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In recent years, healing and meditation has become an important part of Janea Escobedo’s life.“It’s just very relaxing to be under the trees to watch the leaves, and hike around to see the wildlife. It’s, it’s very healing,” she says. Escobedo was diagnosed with inflammatory breast cancer.“In February of 2017, I was happy-go-lucky turned into a cancer patient with a very aggressive rare disease that I didn’t know what to do with,” she recalls. Dr. Radhika Acharya, the medical director of the UCHealth Cancer Center in Highlands Ranch, Colorado, has been assisting Escobedo in her cancer journey.“[Inflammatory breast cancer] makes up just about 0.2 to 0.5 percent of all breast cancers, so it’s very rare, and it involves the skin that overlies the breast,” Dr. Acharya says.She says inflammatory breast cancer is so rare, it’s a challenging cancer to diagnose. “I think what’s difficult is sometimes it gets underdiagnosed or not diagnosed correctly because it looks like mastitis, which is swelling of the breast from an infection, or cellulitis, which is swelling of the skin or infection of the skin," she explains. "And a lot of women can experience that after pregnancy or when they’re breastfeeding or just with trauma."As uncommon as it may be, Escobedo knew the symptoms from a news segment she had seen years prior. “Honestly didn’t feel sick, didn’t think anything was going on, but I had that itch,” Escobedo says.She thought that itch was simply dry skin. However, after a couple weeks, it was still itchy so Escobedo decided to visit the doctor. An MRI showed nothing, but a biopsy proved it was inflammatory breast cancer. “With inflammatory breast cancer, 9 times out of 10 there will be no lump,” Escobedo says.The potential for a lump is just one symptom out of many for the disease. Other possible symptoms include itchiness, swelling of the breast, dimpling or thickening of the skin (like the skin of an orange), a discolored or inverted nipple, or the breast can get warm. Considering it’s so difficult to discover, the cancer is often very advanced by the time it’s diagnosed. Escobedo says she had to go through super intense chemo, surgery and radiation. However, genetic testing helped guide doctors and Escobedo to make the right decisions for her body.“Genetic testing more and more is becoming part of the data points in considering a patients’ diagnosis and optimal treatment,” UCHealth Genetic counselor Kristina Markey says.Oncologists say if you think you could be experiencing any of these symptoms, you should see your doctor right away. “Be persistent, and don’t just sort of say ‘it will get better’. If it doesn’t get better, go see your doctor again,” Dr. Acharya says.Escobedo will have to undergo chemo every three weeks for the rest of her life. Some days, she says she can barely drag herself down the stairs, but in the end, she chooses to stay positive and keep going.“When I wake up in the morning and I’m alive, then I just need to live the day," Escobedo says. "And I have a strong faith in God, I have a very strong family bond, and I will be on chemo forever, but the good part is that forever may be much longer.”If you’d like to reach out to the journalist for this story, please email elizabeth.ruiz@scripps.com 3281

Jeffrey Epstein's death was an abrupt end to a life marked by wealth, power and years of sex crime allegations.But the multimillionaire's apparent suicide in a New York federal jail has spurred questions and myths about his death and the future of legal cases against him.Here's what we know about Epstein's final days, and what will happen now.Why was he recently in jail?Last month, federal prosecutors in New York unsealed an indictment that accused Epstein of paying girls as young as 14 to have sex with him at his Upper East Side home and at his estate in Palm Beach, Florida, between 2002 and 2005.Epstein faced similar accusations in Florida back in 2007, but signed a plea deal with prosecutors allowing him to avoid federal charges and plead guilty to lesser state prostitution charges.As he faced new charges, Epstein asked a judge last month to grant him bail and allow him to stay under house arrest in his Upper East Side mansion -- one of the biggest private homes in Manhattan.But the judge refused, and Epstein was held at the Metropolitan Correctional Center starting in July.Was Epstein on suicide watch when he died?No. Epstein was temporarily placed on a suicide watch after he was found in his jail cell July 23 with marks on his neck, a law enforcement source and a source familiar with the incident told CNN at the time.It wasn't clear whether those injuries, which were not serious, were self-inflicted or the result of an assault, the sources said. Epstein told authorities he had been beaten up and called a child predator, they said.After conducting daily psychological assessments, psychologists with the Bureau of Prisons took him off suicide watch at the end of July, according to a source familiar with the matter.Should he have stayed on suicide watch?Suicide watch usually lasts just one or two