As the feds crack down on opioid prescriptions, patients are taking their own lives, doctors are losing their jobs and overdose rates continue unabated.

The Government’s Solution To The Opioid     Crisis Feels Like A War To Pain Patients

By Art Levine

Meredith Lawrence's late husband died by suicide after his opioid pain prescription was severely restricted.

Jay Lawrence, an energetic truck driver in his late 30s, was driving a semitrailer across a bridge when the brakes failed. To avoid plowing into the car in front of him, he swerved sideways and slammed the truck into a wall, fracturing his back. For more than 25 years, he struggled with the resulting pain. But for most of that time, he managed to avoid opioid painkillers.

In 2006, his legs suddenly collapsed beneath him, due to a complex web of neurological factors related to his spinal cord injury. He underwent multiple surgeries and tried many medications to alleviate his pain.

The next year, he began to experience some semblance of relief when his doctor prescribed morphine, one of a class of opioid drugs. By 2012, he was taking 120 milligrams per day.

But this isn’t a story about opioid addiction. Lawrence managed a relatively productive, happy life on the medication for the better part of 10 years.

“This isn’t the life I thought I’d have,” he told his wife, Meredith Lawrence, in December 2016. “But I’m all right.”

Living on disability payments, he could still walk around their two-bedroom trailer home using his cane, take a shower on his own and, on his good days, even help his wife make breakfast.

Then, in early 2017, the pain clinic where he was a patient adopted a strict new policy, part of a wide-ranging national effort to respond to the increase in opioid overdose deaths. 

Citing 2016 guidelines from the U.S. Centers for Disease Control and Prevention, her husband’s doctor abruptly cut his daily dose by roughly 25 percent to 90 mg, Meredith Lawrence said. That was the maximum dose the CDC recommends, though does not mandate, for first-time opioid patients. 

The doctor also told Jay Lawrence that the plan was to lower his dose to 45 mg over the next two months, a cutback of more than 60 percent from what he had been taking.

At the end of that traumatic visit, his wife said, Jay Lawrence’s doctor dismissed their concerns and shared his own fear about losing his license if he continued to prescribe high doses of opioids. (When HuffPost followed up, the doctor declined to comment on the case, citing patient privacy.)

For a month, Lawrence suffered on the 90 mg dose. At times, his pain was so bad that he needed help to get out of the recliner, and when his wife looked over, she sometimes saw tears streaming down his face.

He dreaded his next appointment when his dose would be slashed to 60 mg. In the weeks before that scheduled visit on March 2, 2017, Lawrence came up with a plan.

On the day of his appointment, on the same bench in the Hendersonville, Tennessee, park where the Lawrences had recently renewed their wedding vows, the 58-year-old man gripped his wife’s hand and killed himself with a gun.

Meredith Lawrence sits in the living room of the home in Gainesville, Georgia, that she bought after her husband's death

Dustin Chambers for HuffPost Meredith Lawrence sits in the living room of the home in Gainesville, Georgia, that she bought after her husband’s death.

There are at least nine million chronic pain patients in the United States who take opioid painkillers on a long-term basis. As law enforcement and medical regulatory bodies try to curb the explosion in opioid deaths and the rise in illegal opioid use, they have focused on reducing the overall opioid supply, whether or not the drugs are provided by prescription. 

There’s mounting evidence this won’t work ― that curbing patient access to legal prescription opioids does not stem the rate of overdoses caused primarily by illegal drugs ― and that patients are being denied desperately needed relief. There are also troubling indicators that cutting back on opioids increases the risk of suicide among those with chronic pain.

Some chronic pain patients and advocates have even begun compiling lists of individuals they know who have died by suicide after they were no longer able to treat their pain with opioid medication.

“There is no doubt in my mind that forcibly stopping opioids can destabilize some of the most vulnerable people in America,” said Dr. Stefan Kertesz, a professor of medicine and an addiction researcher at the University of Alabama at Birmingham. “And the outcomes for those folks include suicide, overdose and falling apart medically.”

