in the Berkshires, Downing was rigorously trained as a spiritual athlete, but he couldn’t exorcise his fondness for the wrong books and other boys. He aimed for Harvard and escaped his inherited sense of identity—until one of his brothers died in 2003, suddenly and inexplicably. Again, no autopsy was performed.Alarmed, Downing pursued a diagnosis and discovered he had inherited a mutant protein from his father, and that the first symptom would likely be his sudden death.Downing had a defibrillator hardwired to his heart. Within weeks, he needed emergency surgery to extract the device and the life-threatening infection he got with it. Three months later, he was reimplanted—only to read in his morning newspaper that the new electrical wires anchored to his heart were prone to failure.Life with Sudden Death explores a simple question: Who can you trust with your life?

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