WEBVTT - Case #25: Trent (Pt. 1)

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<v Speaker 1>Rube.

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<v Speaker 2>I couldn't move my arms the way I needed to.

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<v Speaker 2>My head was kind of like a bottlehead. I couldn't

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<v Speaker 2>really control the muscles of my neck. He reminded me

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<v Speaker 2>of kind of like a baby deer. The inabilities to

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<v Speaker 2>control the balance for perception, the coordination, all the things

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<v Speaker 2>in his lower body just wasn't there.

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<v Speaker 3>And they told us when he first got sick that

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<v Speaker 3>I would be a widow in about two months because

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<v Speaker 3>whatever he had was progressive.

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<v Speaker 1>How do you process that?

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<v Speaker 2>And I just I was helpless. I was completely helpless. Yeah,

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<v Speaker 2>she got these brand new babies at home, so need

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<v Speaker 2>their father, and she needs her husband.

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<v Speaker 1>How terrifying would it be to fight an unknown enemy,

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<v Speaker 1>one you didn't recognize and didn't see coming. What if

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<v Speaker 1>that enemy was coming from within a disease that even

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<v Speaker 1>doctors couldn't identify. Nearly half of all Americans suffer from

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<v Speaker 1>some chronic illness, and many struggle for an accurate diagnosis.

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<v Speaker 1>These are their stories. I'm Lauren Brete Pchecko, and this

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<v Speaker 1>is symptomatic. Trent Fielder, a seasoned insurance appraiser with a

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<v Speaker 1>knack for problem solving, centers his life around his family,

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<v Speaker 1>deep rooted faith and his service dog Gunner, a loyal

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<v Speaker 1>Laborador Retriever. Dedicated and genuine, Trent is the kind of

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<v Speaker 1>person you'd want in your corner, both at work and

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<v Speaker 1>in life.

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<v Speaker 2>The majority of my job was spent out in the field,

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<v Speaker 2>so I was driving around down the coast of Florida.

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<v Speaker 2>That was basically my job.

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<v Speaker 4>What did you do?

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<v Speaker 2>I supervised auto appraisers for an insurance company, So I

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<v Speaker 2>had the best job ever. I loved it.

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<v Speaker 1>After the loss of his first wife, Trent experienced a

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<v Speaker 1>roller coaster of emotions. During this difficult time, his mom

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<v Speaker 1>and sister stepped up to support him.

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<v Speaker 2>I had a discussion with my mom, who is still

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<v Speaker 2>in Texas, and told her, I said, look, I think

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<v Speaker 2>I don't want to go down this road again. Suddenly,

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<v Speaker 2>the next morning, my sister had shown up, you know,

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<v Speaker 2>and I knew exactly what was going on. So we

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<v Speaker 2>talked throughout the day and I had work and did

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<v Speaker 2>their thing. But the next morning I needed to take

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<v Speaker 2>her back to the airport, and so I went to breakfast.

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<v Speaker 1>That's when Nicole entered the picture.

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<v Speaker 3>It was a breakfast place called the First Watch, and

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<v Speaker 3>it was super fast paced place you had your regulars

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<v Speaker 3>and you knew their names and their faces, but everybody

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<v Speaker 3>else they were just in and out so quickly.

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<v Speaker 2>And as we're sitting there at breakfast and talking about

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<v Speaker 2>that my mother had and concerns that other people would have.

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<v Speaker 2>I was sitting there, the cherver came up and she

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<v Speaker 2>asked us for we'd had a chance to look at anything,

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<v Speaker 2>and that obviously was Nicole. And I looked up at

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<v Speaker 2>her and lost my train of thought and lost my

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<v Speaker 2>ability to speak, and that's not me. So when she

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<v Speaker 2>walked away, my sister just looked at me and she said,

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<v Speaker 2>you've never done that before, and I was didn't what

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<v Speaker 2>she said? She completely she I floored you. You lost

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<v Speaker 2>your train of thought, you couldn't say anything. I was like,

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<v Speaker 2>let's just get back to what we're talking about.

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<v Speaker 3>And you know, I was just doing my job and

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<v Speaker 3>waiting tables, and then all of a sudden, the woman

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<v Speaker 3>came back into the kitchen and I was like, hi,

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<v Speaker 3>she goes the food was wonderful, the service was excellent,

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<v Speaker 3>and my brother thinks you're cute, and I was like brother,

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<v Speaker 3>I was like, uh okay, and she gave me his

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<v Speaker 3>business card and then a couple of days later, I

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<v Speaker 3>was doing laundry and just going through my pockets and

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<v Speaker 3>I found his business card and then I was like,

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<v Speaker 3>you know what, life's too short. I'm going to email him.

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<v Speaker 3>And so I emailed him. This is my name and

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<v Speaker 3>this is who I am. So if you want call me.

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<v Speaker 1>What was it about her once you got to know

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<v Speaker 1>her that made you realize you were going to break

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<v Speaker 1>that vow you made to not get married again.

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<v Speaker 2>Nicole has and I'm sure deny it all the time,

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<v Speaker 2>but she has a natural light about her that is undeniable.

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<v Speaker 2>And it's fun to introduce her to additional people or

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<v Speaker 2>to watch her kind of under element and see how

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<v Speaker 2>people respond naturally to her. They naturally want to open

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<v Speaker 2>up to her, and they naturally feel better no matter

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<v Speaker 2>what their circumstances are.

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<v Speaker 1>And for people who don't know Trent, how would you

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<v Speaker 1>describe him?

