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Mr. Ballin
In medicine, as in life, communication is extremely important. Whether it's a doctor breaking things down for a patient or a patient describing their symptoms, it's crucial that everyone is on the same page. Otherwise, things could fall through the cracks and people's lives could be at risk. Unfortunately, in today's two stories, communication does break down, but not for reasons you might expect. In our first story, a woman suddenly becomes obsessed with painting the same thing over and over again. As the years go by, this obsession grows stronger. However, she can't explain why because she's also losing the ability to speak. And in our second story, a man who has just arrived in America is hospitalized with life threatening organ failure. However, his doctors struggle to figure out what's wrong because he can't or won't tell them what they need to know. Inspired by a Southern legend, Huggin Molly is a monstrous spider woman. Her patchwork dress is stitched from the clothes of children she snatches when she skitters down from her lair deep in the mountains. She wraps them in her red yarn like little flies in the clutches of her palm. The children watch their homes fade. In the distance, the earth blurs beneath her spindled legs as she rushes over hills and fields, the moon and stars the only witnesses to their vanishing. To her lab they'll go wrapped in red, waiting to be found, waiting to be woven whole. Explore more Deep south mythos and encounter creatures like Molly in South of Midnight. Play now on Xbox Series XS Game Pass Ultimate NPC and Steam terms apply. See xbox.com subscription terms rated M for mature. You're pretty smart when people talk about you. Too smart comes up a lot. So why are you trying to prove them wrong? Why aren't you pushing the limits of science and powering the nuclear engines of the world's most powerful Navy? If you were born for it, isn't.
Nurse/Interpreter
It time to make a smart choice? You can be smart, or you can be nuke smart. Become a nuclear engineer@navy.com nukesmart America's Navy.
Mr. Ballin
Forged by the sea from Ballin Studios and wonder. I'm Mr. Ballin, and this is Mr. Ballin's Medical Mysteries, where every week we will explore a new baffling mystery originating from the one place we all can't escape our own bodies. So if you like today's story, please offer to buy something. The follow button is selling, but pay entirely in pennies. And now here's our first story called Unraveling Bolero. One morning in the spring of 1986, a 46 year old Canadian woman named Alina Atkinson softly closed the door to her teenage son Jacob's bedroom. Jacob had recently been in a terrible car accident and was bedridden with his injuries. Doctors had told Alena and her husband Tyler, that Jacob would require around the clock care to recuperate. And so, even though Alena had a very busy professional career as a biologist, she had taken a leave of absence to tend to her son. It had been a very abrupt life change for her, but she was grateful she was even able to do that. However, Jacob, luckily was healing faster than doctors expected, and so now he just spent most of his time in bed, not needing any direct care from Alina. That left Alina with a lot of hours during the day to kind of do nothing. She didn't really need to look after her son. And her husband was away most of the day in Vancouver at the university where he taught mathematics. And so for a while, Alina had spent this unexpected free time reading or just playing the piano. But then she had found her old paint set from high school in the garage. As a teenager, Alina had been an avid painter. And so she figured, you know, with all this extra free time, maybe now is a good time to rekindle her passion. Now, initially, she painted homes, buildings, and churches in a realistic architectural style. But in the last couple of weeks, she'd been experimenting with painting new things and using new brushwork techniques. And for some reason, as she was trying out new things, she became obsessed with strawberries. It was like every time she painted a strawberry, the more obsessed with them she became, she found an almost infinite subtlety in every detail of its form. The spacing of the seeds, the specific shade of red, the tuft of green petals at the top. It was like every time she sat down to paint, she would consider painting other subjects, but she just couldn't get the strawberries out of her mind. And so she would just paint more strawberries. Now, Alina didn't know if this meant anything, but she didn't question it. She just did what her brain told her to do. One year later, on a warm summer night, Alina stood with her husband in a brightly lit, white rectangular room. It was the opening night of her first solo art show at a local Vancouver gallery. Tyler tapped his plastic cup of white wine against hers and whistled in awe at the walls filled with her amazing artwork. The paintings were filled with detail. There were paintings of houses ringed in seas, of brightly colored flowers with every petal carefully shaded. There were these kaleidoscopic circular paintings of roots and mushrooms and octopuses. And there were paintings of leaves and bark and tropical fish, all rendered in a similarly obsessive way. They