I mean, people need to take some aspirin sometimes and tough it out a little. Attorney General Jeff Sessions

For a decade or so, government officials in the U.S. have sought to drive down the opioid supply through a range of tactics ― from increased seizures of diverted opioid medications to state crackdowns on “pill mills.” The Trump administration has embraced the hard-line approach.

In late January, Attorney General Jeff Sessions announced a “surge” in Drug Enforcement Administration activity targeting pharmacies and physicians that, in the agency’s view, oversupply opioids. In February, the Justice Department doubled down with the announcement of a new task force that would focus on manufacturers and distributors of opioids. In March, President Donald Trump unveiled a plan to lower opioid prescriptions by a third within three years. And in late June, the federal government arrested 600 people, including 165 medical professionals, for allegedly participating in $2 billion worth of fraud schemes involving opioids.

The Trump administration’s efforts are dramatic even within the context of the CDC’s opioid dose guidelines. The guidelines were originally intended to advise primary care physicians treating chronic pain patients and other pain sufferers. They were urged to exercise caution in prescribing opioids, to use alternatives whenever possible and to prescribe daily doses of no more than 90 morphine milligram equivalents (MME) for new opioid users.

For pain patients like Jay Lawrence who had already been on opioids for years, however, the guidelines simply recommended regularly assessing the harms and benefits of the dosage. They didn’t advise either mandatory cutoffs or any set limits. (The Tennessee Department of Health’s guidelines would also have allowed Lawrence to stay at 120 mg of morphine when prescribed by a pain specialist.)

But “the CDC guidelines have been weaponized,” said Kertesz. The ramped-up enforcement by the DEA and state regulators has led some doctors to choose caution and to overcorrect in their prescribing, lest they lose their ability to practice medicine at all. Kertesz decried these policies as “simplistic” in a definitive new article published last week in the journal Addiction.

In February, Sessions struck a particularly harsh tone by suggesting that the fate of chronic pain patients was not high on his list of concerns. “I am operating on the assumption that this country prescribes too many opioids,” the attorney general said. “I mean, people need to take some aspirin sometimes and tough it out a little.”

Attitudes like that are based on a series of mistaken assumptions about pain, according to Dr. Thomas Kline, a North Carolina-based family practitioner and former Harvard Medical School program administrator. Kline regularly updates a list of pain patients, published on Medium, who’ve killed themselves in the wake of draconian restrictions on pain medication.

“I ask people to imagine the very worst pain they’ve ever experienced in their lives,” Kline said. “And then that they’re denied relief by a doctor with the one medicine proven effective for pain control for 50 centuries.” (Historical records show that people in ancient Mesopotamia cultivated the poppy plant for medical use.)

The CDC guidelines have been weaponized. Dr. Stefan Kertesz

The government’s aggressive focus on doctors and patients is unlikely to address the very real menace of opioid-use disorders and sharply escalating overdose deaths. Fraud ― driven by pharmaceutical company policies ― and diversion ― the phenomenon of prescription medications being sold as street drugs ― initially spurred a wave of opioid abuse in the late 1990s, as some doctors turned their practices into pill mills. But new reports by the CDC and a drug data firm, the IQVIA Institute for Human Data Science, suggest that prescription drugs play a much smaller role in today’s crisis.

The reports show that total opioid prescriptions dropped 10 percent in 2017 ― the sharpest annual decline in such prescribing in 25 years. While opioid prescriptions peaked back in 2010, the studies found that growth rates in opioid-linked deaths, overwhelmingly due to illegal fentanyl and heroin, have skyrocketed in the last seven years.

Indeed, although two-thirds of the 64,000 overall drug overdose fatalities were linked to opioids in 2016 ― the most recent year for which there is data ― more than 80 percent of those opioid drug deaths came from illegal street drugs such as heroin and fentanyl. Prescription opioid drug deaths alone ― excluding methadone ― amounted to less than 15 percent of all drug overdose deaths, or about 9,500 fatalities.

