WEBVTT - Case #16: Lauren

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<v Speaker 1>My entire foot.

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<v Speaker 2>Around the joints of my toes, they were like red

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<v Speaker 2>and inflamed and swollen.

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<v Speaker 3>She reminded me of my grandmother when she lived with us,

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<v Speaker 3>and she was ninety and had a walker. But then

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<v Speaker 3>I look at her and it's like, you're not my grandma.

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<v Speaker 3>You know, you should be dancing down the street as

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<v Speaker 3>it used to be.

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<v Speaker 4>There are no tests to make the diagnosis, and where's

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<v Speaker 4>it headed. A lot of the time, we also have

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<v Speaker 4>no definitive idea, and that's incredibly unsettling.

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<v Speaker 2>I physically took my toe and tried to bend it,

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<v Speaker 2>and I could not do it.

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<v Speaker 5>How terrifying would it be to fight an unknown enemy,

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<v Speaker 5>one you didn't recognize and didn't see coming. What if

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<v Speaker 5>that enemy was coming from within a disease that even

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<v Speaker 5>doctors couldn't identify. Nearly half of all Americans suffer from

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<v Speaker 5>some chronic illness, and many struggle for an accurate diagnosis.

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<v Speaker 5>These are their stories. A Lauren bred Pacheco, and this

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<v Speaker 5>is symptomatic. As a formally trained dancer, Lauren's biggest strength

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<v Speaker 5>has always been finding connection through movement. Dance was a

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<v Speaker 5>place for seeking calm and creativity as well as a

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<v Speaker 5>way to push herself physically and mentally. Now a mother

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<v Speaker 5>of two sons, Lauren may not dance as much as

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<v Speaker 5>she used to, but she's found ways to apply that

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<v Speaker 5>same passion to all aspects of her life as a wife, mother,

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<v Speaker 5>and business owner.

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<v Speaker 2>I'm a dancer, a former dancer. I love dancing. I

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<v Speaker 2>don't do it professionally anymore, but it is something that

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<v Speaker 2>I will always have in my heart. I am a mom.

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<v Speaker 2>I'm a family oriented person. My favorite thing to do

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<v Speaker 2>on the weekends is watch my son play baseball and

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<v Speaker 2>basketball and do active things with my kids.

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<v Speaker 1>I'm extremely active.

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<v Speaker 5>And you're a boy mom, so that's a good thing. Yes.

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<v Speaker 1>Yes. My thing is fitness and nutrition. I run a business.

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<v Speaker 2>I'm a full time fitness and nutrition coach and we

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<v Speaker 2>help clients all over the United States and Canada.

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<v Speaker 5>Being the dance was such a driving force for most

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<v Speaker 5>of her life, it seems only fitting that she met

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<v Speaker 5>her now husband, Matt while country line dancing.

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<v Speaker 3>She's very outgoing, very helpful. She loves to help others

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<v Speaker 3>when she can, so leave it to me to meet

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<v Speaker 3>the line dance instructor at the time, and I'm the

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<v Speaker 3>guy with the two left feet that can't soon to

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<v Speaker 3>figure it out, but very good at it. And then

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<v Speaker 3>there's the fitness side of it, where she's always been

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<v Speaker 3>into eating rite and trying to improve herself on a

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<v Speaker 3>personal level.

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<v Speaker 2>I mean, I eat, sleep, and breathe dance. You know,

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<v Speaker 2>I'd close my eyes at night and do dance routines

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<v Speaker 2>in my head.

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<v Speaker 3>And at the beginning of a relationship, she was very

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<v Speaker 3>big in the dance industry. She had a lot of

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<v Speaker 3>choreographing and she also did a lot of performing. She

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<v Speaker 3>was in a bunch of different dance backgrounds. Ballroom to

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<v Speaker 3>hip hop is where she started, and she loved it.

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<v Speaker 2>It just gave me a place to go when I

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<v Speaker 2>needed it. I'm an only child. I didn't have people

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<v Speaker 2>to play with, so it just gave me something to

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<v Speaker 2>be able to be my sounding board.

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<v Speaker 1>So it became a lot to me.

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<v Speaker 5>Dance was more than just an outlet for Lauren. It

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<v Speaker 5>was a way of life. She cherished the feeling of

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<v Speaker 5>freedom and expression that dance provided her. But you know,

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<v Speaker 5>an insidious illness would soon begin to erode the ability

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<v Speaker 5>she had for the things she loved most. So take

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<v Speaker 5>me back to the first time you remember seeing symptoms,

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<v Speaker 5>physical symptoms, that anything was a mess, and I think

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<v Speaker 5>it was skin correct.

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<v Speaker 2>Yes, I was young when I started having skin rashes.

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<v Speaker 2>It was before high school that I started noticing these

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<v Speaker 2>patches of skin. And I mean I remember scratching them

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<v Speaker 2>until they would bleed. They were so itchy and uncomfortable.

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<v Speaker 2>They were my elbows, my shins, my ankles. So it's

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<v Speaker 2>not like it was on my face or anything like

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<v Speaker 2>that that would really make me super self conscious about it.

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<v Speaker 2>But it still didn't look pretty right. So that's when

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<v Speaker 2>I went to a dermatologist, and the dermatologist diagnosed me

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<v Speaker 2>with what they called at that point, dermatitis. They just said,

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<v Speaker 2>here's Cortizon cream. This is what we can give you.

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<v Speaker 2>But getting through high school, through college, even through getting married,

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<v Speaker 2>I always had patches somewhere. They were always a part

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<v Speaker 2>of me.

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<v Speaker 5>Even as Lauren continued to excel at dance at increasingly

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<v Speaker 5>advanced levels, her skin patches became unrelenting. Having the dermatitis

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<v Speaker 5>diagnosis didn't seem to matter much because none of the

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<v Speaker 5>topical treatments provided any real relief. As Lauren pursued her

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<v Speaker 5>dreams of becoming a professional dancer, she simply pushed her

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<v Speaker 5>symptoms aside, where they remained unresolved into her college years.

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<v Speaker 5>So what happens when you got to college? How do

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<v Speaker 5>your symptoms morph? How do they evolve?

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<v Speaker 2>You know, I went to college in a very rural area.

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<v Speaker 2>I was at Western Illinois University. It was cornfields, and

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<v Speaker 2>you know, my environment changed.

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<v Speaker 1>I have bad allergies.

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<v Speaker 2>Those were definitely affected with moving into a different area,

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<v Speaker 2>different seasons, and my my skin did actually get worse

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<v Speaker 2>when I got to college.

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<v Speaker 5>Her husband, Matt, remembers noticing the inflamed areas of skin

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<v Speaker 5>near her ankles.

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<v Speaker 3>She started seeing like skin issues. I used to give

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<v Speaker 3>her a hard time. I'm like, stop touching that, stop scratching,

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<v Speaker 3>and she's like I'm not, and I'm like, oh, it

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<v Speaker 3>looks like you are.

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<v Speaker 2>I did also start having issues where I couldn't do

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<v Speaker 2>the things that I like to do as much anymore.

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<v Speaker 2>So I started to feel like some stiffness in my legs,

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<v Speaker 2>in my feet, the bottoms of my feet would hurt

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<v Speaker 2>when i'd go run. I was dancing in college, and

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<v Speaker 2>so there were times where I would just have to

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<v Speaker 2>take a break from practice because I just my body

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<v Speaker 2>didn't feel good.

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<v Speaker 5>A college level competitive dancer starting to see her body

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<v Speaker 5>wear down has to be a little unsettling.

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<v Speaker 2>Yeah, So we would practice multiple times a week. This

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<v Speaker 2>might be popping up for me, you know, once a month,

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<v Speaker 2>where it wasn't at that point in time affecting my

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<v Speaker 2>day to day or week to week. But it was

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<v Speaker 2>a pattern that maybe as an eighteen year old, nineteen

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<v Speaker 2>year old college girl, I just wasn't quite aware of

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<v Speaker 2>the frequency of which it was happening, in the patterns

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<v Speaker 2>that I was getting quote unquote worse.

