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What to know about chronic venous insufficiency — President Tump's health diagnosis

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What to know about chronic venous insufficiency — President Tump's health diagnosis

Earlier this week, President Trump was diagnosed with chronic venous insufficiency, or CVI, after he noted mild swelling in his lower legs. White House physician Dr. Sean P. Barbabella in a memo July 17 said the swelling prompted a full medical evaluation, including ultrasound tests and blood work. Those confirmed CVI, a condition the doctor described as “benign and common — particularly in individuals over the age of 70.”

Barbabella said he found no other signs of more serious cardiovascular issues like blood clots and declared the president to be in “excellent health.”

What is chronic venous insufficiency?

“CVI is when the veins of the body do not work well,” said Dr. Mimmie Kwong, assistant professor of vascular surgery at UC Davis Health, when veins cannot transport blood effectively, causing it to pool, especially in the legs.

CVI is one of the most common vein problems in the U.S. and worldwide, affecting “about one in three adults in the United States,” Kwong said.

That translates to more than 30 million people in the U.S., most often older adults, according to Dr. Ali Azizzadeh, a professor and director of Vascular Surgery at Cedars-Sinai and associate director of the Smidt Heart Institute. He noted the condition is more common in women.

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As people age, the veins, such as in their legs, may have a harder time returning blood to the heart, he said.

What causes CVI?

The valves in the veins of the legs are supposed to keep blood moving in one direction: back toward the heart. But when those valves are damaged or weakened, they can stop working properly, leading blood to flow backward and collect in the lower legs.

Individuals who stand or sit for extended periods, or those with a family history of vein issues, may be at a higher risk of developing the condition.

“When the calf muscles are active, they pump the veins that return blood from the legs to the heart,” Azizzadeh explained. “With prolonged inactivity of those muscles, blood can pool in the legs.”

What does CVI feel like?

While CVI isn’t always painful, it can cause discomfort that worsens as the day goes on.

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The mornings may feel the best: “The legs naturally drain while you are lying down and sleeping overnight,” said Azizzadeh, “so they will typically feel lightest in the morning.”

As the day progresses and blood starts to pool, people with CVI may experience swelling, heaviness, aching or a dull pain in their legs. The symptoms tend to worsen after prolonged periods of standing or sitting.

If swelling worsens, thickening, inflammation or dry skin can result, with more severe cases developing wounds that do not heal and can even result in amputation, Kwong said.

FILE – President Donald Trump speaks to the media as he leaves the White House, July 15, 2025, in Washington. (AP Photo/Manuel Balce Ceneta, File)

(Manuel Balce Ceneta/AP)

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How is CVI treated?

Treatment is more manageable when problematic veins are closer to the surface of the skin, Kwong said. It’s more problematic when deep veins are affected.

The first line of treatment is usually simple lifestyle changes. “We suggest CEE: compression, elevation, and exercise,” Azizzadeh said. Wearing compression stockings can help push blood out of the legs; elevating the legs allows gravity to help drain blood from the legs toward the heart, and regular walking forces calf muscles to pump blood throughout the body.

For people with more serious cases, doctors may recommend a minimally invasive procedure that uses heat to seal off the leaky veins. Common treatments include ablation techniques, surgical removal of veins (phlebectomy), or chemical (sclerosant) injections. “All of these therapies aim to cause the veins to shut down, so they no longer cause the CVI,” Kwong said.

President Donald Trump reaches to shake hands with Bahrain's Crown Prince Salman bin Hamad Al Khalifa speak upon his arrival.

President Trump, left, reaches to shake hands with Bahrain’s Crown Prince Salman bin Hamad Al Khalifa.

(Alex Brandon / Associated Press)

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In Trump’s case, the condition appears to be mild and manageable, his doctor said. Barbabella emphasized there was no cause for concern and that the president remains in good overall health. But for millions of Americans living with CVI, recognizing the symptoms and knowing how to manage them can make a big difference in day-to-day comfort and long-term well-being.

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Lyrids Meteor Shower: How to Watch, Peak Time and Weather Forecast

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Lyrids Meteor Shower: How to Watch, Peak Time and Weather Forecast

Our universe might be chock-full of cosmic wonder, but you can observe only a fraction of astronomical phenomena with the naked eye. Meteor showers, natural fireworks that streak brightly across the night sky, are one of them.

