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Being Mortal: Medicine and What Matters in the End

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Who Would Like This Book:

Atul Gawande brings rare warmth, candor, and storytelling to a topic most of us put off: how we age and die in the modern world. Blending personal stories - including that of his own father - as well as experiences from his medical practice, Gawande explores what truly matters at the end of life, arguing for dignity, autonomy, and honest conversations over mere life extension. This is not just a book for doctors or caregivers - it’s a must-read for anyone with aging loved ones or anyone (that means everyone!) who’ll eventually face mortality. If you appreciate thoughtful nonfiction that weaves together research, ethics, and deeply human questions, you’ll be enthralled and moved.

Who May Not Like This Book:

For some, the book’s frank approach to death and dying feels a bit too close for comfort, especially if loss is recent or the subject is still taboo to discuss. A few found that the U.S.-centric focus didn’t cover enough ground globally, or wished for more concrete policy solutions and less emphasis on personal anecdote. Readers already seasoned in end-of-life care or medical sociology may find the main lessons familiar, craving more new insights or deeper philosophical debate.

A thoughtful, compassionate, and necessary book about aging, dying, and the choices that shape the end of our stories. Read it before you think you need to - your future self and loved ones will thank you.

About:

'Being Mortal: Medicine and What Matters in the End' by Atul Gawande is a deeply touching examination of how Americans deal with end-of-life issues. The author draws on his own medical practice and personal experiences to highlight the importance of prioritizing quality of life and dignity in the final stages. Through a blend of personal anecdotes and medical research, Gawande explores the societal approach to mortality, advocating for a shift towards hospice care, terminal care, and individual autonomy in end-of-life decision-making. The book presents a thought-provoking narrative on the need for open conversations about mortality and the importance of respecting the wishes of the elderly and terminally ill individuals.

Writing/Prose:

Gawande's writing style is clear and engaging, mixing personal stories with factual information to create an emotional connection with readers.

Plot/Storyline:

The narrative revolves around the struggles faced by the elderly and their families in making informed decisions about aging, care, and death.

Setting:

The setting is largely based in contemporary American society, examining how care for the elderly is approached in different environments.

Pacing:

The pacing allows for a thoughtful exploration of heavy topics while keeping readers engaged with compelling narratives.
Growing up, I never witnessed serious illness or the difficulties of old age. My parents, both doctors, were fit and healthy. They were immigrants from India, raising me and my sister in the small col...

Notes:

Being Mortal explores how modern medicine has failed to address aging and dying appropriately.
Gawande argues that end-of-life care often prioritizes prolonging life over the quality of that life.
The author reveals a gap in medical training regarding how to discuss dying with patients.
A significant takeaway from the book is the importance of autonomy and the right to make decisions about one's own care.
The book emphasizes the need for sincere conversations between patients, families, and medical professionals about treatment options and end-of-life wishes.
Gawande shares personal experiences, including his father's battle with cancer, to illustrate the emotional challenges of mortality.
The author provides insight into how assisted living facilities often prioritize safety over the personal desires of elderly residents.
Gawande highlights successful models of elder care that allow for more autonomy and a better quality of life.
The phrase 'We live longer when we stop trying to live longer' encapsulates one of Gawande's key arguments.
The book received widespread acclaim and is recommended for anyone who may face end-of-life decisions for themselves or loved ones.

Sensitive Topics/Content Warnings

Content warnings include discussions of death, dying, terminal illness, and the emotional complexities surrounding these topics.

From The Publisher:

Medicine has triumphed in modern times, transforming the dangers of childbirth, injury, and disease from harrowing to manageable. But when it comes to the inescapable realities of aging and death, what medicine can do often runs counter to what it should.

Through eye-opening research and gripping stories of his own patients and family, Gawande reveals the suffering this dynamic has produced. Nursing homes, devoted above all to safety, battle with residents over the food they are allowed to eat and the choices they are allowed to make. Doctors, uncomfortable discussing patients' anxieties about death, fall back on false hopes and treatments that are actually shortening lives instead of improving them.

In his bestselling books, Atul Gawande, a practicing surgeon, has fearlessly revealed the struggles of his profession. Here he examines its ultimate limitations and failures-in his own practices as well as others'-as life draws to a close. Riveting, honest, and humane, Being Mortal shows how the ultimate goal is not a good death but a good life-all the way to the very end.

October 2014
303 pages

Ratings (43)

Incredible (14)
Loved It (21)
Liked It (5)
It Was OK (2)
Did Not Like (1)

Reader Stats (123):

Read It (47)
Currently Reading (1)
Want To Read (49)
Not Interested (26)

4 comment(s)

Incredible
2 months

Thought out well and written with grace. So important and yet such a hard conversation to have.

 
Incredible
1 year

Aging and death are uncomfortable topics to talk about because no one wants to think about their mortality.This book focuses on aging and how society, medical science and doctors views mortality.

This book consists of an introduction, eight chapters, an epilogue, notes on sources and acknowledgments.

Each chapter highlights the life experience of older people and the difficult decisions that have to be made due to a growing elder community population and a lack of options as to how to face natural body decline and decreased independence.

Gawande provides the history of nursing homes and also describes how assisted living facilities were meant to be a midway point between independent living and a nursing home. Unfortunately, assisted living facilities have morphed into a watered down place with high cost and little or no access for low income residents.By placing an elderly or disabled person in a nursing home or assisted living facility, this can provide a safe space but leave the person with an empty life devoid of anything they care about.

Although the topics of death, aging, and mortality are an uncomfortable, this book has helped me to begin to think about the future life plans for the elderly in my life and to become more mindful of my own mortality and aging process.

In the end, the real question we should give serious thought to is what makes life worth living when we are old and frail and unable to take care of ourselves?

 
1 year

Interesting read for those dealing with the people dealing with terminal illness.

 
Incredible
1 year

What a beautiful perspective on a topic we are all afraid of aging death and dying. This book won't be forgotten.

 

About the Author:

Atul Gawande is the author of four bestselling books: Complications, a finalist for the National Book Award; Better; The Checklist Manifesto; and Being Mortal. He is also a surgeon at Brigham and Women's Hospital in Boston, a staff writer for The New Yorker, and a professor at Harvard Medical School and the Harvard School of Public Health. He has won the Lewis Thomas Prize for Writing about Science, a MacArthur Fellowship, and two National Magazine Awards. In his work in public health, he is Founder and Chair of Ariadne Labs, a joint center for health systems innovation, and Lifebox, a nonprofit organization making surgery safer globally. He is also chair of Haven, where he was CEO from 2018-2020. He and his wife have three children and live in Newton, Massachusetts.

 
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