title: Marijuana: a decade and a half later, still a crude drug with underappreciated toxicity.
abstract: In 1984, I published in this journal a review entitled "Marijuana: A Crude Drug With a Spectrum of Underappreciated Toxicity." In the introduction to that article, I disclosed that our son Keith, who was 15 years old at the time, was in a long-term, modified outpatient adolescent drug and alcohol rehabilitation program because he had become dependent on marijuana with its associated behavioral, interpersonal, scholastic, and antisocial problems. Keith and most of his friends had experimented several times with LSD, beer, and several other drugs but never used injection drugs. Marijuana was clearly Keith's drug of choice and the only drug he used with regularity. Approximately 1 year later, Keith graduated from the treatment program. He completed the early aftercare component, relapsed several times, and completed a 4-month refresher drug rehabilitation program in another state. Nine years after admission to the first rehabilitation program, Keith finally attained some adult goals. Now 34 years old, he has been drug-free for 10 years. He is the president and owner of a successful discount cellular phone business that he started. More important, a decade ago, he reestablished an excellent and close relationship with his parents. As far as I can tell, Keith remains drug-free except for an occasional beer.
authors.affiliation: Department of Pediatrics, Inova Fairfax Hospital for Children, Falls Church, Virginia, USA. rhs738@aol.com
authors.forename: Richard H
authors.initials: RH
authors.lastname: Schwartz
mesh_terms: D000293:Adolescent; D000328:Adult; D002188:Cannabis / Q000009:adverse effects*; D013759:Dronabinol / Q000009:adverse effects / Q000494:pharmacology / Q000600:supply & distribution; D004335:Drug and Narcotic Control / Q000331:legislation & jurisprudence; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data; D008297:Male; D002189:Marijuana Abuse / Q000453:epidemiology* / Q000534:rehabilitation; D008569:Memory Disorders / Q000139:chemically induced; D008570:Memory, Short-Term / Q000187:drug effects; D008517:Phytotherapy; D014481:United States / Q000453:epidemiology
chemical_list: D013759:Dronabinol