Pubdate: Tue, 19 Dec 2006
Source: Helsingin Sanomat International Edition (Finland)
Copyright: 2006, Helsingin Sanomat
Contact:  http://www.helsinki-hs.net/
Details: http://www.mapinc.org/media/1158
Author: Tommi Nieminen
Bookmark: http://www.mapinc.org/mmj.htm (Marijuana - Medicinal)
Bookmark: http://www.mapinc.org/find?232 (Chronic Pain)

AULIS - A MEDICAL CANNABIS USER, BUT NO POTHEAD

Turku Man Becomes Finland's First Legal User of Medicinal Marijuana

The apartment is nothing like a dingy drug den; no yellowed posters 
of hemp leaves, the Grateful Dead, or Haile Selassie adorn the walls.

A wall clock just ticks on one of them.

Aulis is an ordinary-looking 53-year-old man who appears almost shy, 
who lives in an apartment in the centre of Turku. In his refrigerator 
he has a thermos bottle containing the only legal cannabis in Finland.

Aulis takes some of his medical marijuana mixed in tea.  He brews the 
fat-soluble medical pot in the thermos bottle, adding a dollop of 
butter and boiling water to it. The drug, under the name Bedrocan, is 
in an ordinary medicine bottle. It is the same kind of dried plant 
matter as street cannabis. The label on the bottle reads Cannabis 
flos - cannabis blooms.

The container bears the seals of the Dutch Ministry of Health, as 
Bedrocan is produced under state laboratory conditions in The Hague.

Aulis is the only person in Finland entitled to use cannabis as a 
medicine. He was injured in a traffic accident in 2002. He did not 
lose his mobility, but he was left with severe chronic pain in his 
spine and neck.

"A severe toothache is child's play compared to a pain in the spine. 
At one point there was not a single position that I was able to be 
in", he says.

At first, his severe pain was treated with strong opium-based drugs, 
which he used for three years.

"They brought a numb feeling. I don't know if they helped the actual 
pain. The psychological and physical feeling was terrible."

After that, he was prescribed a new generation inflammation pain 
medicine. The product was soon taken off the market, because there 
was evidence that it could cause heart attacks.

He learned about Bedrocan on the Internet in the spring of 2005. The 
effective component is THC, of which a synthetic version, Dronabinol, 
is available. The only natural source is cannabis: marijuana.

Cannabis is an old medicinal plant, which was banned in Finland in the 1960s.

Now medical marijuana is making a comeback. It is used as a 
prescription medicine in Britain, The Netherlands, and Canada for 
conditions ranging from glaucoma, to multiple sclerosis, as well as 
asthma, and severe pain.

However, cannabis is a sensitive subject in Finland.  Aulis is not 
the patient's real name, and he will not allow himself to be 
photographed. "Even my brother called to say aEyour name won't be in 
the paper, will it?'"

Naturally, it is hard to be a pioneer like Aulis. At first he asked 
Finnish doctors for a Bedrocan prescription, but nobody would give 
him one "for fear of being labelled, or penalised". Later he went to 
The Netherlands three times for official cannabis therapy.

Note: he went to a doctor's office - not to a coffee shop for recreational pot.

"For the first time in three years, the pain was under control. I 
felt that I had found a medicine that does not have the dangerous 
side effects that opiates have."

To his aid came the Turku pharmacist Markku Knuutila, who applied for 
special permission to supply Aulis with medicinal cannabis. The 
National Agency for Medicines denied permission. The officials were 
not swayed until the matter was brought before the Turku Administrative Court.

The court ruled in September that the grounds given by the National 
Agency for Medicines for refusing permission were insufficient.

"The decision-makers had forgotten the actual patient.  They started 
to bounce the matter around, and to air their internal 
disagreements", Aulis says.

The system of justice sees Aulis as a criminal. He got a drug 
conviction in 2005 when he brought medicinal cannabis from The 
Netherlands to Finland. The cannabis was stopped by customs at the 
airport. He did not receive any punishment, and he has brought a case 
before the Court of Appeals to have his conviction overturned. "I do 
not feel that I am a drug criminal", he explains.

One of the fears linked with medical cannabis is that the substance 
might be diverted to the illegal market.  "The price of Bedrocan is 
so ridiculous that there is no fear of that. Cannabis on the street 
is much cheaper", says Aulis's lawyer Kai Kuusi.

Aulis pays EUR 12 for a gramme of the medicine, and his daily dose is 
two grammes. He mixes one and a half grammes with tea, and the rest 
he smokes either in a pipe or in a hand-rolled cigarette.

He spends EUR 660 a month on his medicinal marijuana, which is a 
rather large chunk out of the income of a man who lives on a 
disability pension. He is currently negotiating with his insurance 
company and the Social Insurance Institution (KELA) on possible 
compensation for his medicine.

"This process has cost me a hell of a lot - 12,000 euros to be exact. 
If this medicine did not work, I certainly would not have put all of 
my savings into it."

Street cannabis for recreational use is not so very uncommon in 
Finland. According to a fresh report on the drug situation in Finland 
by the National Research and Development Centre for Welfare and 
Health (STAKES), 12 per cent of Finns have tried the drug.

Medicinal cannabis is different, however, even though it does have 
intoxicating effects. Bedrocan is a laboratory medicine produced 
under official control, in which the pharmacological effects are more 
pronounced.

"It can give a relaxed feeling; sleep comes easily. The psychological 
effects are noticeable when smoking it.  When consumed as a beverage, 
the effect is more on the physical side", Aulis says.

Aulis was sold a one-year supply of medical cannabis.  The pharmacy 
administers ten day's worth at a time.  "And that is fine".

Aulis steps into the bathroom, where he smokes half a gramme of 
Bedrocan mixed with tobacco. He has an efficient fan in the bathroom, 
which blows the smoke away.

After all, it would be embarrassing if the sharp smell of the 
medicinal herb were to drift to the neighbour's side. 
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MAP posted-by: Richard Lake