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Many Americans have dealt with new, stressful situations during the COVID-19 pandemic. Loss of work, isolation, lack of exercise and routines, and much more. Now, headache and migraine specialists across the country say those new stresses are bringing in more patients to their offices."This has been the perfect storm for people who suffer from migraines. First of all, we know stress and anxiety and depression can increase even the amount of headaches. Certainly, people who aren't even anxious or depressed before are experiencing this," said Dr. Charisse Litchman, a headache specialist and neurologist at Stamford Health in Connecticut. Dr. Litchman also serves as a medical adviser for Nurx, a digital practice for women's health that's just started doing home delivery of migraine medications to help patients during the COVID-19 pandemic. Dr. Litchman says triggers from the pandemic, including a spike in stress on top of irregular sleep and diet, has prompted the increase in patients where she works."I would say we are given a great deal, maybe 20% more [headache] patients reaching out for help who had never reached out before," said Dr. Litchman.Dr. Litchman says she's also seen more headache and migraine patients who were coping well before the pandemic, but suddenly needed help again.Dr. Merle Diamond with Diamond Headache Clinic in Chicago agrees. "I'm actually seeing some people I haven't seen in three to four years. And they were like, 'I was doing fine,' and I'm like 'yes, these are really challenging times,'" explained Dr. Diamond. Diamond Headache has also seen a 20% increase in patients since the start of the COVID-19 pandemic. "I think patients' schedules are being disrupted in this piece. I think the anxiety, everything going on. I also think that we don't have a lot of our other outlets going on. We can't watch sports, there's just a lot of changes and I think that's been really difficult for patients," said Dr. Diamond.Dr. Diamond has some pieces of advice for those experiencing increased headaches or migraines during this time. The first and most important is to get a diagnosis and plan for treatment from a doctor. The second is to get into a regular routine."When you have a migraine, one of the things we know about a migraine brain is it likes things regular. So you've gone from going into the office where your day job is and now you're working from home and managing all those home issues at the same time. So try to keep yourself on as reasonable a schedule as you can," said Dr. Diamond. Also, don't skip meals, keep yourself hydrated and lower caffeine intake. 2627

Melania Trump’s return to the campaign trail will have to wait.Her chief of staff, Stephanie Grisham, said Tuesday that Mrs. Trump continues to feel better every day following her recent recovery from COVID-19 but has a lingering cough.Grisham says the first lady has decided not to accompany President Donald Trump to a campaign rally Tuesday evening in Erie, Pennsylvania, out of an abundance of caution.Mrs. Trump’s last public appearance was during the Sept. 29 presidential debate in Ohio. She and the Republican president received their positive test results in early October.The first lady announced last week that she had recovered. 648

MALIBU, Calif. (AP) — Strong Santa Ana winds returned to Southern California on Sunday, fanning a huge wildfire that has scorched a string of communities west of Los Angeles.Huge plumes of smoke were rising again in the fire area, which stretches miles from the northwest corner of Los Angeles' San Fernando Valley to the Malibu coast.Aircraft swooped low over flaming hills to drop lines of fire retardant as flames marched through brush lands on the edges of cul-de-sac communities.A one-day lull in the dry, northeasterly winds ended at midmorning and authorities warned that the gusts would continue through Tuesday.RELATED: Death toll hits 25 from wildfires at both ends of CaliforniaThe lull allowed firefighters to gain 10 percent control of the so-called Woolsey fire, which has burned more than 130 square miles (335 square kilometers) in western Los Angeles County and southeastern Ventura County since Thursday.Los Angeles County Fire Chief Daryl Osby stressed there were numerous hotspots and plenty of fuel that had not yet burned.The count of destroyed homes remained at 177 but it was expected to increase. Osby noted that a November 1993 wildfire in Malibu destroyed more than 270 homes and said he would not be surprised if the total from the current fire would be higher.The death toll stood at two. The severely burned bodies were discovered in a long residential driveway on a stretch of Mulholland Highway in Malibu, where most of the surrounding structures had burned. The deaths remained under investigation.LIVE BLOG: Several wildfires burning in CaliforniaThe deaths came as authorities in Northern California announced the death toll from a massive wildfire there has reached 23 people, bringing the statewide total to 25.Progress was made on the lines of smaller fire to the west in Ventura County, which was 70 percent contained at about 7 square miles (18 square kilometers), and evacuations were greatly reduced. But thousands remained under evacuation orders due to the Woolsey fire.Three firefighters suffered unspecified injuries, authorities said.Also injured was a well-known member of the Malibu City Council. Councilman Jefferson "Zuma Jay" Wagner was injured while trying to save his home, which burned down, Councilman Skylar Peak told reporters Sunday.Peak said Wagner was hospitalized down the coast in Santa Monica and was expected to recover. Wagner runs Zuma Jay Surfboards, a longtime fixture on Pacific Coast Highway near the landmark Malibu Pier.Areas that suffered significant destruction included Seminole Springs, a mobile home community nestled by a lake in the rugged Santa Monica Mountains north of Malibu. News helicopters showed numerous homes wiped out."I smelled the fire and didn't think, grabbed my dog and left," resident Lisa Kin said Sunday, tears in her eyes and her voice breaking. "It hasn't burned in decades and I knew we didn't stand a chance."She described Seminole Springs as a "beautiful community" of families and older people who appreciate its tranquility. But she said she always feared a wildfire since she moved there 15 years ago, especially during recent years in which there's been almost no rain.Santa Ana winds, produced by surface high pressure over the Great Basin squeezing air down through canyons and passes in Southern California's mountain ranges, are common in the fall and have a long history of fanning destructive wildfires in the region.But fire officials say fire behavior has changed statewide after years of drought and record summer heat that have left vegetation extremely crisp and dry."Things are not the way they were 10 years ago ... the rate of spread is exponentially more than it used to be," said Ventura County Fire Chief Mark Lorenzen, urging residents to not put their lives at risk by trying to defend their own homes instead of evacuating.That change has impacted the ability to move firefighting resources around the state, officials said."Typically this time of year when we get fires in Southern California we can rely upon our mutual aid partners in Northern California to come assist us because this time of year they've already had significant rainfall or even snow," said Osby, the LA County fire chief.With the devastation and loss of life in the Northern California fire, "it's evident from that situation statewide that we're in climate change and it's going to be here for the foreseeable future," he said. 4442

Main Street in Ellicott City, Maryland experienced flooding on Sunday reminiscent to a severe flood in July 2016. Shelters were made available for those effected and in need.The record flooding continued into Memorial Day, as reports of collapsed buildings and residents trapped were reported to emergency services. 353

Millions of Americans evacuated parts of Florida, Georgia and South Carolina last weekend in attempt to avoid the dangers posed by Hurricane Irma. Now that the once mighty Category 5 hurricane has dissipated into just a few pesky showers for the Ohio Valley, many are returning home to find devastation. The Red Cross, a non-governmental organization involved in disaster relief, has offered the following 15 tips for those returning home after evacuating.  480

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