WEBVTT - Misguided

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<v Speaker 1>Welcome to Aaron Manke's Cabinet of Curiosities, a production of

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<v Speaker 1>iHeartRadio and Grimm and Mild.

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<v Speaker 2>Our world is full of the unexplainable, and if history

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<v Speaker 2>is an open book, all of these amazing tales are

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<v Speaker 2>right there on display, just waiting for us to explore.

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<v Speaker 2>Welcome to the Cabinet of Curiosities. Picture the scene with me.

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<v Speaker 2>It's midwinter nineteen eighteen. The hospital ward is packed this season,

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<v Speaker 2>row upon row of ailing patients, light trembling, unable to

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<v Speaker 2>raise their heads, their faces fixed, eyes glazed, caught between

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<v Speaker 2>sleep and waking in an unnatural half dream state. Each

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<v Speaker 2>suffers from a disease that doctors have not yet understood,

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<v Speaker 2>encephalitis lethargica, or simply an illness concurrent with the influenza

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<v Speaker 2>just beginning to sweep the globe. But this disease, el

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<v Speaker 2>affecting between one and five million people worldwide, manifests differently

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<v Speaker 2>intense sleepwalking, ocular disturbances, and a motor skill impairment. Many

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<v Speaker 2>permanently developed Parkinson's like symptoms, and they call it the

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<v Speaker 2>sleeping sickness, and it kills between ten to thirty percent

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<v Speaker 2>of people infected. The first documented.

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<v Speaker 1>Cases came in nineteen sixteen, when Saint Petersburg, Paris, and

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<v Speaker 1>Vienna simultaneously reported an illness characterized by severe fatigue, fever,

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<v Speaker 1>and a disturbing ability to stay awake. It was thought

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<v Speaker 1>that refugees and soldiers of the Great War helped to

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<v Speaker 1>spread the disease across Europe. As cases rose, health officials

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<v Speaker 1>issued advisories that newspapers amplified, prompting the creation of isolation

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<v Speaker 1>wards to contain the influx of patients suffering, and citywide quarantines,

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<v Speaker 1>and naturally, the doctors were baffled, thinking that it might

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<v Speaker 1>be influenza or meningitis. Some even believe that it was

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<v Speaker 1>a form of mass psychiatric catatonia. Yet the profound lethargy,

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<v Speaker 1>involuntary eye rolling, muscle rigidity, and tremors didn't point to

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<v Speaker 1>any known illness, and so they prescribed what they could

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<v Speaker 1>rest bromides and watchful care in the hospital. Into this

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<v Speaker 1>confusion stepped Constantine von Econimo, a neurologist from the University

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<v Speaker 1>of Vienna. His background in sleep research made him particularly

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<v Speaker 1>adept at figuring out the problem of the epidemic. Through autopsies,

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<v Speaker 1>he was able to discover inflammation of the basal ganglia,

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<v Speaker 1>a region of the brain that regulates movement and behavior,

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<v Speaker 1>causing tremors and difficulties in movement. Over the course of time,

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<v Speaker 1>these acute symptoms progressed into a Parkinson's like chronic illness.

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<v Speaker 1>Van Econimo published a series of studies on the disease,

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<v Speaker 1>finally putting a name to it, the one I gave

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<v Speaker 1>you earlier, Encephalitis lethargica. The work was crucial to not

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<v Speaker 1>just understanding EL but also for future research into neuro

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<v Speaker 1>infectious diseases in general. In the mid nineteen twenties, the

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<v Speaker 1>influx of new cases had abruptly declined, and by the

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<v Speaker 1>end of nineteen twenty seven it had virtually disappeared from

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<v Speaker 1>hospital wards all over, and of course, many explanations were

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<v Speaker 1>put forward for this decline in cases. Maybe it was

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<v Speaker 1>possible that the population had acquired herd immunity, so the

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<v Speaker 1>disease was finding it harder and harder to find a host.

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<v Speaker 1>Another theory is that, like the Spanish influenza, it had mutated,

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<v Speaker 1>creating less virulent strains. Many recovered, although one percent of

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<v Speaker 1>patients did not, instead entering a chronic phase of the

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<v Speaker 1>illness that lasted for years. Decades later, a small handful

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<v Speaker 1>of these chronic sufferers remained in a catatonic sort of

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<v Speaker 1>fugue state, unable to speak or move. At Beth Abraham

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<v Speaker 1>Hospital in New York, a young neurologist named Oliver Sachs

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<v Speaker 1>observed patients that seemed to exhibit the same basal ganglia

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<v Speaker 1>condition that von Acanamo had first discovered. With more research

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<v Speaker 1>at his back, he thought that perhaps the symptoms were

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<v Speaker 1>caused by a deficiency of dopamine, a neurotransmitter of the works

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<v Speaker 1>as a sort of chemical messenger in the body, and

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<v Speaker 1>so he gave his patients a drug called Leveedopa to

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<v Speaker 1>boost their dopamine. The results were almost instantaneous and absolutely shocking.