were undoubtedly beautiful, but full of so much detail, it almost looked kind of manic. Now, Alina didn't really understand where this intense creative drive was coming from. I mean, she had wanted to get back into painting, but didn't expect to be so head over heels in love with it again. But she was very proud of what she'd made. Months earlier, when Jacob had recovered enough to return to high school, Alina realized something big. She didn't want to go back to her old life. She used to love working as a biologist, but now, compared to how she felt while she was painting, that was awful. And she couldn't go back. And so Alina had quit her job and spent every day since obsessively creating art. The process was thrilling to her, and it kept expanding. Alina didn't want to do anything else. Sometimes her husband seemed a bit bewildered by her devotion to her craft. But Alina didn't mind. She felt too inspired to care. Just then, the director of the gallery interrupted the couple's moment with good news. Several of Alina's paintings had just sold. Her show was a hit. Seven years later, on a drizzly winter morning in 1994, Alina was in the kitchen making toast and envisioning her day in the art studio. The house was quiet except for a small radio that Alina kept tuned to the classical music station. And after a while, she realized she she'd been listening to the same piece of music for what felt like a really long time. She stared at the radio and focused on what she was hearing. The song was a strange, hypnotic march with a rolling, staccato snare drum carrying a melody of flutes and bells across almost 15 minutes. The song swelled and snowballed, adding more and more instruments until it crescendoed in a bombastic parade of sound and then crashed into silence. When the music finally stopped. The DJ identified the song as Bolero, by the French composer Maurice ravel, composed in 1928. Alina had never felt so moved by a piece of music ever in her life. Something about this Bolero had affected her in a profound way. She poured herself a mug of tea and then hurried to the studio. She had an idea. Three weeks later, Alina perched on a stool in her studio with a brush in her hand, her face inches from the canvas on the shelf by the window. Her CD player was switched to repeat mode to play the same track over and over, which was, of course, Ravel's Bolero. It was the only music Alina had listened to for weeks. It was also the subject of her latest painting that she had been working on for weeks. The painting was supposed to be a visual representation of the song Bolero. Each note was depicted as a different color. For instance, B flat was metallic green. The duration of the song was expressed as a series of rectangles stacked on top of each other. The height of each shape represented the loudness of the instruments. Alina listened to Bolero hundreds and hundreds of times to create her visual coding system. This required an extreme level of focus, but Alina had never felt so inspired. She felt like she was making her masterpiece. The most challenging part, though, was translating the climax of Bolero to painting. During the climax, the music becomes dense and dramatic with crashing drums and instruments overlapping with one another. Alina conveyed this chaos by making her map of shapes and colors grow larger and larger and then start to sort of fall apart like a scarf unraveling. And one night, while staring at the painting, the title of it came to her. She called it unraveling Bolero. Six years later, on a weekend afternoon in the year 2000, Tyler was making lunch for his wife. Unraveling Bolero had become a small sensation in the art world, and since its release, Alina's career had steadily grown. After knocking on his wife's studio door, Tyler nudged it open and went inside. As always, Alina was in front of her easel with a large palette of paints beside her. Tyler asked her what she wanted for lunch, but at first she didn't seem to hear him. When he asked again, she simply blurted out a string of sandwich apple tea. Back in the kitchen, Tyler kept thinking about Alena's response. He had noticed his wife had seemed less talkative lately, but he had assumed she was just lost in thoughts about her work. Now he wasn't so sure. A year later, Tyler's brother and wife were visiting from out of state for the holidays. Tyler asked Alina to take a break from painting so they could spend some time together, and she had agreed. While Tyler waited for her to finish up in the studio, he opened up a bottle of wine and lit a fire in the fireplace. When Alina emerged and joined them, Tyler's brother asked her what she'd been working on. Alena opened her mouth to explain, but then she just cocked her head to the side as if she was trying to remember what she was going to say. Then, instead of actually Speaking, she began tracing a triangular shape in the air, like she was playing a game of charades. Tyler couldn't tell if his wife was just being playful or something, but he translated for her. He explained to his brother that Alina's new painting was of some friends on vacation in Egypt in front of the pyramids, hence the triangle. Now, Alina would eventually regain her speech, and so everyone just kind of forgot about this weird moment. But Tyler didn't. He kept thinking about