Medical Marijuana of Hawaii, by Hawaiian-Pacific Pain and Palliative Care
Summer is almost over. I hope everyone had a healthy and happy summer. :)
CLINIC CLOSURES WILL BE POSTED HERE AS THINGS CHANGE.
We will be closed on Saturday: August 30th and Sept 6th.
On September 6th, I will be presentling a talk at the JABSOM WorkForce Conference in Honolulu.
PLEASE READ THIS ENTIRE PAGE BEFORE CALLING ANY OF OUR NUMBERS OR CONTACTING US. WHEN CONTACTING ME, I WANT TO KNOW YOUR AGE, ISLAND OF RESIDENCE, DIAGNOSIS AND REASON FOR A BLUE CARD; WHY YOU WANT TO USE CANNABIS AS A MEDICINE?
We apologize for any inconvenience. If such exist, contact me so arrangements can be made.
The above number (808) 321-3793 is for information only. It is no longer a scheduling line and is not monitored. The voicemail box is full and I don't listen to them anyways. You can email me or text me for any reason, or call my cell phone to pre-screen only.
ALL CLINICS will be changing the scheduled "BLUE CARD" HOURS soon.
Look for the new hour schedule starting July 12th, 2014
Waimanalo Oahu Office Blue Card hours will be Wednesdays from 12:30 to 4pm, and Saturdays from 8:30 to 10 am. On Wednesday, the gate will close at 3:45 so we can finish on time, unless you make other arrangements with us. We try very hard to be accomodating and flexible. Disabled travelers can be offered a home visit, and should contact me for specifics on how that works. These are shorter Summertime hours, since most patients get or renew their cards during the early part of the year.
TOURISTS: PLEASE READ THE YELLOW HIGHLIGHTED PARAGRAPHS BELOW.
CARDS ARE TAKING AT LEAST 10 to 11 WEEKS NOW. NOT SURE WHAT IS GOING ON AT THE NED. But they are out of the picture starting January 2nd, 2015.
LOST? Maps and directions are found under LOCATIONS: Click on the respective Island map.
When not closed for vacation or otherwise, the hours on Oahu for the Waimanalo clinic are every Wednesday afternoon, and Saturday mornings, every week for renewals and pre-screened new patients. We see people on a first come first serve basis only. You still must bring the $25 money order for the state fee, made out to the DPS or NED. See more information about costs and office visits near the bottom of this page highlighted in PINK.
News: The Hawaii State Legislature is making important changes to the program, as it is transferred to the Dept. of Health. We are excited to work with them to improve the medical cannabis program for the well-being of legitimate patients. The Dept of Health has already shown their good will and intentions of treating patients and providers with respect and dignity. We completely support their efforts. We will continue to keep everyone up to date on the latest news from the legislature!
Dr David Barton is Pain Medicine fellowship trained and board certified by the American Board of Pain Medicine, with extensive prior surgical expertise as a double boarded General Surgeon and Plastic Surgeon. I just may be the only triple boarded surgeon/physican in the world who advocates for the palliative use of cannabis in chronic disease.
I am currently recruiting Veterans with chronic severe pain, with or without PTSD, from combat or service connected injuries for historical research purposes. There are no other limitations or restrictions. Also, we have a group/cohort of patients with seizure conditions. Lastly, I have a special interest in Cancer ( LINK) and End of Life care as well. It is my opinion that ALL cancer and Hospice patients should be on a raw cannabis juicing regimen!! No prescreening is needed for any such patients, with these conditions. Just come in.
