Pubdate: Sun, 06 Oct 2013 Source: Milford Daily News, The (MA) Copyright: 2013 The Milford Daily News Contact: http://www.milforddailynews.com Details: http://www.mapinc.org/media/2990 Author: Danielle Ameden MEDICAL MARIJUANA: OPEN FOR BUSINESS ALREADY Claire S. has taken heavy painkillers for years to ease the hurt of torn rotator cuffs and ruptured discs in her neck and lower back. Looking for a safer form of relief, the 52-year-old former manicurist traveled from her home on Cape Cod to a Framingham doctor's office last Wednesday, hoping for approval to use medical marijuana. She said her primary care physician supported trying pot to treat the chronic pain that prevents her from vacuuming, lifting and making other kinds of movements. "She said, 'try it - if it works, beautiful,' so I'm praying that this works," said Claire, who didn't want her last name published. As the state continues working to register up to 35 medical marijuana dispensaries in Massachusetts, business is flourishing at CannaMed, the specialty practice Claire visited. Dr. David Getz said people are coming from all over the state seeking "recommendation" letters so they can possess cannabis or even grow it at home before the pot shops open. Meanwhile, cities and towns in MetroWest and the Milford area - and across the state -- are in various stages of enacting local regulations as they grapple with a relatively new law. "This is, of course, all brand-new territory," said Geoff Beckwith, executive director of the Massachusetts Municipal Association. Some communities in the region have enacted temporary bans on dispensaries and are proceeding with caution, while others have opened the door to the medical marijuana industry. Different approaches Citing the strong state and local support for last November's ballot question to legalize medical marijuana, Shrewsbury selectmen recently shot down the idea of a six-month moratorium on dispensaries. Framingham Town Meeting in May rejected a proposed moratorium after one member argued the ban is another example of "reefer madness," referring to a 1930s film about hysteria over marijuana use. Framingham town planners are now trying to settle on boundaries of a medical marijuana overlay zoning district to propose to the fall special Town Meeting later this month. Milford and Franklin both quickly approved zoning changes after the state law passed to allow for medical marijuana businesses in their industrial zones. Franklin Town Administrator Jeff Nutting said the idea was "let's zone it, let's put it in an appropriate place, and it's wait and see." "Sixty-five percent of the people said 'yes,'" he said. "You have to respect the will of the voters." Marlborough and Natick were among the communities to enact moratoriums, giving them more time to draw up zoning regulations on where dispensaries and grow houses can go. With zoning in place, Milford is already dealing with one applicant for a state license. The Planning Board last week was split on Bay State Relief Inc.'s plan to cultivate marijuana in an industrial facility on Commercial Way, closer to a residential zone than the town's bylaw permits. The Zoning Board of Appeals is set to hear the plans on Thursday. Competition for licenses The state, meanwhile, still has its work cut out to register dispensaries - up to five per county. The Department of Public Health last month announced 158 of 181 initial applicants are now eligible to move on to Phase 2, the final stage of the competitive selection process. To advance, applicants must each pay a $30,000 fee. Beckwith's association, the MMA, pored over applications and found proposed dispensary locations fall in 81 or more communities in the state. Of them, 12 applicants are eyeing Framingham, five are looking at Franklin and three are interested in growing and/or selling medical marijuana in Milford. Others are looking at Marlborough, Hudson, Shrewsbury and Bellingham. "It creates a competition within a competition," said David Safaii, a Boston venture capitalist whose nonprofit, 1 Releaf Inc., is vying to open a dispensary in Framingham. Safaii said he brings a lot to the table, including a partner who owns a medical marijuana dispensary in California and is moving to Massachusetts with his head gardener. Having a brother who suffers from Crohn's disease makes the goal of getting permitted personal. "I want to win," he said. Beckwith said community support for proposals should play a key role in the licensing process. "It's in the interest of the developer - those that are seeking the licenses - to go to the community and address every single municipal concern," Beckwith said. Medical marijuana dispensaries or growing facilities could be problematic for neighborhoods, and for economic development, he said. Department of Public Health spokeswoman Anne Roach said Phase 2 applicants will have to show they have local support and can comply with all municipal bylaws and regulations. A selection committee will score proposals based on factors such as geographical distribution, security, appropriateness of the proposed site and ability to meet the health needs of patients, she said. The state is on track to complete Phase 2 by the beginning of next year, Roach said. Shrewsbury officials say they have already met with two hopefuls who are vying for a state license. In Framingham, Town Manager Robert Halpin said he'll lead a small group of town officials that will develop criteria and start evaluating proposals for local dispensaries. "We are neither encouraging or discouraging at this point," Halpin said last week. "The best medicine ever" At CannaMed in Framingham, Dr. Getz gives his patients a standard spiel. He starts off by saying they don't have to sell him on how medical marijuana will help ease their pain. "I know how useful it is medically," he told Claire, the woman from the Cape, and two other patients who sat on folding chairs in a waiting room last Wednesday. Most primary care doctors aren't yet willing to prescribe pot, Getz said. "Doctors are a conservative crew and this is a new law," he said. But Getz, who came out of retirement to take this job, is happy to write a letter of recommendation and issue photo ID cards for patients who bring good records about their diagnoses and treatment. Getz said he mainly sees people who are complaining of chronic pain, gastrointestinal problems and psychiatric disorders, such as anxiety and depression. People who qualify for medical marijuana can smoke it to immediately relieve pain, or eat it cooked in brownies or other types of food for a longer-lasting effect, Getz said. He told the patients to use pot discreetly and in private. The medication could cause sleepiness and people should use caution in driving or operating machinery, he said. "DUI is still DUI," Getz told the group of patients before evaluating them individually. Talia Duci works as CannaMed's office manager but is also a patient. The 31-year-old, who lives in Townsend, said marijuana has really helped with her post-traumatic stress disorder, fibromyalgia, attention deficit disorder, depression and anxiety. "It's just the best medicine ever," she said. "There's no such thing as a side effect -- aside from munchies and sleepiness." Waiting for dispensaries Until shops open, qualifying patients are on their own to find medical marijuana. Getz said the state allows patients to grow their own pot or buy it from a licensed caregiver. While dispensaries are open in Rhode Island, he doesn't recommend Massachusetts residents go there. Getz said he anticipates dispensaries will be open in the Bay State next spring. "Ultimately that's what we're waiting for," CannaMed's regional manager Renee Nunez said. "That's what patients are waiting for." The doctor's office isn't allowed to tell patients how to get marijuana and only suggests they do an online search, Nunez said. Duci said she got lucky and found a caregiver. Prices vary, but patients can expect to pay about $90 for a quarter ounce of pot, she said. Under the law, patients who qualify for recommendations can possess up to 10 ounces, or a generous 60-day supply of dried marijuana, Getz said. Claire, the patient from the Cape, said she hoped to find a caregiver and bake her medicine into brownies. She paid $200 for her appointment with Getz, because she was desperate to try relieving her pain with cannabis instead of heavy narcotics. Puffing on a cigarette outside the medical office, she talked about how her blown and bulging discs put her on Social Security Disability Insurance at 37. "I just want it to work," she said. "The painkillers will kill you." - --- MAP posted-by: Jay Bergstrom