adbl_ms_membershipImage_includedwith_altText_B076FLV3HT
adbl_ms_membershipImage_includedwith_altText_B076FLV3HT

1 audiobook of your choice.
Stream or download thousands of included titles.
$14.95 a month after 30 day trial. Cancel anytime.
Buy for $28.00

Buy for $28.00

Pay using card ending in
By confirming your purchase, you agree to Audible's Conditions of Use and Amazon's Privacy Notice. Taxes where applicable.

Publisher's Summary

An ICU and palliative care specialist featured in the Oscar-nominated Netflix documentary Extremis offers a framework for a better way to exit life that will change our medical culture at the deepest level

In medical school, no one teaches you how to let a patient die.

Jessica Zitter became a doctor because she wanted to be a hero. She elected to specialize in critical care - to become an ICU physician - and imagined herself swooping in to rescue patients from the brink of death. But then during her first code, she found herself cracking the ribs of a patient so old and frail it was unimaginable he would ever come back to life. She began to question her choice.

Extreme Measures charts Zitter's journey from wanting to be one kind of hero to becoming another - a doctor who prioritizes the patient's values and preferences in an environment where the default choice is the extreme use of technology. In our current medical culture, the old and the ill are put on what she terms the end-of-life conveyor belt. They are intubated, catheterized, and even shelved away in care facilities to suffer their final days alone, confused, and often in pain. In her work Zitter has learned what patients fear more than death itself: the prospect of dying badly. She builds bridges between patients and caregivers, formulates plans to allay patients' pain and anxiety, and enlists the support of loved ones so that life can end well, even beautifully.

Filled with rich patient stories that make a compelling medical narrative, Extreme Measures enlarges the national conversation as it thoughtfully and compassionately examines an experience that defines being human.

©2017 Jessica Nutik Zitter (P)2017 Penguin Audio

Critic Reviews

"Like Atul Gawande's Being Mortal, Zitter's book shows how knowing when do to nothing is as vital to being a good doctor as knowing when do to everything." (New York Times Book Review

"You wouldn't take a trip to a foreign country without learning as much as you could about its rituals, its culture, and its landscape. The ICU, a place many of us will pass through at least once in our lives, is as foreign as it gets. Thus Dr. Zitter provides an essential illumination for her fellow humans." (Diane E. Meier, MD, director, Center to Advance Palliative Care)

“Jessica here reveals a fuller truth of how the end-of-life plays out within our healthcare system. There’s nothing easy in these pages, but plenty to learn from, cautions to absorb, and material for creating a better way.” (BJ Miller, MD, assistant clinical professor of medicine at UCSF)

What listeners say about Extreme Measures

Average Customer Ratings
Overall
  • 5 out of 5 stars
  • 5 Stars
    86
  • 4 Stars
    13
  • 3 Stars
    5
  • 2 Stars
    1
  • 1 Stars
    0
Performance
  • 5 out of 5 stars
  • 5 Stars
    78
  • 4 Stars
    12
  • 3 Stars
    2
  • 2 Stars
    0
  • 1 Stars
    0
Story
  • 5 out of 5 stars
  • 5 Stars
    78
  • 4 Stars
    12
  • 3 Stars
    2
  • 2 Stars
    0
  • 1 Stars
    0

Reviews - Please select the tabs below to change the source of reviews.

Sort by:
Filter by:
  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Brilliant & eye-opening

For anyone who wants to know what "the end" really looks like, this book is must reading. In fact, it should be mandatory reading for anyone who is - or is related to anyone who is - mortal. And I think that covers ALL of us. Spoken by the author with visceral compassion, Dr. Zitter compresses her 20+ years in the ICU with so many you-are-there stories of patients and family members in end of life crises, it truly becomes a rallying cry for us to Do Something Now, even beyond Advance Directives. Thank you for telling it like it really is, Dr. Zitter! m

3 people found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Towering Contribution to Medicine and beyond

Thank you Dr. Zitter for taking us on your personal journey from the disease centered approach to medicine that you were trained in to the patient centered approach where people are viewed with respect and not simply a collection of organs that needs to be maintained. Your implicit humility that enabled the learning is in stark contrast to how some doctors fail to listen because they have stopped learning. The case of “Walter” demonstrates the contrast between the two approaches so forcefully. Thank you for the courage to take a stand against the many forces that would have us all remain on the conveyor belt of death. Your honesty and introspection along the way is a lesson to us all. I will recommend this work to everyone within medicine and anyone who has not thought deeply about end of life issues - which would be all of us, but especially to our youngest son, a 4th year med school student. So glad that I bought the audible version to hear you describe it in your own words - but this is one of the significant works where I will buy the Kindle version as well. Keep up the great work!

2 people found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Must Read

This work provides clinical, practical, spiritual, and emotional perspective to human beings dealing with serious health and end of life issues.
I am forever changed by the education this book details.

1 person found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

very good read

should be read but every family and family member important information on end-of-life care fantastic read this doctor knows her stuff

1 person found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

A must read for every mortal human!

I am a retired ANP who has listened twice to this amazing book. Wonderfully articulated.

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Must read!

Wonderful book! The author keeps you engaged with stories we can all relate to patients we’ve had in the past. It gave me so much insight into why the medical system seems so inept at dealing with dying patients and end of life issues. As a nurse, I have a renewed passion to advocate for my patients at end of life. We all deserve to have our choices heard and honored. I would highly recommend!

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Powerful

Compelling story of author's journey from ICU doctor to Palliative care/hospice doctor and her patients.

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Should be required reading

Love her caring and courage --will recommend to all, and also discuss life planning with family,before an imminent situation develops !

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Insightful, informative and a valuable resource.

I'm new to Hospice nursing. This book has helped me understand and appreciate it so much more. I'm sure I will listen to it again. I may buy it to have as a reference. I loved it and didn't want it to end.

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Excellent! Must read!

Everyone needs to face their death at some point. Making informed decisions while we are able is crucial. Dr Zitter helps one navigate these decisions with excellent perspective and vivid stories.