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Update: the backpack that was dropped along the sidewalk of Pennsylvania Ave. has been cleared by Secret Service and @DCPoliceDept. Pedestrian traffic closures are expected to be lifted soon.— U.S. Secret Service (@SecretService) June 19, 2019 255

Weeks shy of his 95th birthday, former President Jimmy Carter said Tuesday he doesn't believe he could have managed the most powerful office in the world at 80 years old.Carter, who earlier this year became the longest-lived chief executive in American history, didn't tie his comments to any of his fellow Democrats running for president, but two leading 2020 candidates, Joe Biden and Bernie Sanders, would turn 80 during their terms if elected.Biden is 76. Sanders is 78."I hope there's an age limit," Carter said with a laugh as he answered audience questions during his annual report at the Carter Center in Atlanta. "If I were just 80 years old, if I was 15 years younger, I don't believe I could undertake the duties I experienced when I was president."Carter's observation came in response to a jovial inquiry about whether he had considered running in 2020 since he's still constitutionally allowed another term. The 39th president left office in 1981 at the age of 56 after losing his reelection bid to Ronald Reagan, who served two terms and left office as the oldest sitting president in history, at 77.Carter, who turns 95 on Oct. 1, said the Oval Office requires a president "to be very flexible with your mind," particularly on foreign affairs.Carter also commented on the Israeli election, lamenting that returning hard-line Prime Minister Benjamin Netanyahu to power could "end the peace process" altogether. Exit polls show that Netanyahu's party fell short of securing a parliamentary majority, potentially threatening his position. 1563

Weak effort from @BurgerKing re: rebel whopper, wtf is the point bringing out a veg burger that's cooked with meat? I'm not precious about cross contamination but I draw the line at my food literally being cooked in meat juices. Get a new grill & change the mayo you cowards.— ?? Seeds in the Wasteland ?? (@seedsinthewaste) January 6, 2020 356

WALTON, Ky. — Shortly after Our Lady of the Sacred Heart and Assumption Academy in Walton, Kentucky, reported 32 cases of chickenpox at the elementary school, a high school student filed a lawsuit against the Northern Kentucky Health Department, claiming it had directed Assumption Academy to bar him from participating in extracurricular activities because he had not received a vaccine. School and health officials have been working to contain the outbreak since February, said Dr. Lynne Saddler, the district director of health for the Northern Kentucky Health Department. According to the suit, which was filed in Boone County Circuit Court, 18-year-old Jerome Kunkel's battle with the health department started then. He and his parents had always declined the vaccine because of his conservative Catholic faith. Although the modern chickenpox vaccine does not contain any fetal tissue, it and several others were developed in the 1960s using cell lines derived from a pair of aborted fetuses. “Among other fundamental and deeply held religious beliefs of Mr. Kunkel, and the beliefs of his family, is that the use of any vaccine that is derived from aborted fetal cells is immoral, illegal and sinful,” the suit reads.The first case of chickenpox at Our Lady of the Sacred Heart Elementary School, which was detected in mid-February, spurred the Northern Kentucky Health Department to inform the parish that its students could not participate in or attend extracurricular activities unless they were found to be immune from the virus, according to the suit.Students subsequently not found to be immune, including Kunkel, were then barred from extracurriculars. The lawsuit alleges the health department’s epidemiology manager made derisive comments about Kunkel's faith and enacted the ban due to a specific religious animus. Later, when additional cases of chickenpox were discovered, additional bans were enacted. In an email cited in the suit, the epidemiology manager describes them as being for the protection of the public.By Friday, the health department had announced that all Sacred Heart and Assumption students without proof of vaccination or proof of immunity will not be allowed to go to school until 21 days after the onset of rash for the last person to have chickenpox. All games, events and activities are also canceled until 21 days after the last person is infected. Kunkel's lawsuit alleges these actions are infringements on his right to freedom of religion and expression. It seeks to end the bans and recoup legal costs.Instances of people 2616