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<v Speaker 5>That's so insidious too, because it's so easy to say,

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<v Speaker 5>I'm away from home for the first time, I'm eating

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<v Speaker 5>different foods, I'm partying a little bit more than I

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<v Speaker 5>could with parental supervision.

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<v Speaker 1>Correct.

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<v Speaker 2>I had no idea that anything else was really brewing

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<v Speaker 2>or anything else was going on for me. The younger

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<v Speaker 2>I was, the less I was really in tune with,

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<v Speaker 2>you know, like, oh, I'm fine. You know, that's like

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<v Speaker 2>what a teenager says, right, I'm fine, it'll go away,

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<v Speaker 2>I'll be better tomorrow.

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<v Speaker 1>And that's kind of where I went with it.

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<v Speaker 5>The stiffening muscles and sensitive skin continued to linger, draining

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<v Speaker 5>Lauren of the strength that used to be so readily

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<v Speaker 5>available to her. She used to have no problem getting

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<v Speaker 5>up the energy to juggle studying and dancing, but now

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<v Speaker 5>everything was beginning to feel more and more like a chore.

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<v Speaker 2>It's like if you have a really bad head cold

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<v Speaker 2>and you just feel completely bogged down by it.

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<v Speaker 1>It was this fatigue that just wouldn't go away.

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<v Speaker 2>I came home from college at one point and got

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<v Speaker 2>cat scans of my sinuses to see and yeah, my

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<v Speaker 2>sinuses were extremely inflamed. They told me that it was

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<v Speaker 2>I had the option of getting sinus surgery, or I

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<v Speaker 2>could get put on different allergy medication or use nasal

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<v Speaker 2>sprays like that was the extent of what they thought.

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<v Speaker 5>And that must have been difficult psychologically for you too,

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<v Speaker 5>because you've already said that dance in particular, was this outlet,

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<v Speaker 5>this escape, and now it's getting more difficult to really

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<v Speaker 5>enjoy that outlet and escape.

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<v Speaker 2>Yes, But I think also with that athlete mentality, my

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<v Speaker 2>heart was you need to push harder, you need to

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<v Speaker 2>try harder, you need to show up, you need to

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<v Speaker 2>do the things. You need to keep working. So it

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<v Speaker 2>wasn't even like, oh, I'm not really enjoying it.

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<v Speaker 1>Anymore. It's that addiction.

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<v Speaker 2>It's at hunger where you want to get better, you

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<v Speaker 2>want to keep working harder, And that's where all of

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<v Speaker 2>my energy was focused on, which sometimes meant ignoring the

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<v Speaker 2>things that I probably shouldn't have ignored at that time.

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<v Speaker 5>During her last year of college, Lauren ended up contracting

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<v Speaker 5>MRSA and a serious staff infection, which required multiple procedures

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<v Speaker 5>to clear out of her system. This health setback forced

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<v Speaker 5>Lauren to stop dancing and to move back home to

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<v Speaker 5>properly recuperate. This abrupt transition from a vibrant dance field

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<v Speaker 5>routine to a more sedentary lifestyle took its toll on

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<v Speaker 5>her body, but after she'd recovered, she was determined to

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<v Speaker 5>get back into a fitness routine. And what better workout

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<v Speaker 5>partner than her future husband.

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<v Speaker 2>I said to him, my foot feels funny moving through

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<v Speaker 2>these workouts. He says, maybe you should take a step back,

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<v Speaker 2>and I'm like no, I'm like, I'm really getting results.

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<v Speaker 1>I can work through it.

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<v Speaker 2>And there comes my elite athlete mentality, right, I can

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<v Speaker 2>work through it.

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<v Speaker 1>I can work through it.

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<v Speaker 5>What did you initially attribute to that to? I mean,

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<v Speaker 5>were you ever on point? Did you do ballet. Were

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<v Speaker 5>you thinking that it was just like a leftover injury.

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<v Speaker 5>I figured that it was just too much wear and tear.

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<v Speaker 5>I'd rest for a few days, A month would go

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<v Speaker 5>by and it would come back. A month or two

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<v Speaker 5>would go by and it would come back. But I

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<v Speaker 5>always knew that if it came back, I'm like, that's

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<v Speaker 5>my warning sign that I just need to take a

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<v Speaker 5>few days off and I'll be fine in no time.

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<v Speaker 5>So I did let that go for years. Lauren and

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<v Speaker 5>Matt married and soon after started their own family, welcoming

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<v Speaker 5>two beautiful sons, but the journey through pregnancy and childbirth

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<v Speaker 5>two times over exasperated Lauren's symptoms. With her focus on

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<v Speaker 5>all the ups and downs of being a new parent,

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<v Speaker 5>she continued to push her pain aside, not realizing a

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<v Speaker 5>larger picture was starting to take shape. It wasn't until

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<v Speaker 5>the signs became obviously beyond the postpartum norm that Lauren

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<v Speaker 5>and Matt knew they had to take action.

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<v Speaker 2>Finally, it got to a point where I was doing

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<v Speaker 2>laundry and like He's like, you are limping to the

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<v Speaker 2>laundry machine, Like there is no.

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<v Speaker 1>Way that you are actually okay.

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<v Speaker 3>She starts limping, and it's like it's just weird. All

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<v Speaker 3>of a sudden, you're in your mid twenties and then

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<v Speaker 3>you start limping and you're like, what's going on here?

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<v Speaker 3>Did you twist your ankle? Did you do anything? And

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<v Speaker 3>it just kept seeing a trend of like different body

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<v Speaker 3>aches and pains, and sometimes it switched from one side

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<v Speaker 3>of her body to the other. It was really hard

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<v Speaker 3>to understand.

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<v Speaker 2>My entire foot around the joints of my toes they

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<v Speaker 2>were like red and inflamed and swollen, and he's like,

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<v Speaker 2>you need to put your feet up. Something is not right,

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<v Speaker 2>And I thought, well, maybe I hurt myself. Normally, when

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<v Speaker 2>you hurt yourself, you could like pinpoint the time where you,

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<v Speaker 2>you know, broke your foot or broke a toe.

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<v Speaker 3>We weren't sure what it was. We just thought maybe

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<v Speaker 3>it was after having a child. Certain things happened to

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<v Speaker 3>you that I don't know, either change or take a

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<v Speaker 3>long time to go back to the way they were.

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<v Speaker 2>We had kids, and right around the time I had

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<v Speaker 2>my second son, I was still avidly working out and training,

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<v Speaker 2>and I got to a point where I could not

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<v Speaker 2>do a lunge because my toes would not flex that

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<v Speaker 2>was where I was, and I got to a point

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<v Speaker 2>where I physically took my toe.

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<v Speaker 1>And tried to bend it, and I could not do it.

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<v Speaker 5>So it was like it was a fused, solid bone

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<v Speaker 5>as opposed to small bones that move in conjunction with

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<v Speaker 5>one another.

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<v Speaker 1>Correct.

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<v Speaker 2>It was like imagine something like completely rusted and you

0:12:57.760 --> 0:13:01.200
<v Speaker 2>trying to move it like there was no give there.

0:13:01.200 --> 0:13:02.240
<v Speaker 1>It was stuck.

0:13:02.960 --> 0:13:06.439
<v Speaker 5>You must have felt so betrayed by your own body.

0:13:06.559 --> 0:13:08.959
<v Speaker 1>Broken, completely broken.

0:13:10.280 --> 0:13:13.760
<v Speaker 5>Until now her body had been her instrument, her outlet,

0:13:14.080 --> 0:13:17.319
<v Speaker 5>her means of expression, but that was being quickly ripped

0:13:17.320 --> 0:13:21.080
<v Speaker 5>away from her by these unexplained symptoms. Balancing the demands

0:13:21.080 --> 0:13:24.360
<v Speaker 5>of her two greatest loves, dance and family, became an

0:13:24.400 --> 0:13:25.560
<v Speaker 5>ongoing struggle.

