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A potential tropical storm has its eyes on Puerto Rico this week, prompting the National Hurricane Center to issue a tropical storm warning for the island territory.The unnamed storm has not officially been deemed a tropical storm, but is topping low-end tropical storm winds of 40 MPH. A number of other Caribbean islands, including the US Virgin Islands, are under tropical storm warnings.Because the storm lacks a well-defined center, it is not considered a tropical storm officially. But the National Hurricane Center expects the disturbance it has named “Potential Tropical Cyclone No. 9” to better organize in the next day.After it passes the Caribbean islands, it will begin approaching the East Coast of the US. The National Hurricane Center’s official cone includes Florida. The storm is still at least four days away from approaching the US mainland. 868
A New York taxi kingpin and business partner of President Donald Trump's attorney Michael Cohen has agreed to cooperate with the government, The New York Times reported Tuesday.The Times said the agreement for Evegny "Gene" Freidman would allow him to avoid jail time and would have him work with prosecutors in both the state and federal investigations.Word of the Freidman agreement came just days after news broke that Jeffrey Yohai, the son-in-law of former Trump campaign chief Paul Manafort, had reached a plea agreement.Freidman, known as New York's "Taxi King," was indicted on state charges last year by then-New York Attorney General Eric Schneiderman, who alleged Freidman and others failed to pay million in MTA surcharges between 2012 and 2015.Freidman's agreement, given his ties to Cohen as a business partner, may put still more pressure on the Trump associate and attorney, who faced federal raids in April before the Justice Department announced it had been conducting a months-long investigation into him.CNN previously reported the FBI searches included a request for documents related to Cohen's ownership of taxi medallions and sought informationabout taxi owners who had financial dealings with Cohen.Cohen's role as Trump's personal attorney has come under increasing scrutiny, due in large part to the payment he conceded facilitating to the adult film star Stormy Daniels. Trump attorney Rudy Giuliani later admitted that Trump had repaid Cohen.News of the raids in early April prompted Trump's outrage, as he called the searches "an attack on our country." 1659

A Seattle woman rinsed her sinuses with tap water. A year later, she died of a brain-eating amoeba.Her case is reported this week in the International Journal of Infectious Diseases.The 69-year-old, whose name was not given, had a lingering sinus infection. For a month, she tried to get rid of it using a neti pot with tap water instead of using sterile water, as is recommended.Neti pots are used to pour saline into one nostril and out of the other to irrigate the sinuses, usually to fight allergies or infections.According to the doctors who treated the woman, the non-sterile water that she used it thought to have contained Balamuthia mandrillaris, ?an amoeba that over the course of weeks to months can cause a very rare and almost always fatal infection in the brain.Once in her body, the amoeba slowly went about its deadly work.First, she developed a raised, red sore on the bridge of her nose. Doctors thought it was a rash and prescribed an antibiotic ointment, but that provided no relief. Over the course of a year, dermatologists hunted for a diagnosis.Then, the left side of the woman's body started shaking. She'd experienced a seizure that weakened her left arm. A CT scan showed an abnormal lesion in her brain that indicated she might have a tumor, so doctors sent a sample of tissue for testing.Over the next several days, additional scans revealed that whatever was happening in her brain was getting worse. The mass was growing, and new lesions were starting to show up.Finally, a neurosurgeon at Swedish Medical Center, where the woman was being treated, opened her skull to examine her brain and found that it was infected with amoebae.The US Centers for Disease Control and Prevention rushed the anti-amoeba drug miltefosine to Seattle to try to save the woman's life, but she fell into a coma and died.According to the CDC, most cases of Balamuthia mandrillaris aren't diagnosed until immediately before death or after death, so doctors don't have a lot of experience treating the amoeba and know little about how a person becomes infected.The amoeba was discovered in 1986. Since 1993, the CDC says, there have been at least 70 cases in the United States.As in the Seattle woman's case, the infections are "almost uniformly fatal," with a death rate of more than 89%, according to the doctors who treated her and the CDC.The amoeba is similar to Naegleria fowleri, which has been the culprit in several high-profile cases.In 2011, Louisiana health officials warned residents not to use nonsterilized tap water in neti pots after the deaths of two people who were exposed to Naegleria fowleri while flushing their nasal passages. An official urged users to fill the pots only with distilled, sterile or