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<v Speaker 3>He's just a one tough son of a gun. And

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<v Speaker 3>you know, it's like, don't tell him he can't, because

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<v Speaker 3>he's going to and he will do it, maybe just

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<v Speaker 3>despite you. He's very tenacious.

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<v Speaker 1>To set the stage for the battles. Trent would face

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<v Speaker 1>ahead after a whirlwind romance and wedding, the couple discovered

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<v Speaker 1>they were expecting twins. However, complications arose in the womb

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<v Speaker 1>when their daughter Nevah began taking nutrients from her brother Logan,

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<v Speaker 1>putting both at risk.

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<v Speaker 2>It became very dangerous. So, I mean we went from

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<v Speaker 2>the joyous moving along the process to suddenly realizing something

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<v Speaker 2>was wrong, and it kicked everything into overdrive. And from

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<v Speaker 2>the moment of our first I guess realization is something

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<v Speaker 2>was wrong. Within two weeks, the doctors came in and said,

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<v Speaker 2>we have to take them. We had to take them now.

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<v Speaker 2>Logan was a great risk and Avaiah was as well,

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<v Speaker 2>and then if things didn't go right, then the risk

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<v Speaker 2>was Nicole and I just had to button up and pray,

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<v Speaker 2>but keep her excited and energize that you know you're

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<v Speaker 2>going to be a mom.

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<v Speaker 1>Logan was born weighing just too pounds five ounces and

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<v Speaker 1>Navajah at three pounds eleven ounces. Both babies spent their

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<v Speaker 1>first few months in the nick you fighting to grow stronger,

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<v Speaker 1>a stressful start for the new family. At the time

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<v Speaker 1>you started exhibiting symptoms.

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<v Speaker 2>The symptoms actually came months later, but they started piling.

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<v Speaker 2>I mean, I was definitely I was wearing down my body.

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<v Speaker 2>I was wearing down emotionally and spiritually fast because Logan

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<v Speaker 2>was in the hospital for about almost three months and

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<v Speaker 2>he had multiple times where there was possibility that he

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<v Speaker 2>wouldn't make it. You know, they took us into that

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<v Speaker 2>room that's in a hospital, or a room that's in

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<v Speaker 2>a nicku that no parent ever wants to go into,

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<v Speaker 2>and they're telling us that your son is dying. It

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<v Speaker 2>was a lot to handle. And Nichol's very strong, but

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<v Speaker 2>at the same time, I had to be stronger.

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<v Speaker 1>And at this point you began to experience symptoms you

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<v Speaker 1>couldn't quite explain. Take me back to that moment.

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<v Speaker 2>The first ones, they were very obvious to me. I

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<v Speaker 2>guess they didn't make sense, but I at the same

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<v Speaker 2>time I was justifying why they were happening. December sixteenth,

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<v Speaker 2>twenty eleven, was the day that everything went south for good.

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<v Speaker 2>I was actually underneath a car and was trying to

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<v Speaker 2>work an estimate on a vehicle. I'll never forget the

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<v Speaker 2>vehicle either, Toyota, camer and Gray and at a body

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<v Speaker 2>shop that wasn't very friendly. And while I was under there,

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<v Speaker 2>after I was done, I was trying to get out

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<v Speaker 2>from underneath it, and my legs wouldn't hold my weight

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<v Speaker 2>to be able to pull my body.

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<v Speaker 1>Out, something you had done a million times before.

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<v Speaker 2>Right I was worried I was gonna be stuck under there.

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<v Speaker 2>It was the first moment I think I felt far

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<v Speaker 2>that was distinct as to what is happening.

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<v Speaker 1>Attempting to shake off the awkward maneuvering, Trent took over

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<v Speaker 1>two hours to drive just six miles home, struggling the

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<v Speaker 1>whole way to control his eat on the pedals.

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<v Speaker 4>What did you initially chalk that up to?

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<v Speaker 2>I just thought I was tired. You know, we were

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<v Speaker 2>coming up on Christmas. I had saved all year for

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<v Speaker 2>Christmas time off so that we get spend our first

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<v Speaker 2>Christmas with family, and I just thought my body was

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<v Speaker 2>really a step ahead of me wanting to go on

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<v Speaker 2>vacation a little early. And it was Nicole who said,

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<v Speaker 2>this is not exhaustion, this is something else, and she

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<v Speaker 2>called the position. She did all of this, so I

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<v Speaker 2>would have continued just to write it off. And then

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<v Speaker 2>he said I need to see him right away.

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<v Speaker 1>And even in the midst of newborn twins with challenges,

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<v Speaker 1>your wife took one look at you, and it was

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<v Speaker 1>blatantly obvious to her.

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<v Speaker 2>And she was not going to accept my answer if

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<v Speaker 2>you're just tired.

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<v Speaker 1>Okay, so you go to the doctors the next day.

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<v Speaker 2>I did, and he could tell something was obviously wrong,

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<v Speaker 2>but you know, it's kind of hard to diagnose just

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<v Speaker 2>in a primaries office. So they sent me over to

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<v Speaker 2>a facility that's just next door to get a seat

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<v Speaker 2>exam done. And after it was all done, they said, okay,

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<v Speaker 2>you can go, and I just looked at them and

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<v Speaker 2>I said, I can't. I can't get up.

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<v Speaker 1>And you know, the.

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<v Speaker 2>First response was okay, that's sometimes that's normally been laying

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<v Speaker 2>down for a while, and so we'll set you up.

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<v Speaker 2>Was they're trying to sit me up, I'm still going backwards,

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<v Speaker 2>so I can't move my arms the way I needed to.

