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By this point, Tom was on full life support. His lungs and kidneys were failing, he was on a ventilator, and required three different medications to keep his heart pumping.

He may have been only hours away from dying. We had music playing in the background and Tom even remembers to this day The Beatles playing when he was lapsing in and out of coma," says Steffanie.

The responsibility for the experimental treatment they were about to undertake weighed heavily on her. The first phage cocktail was injected into tubes in Tom's abdomen, closest to the infection.

When he was more stable, a second and more potent phage cocktail, developed in a US Navy medical centre, was injected into his bloodstream.

This was a real innovation, as even in places where phage therapy is still used, it's not usually administered intravenously. The phage preparations could kill the patient if they aren't clean enough, and often they come from dirty places rich in bacteria, such as sewers - "from some of the gnarliest places you can imagine," as Steffanie puts it.

Soon after the start of the phage therapy Tom had another case of septic shock, his sixth out of seven in total during the nine months he spent in hospital.

A number of phages were used as his treatment continued, and the bacteria developed resistance to some of them. It's not completely clear which phages worked and which didn't.

He had to re-learn to swallow, to talk, to stand, to walk. He left hospital in a wheelchair because his muscles had wasted away.

One of the lessons Tom draws from his months in hospital is about the importance of company. Tom was the first person in North America to receive intravenous phage therapy to treat a systematic superbug infection.

Steffanie recognises how lucky they were, and how much depended on her connections, which enabled her to launch the international effort to save her husband.

When, a year into Tom's recovery, his case was presented at the Pasteur Institute in Paris, at a gathering to mark the th anniversary of the discovery of the bacteriophage in , Steffanie started receiving calls from people all over the world - people whose family members who were dying from a superbug infection, and who wanted to try phage therapy.

We saved some people, not just their lives but their limbs, and one of the most miraculous cases to have occurred as a result of Tom's was Isabelle.

Isabelle Carnell-Holdaway, a British teenager suffering from cystic fibrosis, had developed an antibiotic-resistant infection after a lung transplant.

In October , Isabelle's doctors got in touch with Graham Hatfull, a phage expert at the University of Pittsburgh, and his team used their vast phage collection to develop a genetically modified phage cocktail to treat Isabelle.

Dr Chip Schooley, who presided over Tom's phage treatment, then worked with the Pittsburgh and London teams to gain approval for the therapeutic use of the cocktail.

Therapy began in June , and Isabelle soon began to recover. The experience gained from saving Tom was invaluable for treating Isabelle's infection.

Phages are not like drugs, where one drug might be active against a wide variety of organisms. Phages work best when they are tailored very precisely to the bacterium a particular patient is infected with, which makes designing clinical trials more complex.

So far only a few have taken place. But Steffanie and Tom have become phage evangelists. They have told their story in a book, The Perfect Predator, which is now being made into a documentary and a Hollywood film.

Part of their mission is to persuade people of the urgency of finding a solution to antibiotic resistance. Unless something is done, Steffanie says, one person will be dying of a superbug infection every three seconds by Part of me was the scientist trying to analyse things and get control, the other part of me was the wife-me, trying to hold my husband's hand and cope with a desperate situation.

All pictures courtesy of Steffanie Strathdee unless otherwise specified. Because of rare illness, Louise Moorhouse is on a special diet of pills or foul-tasting shakes.

There's a drug that would allow her to eat like anyone else - she took it for three years during a clinical trial.

But the NHS won't pay for it, and the drug company stopped giving it to her once the trial was over. After a while, Tom squeezed her hand.

Find out more. The atmosphere in the hospital was becoming emotional, even spiritual. People Fixing The World - Can phages save us? Crowdscience - Could viruses help fight superbugs?

But three days after the phages were administered, Tom woke up from his coma. Phone: This number is charged as a local rate call from a landline; mobile tariffs will vary.

Main content. Contact Points of View. Email: pov bbc. Related Content Similar programmes By genre: Factual. A defiant movement led by women of color fights to transform politics from the ground up.

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And the best place to stop deportations, they believe, is in detention. Official Selection, Sundance Film Festival. A co-presentation of Latino Public Broadcasting.

A defiant movement led by women of color fights to transform politics from the ground up. Meet the Radical Monarchs, a group of girls of color at the front lines of social justice.

Nine-year-old Maribel tells us how it feels to be stricken with the world's oldest affliction. Meet Lea Tsemel, a Jewish lawyer who defends Palestinians accused of resisting occupation.

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Former students reflect on visionary photos they made in the s and their present lives. A political love story about Leila, her secret love Sahand and their escape from Iran.

Young immigrants get purposefully arrested by Border Patrol to help stop deportations. A POV co-production.

A private-eye sends an year-old agent to spy on a retirement home suspected of neglect. A co-presentation of Latino….

Support Provided By: Learn more. POV Season Trailer Info. Film Info. None of them were now having any effect.

The doctors had a tough decision to make: they could either operate to remove the abcess, or try to siphon the infected fluid out of his body.

But operating, it was decided, was too risky - if the organism got into his bloodstream he would go into septic shock. Steffanie describes septic shock as the overreaction of the body's immune system to the invader.

The body goes into "red alert", blood pressure drops, heart rate increases, breathing speeds up. So doctors opted for siphoning off the fluid instead, poking five drains into Tom's abdomen.

