Breakthrough

July 5, 2010
It was one of the 20th century's medical miracles, and with this retelling of the discovery of insulin (10 months after Caroline Cox's The Fight to Survive: A Young Girl, Diabetes, and the Discovery of Insulin) it's a gripping narrative as well. In 1918, the youngest daughter of former New York governor and future Supreme Court chief justice Charles Evans Hughes was diagnosed with diabetes. At the time, a near-deadly starvation diet was the best hope for sufferers, but four years later, a "pancreatic extract" was showing promise in treating symptoms in animals. Fourteen-year-old Elizabeth Hughes was among the first wave of patients to benefit from the marriage of dogged research and commercial enterprise on the part of Lilly & Co. to manufacture the drug. Author and playwright Cooper and finance-veteran-turned-author Ainsberg bolster the account with impressive sourcing. They also pay particular attention to the complexities of the human drama—the indomitable Elizabeth; her visionary parents; the quarrelsome, "crazy," and eventual Nobel Prize–winning researchers; and the bold commercial pioneers. And it's those details that make this extraordinary chapter of medical history so memorable. B&w photo insert.