Medical marijuana: a boon & a challenge

When my sister Mimi found that marijuana could relieve her severe gastrointestinal distress, years ago, one joint after dinner was all it took. Unfortunately we couldn’t keep up the supply. After one foray into the rather scary realm of pot-dealing in a state (Georgia) where we could have wound up in jail very quickly, we decided that not even such clear relief was worth the risk.

Today, at least in California and 14 other states — with the District of Columbia possibly to be added soon — the risk is minimal but the dosage is fuzzy. The conundrum was outlined by writer Lena K. Sun in the San Francisco Chronicle:

On Tuesday, District of Columbia officials gave final approval to a bill establishing a legal medical marijuana program. If Congress signs off, D.C. doctors – like their counterparts in 14 states – will be allowed to add pot to therapies they can recommend to certain patients, who will then eat it, smoke it or vaporize it until they decide they are, well, high enough.

The exact dosage and means of delivery – as well as the sometimes perplexing process of obtaining a drug that remains illegal under federal law – will be left largely up to the patient. Doctors say that upends the way they are used to dispensing medication, giving the straitlaced medical establishment a whiff of the freewheeling world of weed.

Even in states where marijuana is allowed for medical use, doctors cannot write prescriptions because of the drug’s status as an illegal substance. Physicians can only recommend it, and have no control over the quality of the drug their patients acquire.

Because there are no uniform standards for medical marijuana, doctors have to rely on the experience of other doctors and their own judgment. That, they say, can lead to abuse.

California’s “quick-in, quick-out mills” that readily hand out recommendations have proliferated, worrying advocates. The state, the first to legalize medical marijuana 14 years ago, allows for a wider range of conditions, including anxiety.

To guard against abuse, some doctors say they recommend marijuana only after patients exhaust other remedies. Some doctors perform drug tests as part of pre-screenings.

Mimi died over a year ago. Her last decades, like almost all of her adult life, were spent in the State of Georgia, where medical marijuana is still against the law. I know what her required dosage was; legalization and proper oversight would allow doctors to learn dosages that work for their patients. It seems worse than cruel that thousands of other sick and dying citizens continue to be denied the potential relief that legalized medical marijuana could bring.

Dispensing medical pot a challenge for doctors.

Texting/phoning drivers meet ghostly end

Call it unfair if you want, but those of us wishing we could get texting/phoning drivers off the road are pulling for Car #1453.

POLICE car No. 1453 drifted along with the afternoon rush, unnoticed and unhurried. Even, perhaps, unfinished.

Car 1453 looks as if it rolled off the assembly line a few minutes too soon, before arriving at the machine that puts the siren on the roof and the colors on the door decals. But this look is the whole point of No. 1453, which is known throughout the Westchester County police department by its catchier nickname: the ghost car.

“Can you see it?” an officer joked, standing in front of the car in the department’s parking lot.

The police hope that the answer among drivers texting or chatting on cellphones, or speeding or driving drunk, is no.

The car, a 2009 Crown Victoria, joined the fleet two months ago. It is not an unmarked police car, but rather a barely visibly marked police car. It bears all the same decals as a regular police car, but they are white, colorless, like the car itself. The markings really are noticeable only upon close inspection — and hardly noticeable at all, the thinking goes, to a driver who is calling in his pizza order.

“You’re seeing more of what the common man sees,” Officer Brian Tierney, 32, said about the advantage the car bestows. “Everyone’s on their best behavior when the teacher’s in the room.”

According to the Governors Highway Safety Association, six states plus the District of Columbia and Virgin Islands currently ban handheld cell phone use while driving, and 19 states plus D.C. and Guam ban texting while driving. Kansas and Alaska are among states currently considering a ban on one or the other. But catching violators, and proving the violation, is another matter.

“It’s really, really, really difficult to enforce that,” said Jonathan Adkins, spokesman for the Governors Highway Safety Association. “You can’t have a law that the public doesn’t support.

“It’s a lot like drunk driving. Twenty years ago, it was hard to do anything about it because it was being done in such wide numbers.”

The goal of the ghost car is to make enforcement less difficult. The department did not want a fully unmarked car, because motorists can become spooked by what may seem to be a fake police officer pulling them over.

The idea came from Officer James O’Meara, 27, who holds a bachelor’s degree in graphic arts and computer design. “I heard about it,” Officer O’Meara said of the car’s white-on-white design, although he could not recall which department was involved. While “low profile” police cars — with no light rack on the roof — are widely used, it is unclear how common ghost cars are.

Uniformed officers drive Westchester’s ghost car, which, while intended to look like a taxi, down to its livery license plate, is clearly a police car when seen close up. “I thought you were a taxi” is commonly heard from drivers.

In case you think texting while driving is just fine, and you yourself are perfectly able to drive safely while doing so, you are invited to try the little game below:

Game: Gauging Your Distraction

This space welcomes your comments on how you did. I’m also open to hearing how you should be entitled to drive while texting or phoning or committing other ridiculous automotive crimes against civility. I’ll just continue to hope you’re not doing them in my ‘hood. We don’t have the ghost car, but maybe we can get one.

In Westchester County, a ‘Ghost’ Police Car Is on Patrol – NYTimes.com.