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<v Speaker 2>My head was kind of like a bobblehead. I couldn't

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<v Speaker 2>really control the muscles of my neck. So they realized

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<v Speaker 2>something was wrong in contacted ems. Then everything just cascaded downhill.

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<v Speaker 1>I'm sorry, but that's it sounds like a horror movie.

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<v Speaker 1>You can't wake up from.

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<v Speaker 2>Very much, so because you're suddenly completely dependent on everybody else,

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<v Speaker 2>and you don't know why.

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<v Speaker 1>Trent suddenly began losing control of his motor skills. With

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<v Speaker 1>no family nearby for support, Nicole had to stay home

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<v Speaker 1>with the kids, receiving updates from Trent only when he

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<v Speaker 1>had the energy, which made the uncertainty overwhelming.

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<v Speaker 3>I was probably in disbelief, like, they'll figure it out.

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<v Speaker 3>This is weird, just acutely paralyzed. It was kind of

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<v Speaker 3>like he couldn't feel his arms, and then he couldn't

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<v Speaker 3>feel his legs, and I was like, what is going on,

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<v Speaker 3>and they'll figure out something, but they never did.

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<v Speaker 2>So, yeah, spinal tap, reflex exams, strength testing, trying to

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<v Speaker 2>figure out how spasticity. They were doing everything they could

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<v Speaker 2>and nothing was spastic. It just wouldn't move. The main

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<v Speaker 2>neurologist there, he was fantastic. So what he did. It

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<v Speaker 2>brought in other neurologists. I think there were five or six,

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<v Speaker 2>and they all came up with essentially the same diagnosis.

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<v Speaker 2>But what was interesting is the first time I knew

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<v Speaker 2>I was really in trouble was I noticed that they

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<v Speaker 2>pronounced it a different way, each one of them, and

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<v Speaker 2>so I just asked him point blank, I said, you

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<v Speaker 2>don't see this very often? Do you, And he said

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<v Speaker 2>most neu all just will go through their entire career

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<v Speaker 2>and never see this like wellish comfort. And that was

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<v Speaker 2>when it started to set in that something was really wrong.

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<v Speaker 1>Trent soon found himself paralyzed from the waist down and

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<v Speaker 1>losing feeling in other parts of his body. Doctors diagnosed

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<v Speaker 1>him with Guyan Beret syndrome or GBS, a rare autoimmune

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<v Speaker 1>disorder where the immune system attacks the nervous system, specifically

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<v Speaker 1>the spine, causing muscle weakness and paralysis.

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<v Speaker 3>And they told us when he first got sick that

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<v Speaker 3>I would be a widow in about I think it

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<v Speaker 3>was two months.

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<v Speaker 1>Honestly, tell me exactly what they said and how.

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<v Speaker 4>You process that?

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<v Speaker 3>I mean, they said that his disease was progressive and

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<v Speaker 3>that he wasn't going to make it and to prepare,

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<v Speaker 3>you know, how do you process that? I think the

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<v Speaker 3>only thing that I like, truly, really vividly remember is

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<v Speaker 3>the grocery store down there is a Publix. I just

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<v Speaker 3>remember being in like Aisle five of publics and then

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<v Speaker 3>I have a little mental breakdown and I cried for

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<v Speaker 3>about thirty seconds, and then I was like, Okay, put

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<v Speaker 3>in my big girl pants in day by day. You

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<v Speaker 3>just gotta do what you gotta do. That's like the

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<v Speaker 3>one thing that I vividly remember from the whole thing,

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<v Speaker 3>because all of it is just a blur, honestly.

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<v Speaker 1>Once moved to the ICU, Trent's lungs began to shut

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<v Speaker 1>down and he started losing more control of his bodily functions.

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<v Speaker 1>Doctors acted quickly to prevent further damage. They attempted to

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<v Speaker 1>regulate his immune system with steroids. Plasmaphoresis a process that

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<v Speaker 1>filters harmful antibodies from the blood and replaces the plasma

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<v Speaker 1>and intravenous immunoglobulin an infusion of antibodies, often called ivig.

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<v Speaker 2>I needed to help give my body something else to

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<v Speaker 2>fight instead of fighting itself. So the steroids did one

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<v Speaker 2>good thing. They kept my lungs functioning, even though the

0:13:09.320 --> 0:13:11.400
<v Speaker 2>rest of my body was getting worse. I was able

0:13:11.440 --> 0:13:14.720
<v Speaker 2>to breathe independently. I was trying to move my body

0:13:14.800 --> 0:13:17.640
<v Speaker 2>by trying to do what I could to move whatever

0:13:17.679 --> 0:13:19.959
<v Speaker 2>would move like. I fell out of the bed a

0:13:20.040 --> 0:13:23.520
<v Speaker 2>number of times, just trying to get some sort of

0:13:23.520 --> 0:13:26.000
<v Speaker 2>function back. I just I didn't understand what was happening.

0:13:27.080 --> 0:13:29.960
<v Speaker 1>The doctors were able to get Trent breathing on his

0:13:30.000 --> 0:13:34.079
<v Speaker 1>own again, but regaining feeling in his limbs took more time.

0:13:34.720 --> 0:13:38.280
<v Speaker 1>Once his GBS was under control, he was transferred to

0:13:38.320 --> 0:13:42.680
<v Speaker 1>a rehab hospital to start rebuilding his strength. Do you

0:13:42.720 --> 0:13:45.560
<v Speaker 1>remember the first time you saw in a coal?

