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Letter to the Editor |
Will Illinois lawmakers heed Oregon's failed experiment
David E. Smith, Executive Director
Illinois Family Institute
Study finds two common types of antidepressants were safe for most stroke survivors

Keep an eye on amount of caffeine you consume, too much can be fatal


OSF Healthcare
URBANA - A new lawsuit claims a caffeinated drink at Panera contributed to a man's death. Legalities aside, the issue of what people - especially young people - put in their bodies is something to be aware of, says Michael Broman, PhD, MD, an OSF HealthCare cardiologist. In fact, it’s one he thinks about daily. “My children are 8 and 10. I don’t allow them to have caffeine except under my supervision and only in very small doses,” Dr. Broman says sternly. Caffeine basics Dr. Broman says energy drinks, when consumed properly, can provide the desired energy boost. A college student studying for a test, for example. But it’s caffeine consumption that you must be aware of.
OSF HealthCare Cardiologist
“Caffeine has clearly been linked to adverse events and toxicity when given at a high enough dose,” Dr. Broman says. The effects of caffeine will vary from person to person. Some will be more sensitive to caffeine due to genetics. Others may be able to break down caffeine more quickly, meaning less sensitivity. Generally though, Dr. Broman says taking in too much caffeine could lead to your heart racing, nausea, vomiting, diarrhea, chest pain and high blood pressure. You may also feel hyper and not able to sit still. “Caffeine also causes dependence,” Dr. Broman adds. “As a person uses more and more over time, they start to miss it when they don’t have it. They can withdraw from caffeine. “That’s one of the most worrisome side effects, especially in kids. If a child is using a lot of caffeine and they stop, they can have attention problems and headaches. It can affect their performance in school and athletics.” What to know Here’s the formula to remember: Dr. Broman says for children and adolescents, limit daily caffeine consumption to 2.5 milligrams per kilogram of body weight. (You can easily find a pounds to kilograms converter online.) For example, if a high school student weighs 120 pounds (or around 54 kilograms), they would want to stick to 135 milligrams of caffeine per day. One PRIME Energy drink has 200 milligrams of caffeine. A 20-ounce bottle of Coca Cola has 57 milligrams. Caffeine content in coffee can vary. So be vigilant about your health and seek out the numbers. Check the product label or look up the product online before you swing by the drive thru or go to the store.

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Guest Commentary | America is in chaos

He is the author of 13 books including Uncommom Sense, the Spiritual Chocolate series, Grandpa's Store, Minister's Guidebook insights from a fellow minister. His column is published weekly in over 600 publications in all 50 states. The views expressed are those of the author and are not necessarily representative of any other group or organization. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.
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OSF Healthcare
Study suggests young marijuana smokers may be at greater risk of recurrent stroke