0:13:26.280 --> 0:13:29.520
<v Speaker 3>I mean, Lauren's always been really good at pushing through

0:13:29.640 --> 0:13:32.880
<v Speaker 3>and fighting for what she wants. It definitely gotten a

0:13:32.920 --> 0:13:36.560
<v Speaker 3>way of her day to day activities, and like there's

0:13:36.559 --> 0:13:38.440
<v Speaker 3>certain things like we didn't go to the zoo with

0:13:38.520 --> 0:13:40.680
<v Speaker 3>the kids or go to certain things that you're going

0:13:40.720 --> 0:13:42.440
<v Speaker 3>to have to be on your feet a lot, because

0:13:43.679 --> 0:13:45.959
<v Speaker 3>she knew she wouldn't be able to handle it or

0:13:46.080 --> 0:13:48.839
<v Speaker 3>she'd be paying for it for days afterwards.

0:13:49.520 --> 0:13:53.840
<v Speaker 1>So I left my dance career. It was an impossible

0:13:53.960 --> 0:13:55.400
<v Speaker 1>choice for me to make.

0:13:55.600 --> 0:13:58.600
<v Speaker 2>I think, you know, to be a professional dancer takes

0:13:58.640 --> 0:14:03.120
<v Speaker 2>an extreme amount of work and perseverance and dedication and

0:14:04.000 --> 0:14:07.880
<v Speaker 2>sacrifice to get to that level, which is where I

0:14:08.040 --> 0:14:08.760
<v Speaker 2>was at.

0:14:08.960 --> 0:14:10.959
<v Speaker 1>It was like crashing into a brick wall.

0:14:11.760 --> 0:14:15.600
<v Speaker 5>Lauren explained, dances almost her happy place, a safe place

0:14:15.679 --> 0:14:19.360
<v Speaker 5>where she could just lose herself. What was it like

0:14:19.640 --> 0:14:25.760
<v Speaker 5>to see her mobility challenged, to go from forget about dancing,

0:14:26.160 --> 0:14:29.480
<v Speaker 5>not being able to walk? What was that like to witness?

0:14:30.760 --> 0:14:33.560
<v Speaker 3>It was hard to watch. She struggled with it a lot,

0:14:33.640 --> 0:14:36.640
<v Speaker 3>just because she had so much creativity that didn't feel

0:14:36.640 --> 0:14:40.280
<v Speaker 3>like work, because she loved what she was doing. Was

0:14:40.320 --> 0:14:43.440
<v Speaker 3>hard to see. You know, she had multiple occasions where

0:14:43.520 --> 0:14:46.760
<v Speaker 3>she would get down on herself because she just couldn't

0:14:46.760 --> 0:14:48.720
<v Speaker 3>do it, and she couldn't understand why.

0:14:49.520 --> 0:14:52.120
<v Speaker 1>You have all of this momentum driving you forward.

0:14:52.200 --> 0:14:55.120
<v Speaker 2>You're like, you're driven to get to where you're going,

0:14:55.240 --> 0:14:58.760
<v Speaker 2>and then you come to this halting stop and you

0:14:58.760 --> 0:15:01.760
<v Speaker 2>can only push through it so much before it just

0:15:01.800 --> 0:15:04.480
<v Speaker 2>starts to break you down. Than if you know, boys

0:15:04.760 --> 0:15:07.880
<v Speaker 2>when they're toddlers, you are doing nothing but trying to

0:15:08.000 --> 0:15:10.640
<v Speaker 2>chase them down as soon as they get they get

0:15:10.680 --> 0:15:13.400
<v Speaker 2>move in. It is just a constant hustle and it

0:15:13.480 --> 0:15:16.760
<v Speaker 2>was tough. It was really tough. So I had nothing

0:15:16.800 --> 0:15:19.600
<v Speaker 2>other to say than I can't play with my kid

0:15:19.680 --> 0:15:21.960
<v Speaker 2>on the playground, but I can show up to work

0:15:22.000 --> 0:15:24.680
<v Speaker 2>and dance with my dance partner. There's something that didn't

0:15:24.720 --> 0:15:26.720
<v Speaker 2>seem right to me about that picture, and I had

0:15:26.760 --> 0:15:28.920
<v Speaker 2>to at that point give or take something.

0:15:28.960 --> 0:15:31.120
<v Speaker 1>And it was always going to be family over everything.

0:15:32.080 --> 0:15:35.920
<v Speaker 5>Despite setting dance aside, Lauren didn't lose her passion for

0:15:36.000 --> 0:15:40.400
<v Speaker 5>improving lives through fitness. She redirected that enthusiasm into a

0:15:40.440 --> 0:15:44.320
<v Speaker 5>career in personal training, providing empowerment in a much less

0:15:44.360 --> 0:15:47.880
<v Speaker 5>taxing way. But with the tightness in her feet worsening

0:15:48.320 --> 0:15:51.480
<v Speaker 5>and none of her at home treatments working, she decided

0:15:51.520 --> 0:15:55.080
<v Speaker 5>to go to a pediatrist in search of more effective solutions.

0:15:57.240 --> 0:15:58.680
<v Speaker 1>I thought I broke my toe.

0:15:58.880 --> 0:16:02.320
<v Speaker 2>It was on one foot specifically at that point, and

0:16:02.920 --> 0:16:06.240
<v Speaker 2>I said to my husband, I said, something's wrong. I

0:16:06.280 --> 0:16:09.160
<v Speaker 2>don't remember breaking my foot, but it is bad to

0:16:09.200 --> 0:16:10.520
<v Speaker 2>the point where I cannot move.

0:16:11.080 --> 0:16:13.440
<v Speaker 1>We went into the pediatrist. I got X rays.

0:16:13.520 --> 0:16:17.280
<v Speaker 2>He's like, well, your to's not broken, but you're not

0:16:17.320 --> 0:16:21.240
<v Speaker 2>even thirty years old, and we're seeing like advanced arthritis

0:16:21.360 --> 0:16:25.800
<v Speaker 2>patterns in your joints. So that was kind of the

0:16:25.800 --> 0:16:27.760
<v Speaker 2>first time. I was like, what do you mean I

0:16:27.840 --> 0:16:30.600
<v Speaker 2>have arthritis in my feet?

0:16:31.040 --> 0:16:33.360
<v Speaker 3>And we're like, well, she was a dancer, so I

0:16:33.360 --> 0:16:37.840
<v Speaker 3>guess that could be possibility. That also puts another curveball

0:16:37.880 --> 0:16:40.440
<v Speaker 3>in the situation of like, when we're looking at her feet,

0:16:41.120 --> 0:16:43.760
<v Speaker 3>is this like a byproduct of all the years of

0:16:43.840 --> 0:16:45.560
<v Speaker 3>dance or is this something new?

0:16:46.360 --> 0:16:49.320
<v Speaker 5>Wow, I'm trying to wrap my head around that. So

0:16:49.880 --> 0:16:56.040
<v Speaker 5>you are a young mother, very active, very health oriented,

0:16:56.680 --> 0:17:01.960
<v Speaker 5>and suddenly you're in a position where you're losing mobility

0:17:02.320 --> 0:17:04.280
<v Speaker 5>entirely of one foot.

0:17:04.600 --> 0:17:05.040
<v Speaker 1>Correct.

0:17:05.320 --> 0:17:08.000
<v Speaker 2>What was going through my head was he's wrong, Like,

0:17:08.240 --> 0:17:12.800
<v Speaker 2>there's no way I eat healthy, I am active, I exercise,

0:17:12.880 --> 0:17:15.760
<v Speaker 2>I do all the things that you're supposed to do,

0:17:15.800 --> 0:17:18.639
<v Speaker 2>and I'm only twenty six. There's just no way that

0:17:18.680 --> 0:17:21.240
<v Speaker 2>it's a possibility that I have arthritis.

0:17:22.040 --> 0:17:25.600
<v Speaker 5>While the arthritis diagnosis didn't sit well with Lauren, it

0:17:25.720 --> 0:17:29.479
<v Speaker 5>would lead to another clue. The pediatrist was examining her

0:17:29.520 --> 0:17:33.160
<v Speaker 5>feet and noticed the rough skin patches on her ankles

0:17:33.200 --> 0:17:37.440
<v Speaker 5>and knees. Though Lauren had been previously diagnosed with dermatitis,

0:17:37.960 --> 0:17:39.280
<v Speaker 5>this looked different.

