HOFFMAN ESTATES, Ill. -- Aurelia’s Belle had just won the Arlington Oaks on July 19, and her trainer, Wayne Catalano, walked slowly out of the winner’s circle and through the tunnel underneath the grandstand leading from the racetrack to Arlington’s paddock.

Catalano, a former jockey, usually walks fast. He bounces on the balls of his feet, raising himself to his full height, a proud walk, a challenging strut, a young man’s gait. But the bounce was flat that afternoon. Pale, subdued, Catalano walked slowly through the tunnel, a walk he has taken thousands of times at Arlington, where he has won more than 1,000 races and 11 training titles.

The next morning, Catalano’s wife, Renee, drove him to the emergency room.

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