Podcasts > MrBallen’s Medical Mysteries > Ep. 22 | Surf’s Up

Ep. 22 | Surf’s Up

By Wondery

Dive into the harrowing narrative of survival on MrBallen’s Medical Mysteries, where the tale of Graham’s unexpected and life-threatening illness unfolds like a real-life thriller. In this episode, listeners are taken through the onset of Graham's perplexing condition—which starts innocuously with a headache during the festive season, only to escalate into a series of inexplicable symptoms. Each part of his story, narrated by MrBallen and punctuated by discussions with a sequence of advertisers, adds suspense to a medical saga that seems to confuse even the professionals at the frontlines of healthcare.

As Graham’s emergency becomes a desperate race against time, MrBallen creates an atmosphere of tension and mystery, with a focus on the medical team’s struggle to reach a diagnosis. Just as all hope seems lost, and a coma claims Graham’s consciousness, a diagnosis is finally made—but his prognosis remains dire. Yet, the podcast captures the incredible turn of events that lead to Graham's miraculous recovery and current mission to give back the compassion he received. His story is a testament to human resilience and the unpredictable nature of health, shared episode by episode on MrBallen’s Medical Mysteries.

Ep. 22 | Surf’s Up

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Ep. 22 | Surf’s Up

1-Page Summary

Graham's Illness Begins

Over the Christmas holiday, Graham experiences a severe headache, leading to alarming symptoms such as intense itching without a rash, a burning sensation in his blood vessels, and a recurring headache exacerbated by standing. Unable to find relief through traditional holistic remedies, Graham's condition worsens, driving him to seek emergency hospital care after enduring sharp pain and nausea resulting in vomiting.

Doctors Struggle to Diagnose Graham

Medical professionals are initially perplexed by Graham's complex symptoms, which include an inability to urinate and extreme sensitivity to touch. After being admitted for further care, he is diagnosed with meningitis following a spinal tap, but the exact cause remains unknown. Graham's condition deteriorates rapidly, causing him to fall into a coma and be airlifted to a larger hospital. An MRI at this new facility reveals a parasitic infection known as rat lungworm disease, causing significant brain damage. Despite a grim prognosis from doctors, who suggest Graham might stay in a vegetative state, his mother Kay remains unwavering in her belief that he can recover.

Miraculous Recovery

Against all odds, Graham begins to regain consciousness and communicate, marking the start of a slow yet hopeful path to recovery. His dedication to intensive therapy helps him relearn basic functions and speech. After over four months in the hospital, Graham triumphantly returns home. Inspired by his own resilience, Graham now attends community college, studying to become a physical therapist so that he can offer the same hope and healing to others that he received during his remarkable journey to recovery.

1-Page Summary

Additional Materials

Clarifications

  • Rat lungworm disease is caused by a parasitic infection from a type of roundworm. The parasite's larvae are typically found in rats and can be transmitted to humans through contaminated food or water. In humans, the larvae can travel to the brain and spinal cord, leading to serious neurological symptoms and potentially causing brain damage. Symptoms can range from mild headaches to more severe conditions like meningitis or even coma.
  • A spinal tap, also known as a lumbar puncture, is a medical procedure where a needle is inserted into the spinal canal to collect cerebrospinal fluid for diagnostic purposes. It is commonly used to detect infections, bleeding, or other abnormalities in the central nervous system. The procedure involves the patient usually lying on their side while a healthcare provider numbs the area around the lower back before inserting the needle. The collected fluid is then analyzed in a laboratory to help diagnose various conditions affecting the brain and spinal cord.
  • A vegetative state is a condition where a person is awake but not aware of their surroundings. It is a state of partial arousal without true consciousness. Patients in a vegetative state may show sleep-wake cycles but lack meaningful responses or interactions. It is different from a coma, where there is a complete lack of both awareness and wakefulness.
  • Intensive therapy involves a comprehensive and focused treatment approach that aims to help individuals recover from physical or mental health challenges. It typically includes a structured program of various therapies, exercises, and interventions tailored to the individual's specific needs and goals. Intensive therapy often requires a significant time commitment and dedication from both the individual receiving treatment and their healthcare providers. The goal of intensive therapy is to promote recovery, improve function, and enhance overall well-being.

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Ep. 22 | Surf’s Up

Graham's Illness Begins

Graham's health takes an alarming turn over the holiday season as mysterious and painful symptoms emerge. What begins as a severe headache leads to a series of events and ER visits with varying degrees of concern from healthcare professionals.

Graham develops mysterious symptoms like headache and itching

On Christmas Day, Graham is stricken by a severe headache that eases slightly but quickly escalates to more troubling symptoms. He feels an intense itch spreading from his arms to his legs and throughout his entire body, yet there is no visible rash. Alongside the itching, he’s plagued by a churning stomach and the sensation of his blood vessels burning. The headache that had initially subsided rears back fiercely whenever he stands.

Holistic remedies provide little relief so Graham goes to the ER

Desperate for relief, Graham turns to his Aunt Lynn who advises peppermint and herbs for his stomach and headache. Though these traditional remedies had been effective for past ailments, it’s not clear if they offer him any respite this time. The next morning, confronted with a sharp pain in his temple and overwhelming nausea leading to vomiting, Graham is finally coaxed by his concerned aunt to seek hospital care.

Doctors believe Graham just has the flu, discharge him

After an ER visit, where Graham undergoes testing, the doctor reassures Aunt Lynn that all the results are negative. Believing it to be a severe flu, the doctor confidently predicts that Gr ...