0:17:39.880 --> 0:17:42.600
<v Speaker 2>He said, I highly recommend that you go to you

0:17:42.680 --> 0:17:47.000
<v Speaker 2>back to your dermatologists and ask them to buyopsy these

0:17:47.040 --> 0:17:51.000
<v Speaker 2>skin patches to see if it is psoriasis. And he said,

0:17:51.000 --> 0:17:54.080
<v Speaker 2>and if it is, your next visit is going to

0:17:54.080 --> 0:17:59.680
<v Speaker 2>be to a rheumatologist. So the dermatologist they did find

0:17:59.680 --> 0:18:00.920
<v Speaker 2>that it is psoriasis.

0:18:01.880 --> 0:18:03.760
<v Speaker 5>That must have been for both of you, like, who

0:18:03.760 --> 0:18:07.240
<v Speaker 5>cares about the psariasis? Right, We've got bigger fish to fry.

0:18:07.920 --> 0:18:11.840
<v Speaker 3>Yes, the skin issues were definitely not on like the

0:18:11.880 --> 0:18:14.880
<v Speaker 3>top of the list to deal with her appearance of

0:18:14.880 --> 0:18:19.080
<v Speaker 3>her skin and the different spots that she has were

0:18:19.560 --> 0:18:21.680
<v Speaker 3>a drop in the bucket compared to like the joint

0:18:21.720 --> 0:18:25.359
<v Speaker 3>pain and the discomfort that she had on daily basis.

0:18:26.160 --> 0:18:29.640
<v Speaker 5>In the moment, it was difficult to decipher, but Lauren's

0:18:29.640 --> 0:18:34.160
<v Speaker 5>symptomatic picture was coming into focus. So at that point

0:18:34.240 --> 0:18:38.280
<v Speaker 5>you must have been so frustrated, what's happening now in

0:18:38.359 --> 0:18:40.359
<v Speaker 5>terms of your physical symptoms?

0:18:40.840 --> 0:18:45.960
<v Speaker 2>In my physical symptoms, I was beyond frustrated. I was

0:18:46.000 --> 0:18:49.120
<v Speaker 2>at that point where this was happening much more frequently,

0:18:49.160 --> 0:18:52.960
<v Speaker 2>where I could not walk. I was an excruciating pain

0:18:53.080 --> 0:18:55.360
<v Speaker 2>waking up in the middle of the night, even like

0:18:55.920 --> 0:18:58.600
<v Speaker 2>laying in bed if your feet are covered and like

0:18:58.640 --> 0:19:01.480
<v Speaker 2>the foot of your bed tucked in, and even that

0:19:01.800 --> 0:19:05.080
<v Speaker 2>pressure of trying to bend my toes if I was

0:19:05.160 --> 0:19:08.920
<v Speaker 2>laying on my back would wake me up with throbbing

0:19:08.960 --> 0:19:10.440
<v Speaker 2>pain in the middle of the night.

0:19:11.640 --> 0:19:15.920
<v Speaker 5>What would you say was the psychological impact?

0:19:16.359 --> 0:19:19.879
<v Speaker 3>It was scary as almost scarier than the injury. The

0:19:19.880 --> 0:19:23.480
<v Speaker 3>physical limitations that she had that we watched all the time,

0:19:23.560 --> 0:19:26.800
<v Speaker 3>But like when you see someone mentally like slowly being

0:19:26.880 --> 0:19:30.400
<v Speaker 3>broken down, it's a hard thing now to watch and

0:19:31.080 --> 0:19:37.400
<v Speaker 3>wonder where's this going? You must have also helpless, Yeah,

0:19:37.440 --> 0:19:38.480
<v Speaker 3>it's difficult.

0:19:38.680 --> 0:19:41.160
<v Speaker 5>You mentioned at one point she was even on crutches

0:19:41.680 --> 0:19:45.760
<v Speaker 5>without answers, what do you think was kind of rock

0:19:45.800 --> 0:19:50.240
<v Speaker 5>bottom in terms of her symptoms.

0:19:50.119 --> 0:19:53.040
<v Speaker 3>Be honest, like when she did have to actually use

0:19:53.080 --> 0:19:58.760
<v Speaker 3>crutches and couldn't even get inside from outside without taking

0:19:58.800 --> 0:20:01.880
<v Speaker 3>five minutes, reminding me of my grandmother when she lived

0:20:01.880 --> 0:20:03.879
<v Speaker 3>with us and she was ninety and had a walker,

0:20:03.960 --> 0:20:06.800
<v Speaker 3>and it was just a very snail type pace to

0:20:06.840 --> 0:20:09.600
<v Speaker 3>get it anywhere. But then you know, you look at

0:20:09.600 --> 0:20:11.480
<v Speaker 3>her and it's like you're not my grandma. You know,

0:20:11.720 --> 0:20:14.760
<v Speaker 3>you should be dancing down the street as it used

0:20:14.800 --> 0:20:20.720
<v Speaker 3>to be, but it's just difficult to see it happen.

0:20:23.160 --> 0:20:26.320
<v Speaker 5>It was all so difficult and frustrating fighting the unknown.

0:20:26.840 --> 0:20:31.720
<v Speaker 5>Lauren's progressing physical limitations were increasingly interfering with her personal

0:20:32.119 --> 0:20:33.280
<v Speaker 5>and professional life.

0:20:33.960 --> 0:20:39.760
<v Speaker 2>I figured, well, if my pediatrist was right about the psoriasis,

0:20:40.040 --> 0:20:43.440
<v Speaker 2>then it's definitely worth at least taking a look into

0:20:43.920 --> 0:20:47.720
<v Speaker 2>the roomatologist, mostly because looking back at the patterns, looking

0:20:47.760 --> 0:20:51.720
<v Speaker 2>back at the history, this pattern had been going on for,

0:20:51.880 --> 0:20:54.480
<v Speaker 2>like I said, years and years and years.

0:20:55.200 --> 0:20:58.919
<v Speaker 5>Knowing Lauren's family had a history of autoimmune conditions, the

0:20:59.000 --> 0:21:01.919
<v Speaker 5>doctor ran every blood tests they could in hopes of

0:21:01.960 --> 0:21:04.560
<v Speaker 5>finding a clue as to what was causing Lauren so

0:21:04.680 --> 0:21:08.560
<v Speaker 5>much pain, but nothing came back conclusive enough to narrow

0:21:08.640 --> 0:21:09.840
<v Speaker 5>down the root cause.

0:21:10.600 --> 0:21:13.560
<v Speaker 2>So here I was not being able to sleep, not

0:21:13.680 --> 0:21:16.000
<v Speaker 2>being able to do anything, and I looked at this

0:21:16.119 --> 0:21:18.439
<v Speaker 2>roomatologist and I'm like, what can you do for me?

0:21:18.800 --> 0:21:22.919
<v Speaker 2>We tried an oral immunosuppress at first, and that was

0:21:22.960 --> 0:21:23.720
<v Speaker 2>really tough for me.

0:21:23.800 --> 0:21:24.520
<v Speaker 1>It did not work.

0:21:24.600 --> 0:21:27.399
<v Speaker 2>It made me feel sick and also gave me pretty

0:21:27.440 --> 0:21:29.160
<v Speaker 2>significant depression.

0:21:29.840 --> 0:21:33.320
<v Speaker 5>Matt, did you have fears that something much worse was

0:21:33.359 --> 0:21:33.719
<v Speaker 5>going on?

0:21:34.320 --> 0:21:36.760
<v Speaker 3>We did when we got deeper into it, like what

0:21:36.840 --> 0:21:40.120
<v Speaker 3>could this be? Is this like a lifelong thing? Then

0:21:40.160 --> 0:21:43.080
<v Speaker 3>you start looking into all these possibilities, and you know

0:21:43.400 --> 0:21:45.320
<v Speaker 3>scary when you start looking up stuff on the internet

0:21:45.359 --> 0:21:47.040
<v Speaker 3>because you normally don't find anything good.