0:13:46.400 --> 0:13:49.200
<v Speaker 2>I saw in a coal right before they were going

0:13:49.280 --> 0:13:49.960
<v Speaker 2>to transfer me.

0:13:50.800 --> 0:13:52.760
<v Speaker 4>Do you remember the look on her face the first

0:13:52.800 --> 0:13:54.280
<v Speaker 4>time she saw you in the hospital?

0:13:55.120 --> 0:13:57.040
<v Speaker 2>What I remember? And I wish I could get the

0:13:57.080 --> 0:13:59.920
<v Speaker 2>memory out of my head, but I remember being at

0:14:00.160 --> 0:14:03.280
<v Speaker 2>to see through the doors of the ambulance and see

0:14:03.280 --> 0:14:10.439
<v Speaker 2>her in my car behind the ambulance, and she could

0:14:10.520 --> 0:14:14.960
<v Speaker 2>just kept wiping her eyes. She was going And I've

0:14:15.000 --> 0:14:18.640
<v Speaker 2>never talked about that before, and I just I was helpless.

0:14:19.000 --> 0:14:22.000
<v Speaker 2>I was completely helpless. Now she got these brand new

0:14:22.040 --> 0:14:26.280
<v Speaker 2>babies at home that need their father, and she needs

0:14:26.280 --> 0:14:29.200
<v Speaker 2>her husband. And that was what I broke. That was

0:14:29.200 --> 0:14:32.920
<v Speaker 2>the first time I broke Ah, Trent. I felt like

0:14:33.640 --> 0:14:35.520
<v Speaker 2>maybe I just needed to see her, Maybe it would

0:14:35.560 --> 0:14:38.080
<v Speaker 2>give me a better perspective of what she was going through.

0:14:39.560 --> 0:14:40.920
<v Speaker 4>Have you ever told her about that?

0:14:41.880 --> 0:14:43.960
<v Speaker 2>No, that's literally the first time I've ever talked about it.

0:14:45.840 --> 0:14:49.400
<v Speaker 1>So where were you on day one, had you lost

0:14:50.080 --> 0:14:50.920
<v Speaker 1>all mobility?

0:14:51.680 --> 0:14:54.240
<v Speaker 2>I was able to move my neck around, I couldn't

0:14:54.240 --> 0:14:57.720
<v Speaker 2>really lift it very well, so I'm trying to get

0:14:57.720 --> 0:14:59.560
<v Speaker 2>my neck to do that. That was difficult, but I'd

0:14:59.640 --> 0:15:02.480
<v Speaker 2>learned is to compensate by trying to start turning on

0:15:02.520 --> 0:15:04.920
<v Speaker 2>my side or helping somebody to turn on my side

0:15:04.960 --> 0:15:08.360
<v Speaker 2>where I could look from different angles. But I tried

0:15:08.400 --> 0:15:10.760
<v Speaker 2>to start building my hands back.

0:15:11.920 --> 0:15:15.240
<v Speaker 1>Trent struggled to comprehend how he had lost his mobility

0:15:15.400 --> 0:15:19.160
<v Speaker 1>so rapidly, even more daunting. He had to focus on

0:15:19.280 --> 0:15:23.560
<v Speaker 1>building the resilience to fight through whatever recovery he could achieve.

0:15:25.240 --> 0:15:28.920
<v Speaker 1>Are you being given options in terms of treatment at

0:15:28.960 --> 0:15:29.800
<v Speaker 1>this point.

0:15:30.280 --> 0:15:33.080
<v Speaker 2>No, This hospital had only seen it once or twice.

0:15:33.320 --> 0:15:36.040
<v Speaker 2>The neurologists and some of the physicians, even the physical

0:15:36.080 --> 0:15:38.560
<v Speaker 2>therapists had read about it, but they never treated a

0:15:38.600 --> 0:15:42.120
<v Speaker 2>patient with this condition. And they were very honest about

0:15:42.160 --> 0:15:44.200
<v Speaker 2>that fact, saying we're going to learn as we go,

0:15:45.280 --> 0:15:48.160
<v Speaker 2>and that was a comfort to me. I was afraid

0:15:48.200 --> 0:15:49.800
<v Speaker 2>that there was nobody I had to talk to, but

0:15:50.400 --> 0:15:54.480
<v Speaker 2>for them to make that specific, I guess goal in

0:15:54.600 --> 0:15:56.640
<v Speaker 2>mind that we're going to work on this together and

0:15:56.640 --> 0:15:58.960
<v Speaker 2>figure this out together. That was incredible.

0:16:00.360 --> 0:16:03.520
<v Speaker 1>At thirty seven was seven month old twins at home.

0:16:03.920 --> 0:16:08.480
<v Speaker 1>Trent faced an unexpected and terrifying new reality. His vision

0:16:08.520 --> 0:16:12.000
<v Speaker 1>of fatherhood turned on its head. The fear and uncertainty

0:16:12.080 --> 0:16:14.400
<v Speaker 1>were beginning to feel insurmountable.

