Currently querying

The Cost of Breath

A memoir of caregiving, ethics, and impossible love.

Subscribe to my Substack to stay up to date on the book's progress and get a note the day it's released.

§ 01 The book

When does fighting to preserve life become prolonging suffering instead?

To really fight for my son, I had to confront a question no one around us was willing to face: would more extreme interventions help him, or prolong his suffering? And if we intervened again, what kind of life would we be asking him to live?

When my son Declan was born with a rare disease, my husband and I said yes to every possible intervention and treatment. A trach, ventilator, g-tube, surgeries, round-the-clock nursing care — anything that might give him a chance at a good life. As long as there was hope for something better, we would fight.

Over the next decade, our family endured repeated near-death crises and relentless failures by systems and people supposed to support him, and by extension, us. As evidence of his suffering grew and his progress stalled, the question at the center of our lives began to change. It was no longer about how far we were willing to go to keep him alive, but whether continuing to fight was right for him.

§ 02   In the tradition of

Combining the emotional impact of A Heart That Works with the long-term medical caregiving of Breath Taking, it confronts the taboo quality-of-life question at the heart of Me Before You.

Comp 01
A Heart That Works
+ emotional impact
Comp 02
Breath Taking
+ long-term medical caregiving
Comp 03
Me Before You
+ taboo quality-of-life question
§ 03   An early reader
“There are very few voices that speak honestly about caring for medically complex children and the impossible treatment decisions parents face. The book will help both parents and clinicians understand that space.”
— Hospital ethics director
on the manuscript
§ 04   Publishing is a process

Writing the manuscript is only the first step. Here's where things stand.

Stage Description Status
01
Developmental editing
A brutal process that takes a lot of time. At least for my book.
Complete
02
Find an agent
Difficult in itself. Agents work on commission, receive thousands of submissions, and take on enormous risk with each client they represent.
Now
03
Develop further with the agent
Further refine and polish the manuscript with your agent.
Upcoming
04
Sell to a publisher
The agent takes the manuscript to acquiring editors at publishing houses.
Upcoming
05
In-house editing rounds
Matched with an editor, more rounds of revisions.
Upcoming
06
Cover & interior design
The book is given its physical form.
Upcoming
07
Marketing, publicity, talks
Plans for getting the book into readers' hands.
Upcoming
08
Publication
The book ships. And the work of getting it into the world truly begins.
Upcoming
A note from Ashley

The real path is rarely linear — there is a lot of "wash, rinse, repeat" along the way.

My most frequently asked question: When will the book be published, and what's the status?

I have completed the full developmental overhaul of my manuscript with the help of a professional editor and am thrilled with the results. I'm diving back into querying agents. Wish me luck!

§ 05   Stay updated

Follow the book's progress on Substack.

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© 2026 Ashley Youngdale
‣ in memoriam, Declan ‣
All Rights Reserved.