0:21:48.280 --> 0:21:52.240
<v Speaker 5>Lauren felt everything was slipping away from her, her family,

0:21:52.440 --> 0:21:57.720
<v Speaker 5>her passion, herself, all because this unexplained disease was overwhelming

0:21:57.760 --> 0:22:01.040
<v Speaker 5>her system and she had yet to find a doctor

0:22:01.359 --> 0:22:05.560
<v Speaker 5>who could see the bigger picture. Do you remember just

0:22:05.880 --> 0:22:10.720
<v Speaker 5>feeling so desperate that you didn't think you could handle.

0:22:10.440 --> 0:22:12.520
<v Speaker 1>It one hundred percent?

0:22:12.880 --> 0:22:16.720
<v Speaker 2>I remember it was with that rheumatologist that I went

0:22:16.760 --> 0:22:20.720
<v Speaker 2>in there in tears, on crutches, unable to live my

0:22:20.880 --> 0:22:23.359
<v Speaker 2>life the way that I wanted to live at that

0:22:23.480 --> 0:22:27.479
<v Speaker 2>point was twenty six, twenty seven years old, and I

0:22:27.560 --> 0:22:29.040
<v Speaker 2>was not getting answers.

0:22:30.600 --> 0:22:35.080
<v Speaker 5>We'll be right back with Symptomatic, a medical mystery podcast.

0:22:42.320 --> 0:22:45.600
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0:23:40.720 --> 0:23:48.600
<v Speaker 5>Now back to Symptomatic a medical mystery podcast. Lauren was

0:23:48.720 --> 0:23:51.119
<v Speaker 5>at the end of her rope. She was no longer

0:23:51.160 --> 0:23:54.040
<v Speaker 5>able to dance or play with her two young sons

0:23:54.040 --> 0:23:57.879
<v Speaker 5>in the way she had always imagined. Movements and stretches

0:23:57.920 --> 0:24:00.399
<v Speaker 5>which had once been part of her normal warm up

0:24:00.440 --> 0:24:04.000
<v Speaker 5>routine were now far out of her reach. Her feet

0:24:04.040 --> 0:24:06.320
<v Speaker 5>and lower legs were stiffening, to the point where she

0:24:06.400 --> 0:24:12.480
<v Speaker 5>had to use crutches to walk. How would you describe

0:24:12.520 --> 0:24:15.520
<v Speaker 5>that kind of pain to someone.

0:24:16.359 --> 0:24:19.280
<v Speaker 2>I always say it's like a throbbing pain in the feet.

0:24:19.480 --> 0:24:21.040
<v Speaker 2>A lot of times it like I'd get out of

0:24:21.080 --> 0:24:23.680
<v Speaker 2>bed and I would feel like I was walking on bruises.

0:24:24.200 --> 0:24:27.680
<v Speaker 2>The stiffness is similar to like if you've broken or

0:24:27.720 --> 0:24:32.160
<v Speaker 2>sprained like a finger, and you're trying to move it. It's

0:24:31.640 --> 0:24:35.040
<v Speaker 2>almost like when you're bending something that is not supposed

0:24:35.080 --> 0:24:35.800
<v Speaker 2>to go that way.

0:24:36.520 --> 0:24:40.399
<v Speaker 3>What made her pursue more answers even harder after she

0:24:40.560 --> 0:24:43.800
<v Speaker 3>kind of got like a generic answer was that she

0:24:43.880 --> 0:24:46.000
<v Speaker 3>got put back in crutches, because, like I said, it

0:24:46.040 --> 0:24:48.200
<v Speaker 3>would come and go and wave. Some days would be okay,

0:24:48.280 --> 0:24:49.840
<v Speaker 3>or a week would be okay, and then all of

0:24:49.880 --> 0:24:53.120
<v Speaker 3>a sudden, for no reason, it would get terrible again.

0:24:53.240 --> 0:24:56.320
<v Speaker 3>She wouldn't be able to walk. She wanted answers, she

0:24:56.720 --> 0:25:00.679
<v Speaker 3>desperately needed them, and the doctor told me there was

0:25:00.720 --> 0:25:04.320
<v Speaker 3>nothing I could do other than wait for it to pass.

0:25:04.880 --> 0:25:07.960
<v Speaker 5>Lauren needed a practitioner who would be her partner in

0:25:08.000 --> 0:25:11.080
<v Speaker 5>this battle to help her break out of the pattern,

0:25:11.520 --> 0:25:15.040
<v Speaker 5>listen to her story, and recommend new methods to help

0:25:15.080 --> 0:25:17.119
<v Speaker 5>find the cause of her symptoms.

0:25:17.680 --> 0:25:21.359
<v Speaker 2>So I do remember like a cry out that I

0:25:21.440 --> 0:25:25.280
<v Speaker 2>put on Facebook and just said, I need a rheumatologist

0:25:25.520 --> 0:25:28.760
<v Speaker 2>that could help me. Can anybody give me a recommendation?

0:25:29.040 --> 0:25:31.760
<v Speaker 2>And it was a neighbor of mine who recommended me

0:25:31.800 --> 0:25:35.760
<v Speaker 2>to doctor Aaron Arnold, who I mean has taken the

0:25:35.800 --> 0:25:39.280
<v Speaker 2>best best care of me. I'm so happy to have

0:25:39.359 --> 0:25:40.320
<v Speaker 2>been introduced to her.

0:25:41.080 --> 0:25:44.520
<v Speaker 5>What was so different about doctor Arnold's approach.

0:25:45.359 --> 0:25:49.159
<v Speaker 2>She was willing to listen, she felt for me. She

0:25:49.400 --> 0:25:53.680
<v Speaker 2>also was to me way more thorough than the other

0:25:53.720 --> 0:25:57.080
<v Speaker 2>rooumatologists that I was saying before. She was looking at

0:25:57.359 --> 0:25:59.960
<v Speaker 2>different types of blood work she put in for work

0:26:00.119 --> 0:26:03.119
<v Speaker 2>they call a vectors screening, which is a more in

0:26:03.200 --> 0:26:05.360
<v Speaker 2>depth evaluation of your inflammation.

0:26:05.600 --> 0:26:08.280
<v Speaker 1>And my vectress tests came back off.

0:26:08.080 --> 0:26:10.640
<v Speaker 2>The charts to the point where she's like, I don't

0:26:10.680 --> 0:26:14.399
<v Speaker 2>even know how you drove yourself here, which was so

0:26:14.640 --> 0:26:17.640
<v Speaker 2>validating to me because I'm like everyone else thinks I'm

0:26:17.680 --> 0:26:21.720
<v Speaker 2>crazy because the typical inflammation markers that most people look

0:26:21.760 --> 0:26:25.840
<v Speaker 2>at are not worth shattering. They're not alarming, They're maybe

0:26:25.880 --> 0:26:28.000
<v Speaker 2>a little bit on the high side of what they

0:26:28.080 --> 0:26:28.920
<v Speaker 2>call normal.

0:26:29.640 --> 0:26:33.000
<v Speaker 5>Doctor Arnold is a Chicago based doctor who is inspired

0:26:33.040 --> 0:26:36.600
<v Speaker 5>to become a rheumatologist after seeing her father's passion for

0:26:36.680 --> 0:26:40.199
<v Speaker 5>the field, the allure for the detective work involved, and

0:26:40.240 --> 0:26:43.760
<v Speaker 5>the impact the long term relationships can have on her patients.

0:26:43.800 --> 0:26:45.679
<v Speaker 5>Cemented this as her specialty.

0:26:46.760 --> 0:26:50.679
<v Speaker 4>I will tell you that as special as Lauren is,

0:26:51.400 --> 0:26:55.200
<v Speaker 4>her really her story is not so unusual or unique.

0:26:55.320 --> 0:26:58.280
<v Speaker 4>So if I think about my engagement with her, it's

0:26:58.280 --> 0:27:02.240
<v Speaker 4>a similar engagement I've had with a lot of my patients,

0:27:02.840 --> 0:27:05.680
<v Speaker 4>many of them women, though, because I do think it's

0:27:05.680 --> 0:27:08.439
<v Speaker 4>still as hard for women who are in pain to

0:27:08.520 --> 0:27:11.760
<v Speaker 4>really be heard, even by other female doctors.