the way Alina had become momentarily speechless. He couldn't help but feel like something was happening to his wife. He just didn't understand what. Another year later, One evening in the fall of 2002, Tyler went into Alena's studio to discuss their dinner plans for the night. He suggested a couple of local spots, then asked if she had a craving for anything specific. And he watched as Alina didn't answer him. And then she began to furrow her brow and began to look really frustrated. Tyler asked her again, thinking maybe she hadn't heard him or didn't understand, but this time, his wife just grabbed a pad of paper and began sketching something. Seconds later, she held up a drawing of a hamburger. At this point, Tyler was genuinely disturbed. This no longer felt like maybe his wife being eccentric. It seemed like his wife again was suddenly unable to talk. And so, acting on instinct, he told his wife he was going to call her doctor. And Alina simply nodded and turned back to her canvas. A few weeks later, a neurologist named Dr. Brad Millhouser sat in his office in San Francisco, across from Alena and Tyler, who had traveled all the way from Canada to see him. Dr. Millhouser's specialty was treating unusual brain conditions. He listened while Tyler described what was going on with his wife. As for Alena, she just sat there quietly, watching her husband speak. She could no longer string together phrases longer than three or four words, and so Tyler had become the family's default spokesperson. Tyler told Dr. Millhouser about his wife's sudden career change from cellular biologist to artist and her gradual loss of language that followed. When expressing herself visually, Alina was vivid and creative. But when using language, Alina had become totally confused. As Tyler explained the evolution of Alina's artwork, he listed some of her favorite subject matter. Houses, flowers, strawberries, and bolero. Alina brightened at the mention of bolero. She quickly reached for a pen and notepad on the desk and began sketching an outline of her painting. Dr. Millhouser watched as Alina carefully rendered each square and Triangle in precise proportions. He was impressed by how tunnel visioned her focus became when locked into her work. But her specific fascination with Bolero gave him an idea. Dr. Millhouser had actually studied Maurice Rebel before the artist behind the piece Bolero. But he had studied him from a medical perspective, not a musical one. The doctor had a hunch that the parallel between the famed French composer and Alina might run deeper than anyone realized. While alina continued sketching, Dr. Millhouser told her husband that he wanted to do some brain scans on Alina. If what he suspected was true, Maurice Ravel could be the clue to her mysterious condition. Days later, after studying the results of Alina's brain scans, Dr. Millhouser knew he had been correct. Alena's diagnosis was a brain disease known as frontotemporal dementia. Alina's brain scan showed significant damage to her frontal cortex, which is the part of the brain responsible for speech and language. When cells in the frontal cortex begin to wither and die, language skills quickly decline. What causes frontotemporal dementia is not still fully known, but some doctors think it's due to the buildup of abnormal proteins in the brain. One surprising side effect of this disease is that as the language processing part of the brain weakens, other areas sometimes become stronger to compensate. For instance, the part related to processing visual information or the area that processes sound can become much sharper, leading to unexpected surges of creativity. But these bursts can express themselves in extreme or obsessive ways, such as repeating a single idea over and over again, like Alina's paintings of countless strawberries. Or Maurice Ravel's Bolero, which repeats the first melody nine times. What Dr. Millhouser knew from his studies was that Maurice Ravel also suffered from frontotemporal dementia. In 1933, six years after composing Bolero, Ravel's mental health began deteriorating. Within two years, Ravel couldn't write or speak. Although brain scanning technology didn't exist during Ravel's lifetime, a French surgeon examined the composer's brain just before his death in 1937. In his notes, the surgeon described two of the lobes in Ravel's brain as being sunken. Ravel and Alina's unraveling were almost identical. A spike of artistic vision followed by a sudden loss of language. The fact that Alina based her most famous painting on bolero was the clue to her diagnosis. But it was also a cosmically strange coincidence. Despite identifying Alina's condition, there was unfortunately nothing that doctors could do to reverse it. She gradually lost control of the entire right side of her body, and then she entirely lost the ability to talk or even understand words. All the while, Alina continued to paint. But by 2005, Alina's body had degenerated so badly that she finally stopped painting. And then two years after that, Alina Atkinson died. Almost 70 years to the month after, her inspiration, Maurice Revelle also died. To this day, her painting, Unraveling bolero hangs in Dr. Millhouser's office, a fitting place for a work of art that reminds us how huge a role brain activity plays in creativity. The