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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

Fiat Chrysler Automobiles is recalling more than 180,000 Ram pickup trucks because of a potentially dangerous problem with their gear shifters.The recall includes 1500, 2500, 3500, 4500, and 5500 pickup trucks from the 2017-2018 model years.The agency says the fault “may increase the risk of an unintended vehicle rollaway” that could result in a crash or injury, according to consumer reports.A Fiat Chrysler Automobiles investigation discovered the Brake Transmission Shift Interlock (BTSI) may overheat on certain vehicles equipped with steering column gear-shifters. This condition has been linked to protracted brake-pedal application while vehicles idle in “park.”Fiat Chrysler Automobiles says it is unaware of any injuries or accidents related to the recall.Click here for more information. 822

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

Former GOP presidential candidate Herman Cain has died after being hospitalized with the coronavirus. He was 74.The news of his passing was posted on his website by Dan Calabrese, as well as his verified Twitter account. 228

Following the Associated Press calling the presidential race for Democrat Joe Biden, statements of support from previous presidents calling for unity and congratulations were shared.President Barack Obama, who Biden served as Vice President between 2009-2017, started by saying how proud he was to congratulate Biden, his wife Jill, running mate Kamala Harris and her husband, Doug Emhoff.“I know he’ll do the job with the best interests of every American at heart, whether or not he had their vote. So I encourage every American to give him a chance and lend him your support,” Obama’s statement reads. “The election results at every level show that the country remains deeply and bitterly divided. It will be up to not just Joe and Kamala, but each of us, to do our part - to reach out beyond our comfort zone, to listen to others, to lower the temperature and find some common ground from which to move forward, all of us remembering that we are one nation, under God.”Obama also thanked everyone who voted and got involved this election cycle, and urged all Americans to stay engaged in civic issues.President Bill Clinton tweeted his support, saying “America has spoken and democracy has won.” He also touched on healing a divided nation, saying “Now we have a President-Elect and Vice President-Elect who will serve all of us and bring us all together.”President Jimmy Carter said he and his wife Rosalynn are “proud” of the Democrats’ “well-run campaign and seeing the positive change they bring to our nation.” Carter served one term as president, from 1977-1981, while Biden was a young senator from Delaware. Below is a look at their full statements:President Barack Obama 1690