0:27:11.880 --> 0:27:12.080
<v Speaker 1>Right.

0:27:12.720 --> 0:27:16.640
<v Speaker 4>So when I remember meeting her, part of the impression

0:27:16.680 --> 0:27:19.440
<v Speaker 4>I got when I first met with her was the

0:27:20.200 --> 0:27:22.280
<v Speaker 4>I don't know if trauma is the right word, but

0:27:22.320 --> 0:27:25.199
<v Speaker 4>the energy that she had was because I think she

0:27:25.280 --> 0:27:26.080
<v Speaker 4>wasn't being heard.

0:27:28.280 --> 0:27:30.960
<v Speaker 2>Doctor Arnold made me feel like I was not crazy,

0:27:31.280 --> 0:27:33.600
<v Speaker 2>but she also made me feel like there are so

0:27:33.800 --> 0:27:36.840
<v Speaker 2>many options, and she also made me feel like we

0:27:36.840 --> 0:27:41.520
<v Speaker 2>were not going to stop trying until we could find

0:27:41.600 --> 0:27:42.640
<v Speaker 2>an option that.

0:27:42.640 --> 0:27:46.639
<v Speaker 5>Worked, an approach that would ultimately lead to some answers

0:27:46.680 --> 0:27:48.840
<v Speaker 5>in Lauren's medical mystery.

0:27:49.000 --> 0:27:50.840
<v Speaker 4>So one of the first things we wanted to try

0:27:50.880 --> 0:27:55.320
<v Speaker 4>to differentiate was is this an inflammatory disease that was

0:27:55.359 --> 0:27:58.399
<v Speaker 4>causing her pain? And our suspicion was very high because

0:27:58.400 --> 0:27:58.960
<v Speaker 4>she's young.

0:27:59.280 --> 0:28:02.400
<v Speaker 5>What were the possible diagnoses running through your mind when

0:28:02.440 --> 0:28:03.639
<v Speaker 5>you started seeing Lauren.

0:28:04.280 --> 0:28:07.480
<v Speaker 4>So sometimes you can see with people, for example, with

0:28:07.560 --> 0:28:13.160
<v Speaker 4>severe endocrne disorders, where maybe they have like hyperparathyroidism, which

0:28:13.200 --> 0:28:15.800
<v Speaker 4>is a hormone that the glands sit near the thyroid,

0:28:15.840 --> 0:28:18.160
<v Speaker 4>but if the levels get really high, they can actively

0:28:18.200 --> 0:28:20.320
<v Speaker 4>go to break down the bone and that can cause pain.

0:28:20.359 --> 0:28:21.320
<v Speaker 4>So that would have been one of.

0:28:21.240 --> 0:28:22.360
<v Speaker 1>The things we would look for.

0:28:22.960 --> 0:28:26.439
<v Speaker 4>Her history wasn't significant for something like a cancer, but

0:28:26.480 --> 0:28:28.399
<v Speaker 4>we look for evidence of that and some of the

0:28:28.400 --> 0:28:31.560
<v Speaker 4>standard blood tests that we draw, right, so those would

0:28:31.560 --> 0:28:33.679
<v Speaker 4>be other things that would be ruling out. We'd be

0:28:33.720 --> 0:28:35.840
<v Speaker 4>making sure that she didn't have some type of a

0:28:35.920 --> 0:28:41.080
<v Speaker 4>systemic infection that could be causing her symptoms.

0:28:41.360 --> 0:28:43.920
<v Speaker 2>I had no idea that one thing was linked to

0:28:44.000 --> 0:28:46.640
<v Speaker 2>another thing, which was linked to the other thing. Who

0:28:46.680 --> 0:28:50.440
<v Speaker 2>would have thought that my sinuses had anything to do

0:28:51.080 --> 0:28:56.240
<v Speaker 2>with the excruciating foot pain that I was experiencing, you know,

0:28:56.360 --> 0:28:58.760
<v Speaker 2>years later, and that is something that I was never

0:28:58.840 --> 0:29:01.600
<v Speaker 2>able to link together. So, you know, looking at that,

0:29:01.720 --> 0:29:04.760
<v Speaker 2>looking at my history, looking at all of my symptoms.

0:29:04.840 --> 0:29:08.320
<v Speaker 2>Even though my genetic marker was negative, she said, not

0:29:08.440 --> 0:29:12.240
<v Speaker 2>everybody who has this condition has a genetic marker for it.

0:29:12.320 --> 0:29:15.680
<v Speaker 2>So sometimes it's almost just as important or even more

0:29:15.720 --> 0:29:18.200
<v Speaker 2>important to look at the symptoms and to be able

0:29:18.240 --> 0:29:23.160
<v Speaker 2>to really evaluate the progression of how things have moved along.

0:29:23.280 --> 0:29:26.280
<v Speaker 2>And she diagnosed me with siatic arthritis.

0:29:26.800 --> 0:29:29.240
<v Speaker 5>Wow, and you're twenty eight years old at this point,

0:29:29.600 --> 0:29:34.520
<v Speaker 5>twenty eight years old. So Matt, take me to the diagnosis.

0:29:34.760 --> 0:29:40.480
<v Speaker 5>You know, when you first heard those two words soriatic arthritis.

0:29:40.240 --> 0:29:42.080
<v Speaker 3>Part of it was a relief because we had a

0:29:42.120 --> 0:29:47.280
<v Speaker 3>diagnosis and there's treatment. But the other side of it

0:29:47.320 --> 0:29:53.560
<v Speaker 3>is like, this is not technically curable, like entirely, there's

0:29:53.560 --> 0:29:56.560
<v Speaker 3>no like magic medication that you take and it's like

0:29:56.760 --> 0:29:59.880
<v Speaker 3>just gone, in a week, you're done, You're all better now.

0:30:00.000 --> 0:30:03.000
<v Speaker 5>So you did mention that you had to confirm that

0:30:03.040 --> 0:30:08.120
<v Speaker 5>there was inflammation, But in terms of a gold standard

0:30:08.400 --> 0:30:11.960
<v Speaker 5>for soriatic arthritis, is there a specific test that you use.

0:30:12.480 --> 0:30:15.680
<v Speaker 4>In fact, there are no tests to make the diagnosis

0:30:15.680 --> 0:30:18.840
<v Speaker 4>of soriatic arthritis. So our blood tests are helpful when

0:30:18.840 --> 0:30:22.640
<v Speaker 4>they're helpful, but most of the time it's really history

0:30:22.680 --> 0:30:26.360
<v Speaker 4>and physical exam and response to interventions, and this is

0:30:26.400 --> 0:30:29.479
<v Speaker 4>where that long term relationship really starts to develop, and

0:30:29.560 --> 0:30:33.000
<v Speaker 4>seeing people over time and how things change. But there

0:30:33.080 --> 0:30:36.880
<v Speaker 4>is not a single blood test to make the diagnosis

0:30:37.160 --> 0:30:40.960
<v Speaker 4>of soriatic earthritis. Well, often if we're lucky enough see

0:30:40.960 --> 0:30:44.600
<v Speaker 4>something like psoriasis or a history of psiasis, we'll see

0:30:44.640 --> 0:30:49.240
<v Speaker 4>targeted joints that will typically think about in either distal psoriasis,

0:30:49.280 --> 0:30:53.360
<v Speaker 4>like specific distributions in the hands, for example, are larger joints.

0:30:54.000 --> 0:30:55.560
<v Speaker 1>So it is always.

0:30:55.200 --> 0:30:58.960
<v Speaker 4>Easier to make a diagnosis of soriatic arthritis when patients

0:30:58.960 --> 0:31:01.640
<v Speaker 4>have psoriasis. But there is a large enough number of

0:31:01.680 --> 0:31:05.920
<v Speaker 4>patients who don't develop psoriasis before their arthritis, but actually

0:31:06.000 --> 0:31:07.080
<v Speaker 4>after their arthritis.