show is sponsored by BetterHelp. Your mental health is just as important as your physical health. However, it can feel like a big investment, especially when traditional in person therapy can cost anywhere from 100 to $250 per session. This can add up fast, but with BetterHelp online therapy, you can save up to 50% per session. With BetterHelp, you pay a flat fee for weekly sessions, saving you both money and time. Therapy should feel accessible, not like a luxury. With BetterHelp's online therapy, you get quality care at a price that makes sense, and your therapist can help you with anything from, you know, deep seated anxiety to just everyday stress. Generally speaking, therapy, if you've never done it before, equips you with tools to handle stress more effectively, from developing strong problem solving skills to reframing negative thoughts in your head. You can also gain deeper insight into your own motivations. Things that maybe you can't see on your own, that you need that outside perspective to see. With over 30,000 therapists, BetterHelp is the world's largest online therapy platform, having served over 5 million people globally. And it's truly convenient. You can join a session with the click of a button, helping you easily fit therapy into your busy life. Your wellbeing is worth it. Visit betterhelp.com mrballandpod today to get 10% off your first month. That's betterhelp.com MrBallAndPod what if I told you there was a boundless Vault with over 1 million secrets, buried mysteries and life changing adventures waiting to be explored. A place where stories lie in wait just a tap away. Well, that's audible. Imagine you're stuck in the worst rush hour traffic, staring at endless brake lights, just eager to get home. But you aren't in your car. Not really. You're somewhere else, hanging on to every word of a gripping thriller. Suddenly you realize you've actually been parked in your driveway for minutes. Engine off, unable to leave until you hear just one more chapter. That's the Audible effect. From edge of your seat mysteries to mind warping sci fi epics, Audible transforms words into boundless imagination and helps you live the experience. But Audible isn't just about entertainment. Audible offers a passage to self discovery. Do you want to unlock the secrets of success from world class experts? Done eager to dominate your finances or transform your wellness? It's all here. Want advice to help steer your career? Just press play. Build the positive habits you want in your life. If you want to simply live in the story, listen to the Lost City of Z on Audible. I'm always pulled into another world as the words paint vivid pictures in my mind. So start positive habits and reach the goals you set for yourself with Audible. Start listening today when you sign up for a free 30 day trial at audible.com Ballen Thumbtack presents the ins and outs of caring for your home out Procrastination Putting it off, Kicking the can down the road in plans and guides.
Nurse/Interpreter
That make it easy to get home.
Mr. Ballin
Projects done out Carpet in the bathroom like why? In knowing what to do, when to do it, and who to hire.
Nurse/Interpreter
Start caring for your home with confidence.
Mr. Ballin
Download thumbtack today.
Alejandra Flores
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Mr. Ballin
And now for our second story called Crossing Over. One morning in September of 2019, a 33 year old man named Daniel Flores stumbled into the lobby of a busy emergency room in Boston, Massachusetts. He was delirious, soaked in sweat and clutching his stomach in obvious pain. As he waited in line to sign in, Daniel's chest started to heave. All of a sudden he could barely breathe. Before he could call for help, his vision turned blurry and he collapsed to the floor. Moments later, he felt people lifting him up, placing him in a wheelchair and rushing him through a series of swinging doors. The hospital swirled around him in a haze of voices, bodies and fluorescent lights as someone placed an oxygen mask over his Mouth. Soon, Daniel found himself lying on a bed in a small room while a man in a white coat spoke to him. Daniel assumed he was the doctor, but he wasn't sure because Daniel didn't speak English. The doctor seemed to realize Daniel was not understanding him, so he stepped out into the hallway and yelled something. And Daniel caught one familiar espanol. Soon, a young male nurse hurried into the room and introduced himself in Spanish. He said that he would be Daniel's interpreter. After grabbing a clipboard off the counter, the nurse asked Daniel how long he'd been experiencing his symptoms. Daniel removed his oxygen mask and told him that he'd been feeling nauseous ever since arriving in Massachusetts four days ago with his wife and kids. And then, once they had actually gotten to Boston two days earlier, it had only gotten worse, and he had begun coughing up blood. At first, it had been bright red, but over the past two days, the blood had only gotten darker. This morning, before coming to the hospital, the blood looked brown and gritty, almost like coffee grounds. The interpreter nodded and relayed this information to the doctor. The doctor listened intently, then said something to the interpreter. The interpreter then turned to Daniel and asked him about his