From: roger schank
To: Jeffrey Epstein <jeevacation@gmail.com>
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 <jeevacation@gmail.com>
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?
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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 jeevacation@gmail.com, and
destroy this communication and all copies thereof,
including all attachments. copyright -all rights reserved
roger schank
john evans professor emeritus, northwestern university
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