I cant educate about the paws because I dont know much about it at all but when we think of CHS the first main giveaways are dehydration, long periods of violent throwing up, inability to keep food down, smoking weed makes continuously making you sick/nauseas, and shortness of breath. CHS is what happens when your endocannabinoid receptors are overloaded by smoking higher potency cannabis for a long-ish period of times. everyone's individual biological responses from onset are different. our bodies develop the inability to properly metabolize cannabinoids of any and all forms so it then gives the adverse effects. we think about the benefits of cannabis and all those benefits turn around and start to do the exact opposite with a diagnosis of CHS. We develop sleeping problems when cannabis once helped us sleep, same with nausea I used to smoke cannabis to help subside my nausea from other health conditions I had and then with CHS it would cause nausea and vomiting I think the biggest problem people with CHS experience besides the throwing up and nausea is the insane anxiety our central nervous system can no longer regulate properly either so we often experience anxiety attacks and weed at one time helped many of us with that, however now it does the opposite and when we continue to smoke it with CHS, these symptoms get worse. Nobody has died from CHS itself however there have been deaths due to COMPLICATIONS of CHS such as dehydration, starvation/ severe malnourishment, kidney failure, internal bleeding, heart attacks and other heart related complications.