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For the past two years, 52-year-old Kendra Jackson of Omaha, Nebraska just thought she had a bad cold."When it first started out, I just thought it was my allergies or a runny nose -- like the beginning of a fresh cold," Jackson said.The coughing, sneezing and runny nose began 2? years after Jackson was involved in a serious car accident. She remembers hitting her face against the dashboard, and she has struggled with migraine headaches ever since.In 2015, Jackson's "runny nose" began to worsen."When it didn't go away, I kept going back and forth to the doctors, and they prescribed every kind of medicine you can think of, and my nose just kept on running," she said.The doctors she saw told her that she probably had allergies. But this year, Jackson went to physicians at the University of Nebraska Medical Center and learned the real reason behind her nasal discharge: a cerebrospinal fluid (or CSF) leak caused by a small hole in her skull."She would wake up in the morning after sleeping upright in a chair, and the whole front of her shirt was wet with fluid. It was a lot of fluid," said Dr. Christie Barnes, a rhinologist at the University of Nebraska Medical Center and a lead surgeon on the case.Jackson said she was losing about half a liter of fluid per day.A physician's assistant "astutely recognized right away that this was something different than a runny nose and was consistent with a CSF leak. So we had her collect her fluids and sent it off for evaluation," Barnes said.Cerebrospinal fluid is a clear, colorless fluid that surrounds and protects the brain and spinal cord. The fluid also helps to remove waste products from the brain and distribute nutrients and other substances throughout the central nervous system, according to the Cleveland Clinic."CSF is a fluid that actually bathes the brain. Because the skull is a fixed box and the brain is a nice soft organ, it needs to be protected from moving around inside that hard box," Barnes said. "So it actually provides a cushion for the brain and the spinal cord."Cerebrospinal fluid is produced continuously in the brain and is normally absorbed into the bloodstream through protrusions in the outer membrane of the brain, called the dura mater.But in Jackson's case, a tiny hole in her cribriform plate -- a thin bone that separates her cranial and nasal cavities -- allowed the fluid to drip into her nose and mouth, resulting in her symptoms.According to Barnes, this part of the skull is "very thin, less than a potato chip. And it's one of the most common locations for this type of a CSF leak," Barnes said.Cerebrospinal fluid leaks are relatively rare, occurring in approximately five in 100,000 individuals worldwide every year. They are most commonly caused by trauma or surgery, according to the CSF Leak Association.In Jackson's case, the physicians believe that her car accident may have caused a small hole that increased in size over time."She was rear-ended and had head trauma, so it's certainly possible," Barnes said. "It may have caused a bit of a thin area there. Her symptoms actually started a little bit after (the accident), so for her, I think there's probably a combination of both the trauma and the increased pressure."Depending on the amount of fluid loss, cerebrospinal fluid leaks can be life-threatening. They also place the patient at an increased risk of infections such as meningitis, according to Barnes.In order to treat Jackson's condition, physicians at the University of Nebraska Medical Center performed a surgery that plugged the hole in her skull using tissue from her nose and abdomen, Barnes said."I used tissue from the inside of her nose to plug the leak," Barnes said. "I also borrowed some abdominal fat; it makes a great plugging agent in this location, so with just a tiny bit of fat, I was able to plug the leak."Almost a month after the surgery, Jackson is back home and reports that the mysterious drip has disappeared."I don't have the nasal drip anymore, but I still have the headaches," she said. "I actually feel pretty good, and I'm able to get a little bit of sleep."Though her condition is rare, Jackson wants people to know that cerebrospinal fluid leaks can occur, particularly after head trauma: "For people who hear my story, if they're tasting a very salty taste and something's draining in the back of your throat, it's probably something other than allergies. So get to the doctor." 4474

Former President Barack Obama and former Vice President Joe Biden were reunited Monday, when they went out for lunch at a Washington, DC, bakery.Obama and Biden spent about 45 minutes at Dog Tag Bakery in Georgetown. The bakery runs a fellowship program, now in its eighth class, that acts as a "living business school" for veterans, military spouses and military caregivers, Dog Tag CEO Meghan Ogilvie told COVER/LINE. Professors from Georgetown University teach fellows, who can earn a certificate of business administration from Georgetown University's School of Continuing Studies. 593

