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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
For the second time in recent weeks, President Donald Trump sent well wishes to Ghislaine Maxwell — a known associate of Jeffrey Epstein, who is currently in jail awaiting trial on child sex trafficking charges.In an interview with Axios, which aired on Monday evening, Trump was asked by reporter Jonathan Swan to clarify comments he made during a July 21 press briefing in which he sent well wishes to Maxwell.Trump said he "didn't know" about Maxwell's charges. He added that "her friend or boyfriend" — Epstein — "was killed or committed suicide in jail.""She's now in jail. Yeah, I wish her well," Trump said. "I'd wish a lot of people well. Good luck. Let them prove somebody was guilty." 702
Following Bill Clinton’s sharp rebuke of President Donald Trump Tuesday evening, Barack Obama gave his sharpest scolding of Trump since inauguration day.In Obama’s speech he delivered Wednesday at the Democratic National Convention, Obama lashed Trump for his approach to the presidency.“I did hope, for the sake of our country, that Donald Trump might show some interest in taking the job seriously; that he might come to feel the weight of the office and discover some reverence for the democracy that had been placed in his care,” Obama said.“But he never did. He’s shown no interest in putting in the work; no interest in finding common ground; no interest in using the awesome power of his office to help anyone but himself and his friends; no interest in treating the presidency as anything but one more reality show that he can use to get the attention he craves.”Obama, who was largely silent during the first three years of Trump’s tenure, has become more vocal during this election year. While generally avoiding direct shots at Trump, Obama has prodded Trump for his handling of a number of situations. But his speech Wednesday went as the sharpest reproach Obama has delivered on Trump.“Donald Trump hasn’t grown into the job because he can’t,” Obama said. “And the consequences of that failure are severe. 170,000 Americans dead. Millions of jobs gone. Our worst impulses unleashed, our proud reputation around the world badly diminished, and our democratic institutions threatened like never before.”Trump, who got word late Wednesday of Obama’s censure, responded in kind.“When I listen to this and see the horror that he left us, the stupidity of the transactions that he has made. Look what we are doing,” Trump said. Trump continued by boasting about building the border wall and improving the economy since Obama left office."“President Obama did not do a good job,” Trump added. “The reason I am here is because President Obama and Joe Biden, because if they did a good job, I would not be here. Probably if they did a good job, I would not have even run. I would've been very happy.” 2113
Former US Rep. Gabrielle Giffords, D-Ariz., and Emma Gonzalez, who took cover in Marjory Stoneman Douglas High School in Parkland, Florida, during a 2018 school massacre, made the case for gun control on Wednesday at that Democratic National Convention.Giffords was victimized by gun violence as a member of Congress at a town hall event in her Arizona district in 2011. The incident nearly took her life, as she spent months in recovery. There were six people fatally wounded at the 2011 incident.“America needs all of us to speak out, even when you have to fight to find the words,” Giffords said. “We are at a crossroads. We can let the shooting continue or we can act. We can protect our families, our future. We can vote. We can be on the right side of history.”Giffords' husband Mark Kelly is running for a Senate seat in Arizona. Gonzalez became a gun control activist, among others who were part of the 2018 shooting in Parkland. Gonzalez took cover in the school's auditorium for several hours as police cleared the school.“Until one of us or all of us stand up and say, ‘I can’t do this anymore, I can’t sit by and watch the news treat these shootings like acts of God. Gun violence isn’t just going to stop until there’s a force fighting harder against it, and I’m going to do something to prevent it,” Gonzalez said.The attack in Parkland was the deadliest on a high school campus in US history. Seventeen people were killed and 17 others were wounded.DeAndra Dycus, an Indianapolis mother whose son was paralyzed by a stray bullet, called on having a president empathetic to gun violence, and the need for gun restrictions.“I want a president who cares about our pain and grief,” Dycus said. 1712
Food can be expensive and each year on average an American family wastes more than ,000 on food that went bad. Making food last goes beyond Ziploc baggies and vacuum sealing.Most of us go to the grocery store once a week. Here are great ways to make your food last longer and it all has to do with how you store it.When it comes to fruit keep it on the counter top. The counter is where fruit should be stored. As for potatoes and onions those can be stored in a darker area like the pantry.When it comes to refrigerated foods, milk, dairy and yogurt should be kept on the top shelf because that’s where the temperature is most constant.When it comes to storing eggs in the door, that’s a no no. The door is the warmest place of a fridge.Do you throw away the bag you put the vegetables in at the store? It’s best you keep them in there and then place it in the crisper drawers. Also, when it comes to your vegetables don’t rinse them before you store them. That will have them go bad faster.As for fish, it only keeps for 2 days in a refrigerator. Meat only lasts for 4 days. Make sure to keep them in the bottom shelf which is the coldest place in the fridge.If you are not eating your protein that week, meat lasts 6 months in the freezer and fish lasts 3 months.As for leftovers, they only last 3 to 4 days in the refrigerator. 1347