FOR TOURISTS or OUT OF STATE GUESTS: Please note that there are NO dispensaries or places to legally buy cannabis anywhere in Hawaii. There is nothing I or any other MD can do to help you be legal while visiting our state. Please read the yellow highlighted paragraph below for more information. We are not a dispensary, nor do we make any connections! (Even if you have cancer and are visiting from Somewhere USA or the World, and beg! Get an exemption letter from the State Narcotics Enforcement Division, the DEA and DOJ, and I will consider it. Don't call me heartless and make insults at me. I AM QUITE THE OPPOSITE)
Also, I tend not to answer calls from non-808 area codes, unless you are on my contact list in my directory, AS MY PHONE NUMBER EXISTS ON THE INTERNET ON OTHER SITES. Otherwise, just email me, or text me. The above number (808) 321-3793 is for information only. It is no longer a scheduling line and is not monitored. Since the scheduling line is on answering mode, you will need to call me on my personal line to talk personally. Just fill out the above registration fields, and an auto-responder letter will include instructions in how to call my cell number. It is best to call me between One P.M. and five P.M, except Wednesdays. (If I am unable to answer, leave a message and I will get back to you as soon as possible in order to get you pre-screened). If you call my cell phone at three in the morning, (and it does happen) THEN I will only think that you are using the medicine inappropriately and question your use of it.
THERE ARE NO DOWNLOADABLE STATE APPLICATION FORMS ON THIS WEBSITE; Neither are there any application forms to be sent in by an online mechanism. The state and I do not accept faxes or pdf copies of the medical forms or application. Original signatures are required. Patients unable to come to the office due to disabiity or illness, or too ill to fill these out at the office, may have the required medical office forms sent to them by email or snail mail if it expedites their visit at the office. The state still requires its $25 money order fee for the license so bring that with you to the clinic. We do not purchase these for you.
Currently qualifying conditions and diseases set by the Legislature are restricted to Malignant Cancer, HIV/AIDS, Glaucoma, Profound Wasting Disorders, Chronic Nausea, Chronic disabling severe Pain of All Sites, Chronic disabling Muscle Spasms (and similar spastic disorders, like even Asthma under certain conditions), Seizure Disorders, Inflammatory Bowel Disorders, Multiple Sclerosis, Chronic Headache, Painful Neuropathies and Fibromyalgia, and Migraines. Also, many war/combat and service related injuries, illnesses and traumas do qualify!
Conditions that DO NOT QUALIFY UNDER HAWAIIAN LAW: Insomnia, Sleep Disorders, and ALL PSYCHIATRIC DISORDERS AND PSYCHOLOGICAL related problems such as Depression, Anxiety, and ADD. There was a legislative bill to allow Post Traumatic Stress Disorder, PTSD, to be a qualifying diagnosis, but it did not get a hearing in the house, in spite of all the combat and service related injuries and traumas experienced by our brave soldiers, who have separated from the military. Please be politically active and voice support for that bill in the next attempt. Mahalos to Sen. Wil Espero of Ewa Beach for introducing and supporting that bill along with all the other compassionate supporters.
My only Oahu office is located in Waimanalo in the Village of Pu'uhonua O Waimanalo. Except for changed Summertime hours as above, I maintain set hours for BLUE CARD evaluations in WAIMANALO ONLY every WEDNESDAY afternoon from about 1:00 PM to 5 PM, and every SATURDAY morning from 9 AM to 12 Noon. I DO NOT set appointments for this clinic and these times. We have not used an appointment system on Oahu for a very long time. They are open and people are seen on a first come first serve basis. Most patients call or contact me beforehand to be pre-screened so that no one's time is wasted. I prefer prescreening by email or texting.
This is a voluntary practice on my part and I have other jobs, so I am limited in my converstion time on the phone. Especially if you are for a renewal and still feel you qualify for the BLUE CARD; JUST COME IN DURING BLUE CARD HOURS, as described below. Also, I have satellite offices on Maui, Kauai, and Molokai. My personal phone contact times are limited generally from 1 pm to 5 pm during the week. At other times, it is hit and miss, but you are free to leave me a voice message.
I am starting to get a lot of inquires by people under the age of thirty years, so let me just post that I rarely authorize "Blue Cards" for patients under the age of thirty, and then, only with a compelling history backed up by sound medical records. Nor will I refer you to those MDs who are less "tight" (to quote one internet blogger). COMBAT OR SERVICE CONNECTED INJURIES TO VETS ARE A SEPARATE ISSUE AND ARE ALWAYS WELCOME!!