0:16:15.800 --> 0:16:18.520
<v Speaker 2>I was overwhelmed. I remember that one as I could

0:16:18.600 --> 0:16:21.720
<v Speaker 2>not get my heart to slow down because I was

0:16:21.880 --> 0:16:24.480
<v Speaker 2>now farther away from my children and farther away from

0:16:24.480 --> 0:16:26.560
<v Speaker 2>my wife. The only things that I could think about

0:16:26.560 --> 0:16:29.840
<v Speaker 2>were the negative things. I couldn't think about the opportunity

0:16:29.840 --> 0:16:31.600
<v Speaker 2>that was there in front of me with the people

0:16:31.640 --> 0:16:35.280
<v Speaker 2>that were part of my support team, and my focus

0:16:35.480 --> 0:16:37.960
<v Speaker 2>was on what I lost. You know, it was am

0:16:38.000 --> 0:16:39.440
<v Speaker 2>I going to be able to go back to what

0:16:39.480 --> 0:16:43.080
<v Speaker 2>I used to do? Not like this? It was very

0:16:43.160 --> 0:16:45.880
<v Speaker 2>much wrapped up in the I can't do this anymore.

0:16:49.080 --> 0:16:52.920
<v Speaker 1>We'll be right back with Symptomatic a Medical Mystery Podcast.

0:16:56.400 --> 0:17:05.040
<v Speaker 1>Now back to Symptomatic a Medical Mystery Podcast. Trent's life

0:17:05.160 --> 0:17:08.760
<v Speaker 1>suddenly changed when GBS caused him to lose control of

0:17:08.760 --> 0:17:12.960
<v Speaker 1>his motor skills, landing him in the ICU with failing lungs.

0:17:13.560 --> 0:17:18.959
<v Speaker 1>Doctors work to stabilize him with treatments like plasmaphoresis and IVG,

0:17:19.640 --> 0:17:23.560
<v Speaker 1>eventually getting him breathing on his own again. However, feeling

0:17:23.640 --> 0:17:28.400
<v Speaker 1>and mobility did not return, leaving his recovery uncertain. At

0:17:28.440 --> 0:17:31.520
<v Speaker 1>thirty seven, with seven month old twins at home, Trent

0:17:31.600 --> 0:17:34.639
<v Speaker 1>and his family were desperate to rebuild his strength and

0:17:34.720 --> 0:17:39.840
<v Speaker 1>adapt to this new reality.

0:17:47.760 --> 0:17:50.840
<v Speaker 3>He was in this motorized wheelchair. We were living in

0:17:50.880 --> 0:17:54.920
<v Speaker 3>a two story home at the time. He was never fat,

0:17:54.960 --> 0:17:57.480
<v Speaker 3>that he was a lot heavier than he is now,

0:17:58.119 --> 0:18:00.800
<v Speaker 3>and just being able to not use his hands fully.

0:18:01.359 --> 0:18:03.040
<v Speaker 3>I mean, our life was like a shit show for

0:18:03.119 --> 0:18:06.639
<v Speaker 3>like a very long time because we got the infants

0:18:06.680 --> 0:18:09.240
<v Speaker 3>and then they're in their little bumbo chairs and then

0:18:09.240 --> 0:18:12.320
<v Speaker 3>their little bouncy chairs, and there's like bottles everywhere and

0:18:12.440 --> 0:18:15.560
<v Speaker 3>the dog running around, and then this motorized wheelchair that

0:18:15.680 --> 0:18:18.080
<v Speaker 3>was like a behemoth, and he couldn't really use his

0:18:18.200 --> 0:18:21.160
<v Speaker 3>arm so much, and then we had to physically restructure

0:18:21.240 --> 0:18:23.399
<v Speaker 3>everything in the house because he couldn't reach things up

0:18:23.440 --> 0:18:24.160
<v Speaker 3>in the cabinet.

0:18:25.200 --> 0:18:28.880
<v Speaker 1>Feeling overwhelmed, Trent and Nicole decided to move from Florida

0:18:28.920 --> 0:18:32.640
<v Speaker 1>to Texas. Being closer to Trent's family meant they would

0:18:32.680 --> 0:18:36.200
<v Speaker 1>have the extra help and support they truly needed.

0:18:37.080 --> 0:18:40.520
<v Speaker 2>And literally the first day we moved back to Texas.

0:18:40.880 --> 0:18:43.720
<v Speaker 2>The next day my father died and so we were

0:18:43.760 --> 0:18:47.639
<v Speaker 2>short of a huge part of my support system because

0:18:47.640 --> 0:18:50.400
<v Speaker 2>he had really come through and been there to help

0:18:50.480 --> 0:18:53.000
<v Speaker 2>me try to get back up on my feet. So

0:18:53.040 --> 0:18:54.800
<v Speaker 2>we navigated a lot of grief and a lot of

0:18:55.119 --> 0:18:56.240
<v Speaker 2>difficult situations.

0:18:57.880 --> 0:19:03.520
<v Speaker 1>Thankfully, through seemingly in surmountable challenges came a glimmer of hope.

0:19:04.000 --> 0:19:07.600
<v Speaker 1>Trent's new physical therapist decided it would be beneficial to

0:19:07.680 --> 0:19:11.520
<v Speaker 1>involve his family, including the kids, while establishing a strength

0:19:11.560 --> 0:19:16.400
<v Speaker 1>building routine. This was especially meaningful because his son, Logan,

0:19:16.600 --> 0:19:20.359
<v Speaker 1>born prematurely and delayed in his development, was still learning

0:19:20.359 --> 0:19:21.840
<v Speaker 1>how to move and walk.

0:19:22.840 --> 0:19:25.520
<v Speaker 2>A lot of the physical therapy movements were trying to

0:19:25.640 --> 0:19:27.679
<v Speaker 2>get at core strength, so it puts you on a

0:19:27.720 --> 0:19:31.520
<v Speaker 2>big medicine ball rolling back and forth. Logan was laying

0:19:31.960 --> 0:19:35.239
<v Speaker 2>next to me, and so somebody went and got a

0:19:35.280 --> 0:19:39.600
<v Speaker 2>small medicine ball and put him on the medicine ball.