previously boiled water, and to rinse and dry them after each use."Improper nasal irrigation has been reported as a method of infection for the comparably insidious amoeba," the doctors say in the research paper about the Seattle woman. "This precedent led us to suspect the same route of entry for the ... amoeba in our case."The woman's doctors say they weren't able to definitely link the infection to her neti pot, as the water supply to her home was not tested for the amoeba. They hope her case will let other doctors know to consider an amoeba infection if a patient gets a sore or rash on the nose after rinsing their sinuses.Kristen Maki, a spokeswoman for the Washington State Department of Health, said in an email that "Large municipal water supplies ... have robust source water protection programs" and treatment programs, and she noted that "Well protected groundwater supplies are logically expected to be free of any such large amoeba" such as Balamuthia. 3746
A new campaign featuring the world's only classical music organization created for people with mental illness has teamed up with advocates to honor mental illness awareness week. They're using social media to bring people together to share how we're all getting through 2020.In a socially-distanced way, musicians gather outside with masks on to rehearse and get ready for a big, monumental moment. “My husband is the driving force here, he’s a brilliant conductor. His name is Ronald Braunstein and he conducted all over the world, he also has a diagnosis of bipolar disorder,” said Caroline Whiddon. She's the co-founder and executive director of the Me2 Orchestra.She said, “we have musicians living with bipolar disorder schizophrenia, substance abuse disorders, OCD, PTSD, depression and anxiety, that’s my diagnosis, it runs the gamut and we’re all constantly learning from each other."When there's not a pandemic, the orchestra, which Whiddon describes as a "traveling band", travels everywhere. They're working to erase the stigma of mental illness through their collective and talented musical voices. "We play both in traditional concert venues like recital halls or city hall but what’s exciting for us, we go into non-traditional venues, we play in gymnasiums at correctional facilities, at addiction treatment centers, hospitals, those types of people.” They work, Whiddon says, to normalize the challenges and show their successes. She also says if you were to watch the Me2 Orchestra members perform, you would never know anyone had any sort of mental illness."I’m always telling people, 'if you were to pop in, it would just look like an orchestra rehearsing.'”Now, they're working on a brand new piece. They're using their music to encourage others to share their "monumental moments" on social media. In doing so, pharmaceutical company Neurocrine Biosciences will donate to mental health organizations. “We’re really going to inject some positivity out there, let’s talk about what’s keeping us grounded and what’s keeping us real and mentally healthy right now,” said Whiddon.Dr. Stacy Cohen, a mental health expert, says music is instrumental in its healing properties. “Music is really like medicine, it increases the flow of our positive neurotransmitters which are our brain's hormones, things like dopamine and serotonin which we’ve all heard of that tend to boost our mood or make us feel more calm or more joy, those things increase in the settings of just listening to music. It can be that simple."Cohen says, in a time when people are more stressed and anxious then ever, mental health is more challenged than ever. Which means treatment is more necessary than ever. And watching those with mental illness perform can be therapeutic. For all of us. Cohen said, “It really is a good place where you can go, listen, see how talented people are and because they’re speaking out about it you’re like wow this person who’s leading the orchestra, super high functioning but still struggles and is speaking about it can be really inspirational and uplifting to hear these stories.”That new score will premiere virtually on October 28th. The hope is that everyone will join together, regardless of their challenges. 3245
A Trump administration official leading the response to the coronavirus pandemic says the U.S. can expect delivery of a vaccine starting in January 2021, despite statements from the president that inoculations could begin this month.Dr. Robert Kadlec said in an email Friday that the administration "is accelerating production of safe and effective vaccines ... to ensure delivery starting January 2021." Kadlec is the Department of Health and Human Services' assistant secretary of preparedness and response. President Donald Trump said at a White House press briefing last month: "We think we can start sometime in October.""We’re on track to deliver and distribute the vaccine in a very, very safe, and effective manner," Trump said in the White House briefing. "We think we can start sometime in October. So as soon as it is announced, we’ll be able to start. That’ll be from mid-October on. It may be a little bit later than that, but we’ll be all set." 966
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