For dog owners, it can be a helpless feeling to see their pet panic. A newly approved drug hopes to help pets left paralyzed by the sound of fireworks and other loud noises.“We have all the way from very mild to very severe cases, where dogs are going through windows and escaping through crates during noise events,” says Dr. Amy Pike, a veterinary behaviorist.Dr. Pike is excited about a new drug, which was just approved by the Food and Drug Administration (FDA) to help dogs who get stressed out by loud noises.The prescription drug is called Pexion, and it's part of a growing list of medications approved by the FDA to treat pets. The drug is given to dogs two days before an expected loud event, like the Fourth of July, as well as during the event.In a study, 66 percent of owners who gave their dog the pill say they saw good or excellent results.“I think it definitely has the potential to make a huge impact for some of these noise phobic dogs,” Dr. Pike says.However, there are downsides. The most common side effects are difficulty standing or walking, increased appetite and low energy.But dog trainer Juliana Willems is optimistic about the drug.“Everything that I’ve seen has been great and totally adding to the quality of life for these animals I’m working with,” says Willems. “I'm relieved to see that people are understanding the importance of medication in the behavior modification process.”Willems says to see the best results with the new pill, dog owners should use the medication in combination with behavior training, which could help everyone at home.“Humans have such a hard time with it, and a lot of time, I do just as much human counseling as I do dog training,” says Willems. “So, once the dog is behaving better, it improves. The family feels better. Like you said, it's better for everybody.” 1836

Former Vice President Joe Biden told supporters Tuesday night to "keep the faith" and have patience, as results trickle in from around the country. Biden spoke from his Delaware home just before 1 a.m. ETCar horns could be heard during his short speech, a familiar sound from Biden's drive-in rallies during the final weeks of the campaign. "We feel good about where we are," Biden told supporters, referencing recent projected wins in Minnesota and what Biden says are positive trends in Pennsylvania and other battleground states. Biden also repeated a sentiment he had shared earlier in the day, as he thanked supporters for their patience. “Presidents don’t decide what votes are counted and not counted; voters determine who’s president.”His comments were a little bit of a surprise, given several key states had not been called yet and Biden's comments earlier in the day.When asked if he would give a speech Tuesday night, Biden simply told reporters, “If there’s something to talk about tonight, I’ll talk about it,” according to the Washington Post.Shortly after Biden's speech, Trump addressed the nation from the White House and falsely claimed victory, and vowed to send the outcome of the Supreme Court should the results prove he lost. In a statement, Biden campaign manager Jen O'Malley Dillon called the comments "outrageous, unprecedented and incorrect." There had been some questions earlier in the day whether Trump or Former Vice President Joe Biden would give any speech Tuesday night. There has been warnings all week it could take longer for states to count record-levels of mail-in ballots and in-person votes, and there may not be a winner projected in the presidential race Tuesday night.During a stop at his campaign headquarters, President Donald Trump said he was not thinking about any speeches Tuesday night yet.When asked if he had prepared one, he said, “No, I’m not thinking about a concession speech or acceptance speech yet. Hopefully we’ll only be doing one of those two. And you know, winning is easy, losing is never easy, not for me it’s not.”However, Tuesday night, Kellyanne Conway told ABC News the president is planning on giving a speech."You will hear from the president tonight," Conway said when asked if Trump would talk. "The President is expected to address the nation later from the East Room of the White House," Conway explained, adding that four years ago, Trump gave his speech at around 3 a.m.No word what time the president will talk. 2500

For parents preparing to start this school year with their children at home, there are concerns about children adapting mentally and emotionally to another semester away from their schoolmates and teachers.“I am a parent myself, so I can relate to the anxiety,” said Janine Domingues, a clinical psychologist with the Child Mind Institute.Domingues says parents have very good reason to be concerned.“For children or adolescents who were already prone to anxiety or social anxiety or depression, certainly this time, as you are more isolated and can’t interact with others, it can heighten anxiety and depression symptoms,” said Domingues.There are warning signs parents can look for to recognize if the isolation and social distancing are getting to their child.“Further isolation in their room, not getting out of bed, not engaging in activity that they normally would’ve engaged in,” said Domingues. “And honestly, if they are expressing sadness every day and in intense levels of that.”If a parent sees some of those warning signs, they are strongly encouraged to take action.“The number one step is reaching out for mental health services,” said Domingues. “Whether it is reaching out to a previous psychologist or therapist that you worked with or a new psychologist.”Organizations like the Child Mind Institute provide telehealth services for children struggling mentally and emotionally right now, and they even provide financial assistance for families concerned about affording the sessions.However, before it gets to the point where a child may need help, Domingues said there are steps parents can take to help their child adjust better to this start of the school year at home.“Really talking about it, honestly,” said Domingues. “Helping them understand that there might be another time where we are doing this at home.”She said parents should ask their children about their concerns, ask what worked well at the end of last semester and what did not, and ask the child about what they think they will feel at the start of this semester.“It can feel very overwhelming and anxiety-provoking, but again, it’s just taking one step at a time and talking through it,” said Domingues.Domingues, and most psychologists, believe kids are resilient and with the proper guidance, they can adapt to whatever schooling situation they’ll be in this fall. 2363