Still, the CDC’s guidelines have triggered restrictive laws in at least 23 states that mandate ceilings on opioid dosage. (Oregon, in fact, is moving to taper dosages down to zero for all Medicaid chronic patients over a year.) That makes relief less attainable for pain patients and threatens the practices of doctors who treat them. These laws have been augmented by the growth of state prescription monitoring programs that use the software NarxCare, which is designed to flag addiction but can also rope in pain patients based on their prescription history and use of multiple doctors.

And in June, the House of Representatives passed over 50 bills that would establish dramatic new restrictions on opioid prescribing, eliciting alarm among patients and some disability rights groups.

The side effects of the current enforcement efforts are disturbing enough, from patients denied relief to drug shortages to suicides.

No health agency has kept track of all pain-related suicides that may be linked to doctors cutting back on prescriptions. But some preliminary findings from Department of Veterans Affairs researchers indicate that VA pain patients deprived of opioids were two to four times more likely to die by suicide in the first three months after they were cut off, compared to those who remained on their pain medications.

“To protect people, you have to take care of the patient, not the pill count,” said Kertesz, who worked on the VA’s April 2017 study but spoke to HuffPost only as an independent researcher. “The findings suggest that the discontinuation of opioids doesn’t necessarily assure a safer patient.”

Even terminally ill cancer patients are increasingly getting less relief, and there are growing shortages of injectable opioids at local hospitals and hospices, spurred in part by DEA-ordered reductions in opioid manufacturing quotas.

Leah Ilten, a 53-year-old physical therapist who lives in Kennewick, Washington, told HuffPost that as her 86-year-old father lay dying of pancreatic cancer in a hospice, the medical staff ignored her pleas to provide appropriate opioid pain relief, even cutting his dosage in half on the last day of his life. A few days earlier, when he was in the hospital, one nurse explained to her that opioids could lead to an overdose or could potentially cause the man, who lay moaning in pain, to “get addicted.”

“I was horrified,” Ilten said.

In mid-April, the DEA responded to the injectable opioid shortage by lifting production quotas. An agency spokesman told HuffPost that it was “a manufacturers’ problem, not the quotas,” while asserting that progress is being made.

There have been production issues, including Pfizer’s foul-ups with a plant in Kansas. But the DEA’s delay in taking action ― shortfalls were flagged in February in a letter from the American Society of Anesthesiologists and other health groups ― definitely contributed to the shortage, according to Dr. James Grant, president of the ASA. He told HuffPost that quotas were among the factors creating the crisis.

I’m not willing to go back to the state I was in before I started treatment. Anne Fuqua

Faced with the hardline national crackdown on opioid prescriptions, people with chronic pain are trying to raise awareness of the suffering caused by the loss of medications. Some are gathering the names of those patients who ended up taking their own lives, both as a memorial to those who died and as a protest against the health establishment that has seemingly abandoned them. Others are seeking comfort from each other on social media.

Lelena Peacock, who declined to name her southeastern city of residence for fear of retaliation from doctors, is struggling with how to treat the pain associated with fibromyalgia. The 45-year-old found that her social media posts drew other pain patients who turned to her for help.

By her own count, Peacock has thus far convinced more than 70 chronic pain patients to call 911 or suicide prevention hotlines instead of killing themselves.

For Anne Fuqua, a 37-year-old former nurse from Birmingham, Alabama, the motivation for compiling a list of chronic pain-related suicides is to track the damage done by what she sees as policies that have left people like her behind. 

“There’s so many people who have died,” she said. “We have to remember them.”

Fuqua has an incurable neurological illness known as primary generalized dystonia that causes Parkinson’s-like involuntary movements and painful muscle spasms. She started taking about 60 mg of Oxycontin a day in 2000. Her doctor began to limit her access to high doses of opioids in 2014, the same year she started chronicling those friends who had killed themselves or otherwise died after being denied pain medications. Her informal list is now up to roughly 150 people, augmented by lists that other pain patient advocates have compiled.

