After Katelyn Wells has been born, she develops a set of strange symptoms. She has smelly stool, is lethargic, has stunted growth, and even develops hydrocephalus. Eventually, a doctor finds out that Katelyn has a rare congenital disorder called Shwachman-Diamond syndrome (SDS).

Shwachman--Diamond syndrome (SDS) or Shwachman--Bodian--Diamond syndrome is a rare congenital disorder characterized by exocrine pancreatic insufficiency, bone marrow dysfunction, skeletal abnormalities, and short stature. After cystic fibrosis (CF), it is the second most common cause of exocrine pancreatic insufficiency in children.

Bruce Kemlitz has been a healthy, active biology teacher, when suddenly, he has pain in his ears and his face is purple. Soon, this pain and discoloration spreads to his feet, and he turns purple in cool temperatures. Also, his spleen becomes enlarged.

When Bruce informs a doctor about the time he adopted a feral dog in Ethiopia, he finds out that he has cold agglutinin disease and lymphoma caused by a calcified cyst from a tapeworm infection. .

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