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Breath from Salt
Cover of Breath from Salt
Breath from Salt
A Deadly Genetic Disease, a New Era in Science, and the Patients and Families Who Changed Medicine Forever
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Recommended by Bill Gates and included in GatesNotes

"Elaborating on the science as well as the business behind the fight against cystic fibrosis, Trivedi captures the emotions of the families, doctors, and scientists involved in the clinical trials and their 'weeping with joy' as new drugs are approved, and shows how cystic fibrosis, once a 'death sentence,' became, for many, a manageable condition. This is a rewarding and challenging work." —Publishers Weekly

Cystic fibrosis was once a mysterious disease that killed infants and children. Now it could be the key to healing millions with genetic diseases of every type—from Alzheimer's and Parkinson's to diabetes and sickle cell anemia.

In 1974, Joey O'Donnell was born with strange symptoms. His insatiable appetite, incessant vomiting, and a relentless cough—which shook his tiny, fragile body and made it difficult to draw breath—confounded doctors and caused his parents agonizing, sleepless nights. After six sickly months, his salty skin provided the critical clue: he was one of thousands of Americans with cystic fibrosis, an inherited lung disorder that would most likely kill him before his first birthday.

The gene and mutation responsible for CF were found in 1989—discoveries that promised to lead to a cure for kids like Joey. But treatments unexpectedly failed and CF was deemed incurable. It was only after the Cystic Fibrosis Foundation, a grassroots organization founded by parents, formed an unprecedented partnership with a fledgling biotech company that transformative leaps in drug development were harnessed to produce groundbreaking new treatments: pills that could fix the crippled protein at the root of this deadly disease.

From science writer Bijal P. Trivedi, Breath from Salt chronicles the riveting saga of cystic fibrosis, from its ancient origins to its identification in the dank autopsy room of a hospital basement, and from the CF gene's celebrated status as one of the first human disease genes ever discovered to the groundbreaking targeted genetic therapies that now promise to cure it.

Told from the perspectives of the patients, families, physicians, scientists, and philanthropists fighting on the front lines, Breath from Salt is a remarkable story of unlikely scientific and medical firsts, of setbacks and successes, and of people who refused to give up hope—and a fascinating peek into the future of genetics and medicine.
Recommended by Bill Gates and included in GatesNotes

"Elaborating on the science as well as the business behind the fight against cystic fibrosis, Trivedi captures the emotions of the families, doctors, and scientists involved in the clinical trials and their 'weeping with joy' as new drugs are approved, and shows how cystic fibrosis, once a 'death sentence,' became, for many, a manageable condition. This is a rewarding and challenging work." —Publishers Weekly

Cystic fibrosis was once a mysterious disease that killed infants and children. Now it could be the key to healing millions with genetic diseases of every type—from Alzheimer's and Parkinson's to diabetes and sickle cell anemia.

In 1974, Joey O'Donnell was born with strange symptoms. His insatiable appetite, incessant vomiting, and a relentless cough—which shook his tiny, fragile body and made it difficult to draw breath—confounded doctors and caused his parents agonizing, sleepless nights. After six sickly months, his salty skin provided the critical clue: he was one of thousands of Americans with cystic fibrosis, an inherited lung disorder that would most likely kill him before his first birthday.

The gene and mutation responsible for CF were found in 1989—discoveries that promised to lead to a cure for kids like Joey. But treatments unexpectedly failed and CF was deemed incurable. It was only after the Cystic Fibrosis Foundation, a grassroots organization founded by parents, formed an unprecedented partnership with a fledgling biotech company that transformative leaps in drug development were harnessed to produce groundbreaking new treatments: pills that could fix the crippled protein at the root of this deadly disease.

From science writer Bijal P. Trivedi, Breath from Salt chronicles the riveting saga of cystic fibrosis, from its ancient origins to its identification in the dank autopsy room of a hospital basement, and from the CF gene's celebrated status as one of the first human disease genes ever discovered to the groundbreaking targeted genetic therapies that now promise to cure it.

Told from the perspectives of the patients, families, physicians, scientists, and philanthropists fighting on the front lines, Breath from Salt is a remarkable story of unlikely scientific and medical firsts, of setbacks and successes, and of people who refused to give up hope—and a fascinating peek into the future of genetics and medicine.
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About the Author-
  • Bijal P. Trivedi is an award-winning freelance writer specializing in medicine and health. Her work has taken her from the hidden vaults of New York's Metropolitan Museum of Art to the Serengeti Plains to Moscow's Star City, where she blasted off with space tourism entrepreneurs on the "Vomit Comet" for astronaut training. Her work has appeared in Discover, Scientific American, New Scientist, Wired, The Economist, National Geographic, Science, Self, Nature, among others. Her feature "The Wipeout Gene" was anthologized in The Best American Science and Nature Writing: 2012. Trivedi is the former editor of the NIH Director's Blog, which shares compelling, cutting edge biomedical research with the general public. Trivedi also worked as a writer and editor for the National Geographic News Service, a wire service she helped launch in partnership with the New York Times Syndicate.

Reviews-
  • Publisher's Weekly

    July 27, 2020
    Science journalist Trivedi debuts with a glowing account of how Boston businessman Joe O’Donnell, after losing a son to cystic fibrosis in 1986, raised hundreds of millions for the Cystic Fibrosis Foundation, which pioneered the use of “venture philanthropy” for drug discovery. Trivedi covers low points in O’Donnell’s story (early on, when still struggling to keep his son alive, O’Donnell had “a sick child gasping for breath, a mortgage, no job, no health insurance, and no backup plan”) as well as his triumphs, as he became a powerful businessman and worked with the Cystic Fibrosis Foundation to fund groundbreaking research. Most notably, this included a well-placed investment in Vertex Pharmaceuticals, which in 2012 pioneered the first of several treatments involving drugs matched to patients’ individual gene mutations. Elaborating on the science as well as the business behind the fight against cystic fibrosis, Trivedi captures the emotions of the families, doctors, and scientists involved in the clinical trials and their “weeping with joy” as new drugs are approved, and shows how cystic fibrosis, once a “death sentence,” became, for many, a manageable condition. This is a rewarding and challenging work. Agent: Ethan Bassoff, Ross Yoon. (Sept.), Correction: This review has been updated to clarify Joe O'Donnell's role with the Cystic Fibrosis Foundation.

  • Library Journal

    September 1, 2020

    Trivedi is a freelance writer specializing in health and medicine whose work has appeared in Discover and Scientific American, among others. This work is a well-researched, far-reaching story of how genetic discoveries about cystic fibrosis led the way for treatments. It is also a complicated account, as Trivedi has woven stories of children with cystic fibrosis and their families, doctors, and researchers studying the disease to tell of the quest to understand and treat cystic fibrosis. She also profiles philanthropists and national organizations fundraising for more scientific research. The characters, struggles, and roadblocks all come to life, as the author compassionately writes about children and their families, as well as the people dedicated to raising awareness of cystic fibrosis. Providing a nuanced picture of the complexities of negotiating the funding of research and drug development--e.g., a national disease organization trying to work with small research start-ups as well as big drug companies--Trivedi doesn't lose sight of the people who worked together to make treatments for some forms of cystic fibrosis possible. VERDICT An excellent choice for those interested in learning more about medical history, and the process of bringing awareness to chronic illness.--Margaret Henderson, Ramona, CA

    Copyright 2020 Library Journal, LLC Used with permission.

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Breath from Salt
Breath from Salt
A Deadly Genetic Disease, a New Era in Science, and the Patients and Families Who Changed Medicine Forever
Bijal P. Trivedi
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