Please be politicaly active! If you are not receiving my political "call for action" email letters, starting near the first of every year, write me after signing up by the contact form/fields above. The medical use of cannabis is recognized by Hawaiian state law, thus invaliating the DEA schedule one status. Rescheduling is a high priority, and needed to protect any Hawaiian Dispensary System. We will continue to protect patients' rights in all areas, and especially the right to use all aspects of the safe, contaminant free plant for medical purposes. We insist on safe access for patients through a dispensary system, free from DEA or federal/ law enforcement interference. We support the addition of more diagnoses that are recognized by law.
New Patients: I RECOMMEND FILLING OUT THE CONTACT INORMATION ABOVE AND THEN READING THE AUTO-RESPONDER LETTER FOR CONTACT INFORMATION. MAPS AND DIRECTIONS TO CLINIC SITES ARE FOUND THROUGH THE LOCATION LINKS ABOVE. I PREFER EMAILS OR TEXTING. YOU CAN LEAVE A MESSAGE ON MY PERSONAL CELL NUMBER ONLY. WHEN CONTACTING ME, I WANT TO KNOW YOUR AGE, ISLAND OF RESIDENCE, DIAGNOSIS AND REASON FOR A BLUE CARD. In addition, WHEN COMING TO WAIMANALO, I recommend the use of the SCOUT GPS App in Hawaii, made for Androids and Iphones, as the others don't work well, and can't help you get to the Village. In fact, they usually lead people to the Polo grounds ten miles away! CLICK ON LOCATION LINK FOR MAPS AND DIRECTION TO THE WAIMANALO VILLAGE CLINIC.
THE WAIMANALO OFFICE IS ONLY OPEN FOR HAWAIIAN RESIDENT'S "BLUE CARDS" (RENEWALS AND NEW PATIENTS) EVERY WEDNESDAY AFTERNOON FROM 1 PM TO 5 PM AND SATURDAY MORNING FROM 9 AM TO 12 NOON. WE SEE ALL PATIENTS ON A FIRST COME FIRST SERVE BASIS ONLY. We do not set any appointments. That is the way we do things! This is a calm "peaceful" practice, and rarely are there long waits. If you have to wait, then you can enjoy the peace, serenity, clean air and views of our 60 acre village, nestled against the Ko'olau Range of Mountains
NEW PATIENTS NEED TO BE PRESCREENED BY CONTACTING ME WITH THEIR NAME, AGE AND CONDITION (REASON FOR THE CARD). IN ADDITION, IT WOULD HELP OUT GREATLY IF PEOPLE WOULD TELL ME FROM WHICH ISLAND THEY ARE CONTACTING ME.
IN ADDITION, I RECOMMEND BOTH: 1. FILLING OUT THE CONTACT BOXES ON THIS WEBPAGE AND 2. MAKE AN ACCOUNT WITH US TO THE RIGHT ON THIS PAGE AS WELL. Do not try to send me any of these pages.
MANY HAVE READ ABOUT THE NEW LAWS GOING INTO EFFECT IN JANUARY OF 2015. THEY WILL NOT AFFECT MY PRACTICE IN ANY WAY. We are geared toward the strictist of regulations already.
Please call with an 808 area code phone. Otherwise, text me. I usually will not answer a non 808 number, unless you are an established patient and I put you in my directory. If you still have a mainland cell phone, leave a message with the details as explained above.
IN ADDITION, WEEKLY CLINICS ARE AVAILABLE FOR KAUAI. OTHER ARRANGEMENTS ARE MADE FOR MAUAI AND MOLOKAI THROUGH MALAMA FIRST,LLC. THESE ARE FOR HAWAII RESIDENTS ONLY.
WE SUPPORT THE USE OF TELEHEALTH FOR PATIENT FOLLOW-UP AND RESEARCH PURPOSES. HAWAII HAS VERY GOOD TELEHEALTH LAWS, WHICH ARE BEING GREATLY SUPPORTED BY THE AFFORDABLE CARE ACT (OBAMACARE). IF YOU ARE INTERESTED IN ANY OF OUR CHRONIC PAIN RELATED RESEARCH PROJECTS, PLEASE LET US KNOW.
