• 13 AUG 17

    Robert Gorter First Years in Discovering the Bio-Medical Effects of Cannabis as a Medical Student in Amsterdam

    • Robert Gorter First Years in Discovering the Bio-Medical
    • Effects of Cannabis as a Medical Student in Amsterdam

    (from 1965 on)

     by

    Guru Brar, et al.

     

    Robert Gorter, MD, PhD, is emeritus professor of the University of California San Francisco

    Medical School (UCSF)

    From 1965 through 1973, Robert Gorter studied medicine and did his specialty training at the State University of Amsterdam (at that time the University was still called the Municipal University of Amsterdam / Gemeentelijke Universiteit van Amsterdam).

    The current University of Amsterdam (UvA) has its roots in the seventeenth century. In 1632, during the Dutch Golden Age, the “Athenaeum Illustre” was founded in Amsterdam to train students in Trade and Philosophy.

    Because the Athenaeum Illustre was not yet a proper university, classes were usually taught in professors’ homes. Until the nineteenth century, the Athenaeum remained a small institution with no more than 250 students and eight teachers. This changed in 1877, when the “Athenaeum Illustre” became the University of Amsterdam and was permitted to confer academic degrees.

    From the two subjects offered by the Athenaeum Illustre, the UvA has expanded into a comprehensive university with seven major faculties, namely: Economics and Business, Dentistry, Humanities, Law, Medical Sciences, Science, and the Social and Behavioral Sciences. Collectively these faculties conduct research and education in over sixty disciplines. The University’s strong historical bond with the city has remained throughout these changes till today.

    The intellectual atmosphere at the UvA is both critical and socially engaged. The University’s scholarly research has an excellent national and international reputation. Research at the UvA is frequently interdisciplinary, and staff and students are encouraged to push the traditional disciplinary boundaries.

    With nearly 30.000 students and 5.000 staff, the UvA is one of the four ‘classical’ comprehensive universities in the Netherlands. This means that it offers a wide range of programs. ‘Classical’ also means that education is seen as valuable in and of itself and is not just guided by the whims of the labor market.

    Above all, the UvA seeks to provide a place for the development of talent, where students and researchers alike are brought into contact with diverging and sometimes conflicting points of view. In short, the University is a place where students learn to think creatively in an original and independent way.

    Wilhelmina Gasthuis entrance at the Eerste Helmersstraat; ca. 1900

    Thinking creatively and independently was not always welcomed by the professors of the Faculty of Medicine where Robert Gorter studied. Unfortunately, the students were taught and prepared for their exams and almost all examinations were oral. When Robert Gorter graduated as a Medical Doctor in 1971, he had been “exposed” to two multiple choice examinations ever.

    Detail of the facade of the main entry to the Wilhelmina Gasthuis at the Eerste Helmersstraat

    On May 28th, 1891, the then 10-years old princess Wilhelmina laid the foundation stone of this hospital which was named after

    Horse carriage garage as part of ‘Villa Betty’ at Overtoom 243 in Amsterdam. In 1968, Robert Gorter started a commune in a large house at Overtoom 253 which was 5 houses away from this entry to the carriage garage and the villa itself (see the tall houses at the very end of this block (no. 253)

    House no. 253 is part of a complex of buildings built on the premises of Villa Betty (built in 1877).

                                                                                             

    Villa Betty is built in an early “art deco” style

    Overtoom 253 in Amsterdam where Robert Gorter lived from 1968 till 1971/72. The location was 5 minutes walking away from the Wilhelmina Gasthuis where he did part of his practical training. The house is on the corner of the Gerard Brandtstraat, leading to the Vondelpark at a 7 minutes walking-distance where Dr. Gorter started the first methadone detox program in Europe. (Photo Gemeente Amsterdam Stadsarchief)

    Wilhelmina, Queen of the Netherlands, at age 18 (ca.1898). Winston Churchill, extremely impressed by her role in the “Dutch Government in Exile” during the Second World War described her as “the only man he met from the Netherlands.”