Plans were made to transfer him to a long-term acute care facility. However, the day before this was due to happen, one of the drains slipped as he tried to sit up in bed, dumping all the infection into his bloodstream.

He immediately went into septic shock, was rushed back into intensive care and put on a ventilator to breathe. He was slipping away day by day," Steffanie says.

A large man, 6ft 5in tall and weighing lb 21 stone , he had already lost a huge amount of weight. At this point, Tom didn't really know what was happening.

Things like I spent years wandering through the desert trying to answer three questions posed by holy men. That went on for days," he says.

He would come out of his coma for a short time, and was then able to communicate with the people around him, but he couldn't get out of bed.

It was around this time that Steffanie overheard her colleagues asking if she'd been told Tom was going to die - and that she asked him to squeeze her hand if he wanted to live.

What Steffanie didn't know was that at this moment he was hallucinating that he was a snake. How could he squeeze her hand when snakes don't have hands?

He eventually worked out that he could wrap his whole body around her hand - only then did he give the signal.

Realising that desperate measures were called for, Steffanie turned to PubMed - the search engine of the National Library of Medicine.

I remember what they are. Phages are viruses that have naturally evolved to attack bacteria and, again, Steffanie had studied them for a short time as an undergraduate.

They are tiny, times smaller than bacteria, and they are everywhere, she says, in water, in soil and on our skin. It's estimated that 30 billion of them pass in and out of our bodies every day.

A century ago, phages were attracting a lot of attention as a possible cure for bacterial infections, but outside the former Soviet Union and parts of Eastern Europe this research fell by the wayside after the discovery of the wonder drug, penicillin, in After penicillin came other kinds of antibiotics, says Steffanie, which made doctors in the West think they could always find a fix for any new bacterial infection.

Steffanie's next step was to approach the Food and Drug Administration, with the help of one of Tom's physicians, Dr Chip Schooley of the University of California San Diego Department of Medicine, which approved an experimental treatment on compassionate grounds.

But there was a catch. In order for the treatment to work, Steffanie had to find phages that matched the particular form of the Acinetobacter bacterium Tom was infected with - and with trillions of phages on the planet this was no easy task.

Steffanie turned back to the internet and contacted researchers in North America she hoped would be able to help - though none were using phages as a medical treatment.

The Belgians even offered for their phage to be sent in a diplomatic pouch. These were total strangers who had stepped up to the plate, a true global village to rescue one man," Steffanie says.

Within three weeks, thanks partly to a PhD student who slept in the lab to do vital work around the clock, a cocktail of four phages was ready.

By this point, Tom was on full life support. His lungs and kidneys were failing, he was on a ventilator, and required three different medications to keep his heart pumping.

He may have been only hours away from dying. We had music playing in the background and Tom even remembers to this day The Beatles playing when he was lapsing in and out of coma," says Steffanie.

The responsibility for the experimental treatment they were about to undertake weighed heavily on her.

The first phage cocktail was injected into tubes in Tom's abdomen, closest to the infection. When he was more stable, a second and more potent phage cocktail, developed in a US Navy medical centre, was injected into his bloodstream.

This was a real innovation, as even in places where phage therapy is still used, it's not usually administered intravenously. The phage preparations could kill the patient if they aren't clean enough, and often they come from dirty places rich in bacteria, such as sewers - "from some of the gnarliest places you can imagine," as Steffanie puts it.

Soon after the start of the phage therapy Tom had another case of septic shock, his sixth out of seven in total during the nine months he spent in hospital.

A number of phages were used as his treatment continued, and the bacteria developed resistance to some of them. It's not completely clear which phages worked and which didn't.

He had to re-learn to swallow, to talk, to stand, to walk. He left hospital in a wheelchair because his muscles had wasted away. One of the lessons Tom draws from his months in hospital is about the importance of company.

Tom was the first person in North America to receive intravenous phage therapy to treat a systematic superbug infection. Steffanie recognises how lucky they were, and how much depended on her connections, which enabled her to launch the international effort to save her husband.

When, a year into Tom's recovery, his case was presented at the Pasteur Institute in Paris, at a gathering to mark the th anniversary of the discovery of the bacteriophage in , Steffanie started receiving calls from people all over the world - people whose family members who were dying from a superbug infection, and who wanted to try phage therapy.

We saved some people, not just their lives but their limbs, and one of the most miraculous cases to have occurred as a result of Tom's was Isabelle.

Isabelle Carnell-Holdaway, a British teenager suffering from cystic fibrosis, had developed an antibiotic-resistant infection after a lung transplant.

In October , Isabelle's doctors got in touch with Graham Hatfull, a phage expert at the University of Pittsburgh, and his team used their vast phage collection to develop a genetically modified phage cocktail to treat Isabelle.

Dr Chip Schooley, who presided over Tom's phage treatment, then worked with the Pittsburgh and London teams to gain approval for the therapeutic use of the cocktail.

Therapy began in June , and Isabelle soon began to recover. The experience gained from saving Tom was invaluable for treating Isabelle's infection.

Phages are not like drugs, where one drug might be active against a wide variety of organisms. Phages work best when they are tailored very precisely to the bacterium a particular patient is infected with, which makes designing clinical trials more complex.

So far only a few have taken place. But Steffanie and Tom have become phage evangelists. They have told their story in a book, The Perfect Predator, which is now being made into a documentary and a Hollywood film.

Part of their mission is to persuade people of the urgency of finding a solution to antibiotic resistance.

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