FOR OUT OF STATE GUESTS (Tourists): Please note that there are NO dispensaries or places to legally buy cannabis anywhere in Hawaii. There is nothing I or any other MD can do to help you be legal while visiting our state. It takes about 8 weeks for residents to get their licenses from the state, and you MUST be a Hawaiian resident to apply. IN HAWAII, THERE ARE NO DOCTOR RECOMMENDATIONS SUCH AS IN CALIFORNIA. THERE ARE NO "SCRIPTS"or such, and there is NOTHING A DOCTOR CAN GIVE YOU OR DO FOR YOU TO BE LEGAL WHILE VISITING. There is only the BLUE CARD LICENSE, which is more like getting a driver's license than a medical prescription. You must be a Hawaiian resident with HI ID, HI Driver's License, or US passport to get a Hawaii Medical Cannabis Card. (Military IDs or other US State IDS are not accepted by the Narcotics Enforcement Division) Cannabis Cards from other states are NOT recognized here, nor are they proof of medical need. There are no places to legally buy medical cannabis anywhere in Hawaii. You have to grow your own here, or have someone else (caregiver) grow it for you. There is no legal mechanism to help you be legal while in possession in Hawaii. Lastly, I do not give legal advice to patients, other than to "obey the law". I do not make connections for anyone ever!! Again, for the third time, there are NO DISPENSARIES on any islands, especially MAUI, inspite of what you may read on the internet. I AM NOT A LAWYER; DO NOT CALL ME AND ASK LEGAL QUESTIONS ABOUT TRAVELING OR SUCH. I WILL NOT ANSWER ANY QUESTIONS WITH LEGAL REPERCUSSIONS!! ((After reading all this, why do you guys keep on calling us?))
FOR RESIDENTS OF HAWAII: Remember, the "Blue Card" is for disabling medical conditions. You must have a legitimate history of this severe medical condition, backed by a reliable medical history. ONE NEEDS TO HAVE A CAUSE AND ITS TREATMENT HISTORY. Although I have been very hesitant to say publicly, the current legal and political situation is such that the "Blue Card" has become somewhat so "cliche" that many State Judges are now requiring a legitimate Medical Physician Statement to back up the "Blue Card" in any legal issue. From my patients' experiences statewide on all the islands, I am getting the impression that the environment has become very difficult and toxic from the fear of the helicopters and local law enforcement. My only solution is to tell everyone to "obey the law", and stay within your legal limits. The ACLU is interested in any case where your civil rights have been violated, such as searches without Warrants. I have and am currently involved with the ACLU on several issues of importance to the medical cannabis program and civil rights. The truth is that the current US administration has unleashed the Federal Prosecutors, who are out to destroy all of the Medical Cannabis programs in all the Legal States. Things are not getting better. They are getting worse! You must become politically active and lend your voice if you hope to preserve the program. You can write anyone of importance politically online which is very easy to do. ( And I do assume that they will read this). In Hawaii, as of July 2013, we won some small victories in the legislature. They gave us a few bones this year, and I will be happy with them, for about as long as my dog is happy with her bones.
In Hawaii, the medical decision to issue a "Blue Card" is being dominated by the political and legal realities of the day. With this in mind, if you call me up and I tell you I can NOT help you, don't get upset and call me names. Just go somehwere else! This is my reply to the 25 year old kid who did! and hung up on me: It is not because you are not helped by the use of medical cannabis for your condition. It is because you have not done your part to satisfy the tenets of the law and the current political realities. Remember, you are NOT in California, Washington State, or Colorado! Hawaii and her judges do not care whether you have cards from any of the legal states. All of my patients are legitimate and we work very hard to keep it that way. I am extremely involved politically with the program at the State level, and I want to see its existence preserved for my Chronic Pain patients. I need this integrity in order to fight for the cause at the state level. If you are unhappy at my decision, you are free to find and consult with any other physician in the state, and on any other island. I am not the final word. I just will not fight for you or spend my resources legitimizing your case.