days, said Jack Donson, a former correctional treatment specialist for the Federal Bureau of Prisons."I've never seen in my entire career a suicide watch lasting more than a week," Donson said. "So the context of him committing suicide while on watch, that's just a fallacy."Donson said a suicide watch means an inmate is being monitored by a staff member 24 hours a day -- "three shifts of overtime people."He said resources are limited, and overtime can be costly."I was probably being paid 0, 0 for a shift of overtime just to watch somebody through a window," Donson said.If an inmate doesn't appear to be a threat to himself during suicide watch, he's removed from constant monitoring.But Democrats and Republicans alike wonder whether Epstein's suicide could have been prevented."It's ridiculous that he was taken off suicide watch," said former New York Mayor Rudy Giuliani, who is now an attorney for President Donald Trump.Democratic presidential candidates such as Sens. Kirsten Gillibrand and Elizabeth Warren say they want investigations. And Sen. Ben Cardin said he wants the results of the investigation to be made public."It's very hard to understand how he was not on a suicide watch," Cardin said.Are there conspiracy theories behind Epstein's death?Yes, but so far they're largely unfounded.This much we know: Epstein was found unresponsive in his cell around 6:30 a.m. Saturday, the Federal Bureau of Prisons said.Staff members tried to revive him, but Epstein was later pronounced dead at a local hospital.The bureau said Epstein's death was an "apparent suicide," and authorities believe Epstein hanged himself, a law enforcement source said.The New York City medical examiner's office hasn't released the official manner of death.But Trump shared a tweet and video from conservative comedian Terrence Williams that claimed -- without evidence -- that former President Bill Clinton and former Secretary of State Hillary Clinton were responsible for Epstein's death.The tweet also incorrectly claimed that Epstein died while on suicide watch.What will happen to legal cases against Epstein?The federal criminal case against Epstein is over. But on the civil side, plaintiffs can still sue Epstein's estate, CNN legal analyst Paul Callan said.The exact amount of Epstein's wealth has not been publicized. Even prosecutors have said they haven't been able to determine the scope of his assets. But Epstein was, at a minimum, a multimillionaire.The financier owned properties in Manhattan, Palm Beach, New Mexico and Paris, as well as a private island in the Caribbean, according to court filings. He owned at least 15 vehicles and a private jet.One civil lawsuit is expected to be filed by a woman who alleges Epstein raped her when she was 15.The accuser in that pending lawsuit, Jennifer Araoz, said Saturday that she is "angry Jeffrey Epstein won't have to face his survivors of his abuse in court.""We have to live with the scars of his actions for the rest of our lives, while he will never face the consequences of the crimes he committed the pain and trauma he caused so many people," she said in a prepared statement.What could happen to some of Epstein's associates?Prosecutors could pursue related criminal cases involving Epstein's associates or employees.Though Epstein was the only person charged in the indictment unsealed in July, the court papers described three unnamed employees who scheduled his alleged victims to provide "massages" that escalated to sexual acts and paid victims hundreds of dollars in cash.For example, one person referred to in the indictment as "Employee-1" called girls who had previously been lured into encounters with Epstein to arrange future visits to his New York home.Robbie Kaplan, an attorney for one of the alleged victims in the criminal case, said "the many victims of Jeffrey Epstein and his accomplices should not lose hope."We will continue to fight tirelessly on their behalf not only to seek justice, but also to ensure that all of the facts of his monstrous crimes become known to the world," she said."We need to expose the whole truth here so that crimes of this scale and scope never happen to any young girls (or boys) ever again." 6059

In a new court-ordered effort to identify potentially thousands of additional immigrant families that the US government separated at the southern border, more than 1,700 cases of possible separation have been found so far.Cmdr. Jonathan White of the US Public Health Service Commissioned Corps says 1,712 cases with "some preliminary indication of separation" have been referred to US Customs and Border Protection for the next phase of review out of the initial pool of 4,108 children's case files that corps officers combed through.Some of those cases ultimately might not involve separations, White said Friday in a federal court hearing."What we transmit to CBP is solely those cases that have some preliminary indication of separation," White said. "We err on the side of inclusion."The new effort to track down parents and children who were split up at the border is the latest chapter in the ACLU's lawsuit over family separations.While