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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

FRANKLIN, Indiana — Authorities in Indiana are warning people of a scam involving a person who is claiming to be a sheriff's deputy in order to deceive people into sending money.According to a report from the Johnson County Sheriff's Office, a woman came to the Johnson County Jail on Wednesday who said while she was at work she received a call from an individual who claimed to be a sheriff's deputy.The individual told the woman she had a warrant for her arrest due to failure to appear for jury duty selection. The suspect told the woman if she wanted to avoid arrest she needed to pay the fines by purchasing ,000 worth of Apple Store gift cards. The suspect also told the woman she would need to go to the sheriff's office with her receipts to prove her identity.After making the initial purchase in pre-paid gift cards, the suspect informed the woman 0 was not transferred, according to the sheriff's office. The suspect reportedly told the woman to purchase another 0 in pre-paid Apple gift cards. The woman said she was on the phone with the suspect for approximately two hours until all the transactions were made and confirmed. She then drove to the sheriff's office where she was informed she was the victim of a scam.The woman was distraught and told deputies she is recently divorced and the money used from her saving account was being saved for her children's Christmas gifts. 1413

For most of the pandemic, people have enjoyed record low interest rates, making way for a boom in mortgage refinancing. But experts say the upcoming election could have a major impact on whether those rates stay low."I think for a lot of reasons there will be even more volatility. You have the backdrop of the pandemic, you have quite a rivalry," said Josh Stech, Co-founder and CEO of Sundae, a company that helps people with homes in bad condition get their properties sold. Stech says the pandemic has created even more of a wedge between the two parties and interest rates will be impacted."I would say that we’re cautiously optimistic that we’ll see a strong 2021 regardless of who wins but there’s always that looming uncertainty of who wins and also what policies that follow that, that could impact unemployment, that could impact tax rates, that could just change consumer behavior again," said Stech.Matthew Garcia, a Senior Loan Officer with Supreme Lending, says historically, interest rates waver before an upcoming presidential election. "Last election in 2016, rates were in the lower threes. Literally, two to three days later rates went into the fours. That’s how violent and how rapid interest rates can move. A lot of folks', mistakes people make is they think the government makes interest rates. They don't. Interest rates for mortgages are controlled by bond market activity," said Garcia. Specifically, Garcia says, treasury bonds and mortgage-backed securities."Now, at some point, depending on what the next president decides to do, if that affects monetary policy by the Fed(eral Reserve) and the Fed has already come out and said we don't plan on changing anything but the president has the ability to influence that. If they make a decision that could ultimately affect what the Fed’s decision on monetary policy is, we would see a rapid increase in interest rates according with that," said Garcia.Another potential big influence on interest rates? "If COVID-19 is cured, you’re going to see rates spike overnight. Or any kind of change in economic policy or even, too, the economy itself being affected by COVID has the potential to drive interest rates a lot higher. So, there’s definitely on the horizon two major components, the election and COVID cure that are going to affect interest rates going forward," said Garcia.Garcia says it's best to take advantage of interest rates while they're low. Experts recommend speaking to a loan officer or financial advisor before taking out a loan. 2531

For many 5-year-old kids across the country, kindergarten is an exciting first introduction into the classroom. But this year, schools are grappling with growing COVID-19 cases and declining kindergarten enrollment numbers."In terms of our kinder cohort, we usually have about 23,000 students registered in Miami-Date County schools for kindergarten. Right now, as of this week, we have a total of 14,724 registered already for next year," said administrative director Berena Cabrera, with Miami-Date County Public Schools in Florida.Cabrera says the district is tackling a 40-percent decline in kindergarten enrollment, and other public schools across the country are dealing with a similar situation.At Visalia Unified School District in central California, kindergarten enrollment is down by 15 percent. At Poway Unified School District, near San Diego, they're seeing 5 percent less kindergarten students enrolling. Fulton County Schools in the Atlanta, Georgia area reports 12 percent less students are enrolled in kindergarten for the upcoming school year."Kindergarten is critical. It is the foundation of a successful student. And in Florida, it is mandatory for students to start kindergarten," said Cabrera.While kindergarten isn't mandatory in all states, educators agree it's an important beginning to a student's education. Rising coronavirus cases in communities combined with public schools having to tackle the virus head-on, has prompted some parents to turn to private kindergarten.Primrose Schools, which offers private daycare, preschool and kindergarten at more than 400 locations across the country, says they've seen a massive increase in interest, especially for those parents whose local districts are offering a virtual-only program this fall."Many of the working parents, obviously, they’ve got to have childcare. Where they would have had before and after school care now they're going to need full day. So, what we’ve seen is our schools responding rapidly by many of them opening up classrooms to kindergarten programs," Jo Kirchner, CEO of Primrose Schools, said.Kirchner says some of their locations are adding kindergarten classrooms to accommodate the increased interest. Their schools offer a 1:10 teacher to student ratio, plus heightened sanitation protocols."Even the parents who stay home with their children, who now find themselves virtual versus sending them to school, don’t really have the skill sets to provide the academic learning support the children need,” Kirchner said. “Kindergarteners have a fairly short attention span so distance learning is not the best environment for a kindergartner.”While kindergarten families across the country consider their options, Miami-Dade County Public Schools is converting a lot of their enrollment from paper to digital. Additionally, they're doing a big push on the district's website and social media."We’re hopeful that registration does pick up in the coming weeks. We are rolling out with a major marketing campaign, and we’re trying to let the parents know that there are staff in our schools that are registering," said Cabrera.Cabrera adds, whether kindergarten is in-person or remote learning this fall, she hopes parents will enroll their children for this crucial first start to their academic career. 3309

FORT LAUDERDALE, Fla. (AP) — Security video shows a Florida sheriff's deputy go toward the high school building while a gunman massacred 17 students and staff members, but he stayed outside with his handgun drawn.The Broward County Sheriff's Office released the video Thursday showing Deputy Scot Peterson's actions during the Feb. 14 shooting.It shows him and a staff member rushing toward the building in a cart. He pulls his weapon and takes up a position outside the building.During much of the shooting, the camera's view of Peterson is blocked by a light pole but parts of him occasionally appear.Sheriff Scott Israel blasted Peterson eight days after the shooting, saying Peterson should have "went in, addressed the killer, killed the killer."The 54-year-old deputy retired rather than accept a suspension. He is still being investigated by internal affairs. 874