Are you using cool tubes or something similar? You can eliminate much of your heat by putting your lights on their own intake/exhaust system. If you seal it well you shouldn't need to worry about smell for this exhaust, just push the air outside.
If you have other meds that you have been subscribed for the same ailment that you claim to need cannabis for you might run into some opposition. You (your lawyer) need to convince them that the negative side effects of the other medication outweigh the benefits of their fully legal status and...