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To: Jeffrey Epsteinfleeyacation©gmail.corn] From: roger schank Sent: Sun 3/3/2013 5:50:06 PM Subject: Re: Fwd: thats why we were at jhu spinal tap for csf leak (whihc has stopped actually leaking much) On Mar 3, 2013, at 12:07 PM, Jeffrey Epstein wrote: Forwarded Ines From: Date: Sun, Mar 3, 2013 at 12:00 PM Subject: RE: To: Jeffrey Epstein <jecvacationg 2mail.corn> Given positional nature and leakage it sounds like low pressure csf headache. And she may have a small subdural or hygroma. Could be some other things and it might make sense to get another neuroradiologist to read films. She also needs a spinal tap. Has anyone tested the fluid from her nose? Is it blood or csf or both? Ask her to drip the leakage onto a brown paper napkin. And see if it looks like a drop or a target (with concentric rings). Sort of like a poor mans HPLC. If she has csf leakage from orbitofrontal olfactory turbinates ENT best. From: Jeffrey Epstein Sent: 3/3/2013 6:24 AM To: Subject: where are you? , roger shanks wife, 48, nose has been leakign for over a year , on just one, side, constant headaches when she stands, lying down no hcadachjcs. , dizziness, some thought it could be a csf leak, mri showed nothing, a plaget study also nothing, though it was a six hour as opposed to 24 hr test. ? first question is it an ENT or brain problem. sleep changes . she had migraines , and beta blockers, tour guard - 25 years, . well butrin . and a compunded t3/t4 synthtiec thyroid med. ideas? *********************************************************** The information contained in this communication is confidential, may be attorney-client privileged, may EFTA_R1_00331930 EFTA01902034 constitute inside information, and is intended only for the use of the addressee. It is the property of Jeffrey Epstein Unauthorized use, disclosure or copying of this communication or any part thereof is strictly prohibited and may be unlawful. If you have received this communication in error, please notify us immediately by return e-mail or by e-mail to [email protected], and destroy this communication and all copies thereof, including all attachments. copyright -all rights reserved ************* The information contained in this communication is confidential, may be attorney-client privileged, may constitute inside information, and is intended only for the use of the addressee. It is the property of Jeffrey Epstein Unauthorized use, disclosure or copying of this communication or any part thereof is strictly prohibited and may be unlawful. If you have received this communication in error, please notify us immediately by return e-mail or by e-mail to [email protected], and destroy this communication and all copies thereof, including all attachments. copyright -all rights reserved roger schank john evans professor emeritus, northwestern university EFTA_R1_00331931 EFTA01902035