Two centuries after its invention, the stethoscope — the very symbol of the medical profession — is facing an uncertain prognosis.It is threatened by hand-held devices that are also pressed against the chest but rely on ultrasound technology, artificial intelligence and smartphone apps instead of doctors’ ears to help detect leaks, murmurs, abnormal rhythms and other problems in the heart, lungs and elsewhere. Some of these instruments can yield images of the beating heart or create electrocardiogram graphs.Dr. Eric Topol, a world-renowned cardiologist, considers the stethoscope obsolete, nothing more than a pair of “rubber tubes.”It “was OK for 200 years,” Topol said. But “we need to go beyond that. We can do better.”In a longstanding tradition, nearly every U.S. medical school presents incoming students with a white coat and stethoscope to launch their careers. It’s more than symbolic — stethoscope skills are still taught, and proficiency is required for doctors to get their licenses.Over the last decade, though, the tech industry has downsized ultrasound scanners into devices resembling TV remotes. It has also created digital stethoscopes that can be paired with smartphones to create moving pictures and readouts.Proponents say these devices are nearly as easy to use as stethoscopes and allow doctors to watch the body in motion and actually see things such as leaky valves. “There’s no reason you would listen to sounds when you can see everything,” Topol said.At many medical schools, it’s the newer devices that really get students’ hearts pumping.“Wow!” ″Whoa!” ″This is awesome,” Indiana University medical students exclaimed in a recent class as they learned how to use a hand-held ultrasound device on a classmate, watching images of his lub-dubbing heart on a tablet screen.The Butterfly iQ device, made by based by Guilford, Connecticut-based Butterfly Network Inc., went on the market last year. An update will include artificial intelligence to help users position the probe and interpret the images.Students at the Indianapolis-based medical school, one of the nation’s largest, learn stethoscope skills but also get training in hand-held ultrasound in a program launched there last year by Dr. Paul Wallach, an executive associate dean. He created a similar program five years ago at the Medical College of Georgia and predicts that within the next decade, hand-held ultrasound devices will become part of the routine physical exam, just like the reflex hammer.The devices advance “our ability to take peek under the skin into the body,” he said. But Wallach added that, unlike some of his colleagues, he isn’t ready to declare the stethoscope dead. He envisions the next generation of physicians wearing “a stethoscope around the neck and an ultrasound in the pocket.”Modern-day stethoscopes bear little resemblance to the first stethoscope, invented in the early 1800s by Frenchman Rene Laennec, but they work essentially the same way.Laennec’s creation was a hollow tube of wood, almost a foot long, that made it easier to hear heart and lung sounds than pressing an ear against the chest. Rubber tubes, earpieces and the often cold metal attachment that is placed against the chest came later, helping to amplify the sounds.When the stethoscope is pressed against the body, sound waves make the diaphragm — the flat metal disc part of the device — and the bell-shaped underside vibrate. That channels the sound waves up through the tubes to the ears. Conventional stethoscopes typically cost under 0, compared with at least a few thousand dollars for some of the high-tech devices.But picking up and interpreting body sounds is subjective and requires a sensitive ear — and a trained one.With medical advances and competing devices over the past few decades, “the old stethoscope is kind of falling on hard times in terms of rigorous training,” said Dr. James Thomas, a cardiologist at Northwestern Medicine in Chicago. “Some recent studies have shown that graduates in internal medicine and emergency medicine may miss as many of half of murmurs using a stethoscope.”Northwestern is involved in testing new technology created by Eko, a Berkeley, California-based maker of smart stethoscopes. To improve detection of heart murmurs, Eko is developing artificial intelligence algorithms for its devices, using recordings of thousands of heartbeats. The devices produce a screen message telling the doctor whether the heart sounds are normal or if murmurs are present.Dennis Callinan, a retired Chicago city employee with heart disease, is among the study participants. At age 70, he has had plenty of stethoscope exams but said he feels no nostalgia for the devices.“If they can get a better reading using the new technology, great,” Callinan said.Chicago pediatrician Dr. Dave Drelicharz has been in practice for just over a decade and knows the allure of newer devices. But until the price comes down, the old stalwart “is still your best tool,” Drelicharz said. Once you learn to use the stethoscope, he said, it “becomes second nature.”“During my work hours in my office, if I don’t have it around my shoulders,” he said, “it’s as though I was feeling almost naked.” 5223