0:19:40.119 --> 0:19:44.760
<v Speaker 2>Here's this little baby who is learning how to walk

0:19:44.880 --> 0:19:48.200
<v Speaker 2>the same time his dad is. It gave me such

0:19:48.240 --> 0:19:53.119
<v Speaker 2>an inspiring view as to my relationship with my kids,

0:19:53.119 --> 0:19:55.679
<v Speaker 2>because I felt like I was losing that because I

0:19:55.760 --> 0:20:00.840
<v Speaker 2>was away from them. It was beautiful. He got stronger, stronger, quicker,

0:20:00.840 --> 0:20:04.439
<v Speaker 2>and quicker because we spent that same time together.

0:20:05.400 --> 0:20:08.320
<v Speaker 1>Oh, does he have any idea how much he inspired

0:20:08.359 --> 0:20:10.120
<v Speaker 1>you through those dark times?

0:20:10.840 --> 0:20:13.280
<v Speaker 2>I let him know that. All the time people ask

0:20:13.359 --> 0:20:15.399
<v Speaker 2>me who your hero is or who gives you the

0:20:15.400 --> 0:20:20.960
<v Speaker 2>most strength? And my kids do. And I told Logan

0:20:21.000 --> 0:20:23.840
<v Speaker 2>from the beginning, I said, people think I'm a fighter, said,

0:20:23.840 --> 0:20:26.480
<v Speaker 2>they don't know your story. I said, when they hear

0:20:26.520 --> 0:20:29.919
<v Speaker 2>your story, they realize where my strength comes from. And

0:20:29.960 --> 0:20:32.720
<v Speaker 2>I said, my strength comes from comes from you, Bud.

0:20:33.280 --> 0:20:35.960
<v Speaker 2>And you can see the mile creep in on this

0:20:36.040 --> 0:20:37.240
<v Speaker 2>little teenager face.

0:20:38.080 --> 0:20:41.960
<v Speaker 1>A smile I got to see. So you guys learned

0:20:42.000 --> 0:20:45.879
<v Speaker 1>to walk together. Basically, Yes, that's amazing. Do you know

0:20:45.920 --> 0:20:50.000
<v Speaker 1>what he told me? What he told me that you

0:20:50.240 --> 0:20:51.000
<v Speaker 1>are his hero?

0:20:51.840 --> 0:21:00.000
<v Speaker 2>He is also my hero. So started to see some improvement.

0:21:00.560 --> 0:21:03.040
<v Speaker 2>We reached a point where I was able to use

0:21:03.080 --> 0:21:07.320
<v Speaker 2>a walker with some AFOs, the ankle foot orthosis, which

0:21:07.440 --> 0:21:10.120
<v Speaker 2>for those that don't know, it's basically a brace that's

0:21:10.400 --> 0:21:13.320
<v Speaker 2>right on top of your calfs and your legs and

0:21:13.640 --> 0:21:16.480
<v Speaker 2>designed to give you some stability. So I was able

0:21:16.520 --> 0:21:18.240
<v Speaker 2>to reach the point where I was able to function

0:21:18.320 --> 0:21:20.240
<v Speaker 2>that way. I couldn't drive or anything like that, but

0:21:20.280 --> 0:21:23.000
<v Speaker 2>I was able to get some movement. And then about

0:21:23.119 --> 0:21:25.280
<v Speaker 2>ten months later I started going downhill again.

0:21:26.320 --> 0:21:29.520
<v Speaker 1>And when it came back, what were the symptoms? What

0:21:29.560 --> 0:21:30.520
<v Speaker 1>did that look like?

0:21:31.400 --> 0:21:34.960
<v Speaker 2>The pain was immense, the spasticity was just out of control.

0:21:35.320 --> 0:21:38.000
<v Speaker 2>The best explanation is, if you get the right treatment

0:21:38.000 --> 0:21:40.440
<v Speaker 2>and your body starts to restart, because basically your body

0:21:40.480 --> 0:21:43.040
<v Speaker 2>is shutting down, you have a really good chance for

0:21:43.080 --> 0:21:46.159
<v Speaker 2>the nerves to start connecting the way they should. In

0:21:46.200 --> 0:21:51.480
<v Speaker 2>my case, they didn't, so it sparked sharp pains. The

0:21:51.520 --> 0:21:54.720
<v Speaker 2>spasms were brutal. The spasms were so bad at some

0:21:54.800 --> 0:21:57.720
<v Speaker 2>point in my neck my neck would try to snap itself.

0:21:58.560 --> 0:22:01.000
<v Speaker 2>I couldn't keep it in control, job would pop. It

0:22:01.119 --> 0:22:05.400
<v Speaker 2>was very painful. So as the pain continued, the depression

0:22:05.480 --> 0:22:09.080
<v Speaker 2>kicks in, the fear kicks in at that point. From

0:22:09.119 --> 0:22:12.920
<v Speaker 2>what you read is that it's extremely rare for gallmbre

0:22:13.080 --> 0:22:16.880
<v Speaker 2>to come back, and if it does, it will typically

0:22:16.920 --> 0:22:20.320
<v Speaker 2>come back worse. But this was very similar.

0:22:21.800 --> 0:22:26.240
<v Speaker 1>So you now have a great team caring for you.

0:22:26.880 --> 0:22:31.520
<v Speaker 1>Are they testing you now? Are they questioning your initial diagnosis.

