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Lawmakers have agreed to ban the sale of tobacco products to anyone under the age of 21 and repeal three health care taxes designed to help pay for the Affordable Care Act as part of the sweeping year-end spending agreement, according to multiple people involved in the talks.The restriction on tobacco sales has long been a push by a somewhat odd compilation of members, ranging from Senate Majority Leader Mitch McConnell a Kentucky Republican, and Republican Sens. Mitt Romney of Utah and Todd Young of Indiana, and some of the chamber's top Democrats, including Sens. Richard Durbin of Illinois, Tim Kaine of Virginia and Brian Schatz of Hawaii.Those lawmakers have been looking for a means to get the prohibition across the finish line, and now they've found one by attaching it to a must-pass series of bills to avoid a government shutdown.The final version of the bill is expected to be released later on Monday, and the increased age restriction for tobacco purchases is one of several provisions outside the spending measures themselves that will be attached to the broader .4 trillion spending agreement and likely become federal law.The medical device tax, health insurance tax and "Cadillac" tax on employer plans -- all of which have faced bipartisan opposition on Capitol Hill and have been targeted by health care industry lobbyists for years -- would also be repealed in the agreement, the people said. Their opponents on Capitol Hill have been looking for a popular bill that they can be attached to, and this spending package is the last train leaving the station in 2019.Negotiators have also agreed to extend the Export-Import Bank for an additional seven years and provide financing to shore up miner pensions that are at risk of running out of money, the people said.The spending bill also includes million for gun research at the Centers for Disease Control and PRevention and the National Institutes of Health, which has long been a Democratic push. It maintains the 2009

It's supposed to be one of the happiest days of your life. But brides in the Kansas City area said they spent their big days stressed out because their hair and makeup artist didn't show.One of those brides was Miranda Reeves, who started planning her wedding last summer. While searching online, she came across 324

In recent years, healing and meditation has become an important part of Janea Escobedo’s life.“It’s just very relaxing to be under the trees to watch the leaves, and hike around to see the wildlife. It’s, it’s very healing,” she says. Escobedo was diagnosed with inflammatory breast cancer.“In February of 2017, I was happy-go-lucky turned into a cancer patient with a very aggressive rare disease that I didn’t know what to do with,” she recalls. Dr. Radhika Acharya, the medical director of the UCHealth Cancer Center in Highlands Ranch, Colorado, has been assisting Escobedo in her cancer journey.“[Inflammatory breast cancer] makes up just about 0.2 to 0.5 percent of all breast cancers, so it’s very rare, and it involves the skin that overlies the breast,” Dr. Acharya says.She says inflammatory breast cancer is so rare, it’s a challenging cancer to diagnose. “I think what’s difficult is sometimes it gets underdiagnosed or not diagnosed correctly because it looks like mastitis, which is swelling of the breast from an infection, or cellulitis, which is swelling of the skin or infection of the skin," she explains. "And a lot of women can experience that after pregnancy or when they’re breastfeeding or just with trauma."As uncommon as it may be, Escobedo knew the symptoms from a news segment she had seen years prior. “Honestly didn’t feel sick, didn’t think anything was going on, but I had that itch,” Escobedo says.She thought that itch was simply dry skin. However, after a couple weeks, it was still itchy so Escobedo decided to visit the doctor. An MRI showed nothing, but a biopsy proved it was inflammatory breast cancer. “With inflammatory breast cancer, 9 times out of 10 there will be no lump,” Escobedo says.The potential for a lump is just one symptom out of many for the disease. Other possible symptoms include itchiness, swelling of the breast, dimpling or thickening of the skin (like the skin of an orange), a discolored or inverted nipple, or the breast can get warm. Considering it’s so difficult to discover, the cancer is often very advanced by the time it’s diagnosed. Escobedo says she had to go through super intense chemo, surgery and radiation. However, genetic testing helped guide doctors and Escobedo to make the right decisions for her body.“Genetic testing more and more is becoming part of the data points in considering a patients’ diagnosis and optimal treatment,” UCHealth Genetic counselor Kristina Markey says.Oncologists say if you think you could be experiencing any of these symptoms, you should see your doctor right away. “Be persistent, and don’t just sort of say ‘it will get better’. If it doesn’t get better, go see your doctor again,” Dr. Acharya says.Escobedo will have to undergo chemo every three weeks for the rest of her life. Some days, she says she can barely drag herself down the stairs, but in the end, she chooses to stay positive and keep going.“When I wake up in the morning and I’m alive, then I just need to live the day," Escobedo says. "And I have a strong faith in God, I have a very strong family bond, and I will be on chemo forever, but the good part is that forever may be much longer.”If you’d like to reach out to the journalist for this story, please email elizabeth.ruiz@scripps.com 3281

Iranian state TV says a stampede at the funeral for a top general slain in a U.S. airstrike has killed 56 people and injured 213 others. Thousands of mourners had surrounded the coffin of Revolutionary Guard Gen. Qassem Soleimani in his hometown of Kerman when the crush occurred. It was unclear what set off the stampede. Online videos showed people lying lifeless on a road and others shouting and administering CPR. Soleimani's burial has been delayed, as officials have grown concerned about the large crowds that may attend.Soleimani's death has brought calls across Iran to take revenge against America, drastically raising tensions across the Middle East. On Tuesday, U.S. Secretary of State Mike Pompeo 723

Infantino on the stage. Whole stadium chants “EQUAL PAY” #FIFAWWC pic.twitter.com/WIn9OCMdbU— Lou (@loutalksfutbol) July 7, 2019 140

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