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            The college level recently saw Ricky 
            Lannetti, a 21-year-old college football player from Lycoming 
            College, die on Dec. 6 from kidney failure. Both deaths seemed to be 
            from natural causes, according to the coroners of Lackawanna and 
            Lycoming counties. Both of these young athletes passed physicals and 
            were in great condition to play football. No one seemed to question 
            why they died in the prime of their lives. 
             
            Charles Fricke, coroner of Logan 
            County, Ill., does question these types of deaths. He states: "Creatine and 
            ephedra products have been linked to injuries and deaths. Without a 
            full toxicology screen, no one will ever know what is killing our 
            young athletes. We need to insist coroners and their pathologists 
            screen for such drugs. Ephedra goes through the blood stream rather 
            rapidly, and you may need to test the urine, tissue muscle or bone 
            marrow. This takes extra money and time, but it is worth it to be 
            thorough and do a professional job on behalf of your community. It 
            is easy to label a death as heat stroke, myocardial infarct, etc. 
            However, what causes a perfectly healthy athlete to die after taking 
            related dietary supplements or muscle builders? Will we be a part of 
            the solution, or a part of the problem?" 
            Fricke has testified before the U.S. 
            Senate Subcommittee on Oversight of Government Management and 
            Restructuring on the effects of ephedra and ephedrine. His testimony 
            was related to the death of Sean Riggins, a 16-year-old football 
            player from Lincoln Community High School in Illinois. Fricke 
            visited the high school with Lincoln city detectives and started 
            interviewing school officials, coaches and players. There he would 
            find the lead he was hoping for, but critical information arrived in 
            the mail to his office. Sean's fellow teammates wrote letters 
            stating that they were using ephedra (Yellow Jackets) that they 
            bought at a local store. The product was labeled as a dietary 
            supplement and high energizer containing 25 milligrams ephedra and 
            300 milligrams of caffeine. 
            Fricke stated, "Sean's toxicology test 
            revealed lidocaine in the blood, most likely related to 
            cardiopulmonary resuscitation. No other drugs or medications were 
            detected in the blood." 
            Fricke tested urine, tissue muscle and 
            bone marrow. He reported: "The test results revealed creatine kinase 
            (CK), which is normally 38 to 174. Sean Riggins had a CK level of 
            3,500. His LD (liver enzyme that is released during cardiac arrest) 
            has a normal range of 91 to 180. Sean Riggins had a LD level of 785. 
            His troponin (enzyme specific to the heart muscle) was 100; normal 
            is .04 and heart attack range is 3 to 6. The (troponin) is a better 
            marker than CK."   
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            Coroner Fricke found the cause of death 
            of Sean Riggins to be acute myocardial infarction due to 
            vasoconstrictive properties. No other anatomic or structural 
            abnormality of coronary arteries sufficient to cause myocardial 
            infarction was identified during autopsy. There were no 
            atherosclerotic plaques or acute thrombosis in the coronary 
            arteries. No other drugs, such as cocaine, which could cause 
            vasospasm of the coronary arteries, were detected in the blood or 
            urine. 
            Ephedra stimulates the central nervous 
            system and increases heart rate while constricting blood vessels and 
            increasing blood pressure. The state of Illinois has banned the sale 
            of ephedra. Fricke could have ruled the death myocardial infarction, 
            but he didn't. 
       
            The Pennsylvania Interscholastic 
            Athletic Association has banned ephedra and ephedrine. However, the 
            PIAA has no enforcement or penalties for offending schools. They 
            also lack a testing plan to detect ephedra and ephedrine use. 
            Currently, they leave it to the schools to punish the offending 
            athlete. 
            This is like letting a robber set his 
            own punishment. 
            When asked why schools are allowed to 
            determine punishment, Melissa Mertz of the PIAA replied, "We have 
            done it this way for 95 years." 
            Times have changed, and so should their 
            rules. 
            The federal government deregulated 
            dietary supplements in 1994, and the deaths have been adding up. 
            Unfortunately, it's too late to punish dead children. 
             
            Currently, the PIAA bans ephedra and 
            ephedrine; the NCAA bans ephedra and ephedrine, anabolic steroids, 
            and 100 other substances. Creatine is not a banned dietary 
            supplement by either association. Creatine primarily affects the 
            liver and kidneys. The NCAA has a testing plan in place. 
            For more information, see the following 
            websites: [Mark 
            Zovak] 
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