medical history. Specifically, he wanted to know if Daniel smoked, drank, or took drugs. Daniel hesitated to tell the truth, but he decided he would trust the interpreter. He admitted that although he had recently quit, for 15 years, Daniel had smoked a pack of cigarettes a day. He also drank daily, at least two or three drinks. After this, the interpreter and the doctor began speaking to each other. Daniel obviously didn't know what they were saying, but their voices sounded serious, which made him feel nervous. Eventually, the interpreter turned back to Daniel. He told Daniel that coughing up blood often indicates bleeding inside of the digestive tract, which can be life threatening. In order to find out more, the doctor wanted to run some tests, and Daniel agreed. After the doctor left to go arrange the tests, the interpreter flipped to a new page of Daniel's patient intake form, and his next question was about Daniel's family history. However, Daniel really didn't want to answer. He knew that if right now he said the wrong thing, he and his family could be in a lot of trouble with immigration officials. About an hour later, Dr. Nicholas Hunt opened up an image on his computer. He was studying an X ray the lab had just sent him of a new patient, Daniel Flores. After conducting a physical exam, where he noticed that Daniel was feverish, had trouble breathing, and had a heart rate that was higher than normal, Daniel had also flinched when Dr. Hunt pressed on his abdomen. It Seemed to him that Daniel's body was breaking down in several ways simultaneously. But he wasn't sure why. Dr. Hunt knew he would need to narrow down the options before Daniel's symptoms worsened. As Dr. Hunt examined the X ray, he couldn't help but feel like the image was pretty worrying. Both of Daniel's lungs looked patchy and opaque. That meant they were infected, possibly with pneumonia or even something more serious. As a precaution, Dr. Hunt put Daniel on a regimen of broad spectrum antibiotics that would hopefully slow any infection. While Dr. Hunt figured out what was wrong. Just then, the doctor got another email. It was another test result from the lab. Daniel's blood test. And none of it was good news. The test indicated that Daniel had low levels of sodium and potassium, which suggested mild kidney damage. Daniel's liver enzyme levels were much higher than they should have been, too, which meant he also might have liver damage, possibly from years of daily drinking. Daniel showed high levels of a type of white blood cell called neutrophils, which are part of the immune system's response to infections. And so it looked to Dr. Hunt like Daniel's body was trying to fight something off. But his long years of drinking and smoking had very likely left his immune system dangerously weakened. It was clear to Dr. Hunt that the clock was ticking for Daniel Flores. He wanted to help, but he still didn't know what he was up against. Dr. Hunt shared Daniel's test results with a colleague, an internist named Marissa Kaneko. Dr. Hunt had already forwarded her Daniel's medical file so that she could help determine if Daniel's kidney or liver damage might be causing internal bleeding. Dr. Koneko said she found Daniel's lab results equally worrying, and the source of the bleeding needed to be found quickly. And so she recommended to Dr. Hunt that Daniel have either a bronchoscopy or an upper endoscopy so the doctors could have a look inside of him. A bronchoscopy is a procedure that uses a thin, flexible tube mounted with a camera called a bronchoscope to examine the lungs and throat. An upper endoscopy would be similar, but would examine the digestive tract. Dr. Hunt agreed with her idea. One hour later, Dr. Koneko stood above Daniel in the operating room, gently guiding the bronchoscope down his throat. As her sedated patient lay perfectly still, she watched the bronchoscope's progress on a small monitor positioned above Daniel's bed. As the tube found its way inside of Daniel's lungs, Dr. Koneko saw streaks of dark red lining the inside. It's what she was afraid of finding. They were bloody secretions from decades of heavy smoking. Dr. Koneko maneuvered the bronchoscope as delicately as possible to collect fluid samples for testing. But even the softest touch of the scope against Daniel's lung tissue triggered even more bleeding. On the monitor, she could see blood was actually oozing from the tiny air sacs in the lungs called alveoli. This was clearly more than damage from just smoking. Something else was causing Daniel's lungs to hemorrhage. Blood. If she couldn't identify the cause, Daniel could easily bleed to death. However, there were a lot of options to weed out. This type of hemorrhaging was a common symptom of many infectious diseases, from something common like pneumonia to rare autoimmune conditions such as vasculitis and Goodpasture syndrome, and even a potentially fatal condition called acute respiratory distress syndrome. Dr. Koneko carefully retracted the bronchoscope up and out of Daniel's esophagus. Then a nurse wheeled Daniel back to his room. At this point, the doctor had successfully confirmed that there was something critically wrong with Daniel, putting him in immediate danger of death. However, that knowledge didn't put them any closer to finding a cure. That