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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

Four people were killed and four others were wounded when a gunman opened fire in a Waffle House in Antioch, Tennessee.The mass shooting happened around 3:25 a.m. Sunday at 3571 Murfreesboro Pike near Hobson Pike.Metro Nashville Police Department officials named 29-year-old Travis Reinking, from Illinois, as a person of interest in the shooting, saying the vehicle the gunman used was registered to him. 423

Flywheel has filed for bankruptcy.The fitness company was in business for 10 years and once had 40 studios across the United States.Earlier this year, Flywheel lost a major legal battle to its competitor.Peloton sued Flywheel alleging the company copied its technology used to create the in-home bikes.The patent infringement case initially caused Flywheel to close only a dozen of its studios along with all virtual classes.The pandemic later forced the company to layoff nearly all staff and close all studios.Flywheel hasn't commented on the bankruptcy filing. 571

Forecasters have warned of potentially record-breaking temperatures in Spain and Portugal this week as much of Europe swelters in a heat wave that has left some farmers suffering drought conditions.The UK Met Office said parts of the Iberian peninsula could beat the all-time continental European record of 48 degrees Celsius (118.4 degrees Fahrenheit) this week, with inland areas likely to be hotter than the coast.That record was set in the Greek capital, Athens, in July 1977. According to the World Meteorological Organization, the record for Spain is currently 47.3 Celsius, while for Portugal it's 47.4 Celsius.The Portuguese capital, Lisbon, could see a high of 41 Celsius on Saturday, according to CNN forecasters. Its average temperature is 28 Celsius for this time of year.A heat wave warning was in place across much of southern and eastern France on Thursday. The national meteorological agency, Méteo France, said Wednesday that temperatures in the south of the country would come close to record highs in the coming days.Vacationers have been warned to take precautions against extreme temperatures, as the heat wave coincides with the peak holiday season in Europe.Vulnerable people such as children and the elderly could be at risk of heat stroke, which occurs when a person's core body temperature rises above 40 Celsius and can lead to permanent brain, heart and kidney damage and, in more severe instances, death.Spain's meteorological office, Aemet, warned of high temperatures lasting from Wednesday into early next week.The hot spell will be particularly intense and long-lasting in Spain's southwest, the central zone and the Ebro Valley, with temperatures above 40 Celsius, it said. In inland areas of the northwestern region of Galicia, normally known for its mild, rainy weather, the mercury could hit 41 Celsius on Thursday, it said.Wildfires have raged in Sweden and neighboring Scandinavian nations in recent weeks amid unusually hot, dry conditions. Some places in Sweden have had their driest May-to-July period on record, according to its meteorological agency, and a number of weather stations have recorded only 10% to 15% of their normal rainfall.The United Kingdom is also experiencing a prolonged spell of hot, dry weather. The Met Office said last week that some parts of east and southeast England had had virtually no rain for more than 50 days. Thunderstorms over the weekend brought with them rain and cooler weather, but temperatures are again on the rise.The National Farmers' Union hosted an emergency summit Wednesday with representatives of the UK government, at which it called for its members to be given help to cope with the conditions. Farmers are struggling with irrigation, heat stress on livestock, the loss of crops and a shortage of forage for animals, the union said."The impacts of the dry and hot weather have been hugely challenging for many farms across the country, with many not seeing such weather in their lifetimes," said NFU President Minette Batters.The UK Environment Agency said it would allow greater flexibility in the rules on water extraction to help farmers manage the situation.Meanwhile, German Agriculture Minister Julia Kl?ckner wrote to the European Commission on Wednesday urging it to take steps to help farmers affected by drought. Food for livestock could become scarce in the coming weeks, she warned.The past four months in Germany have been very hot and dry, particularly in the north and east of the country.The European Commission announced measures Thursday to help farmers cope, including giving them higher advance payments from EU funds and granting more flexibility to use land that would normally be left fallow to grow animal fodder.The latter measure will be of particular help to livestock farmers, it said. 3815

For the first time in history, a beluga whale, which normally lives in arctic waters, was spotted off the coast of Southern California. Now there's an investigation under way to find out where it's going and why.Drone video taken by Gone Whale Watching owner and Captain Domenic Biagini, or "Captain Dom" in San Diego shows the Beluga happily swimming thousands of miles from home.Something like this has never been recorded before. Never has this animal been seen off the coast of San Diego, and never this far south in the Pacific Ocean.Biagini charters sight seers and also takes drone images. He's still in disbelief about the beluga footage he captured.“Imagine I’m outside at my house in Southern California and I walk out and there’s a polar bear walking down the street. It’s that unusual, it does not make any sense that this whale would be here,” Biagini said.He said it all started when a friend of his called about the rare sighting. “She called me on the radio and said, ‘Dom we just saw a 15 foot pearly white animal with no dorsal fin.’ I said, ‘Lisa, are you trying to tell me you have a beluga whale in San Diego waters?’”She wanted his drone expertise because she couldn't quite believe it either. So, he went and they all sat quietly. Watching and waiting for the whale to resurface. After some time it came back up and looked right at the drone.Captain Dom said the moment was emotional. “I started to get the shakes a little bit because I realized I was going to film this, it was going to happen, I was going to get there in time and I realized how historic this moment was - not just for San Diego but for whale watching as a whole, worldwide.”And then he got worried. What was it doing here and so far from home? The beluga whale looked healthy enough and while incredible, now what?Dr. Alissa Deming is the Director of Clinical Medicine at the Pacific Marine Mammal Center in Laguna Beach, California. “One of the questions as a veterinarian that we have, is why did he decide to leave his habitat? That could be an indication of something wrong, his ability to navigate his environment.”Normally, she said, belugas live in the Cook Inlet of Alaska. They're an endangered species and they're social. They usually travel together.From the looks of the images, Dr. Deming said the whale is older and it is abnormal that he's alone. His skin looks good and he's not thin, so hopefully he's still getting the food he needs.But, the whale is still too far away from home and researchers are concerned, and are now looking for it.“It's definitely searching for a needle in a haystack, a little white needle I guess. A lot of time public reporting and whale watching companies can call things in which is how this was opportunistically sighted. NOAA can put planes up or have the US Coast Guard help on a search but there’s so much water we don’t know which direction this animal went,” Dr. Deming said.The worry is that it's headed south towards Mexico. Waters are warmer there and the Beluga will be harder to track in international waters.“We would like them to stay up in the Alaska region. As much as I love beluga whales, I don’t want to see them off our coast because that means there’s something really wrong with their normal habitat up there in Alaska,” Dr. Deming added.For Captain Dom, who's had an incredible run of luck, spotting the beluga and recently five species of whale and four species of dolphin, it's a dream come true.“It's so beautiful, belugas as white as they are in waters as blue as ours. That’s not something we see here; we don’t have animals that color in water as bright and sunny as ours.”An incredible sight, one that's now recorded as historical, and one that everyone hopes to never see again. At least when it comes to belugas hanging out in sunny, Southern California. 3833

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