PDF Download How We Die: Reflections on Life's Final Chapter
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How We Die: Reflections on Life's Final Chapter
PDF Download How We Die: Reflections on Life's Final Chapter
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From Publishers Weekly
A physician who teaches at the Yale School of Medicine, Nuland writes gracefully about a topic most of us would rather not dwell on--our impending deaths. He demystifies the process of dying by providing straightforward information on the clinical, biological and emotional details of deaths resulting from heart disease, stroke, cancer, AIDS, Alzheimer's disease, old age, accidents, suicide, euthanasia and murder or violent physical assault. Crammed with intriguing scientific findings and useful facts, as well as case histories of dying patients whom Nuland ( Doctors: The Biography of Medicine ) has treated, his report is imbued with wisdom rooted in a belief that the dignity we seek in dying must be found in the art of living life to the fullest. 50,000 first printing. Copyright 1994 Reed Business Information, Inc.
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From Booklist
Drawing upon his own broad experience and the characteristics of the six most common death-causing diseases, Nuland examines what death means to the doctor, patient, nurse, administrator, and family. Thought provoking and humane, his is not the usual syrup-and-generality approach to this well-worn topic. Fundamental to it are Nuland's experiences with the deaths of his aunt, his older brother, and a longtime patient. With each of these deaths, he made what he now sees as mistakes of denial, false hope, and refusal to abide by a patient's wishes. Disease, not death, is the real enemy, he reminds us, despite the facts that most deaths are unpleasant, painful, or agonized, and to argue otherwise is to plaster over the truth. The doctor, Nuland stresses, should instill in dying patients the hope not for a miraculous cure but for the dignity and high quality of the remainder of their lives as well as of what they have meant--and will continue to mean--to family, friends, and colleagues. Nuland also has strong feelings about suicide and "assisted death": the doctor should be prepared psychologically and practically to help the longtime patient slip off the scene in relative comfort. William Beatty
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Product details
Hardcover: 278 pages
Publisher: Knopf; 1st edition (January 25, 1994)
Language: English
ISBN-10: 9780679414612
ISBN-13: 978-0679414612
ASIN: 0679414614
Product Dimensions:
6.5 x 1.2 x 9.5 inches
Shipping Weight: 1.6 pounds (View shipping rates and policies)
Average Customer Review:
4.5 out of 5 stars
364 customer reviews
Amazon Best Sellers Rank:
#169,382 in Books (See Top 100 in Books)
For some who have experienced or are experiencing the process of dying with a loved one, or even a stranger, this book may be helpful. It explains in relatively lay terms what happens in the body as the body ages (starting around age 20) and what the impacts of that aging process are over time. It also talks about those aging processes in relation to death. As a non-medical type, it is helpful to me to understand more about the physical processes at work in the course of disease and dying. It doesn't make them easier to witness, but it gives a road map to begin to understand what's happening in the body as various symptoms present along the way. I truly appreciate Dr. Nuland's honesty and directness about the fact that the human organism is not built to last forever. While intellectually 'knowing' this, most of us live in denial about it, and thus are terrified when we're presented the experience of watching someone die. Hopefully this book will help more people with understanding the process.It also begs farther-reaching questions about the appropriateness of some medical treatments at certain life and disease stages as well as the persnickety question about allocating our diminishing resources for offering expensive medical treatments to all. As we age, at what point does it become selfish to take the resources away from younger, more viable bodies when we have lived good, long lives? If we weren't afraid or accepting of death, how would we behave differently?
None of us gets to miss this difficult life milestone. Dr. Nuland is direct, thorough and kindly introspective about what it is like to watch a friend in the process of dying. We have utterly technologized a process that obscures one of life's certainties - and certainly one we want to see dealt with as humanely as possible.Don't wait to think about what the end might be or mean for yourself or your loved ones. Think about it now. And having stood witness and caregiver to both of my parents, who died very different deaths, I found comfort in the author's observations. The forces medical and actuarial are larger than any individual or family. I only know it could have been better and it could have been worse.We should speak more frequently and more honestly about death and the process of dying. It's frightening for all concerned - and yet utterly predictable. I recommend this book for it's open and engaging tone, it's honest appraisal of end of life "options" and it's ability to provide a more global perspective to one of our most intimate acts.
The book needs to be taken very seriously I have personally lived a tragedy recently I have lost my beloved wife during the 15 months of desperate fight against the great killer she and us has suffered all the terrible medical interventions with no benefit at all Medicine needs a totally different approach for terminal ilnesses
This book was a guiding light for me as I witnessed my sweet husband exhibit these symptoms and signs that death was near. He was not yet in hospice, but palliative care. We were alone here at home together just as he had wanted to be. I learned not to force liquids or food which is a mistake I would have undoubtedly made. Knowing brought peace and I'm grateful that a lot of medical people were not involved at the time of his death. He died from prostate cancer that had spread to his bones/skull, etc. Sunday, February 21,2016 in my arms.
As a cancer patient that may be beyond repair, I am looking to understand death and understand life, and make sense of the situation in a way that I can live my life happily and know how to make the most of a time that will most likely be far less than I expected. This book has helped. It has brought some of the wisdom I was seeking and I am happy to have bought it. I am leading my life in a way that I’m not very concerned about death and I am happy living my life, having the comfort that it is a meaningful life and one I am happy to be living. Some run into religions, but to me a religion isn’t a solution, it’s more like an ostrich putting its head into a hole to avoid seeing the lion running to eat it. Religions promise eternal life and people believe it even though it makes absolutely no sense at all. Said this, the author does not have a problem with religion. I do! I recommend the book, you don’t have to be close to dying to make good use of these ideas, they’re good for anybody, as we all are mortals and it’s always good to stay ahead of death and not regret that we didn’t say or do something if we or a loved one dies. I used to be anxious and fearful before cancer returned. Now that it came back I am relaxed and not very, very worried.
This Nuland book was referenced in When Breath Becomes Air, a recent best seller. Nuland includes the physiology of the body shutting down, as well as a reflection from two decades ago about the compassionate side of dying. Somehow I had taken for granted the hospice and palliative care movement. Nuland rightly points out the potential for caregiver disconnect just when a dying person needs consistent, beside human beings. I see this book as a must-read for paid and volunteer caregivers with dying persons.
I've read several books written by doctors and they usually breeze through their books sharing their education and the experiences they've had with their patients. Wonderful reading, I enjoy them.This book is different. I'm half-way through the book and Dr. Nuland is not breezing through anything! He states that there are roughly 20 diseases that will take most of our lives, however there are 7 of those which will take the majority of our lives. He then goes into these seven diseases with quite a bit of detail. I'm really learning a lot from this doc!!One drawback, this book was published over 20 years ago. But I believe we're still dying of the same seven diseases, but perhaps more slowly and not as early. I don't believe the actual disease process has changed. Probably many elements of the treatments have changed, but that's not the focus of his book.How We Die is about how we die.I highly recommend.
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