Anderson Valley Advertiser
Janurary 8th, 2003
Fred Gardner

DR. FRY LOSES HER PRESCRIPTION PRIVILEGES

The good news in the life of Marian "Mollie" Fry, MD, is that December '02 marked the five-year anniversary of her breast-cancer surgery.

Also, her three kids ( ages 15, 12 and 10 ) and the two she helped raise ( husband Dale Schafer's from a previous marriage, now 26 and 25 ) are healthy, intelligent and generally "together." The bad news follows.

On December [?], Doctor Fry received a letter from the federal Drug Enforcement Administration revoking her prescription-writing privileges. And last week a message on Shafer's answering machine said the California Medical Board had forwarded several of Fry's cases to Attorney General Bill Lockyer for possible criminal prosecution.

Fry, 46, is one of the dozen or so California doctors who have been liberal in recommending cannabis to patients with medical conditions less severe than AIDS or cancer. More than 80% of the approximately 7,000 patients she has seen since 1996 use it to relieve physical pain. Another 15% use it for psychological pain.

Dr. Fry herself has used cannabis for chemo-induced nausea, depression, PTSD, and insomnia.

She discovered its anti-depressant effects at age 13, soon after her mom a research physician who'd stayed home to raise her kids died at age 42.

Mollie Fry graduated from Western Washington University in 1980 and from UC Irvine School of Medicine in 1985. After an internship at UC Davis she became a family practitioner in Lodi, where she supervised two physicians' assistants. The California medical board did not look askance on this approach, which maximizes the number of patients whose care a doctor can oversee.

In '88 Dale accepted a lucrative job with a San Diego medical-malpractice-defense firm. Mollie decided that her own kids needed her; she stopped practicing in '89 and became a home-schooler. Dale developed misgivings about his firm's ethics and in '93 the family moved to El Dorado County where he entered the workers' comp field.

In '96 they bought a big, old house in Greenwood on 26 acres.

After Prop 215 passed, Mollie realized she could be of service having used cannabis herself for various purposes and understanding its range of effects to the many Californians who would now be seeking professional guidance in using cannabis. She resumed seeing patients ( employing a physician's assistant to handle the initial interview ) and Dale established an adjoining practice to advise them of their rights under California's Health & Safety Code section 11362.5.

Also in this period Mollie became convinced that she herself had breast cancer. Several specialists found nothing. "I told them that something was wrong I actually knew I had breast cancer and they said 'You're depressed' and offered me Prozac and Paxil, which put me in such a fog that I could hardly express myself properly." She stopped using the pharmaceuticals when she developed severe hypertension ( a fairly common side-effect ), relying only on cannabis.

Mollie says if she'd stayed on conventional anti-depressants she would not have had the clarity or forcefulness to insist on an exploratory procedure which revealed a malignancy that had spread to three lymph nodes. Her breasts were removed Dec. 17, 1997.

Mollie Fry and Dale Schafer got their first visit from law enforcement two uniformed El Dorado County Sheriff's deputies in the summer of '99. At the time there were six plants in the garden. Mollie said she was willing to help the officers "identify those people who are truly ill from those people who belong in jail for dealing drugs.' They said, 'Dr. Fry, write notes.' I shook their hands, they left my house."

Mollie feels her early paperwork may have been lax because she was so convinced of the benignity of cannabis. "I used common sense.

When I used to prescribe drugs to people out of the PDR I would always go over the side-effects and possible long-term complications because they could be so dangerous. Cannabis is so much safer than Tylenol, which is sold over-the-counter And most of my patients were using it to get off much more dangerous drugs, like Prozac and alcohol, or to cut down on opiates.

I had spoken to Tod [Mikuriya], and really saw eye-to-eye with him.

"After I got called into court [to confirm and defend her recommendation of cannabis for a given patient] about four or five times, I figured out how to tighten my records.

Now I have a procedure that is so locked-down they come in with their records, if possible; they fill out a complete questionnaire; they sign a release for me to use the information in research; and they confirm under penalty of perjury that they're not lying. They watch a film in which Dale reads the elements of the statute and I speak about the right to determine the best course of treatment, which means the right to consider all the options. Then they see Dale for at least 20 minutes, then they come to me.

