Legitimate patients

A relatively young man hobbles, in good spirits, into a medical marijuana cooperative.  He’s proud of having made it to the co-op today, his new aluminum cane giving him the style, confidence, and stability to find new places to interrogate, explore, and (yes) even to obtain his medicine.  And mirrored windows notwithstanding, this place showed promise: a quiet waiting room, clear instructions for how to fill out the new patient form, and an elegant display of free stickers and fliers.  Maybe at one point these publications were to be found only in head shops and sex toy emporiums, but (today at least) they were just another glossy mound of magazines in just another doctor’s office.

The rest is pretty typical of cooperative practice these days.  The usual forms, the usual friendly-and-knowing eye contact with the man behind the desk, the usual minute of tense conversation while the patient is verified over the internet, the usual moment of unsurprised relief when the clearance is granted and the unmistakable scent of lovingly grown hydroponic cannabis oozes out the open door.

This, the young man told himself, is what a cooperative should look like: a clean glass counter, a well-stocked fridge in the corner, and row after row of tall glass jars containing well-pruned flowers of every shape and shade.  And let’s not forget the genial capped fellow behind the counter.  It’s a good situation.

“What can I get for you?  You’re definitely one of my more legitimate patients–do you mind me asking what the problem is?” He smiled, a look of real compassion of the kind you’d expect in a place like this, and pointed with a single finger at the aluminum cane.

If the patient had had just one more moment to think, one more second to remember where he was and what he was doing in this place, his words would have come out very differently.  But the question was honest, and the genuine look of care on the pharmacist’s face pulled him out of whatever cleverly constructed rhetorical response might have emerged instead.  Instead, he responded thusly:

“Actually, it has nothing to do with this,” gesturing briskly with his free hand to the wavering prosthetic.  “Actually, I’m looking for something good for anxiety and sometimes depression: a hybrid certainly, but indica-dominant.”

But as his eyes and nose surveyed the selection, the fellow’s words continued to echo in the young man’s brain: “You’re definitely one of my more legitimate patients.”  Never before had a human being in this man’s position hailed him in this way.  Not once had a pharmacist, a bartender, a drug store cashier, a hospital administrative assistant, or a drug dealer ever asked what it was that ailed him.  That had always been, if not exactly beside the point, but certainly silent in transactions like this.  The uses to which drugs–or, for that matter, the cane on which our protagonist now leaned–would be put were always a powerfully present absence in such places.

In the politics of psychopharmacology, some of the bad guys are good and some of the good guys are bad.  All is up for grabs when personal technology changes hands in the high-stakes game of drug politics, a more heterogeneous field than we may think.  Articulating the stakes of a politics of psychopharmacology is as much for the benefit of those who resist dominant regimes as for those who refuse to hear what other voices have to say.

Compassion, too, is a fluctuating field.  Not all care is created equal.  A revolution can be done wrong.  These are the thoughts that the young man should have been thinking as he calculated the differences between Cotton Candy Headband, Green Crack, Hindu Kush, and Bubblegum Skunk.  But he was too placed, to certain of his surroundings, too confident that in this liminal space all words spoken would be spoken from the side of Truth.

And that’s when the jolly fellow behind the counter nodded his head and smiled.  “Anxiety, huh?  I know just what you mean: that’s what I use it for.”


3 Responses to “Legitimate patients”  

  1. 1 Kelle Anzalone

    Hey,
    So I found this portion of a blog post of musician Jason Mraz’s blog thefreshnessfactorfivethousand.blogspot.com. I read it and I immediately though of you and your studies. It’s interesting to read his perspective even though its short. Here it is:

    vaqkiddo: what is your stand on legalizing marijuana?

    Marijuana is already one of the largest cash crops in the United States – I would love to see Farmers thrive and not be jailed.

    It would be beneficial for the whole to not spend millions each year incarcerating and rehabilitating growers and users. I think it would actually stimulate the economy to have another taxable good on the market, much like tobacco and alcohol are taxable.

    Marijuana is an awesome herbal remedy for most ailments and should be taken very seriously. Its recreational purposes should not be abused and those committed should clear the space for it, just as you would if you were going to have a 5-hour massage or take LSD. In every case, I think it needs to have an intention for use; a time and place, for spiritual and healing purposes.

    In my opinion, marijuana is NOT a gateway drug. Most people experience this euphoria through alcohol first.

    One in 25 deaths around the world is caused by alcohol consumption, and booze is now as damaging to global health as tobacco was a decade ago, according to a new study in the British medical journal the Lancet. – June 29th, TIME.com

    let me know what you think. TTYL.
    =)

  2. 2 Brad

    Interesting — thanks, Kelle. I can run through it pretty fast:

    1. Huge cash crop? Sure.
    2. Lots of revenue opportunities? Definitely.
    3. An “awesome herbal remedy for most ailments”? Hardly. It works very well for lots of people and for lots of different things, but it’s hardly a miracle drug. Also, using marijuana is not “just like” getting a massage or using LSD. But his point is right on–there have to safe spaces for all kinds of things.
    4. Gateway drug? No. Neither is alcohol. There is no such thing as a drug that in and of itself causes or even predisposes one to going on to other drugs.
    5. It’s true that alcohol is far more dangerous than marijuana, but that’s a terrible reason to argue for legalization. There are plenty of other reasons.

    Thanks!

  3. 3 Annie

    Hey Brad,
    I restumbled upon an article I had read once, and this time thought of you and your drug politics/culture studies. You may have read it.
    http://www.nytimes.com/2007/09/10/health/10pain.html
    Here’s the author, who I just (re) discovered. See his series at the top.
    http://topics.nytimes.com/top/reference/timestopics/people/m/donald_g_jr_mcneil/index.html?inline=nyt-per

    Hope all is well.

    And very interesting post.

    Annie

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