    One of his professors at the Wilhelmina Gasthuis was the surgeon Ite Boerema (1902-1980) who, with his student Prof. W.H. Brummelkamp, developed, therapy with hyperbaric oxygen in over-pressured tanks with oxygen to improve poor tissue perfusion. Several times, Robert Gorter joined patients in one of these oxygen tanks or be available in case there was a medical emergency. Also, Boerema introduced hypothermia in cases of open heart surgery and hyperthermia in cancer patients (like Robert Gorter would develop later as part of the “Gorter Model”). Prof. Ite Boerema and Willem Jacob Gorter, the father of Dr Robert Gorter, were both Freemasons and met regularly.

    Anton Martin (Tontin) van Leeuwen (1923-2013); Professor of Internal Medicine at the Wilhelmina Gasthuis and who lectured Dr. Robert Gorter when he did his specialty training as a resident

    For colitis ulcerosa  and Crohn’s Disease, Prof. Van Leeuwen (1923-2013) was a strong proponent of the “astronaut food” which consisted of pills and concentrated drinks with all essential amino acids and vitamins to feed over years these patients: but without any fibers or balk. Robert Gorter once asked some (critical) questions about the effects of this diet as all the patients Gorter witnessed and treated in the hospital or on an ambulatory basis were not doing better (actually, quite a few were getting worse). Prof Van Leeuwen did not like that at all that a student (at the bottom of the picking order) would questions his view that “astronaut food” would possibly worsen the condition of the patients as there was no roughage (fiber) left to regulate physiologic gut motility and digestion.Later, in his own day-care hospital in Amsterdam, he treated very successfully colitis ulcerosa and Crohn’s disease with daily small amounts of Cannabis sativa (CBD).

    Patiënts at the Binnengasthuis te Amsterdam in bed with ear phones, listening to the radio (ca. 1925)

    Boerema studeerde geneeskunde aan de Rijksuniversiteit Groningen en promoveerde in 1927 op een proefschrift over het sluiten van de neurale buis. Voor met zijn chirurgische specialistenopleiding te beginnen maakte hij een studiereis door Amerika, evenals zijn collega-hoogleraar chirurgie in het Binnengasthuis, Kummer. Hij was algemeen chirurg in Groningen in de jaren 1935-1946. Professor Ite Boerema was professor from 1935 till 1973; first in Groningen and then in Amsterdam. He was a very fruitful researcher and wrote more than 250 scientific articles and 70 research fellows obtained their PhD under him and twelve became professor later on (like Dr Robert Gorter)

    Blood bank at the binnengasthuis (1950)

    His first high pressure oxygen tank was used at the Wilhelmina Gasthuis in Amsterdam in 1959. Initially, the tank was used to perform heart surgery. This specific tank is still in use (2017).

    The hyperbaric tank of Boerema in 1959 where Robert Gorter, as a medical student, spent many hours with patients in need of hyperbaric oxygen

    Boerema was not only a productive publicist, but he also invested and applied hypothermie during open heart surgery and hyperthermia in treating cancer patients. In addition, he developed improved multiple surgical techniques. Then, in 1959, he opened his first hyperbaric chamber in the world: “the tank of Boerema” and he initiated this new technique which spread globally till today.

    One of the many entrances of the teaching hospital Binnengasthuis (here seen from the Grimburgwal). Right in the middle of this picture is the original building of the Faculty of Pharmacy where Robert Gorter still learnt how to make suppositories, decoctions, infusions and powders to deliver medications with lactate (milk sugar) as a vehicle.  

    Usually, lectures would start at 7.00 am and often, if anybody was one minute late, he would be refused to enter the auditorium (Dutch punctuality). Robert Gorter attended daily lectures in both teaching hospitals and for the “Die-Hards,” he remembers the Saturday morning lectures by Professor Borst (Internal Medicine) whose preferred lectures were on hypertension, electrolytes and decompensatio cordis.

