Sabtu, 08 November 2014

Being Mortal


Being Mortal: Medicine and What Matters in the End Hardcover – Deckle Edge, October 7, 2014

Author: Visit Amazon’s Atul Gawande Page | ISBN: 0805095152


Being Mortal: Medicine and What Matters in the End – Deckle Edge, October 7, 2014

In Being Mortal bestselling author Atul Gawande tackles the hardest challenge of his profession how medicine can not only improve life but also the process of its Being Mortal Medicine and What Matters in the End Download it once and read it on your Kindle device Hardcover Deckle Edge Sep 30 2014 183 nbsp Simon Schuster October 7 2014 Language Family Medicine Residents and Internal Medicine Residents End of chapter quizzes to An Evening in the East End 10 29 2014 October 4 2014 5 ndash 8 pm span style background color faebd7 Artists rsquo Talk 10 07 2014 10 30 2014 1 The Berenstain Bears Live Family Matters The Musical 10 23 2014 its gritty edge while pushing the End Street Fest 10 25 2014



  • Hardcover: 304 pages

  • Publisher: Metropolitan Books; 1 edition (October 7, 2014)

  • Language: English

  • ISBN-10: 0805095152

  • ISBN-13: 978-0805095159

  • Product Dimensions: 5.8 x 1.1 x 8.4 inches

  • Shipping Weight: 14.4 ounces (View shipping rates and policies)

  • Amazon Best Sellers Rank: #8 in Books (See Top 100 in Books)
    • #1 in Books > medical books > Medicine > Hospice Care

    • #1 in Books > Textbooks > Medicine & health Sciences > Medicine > Clinical > Hospice & Palliative Care

    • #1 in Books > Textbooks > Medicine & Health Sciences > administration & Policy > Health Policy




This book could be a game changer, if enough people read it and take it to heart. Atul Gawande addresses end-of-life care, and how we’re getting it wrong, both within the medical establishment and in our families.

Dr. Gawande’s book focuses both on medical procedures and living conditions in later life. He addresses the reality that as people near the end of life, decisions about their living situation are primarily aimed at ensuring safety at the expense of retaining autonomy, especially when adult children are making the decisions. “We want autonomy for ourselves and safety for those we love,” a friend tells the author. We mistakenly treat elders as children, Dr. Gawande says, when we deny them the right to make choices, even bad choices. People of any age want the right to lock their doors, set the temperature they want, dress how they like, eat what they want, admit visitors only when they’re in the mood. Yet, nursing homes (and even assisted living communities) are geared toward making these decisions for people in order to keep them safe, gain government funds, and ensure a routine for the facility.


In addition, Dr. Gawande shows how end-of-life physical conditions are most often treated as medical crises needing to be “fixed,” instead of managed for quality of life when treatment has become futile. Life is more than just a stretch of years; it must have meaning and purpose to be worth living, he says. This is a familiar concept (in fact, I read parts of this book in


I became a fan of Atul Gawande upon reading his first book in 2002: Complications: A Surgeon’s Notes on an Imperfect Science. In reading many of his previous books I found he always asked questions: Why do we do things; for what purpose; is this working to achieve the best results for the patient in his physical and cultural circumstance? Gawande tackles the dilemmas of medical ethics by approaching them with sagacious common-sense. I think most of his books should be required reading in medical schools.


In this new book Being Mortal: Medicine and What Matters in the End, Gawande looks at the problems of the aging population and inevitability of death. He points out that you don’t have to spend much time with the elderly or those with terminal conditions to see how common it is for modern medicine to fail the people it is supposed to be helping. In speaking of elder care he sadly points out that “Our reluctance to honestly examine the experience of aging and dying has increased the harm and suffering we inflict on people and has denied them the basic comforts they need most”. Many physicians are so hell bent on preserving life that they cause horrible and unnecessary suffering.


Gawande points out that sometimes in striving to give a patient health and survival their well-being is neglected. He describes well-being as the reason one wishes to be alive. He looks at the “Dying Role” as the end approaches describing it as the patient’s ability to “share memories, pass on wisdom and keepsakes, settle relationships, establish legacies and make peace with their God. They want to end their stories on their own terms.” He feels that if people are denied their role, out of obtuseness and neglect, it is cause for everlasting shame.





Being Mortal: Medicine and What Matters in the End – Deckle Edge, October 7, 2014 Gratuit Télécharger


Please Wait…

Tidak ada komentar:

Posting Komentar