PDF Download Being Mortal: Medicine and What Matters in the End
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Being Mortal: Medicine and What Matters in the End
PDF Download Being Mortal: Medicine and What Matters in the End
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Audible Audiobook
Listening Length: 9 hours and 3 minutes
Program Type: Audiobook
Version: Unabridged
Publisher: Macmillan Audio
Audible.com Release Date: October 7, 2014
Whispersync for Voice: Ready
Language: English, English
ASIN: B00NPAJ32S
Amazon Best Sellers Rank:
'Being Mortal' by Atul Gawande is really two books in one - the first half talks about what it is like to get old in America and what happens to the elderly in our current medically-focused society. He speaks of nursing homes, assisted livings, and newer models of care for the elderly, but eventually comes to a point which is key - that people should be able to exist as they wish during their final days, but that our current system only places unfair restrictions upon them at a time when they need freedom the most. Gawande insinuates that during the time that we feel we are helping our elders, we may actually be hastening their demise. It's an interesting commentary which has to be read carefully to be believed.The second half of the book starts out with an article by Gawande from the New Yorker, "Letting Go", in which he describes how our current society addresses dying people at the end of life, including the incredibly tragic story of a new mother with lung cancer. This is a powerful article / chapter which is riveting in its stories and very intelligent in its commentary. After this, Gawande goes on to explain his own personal journey with mortality, in the illness, decline, and eventual death of his father from a spinal cord tumor. It is this section which is probably the most powerful one in the book, not just because of its personal nature, but because of how Gawande is able to intersperse the discussion of death with his own personal experience. While you find yourself being drawn in as he shares his own story, you are also amazed as how he is able to clearly lay out what is happening to his father in the context of so many others that share the same fate.In the first paragraph of the epilogue, Gawande lays out the most important theme of the book - "Being mortal is about the struggle to cope with the constraints of our biology, with the limits set by genes and cells and flesh and bone. Medical science has given us remarkable power to push against these limits, and the potential value of his power was a central reason I became a doctor. But again and again, I have seen the damage we in medicine do when we fail to acknowledge that such power is finite and always will be." This is the most powerful paragraph of the book, and one that everyone who reads this book should remember if they are ever faced with the circumstances that Gawande faced in this book.Gawande's a gifted writer, and this one is a gem. Make sure you read it.
This is a timely book for me because my parents are very elderly (94 and 88) and determined to stay in their home until the last possible second. After reading this thought provoking book that teaches so much I am thinking that it may be possible for them to stay until the end which could be next week or a few years from now. It's going to take some organizing, but it looks like it is worth some research and time. It makes me sad to see how much of their independence they have lost, but they still enjoy their lives as limited as they are.There is a tendency to treat old people like children which I realize now is usually very wrong. My dad is a diabetic and we (my siblings and I) have told him over and over that his diet of sugary cereal or cinnamon rolls and orange juice for breakfast and light store brand fruit yogurt with grapes and three cookies for lunch is not what he should be eating. He acts surprised every time we mention this, but doesn't change a thing because I now understand that he wants the independence of eating as he pleases. He has lost so much--can barely hear or see or walk, that he needs these very small pleasures to continue. I imagine he doesn't see the point in giving up anything else because he has so little left. My mother's memory is going and she has COPD, but somehow has lots of get up and go. She does a lot for my dad even though I suspect she is the sicker one. Being Mortal is making me think about the best way to help my parents which will probably start with asking them what they want.One thing that surprised me completely was Dr. Gawande's statement that genetics is only a small part of reaching old age. Here I've been thinking that because my parents have lived so long that reaching old age is probably a no brainer for me. I have to think about that possiblity some more--a lot more.This book has some touching stories about very sick people and how their lives ended. Unfortunately for many sick people the medical community is driven to act, but not necessarily to do what is best for the individual. It seems to me that they've forgotten "the do no harm" part of being a doctor. It seems to me it does harm people to ruin the time sick people have left.A very through provoking book that will ultimately make me think about what I want when the end is near. I wish everyone would read it; especially medical people.
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