Our fees are set low to aid Native Hawaiians, THROUGH MALAMA FIRST, not to make a living out of this business. I do not support myself by this business. Anyone can come to see us, but I am not going to spend my time fighting for young people wanting to use it for recreational purposes. That is the bottom line. I am here to protect legitimate chronic pain patients. The political realities are that if you are under the age of thirty, you better be able to defend it as if you were before a judge (Because it just may turn out that way, and I have the experiences of that situation to prove it.) Hawaii is a small state. Every State Judge knows what is going on, and you can be sure that law enforcement has told them that there is widespread abuse and fraud by thousands of young people (whether true or not!) These same local law enforcement agencies along with the state have published propaganda (which I will make available to anyone) claiming that "medical cannabis is not a medicine. It is an addiction". Only the truth can counter act and prevail over such gibberish. You better make sure your doctor has the legitimacy and medical expertise to back up your claims.
Also, please email us with questions about card and application status. You must be a resident of Hawaii with either ID, Driver's License, or US Passport to get a "Blue Card". Out of state residents have NO legal protection in Hawaii. The law allows those Hawaiians with "Blue Cards" to grow seven plants only, and possess up to three ounces at any one time. If you are caught either overgrowing or over possessing, you have NO PROTECTION. Furthermore, you may get your card revoked and never be able to get another again in your whole life!
“It is ILLEGAL for physicians in Hawaii to enable the procurement of Medical Cannabis. Since I maintain US Federal DEA licenses, please do not ask me or my staff about how to get Medical Cannabis”. We are NOT a dispensary. Dispensaries do not exist in Hawaii. The sale of marijuana is illegal in Hawaii under all circumstances. The role of the physician in Hawaii is to establish a true doctor-patient relationship that may lead to documenting for the state application that you have a disabling medical condition that is accepted by law, as established by the Hawaii State Legislature. This leads to the issuance of a State Medical Cannabis License, or "BLUE CARD", by the Narcotics Enforcement Division of the Department of Public Safety, which currently takes about one month. Unlike many other states, the physician can't issue any documents that provide legal protection. The "Blue Card" is the ONLY acceptable legal document recognized in Hawaii, on each and every island.
Our fees continue to remain as low as possible. In fact, we have kept them low for three years now, even though our costs have risen. The renewal fee is $150.00. The new patient office fee is $175.00. The State requires a separate $25 money order be attached to the application as a processing fee. We request that you purchase the money order prior to your office visit and bring it with you to the clinic. These are easily obtained at 7-Eleven or the US Post Offices. They will not accept any other amounts even if made for more than $25. Next January, when the Deptartment of Health takes over, the state fee will be raised to $35. We continue to not charge extra for caregivers card processing as part of the original application. Some places charge as much as an extra $100 or more for the caregiver card. We do charge for changes in caregiver's cards after the original application is processed.
You do not need any intermediate services, promising to "facilitate" the acquisition of your card. I would avoid at all costs those physicians who are "evaluating" patients in hotel rooms or other non-medical places. I would also avoid those providers who come to the Islands for day clinics from other states, once a month or every few months. Some give free evaluations but still charge $250 to "sign and process" the forms. If you are a legitimate patient, there are plenty of Hawaii based physicians to care for your needs on all the islands. It does not take much work to find a provider based here, and to do it right. You must be evaluated by a Narcotics Enforcement Division certified physician, and all legitimate medical doctors will be able to show you their NED certificate.
Also, the scams that I have seen here on Oahu usually are located in facilities that are clearly not medical offices. As well, it would be wise to stay away from those providers who see patients in groups in private homes, hotel rooms, or executive offices, if you want to guarantee that your card will be valid for the entire year. The state regulations are clear that it must be done within the settings of a legitimate medical encounter with the development of a true doctor patient relationship. Some physicians may do otherwise but you do not have to take that risk. Make sure that the program stays legitimate for the benefit of those who truly are in need.