night, after making the rounds to visit his other patients, Dr. Hunt returned to Daniel's room. Daniel's skin was now yellowish, a sign that his liver was failing, and his eyelids drooped. He looked exhausted and, frankly, much worse than he had looked during the bronchoscopy only a few hours earlier. Dr. Hunt wrapped a blood pressure cuff around Daniel's bicep. He inflated it, then watched the gauge while. While listening to Daniel's blood flow with his stethoscope, he tried not to show any outward signs of worry on his face when he saw that Daniel's blood pressure had dropped significantly. Dr. Hunt also noticed Daniel's breathing had become raspy and shallow. He placed his stethoscope on Daniel's chest and listened. Between breaths, he heard a brittle, crackling sound, which indicated fluid building up in Daniel's lungs. All of Daniel's organs seemed to be losing the battle against whatever was attacking them. Dr. Hunt decided to run an emergency blood test to check on his patient's failing kidneys. This time, the news was even worse. Daniel's kidneys had shut down. Dr. Hunt immediately ordered Daniel to be put on dialysis. Without working kidneys to filter his body's waste, Daniel could develop a condition called uremia, which can lead to seizures, comas, and often death. A nurse promptly wheeled Daniel's bed to an operating room where a surgeon would connect the dialysis machine while Dr. Hunt's mind raced to figure out what was wrong with Daniel. And he knew he did not have much time left. A few hours later, Dr. Hunt sipped a cup of lukewarm coffee as Daniel lay nearly unconscious while a dialysis machine filtered his blood. Dr. Hunt felt tired and confused. Daniel's symptoms were so extensive and serious that it was difficult to narrow it down to a single cause. Dr. Hunt had ordered lab technicians to run tests for Daniel of virtually every autoimmune disease, but the results kept coming back negative. Early the following morning, the on duty nurse notified Dr. Hunt that Daniel's oxygen levels had plummeted. His lungs were now too weak to process oxygen. If it went on much longer, the lack of oxygen in Daniel's blood would cause permanent damage to his brain. Dr. Hunt ordered Daniel to be intubated to help with his breathing and then transferred to the ICU. In the 24 hours since Daniel had stumbled into the hospital, his condition had only grown steadily worse. If Dr. Hunt didn't come up with something quick, it was unlikely Daniel would survive much longer. Alejandra Flores could not believe her eyes when she walked into the icu. Her husband Daniel was unconscious, hooked up to a room full of machines, with tubes in his arms and down his throat. He was unable to speak. He looked more dead than alive. The day before, when Daniel had told her he was going to the hospital, Alejandra agreed that he did seem sick, but she assumed it was just a bad flu, or at least it was just something that could be treated. So she didn't go with him. But when she didn't hear from him by that evening, she had begun to worry. And then she realized that she didn't even know for sure which hospital he went to. And after only being in the US for four days, neither her nor Daniel had a phone, so she couldn't call to find out. And so by today, the following day, with still no word from her husband, Alejandra had panicked. Fortunately, though, Daniel had been clear headed enough to give the interpreter the phone number at their extended family's apartment where his wife and his family were staying. And so, when Alejandra had answered the phone that morning, a Spanish speaking nurse from the hospital explained her husband's situation, Alejandra was horrified. She left the kids at the apartment and hurried to the hospital. Sitting beside Daniel's bed, Alejandra stroked his hand and prayed. She felt helpless and lost in this strange new place. A few minutes later, a nurse entered and introduced himself as the person Alejandra had spoken to on the phone. Behind him was an older man in a white coat. Daniel's doctor. The nurse told her there wasn't any time to waste. Daniel was dying, and the hospital could not figure out why. And so, to help them, they needed more information about Daniel. Alejandra agreed to help them, but in her head, her husband's warning echoed. Daniel had coached her repeatedly before. They'd come to Massachusetts from Mexico to never reveal personal information if asked by any authority figure. Saying the wrong thing could get them into serious trouble. But now, looking at Daniel, pale and lifeless on the bed, Alejandra could tell this was a different situation. The stakes were too high to hide something that might save the father of her kids. So Alejandra caved and told them her family's story. Dr. Hunt sat there silently, listening closely to every word the translator spoke. Then he thanked Alejandra for sharing and promised he would not tell anyone else and that, thanks to her, he actually could save Daniel's life. A couple hours later, the results of Daniel's latest blood test came back. And Dr. Hunt finally knew what was making him sick. A deadly disease that is almost unheard of in the United States. The condition called leptospirosis is a bacterial disease responsible for nearly 60,000 deaths per year around the world. It's most commonly spread through the