On July 9, Fuqua joined other chronic pain patients at a meeting at the Food and Drug Administration campus in Maryland to express their fears and outrage at the cutbacks. Sitting in the front row in her wheelchair, she told FDA officials about that list and declared, “I’m not willing to go back to the state I was in before I started treatment.”

Anne Fuqua needs exceptionally high doses to manage her pain because of opioid malabsorption.

Courtesy of Anne Fuqua Anne Fuqua needs exceptionally high doses to manage her pain because of opioid malabsorption.

Fuqua’s own difficulties are compounded by the fact that her body does not respond to even large doses of opioids the way others do ― she suffers from severe malabsorption that hampers her ability to benefit from everything from opioids to vitamin D. Since 2012, she has relied on a strikingly high daily regimen of 1,000 MME of opioids, including fentanyl patches, to manage her pain.

But her physician, Dr. Forrest Tennant, was driven to retire this year after a DEA raid and investigation. The Los Angeles-area physician mailed her a final series of prescriptions, which will run out at the end of July.

“It’s terrifying,” she said looking at her future. “If these were people who had asthma or diabetes and weren’t stigmatized because of opioids, this wouldn’t be allowed to happen.”

Another doctor has quietly stepped forward to continue treatment for Tennant’s remaining patients, Fuqua said, although there’s no assurance that this physician won’t also be investigated in the future.

If these were people who had asthma or diabetes and weren’t stigmatized because of opioids, this wouldn’t be allowed to happen. Anne Fuqua

The raid on Tennant’s home and office last November illustrates the hard-line regulatory and enforcement approach that critics say doesn’t distinguish between pill-mill doctors who deserve to be shut down and legitimate pain doctors who use high-dosage opioids. The wide-ranging search warrant served to Tennant essentially accused him of drug trafficking even though he’d earned a national reputation for deft treatment of ― and research about ― pain patients.

“He’s highly respected and prominent in pain management,” said Jeffrey Fudin, a clinical pharmacy specialist who heads the pain pharmacy program at the Albany Stratton VA Medical Center in Albany, New York, and serves as an associate professor at the Albany College of Pharmacy and Health Sciences. “Most of his patients had no other options, and they came from around the country to see him.”

Tennant was known for taking on difficult-to-treat patients, including those suffering from pain as a result of botched surgeries and other forms of malpractice. His research included innovations in the use of hormones to alleviate pain and lower opioid use up to 40 percent, as well as work on genetic testing for enzyme system defects that lead to opioid malabsorption.

“The DEA can trigger an investigation every time they misapply the CDC guidelines without paying attention to the population the physician treats or issues of medical necessity,” said Terri Lewis, a patient advocate and a Ph.D. clinical rehabilitation specialist with Southern Illinois University who trains clinicians on how to manage seriously ill patients with incurable pain.

Special Agent Timothy Massino, a spokesperson for the DEA’s Los Angeles division, declined to comment on the agency’s approach to Tennant. “It’s an ongoing investigation,” he noted.

Tennant’s isn’t alone. Physicians must now balance their prescribing obligations to their patients with legitimate fear for their livelihoods.

DEA enforcement actions against doctors have risen some 500 percent in recent years ― from 88 in 2011 to 449 last year, according to an analysis of the comprehensive National Practitioners Data Bank by Tony Yang, a professor of health policy at George Washington University. Even though that’s a relatively small number of arrests compared to the roughly one million physicians in the country, such arrests can have an outsized impact.

“They make big news, and they serve as a deterrent for physicians whose specialties require them to use a lot of pain medications,” Yang said. “It makes them think twice before prescribing opioids.”

Meredith Lawrence shows the tattoo she got after her husband'€™s death. The bluejay represents her husband, Jay; a cup of cof

Dustin Chambers for HuffPost Meredith Lawrence shows the tattoo she got after her husband’€™s death. The bluejay represents her husband, Jay; a cup of coffee is the way she loves to start her day; and the quote is “Sail away with me, what will be will be.”

