- Bacteriophages are the most numerous
replicating entity on the planet.
(ethereal music)
There are more phages than there are stars in the universe.
Every drop of sea water has 10 million bacteriophages in it.
Bacteriophages are viruses, basically
pathogens of a pathogen.
We're at a point in time now where
the antibiotics that we've used for decades
have increasingly become
less effective at treating infections.
If there is a tool
that we could use that could help someone,
then of course we should try and pursue it.
(ethereal music)
(printer printing)
- You guys have a merry Christmas.
- Cystic fibrosis is what you would refer to
as an invisible disease
because on the outside I look completely fine,
but that doesn't mean that's how it is on the inside.
(ethereal music)
Cystic fibrosis basically covers
the entire inside of my body in mucous.
That makes it where it messes up the lungs,
the pancreas, the liver, pretty much everything.
Yeah, I feel so tired I can't function.
I'm like ugh.
- Are you like, um, are you feeling achy?
Or is it just this overall...
- Just tired and coughing.
- Okay, alright, sweetheart,
we're gonna have you come over here to do the lung test.
(patient coughing)
- If you're ready.
Blow, blow, blow, blow, blow, blow, blow, blow, blow.
Deep breath in.
(patient coughing)
- 69 percent.
- Mkay, alright.
- The higher your lung function is,
the better your life expectancy is.
And actually on the paper,
it will say like this is the lung health of a 67 year old.
So I'm 22, but it shows on there 67 years old.
I wanna be a mom one day.
To think maybe one day I could go nine months
without being on all these antibiotics.
Then I would have nine months
where my baby could grow in a normal body.
My best case scenario for phages
is to at least get my lung function to 85 to 90.
I would be so happy.
(ethereal music)
- Okay, so here's my fridge full of all my water samples
and some phages from all over the world,
places I've visited to sample.
This is sewage from a town in Mexico called Cuatro Ciénegas.
From here there's a pig farm, here in Connecticut.
These are from Uganda and Kenya.
I have phages that we used for Paige here.
- So New Haven, Lyme, Connecticut
and one from East Africa, from in the Congo.
(machine shaking)
- Boom.
- So as you can see in the tube here on the left,
it's Paige's bacteria alone, okay.
And then the one on the right is
Paige's bacteria plus bacteriophage.
And you can see it's really turbid here, or cloudy,
this means the bacteria are growing.
And in this tube here it's very clear,
which means the phages killed the bacteria.
So from here, all we gotta do is clean up the prep,
concentrate the phages and then we can ship it off to Paige.
(ethereal music)
- On a daily basis I spend probably about
four hours just maintaining my health.
- Thirty minutes. It's on the highest setting right now,
and even though it works, it still just doesn't get everything.
(vibrating)
- I have not been informed, about anything.
- Yeah, like, I'm excited for the phages 'cause I just
really feel like they're gonna work for sure.
But I'm really nervous as well because it's my last option.
Yeah, 'cause antibiotics don't work at all anymore.
So I really need these to work.
(plane engine turning off)
- Little bit nervous but I think I'm prepared.
I hope I'm prepared.
We're at the Dallas airport right now,
and we're about to catch a flight to Lubbock, Texas
so we can treat, um, Paige.
(flight attendant speaking over intercom)
Tomorrow morning I'm most looking forward to
meeting Paige actually, and then obviously,
getting past the treatment, um.
It's really just gonna be super simple.
(slow guitar music)
- About three years ago, it was time to treat the Pseudomonas
and I did a two week round of the antibiotics
and it didn't work.
(suspenseful music)
My lung function didn't go up from it,
and my pseudomonas didn't go away.
I couldn't even do things like take a shower by myself.
Whenever I lifted my arms up to wash my hair,
I couldn't breathe, I would feel like I wanted to cry.
I needed help with absolutely everything.
(dramatic music)
To think that without the phages,
that could be my normal life is extremely scary.
- We're uh, fixin to do phages for Paige,
for the first time.
Since Dr. Kanu actually set everything in motion
I guess it's only been seven months but,
it seems a lot younger, so yeah.
It's been a long time coming.
(ethereal music)
- So we just want to make sure that you are aware
this is experimental,
it's not a proven scientific thing, okay?
- This could be a game changer for Paige, ya know?
This could be the key to her living a normal life.
Having children.
Uh, going on to do the things that, you know,
she's always wanted to do.
She could go far, but this disease has held her back.
- I discovered phages actually
by hearing about it from my dad.
- Mr. Rogers brought this up to me and,
after finding several articles on bacteriophage,
I was able to share this information with Dr. Chan,
which he very quickly came up with
a cocktail of bacteriophage for her.
- Okay. - Okay.
- We doing this? Alright, lay down.
- I don't know if it will all fit in there.
- 10 mls.
(machine whirring)
(ethereal music)
- It's a little terrifying to think that like,
something that I made was going to be used as a medication.
It's not like it was made somewhere else
and I was just delivering it, like, I made that.
- I feel really excited
especially since it's almost done and
there aren't any side effects that have gone wrong.
- I have to miss out on a lot as it is, you know.
But this--there's times you just gotta be there, you know.
This is definitely one of them.
(ethereal music)
- It still doesn't feel real.
I'm hoping in five years I can look back at this
and be like, oh, wasn't that crazy
that was my last option and look at me now,
with lung function in the 90's, living life normally.
(soft piano keys)
(birds chirping)
- Anyone who knows me knows I like my makeup.
I get up, I put my makeup on even if I'm not going anywhere.
I literally, in February, went two weeks
without putting on makeup, laying on the couch in my pajamas.
So I felt like, man, I don't know if this is working.
But March came and I was like, wow.
I thought, uh, it's making me worse.
But no, it's definitely making me better.
(deep breath)
- Blow, blow, blow, blow, blow, blow, blow, blow, blow.
Deep breath in.
(coughing)
- The air in one second was 79% so,
we would call this stable.
- My lung function really isn't that much better,
yet it feels so much different.
(talking and laughing)
(gun shots)
- Whoo!
- You know, within ten days after we started
giving her bacteriophages to treat her lung infection,
we found that the bacteria that was growing in her lungs
had reverted to being drug sensitive again.
- I needed the phages to make me where
I wasn't antibiotic resistant anymore.
Now that I can use the IV's,
I use that to get rid of the pseudomonas.
Whenever Dr. Kanu first showed me how sensitive
my pseudomonas was to all these antibiotics,
I didn't care who I was around, I just started bawling.
- Well she's got a lot more energy.
You see her wanting to do things.
You can just tell she feels better.
- You can bend a little bit.
- Before if all I could do was
lay on the couch and stay inside,
how could I get a good job, how could I be a mother?
But now there's hope, because I have energy.
Casey even said that he can see a difference
in my quality of life and how I've been acting.
He loves it when I go to the gun range with him,
but I never would, so he's been excited,
because we're able to do more together now.
- When she volunteered for this treatment it was huge
for the CF community, the scientific community,
and there's a lot of people that could really
benefit, I think, from the results of this.
- To be completely honest, I had no idea
what the phages were going to do.
But now there's times I think about it at night
and I still just cry, 'cause I'm so happy.
Like, to think, okay we got this under control.
Like, life's good.
(gun shot)
- I don't like your gun.
- Huh?
- I don't like your gun.