0:22:32.000 --> 0:22:36.440
<v Speaker 2>They weren't necessarily questioning the initial diagnosis, but the longevity

0:22:36.480 --> 0:22:39.080
<v Speaker 2>of what I was going through, so GALLMBRE. Typically, whatever

0:22:39.160 --> 0:22:42.320
<v Speaker 2>damage it's done is done towards the beginning and next

0:22:42.400 --> 0:22:45.000
<v Speaker 2>days in your system, usually typically around two years. But

0:22:45.080 --> 0:22:48.280
<v Speaker 2>min had gone well beyond that, and I'd seen such

0:22:48.280 --> 0:22:53.240
<v Speaker 2>a drastic quick decline on the second go ROUNM that

0:22:53.240 --> 0:22:55.480
<v Speaker 2>that's when they went in and took a look at it,

0:22:55.520 --> 0:22:58.159
<v Speaker 2>and they said, okay, well, whatever was in the beginning

0:22:58.240 --> 0:23:01.639
<v Speaker 2>may have been so, but what fit much more broader

0:23:01.680 --> 0:23:03.120
<v Speaker 2>base in terms of what I was going to face

0:23:03.119 --> 0:23:05.240
<v Speaker 2>for the rest of my life was CIDP.

0:23:06.520 --> 0:23:10.080
<v Speaker 1>Due to the prolonged duration of the symptoms, doctor's corrected

0:23:10.119 --> 0:23:16.480
<v Speaker 1>trench diagnosis to CIDP chronic inflammatory demielinating poly neuropathy.

0:23:17.480 --> 0:23:20.000
<v Speaker 2>Maybe the best description I was given about CIDP is

0:23:20.480 --> 0:23:22.480
<v Speaker 2>your nerves have a covering on top of it, and

0:23:22.480 --> 0:23:26.080
<v Speaker 2>the covering is a milin sheath. And what happens that

0:23:26.119 --> 0:23:29.440
<v Speaker 2>your body is attacking that mile in sheet that's attacking

0:23:29.440 --> 0:23:31.920
<v Speaker 2>your nerve endings. So as it goes through the mile

0:23:32.000 --> 0:23:34.160
<v Speaker 2>in sheath, and your nerves are kind of exposed, and

0:23:34.200 --> 0:23:37.080
<v Speaker 2>so if they're exposed it becomes more difficult to do

0:23:37.119 --> 0:23:39.959
<v Speaker 2>the things that you would normally do. Your body can't recover,

0:23:40.080 --> 0:23:42.560
<v Speaker 2>it doesn't function the same way you know where. It

0:23:42.600 --> 0:23:45.440
<v Speaker 2>might affect your gait, It might affect your breathing, It

0:23:45.520 --> 0:23:49.160
<v Speaker 2>might affect your ability to pick things up, your dexterity

0:23:49.840 --> 0:23:52.800
<v Speaker 2>that could be very frustrating. In a similar form is

0:23:53.000 --> 0:23:56.840
<v Speaker 2>the GBS. Basically, your body is constantly attacking itself. So

0:23:56.880 --> 0:23:58.360
<v Speaker 2>it's another autoimmune situation.

0:23:59.080 --> 0:24:01.520
<v Speaker 1>And I'm assuming you'd ever heard of it before.

0:24:01.640 --> 0:24:02.800
<v Speaker 2>I had no idea what it was.

0:24:04.520 --> 0:24:10.520
<v Speaker 1>CIDP is a rare disease, often misdiagnosed as GBS. While

0:24:10.640 --> 0:24:15.560
<v Speaker 1>GBS comes on quickly and intensely, CIDP develops gradually over

0:24:15.600 --> 0:24:20.080
<v Speaker 1>time and becomes chronic, making it a long term challenge

0:24:20.119 --> 0:24:23.560
<v Speaker 1>to diagnose and treat. And Trent was hit with both

0:24:23.800 --> 0:24:29.680
<v Speaker 1>in just a few years. Were you given a prognosis,

0:24:29.920 --> 0:24:32.960
<v Speaker 1>were you told what you should expect?

0:24:33.840 --> 0:24:37.439
<v Speaker 2>So we did ibig. So that is a really kind

0:24:37.480 --> 0:24:40.840
<v Speaker 2>of a go to treatment protocol for people with CIDP

0:24:41.200 --> 0:24:43.520
<v Speaker 2>in most cases, especially the ones that are more severe.

0:24:44.440 --> 0:24:48.919
<v Speaker 1>Due to the similarities between GBS and CIDP, both conditions

0:24:48.960 --> 0:24:52.720
<v Speaker 1>are treated with the same methods over different periods of time.

0:24:53.320 --> 0:24:57.840
<v Speaker 1>Trent's IVIG treatment was reinstated in hopes that it would

0:24:57.840 --> 0:25:00.200
<v Speaker 1>be more effective over a longer deraation.

0:25:01.480 --> 0:25:04.800
<v Speaker 2>It gives your body something else to fight, so your

0:25:04.800 --> 0:25:08.400
<v Speaker 2>body that's become very confused and is attacking itself will

0:25:08.440 --> 0:25:11.800
<v Speaker 2>start to attack the medicine to where your body can

0:25:12.119 --> 0:25:15.760
<v Speaker 2>start to rebuild that mile in sheath, so there's a

0:25:15.760 --> 0:25:18.800
<v Speaker 2>small shelf life. Ten days into the treatment, you could

0:25:18.840 --> 0:25:21.960
<v Speaker 2>feel it, you could fill. Your body starting to get weaker,

0:25:22.119 --> 0:25:25.440
<v Speaker 2>and it becomes harder to push a wheelchair. You start

0:25:25.520 --> 0:25:28.360
<v Speaker 2>dropping things and get much more exhausted quicker.

