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This isn't the first time a region of the United States has seen an outbreak of health problems tied to synthetic cannabinoids.Last year, 102 people in Lancaster County, Pennsylvania, overdosed on synthetic marijuana within three days. None of those cases was fatal.In 2016, 33 people in Brooklyn were made ill from suspected overdoses of synthetic pot.The number of acute poisonings from synthetic cannabinoids rose sharply between 2010 and 2015, according to a Morbidity and Mortality Weekly Report published by the US Centers for Disease Control and Prevention in 2016.During that time, physicians treated 456 patients total for synthetic cannabinoid intoxications.Synthetic cannabinoids, or fake weed, are human-made chemicals that can be sprinkled on dried, shredded plant material and smoked, or can be consumed as vaporized liquids inhaled through an e-cigarette or other device.These mind-altering chemicals are called cannabinoids, since they are similar to the chemicals found in marijuana, though they can cause serious side effects that are different from those of marijuana.One study of a synthetic cannabinoid found that it was 85 times as potent as tetrahydrocannabinol, or THC, the mind-altering chemical in marijuana. That study was published in the New England Journal of Medicine in 2016.People who smoke synthetic cannabinoids can have rapid heart rate, vomiting, agitation, confusion and hallucinations, according to the CDC.In the past few years, doctors have become familiar with the health outcomes people can face when they are exposed to synthetic cannabinoids, said Dr. Patrick Lank, an emergency physician and assistant professor of emergency medicine at the Northwestern University Feinberg School of Medicine in Illinois."They include things like seizures, heart attack, kidney failure," said Lank, who was not involved in the recent synthetic cannabinoid cases."What's happening in Illinois is different, and these are bleeding complications. Why they're happening? We're still uncertain," he said. "We don't know if the supply of synthetic cannabinoids in Illinois and the Chicago area have been tainted by someone with brodifacoum, or rat poison. Or if this is potentially a new side effect of a new synthetic cannabinoid." 2256
Track the storm hereBut Hurricane Lane looks poised to affect the Aloha State, and was about 480 miles southeast of Honolulu early Wednesday with maximum sustained winds of 160 mph, just above the Category 5 threshold.The forecast puts the storm very close to the islands, with a direct landfall possible later this week.Though the storm is expected to weaken somewhat as it approaches Hawaii, Lane has become one of only two Category 5 hurricanes to come within 350 miles of the state in recorded history, the National Weather Service said."On the forecast track, the center of Lane will move very close to or over the main Hawaiian Islands from Thursday through Saturday," the weather service said. A hurricane warning is in effect for Hawaii County while a hurricane watch has been issued for Maui County and Oahu.A hurricane warning means that hurricane conditions are expected within the warning area, and is issued 36 hours before the anticipated first occurrence of tropical-storm-force winds."Preparations to protect life and property should be rushed to completion," the National Weather Service said.A hurricane watch means that hurricane conditions are possible within the watch area, according to the National Weather Service's (NWS) Central Pacific Hurricane Center in Honolulu. More watches and even warnings could be necessary for additional islands as the storm moves closer in the next day or two.American Airlines and Hawaiian Airlines issued travel advisories to customers flying to or from Hawaii. Both are waiving reservation change fees as the hurricane approaches.Tropical-storm-force winds could arrive on Wednesday in the Big Island, and in the smaller islands by Thursday or Friday.In addition to strong winds, the primary threats will be rough surf, coastal erosion, and heavy rainfall, even if the center of the storm does not move directly over the islands.Large waves are already being experienced along the eastern edge of Hawaii, with a "sizable swell already propagating out from this storm, which is currently impacting the eastern exposures throughout the Hawaiian Islands, showing strongest along the Hilo Side of the Big Island," according to Jonathan Warren, lead forecaster for Surfline.com.While there is still considerable uncertainty in the forecast for Lane, it appears the storm will be passing close enough to the islands on Thursday through Saturday to bring significant impacts to the southern portions of the islands, especially along the coastline.Hawaii has been experiencing a volcanic eruption for much of the summer. Mount Kilauea began producing lava flows in early May and portions of the southeastern coastline of the Big Island have been transformed by the lava flows that covered over 13 square miles (35 square kilometers).Fortunately, the eruptive activity of Kilauea has "paused," with no new lava flows since August 9, according to the Hawaiian Volcano Observatory.Since there is not much lava reaching the ocean anymore, the hurricane shouldn't have too much of an impact on the volcano region, according to Denison University Geophysicist Erik Klemetti. 3117

Three people were injured in the bombing that damaged at least 41 buildings in Nashville's downtown, including severe damage to an AT&T data center.Following the Nashville bombing Friday, Governor Bill Lee formally requested in a letter that President Donald Trump declare a state of emergency.On Friday, Metro Nashville police released a surveillance photo of an RV responsible for what they believe was an intentional bombingFollowing the explosion, police officials said tissue was found at the explosion site, but Police Chief John Drake could not confirm if it was a human victim of the incident. The AP said the remains were human, but could not confirm how the remains were related to the explosion.According to WTVF, AT&T is still experiencing outages Saturday after an explosion occurred outside AT&T's data center in downtown Nashville. The impacts are widespread, including calls, texts, internet, television, and credit card systems.This story was originally published by Catlin Bogard at WTVF in Nashville, Tennessee. 1042
There is no greater sacrifice than that of a person willing to lay down their life for another...Thank God for the #ThinBlueLine— Governor Matt Bevin (@GovMattBevin) March 29, 2018 180
To ask a doctor's opinion on Roman, users answer questions about their medical history and sexual health, upload a photo of themselves to verify identity, scan a picture of an ID such as a driver's license, and list medication preferences. A licensed physician reviews the information and can chat with a patient through the site. A doctor can ultimately prescribe medication, such as Viagra or Cialis. The process costs , plus the cost of the medicine. 456
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