A scary news alert from April 20th (or 420, wink, wink): Synthetic marijuana (“K2”, “Spice”) laced with rat poison has sickened at least two people in Milwaukee (now it’s actually up to 4 confirmed cases in Wisconsin). From when the index case was identified on 3/8/18 in Illinois through 4/29/18, at least 4 people have died and at least 160 people presented to healthcare facilities in Florida, Indiana, Kentucky, Maryland, Missouri, Pennsylvania, Virginia, and Wisconsin with serious unexplained bleeding. Lab testing found the warfarin-like blood thinner (a rat poison!!) in at least 60 patients and in at least 7 synthetic cannabinoids specimens. Just goes to show you that you can’t always trust the drug dealers – your health may not be their top priority (this is seriously a sentence I say to a patient in clinic at least once a day).