0:25:30.080 --> 0:25:34.240
<v Speaker 1>By twenty thirteen, two years into his fight, Trent faced

0:25:34.280 --> 0:25:38.679
<v Speaker 1>a new challenge CIDP. The progress he had made in

0:25:38.720 --> 0:25:43.200
<v Speaker 1>physical therapy was slipping away, and painful flare ups had returned.

0:25:43.680 --> 0:25:46.840
<v Speaker 1>Seeing this, Trent's doctors decided it was time to take

0:25:46.920 --> 0:25:51.719
<v Speaker 1>more drastic measures to stop the deterioration and repair the damage.

0:25:52.800 --> 0:25:55.520
<v Speaker 2>I went to a particular doctor that I'd heard of,

0:25:55.840 --> 0:25:59.359
<v Speaker 2>and he recommended that I get an implant put into

0:25:59.400 --> 0:26:02.600
<v Speaker 2>my spine. So I agreed. I was nervous, but having

0:26:02.680 --> 0:26:04.320
<v Speaker 2>something that was really stuck with me for the rest

0:26:04.320 --> 0:26:06.480
<v Speaker 2>of my life, but it made sense the way it

0:26:06.520 --> 0:26:11.520
<v Speaker 2>was explained. But something went wrong. So in the surgery,

0:26:11.960 --> 0:26:15.320
<v Speaker 2>there were some decisions made by the surgeon that went

0:26:15.359 --> 0:26:18.320
<v Speaker 2>against protocol for what she would do with that implant,

0:26:19.200 --> 0:26:22.760
<v Speaker 2>and he ended up cutting into my t ten vertebra.

0:26:23.800 --> 0:26:26.159
<v Speaker 2>So I didn't know what had happened. I knew before

0:26:26.200 --> 0:26:29.000
<v Speaker 2>I had weak and kind of the tingly feeling of

0:26:29.000 --> 0:26:32.199
<v Speaker 2>my legs that's really annoying pins and needles type feeling.

0:26:32.920 --> 0:26:35.200
<v Speaker 2>Suddenly I went to I couldn't feel them at all.

0:26:35.720 --> 0:26:39.720
<v Speaker 2>And then it wasn't until twenty fourteen where I realized

0:26:40.320 --> 0:26:41.840
<v Speaker 2>just how bad of the mistake he had made.

0:26:46.920 --> 0:26:51.360
<v Speaker 1>On next week's season finale of Symptomatic, we continue Trent's

0:26:51.359 --> 0:26:55.640
<v Speaker 1>story as the consequences of the failed surgery quickly push

0:26:55.760 --> 0:26:56.879
<v Speaker 1>him to the brink of death.

0:26:57.800 --> 0:27:01.680
<v Speaker 2>I ended up having two embolisms by back. The second

0:27:01.720 --> 0:27:05.840
<v Speaker 2>one actually killed me, and I wasn't gone very long

0:27:06.880 --> 0:27:09.480
<v Speaker 2>and they sat down and they said they needed to

0:27:09.520 --> 0:27:12.280
<v Speaker 2>talk to me. That's never a good starting point to

0:27:12.280 --> 0:27:15.760
<v Speaker 2>a conversation when it's a doctor. And they said, there's

0:27:15.800 --> 0:27:17.520
<v Speaker 2>not anything more that we can do for you.

0:27:18.640 --> 0:27:22.119
<v Speaker 1>But Trent refused to let his dire prognosis to find

0:27:22.160 --> 0:27:26.280
<v Speaker 1>his future. Determined he would discover a treatment that would

0:27:26.320 --> 0:27:29.720
<v Speaker 1>not only restore his mobility, but also place him on

0:27:29.760 --> 0:27:35.680
<v Speaker 1>a path to becoming a world championship athlete. As always,

0:27:35.800 --> 0:27:38.199
<v Speaker 1>we would love to hear from you. Send us your

0:27:38.200 --> 0:27:41.199
<v Speaker 1>thoughts on this episode or share a medical mystery of

0:27:41.240 --> 0:27:45.600
<v Speaker 1>your own at Symptomatic at iHeartMedia dot com. And please

0:27:45.680 --> 0:27:49.639
<v Speaker 1>rate and review Symptomatic wherever you get your podcasts, and

0:27:50.000 --> 0:27:52.520
<v Speaker 1>if you know someone who you think might benefit from

0:27:52.560 --> 0:27:56.200
<v Speaker 1>the information in this episode, we encourage you to share it.

0:27:56.880 --> 0:28:01.600
<v Speaker 1>We'll see you next time. Until then, be well. Symptomatic

0:28:01.760 --> 0:28:05.040
<v Speaker 1>is a production of Ruby Studio from iHeartMedia. Our show

0:28:05.080 --> 0:28:08.680
<v Speaker 1>is hosted by me Lauren Bret Pacheco. Executive producers are

0:28:08.760 --> 0:28:12.600
<v Speaker 1>Matt Romano and myself. Our EP of Post Production is

0:28:12.720 --> 0:28:17.400
<v Speaker 1>James Foster. Our Supervising producer is Cierra Kaiser. Our writers

0:28:17.440 --> 0:28:20.800
<v Speaker 1>are John Irwin and Diana Davis, and our editor is

0:28:20.840 --> 0:28:24.480
<v Speaker 1>Sierra Spreen, with additional help from Matt Stillo.