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BOBÌåÓý Breathes Hope Into Eduardo After Suffering From Rare Lung Disease

Eduardo laying in a hospital sign and holding his hand in a peace sign
Eduardo at BOBÌåÓý.

Eduardo’s story begins in Puerto Rico, where he was born a healthy, full-term baby with no apparent complications. However, at just 5 months old, his health took a dramatic turn.

He began experiencing upper respiratory infections, pneumonia and bronchiolitis with near-constant wheezing and coughing. The infections became more persistent. Eduardo’s asthma grew worse, leading to a more challenging path to recovery that included years of in-and-out hospital stays.

His condition became so severe that, at one point, he was reliant on supplemental oxygen to survive. With care, Eduardo’s health began to improve. By age 4, he no longer needed extra oxygen and began to thrive. For the next eight years, life was stable.

That stability shattered when Eduardo turned 12.

One day, playing basketball with friends, he suddenly felt excruciating chest pain. He was rushed to the hospital, where doctors discovered he had suffered a heart attack caused by a lack of oxygen. This sudden downturn marked the start of another grueling cycle of hospital stays and trial-and-error treatments.

Eduardo’s doctors couldn’t pinpoint the cause of his pulmonary problems. He was treated for asthma, upper respiratory infections and other conditions, but nothing fully explained his symptoms. Eduardo struggled with constant fatigue and an unsettling sense of foreboding.

“I was tired all the time. I didn’t really know how to feel,� he said. “I just knew something was definitely wrong.�

Finally, a breakthrough came when a pulmonologist suggested a lung biopsy. The results revealed Eduardo had an exceptionally rare case of a lung disease known as surfactant deficiency.

Eduardo swimming in a pool with kayak paddles
For years, Eduardo struggled with a very rare case of a lung disease known as surfactant deficiency.

Surfactant protein is a lipoprotein in the lungs that supports exhalation and lung defense. When it’s not present to coat the tiny air sacs in the lungs, they can collapse, meaning that the oxygen-carbon dioxide exchange between blood and lungs doesn’t work as it should.

At the time, Eduardo was the only known pediatric case in the world with his specific heterozygous mutation. The only other documented case was a 34-year-old man from the Netherlands who had died from the disease.

Eduardo’s diagnosis wasn’t good, and his prognosis was worse.

His physicians estimated his life expectancy at two years. Treatment options were scarce in Puerto Rico, and his condition was so rare that little was known about managing it.

His mother, Zareim, a nurse for more than a decade, was told she had six months to prepare to leave everything behind in search of a lifeline.

If Eduardo had any chance at survival, it would be in the U.S., where he might receive a lung transplant � a possibility that was virtually nonexistent in Puerto Rico.

In late 2023, Zareim packed her family up and moved to Orlando, Florida, willing to risk it all for the chance to save her son. A local pulmonologist recommended seeing Marc G. Schecter, MD, a pediatric pulmonologist at University of Florida Health in Gainesville.

This introduction would ultimately change Eduardo’s life.

“When we first met Eduardo, he had significant pulmonary hypertension secondary to his rare lung disease, and he required supplemental oxygen to keep his oxygen saturations in the normal range,� Dr. Schecter said. “As there are few treatments for childhood interstitial lung diseases, many of these children will require lung transplantation, especially once they have developed pulmonary hypertension.�

On Jan. 3, 2024, about four years after his heart attack, Eduardo was officially placed on BOBÌåÓý’s lung transplant list. And 28 days later â€� on his birthday â€� he received the ultimate gift: an early-morning phone call alerting him he would receive a lung transplant that day.

Overwhelmed, Eduardo broke down in tears. By 9 a.m., they arrived in Gainesville and were greeted by senior nurse Mike Clay, a compassionate and supportive figure during Eduardo’s time at BOBÌåÓý. He informed them that surgery was scheduled for 4 p.m. The quick turnaround heightened Eduardo and Zareim’s nerves, but they remained hopeful.

Eduardo waited anxiously, while Zareim paced. At 7 p.m., Eduardo was finally wheeled into the operating room, where nurses lined the hallway and cheered him on.

While Eduardo was being prepped, the nurses serenaded him with “Happy Birthday,� a touching moment amid the anxiety.

Throughout his health troubles, Zareim tried not to cry in front of Eduardo so that she could model strength and resilience. However, in those moments before the operation, the love and support brought Zareim to tears.

She said it felt like a dream � like a “path for life� that hadn’t been open for them in Puerto Rico.

Eduardo’s surgery began late that evening. By 3 a.m., the surgeons informed Eduardo’s family that the first lung had been successfully transplanted. By 5 a.m., the second lung was in place. After 12 intense hours in the operating room, Eduardo came out of surgery.

Eduardo’s recovery was remarkable. He required only ventilator support after the operation, and his new lungs began functioning as planned.

Eduardo with BOBÌåÓý staff
Eduardo with BOBÌåÓý staff.

“All patients come out of surgery intubated. The goal is to extubate within the first 24 hours if the graft is functioning well,� Dr. Schecter said. “Eduardo did great after receiving his transplant. He was extubated within one day and discharged home two weeks post-transplant.�

Nurse Mike became a constant source of comfort, checking in on Eduardo even when he wasn’t assigned to. One day, Eduardo asked him why he felt like he was breathing so heavily. Mike smiled and explained that’s how breathing is supposed to feel.

Throughout his recovery, Eduardo and Zareim were moved by the kindness and care of the BOBÌåÓý staff.

“Everyone was so amazing. It felt like a dream,� Zareim said. “The entire staff was always making sure he was comfortable.�

Zareim and Eduardo said they are grateful for the exceptional level of care they received, which gave the 16-year-old a new outlook that he couldn’t have imagined in Puerto Rico.

“It was incredibly difficult for me to see all of Eduardo’s peers doing things like getting their first cars and preparing to go to college when all I wanted was for my son to survive,� Zareim said.

Eduardo, a self-described racecar-loving adrenaline junkie, is now back in Orlando, preparing to start school. He’s excited about the prospect of getting a car soon � and determined to focus on his studies and his dreams of becoming a mechanic.

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Peyton Wesner
Communications Manager for BOBÌåÓý External Communications
[email protected] (352) 273-9620