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<v Speaker 1>Patients began waking up from the catatonia they had been

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<v Speaker 1>experiencing four years. They were able to move, walk, speak,

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<v Speaker 1>and express emotions. Although this was a temporary relief for

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<v Speaker 1>sufferers of el a revolutionized treatment and advanced the field's

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<v Speaker 1>understanding of dopamine's role in the brain. Years later, Sachs

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<v Speaker 1>would publish a book on the experiments called Awakenings, which

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<v Speaker 1>agreed with von Economo's studies, adding more modern information into

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<v Speaker 1>the mix, and the book was even made into a

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<v Speaker 1>famous film of the same name, starring Robin Williams as

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<v Speaker 1>Oliver Sachs and Robert de Niro as one of his patients.

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<v Speaker 1>The film was nominated for Best Picture at the Oscars,

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<v Speaker 1>scoring two statues for its writing and editing. The Sleeping

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<v Speaker 1>sickness has not returned in any real scale, although there

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<v Speaker 1>have been a number of scattered cases over the years

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<v Speaker 1>that very much was zembled it and advances in imaging

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<v Speaker 1>things like MRIs and pet scans now allow doctors to

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<v Speaker 1>actually see how EL works on the brain in real

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<v Speaker 1>time and try new medications to curb the possibility of

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<v Speaker 1>long term effects. Scientists are also using modern virus detecting

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<v Speaker 1>tools to hunt for any germs that may create a

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<v Speaker 1>similar effect in the infected. Honestly, science is utterly amazing.

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<v Speaker 1>Encephalitis lethargica stands as a singular, strange episode in modern

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<v Speaker 1>medical history, a pandemic that disappeared almost as quickly as

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<v Speaker 1>it arrived. Of course, scientists today are still trying to

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<v Speaker 1>fully understand the disease that affected so many. Because illnesses

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<v Speaker 1>may come and go, but as long as we have

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<v Speaker 1>skilled and experienced scientists to protect us. All of us

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<v Speaker 1>have hope. At the top of the page, the title

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<v Speaker 1>Letter of Condolence is written in shaky black ink. Beneath

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<v Speaker 1>it a short message explaining that your registration was approved.

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<v Speaker 1>You're one of forty applicants chosen to participate in this race,

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<v Speaker 1>hand selected out of thousands. The letter contains a set

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<v Speaker 1>of coordinates which will require you to trek deep into

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<v Speaker 1>the Appalachian wilderness, beyond the reach of any GPS signal,

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<v Speaker 1>with no idea if you're going in the right direction,

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<v Speaker 1>and that's just to get to the starting line. It

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<v Speaker 1>may sound intense, but that's just what it's like for

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<v Speaker 1>the runners of the Barkley Marathons, the world's most mysterious

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<v Speaker 1>ultra marathon. Now, the word ultra marathon might sound redundant.

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<v Speaker 1>After all, running a marathon is an impressive feat all

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<v Speaker 1>on its own, but an ultra marathon, which refers to

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<v Speaker 1>any race longer than twenty six point two miles, is

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<v Speaker 1>more of an extreme sport. Barkley's Marathons were created by

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<v Speaker 1>a lifelong runner named Lazarus, whose real name is Gary Cantrell.

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<v Speaker 1>It was created in partnership with a group of his

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<v Speaker 1>running buddies. But I have to tell you the origins

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<v Speaker 1>of the race are a lot darker than one might expect.

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<v Speaker 1>The story begins with a failed prison escape. James Earl Ray,

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<v Speaker 1>the man convicted of assassinating doctor Martin Luther King, Junior,

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<v Speaker 1>was held in a Memphis prison after his arrest in

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<v Speaker 1>nineteen sixty eight. But James Earl Ray escaped prison almost

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<v Speaker 1>ten years later for a total of fifty four hours.

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<v Speaker 1>Over the course of those fifty four hours, though, he

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<v Speaker 1>covered eight miles of wilderness before being recaptured. And this

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<v Speaker 1>is where the dark part of the story comes in.

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<v Speaker 1>Because doctor King was a civil rights visionary and legend,

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<v Speaker 1>and rather than lament his killer's escape, Gary Kentrell and

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<v Speaker 1>his friends allegedly laughed about it. One man even said

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<v Speaker 1>that eight miles was a pathetic amount of distance to

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<v Speaker 1>run when you'd escaped prison, especially in fifty four hours.