"I often find that pain patients are suffering from severe over or under-medication. I tell them 'You need to go back to your doctor, you need to talk to them about this, suggest that they reduce this or that. I see a lot of doube anti-depressants, people taking Wellbutrin and Paxil. A lot of people taking 10 to 12 Vicodin a day, which is too much Tylenol [acetomenaphine being a co-ingredient] I focus on their health and their habits. And of course I touch the part that hurts and try to figure out why it does. And I document it in the charts."

Fry only orders procedures such as blood tests and x-rays when a patient refuses to see a primary-care doctor. "There are some crusty old men who are making a conscious choice to die rather than be subjected to certain things. I don't think they should go to jail. With them I ask 'What hurts most?' They'll say, 'Well, doc, it's gotta be this right hip.' I'll ask, 'Will you let me order an x-ray for just that hip? Because we know it's gonna show arthritis.' And they usually go 'Sure.' For people who refuse, I can document that I wanted them to get a doctor; and they qualify [for a cannabis approval] based on the x-ray, which will be read by a second physician.

"A lot of people say to me, 'Dr. Fry, since I've been using marijuana, I don't need those pills.

I don't want to go back to that stupid doctor.' I say, 'I'm sorry, that may be good medicine, but it's not good legal practice. You need to go back to the doctor at least every couple of years and report that you're still having' whatever problems they're complaining of."

By the start of '00 Mollie and Dale were beginning to feel confident that their medical/legal practices were appropriate under Prop 215. ( The sheriff's deputies had returned before the '99 harvest and told Dale he was a good grower. ) They leased space in Oakland and Lake Tahoe to conduct one-day-a-week clinics at which they would typically see 15-20 patients.

On one occasion Mollie approached Attorney General Bill Lockyer at a VFW fundraiser and told him what she was doing. "The people who could most benefit from the implementation of Prop 215 are veterans," she noted, "Vets with purple hearts." According to Mollie, 'Bill Lockyer said 'Okay, go for it, but be low-key.' He said something to imply, not that I should hide but that I should be discreet.

Maybe that was the word he used. But the problem was, by now I had staff and office rents, and how do you let patients know that you're available without advertising?"

Fry was charging $100 an initial visit and $40 for a re-certifaction. Patients on social security or welfare received discounts. "A lot of money flowed through the business," says Mollie, "but it all went out to staff." Dale and physician's assistant Rob Poseley employed a receptionist and a file clerk. Mollie had a personal secretary working with her on three book projects one on medical marijuana, one on surviving cancer, and one for children. She also employed "a full-time medical-records officer dealing with paperwork.

The clubs tend to be very demanding, which creates a whole 'nother layer of paperwork that no other doctor has to pay for. Then I had a data-entry person putting all our patients's records into the computer for research purposes.

The government [DEA] got all our computers [in a subsequent raid]."

In the spring of '00 the El Dorado county sheriff's investigators returned to the Fry-Schafer residence asking questions on behalf of the DEA about a former employee named Paul Magge. "They left and it seemed like no big deal," Mollie recalls. "We harvested, I had enough medicine, Dale was making concentrates for me, I was feeling better, we had a staff we could trust. We decided to contact Bill Lockyer again and confirm that we were on the right track." Dale arranged a meeting with Dave De Alba, the senior assistant AG whom Lockyer had put in charge of Prop-215 matters. "Dave told us to stay the hell away from Tod. That Tod is targeted, and that Tod is a problem. We ignored that, of course, because we like and respect Tod. " De Alba also arranged a meeting at which representatives of the Medical Board provided Schafer with practice guidelines. Fry reviewed them and felt she already was abiding by them.

In July of 2001 Dale Schafer announced that he was running for District Attorney of El Dorado County. That September he and Mollie were raided by the DEA a raid they think DA Gary Lacy may have initiated with a call to the feds. ( Shafer would finish third with 15% of the vote. ) Mollie recalls the raid: "I was going to bed with a migraine headache and they came running up my driveway with their guns in their riot uniforms.

I opened my arms and said, 'I entirely submit.

You are welcome in my home.' And they still forced me to the ground and handcuffed me for two hours.

My hands turned white.

I was so cold, my hands were shaking. So they moved me into the trailer.

Then I had to change our granddaughter's shitty diaper while in handcuffs.

I couldn't quite wipe. I said to the agent, 'It's so hard having five children and a baby to take care of and cancer ' And she looked at me and said, 'You have cancer?' And I go, 'Of course I have cancer, why the hell do you think I'm doing this!

"Not even the staff that raided me and was abusing me knew the truth."