There’s a lot of media coverage of marijuana these days. Across the land, marijuana laws are being revisited and its use is being steadily decriminalized. In many places medical use is allowed, while in Colorado recreational use is legal. So how should Christians deal with this issue?
First, with knowledge. Researchers have found that humans have a system of ‘endocannabinoids,’ chemicals like those in marijuana, made in our bodies, and with appropriate receptors. These chemicals are involved in many things: immunity, craving, bone growth, anxiety, metabolism, pain and pleasure. Using the drug marijuana seems to mimic some of that activity; though to what extent, and for better or worse, we just don’t know for certain.
Particularly because it is considered natural, marijuana is touted by many as a drug that’s just ‘no big deal.’ After all, users are usually (thought not always) calm and relaxed. I admit, in my 20 years as an emergency physician, I’ve had to wrestle a lot of drunks, but almost never have I had to fight or restrain someone using marijuana alone. However, it isn’t that simple. For example, marijuana may play a role in ‘un-masking’ underlying psychotic disorders in people who have the tendency. That is, if your family has a history of schizophrenia, marijuana might allow you to manifest that mental illness. And there are other concerns with marijuana use.
Some evidence suggests that marijuana can lower IQ in developing teenage brains, and can have negative effects on memory and decision making. Is marijuana a ‘gate-way’ drug? That is, does use its use lead people to other, more dangerous drugs? The research isn’t conclusive. Some studies say yes, while advocates for marijuana (of course) say no. However, it’s dangerous enough on its own, as fatal car crashes involving marijuana have trippled in the last decade and the combination of alcohol and marijuana is even perilous.
There are other concerns. The concentration of active chemical in marijuana is believed to be increasing. So we may be entering new, uncharted territory in terms of physical and emotional effects. Marijuana is believed to reduce fertility whether used by men or women. And while the cancer link has been weak, it isn’t zero; more research will be necessary in that area as well.
I understand the arguments; that criminalization of marijuana is expensive, and that its use is often victimless. And to the extent that minorities suffer inordinately from the laws, it’s certainly unfair. But for now, it remains illegal at the federal level. And medically, to this physician, the risks are either too great or too uncertain for anyone to simply say that it’s ‘no big deal.’
But an important question remains regarding marijuana. What need is the drug filling for users? What pain is it easing, physical, psychological or spiritual? What trouble is it soothing? If we answer those questions, then maybe we can reduce its use. Not only by understanding the physiology of the natural chemicals in our bodies, but by helping users to fill their personal voids, to ease their own pain, with Christ, not chemicals.
It’s all too easy to condemn. But we’re called to compassion. And nowhere is it more necessary than in dealing with, and loving, those who use illicit drugs.
Thanks so much Dr. Stoltenberg. I think Christian physicians need one another, for guidance and encouragement in these difficult days. I also hope we can meet someday!
Edwin
Carol Schumacher
9 years ago
Found your address about encouraging young physicians and providing support for them (2012). I was an emergency RN for 25 years in Columbus OH and worked with incredible physicians and nurses, techs and EMS. I consider it the best time of my working life. Now I am a family nurse practitioner in rural OH. I found your words inspiring and can relate to your dedication to providing thoughtful, reasonable and smart patient care. These days I feel like I work with the big black cloud of business overseeing and dictating all that I do. EMR dogs me every day with… Read more »
joel tienstra
8 years ago
Thank god this dangerous drug remains mostly illegal. Thousands of people are overdosing and dying every year from this dangerous and highly addictive drug…. oh wait. Sorry i mixed up my data.
That was 16,651 people who died from pharmaceutical opioid analgesics (in 2010 per the CDC) and.. let me seee… oh. Exactly zero people died from smoking weed.
As a doctor, why would you waste your training and talent, even in a blog, worrying about this most benign of recreational drugs. The data clearly shows that the big problems are tobacco, alcohol, and opioids. All deadly, all legal.
lisa delille bolton rn fnp
8 years ago
Could not agree more both as nurse and as mom. I feel the corporate agenda (aka profits at any/all cost including health & best interests of nations children…) is driving the push for legislation. Which clearly sends a confusing message to teens who think, well, it’s probably sort of ok and then find themselves (if not white and/or rich) arrested.
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Outstanding analysis from a Christian doctor’s point of view, Dr. Leap!
We need more like you in our profession. Hope the Lord allows that I get to shake your hand in person some day.
Dr. Mike Stoltenberg
Medical Oncologist
Henry Ford Hospital
Detroit
Thanks so much Dr. Stoltenberg. I think Christian physicians need one another, for guidance and encouragement in these difficult days. I also hope we can meet someday!
Edwin
Found your address about encouraging young physicians and providing support for them (2012). I was an emergency RN for 25 years in Columbus OH and worked with incredible physicians and nurses, techs and EMS. I consider it the best time of my working life. Now I am a family nurse practitioner in rural OH. I found your words inspiring and can relate to your dedication to providing thoughtful, reasonable and smart patient care. These days I feel like I work with the big black cloud of business overseeing and dictating all that I do. EMR dogs me every day with… Read more »
Thank god this dangerous drug remains mostly illegal. Thousands of people are overdosing and dying every year from this dangerous and highly addictive drug…. oh wait. Sorry i mixed up my data.
That was 16,651 people who died from pharmaceutical opioid analgesics (in 2010 per the CDC) and.. let me seee… oh. Exactly zero people died from smoking weed.
As a doctor, why would you waste your training and talent, even in a blog, worrying about this most benign of recreational drugs. The data clearly shows that the big problems are tobacco, alcohol, and opioids. All deadly, all legal.
Could not agree more both as nurse and as mom. I feel the corporate agenda (aka profits at any/all cost including health & best interests of nations children…) is driving the push for legislation. Which clearly sends a confusing message to teens who think, well, it’s probably sort of ok and then find themselves (if not white and/or rich) arrested.
Kindest regards,
Lisa DeLille Bolton RN FNP