From: roger schank

From: roger schank To: Jeffrey Epstein <[email protected]> Subject: Re: Fwd: Date: Sun, 03 Mar 2013 17:50:06 +0000 dulls 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 message From: Date: Sun, Mar 3, 2013 at 12:00 PM Subject: RE: To: Jeffrey Epstein <[email protected]> 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: Jeffreylpstein 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 headachjes. , 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, cour 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 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 EFTA00670687 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 EFTA00670688