Cannabis use disorder is defined as dependent use of cannabis despite having a psychological, physical and social functioning impairment. According to the American Heart Association, stroke rates are increasing in adults between ages 18 and 45, and each year young adults account for up to 15% of strokes in the United States.
"Since marijuana use is more common among younger people and is now legal in several U.S. states, we felt it was crucial to study the various risks it may impose," said Akhil Jain, M.D., lead author of the study and a resident physician at Mercy Fitzgerald Hospital in Darby, Pennsylvania. "First-time stroke risk among cannabis users is already established, so it intrigued us to investigate whether continued marijuana dependence also predisposes younger people to develop further strokes."
The researchers examined health information from the National Inpatient Sample, a large, publicly available database that compiles data on more than 7 million hospital stays annually across the U.S. For this study, the sample included 161,390 adults between 18-44 years of age who had been hospitalized for any reason between October 2015 and 2017, and whose health records indicated a previous stroke (either clot-caused or bleeding stroke) or TIA.
Using hospital diagnosis codes, researchers identified patients within the sample who met the criteria for cannabis use disorder, excluding those with charts indicating their cannabis dependence was in remission. This divided the sample into 4,690 patients who had been diagnosed with cannabis use disorder and 156,700 who had not. The median age for both groups was 37 years.
The study found that when compared with patients without cannabis use disorder, patients with the condition were:
- More likely to be male (55.2% vs. 40.9%), Black adults (44.6% vs. 37.2%), or to smoke tobacco (73.9% vs. 39.6%).
- More likely to be diagnosed with chronic obstructive pulmonary disease (21.5% vs. 19.0%), depression (20.4% vs. 16.1%) or psychosis (11.2% vs. 7.5%).
- Significantly more likely to abuse alcohol (16.5% vs. 3.6%).
- Less likely to have high blood pressure (53.1% vs. 55.6%), diabetes (16.3% vs. 22.7%), high cholesterol (21.6% vs. 24.1%) or obesity (12.0% vs. 19.6%).
Compared to current hospitalizations, the analysis found:
- Among adults with cannabis use disorder, 6.9% were hospitalized for a recurrent stroke, compared to only 5.4% hospitalized without the disorder.
- After adjusting for demographic factors and relevant pre-existing medical conditions (age at admission, sex, race, payer status, median household income, type of admission, hospital bed-size, region, location/teaching status and other medical conditions including traditional cardiovascular risk factors), patients with cannabis use disorder were 48% more likely to have been hospitalized for recurrent stroke than those without the disorder.
- Cannabis use disorder was most prominent among males, young Black or white adults and those who lived in low-income neighborhoods or in the northeast and southern regions of the U.S.
"Young marijuana users who have a history of stroke or TIA remain at significantly higher risk of future stroke. Therefore, it is essential to increase awareness among younger adults of the adverse impact of chronic, habitual use of marijuana, especially if they have established cardiovascular disease risk factors or previous stroke episodes," Jain said.
Possible mechanisms that have emerged from other research on cannabis use disorder include impairment of blood vessel function, changes in blood supply, an increased tendency towards blood-clotting, impaired energy production in brain cells, and an imbalance between molecules that harm healthy tissue and the antioxidant defenses that neutralize them.
Results from this study may not be generalizable to older adults (ages greater than 44), who are more likely to have a greater number of chronic health conditions and cardiovascular risk factors. The study is also limited in that all data was collected at a single point in time, rather than following participants over time. In addition, while the hospital coding identified cannabis use disorder, the data did not include information on the exact amount and duration of cannabis use or medications used.
"Our study is hypothesis-generating research for future prospective and randomized controlled studies. More research work is required to look deeply into this concerning clinical question. Most importantly, the impact of various doses, duration, forms of cannabis abuse, and the use of medicinal cannabis on the occurrence of recurrent strokes are critical questions that need to be answered," Jain said.
According to an August 2020 scientific statement from the American Heart Association, preliminary studies have found that cannabis use may negatively impact the heart and blood vessels. Although cannabis may be helpful for conditions such as spasticity associated with multiple sclerosis, among others, cannabis does not appear to have any well-documented benefits for the prevention or treatment of cardiovascular diseases.
Co-authors of the study include: Rupak Desai, M.B.B.S.; Terry Ricardo Went, M.B.B.S.; Waleed Sultan, M.B.B.Ch.; Dwayne Wiltshire, M.B.B.S.; Geethu Jnaneswaran, M.B.B.S.; Athul Raj Raju, M.B.B.S.; Roshna Asifali; Aamer Mohammad, M.B.B.S.; and Bisharah Rizvi, M.D.
ViewPoint | What was she thinking?
David E. Smith, Executive Director
Illinois Family Institute
Letters: SB 7 is a bad idea
The 500-plus page bill (SB 7) that was introduced earlier this month in Springfield should greatly alarm parents and grandparents:
This is the substance that gets users intoxicated. The marijuana of the 1960s and 1970s only contained 1-3% THC. Today, the levels are 20% or more. The Dutch government walked back their marijuana policy and now considers cannabis with 15% THC a hard drug and illegal.
High potency marijuana use is linked to increases in addiction, psychosis, schizophrenia and violence.
SB 7 allows adults to grow up to five marijuana plants in their home(s). What good is a community opt-out when neighbors are legally permitted to grow it? Moreover, who wants to live near pot cultivation centers?
Cultivating excessive amounts of marijuana is not hypothetical. Conservatively, five plants could produce ten pounds of marijuana per year. That is more than 10,000 joints a year. No one can use that much marijuana. Where will the surplus go?
There are many other reasons to oppose this policy. In short, legalization is just not worth the social costs to our families and communities.
David E. Smith, Executive Director
Illinois Family Institute
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I worked hard my whole career and retired feeling secure. Then I lost every last dime in a scam. I was left with $1,300 a month in Social Security benefits to live on in an area where monthly expenses run about $3,700.
I’m a smart woman, but scams against older Americans are increasing in number and sophistication. Whether through scams, strained savings, or costs of living going up, half of older Americans — that’s 27 million households — can’t afford their basic needs.
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Renovating your home can be affordable with the right approach. Simple changes, like repainting walls or updating fixtures, can create a fresh, modern look without a high price tag. Whether you’re improving outdated spaces or enhancing functionality, these budget-friendly renovation ideas to modernize your home will help you achieve a stylish, updated space while staying within your budget.


Death, taxes and body odor.
They’re things we can all expect in life, no matter how clean you are. But health care providers want you to know when body odor is a sign of a more serious health problem.
B.O. basics
Luis Garcia, MD, an OSF HealthCare pediatrician, says sweat and bacteria are the main culprits behind body odor. Warmth and moisture in parts of the body (like your armpits and feet), plus going through puberty and general poor hygiene, can make the smell worse.