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