to induce apoptosis in glioma cells in culture and induce regression of glioma tumors in mice and rats. Cannabinoids protect normal glial cells of astroglial and oligodendroglial lineages from apoptosis mediated by the CB1 receptor. 

In an in vivo model using severe combined immunodeficient mice, subcutaneous tumors were generated by inoculating the animals with cells from human non-small cell lung carcinoma cell lines. Tumor growth was inhibited by 60% in THC-treated mice compared with vehicle-treated control mice. Tumor specimens revealed that THC had antiangiogenic and antiproliferative effects.

* ANTI-INFLAMMATORY EFFECTS

In addition, both plant-derived and endogenous cannabinoids have been studied for anti- inflammatory effects. A mouse study demonstrated that endogenous cannabinoid system signaling is likely to provide intrinsic protection against colonic inflammation. As a result, a hypothesis that phytocannabinoids and endocannabinoids may be useful in the prevention and treatment of colorectal cancer has been developed.

* ANTIVIRAL PROPERTIES

Another study has shown delta-9-THC is a potent and selective antiviral agent against Kaposi sarcoma-associated herpesvirus (KSHV), also known as human herpesvirus 8. The researchers concluded that additional studies on cannabinoids and herpesviruses are warranted, as they may lead to the development of drugs that inhibit the reactivation of these oncogenic viruses. Subsequently, another group of investigators reported increased efficiency of KSHV infection of human dermal microvascular epithelial cells in the presence of low doses of delta-9-THC.

* APPETITE STIMULATOR

Many animal studies have previously demonstrated that delta-9-THC and other cannabinoids have a stimulatory effect on appetite and increase food intake. It is believed that the endogenous cannabinoid system may serve as a regulator of feeding behavior. The endogenous cannabinoid anandamide potently enhances appetite in mice. Moreover, CB1 receptors in the hypothalamus may be involved in the motivational or reward aspects of eating.

* AS A PAIN KILLER

Understanding the mechanism of cannabinoid-induced analgesia has been increased through the study of cannabinoid receptors, endocannabinoids, and synthetic agonists and antagonists. The CB1 receptor is found in both the central nervous system (CNS) and in peripheral nerve terminals. Similar to opioid receptors, increased levels of the CB1 receptor are found in sections of the brain that regulate nociceptive processing. CB2 receptors, located predominantly in peripheral tissue, exist at very low levels in the CNS. With the development of receptor-specific antagonists, additional information about the roles of the receptors and endogenous cannabinoids in the modulation of pain has been obtained.

Duncan20903
Duncan20903

Hogwash, garciacd, hogwash. You didn't even bother to read the article, now did you? But as almost everyone knows, the motto of the Know Nothing prohibitionist is "never let the facts get in the way of disseminating an effective piece of hysterical rhetoric" and it's obvious that you're a strict adherent.

 Sure, this guy faked a bad liver from cancer, and Cedars-Sinai let's your typical pot quack work there treating cancer patients. Tell us another fairy tale willya?

Convenient excuse, that doctor just has privileges, he doesn't really work there. You might look up the common practice of doctors not being employed by the hospitals in which they work.

Say garciacd, I wonder if you know how many malpractice suits have been filed against doctors that have recommended pot in sue happy California since the Compassionate Use Act was passed in 1996? I can't find any evidence of even a single one, and for some unknown reason I'm skeptical that the Know Nothings would keep such an event quiet. So where are all the malpractice suits?

Duncan20903
Duncan20903

Cedars-Sinai "Hospital" is obviously a sham, claiming to be "non-profit" despite having grossed $7.99 billion in revenue in 2010. As Mr. Romero is fond of pointing out, making lots of revenue and claiming to be "non-profit" means that the primary motive is profit, not providing care for "patients" with legitimate medical needs. How many prescriptions for Oxycontin (medicinal heroin) and Desoxyn (medicinal meth) has Cedars-Sinai been selling out of the back door, while scamming the gullible into believing that they're concerned about people's health and well being?

Google: "50 Top Grossing Non-Profit Hospitals in America" +"jaimie oh" to verify revenue reported. Include quotation marks and it should be the first item returned.

Duncan20903
Duncan20903

Cedars-Sinai is a "non-profit" hospital with  $7.22 billion in revenue in 2009.

Obviously, this "hospital" is a sham and has nothing to do with actually providing legitimate medical help to their "patients".

http://www.beckershospitalrevi...

Susan Soares
Susan Soares

I'll bet that some of the policy makers that have decided that medical cannabis patients don't deserve transplants are very religious people. What would Jesus do? Hmm? This is absurd and discrimination.

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