0:31:07.840 --> 0:31:10.640
<v Speaker 5>The symptoms that have been shrugged off throughout Lauren's life

0:31:10.800 --> 0:31:14.560
<v Speaker 5>were actually little clues all adding up to give doctor

0:31:14.680 --> 0:31:17.760
<v Speaker 5>Arnold the full picture of what had been plaguing Lauren

0:31:17.960 --> 0:31:24.600
<v Speaker 5>for fifteen years, soriatic arthritis. It sounds like the symptoms

0:31:24.600 --> 0:31:29.200
<v Speaker 5>can really run the gamut. That said, are there a

0:31:29.280 --> 0:31:33.240
<v Speaker 5>list of most common symptoms if you.

0:31:33.200 --> 0:31:36.840
<v Speaker 4>Were to google soriatic earthrtis? I think that for sure,

0:31:37.200 --> 0:31:41.280
<v Speaker 4>people would talk about swelling in stiffness in specific joints

0:31:41.280 --> 0:31:45.480
<v Speaker 4>in the hands rather than the knuckle joint. People would

0:31:45.560 --> 0:31:50.440
<v Speaker 4>talk about mostly skin psoriasis in association with siatic earthritis.

0:31:50.480 --> 0:31:55.040
<v Speaker 4>People would talk about morning stiffness that's greater than thirty minutes.

0:31:55.080 --> 0:31:57.600
<v Speaker 4>So if you're not twenty five anymore, when you get

0:31:57.640 --> 0:31:59.120
<v Speaker 4>out of bed in the morning, you might feel a

0:31:59.120 --> 0:32:01.600
<v Speaker 4>little bit stiff. As you make your way to the bathroom,

0:32:01.880 --> 0:32:05.040
<v Speaker 4>you notice that you loosen up. People with sooriatic arthritis,

0:32:05.040 --> 0:32:07.440
<v Speaker 4>that's just ongoing. It could be for hours.

0:32:08.000 --> 0:32:12.959
<v Speaker 5>What are some common misconceptions that people have about arthritis.

0:32:13.720 --> 0:32:16.520
<v Speaker 4>I think it's really important for people to understand that

0:32:16.560 --> 0:32:20.840
<v Speaker 4>there are like hundreds of kinds of arthritis. We simplify things, right,

0:32:21.080 --> 0:32:24.239
<v Speaker 4>but there are all different kinds of arthritis, and so

0:32:24.280 --> 0:32:30.240
<v Speaker 4>I think the misconception is that this is not just

0:32:30.280 --> 0:32:33.080
<v Speaker 4>an illness that affects your joints. So I'm going to

0:32:33.200 --> 0:32:36.480
<v Speaker 4>generalize the thing that is a rheumatologist I worry the

0:32:36.480 --> 0:32:39.600
<v Speaker 4>most about when I meet patients with inflammatory arthritis are

0:32:39.640 --> 0:32:43.120
<v Speaker 4>actually not their joints. I worry about their heart I

0:32:43.200 --> 0:32:46.280
<v Speaker 4>worry about their risk of cancer, because we know that

0:32:46.440 --> 0:32:50.520
<v Speaker 4>patients with inflammatory disease that is uncontrolled have a higher

0:32:50.520 --> 0:32:55.160
<v Speaker 4>incidence of heart attacks, especially true in our sooriatic arthritis patients,

0:32:55.680 --> 0:32:59.400
<v Speaker 4>and higher incidents of some lymphomas and cancers. And so

0:32:59.720 --> 0:33:02.680
<v Speaker 4>I think the misconception is, oh, that it's just my joint.

0:33:02.880 --> 0:33:06.000
<v Speaker 4>But when I say to people, the likelihood of your

0:33:06.080 --> 0:33:10.360
<v Speaker 4>rheumatoid arthritis have left untreated causing a heart attack is high,

0:33:10.440 --> 0:33:14.560
<v Speaker 4>and that what killed patients with rheumatoid arthritis and soriatic arthritis.

0:33:14.480 --> 0:33:15.360
<v Speaker 1>Is heart disease.

0:33:16.240 --> 0:33:18.880
<v Speaker 5>What did that diagnosis mean for you?

0:33:19.680 --> 0:33:22.040
<v Speaker 2>It meant a lot of things. It was validating to

0:33:22.080 --> 0:33:25.400
<v Speaker 2>know that I wasn't crazy, that something was really wrong,

0:33:25.880 --> 0:33:27.560
<v Speaker 2>and so there was a piece of me that felt

0:33:27.640 --> 0:33:29.840
<v Speaker 2>relief that at least now we know what it is

0:33:30.120 --> 0:33:30.600
<v Speaker 2>and now.

0:33:30.440 --> 0:33:32.160
<v Speaker 1>We can hopefully treat it.

0:33:32.160 --> 0:33:35.040
<v Speaker 2>It was scary for me also really hard because I

0:33:35.080 --> 0:33:37.440
<v Speaker 2>knew a lot was going to have to change my lifestyle.

0:33:37.920 --> 0:33:40.200
<v Speaker 2>I was scared was I ever going to be able

0:33:40.280 --> 0:33:43.640
<v Speaker 2>to go dance again or exercise again?

0:33:43.720 --> 0:33:45.560
<v Speaker 1>What was working out going to look like for me?

0:33:45.680 --> 0:33:49.200
<v Speaker 2>I was in a full time coach where running on

0:33:49.240 --> 0:33:51.600
<v Speaker 2>the treadmill was part of my job, and.

0:33:51.760 --> 0:33:53.120
<v Speaker 1>I didn't know that I was going to be able

0:33:53.120 --> 0:33:53.840
<v Speaker 1>to do that again.

0:33:55.640 --> 0:33:59.080
<v Speaker 3>It gave her a direction of like where to like

0:33:59.200 --> 0:34:01.600
<v Speaker 3>research so she can figure out how she wants to

0:34:01.640 --> 0:34:06.440
<v Speaker 3>pursue moving forward, and I mean, you get some hope.

0:34:06.800 --> 0:34:10.240
<v Speaker 3>She's good at finding the good and things been like, Okay,

0:34:10.640 --> 0:34:13.839
<v Speaker 3>here's a new adventure or new project to try and

0:34:13.880 --> 0:34:16.400
<v Speaker 3>work towards and you know, make things better.

0:34:18.480 --> 0:34:22.240
<v Speaker 5>It just occurred to me that really you do almost

0:34:22.320 --> 0:34:25.279
<v Speaker 5>need to embrace the mindset of an athlete with these

0:34:25.360 --> 0:34:29.279
<v Speaker 5>chronic illnesses, because it's a marathon, it's not a race.

0:34:29.680 --> 0:34:31.640
<v Speaker 4>And you have to focus on the things that you

0:34:31.719 --> 0:34:35.960
<v Speaker 4>can have control over, right, And I think it's instinctual

0:34:36.040 --> 0:34:38.279
<v Speaker 4>for all of us to number one, know what caused this,

0:34:38.440 --> 0:34:41.560
<v Speaker 4>which often we have no idea, and where's it headed,

0:34:41.680 --> 0:34:43.759
<v Speaker 4>what's the prognosis which a lot of the time we

0:34:43.800 --> 0:34:48.520
<v Speaker 4>also have no definitive idea, right, and that's incredibly unsettling.

0:34:48.600 --> 0:34:50.520
<v Speaker 4>So you have to then be able to give over

0:34:51.239 --> 0:34:55.799
<v Speaker 4>some of that wanting to control the outcome, to kind

0:34:55.800 --> 0:34:58.719
<v Speaker 4>of just go for the ride right, to jump forward,

0:34:58.800 --> 0:35:01.160
<v Speaker 4>and to let's just keep moving forward, is what I

0:35:01.160 --> 0:35:02.320
<v Speaker 4>say to patients.

