Measuring THC Blood or Urine Content Will Not Detect Impairment

gb123

Well-Known Member
KYLA LEE: VANCOUVER CRIMINAL LAWYER

Can THC content in the urine or blood prove impairment?
The likelihood that the Government will be able to draw a rational connection between a urine or blood THC content and impairment by a drug is seriously undermined by a recent decision of our courts. This case is a good forecast for how courts will likely view the evidence of marijuana impairment led by way of THC content in blood or urine.

This year, the BC Supreme Court ruled on a case of Kevin Miller, who was accused of breaking a supervision order prohibiting him from using intoxicants. Miller was supervised at Belkin House and the Chilliwack Community Corrections Centre (CCCC), and had been on the order since 2010. In 2014, he wanted to use medicinal marijuana to deal with his arthritis, sleeping problems, and generalized anxiety. The major issue at the centre of the case is whether he breached his supervision order by smoking medical marijuana, which could be considered an intoxicant under the Corrections and Conditional Release Act. This case demonstrates how prosecuting someone for impairment by marijuana becomes challenging.

Miller asked his supervising officer at Belkin House about getting a prescription for medicinal marijuana. The officer told him he would have to get a prescription and have it filled at a legally-licenced producer. Miller returned with a prescription from a doctor and mentioned that he purchased and smoked some marijuana, however, the officer’s superior noted that it was missing details such as how much marijuana should be taken. This could raise concerns that he was taking the drug recreationally, breaching his supervision order. But how do you draw the line between a proper, medicinal use and an impairing, recreational one? Either way, things at this point seemed to be going well for Miller, as far as getting a marijuana prescription goes.

But eventually, Miller’s supervising officer changed in 2016 when he went to the CCCC. Miller’s new officer told him he would have to have a prescription and that Correction Services Canada would not let him store marijuana in their facilities. The new officer told Miller the process of getting a prescription was very complex and involved a lot of paperwork. Miller contested this, arguing that he had acquired a prescription and that it was on file.

His new officer did not have the prescription on file and referred Miller to a nurse. Miller tried to get a new prescription, but could not get to Abbotsford where he originally had gotten his prescription because it was a significant distance from Chilliwack. Frustrated by his new officer’s denial that he had obtained a prescription, he asked the dispensary he used before to transfer his prescription to one in Chilliwack. He asked the new dispensary if they could hold onto any marijuana he purchased so as to not violate the CCCC’s rules and he bought and smoked a small quantity aware that it would show up on his urinalysis. He expected he would be able to talk about the results and verify that he had gone through the proper channels to smoke medical marijuana and was not using it to get intoxicated. Instead, he was arrested for violating his supervision order.

This set the table for a very challenging case. Crown had to prove that in Miller’s example, marijuana was being used as an intoxicant, that Miller intended to breach his condition, and that if marijuana was being used as an intoxicant and Miller intended to use it as an intoxicant, that Miller did not have a reasonable excuse for doing so.

Miller was very careful with his strain selection, choosing marijuana he knew had a lower tetrahydrocannabinol carboxylic acid (THC) percentage and a higher cannabidiol (CBD) percentage. This meant the marijuana would be more effective at relieving pain, mood problems, and appetite. In comparison to high THC marijuana, which might be preferred among recreational users.

Miller’s urine sample showed he had 63 nanograms of THC per millilitre on September 24, 2016. He was not tested for how much CBD he had in his system, which blocks the euphoric effects of THC. Even the Crown’s expert witness, a toxicologist and pharmacist, noted CBD has anti-intoxicant effects.

This is one of the things that are very important about this case: the court was unclear about whether or not the impairing effects of marijuana were actively present and how they can be judged. The Crown’s witness was clear, as well as many scientists, that the effects of marijuana, unlike alcohol, vary widely from person to person. While Miller undoubtedly consumed marijuana, it could be argued quite reasonably that he was not using the drug as an intoxicant.

Defence counsel submitted that the definition of an “intoxicant” under the Corrections and Conditional Release Act is:
Intoxicant means a substance that, if taken into the body, has the potential to impair or alter judgment, behaviour or the capacity to recognize reality or meet the ordinary demands of life, but does not include caffeine, nicotine or any authorized medication used in accordance with directions given by a staff member or a registered health care professional."
By that definition, Miller was okay to use a medically-authorized substance and still conform to the rules set out that prohibited him from consuming intoxicants.