urine of infected animals like rats, cattle, dogs, and pigs. The disease causing bacteria is particularly common in bodies of water after heavy rains when runoff from farms flows into streams and rivers. And thanks to Alejandra's story, Dr. Hunt knew that Daniel had been in a particularly big river recently. Until last month, she and Daniel had lived their whole lives in central Mexico. But when Daniel lost his job there, they decided to take a chance and travel north in search of better opportunities. They had hiked, climbed, run, and paid strangers for rides across long distances. But when they finally reached the Mexico Texas border, there was still one more wide, muddy obstacle standing between them and their new life in America. The Rio Grande River. To avoid being spotted, they had to cross at night. Alejandra and Daniel and their kids stuffed all their possessions into plastic bags, then hiked to a bend in the river where the water was slower, then waded in and swam as quickly and quietly as they could across. And that's when Daniel was very likely infected with the leptospirosis. Alejandra and the kids just happened to get lucky and dodged it. But Daniel was not so lucky, developing symptoms just days after his swim and coming to the brink of multi organ failure in less than a week. But after six weeks of intensive antibiotics, Daniel was finally released from the hospital and made a full recovery. His journey to America had nearly killed him, but sharing the truth of his family's story ultimately saved his life. Hey prime members, you can listen to new episodes of Mr. Ballin's Medical Mysteries early and ad free on Amazon Music. Download the app today and also Wondry subscribers can listen to Mr. Bolan's Medical Mysteries ad free. Join Wondry plus today. Before you go, tell us about yourself by completing a short survey@listenersurvey.com from Ballin Studios and Wondry. This is Mr. Ballin's Medical Mysteries, hosted by me, Mr. Ballin, a quick note about our stories. They are all inspired by true events, but we do sometimes use pseudonyms to protect the people involved and also some details are fictionalized for dramatic purposes. And a reminder, the content in this episode is not intended intended to be a substitute for professional medical advice, diagnosis or treatment. This episode was written by Brit Brown. Our editor is Heather Dundas, Sound design is by Matthew Cielelli, our Senior Managing Producer is Callum Plews and our coordinating producer is Sarah Mathis. Our Senior Producer is Alex Benedon. Our associate producers and researchers are Sarah Vitak and Tasia Palaconda. Fact checking was done by Sheila Patterson for Ballin Studios. Our Head of Production is Zach Levitt. Script editing by Scott Allen and Evan Allen. Our Coordinating producer is Samantha Collins. Production support by Avery Siegel. Executive producers are myself, Mr. Ballin and Nick Witters. For Wondry. Our Head of Sound is Marcelino Villapando. Senior producers are Laura, Donna Palavotta and Dave Schilling. Senior Managing Producer is Ryan Lohr and our Executive producers are Aaron O'Flaherty and Marshall Louie.
Nurse/Interpreter
Okay, let's be real. Have you ever had a moment where you just said screw it or someone and did something totally wild? Now imagine you just got a life changing diagnosis and instead of playing it safe, you throw caution to the wind and dive headfirst into a world of one night stands, forbidden affairs and wild adventures. Well, that's exactly what Molly and I did in Dying for Sex, Wondery's award winning podcast that's now streaming on a TV near you, starring Michelle Williams and Jenny Slade. And to top it off, we are dropping brand new episodes where I, Nikki Boyer, co host of the series, sit down with the cast to spill all the juices. Secrets we're talking steamy stories, deep friendships, and the kind of bold choices that make life worth living. Listen to the original Dying for Sex and brand New episodes on the Wondery app or wherever you get your podcasts. You can binge the original series before anyone else and completely ad free on Wondri.
MrBallen’s Medical Mysteries: Episode 81 | Unraveling Bolero/Crossing Over
Release Date: April 22, 2025
Introduction
In Episode 81 of MrBallen’s Medical Mysteries, host MrBallen delves into two gripping medical tales where communication breakdowns play a pivotal role. From a Canadian woman grappling with a mysterious obsession and declining speech to a Mexican immigrant battling a rare and deadly disease in America, this episode underscores the critical importance of effective communication in healthcare.
Story 1: Unraveling Bolero
Timestamp: 00:08 – 20:00
Alina Atkinson’s Artistic Obsession
The episode opens with the story of Alina Atkinson, a 46-year-old Canadian biologist who, after her teenage son Jacob recovers from a severe car accident, finds herself with newfound free time. Seeking to rekindle her passion, Alina returns to painting, initially focusing on realistic architectural subjects. However, her focus shifts obsessively to painting strawberries, captivated by their intricate details.
Notable Quote:
Mr. Ballin (00:08): "In medicine, as in life, communication is extremely important... Unfortunately, in today's two stories, communication does break down, but not for reasons you might expect."