I have heard from a few patients that one provider in Honolulu is promising that he can get the cards to them in 24 hours. I don't know what he is giving them but it is NOT valid. Only the Hawaii Narcotics Enforcement Division (NED) can issue any licenses, and they are currently taking around 8 weeks, which is longer than usual for them of late, but still faster than a few years ago. You are NOT LEGAL until you take possession of the blue card, issued by the State of Hawaii.
All who have come to the Village of Pu`uhonua O Waimanalo have enjoyed the peace and serenity of this country side village, nestled next to the Ko'olau and Olomana Mountains. You will understand why Cameron Crowe filmed part of his current "untitled Hawaii Movie" here last fall. It is a major motion picture to be released this coming Chrstmas Day.
This is a medical political cause for us and the fees barely cover our costs. Part of the fees goes toward promoting Native Hawaiian programs. All peoples are welcome! It is a model of ALOHA for the world!
Soon, one will be able to walk the paths to the ancient lo'is, taro gardens and fish ponds, and learn about Native Hawaiian culture. All have expressed how wonderful a place it is to visit and view the windward side and ocean. There are sacred Heiaus in the village where many have been returned to Hawaii from distant lands, so we consider it sacred. The village is also the personal homes of the residents so please drive slow and be respectful.
All applications, cards, and other NED issues are being handled by our very competent staff, who process the applications and mail the Blue Cards out as quickly as possible and are based in my Waimanalo office. Your charts are based in the Waimanalo office in a secured fashion according to HIPAA guidelines.
IF YOU HAVE NOT RECEIVED YOUR CARD, THEN IT MOST LIKELY MEANS THAT THERE WAS A PROBLEM IN PROCESSING YOUR CARD BECAUSE OF AN APPLICATION ERROR OR ADDRESS PROBLEM, OR AN INCORRECT ADDRESS WAS GIVEN. PLEASE KEEP US UP TO DATE WITH ACCURATE ADDRESSES AS THIS IS A SIGNIFICANT ISSUE IN THE PROCESSING OF CARDS. We will call the state to check on card statusonly after two months since the application was completed and received by us.
All renewals should now plan on being seen in the clinic two months ahead of the expiration date.
We continue to work with the ACLU to preserve and progress the rights of all Hawaiians within the confines of the laws written and passed by the Hawaii State Legislature. The ACLU has been involved in all these issues, and, most recently, even preserved the traditional rights of physicians to visit and care for those home bound patients who use cannabis for their chronic symptoms and disabilities. We all need to appreciate and thank them for their hard work. You can do this by visiting ACLU's Facebook page.
Medical Marijuana of Hawaii is brought to you by Hawaiian Pacific Pain and Palliative Care (HIPPPC.com) While based on Oahu, we have satellite clinics for patients on Kauai and Maui. Currently, arrangements are being made for associated Malama First clinics on other islands.
We offer more than just a signature on your Hawaii Medical Marijuana Program application. At Hawaiian-Pacific Pain and Palliative Care, you will be seen by a board certified Pain Medicine Physician with nearly three decades of clinical experience. Cannabinoid Medicine is serious medicine, and needs to be taken seriously. As recognized by the US National Institutes of Health/ National Cancer Institute: The potential benefits of medicinal Cannabis for people living with cancer include antiemetic effects, appetite stimulation, pain relief, and improved sleep. In the practice of integrative oncology, the health care provider may recommend medicinal Cannabis not only for symptom management but also for its possible direct antitumor effect. Perhaps the greatest application for the medical use of cannabis is in end of life care, where the family must take the responsibility of encouraging this therapy, due to federal limitations in its use by official federally underwritten hospice programs.
Cannabis medicine is a legitimate alternative to the usual traditional medications being prescribed for pain, muscular spasm, and neuropathy. It is safer and more effective than many, if not all, traditional medications used for a variety of conditions. Our goal is to combine traditional non-pill pain medicine therapies with your right to use cannabis in a medicinal fashion. Marijuana can be used legally in Hawaii to treat a variety of other illnesses as well. These are described under Ailments above. There are no medical controversies involving the use of cannabis as a medicine. It is a purely political problem, that requires political pressure and a political solution.
Signed: David J. Barton, MD