Dr. Mark Ibsen of Helena, Montana, found himself in a five-year battle against the state licensing board that’s still not over ― even though a judge last month reversed the board’s decision to suspend his license because of due process violations. The court has remanded the case back to the licensing board for potential further investigation of his opioid prescriptions, but Ibsen has decided he won’t resume his medical practice.

That’s bad news for Montana, which has the highest rate of suicide in the country, according to the CDC. What’s more, chronic pain-related illnesses account for 35 percent of all the state’s suicides, as a recent state health department study found.

In the course of his fight with the medical board, the 63-year-old doctor said three of his former chronic pain patients have killed themselves after he and other doctors stopped prescribing opioids. The first of those patients died shortly after attending a hearing to show his support for Ibsen.

The deaths of pain patients haunt those who treated them and loved them. Meredith Lawrence, who sat with her husband to the very end, said, “It was as horrifying as anything you can imagine.”

“But I had the choice to help him or find him dead someday when I came home,” she added.

Lawrence was arrested and sentenced to a year’s probation for assisting a suicide. Now her goal is to fight restrictions on opioid prescriptions.

“If we don’t stand up, more people will die like my husband.”

If you or someone you know needs help, call 1-800-273-8255 for the National Suicide Prevention Lifeline. You can also text HOME to 741-741 for free, 24-hour support from the Crisis Text Line. Outside of the U.S., please visit the International Association for Suicide Prevention for a database of resources.

Art Levine is the author of Mental Health, Inc: How Corruption, Lax Oversight, and Failed Reforms Endanger Our Most Vulnerable Citizens.

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That study isn’t without flaws. Veterans die by suicide at higher rates than average ― currently accounting for 20 suicide deaths a day ― so they are not a nationally representative sample. And the VA study, which was released at a national opioid summit in early April, has not yet been submitted for peer review.

But another study, published last year in the peer-reviewed journal General Hospital Psychiatry, looked at nearly 600 veterans who in 2012 were cut off from dosages after long-term opioid use and found similar results. Twelve percent of the vets showed suicidal ideation or took violent action to harm themselves ― a rate nearly 300 percent higher than the overall veterans community.

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Hemp is ‘the next big thing’ in pain management as growth and research expand in Ky.

By Beth Warren Louisville Courier Journal

To some it seems taboo. But a nationally renowned pain doctor says a four-letter word can ease aches and anxiety without the risk of addiction: H-E-M-P.

“It’s gonna be the next big thing,” said Dr. James Patrick Murphy, a former president of the Greater Louisville Medical Society who treats patients in Kentucky and Indiana.

Hemp won’t alleviate acute pain, Murphy said, but it can lessen more moderate pain — allowing some patients to reduce or stop taking addictive pain pills that fuel the heroin and opioid epidemic.

With Louisville losing an average of one person a day to drug overdoses, doctors and patients are scrambling to find safer ways to treat pain.

The U.S. Food and Drug Administration hasn’t approved hemp products for use as medicine, and clinical trials on cannabinoids or CBD oil — extracted from the hemp flower —are pending. But Murphy and other doctors seethe oil as a promising option, and many people who are trying it for themselves say it works.

“People are coming in using this stuff,” Murphy said. “We have to learn about it.”

CBD oil has been credited with significantly reducing the severity of violent and potentially deadly epileptic seizures — especially in children.And hemp seeds are considered a “superfood,” rich in omegas and protein.

Yet the hemp plant is often confused and dismissed as a forbidden relative of marijuana.

“Cheers” actor Woody Harrelson grabbed national attention in June 1996 by planting four hemp seeds in Eastern Kentucky on a Lee County farm. His arrest was a stunt to highlight the difference between pot and hemp.

Both are the same plant species, Cannabis sativa. And they have the same pointy leafs and pungent scent. But hemp has a breadth of uses and a negligible amount of the mind-altering ingredient THC.

“Cars can run on hemp oil,” the actor wrote in a letter published in Courier Journal after his arrest. “Environmentally friendly detergents, plastics, paints, varnishes, cosmetics and textiles are already being made from it” in Europe.

