Posts Tagged ‘Royal College Of Physicians’
What Is The Matter With Doctors About The Use Of Cannabis As Medicine?
In the UK, most doctors, and the medical profession as a whole, are ignorant and bigoted about cannabis.
Their ignorance is not entirely their own fault. For 50-odd years, since cannabis tincture was last available from UK pharmacies, they have been subject to the same relentless tide of propaganda from the Home Office, successive governments, the tabloid press and rabble-rousing politicians as the rest of society. Many still regard cannabis as a dangerous drug consumed by degenerates that almost inevitably leads to mental illness. The idea that it could be a safe and effective medicine which offers real benefits in a wide range of conditions is regarded as laughable.
However, there is no excuse for such laziness amongst a profession that regards itself as scientific. And this is the charge – indolence, carelessness and laziness – that needs to be laid at those doctors at NHS England, the Royal College of Physicians and the British Paediatric Neurologists Association, that are responsible for the disgraceful ‘guidelines’ published two weeks ago.
Throughout Europe, Israel, Canada and the USA there are thousands of doctors who have made the effort to learn about cannabinoid medicine. They have had to make extraordinary effort to do because even the most basic science is still rarely taught. The endocannabinoid system is on the syllabus of very few medical schools, anywhere in the world, despite the fact we now know that it is the largest neurotransmitter network in the body and affects almost every aspect of our health and all medical conditions. This is a dreadful indictment of the medical establishment but particularly of doctors in the UK, very few of whom have made any effort at all.
So while, to a degree, the ignorance can be forgiven, the bigotry cannot. It is cowardice. These doctors prefer to cover their own backs, protect themselves and prefer an absurd level of caution to doing what is in their patients’ best interests. The incredibly low risk attached to cannabis in any form, at any age and particularly when under medical supervision, is simply overlooked.
Yes, the medical profession is known to be ‘conservative’ but in the case of cannabis this is an excuse. Yes, we live in an increasingly litigious society but any truly professional doctor would not be cowed by such fear when the evidence is widely available, if they could be bothered to look. And what is this ‘conservatism’ of? Modern medicine is barely a century old. It is new in the history of our species and while the reductionist approach has brought great benefit and made huge advances, it is at the expense of thousands of years of human experience which has been dismissed as valueless.
These doctors may feel that the reforms have been foisted on them with no consultation and little notice but this is not a political game, it affects the lives of millions, from the youngest baby to the oldest, most senior citizens. These doctors are failing in their professional duty. For too long they have enjoyed being regarded with ultimate respect, rarely being questioned or challenged by their patients but those days are gone. Most of the population is now far better informed than ever before, largely because of the internet and although this may cause doctors some problems, they have to learn to live with it. They have to respect their patients, parents and carers and recognise more than ever before that healthcare is about co-operation, about working together. They have to come down from their ivory towers and start delivering truly patient-centred medicine.
The Medical Establishment Shows Its True Colours On Cannabis. A Betrayal of Patients.
NHS England has today published what it describes as prescribing guidance – ‘Cannabis-based products for medicinal use: Guidance to clinicians‘.
The actual guidance is buried within a mountain of bureaucratic doublespeak and requires downloading PDFs from the Royal College of Physicians (download here) and the British Paediatric Neurology Association (download here). In both cases, aside from chemotherapy-induced nausea, the guidance amounts to ‘do not prescribe’. This is a travesty of the intention of these reforms and demonstrates how the medical establishment is more interested in protecting its self-interest than in helping patients gain the benefits of cannabis as medicine. Cowardly and scared are the two words which best sum this up.
It’s no surprise that doctors in the UK are ignorant about the use of cannabis as medicine. They have been subject to the same relentless torrent of reefer madness propaganda from government and media as the rest of society. They have been prevented even from learning about the endocannabinoid system by the authoritarian policy of prohibition and any doctor in the UK who has any experience of cannabis as medicine will have been in breach of professional ethics as well as the law.
But it’s deeply disappointing that the authors of these documents have made no effort to understand the excellent work that is being done by medical professionals in other countries. The Royal College of Physicians and the BPNA will be a laughing stock across the world in the many more enlightened and educated jurisdictions where patients are gaining great benefit. But of course, this isn’t a laughing matter. In fact, these two so-called professional bodies are making it a tragedy.
Clearly, what is in the best interests of patients is that we must bring in expertise from overseas. There are eminent doctors abroad who will be glad to step in, particularly in private practice, and pick up this baton which the NHS has fumbled and dropped in the most clumsy fashion.