The latest observable meteor shower will be the Lyrids, which has been active since April 14 and is forecast to continue through April 30. The shower reaches its peak April 21 to 22, or Tuesday night into Wednesday morning.

According to NASA, the Lyrids are one of the oldest known meteor showers, and have been enjoyed by stargazers for nearly 3,000 years. Their bright, speedy streaks are caused by the dusty debris from a comet named Thatcher. They appear to spring from the constellation Lyra, which right now can be seen in the eastern sky at night in the Northern Hemisphere.

The moon will be about 27 percent full tonight, appearing as a thick crescent in the sky, according to the American Meteor Society.

To get a hint at when to best watch for the Lyrids, you can use this tool, which relies on data from the Global Meteor Network. It shows fireball activity levels in real time.

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And while you gaze at the heavens, keep an eye out for other stray meteors streaking across the night sky. Skywatchers are reporting that the amount of fireballs is double what is usually seen by this point in the year.

There is a chance you might see a meteor on any given night, but you are most likely to catch one during a shower. Meteor showers are caused by Earth passing through the rubble trailing a comet or asteroid as it swings around the sun. This debris, which can be as small as a grain of sand, leaves behind a glowing stream of light as it burns up in Earth’s atmosphere.

Meteor showers occur around the same time every year and can last for days or weeks. But there is only a small window when each shower is at its peak, which happens when Earth reaches the densest part of the cosmic debris. The peak is the best time to look for a shower. From our point of view on Earth, the meteors will appear to come from the same point in the sky.

The Perseid meteor shower, for example, peaks in mid-August from the constellation Perseus. The Geminids, which occur every December, radiate from the constellation Gemini.

Michelle Nichols, the director of public observing at the Adler Planetarium in Chicago, recommends forgoing the use of telescopes or binoculars while watching a meteor shower.

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“You just need your eyes and, ideally, a dark sky,” she said.

That’s because meteors can shoot across large swaths of the sky, so observing equipment can limit your field of view.

Some showers are strong enough to produce up to 100 streaks an hour, according to the American Meteor Society, though you probably won’t see that many.

“Almost everybody is under a light-polluted sky,” Ms. Nichols said. “You may think you’re under a dark sky, but in reality, even in a small town, you can have bright lights nearby.”

Planetariums, local astronomy clubs or even maps like this one can help you figure out where to go to escape excessive light. The best conditions for catching a meteor shower are a clear sky with no moon or cloud cover, sometime between midnight and sunrise. (Moonlight affects visibility in the same way as light pollution, washing out fainter sources of light in the sky.) Make sure to give your eyes at least 30 minutes to adjust to seeing in the dark.

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Ms. Nichols also recommends wearing layers, even during the summer. “You’re going to be sitting there for quite a while, watching,” she said. “It’s going to get chilly, even in August.”

Bring a cup of cocoa or tea for even more warmth. Then lie back, scan the sky and enjoy the show.

Storm systems sweep across the country in early spring, and some will be obscuring skies tonight. But there will still be plenty of areas with clear skies, particularly in parts of the central United States.

“The best spot is going to be in the Upper Midwest,” said Rich Bann, a meteorologist with the Weather Prediction Center.

Minnesota, Wisconsin and Iowa will offer especially good sky-viewing weather and a beach on the Great Lakes could be a nice spot to look up at the stars.

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But don’t expect to view the show from Chicago, as Illinois could see some thunderstorms. The weather will be better in the Northern and Central Plains, particularly the eastern Dakotas.

High, wispy clouds are expected over the Ohio and Tennessee Valleys and into parts of the Mid-Atlantic. But, Mr. Bann said, “you may be able to see some shooting stars through thin clouds.”

Clouds will be draped across much of the Southeast and the Northeast, though there could be some clearing in Florida, Georgia, the Carolinas and Virginia. Remember, the meteors could be visible all night long. If you look outside and see clouds, try again later.

Catching the spectacle will be challenging across much of the West, particularly from Washington into Northern California, where a storm system is bringing rain and snow. That system will move east overnight.

There are likely to be some pockets of clear skies at times across southern Nevada, northwest Arizona and southwest Utah, Mr. Bann said.

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Amy Graff contributed reporting.

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FBI probes cases of missing or dead scientists, including four from the L.A. area

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FBI probes cases of missing or dead scientists, including four from the L.A. area

Amid growing national security concerns, the FBI said Tuesday that it has launched a broad investigation in the deaths or disappearances of at least 10 scientists and staff connected to highly sensitive research, including four from the Los Angeles area.