Still, U.S. lawmakers would take nearly two decades longer to embrace it.

A federal law many dub the “2014 Farm Bill” cleared a path for its comeback.

Now Kentucky is among the nation’s top producers, trailing Colorado.

Brian Furnish, an eighth-generation tobacco farmer, was among the first in decades to legally plant hemp seeds in Kentucky soil. He grows and promotes hemp as an executive with Ananda Hemp, one of the commonwealth’s largest growers.

Furnish is not only a grower, he’s a consumer. He says a few drops of CBD oil ease his neck and back pain due to old football injuries and heavy lifting of feed sacks and other strenuous chores.

Now, he doesn’t work the farm without it.

‘I feel great’

Murphy is among the doctors who first learned about the potential benefits of hemp from their patients.

Curious, he did some research, reading about CBD oil and even testing it on himself for four days. Although he didn’t need it for pain, he verified it didn’t give him a buzz or any negative side effects.

He decided to recommend it to 200 patients.

About 90 percent of the 175 who tried CBD oil spray or pills reported benefits, such as fewer migraines and tension headaches and more tolerable leg and back pain and arthritis, he said. Others had more restful sleep and less anxiety.

But it’s not for everyone.

Murphy doesn’t recommend it to patients who are taking blood thinners or who have heart conditions.

And a small number of his patients opted to stop taking hemp after becoming dizzy. Others didn’t notice any relief from migraines or enough relief from severe pain.

Those who opted not to try hemp included an elderly patient whose husband wouldn’t let her try anything related to marijuana.

Dr. Bruce Nicholson, a Pennsylvania pain expert, also recommends hemp to many of his patients.

Dozens have reduced or stopped taking opioids, he said. Patients reported less trembling from neuropathy and relief from achy muscles. The doctor personally uses hemp several times a week, rubbing a cream on his achy joints.

“In the medical profession, we knew nothing about it,” said Nicholson, who began reading up on it about three years ago.

Nicholson estimates that as many as 80 percent of his patients suffering from chronic pain also face anxiety or depression. He said hemp can help that too.

“Now I recommend it every day to my patients,” he said.

Ready to try hemp? From beer to bedding, hemp products are easily found at some stores that may surprise you

Lisa Whitaker, 50, one of Murphy’s patients on disability for migraines and herniated discs, said CBD oil didn’t ease her severe headaches but did help her back pain.

It took four to six weeks before she noticed significant relief.

“This has been a lifesaver,” Whitaker said.

Southern Indiana resident Valerie Reed, 36, said she began a daily regimen of the oil about a year ago after being diagnosed with multiple sclerosis. She didn’t want to take the narcotic her doctor prescribed because of a host of potentially “scary” side effects.

Within months, she said: “The tremors, shaking, that’s gone.”

Severe headaches on her right side also eased and she could bear hip pain from walking.

Reed said she told her neurologist and her general practitioner she was using the hemp product daily. “Both were OK with it.”

“As long as I take it, I feel great,” she said.

Riley Cote, a Canadian native known as a bruiser on the ice during his tenure with the National Hockey League, said hemp eases his arthritis and inflammation and helps him relax and fall into a deeper sleep. He has become a hemp activist, starting the Hemp Heals Foundation and encouraging former Philadelphia Flyer teammates and other athletes to use the oil instead of opioids, sleeping pills and muscle relaxers.

Cote came to Kentucky recently to tour Ananda Hemp’s farm in Harrison County, northeast of Lexington. The company imported hemp seeds from Australia and has expanded its crops to cover 500 acres in Kentucky with plans to keep growing.

“It’s just gonna get bigger and better,” the retired hockey star said of the hemp industry. “We’ve barely scratched the surface.”

Where’s the proof?

It’s easy to find someone who claims using hemp oil with CBD helped them feel better or sleep better.

But doctors, scientists and others — including the FDA — are eager for clinical proof.

Some promising research came out in May.