This is a huge opportunity for those in private medicine who can set aside these cowardly excuses and make the most of the new regulations for patients who are fortunate enough to be able to afford it.
For the average Briton with chronic pain, Crohn’s Disease or an epilpetic child this is a kick in the teeth from the profession that is supposed to care for them.
A Tale Of Two Conferences
“It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity, it was the season of Light, it was the season of Darkness, it was the spring of hope, it was the winter of despair…”
A Tale Of Two Cities, Charles Dickens.
It was at its best as the brave Clark French and Cure Ukay gave their personal testimonies as medicinal cannabis users at the European Student Drug Policy Reform Conference. It was at its worst when Peter Hitchens confronted me and Sir Ian Gilmore at the University of Bedfordshire “A Ceasefire In The War On Drugs?” debate.
I am so proud to have been associated with both Clark’s and Cure’s contributions at the Manchester conference last weekend. There were tears in the audience as first Clark, who has MS, then Cure, who has Crohn’s, explained the reality of their daily lives and the relief that cannabis provides. The following day, Clark had a relapse and he hobbled to the front to explain, his legs in spasm. He went outside to take his medicine and literally skipped back into the conference hall. It was like watching Christ telling someone to take up his bed and walk. It was intensely moving. It refreshed my enthusiasm. It reignited my rage. They are both warriors for the cause of great courage and dedication. They are my inspiration.
The conference was a worthy and well-organised event. Lembit Opik gave a barnstorming speech which had them whooping and cheering in the aisles. There were fascinating contributions from Sebastian Saville and Niamh Eastwood of Release, Darryl Bickler of the Drug Equality Alliance, Chris Hallam and Tom Lloyd of the International Drug Policy Consortium. There were very practical workshops on campaigning and an engrossing lecture from Chris Rose of Campaign Strategies. I know I’m biased but I think Clark and Cure were the stars of the show!
And so to London on Wednesday evening for the debate at Kings College University, near Waterloo. As I walked into the lecture theatre, there was Peter Hitchens chatting with Sir Ian Gilmore. I marched straight up and introduced myself, explaining to Hitchens that I am responsible for the four Press Complaints Commission complaints that he is currently facing. I enquired after his brother’s health and he gave me a long and detailed explanation about Christopher’s oseophageal cancer. He was extremely courteous to me. I took my seat directly in front of him.
Hitchens spoke first. He is the arch dissembler, presenting facts in such a way that he draws you towards a false conclusion. To be fair, he is a fine speaker but at the heart of his argument is an intellectual vacuum.
Sir Ian Gilmore, ex-president of the Royal College of Physicians went next. He was quiet and dignified and presented a very scientific approach to harm reduction. Finally, Tim Hollis, Chief Constable of Humberside, stood in for David Blunkett. He was an entertaining speaker. I always rather like intelligent policemen. They have a difficult job to do and I think the good ones are very valuable to society.
So to questions…and I was fidgeting in my seat with impatience! I had my go, talked about the harms of prohibition, about taking the more pragmatic approach with a regulated system and the evil injustice of the denial of medicinal cannabis. Right in front of me Hitchens was visibly seething. When I pointed out that his brother is a passionate advocate of medical marijuana he snapped. He pointed at me, glared and shouted “Leave my brother out of it!”.
Steve Rolles from Transform spoke as did Harry Shapiro from Drugscope. Tom Lloyd, who had also spoken in Manchester contributed and there were many other intelligent observations and comments. Hitchens was clearly unhappy.
We went back to the panel and Hitchens was aggressive in his response, gesturing at me and talking of “idiots” and accusing Sir Ian of talking “drivel”. I heckled him. he promised to “deal with you later” with another Alan Sugar-style stab of the finger. Sir Ian was next and he rather politely suggested that “Peter has his head in the sand” – at which Hitchens exploded!
He grabbed his coat and bag and made as if to leave. It was a very deliberate flounce in high dudgeon. Later it was suggested he did it for dramatic effect but no, it made him look foolish. He was flummoxed by the opposition.
The chairman, ex-BBC presenter John Silverman, skillfully restrained him and persuaded him to stay. In his closing statement Hitchens quoted some statistics from Portugal in an effort to disprove that country’s success with decriminalisation. It would be against the rules for me to accuse him of anything more than dissembling but no one in the room recognised any truth in his figures.
It was an entertaining evening and a good opportunity to raise the profile of CLEAR. I’m back next week for another session entitled “How the World’s View of the Drugs ‘war’ is Changing”.