The Evolution of Alina’s Art and Behavior
Over the years, Alina's painting becomes increasingly detailed and repetitive, culminating in her first solo art show titled "Unraveling Bolero." The episode highlights her transformation from a scientist to an artist, driven by an insatiable creative urge.
The Onset of Frontotemporal Dementia
By 1994, Alina begins to lose her ability to speak while her artistic creativity intensifies. Her husband, Tyler, notices her growing inability to communicate verbally, only to express herself through her art. This alarming change prompts Tyler to seek medical help.
Notable Quote:
Mr. Ballin (02:20): "If you're born for it, isn't."
Diagnosis and Connection to Maurice Ravel’s Bolero
Dr. Brad Millhouser, a neurologist specializing in unusual brain conditions, examines Alina and identifies frontotemporal dementia—a disease causing degeneration of the frontal cortex, impairing language while enhancing other cognitive areas. Intriguingly, Alina’s fascination with Maurice Ravel’s "Bolero" parallels the composer's own decline from the same condition.
Notable Quote:
Mr. Ballin: "The fact that Alina based her most famous painting on Bolero was the clue to her diagnosis. But it was also a cosmically strange coincidence."
Alina’s Decline and Legacy
Despite diagnosis, no treatment can halt Alina's progression. She continues to paint until her physical abilities fail, leading to her death in 2007, mirroring Maurice Ravel’s passing nearly seven decades earlier. Her masterpiece, "Unraveling Bolero," remains as a testament to the intricate link between brain activity and creativity.
Notable Quote:
Mr. Ballin: "Her painting, Unraveling Bolero, hangs in Dr. Millhouser's office, a fitting place for a work of art that reminds us how huge a role brain activity plays in creativity."
Story 2: Crossing Over
Timestamp: 20:56 – 36:57
Daniel Flores’ Medical Crisis
The second narrative follows Daniel Flores, a 33-year-old man who arrives in Boston, Massachusetts, from Mexico. Shortly after his arrival, Daniel experiences severe symptoms—nausea, coughing up blood, and organ failure—leading him to the emergency room in a delirious state.
Notable Quote:
Mr. Ballin (20:56): "A few hours later, Dr. Hunt sipped a cup of lukewarm coffee as Daniel lay nearly unconscious while a dialysis machine filtered his blood."
Challenges of Language Barriers and Miscommunication
Upon his admission, Daniel struggles to communicate his symptoms due to his limited English proficiency. An interpreter assists, but the critical information about his symptoms and medical history is initially unclear, complicating the diagnostic process.
Intensive Medical Investigation
Dr. Nicholas Hunt, along with internist Dr. Marissa Kaneko, conducts a series of tests to identify the cause of Daniel’s deteriorating health. Despite imaging and blood tests revealing severe kidney and liver damage, the exact diagnosis remains elusive.
Notable Quote:
Mr. Ballin: "Dr. Hunt knew he would need to narrow down the options before Daniel's symptoms worsened."
The Role of Alejandra’s Confession
Alejandra Flores, Daniel’s wife, becomes a crucial figure when she eventually shares their harrowing journey across the Rio Grande River. Their clandestine swim across the river likely exposed Daniel to leptospirosis, a rare bacterial disease. This revelation enables Dr. Hunt to diagnose Daniel correctly.
Notable Quote:
Alejandra Flores: "Alejandra and Daniel and their kids stuffed all their possessions into plastic bags, then hiked to a bend in the river where the water was slower, then waded in and swam as quickly and quietly as they could across."
Daniel’s Recovery
With the correct diagnosis, Daniel undergoes intensive antibiotic treatment and dialysis, ultimately recovering after six weeks. His story emphasizes the life-saving impact of clear communication and the importance of sharing critical information, especially in medical emergencies.
Notable Quote:
Mr. Ballin: "His journey to America had nearly killed him, but sharing the truth of his family's story ultimately saved his life."
Concluding Insights
Episode 81 of MrBallen’s Medical Mysteries masterfully illustrates how crucial effective communication is in the realm of healthcare. Whether it's Alina’s inability to verbalize her struggles or Daniel’s initial reluctance to disclose vital information, these stories highlight the profound consequences that communication breakdowns can have on individuals’ health outcomes.
Final Quote:
Mr. Ballin: "Communication is extremely important... Otherwise, things could fall through the cracks and people's lives could be at risk."
Notable Production Credits
This episode serves as a compelling reminder of the intricate connections between our physical health, cognitive functions, and the imperative for transparent communication within the medical field.