“The FBI is spearheading the effort to look for connections into the missing and deceased scientists. We are working with the Department of Energy, Department of War, and with our state and state and local law enforcement partners to find answers,” the agency said in a statement.

The FBI’s announcement comes after the House Oversight Committee announced that it would investigate reports of the disappearance and deaths of the scientists, sending letters seeking information from the agencies involved in the federal inquiry as well as NASA, which owns the Jet Propulsion Laboratory in La Cañada Flintridge, where three of the missing or dead scientists worked.

“If the reports are accurate, these deaths and disappearances may represent a grave threat to U.S. national security and to U.S. personnel with access to scientific secrets,” Reps. James Comer (R-Ky.), chairman of the committee, and Eric Burlison (R-Mo.) wrote in the letters.

President Trump told reporters last week that he had been briefed on the missing and dead scientists, which he described as “pretty serious stuff.” He said at the time that he expected answers on whether the deaths were connected “in the next week and a half.”

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Michael David Hicks, who studied comets and asteroids at JPL, was the first of the scientists who disappeared or died. He died on July 30, 2023, at the age of 59. No cause of death was disclosed.

A year later, JPL physicist Frank Maiwald died at 61, with no cause of death disclosed.

Two other Los Angeles scientists are part of the string of deaths and disappearances.

On June 22, 2025, Monica Jacinto Reza, a materials scientist at JPL, disappeared while on a hike near Mt. Waterman in the San Gabriel Mountains.

On Feb. 16, Caltech astrophysicist Carl Grillmair was fatally shot on the porch of his Llano home. The Los Angeles County Sheriff’s department arrested Freddy Snyder, 29, in connection with the shooting. Snyder had been arrested in December on suspicion of trespassing on Grillmair’s property.

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Snyder has been charged with murder.

There is no evidence at this point that the deaths and disappearances, which occurred over a span of four years, are connected.

A spokesperson for NASA, which owns JPL, said in a statement on X that the agency is “coordinating and cooperating with the relevant agencies in relation to the missing scientists.

“At this time, nothing related to NASA indicates a national security threat,” agency spokesperson Bethany Stevens wrote. “The agency is committed to transparency and will provide more information as able.”

Representatives from Caltech, which manages JPL, did not immediately respond to a request for comment.

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What’s in a Name? For These Snails, Legal Protection

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What’s in a Name? For These Snails, Legal Protection

The sun had barely risen over the Pacific Ocean when a small motorboat carrying a team of Indigenous artisans and Mexican biologists dropped anchor in a rocky cove near Bahías de Huatulco.

Mauro Habacuc Avendaño Luis, one of the craftsmen, was the first to wade to shore. With an agility belying his age, he struck out over the boulders exposed by low tide. Crouching on a slippery ledge pounded by surf, he reached inside a crevice between two rocks. There, lodged among the urchins, was a snail with a knobby gray shell the size of a walnut. The sight might not dazzle tourists who travel here to see humpback whales, but for Mr. Avendaño, 85, these drab little mollusks represent a way of life.

Marine snails in the genus Plicopurpura are sacred to the Mixtec people of Pinotepa de Don Luis, a small town in southwestern Oaxaca. Men like Mr. Avendaño have been sustainably “milking” them for radiant purple dye for at least 1,500 years. The color suffuses Mixtec textiles and spiritual beliefs. Called tixinda, it symbolizes fertility and death, as well as mythic ties between lunar cycles, women and the sea.

The future of these traditions — and the fate of the snails — are uncertain. The mollusks are subject to intense poaching pressure despite federal protections intended to protect them. Fishermen break them (and the other mollusks they eat) open and sell the meat to local restaurants. Tourists who comb the beaches pluck snails off the rocks and toss them aside.

A severe earthquake in 2020 thrust formerly submerged parts of their habitat above sea level, fatally tossing other mollusks in the snail’s food web to the air, and making once inaccessible places more available to poachers.

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Decades ago, dense clusters of snails the size of doorknobs were easy to find, according to Mr. Avendaño. “Full of snails,” he said, sweeping a calloused, violet-stained hand across the coves. Now, most of the snails he finds are small, just over an inch, and yield only a few milliliters of dye.

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