last year a court order in the case from US District Judge Dana Sabraw in San Diego forced the reunification of many immigrant families the government had separated at the border as result of its "zero tolerance" policy, an explosive government watchdog report in January revealed there could be thousands more separated families that officials hadn't previously acknowledged. Sabraw ruled in March that this group should be included in the class action lawsuit over family separations.And in April, the judge approved the government's plan "designed to substantially identify all class members within six months."In total, officials have said they'll need to review some 47,000 files dating to July 1, 2017.Friday, White told Sabraw that the initial phase of case review was going more quickly than he expected. As of Friday, he said, his team has completed preliminary reviews of more than 13,000 files."We started running at this problem. .. .We are ahead of my operation targets that I had set for my own team at this time," White said.Once the Public Health Service team completes its preliminary review, case files with indication of separation then go to CBP and Immigration and Customs Enforcement for further analysis. Then a refined list will go back to the Department of Health and Human Services. As they confirm additional separations, officials will provide a list of parents and children to ACLU attorneys on a rolling basis.Sabraw described the work officials have done so far as "very encouraging" and urged them to provide any confirmed information they have to ACLU attorneys as soon as possible.It's unclear when the first confirmed list could be ready."Our hope is to have a more concrete report with overall timing the next time we report to you on progress," Scott Stewart, an attorney for the government, said in court Friday.In a court filing Thursday, White said HHS is expediting efforts to hire and train a team of data scientists and "scalable teams of record reviewers" to help with the effort. 2980

John Walker Lindh, the so-called "American Taliban" whose capture in Afghanistan riveted a country in the early days after the September 11 attacks, has been released from prison.After serving 17 years of a 20-year sentence, Lindh, the first US-born detainee in the war on terror, on Thursday walked out of a federal prison in Terre Haute, Indiana, and will join the small, but growing, group of Americans convicted of terror-related charges attempting to re-enter into society.Lindh will live in Virginia subject to the direction of his probation officer, his lawyer, Bill Cummings, tells CNN. But some are already calling for an investigation into his time in prison -- where he is said in two US government reports to have made pro-ISIS and other extremist statements -- that could send him back into detention.Reports of Lindh's maintained radicalization, detailed in two 2017 official counterterrorism assessments, are also driving questions about the efforts of the US government to rehabilitate former sympathizers like him, who are expected to complete prison sentences in waves in the coming years.Raised in the suburbs north of San Francisco, Lindh took an interest in Islam at a young age, converting to the religion at 16 and moving to the Middle East to learn Arabic after finishing high school.In 2000, according to documentation of his interrogations, Lindh went to Pakistan and trained with a radical Islamic group there before moving to Afghanistan and joining the Taliban.Because he was not native to Afghanistan and did not speak the local languages, Lindh told investigators that he joined the "Arab group," or al Qaeda, studying maps and explosives, fighting on a front line, and at one point, meeting with Osama bin Laden.When US troops first encountered Lindh in November 2001, just weeks after the September 11 attacks, he was bedraggled and injured.A CNN camera filmed as Lindh, a daze cast over his dirty face, told American forces how he had wound up at a detention camp in northern Afghanistan and survived a Taliban uprising there that killed hundreds of prisoners and a CIA officer, Johnny Michael Spann.Lindh admitted to participating in the revolt near Mazar-e Sharif, Afghanistan, but prosecutors did not say that he had a role in Spann's death.Initially charged with a raft of serious offenses, including conspiracy to kill US nationals, Lindh, in 2002, struck a deal reportedly offered by prosecutors in part to prevent details of the apparent mistreatment of Lindh at the hand of US forces by his defense. Lindh pleaded guilty to fighting alongside the Taliban.At a sentencing hearing in Virginia that year, he sniffled and nearly broke down as he addressed the court in a 14-minute speech."Had I realized then what I know now about the Taliban, I would never have joined them," Lindh said. "I never understood jihad to mean anti-Americanism or terrorism."That contrition has been contested by a pair of official reports, from the National Counterterrorism Center and the federal Bureau of Prisons, that were first published by Foreign Policy in 2017.According to the NCTC report, as of May 