The judge ultimately agreed that Miller did, beyond a reasonable doubt, consume what could be considered an intoxicant. However, the judge was left with a reasonable doubt that he intended to breach the condition of his prohibition on using intoxicants. Miller was found not guilty but was warned that he would have to speak to his parole officers to get proper authorization to use marijuana in the future. Here’s what the judge said:
Mr. Miller wanted to use marihuana for medical purposes and to do so legally. I accept he honestly believed a suitable strain would treat certain medical conditions afflicting him. He was advised the first step was to get a prescription from a doctor. He obtained what I accept he believed to be a proper prescription from a doctor. There is no evidence he was aware of or made aware of formal shortcomings in the prescription that according to the regulations governing the prescribing and dispensing of medical marihuana negative its being a prescription. He testified he was interested only in the medicinal element of the marihuana, not THC, not interested in any intoxicant effect.”
This case is a perfect foil for what will happen if and when the Government tries to regulate driving by the imposition of THC blood content limits. The science will not support that this is a reasonable prohibition. The science already does not support that a person is impaired based on having any particular blood or urine THC content. Enacting bad laws that are not supported by science will be met with this type of treatment from the Courts. The Government should heed this case as a caution of what is to come.

Since we know different strains of marijuana have different effects, and those effects vary from person to person based on numerous factors, it is impossible to know whether or not someone is really impaired when they’ve used marijuana.

This case also adds an interesting layer of addressing how will the government deal with CBD as a possible mitigator of the impairing effects of THC? There is no provision to test for CBD under any of the currently proposed legislation.

It is clear from the legislation that is currently being reviewed that the government has not put enough thought into how the impairing effects of marijuana can be mitigated through using marijuana in a smart way. Cases like Mr. Miller’s present a clear problem for Crown in trying to prove someone was impaired by marijuana. If the government tries to enforce a strict definition of what is impairment by marijuana, it will likely be subject to the same treatment by the courts.
 

gb123

Well-Known Member
Defence counsel submitted that the definition of an “intoxicant” under the Corrections and Conditional Release Act is:
Intoxicant means a substance that, if taken into the body, has the potential to impair or alter judgment, behaviour or the capacity to recognize reality or meet the ordinary demands of life, but does not include caffeine,nicotine or any authorized medication used in accordance with directions given by a staff member or a registered health care professional."
By that definition, Miller was okay to use a medically-authorized substance and still conform to the rules set out that prohibited him from consuming intoxicants.



and he can STUFF THIS ONE UP HIS REAR END!!
 

Joint Monster

Well-Known Member
Very interesting case, possible precedence case for future cases?

I love how they look at it like as black and white, THC = High and CBD = Medicated.... What if the accused decided to use Chemo (kush strain), that is known to be High THC and low CBD, YET it was developed BY the Canadian Govt./University for treating Cancer Patients? Then is his intent still solely to be medicated for pain relief?

I'm sure there are seasoned medicinal users on this forum that could use 10+grams of bud and still not meet the definition of intoxicant posted above.
 

CalyxCrusher

Well-Known Member
Very interesting case, possible precedence case for future cases?

I love how they look at it like as black and white, THC = High and CBD = Medicated.... What if the accused decided to use Chemo (kush strain), that is known to be High THC and low CBD, YET it was developed BY the Canadian Govt./University for treating Cancer Patients? Then is his intent still solely to be medicated for pain relief?

I'm sure there are seasoned medicinal users on this forum that could use 10+grams of bud and still not meet the definition of intoxicant posted above.
The chemo kush story is an old hippy myth thats been debunked. Makes for good marketing, not that good cannabis needs it
 

Joint Monster

Well-Known Member
The chemo kush story is an old hippy myth thats been debunked. Makes for good marketing, not that good cannabis needs it
Oh haha I didn't know about that. Well either way, I've had some potent Chemo that was very beneficial for pain, am I just trying to get "intoxicated" ... anything BUT!

Jail me, or shoot me, but I have yet to vape any CBD dominate strain that was more effective for me, than a strain that contained a moderate amount of both THC/CBD, or high THC/ low CBD. I've tried AC/DC, Charlette's Web, Blue Kush CDB, and various other strains, and they just don't work the same way as having the full cannabinoid profile imo.
 

CannaReview

Well-Known Member
I tried cbd...it did nada for pain for me.
I've tried many strains for my back pain and for me weed only works on certain pains/issues. Mostly muscle strains type pain BUT for my herniated disk which I ended up in emergency last week cause I was pretty much crippled weed does nothing. Only way to kill the pain was T3's. I actually found out about Tumeric and I'm amazed how well it takes down inflammation vs Advil was doing nothing.
 