0:35:02.800 --> 0:35:05.799
<v Speaker 2>In some ways, I feel like it's given me the

0:35:05.840 --> 0:35:09.000
<v Speaker 2>gift of being more in tune with my body because

0:35:09.080 --> 0:35:12.759
<v Speaker 2>for so long I ignored so many things. It has

0:35:12.800 --> 0:35:16.359
<v Speaker 2>allowed me to identify triggers and things that trigger these

0:35:16.400 --> 0:35:20.400
<v Speaker 2>episodes and inflammation. I can't say that I'm flare up free,

0:35:20.480 --> 0:35:23.040
<v Speaker 2>I can't say that I'm in remission, but I can

0:35:23.160 --> 0:35:26.440
<v Speaker 2>tell you that I can understand that my body can

0:35:26.480 --> 0:35:28.440
<v Speaker 2>only tolerate so much exercise.

0:35:29.080 --> 0:35:33.520
<v Speaker 5>As Matt lovingly described her, Lauren is the eternal optimist.

0:35:33.960 --> 0:35:36.520
<v Speaker 5>Despite having to give up dance and accept the physical

0:35:36.520 --> 0:35:40.600
<v Speaker 5>limitations that can accompany her flare ups, Lauren remains dedicated

0:35:40.600 --> 0:35:44.680
<v Speaker 5>to moving forward and motivating others. What are you most

0:35:44.719 --> 0:35:46.080
<v Speaker 5>proud of your wife for?

0:35:46.920 --> 0:35:49.920
<v Speaker 3>I'd say I'm just most proud for her resilience and

0:35:50.320 --> 0:35:55.640
<v Speaker 3>trying to like not let her condition take over. She

0:35:55.800 --> 0:36:01.640
<v Speaker 3>always is trying to better herself physically and mentally. She's

0:36:01.719 --> 0:36:05.560
<v Speaker 3>always pushing to find the brighter side of things and

0:36:05.800 --> 0:36:08.839
<v Speaker 3>not let anything get her down. So it's just nice

0:36:08.840 --> 0:36:10.520
<v Speaker 3>to see pushes me too.

0:36:11.000 --> 0:36:14.960
<v Speaker 2>All that passion, all of the love I had for dance,

0:36:15.040 --> 0:36:17.640
<v Speaker 2>I mean, it's all still there, but I have been

0:36:17.680 --> 0:36:21.840
<v Speaker 2>able to redirect that passion and fire to help others

0:36:22.080 --> 0:36:26.239
<v Speaker 2>that are like myself that are going through dealing with inflammation,

0:36:26.600 --> 0:36:31.239
<v Speaker 2>weight loss, resistance, feeling exhausted or fatigued, and all of

0:36:31.280 --> 0:36:33.880
<v Speaker 2>those things. And so I took the majority of that

0:36:34.120 --> 0:36:37.960
<v Speaker 2>energy and really put it into studying and understanding inflammation

0:36:38.080 --> 0:36:41.600
<v Speaker 2>at another level, so I could help others work through

0:36:41.760 --> 0:36:44.680
<v Speaker 2>exactly what I work through and understand their bodies the

0:36:44.680 --> 0:36:46.480
<v Speaker 2>way that I'm able to understand mine.

0:36:47.360 --> 0:36:51.400
<v Speaker 5>I love that it's the same kind of imparting of empowerment.

0:36:51.520 --> 0:36:52.920
<v Speaker 5>It's just knowledge.

0:36:52.560 --> 0:36:57.640
<v Speaker 2>Now exactly, and a knowledge that I so personally can

0:36:57.880 --> 0:37:01.799
<v Speaker 2>relate to, right, because I know those feelings of frustration,

0:37:01.960 --> 0:37:04.799
<v Speaker 2>and I know those feelings of you know, when you're

0:37:04.880 --> 0:37:09.160
<v Speaker 2>just you're feeling defeated, when you're dealing with something along

0:37:09.360 --> 0:37:13.840
<v Speaker 2>the lines of battling, whether it's sooriatic arthritis or another

0:37:13.920 --> 0:37:18.279
<v Speaker 2>inflammatory condition, right, And I want to help others be

0:37:18.360 --> 0:37:20.799
<v Speaker 2>able to beat it the same way that I was.

0:37:21.440 --> 0:37:24.399
<v Speaker 2>And once you start to identify and understand what your

0:37:24.400 --> 0:37:28.160
<v Speaker 2>body needs. What your body responds to is a life

0:37:28.160 --> 0:37:29.920
<v Speaker 2>that is waiting to be lived by you.

0:37:32.920 --> 0:37:36.080
<v Speaker 5>To find out more on soriatic arthritis, you can check

0:37:36.080 --> 0:37:40.319
<v Speaker 5>out the Arthritis Foundation's website at Arthritis dot org.

0:37:42.440 --> 0:37:46.040
<v Speaker 2>My name is Lauren shol I pushed through pain for

0:37:46.239 --> 0:37:50.759
<v Speaker 2>fifteen years before being diagnosed with sooriatic arthritis at the

0:37:50.800 --> 0:37:54.000
<v Speaker 2>age of twenty eight.

0:37:56.000 --> 0:37:58.959
<v Speaker 5>Since this is the final episode of Symptomatic Season two,

0:37:59.520 --> 0:38:01.880
<v Speaker 5>we want to say a huge thank you to all

0:38:01.960 --> 0:38:04.919
<v Speaker 5>of our listeners. We truly value the opportunity to bring

0:38:04.960 --> 0:38:07.879
<v Speaker 5>these episodes to life. We'll be back soon with more.

0:38:08.040 --> 0:38:10.239
<v Speaker 5>Until then, if there's a story you want to hear

0:38:10.320 --> 0:38:12.640
<v Speaker 5>us cover, you can get in touch with us by

0:38:12.680 --> 0:38:17.640
<v Speaker 5>emailing Symptomatic at iHeartMedia dot com. And please don't forget

0:38:17.680 --> 0:38:21.400
<v Speaker 5>to rate and review Symptomatic wherever you get your podcasts.

0:38:21.480 --> 0:38:26.239
<v Speaker 5>Until next time, we hope you stay well. Symptomatic a

0:38:26.280 --> 0:38:30.720
<v Speaker 5>medical mystery podcast is a production of Ruby Studio from iHeartMedia.

0:38:31.280 --> 0:38:34.840
<v Speaker 5>Our show is hosted by me Lauren breg Pacheco. Executive

0:38:34.880 --> 0:38:38.800
<v Speaker 5>producers are Matt Romano and myself. Our ep of post

0:38:38.800 --> 0:38:43.080
<v Speaker 5>production is James Foster. Our producers are Sierra Kaiser and

0:38:43.200 --> 0:38:46.840
<v Speaker 5>John Irwin and this episode was researched by Diana Davis.

0:38:54.400 --> 0:38:58.160
<v Speaker 8>What are real people with storyatic arthritis saying about cocentics?

0:38:58.320 --> 0:39:02.680
<v Speaker 3>I had to do something cocentics. I moved better because

0:39:02.680 --> 0:39:03.480
<v Speaker 3>of concentics.

0:39:03.960 --> 0:39:07.320
<v Speaker 8>Cocentic sec ukenyumab is for adults with active storiatic arthritis

0:39:07.360 --> 0:39:09.520
<v Speaker 8>and is given as a one hundred and fifty milligram dose.

0:39:09.719 --> 0:39:12.120
<v Speaker 8>Don't use if you're allergic to cocentics. Before starting, get

0:39:12.200 --> 0:39:15.640
<v Speaker 8>checked for TB serious allergic reactions, severe skin reactions that

0:39:15.680 --> 0:39:18.120
<v Speaker 8>look like eczema, and an increased risk of infections. Some

0:39:18.239 --> 0:39:21.520
<v Speaker 8>fatal have occurred. Cocentics may lower ability to fight infections,

0:39:21.640 --> 0:39:23.520
<v Speaker 8>so tell your doctor if you have an infection or

0:39:23.560 --> 0:39:26.960
<v Speaker 8>symptoms like fevers, sweats, chills, muscleleggs, or cough, how to

0:39:27.040 --> 0:39:30.040
<v Speaker 8>vaccine or plan to or if ibed symptoms develop or worsen.

0:39:30.200 --> 0:39:32.480
<v Speaker 8>Learn more at cocentics dot com or one eight four

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<v Speaker 8>four cocentics. Don't wait. Ask your doctor about cocentics