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Graham's Illness Begins

Additional Materials

Clarifications

  • Graham initially experiences a severe headache on Christmas Day, followed by intense itching without a visible rash. He also feels a burning sensation in his blood vessels, a churning stomach, and worsened headaches upon standing. These symptoms progress to include overwhelming nausea, vomiting, sharp temple pain, inability to urinate, extreme sensitivity to touch, and a feeling of impending death.
  • Aunt Lynn suggests using peppermint and herbs as traditional remedies for Graham's symptoms, but their effectiveness in this particular situation is uncertain. Despite being effective for past ailments, it's unclear if these remedies will provide relief for Graham's current mysterious symptoms.
  • The initial discharge of Graham from the ER with a flu diagnosis might seem confusing because his symptoms were severe and not typical of the flu. The misdiagnosis could be due to the initial presentation resembling flu-like symptoms, leading the doctor to overlook other potential causes. This situation highlights the challenges in diagnosing complex and uncommon medical conditions accurately in the first assessment.
  • Graham's inability to urinate and extreme sensitivity to touch could indicate a serious underlying medical issue, potentially related to nerve ...

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Ep. 22 | Surf’s Up

Doctors Struggle to Diagnose Graham

Graham's severe and puzzling symptoms stumped doctors, leading to a challenging diagnostic process and a dire prognosis that his mother refused to accept.

Spinal tap confirms meningitis but cause remains unknown

Initially, doctors confirmed Graham had meningitis through a spinal tap but recognized that it signaled a deeper, underlying disease affecting his brain and spinal cord.

Graham falls into coma and is airlifted to larger hospital

As doctors continued to search for the cause of his illness, Graham's condition deteriorated. He fell into a coma nearly three weeks after he first got sick, necessitating his transfer to the intensive care unit and placement on life support. Shortly thereafter, Graham was airlifted to a larger hospital in Honolulu due to the severity of the meningitis and the limited capabilities at Hilo Medical Center.

MRI reveals parasitic infection causing brain damage

With the illness progressing, doctors finally diagnosed Graham with rat lungworm disease. An MRI revealed tiny white spo ...

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Doctors Struggle to Diagnose Graham

Additional Materials

Clarifications

  • Rat lungworm disease, also known as angiostrongyliasis, is a parasitic infection caused by a type of roundworm. The disease is typically contracted by consuming raw or undercooked snails or slugs that are infected with the parasite. Once ingested, the larvae of the parasite can travel to the brain and spinal cord, leading to a range of neurological symptoms. In severe cases, rat lungworm disease can result in serious complications, including brain damage and potentially fatal outcomes.
  • A spinal tap, also known as a lumbar puncture, is a medical procedure where a needle is inserted into the lower back to collect cerebrospinal fluid for diagnostic purposes. This fluid surrounds the brain and spinal cord and can provide valuable information about various conditions affecting the central nervous system. It is commonly used to detect infections, such as meningitis, and other neurological disorders. The procedure is typically performed under sterile conditions by a trained healthcare professional.
  • A vegetative state is a condition where a person is awake but not aware of their surroundings due to severe brain damage. It is different from a coma as it involves partial arousal without true awareness. In some cases, after a certain period, it may be classified as a persistent vegetative state, indicating a long-term lack of awareness.
  • Roundworm larvae are the early stage of roundworms, which are parasitic worms. When these larvae enter the body, they can migrate through tissues, causing damage as they move. In the case of rat lungworm disease, the roundworm larvae can burrow into the brain and spinal cord tissues, leading to serious neurological complications. This burrowing action can result in the formation of microscopic holes in the affected tissues, which can be visualized on imaging studies like MRIs.
  • Life support ...

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Ep. 22 | Surf’s Up

Miraculous Recovery

Graham's journey back to life from the grips of a debilitating illness exemplifies the human spirit's resilience in the face of adversity.

Graham regains consciousness though faces difficult therapy

After an extended period of uncertainty, Graham begins to exhibit promising signs of recovery. His eyes start focusing animatedly, and before long, he manages to communicate in a whisper-soft voice. Within days of this momentous breakthrough, Graham gains a clear understanding, through his mother's explanations, of the disease that gripped him.

The battle, however, is far from over. Graham faces the arduous task of regaining basic functions; therapy and sheer determination are his allies as he learns to navigate the world once more, one word and step at a time.

After over 4 months hospitalized, Graham able to go home

Graham's perseverance, coupled with the unwavering support of his healthcare team, culminates in a heartening milestone. On April 30th, after a grueling four-month stay at the hospital, Graham is finally able to return to the comfort and familiarity of his home. It is a victorious moment, marking the end of one chapter and the beginning of another in h ...

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Miraculous Recovery

Additional Materials

Clarifications

  • Graham's recovery timeline spans from regaining consciousness and starting therapy to eventually returning home after over four months in the hospital. His journey involves overcoming challenges, learning about his illness, and gradually rebuilding his physical and communication abilities. The text concludes with Graham's decision to pursue a career as a physical therapist, inspired by his own experience and the support he received during his recovery.
  • Graham's mother's explanations were significant as they helped him gain a clear understanding of the disease that had affected him, providing him with crucial knowledge about his condition and aiding in his mental and emotional recovery process.
  • Graham's experience took a significant emotional and mental toll on him as he battled a debilitating illness. The uncertainty, physical challenges, and the need for intense therapy all contributed to his mental and emotional struggles throughout his journey to recovery. His resilience and determination were tested as he faced the daunting task of regaining basic functions and adjusting to life post-illness. The support of hi ...

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