Anda di halaman 1dari 6

Case Study #6

Leslie Wiley
The Robert B. Miller College
Jim Middleton, Professor
BSRN 340- Pharmacology
March 13, 2015

Marihuana has been a controversial topic for many years. Some say it
should be legalized while others disagree. Certain states within our country
have legalized it, however, at the federal level; marihuana is illegal unless
the citizen has a valid medical marihuana card. Currently in Michigan,
marihuana is illegal and most companies require a drug screening be
completed upon hiring. JF is sixteen years old and carries a medical
marihuana card. She has been trying to find employment and having no
The chemical found on a drug screen for marihuana is delta-9tetrahydrocannabinol (THC). THC is a psychoactive, or mind altering,
chemical that is found in the dried leaves, flowers, stems, and seeds from a
hemp plant called Cannabis sativa. (NIDA, 2014)
There are many reasons for patients to have a medical marihuana
card. The Michigan Medical Marijuana Act defines a qualifying patient as:
a person who has been diagnosed by a physician as having a debilitating
medical condition ( MMMA, no date). There are specific conditions that
qualify such as:

Hepatitis C
Amyotrophic lateral sclerosis (ALS)
Crohns disease
Agitation of Alzheimers disease
Nail patella

A person can also qualify for a card if they have a chronic or debilitation
disease that produces one or more of the following side effects:

Cachexia or wasting syndrome

Severe and chronic pain
Seizures, epilepsy
Severe or persistent muscle spasms (MMMA, no date)

Marinol is a drug that is a man-made form of cannabis, or marihuana.

This drug is used to treat appetite loss in patients with AIDS. It is also
used for severe nausea and vomiting due to chemotherapy. Marinol is
taken orally and comes as a capsule. (, 2014)
A minor is able to get a medical marihuana card. The paperwork is
very lengthy for a minor. It requires an adult, or caregiver, to be
responsible for the marihuana. Two physicians must agree to the
registration for a medical marihuana card for a minor. (,
The process for obtaining a medical marihuana card is pretty simple for
a legal adult. First, the patient must be diagnosed with a medical
condition that would allow the marihuana card. This involves extensive
documentation of the condition by a physician. Once that documentation
is sent in, a physician employed by the state will review the information.
If the patient qualifies, an appointment will be set up for certification. A
fee of $150 is due for the physician visit as this is not covered by

insurance. Once all that is completed, the Michigan department of

community health requires the signed and dated state medical marihuana
application form, physicians certification, caregiver attestation, photo ID,
and a $100 application fee. If all goes well, a card will be issued and
mailed to the patient. (MMMCC, 2013)
I would encourage JF to be upfront with her employment prospects. If
she does in fact have a card of her own, that would have to be presented
to these employers. However, if the card is not hers and she is partaking
in marihuana then she needs to be educated on the risks of this. At
sixteen years old she is seeing that employers frown upon drug use so her
choices that she makes now will follow her throughout life.
Marihuana can increase appetite which can then cause weight gain.
The man-made drug Marinol is used for this reason. Illicit drugs have
compounds that tend to bioaccumulate because of their chemical nature.
These drugs deposit themselves in areas of the body that are rich in fat,
such as adipose tissue. Adipose is not just a store of excess calories and
other unwanted compounds. It is now known that hormones released by
adipose regulate many bodily functions (Cecchini, 2007).

Cecchini, M. (2007). Drug residues store in the body following cessation of
use: Impacts on neuroendocrine balance and behavior-Use of the
Hubbard sauna regimen to remove toxins and restore
health. Medical Hypotheses, 68, 868-879.
Drug Facts: Marijuana. (2014, January). In National Institute on Drug Abuse. Retrieved
March 9, 2015, from
Marinol. (2014, February 4). In Retrieved March 9, 2015, from
Medical Conditions. (n.d.). In The Michigan Medical Marijuana Association.
Retrieved March 9, 2015, from
The Qualification Process for the Michigan Medical Marihuana Program.
(2013). In Michigan Medical Marijuana Certification Center.
Retrieved March 9, 2015, from