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<v Speaker 1>And Gary Cantrell himself well, he argued that in that

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<v Speaker 1>time through the same wilderness he could run one hundred

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<v Speaker 1>and from there. Gary Cantrell charted a rough path one loop,

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<v Speaker 1>roughly twenty miles long, through uncharted at Balacha, covering dense brush,

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<v Speaker 1>rocky inclines, and even a mountain trek. Contestants would complete

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<v Speaker 1>the twenty ish mile loop five times for an approximate

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<v Speaker 1>total of one hundred miles. With a cutoff time of

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<v Speaker 1>sixty hours, runners would risk exposure wild animals, sleep deprivation, dehydration,

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<v Speaker 1>and most significantly, going off course. In twenty seventeen, for example,

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<v Speaker 1>runner Gary Robbins missed the sixty hour cutoff time by

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<v Speaker 1>less than a minute after getting lost on his final lap,

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<v Speaker 1>and in two thousand and six, one contestant became lost

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<v Speaker 1>only two miles into the race and spent thirty two

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<v Speaker 1>hours in the wilderness trying to find his way back.

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<v Speaker 1>Since Barkley's marathons take place in protected forests and parks,

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<v Speaker 1>spectators are not allowed on the course and strongly discouraged

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<v Speaker 1>even at the start or finish line. In fact, the

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<v Speaker 1>twenty mile course has only two water stations, and most

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<v Speaker 1>contestants never find either of them. Each lap begins and

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<v Speaker 1>ends at a yellow trail gate, where Lazarus waits to

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<v Speaker 1>document each runner's time. Some runners nap for about twenty

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<v Speaker 1>minutes after each loop, the only rest they get during

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<v Speaker 1>the entire sixty hour race. The race also forbids the

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<v Speaker 1>use of GPS. Instead, runners must use their own hand

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<v Speaker 1>drawn maps made from Cantrell's description of the route, which

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<v Speaker 1>often includes sections named ratjaw or meat grinder. By now,

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<v Speaker 1>you might be starting to see why Cantrell calls the

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<v Speaker 1>registration tickets a letter of condolence. But how does anyone

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<v Speaker 1>know if a runner actually completes the course if no

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<v Speaker 1>one is around to watch. Well, every few miles, Cantrell

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<v Speaker 1>places books somewhere along the route. At the start of

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<v Speaker 1>each twenty mile loop, Cantrell assigns runners a new page

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<v Speaker 1>number they must collect from each book to prove they've

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<v Speaker 1>completed the planned course. And I know that in theory

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<v Speaker 1>that might not sound hard, but remember that these races

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<v Speaker 1>don't take place on a trail. The Barkley Marathons require

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<v Speaker 1>runners to complete the full course with almost no idea

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<v Speaker 1>if they're even on the right track. You might not

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<v Speaker 1>be surprised to hear that most years no one finishes

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<v Speaker 1>the race at all, and Cantrell says that's just fine

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<v Speaker 1>with him. He knows that the event attracts the most

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<v Speaker 1>elite athletes and thinks failure is an important part of

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<v Speaker 1>their growth. As runners and as people. Twenty twenty four,

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<v Speaker 1>is race set the record with the grand total of

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<v Speaker 1>five finishers. Two of the finishers had completed the race

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<v Speaker 1>in past years, but the most notable of the group

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<v Speaker 1>was Jasmine Paris. Jasmine became the first woman to complete

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<v Speaker 1>the race, finishing ninety nine seconds before.

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<v Speaker 2>The cutoff time.

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<v Speaker 1>For most of us, this whole race probably sounds like

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<v Speaker 1>a nightmare, But if you're someone who's got what it

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<v Speaker 1>takes to run of Barkley's Marathon, the story might sound

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<v Speaker 1>like the challenge you've been looking for. And if you

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<v Speaker 1>do decide to sign up for the race, may I

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<v Speaker 1>offer you my own condolences. I hope you enjoyed today's

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<v Speaker 1>guided tour through the Cabinet of Curiosities. This show was

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<v Speaker 1>created by me Aaron Manke in partnership with iHeart Podcasts,

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<v Speaker 1>researched and written by the Grim and Mild team, and

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<v Speaker 1>produced by Jesse Funk. Learn more about the show and

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<v Speaker 1>the people who make it oh. If you're at Grimandmild

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<v Speaker 1>dot com slash Curiosities, you'll also find a link to

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<v Speaker 1>the official Cabinet of Curiosity's hardcover book, available in bookstores

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<v Speaker 1>and online as well as ebook and audiobook. And if

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<v Speaker 1>you're looking for an ad free option, consider joining our Patreon.

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<v Speaker 1>It's all the same stories, but without the interruption for

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<v Speaker 1>at patreon dot com. Slash Grimandmild, and until next time,

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<v Speaker 1>stay curious.