CannaReview

Well-Known Member
say what you like but "strong painkillers" do have a place in pain management....not sure what I would have done with out them over the past number of years...
Well I try to avoid pharma as much as I can but when you're in so much pain that you barely remember driving yourself to the emergency I'll take the strong pain killers any day. I Was already week 5+ into heavy sciatica pain but this was on another level. Man when those T3's kicked in it was such a relief to not feel pain for the first time in 5+ weeks.
 

cannadan

Well-Known Member
I can relate....I have shown up at emerg with a pocket full of perc's and oxy and fentanyl....
and was told they do not dispense strong narc's at emerg...I said good cause I got all kinds that are not working...and could really use some hands on doctoring....like traction on my neck...or an epidural...
The doctor looked at me like I was crazy to think some hands on doctoring might help....But to me it was the only thing that was gonna help....
Instead I got another prescription written for lyrica..(pregablin)...which did help make the pain subside...somewhat...due to
creating new paths for the pain signals to travel...so something along those lines,,,,I was on that for 6 years from that day in emerg...and it was completely addicting...
 

CannaReview

Well-Known Member
I can relate....I have shown up at emerg with a pocket full of perc's and oxy and fentanyl....
and was told they do not dispense strong narc's at emerg...I said good cause I got all kinds that are not working...and could really use some hands on doctoring....like traction on my neck...or an epidural...
The doctor looked at me like I was crazy to think some hands on doctoring might help....But to me it was the only thing that was gonna help....
Instead I got another prescription written for lyrica..(pregablin)...which did help make the pain subside...somewhat...due to
creating new paths for the pain signals to travel...so something along those lines,,,,I was on that for 6 years from that day in emerg...and it was completely addicting...
Well 10 years ago when it first happened they injected me with something that worked for the whole day but this time they wouldn't do anything just gimme a prescription for T3's. The doc did give me some pain pills (Celebrex) which did nothing and after some reading it turns out these things were damaging people heart muscles so I said fuck it and went with T3's for two weeks till they didn't work and just suffered with the pain for two more months still my disk shrunk. I got some other pills this time and once again these caused serious issues to people and Canada was one of a few countries that had not pulled them from the market.
 

CalyxCrusher

Well-Known Member
Well 10 years ago when it first happened they injected me with something that worked for the whole day but this time they wouldn't do anything just gimme a prescription for T3's. The doc did give me some pain pills (Celebrex) which did nothing and after some reading it turns out these things were damaging people heart muscles so I said fuck it and went with T3's for two weeks till they didn't work and just suffered with the pain for two more months still my disk shrunk. I got some other pills this time and once again these caused serious issues to people and Canada was one of a few countries that had not pulled them from the market.
Disk fusion off the table? Or is it an absolute last resort among options?
 

gb123

Well-Known Member
I tried cbd...it did nada for pain for me.
how do you know what you got was what you wanted///// that is not easy to find by itself in concentrate...
I have only found it one place in butter form of pure cbd,.,40 bucks a gram...
 

itsmehigh

Well-Known Member
how do you know what you got was what you wanted///// that is not easy to find by itself in concentrate...
I have only found it one place in butter form of pure cbd,.,40 bucks a gram...
It comes in the form of “distillate” or “Isolate” it’s everywhere. Around $50 a gram. Never seen or heard it in budder form. I’m skeptical that what you got was CBD.

Itsme.
 

CannaReview

Well-Known Member
Disk fusion off the table? Or is it an absolute last resort among options?
Not sure yet did the MRI two days ago so will see what the new results show. 10 years ago the MRI showed a herniated disk but no operation needed and I was ok since then with the occasional back pain when I lifted something wrong or was working on my car and my back was bent forward for some time. I'll find out in two weeks. What was weird this time is it was 5+ weeks of serous pain, two days of insane pain and then one morning nothing. It did scare me a little as on the day I went to emergency both of my feet had tingling unlike before when just the right leg/foot.

The other thing is I've been super active in the last two years doing cardio 4-5 day per week and doing lots of trails and best shape in my life to all of a sudden bam its done. Gonna stick to the elliptical in a few weeks and hopefully if the MRI shows nothing serious be back to doing trails in few weeks after that.
 

WHATFG

Well-Known Member
I've tried many strains for my back pain and for me weed only works on certain pains/issues. Mostly muscle strains type pain BUT for my herniated disk which I ended up in emergency last week cause I was pretty much crippled weed does nothing. Only way to kill the pain was T3's. I actually found out about Tumeric and I'm amazed how well it takes down inflammation vs Advil was doing nothing.
It's not about taking pain away for me....well not anymore....it's more about managing it now. I've learned not to have any expectations where pain control is concerned-it just doesn't happen for me...so I smoke pot and I putter all day, I try to sleep, I eat well, and I swim everyday....I go for massage every two weeks and that seems to be keeping severe back spasms under control.
 

WHATFG

Well-Known Member
Disk fusion off the table? Or is it an absolute last resort among options?
Last resort for me it was. I haven't been the same since.
how do you know what you got was what you wanted///// that is not easy to find by itself in concentrate...
I have only found it one place in butter form of pure cbd,.,40 bucks a gram...
It was gifted to me from another patient who grew it and loved it.
 
Top