2016, Lindh "continued to advocate for global jihad and to write and translate violent extremist texts." In March 2016, the report says, he "told a television news producer that he would continue to spread violent extremist Islam upon his release."Lindh had made "pro ISIS statements to various reporters," the Bureau of Prisons report also stated.In an email to his father included in the BOP report, Lindh said that he was "not interested in renouncing my beliefs or issuing condemnations."The two assessments do not provide details for the statements, and the BOP and the NCTC declined to comment to CNN on the reports.Lindh denied a request by CNN to be interviewed in prison and his lawyers declined to comment on the counterterrorism assessments.Prison termIn prison, Lindh was known to be deeply religious -- he recited the entire Quran from memory each week, and regularly gave a call to prayer for the other Muslims in his unit, according to a narrative written by an inmate who served with him.Lindh went by the name Yayha, the inmate wrote in the anonymous essay, which was published by CAGE, a group started by someone released without charges after being detained in Guantanamo that advocates for those arrested or prosecuted in the war on terror. The human rights group Amnesty International cut ties with CAGE because of some of its statements and relationships with terror suspects."His whole life revolves around reading, writing, praying, and working out in his cell. His Muslim brothers know he is busy so they don't hesitate to cook for him in order make sure he eats well," the inmate wrote.Lindh discussed his values in his own essay, published by CAGE in 2014 and titled "Memorising the Qur'an: A Practical Guide for Prisoners.""Free time is a great gift from Allah and few people enjoy more of it than prisoners," Lindh wrote. "The best way we can express our gratitude to Allah for this gift is through the study, recitation, memorisation, contemplation, and implementation of His Noble Book."On Monday, Johnny Spann, the father of the CIA officer killed in the Taliban uprising that Lindh participated in, petitioned the Virginia judge overseeing Lindh's case to investigate the extremist comments he allegedly made while in prison."You need to find out for sure, is this guy still the same al Qaeda member we put in jail? If he is still the al Qaeda member we put in jail then we need to throw the plea agreement away and do something else," Spann told CNN in an interview.Spann has protested Lindh's early release to lawmakers, including Sen. Richard Shelby, an Alabama Republican, who said last month that he raised the issue with the White House.In a tweet, Shelby wrote that President Donald Trump agreed that Lindh should serve his full sentence. Lindh's early release this week appears to be the result of time taken off of his sentence for good behavior.The White House did not respond to a request for comment on this story, and legal experts question what power the President could have to prevent Lindh's release outside of a wider regulation change, which would likely invite a backlash.Feds not prepared, experts sayAfter he leaves prison, Lindh's actions will be closely watched as part of a sweeping set of conditions imposed on his three years of supervised release by 6450

It was supposed to be a relaxing beach vacation for a group of friends from Oklahoma, but that wasn’t the case.Dana Flowers was part of a group that traveled to the Dominican Republic in April for their annual trip. “About the third day in, we started noticing people were missing events,” Flowers says. “And I began to wonder what was going on. And then we found out that they were sick. And before long, a lot of us started getting sick, including myself.”Flowers says he was sick for 19 days.“[I had] nausea,” he says. “Then it turned to vomiting, then diarrhea, then dizziness, faint, cramping, headaches, body aches, that type of thing.”Of the 114 people in their group, 47 of them got sick, Flowers say. Their symptoms are similar to what many others who’ve visited various resorts in the island nation have experienced.The State Department issued an advisory in April, urging American tourists to exercise increased caution due to crime but stopped short of telling tourists to cancel plans.Dr. Robert Quigley, the vice president and regional medical director for International SOS, a medical and travel security company, says they aren’t recommending anyone cancel any upcoming plans to the Dominican Republic either, at least not until there are more concrete answers about what is going on and why so many visitors have gotten ill.“In the Dominican Republic, where there has clearly been a cluster of death, we have concern about that, as does everyone,” Quigley says. “But we have no knowledge as of yet—and it is evolving—as to the cause for this cluster of deaths.”But Flowers, now healthy once again, runs a travel agency of his own. He says until we know what’s going on, he won’t recommend the Dominican Republic to anyone.“It’s just crazy,” he says. “The more I hear, the more I know there has got to be something not right.” 1854