    Jacobus Gerardus Gerbrant Borst (1902-1975) who lectured Robert Gorter 4 years on a row in Internal Medicine at the Binnengasthuis in Amsterdam

     

    Lecture halls ca. 1900 at the Binnengasthuis and at the Zoo (dierentuin called ARTIS). Please, notice that also women were accepted as medical students. At that time and in many European countries, women were rejected from studying medicine and should better become nurses. In the Netherlands, with its republican and democratic tradition since the mid-1500s, women rights were (almost) equal to those of men: also in academia.

    Robert Gorter remembers vividly these years of attending lectures in these and similar auditoriums from 1965 till 1971.

    A pediatrician examining a child (ca. 1880) at the Binnengasthuis

    Currently, both academic teaching hospitals were combined and moved into a very modern hospital building (AMC) just outside of Amsterdam where all subspecialties are being offered

                                                                          

        Department of Medicine (ca. 1880)              Department of Pediatrics (ca. 1880)

    During the “Hunger Winter” of the winter season 1944 where during the German occupation of the Netherlands an estimated 15-20% of the Dutch population died from starvation during the severe winter. Here, a doctor at the Binnengasthuis, examining a patient who is close to dying from starvation.

    In 1968, Robert Gorter was able to rent a large house with 4 floors at the Overtoom253 and he turned that into a commune where at each floor 2 people would live but many things we done collectively. They were all students from the University of Amsterdam. But, Robert Gorter was the only medical student who had to be with patients in the hospital or in lecture halls as early as 7.00 am. All others studied social geography, political sciences, English literature, chemistry, etc. The lectures for these students never started before 11.00 am and thus, they were not in a hurry in the morning. Also, if they showed up late for attending the lectures, they were not rejected from entering as it was tradition with medical students.

    Robert Gorter never used Cannabis /marijuana / hashish as a recreational drug but all his nine friends in the commune would “blow” practically daily. Then, often far after midnight, they would start frying eggs, bake pizza, make coffee and be in a partying mood. Regularly, Robert Gorter went then downstairs to one of the community kitchens and (usually friendly) complaint and ask them to keep the kitchen doors closed and play less loudly the guitar (the chemistry student Evert-Jan van den Heuvel loved playing the guitar and sing ballades and socialist songs, dedicated to the “Class Struggle”).In the kitchen, Robert Gorter was assured by all those attending the mid-night snack that smoking a joint / consuming Cannabis makes one hungry.

    Three large 19th century buildings at the Weteringschans 72-76 which form the heart of the Anthroposophically oriented patient care on an ambulatory basis in Amsterdam

    In 1973, when Dr. Gorter started his own day care hospital at the Weteringschans 72-76 in Amsterdam, called “Ita Wegman Huis,” he had lots of cancer patients right away and many of them complained about loss of appetite (anorexia) and severe weight loss (cachexia). Then, Dr. Robert Gorter remembered why he was so often waken up late at night in his commune: consuming Cannabis triggers your appetite. Thus, he started recommending Cannabis for severe weight loss. Also, he remembered that Barbara van Gelder, the girlfriend of Evert van den Heuvel, used Cannabis for menstrual cramps (dysmenorrhea) and migraine attacks half-way her periods. Thus, Robert Gorter also recommended patients with migraine to try Cannabis. Probably 90% of all migraine patients were very content with applying Cannabis and the cessation of their attacks.

    In 1982, when Dr. Robert Gorter immigrated to the USA, he donated these three buildings and the restaurant to the Foundation “Odin” (Stichting Odin) which was specifically founded to take care of these buildings and to protect its intended use for Anthroposophically-extended medicine and all senior therapists and doctors would manage the buildings and keep all medical and para-medical initiatives going.

    With 3.000 US$ in his pocket, Gorter left Amsterdam to make a completely new start in San Francisco, California, USA.

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