Though the avenues of death, AIDS, cancer, heart attack, Alzheimer's, accident, and stroke, are common, each of us will die in a way different from any that has gone before. Each one of death's diverse appearances is as distinctive as that singular face we each show during our lives. Behind each death is a story.
In How We Die, Sherwin B. Nuland, a surgeon and teacher of medicine, tells some stories of dying that reveal not only why someone dies but how. He offers a portrait of the experience of dying that makes clear the choices that can be made to allow each of us his or her own death.
©1994 Sherwin B. Nuland; (P)1994 Random House Inc. Random House Audio, a division of Random House Inc.
"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." (Booklist)
I have a difficult time dealing with loss and didn't expect to like this book because I thought it would just be too sad; but I did enjoy it. Very different than what I was expecting. Helpful to anyone. A must-read for health care professionals.
This book places the responsibility for living and dying where it should be placed, firmly with the individual in process.The suggestion that modern western medicine can and has made life easier is countered with the fact that sometimes, it can prolong life too far, and then allows more suffering than was necessary. It is up to each person to decide whats enough. Thats a hard choice, when you begin to balance what others want, who you will dissapoint,and so on.A very thought provoking look at death in its visceral form, sometimes messy, emotionally charged, very human.
amazon fan in portland
The author tells the story of death through case studies. The first two case studies deal with sudden death by myocardial infarction (heart attack) - one resulting in death, the other saved by CPR. There is a no sugar coating of the facts, just a very careful and illustrative accounting. My first two takeaways were improve my eating habits and to teach my kids CPR so that I may survive my "golden hour" if I have a heart attack. The author then dispels the "died of old age" myth and describes the the telltale, small signs of decline in aging. I think the factual approach is refreshing. I was unprepared for death of my father that died similar to his grandmother. I was unprepared for the death of my father-in-law that died like his very first patient. This book not only prepares you for these realities but also offers a cautionary signs to help you avoid an early end. This book is not the subject of the teen set perhaps. But anyone with parents over 50 would do well to read it or just be surprised by inevitable events later.
I would definitely not recommend the audiobook, buy the hardcopy instead.
Similar to reviewer Wisefool, I didn't notice that this is a very abridged version until it ended after the 3rd chapter. The original book is 12 chapters + epilogue, so what your getting here is 1/4 of the book which isn't that long (270 pgs) to begin with. Widefool calls it a ripoff, and I agree.
Mom in Movement
This is a modest book, but one in which Dr. Nuland, reading his own work, expresses a clear viewpoint as a physician familiar with every aspect of How We Die. Using various professional anecdotes and personal stories to illustrate the need for change in our approach to dying, Nuland posits that doctors and families need to be honest with their patients and loved ones about the approach of death. Only by offering the dying patient honesty, rather than false hope, Nuland believes, can we spare them unnecessary and ultimately futile treatments, and allow them to prepare themselves properly for death, surrounded by their loved ones, "so that our last moments will be guided not by the bioengineers, but by those who know WHO WE ARE (emphasis Nuland) ."
Nuland repositions death as more than just the final moment marking the demise of a particular individual; he urges acceptance of death as a natural and ever-repeated stage in the eternal cycle of life, as a gift the dying person can give to the new generation, without which new life cannot thrive. He sends out an urgent call for revision of our attitudes towards death, for funding for new facilities and education for professionals who thus will have better expertise in this area, and for what we might now call hospice care, so that, rather than "sequestering the dying", "no man will be left to die alone." How We Die is compelling, timely, and, in spite of its daunting title, uplifting. It's worth a listen.
Familiar, kind, emphatic
Rethink my own attitudes towards death and dying.
At first, I found Dr. Nuland's reading style a little over the top. His writing at times is a little fulsome (for e.g. I found it a little fussy to refer to a dying person as a "groundling" at the metaphoric 'performance' of his own death, in which he ought to be the 'principal player.'), but overall Nuland seems very sincere and I grew to like him more and more as he went on. In the end he won me over with his thoughtfulness and sincerity.
Love it, very accurate explanation on dying process, narrator is great, will highly recommend to all my family and friends, as a health care worker having this book can help patient's families.
what a pity the unabridged version is not available. In the beginning this version it seemed to offer more of what I sought: The actual mechanisms of death as they vary according to the cause, and what the patient feels as each kicks in. It moves more on to the philosophy of death and wisdom of how loved ones can best help the dying patient psychologically. Useful things to know but not what I sought.
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