An article published in the May 25 issue of the New England Journal of Medicine, reported the results of an extensive clinical trial led by Dr. Orrin Devinsky and colleagues. It found that CBD hemp oil lessened the frequency of violent and dangerous seizures in children and young adults with Dravet syndrome, a complex childhood epilepsy disorder with a high rate of death.

Barry Lambert, an investor in Ananda Hemp’s parent company, Ecofibre, who grew up on a dairy farm in the Australia Bush, wrote a testimonial on how CBD oil saved his granddaughter’s life from debilitating seizures that “tore away at her brain and body every 15 seconds.”

Can you get high off hemp? We’ll help clear the fog about marijuana’s ‘kissing cousin’

Research on other potential health benefits is underway across the nation.

Kentucky is leading the way with 17 studies at seven universities: the University of Louisville, University of Kentucky, Sullivan University, Western Kentucky, Murray State, Morehead and Kentucky State, said Brent Burchett, head of the state Department of Agriculture’s division of value-added plant production.

University of Louisville’s research includes evaluating hemp as a fuel source.

The University of Kentucky is examining the best growing conditions of hemp and plans to study the oil in mice for two years. If they find negative side effects, it could lead the FDA to pull projects from shelves, said Joe Chappell, a professor of drug design and discovery.

If they don’t find problems, he said it could help clear the way for its mainstream use.

“There’s a lot of anecdotal information, of course. There can be some relief from pain and inflammation,” he said.

Chappell hopes to lead testing to answer these questions: “Who is it safe for? For what duration? At what doses?”

Researchers are in the early stages of verifying hemp’s full potential.

It’s too soon to know the full scope of how much money the leafy crop can bring farmers, processors and businesses — or how many ways it can benefit pain sufferers.

‘Questions and curiosity’

Consider it the new era of hemp.

Furnish describes his farming family as “very old style, conservative people” initially leery of hemp.

But after deciphering fact from fiction surrounding the controversial crop, he has taken a leadership role in the hemp movement.

“Hemp will keep another eight generations of farmers working the land,” he said.

Individual states can now pass laws allowing industrial hemp to be grown under a pilot program. The state was among the first to give the go-ahead in 2014, but farmers and processors must gain approval from the Kentucky Department of Agriculture.

Seventy-four of the state’s 120 counties are growing and/or processing the diverse plant, according to the agriculture department’s most current figures. That includes Jefferson County, which has 10 growers or processors.

Hemp has been used in more than 25,000 products, from foods, supplements, textiles, paper to building materials and cosmetics, according to a March report by the Congressional Research Service. It’s even a fiberglass alternative for cars and planes.

Hemp sales in the United States are at nearly $600 million annually, according to the report.

“I don’t know of another crop that has that many uses — well more than corn, soy or cotton,” said Duane Sinning, manager of Colorado’s industrial hemp program.

“The interest is higher” today in growing hemp and using its products, he said. “I think it’ll continue to grow.”

Many predict the variety of hemp products and use across the state and nation will continue to increase if studies back up the many anecdotal claims of health benefits.

That could push Congress to ease or remove federal restrictions.

Kentucky Agriculture Commissioner Ryan Quarles said he’s working with lawmakers to remove hemp from the list of controlled substances.

“We owe it to farmers to explore all aspects of industrial hemp,” he said, “just like soybeans in the 1960s when they were an experimental crop.”

Wellness experts at Rainbow Blossom Kentuckiana markets are doing their part to promote hemp products. They co-hosted “hemp week” in June, fielding questions from customers.

Summer Auerbach, the natural food stores’ second-generation owner, said “people are coming in with a lot of questions and curiosity” about hemp.

She’s a customer herself, rubbing a hemp salve on her shoulders, neck and jaw before bed. She said the CBD oil in the balm lessens tightness and aches from temporomandibular joint disorder, or TMJ, and she awakens with fewer headaches.

“It’s exciting to see so much of the innovation of hemp in Kentucky,”

she said. “We’re not even close to seeing what it can do.”

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