HOW WE DIE SHERWIN NULAND PDF
How We Die: Reflections on Life's Final Chapter and millions of other books are available for instant access. How We Die: Reflections of Life's Final Chapter, New Edition Paperback – January 15, A runaway bestseller and National Book Award winner, Sherwin Nuland's How We. Editorial Reviews. From Publishers Weekly. The NBA nonfiction winner, Yale physician or Gift Card · Share. Kindle App Ad. Look inside this book. How We Die: Reflections on Life's Final Chapter by [Nuland, Sherwin B. How We Die, Reflections on Life's Final Chapter. Author: Sherwin B. Nuland, MD. Reviewed by Jim Gleason, heart recipient. 1. Surgeons view of death from.
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New Edition: With a new chapter addressing contemporary issues in end-of-life careA runaway bestseller and National Book Award winner, Sherwin Nuland's. How we die: Reflections on life's final chapter. Sherwin B. Nuland. Publisher: Alfred A. Knopf, New York, Price: $ No. of pages: Howard Kunin . I decided to read How We Die, Sherwin. Nuland's best-selling book about death and the possibility of dying with dignity, after I'd lost three people to cancer in.
Even when I had no idea I was learning from one or another of the vast number of men and women whose lives have entered mine, they were nevertheless teaching me, usually with equal unawareness of the gift they were bestowing.
Although most learning is thus subtle and unrecognized as such by either its recipients or its providers, a great deal of it does grow out of the more usual kind of conversation: direct verbal interchange between two people.
In my own case, the most extensive of those dialogues have gone on intermittently for years or even decades, while a few have taken place only during the writing of the book.
If conference [maketh] the ready man as Francis Bacon claimed, then I have been made ready for How We Die by countless hours in the company of extraordinary people. Several of my fellow members of the Bioethics Committee at the YaleNew Haven Hospital have again and again sharpened my comprehension of critical issues faced not only by patients and health professionals but at one time or another by all of us.
Together and individually, they have shown me an image of medical ethics that is as humane and even spiritual as it is intellectually disciplined.
Reflections of Life’s Final Chapter, New Edition
Thanks go also to another member of the committee, Alan Mermann, a pediatrician who found renewed vigor as a Congregationalist minister and the chaplain of our medical school. He has been generous in helping me understand what it is like for medical students and dying patients to befriend each other and share one anothers fears and hopes. Jay Katz, both in our conversations and in his writings, has taught me a sensitivity to medical decision-making that transcends the mere clinical facts of a patients illness and even the conscious motivations that would seem to determine choice of treatment options.
My wife, Sarah Peterson, teaches me yet another kind of sensitivity, which is sometimes called charity and sometimes called love. In charity or love there is an understanding of anothers perceptions and there is also unquenchable faith. In Sarahs tradition: Though I speak with the tongues of men and of angels and have not love, I become as a sounding brass or a tinkling cymbal.
Therein lies a great lesson not only for individuals but for nations and professions especially my own profession of medicine. For the past decade, I have benefited from the friendship of Robert Massey.
As a practicing internist, a medical school dean, and a historian of medicine as well as a commentator on its present and future, Bob Massey has transmitted to several generations of his physician colleagues a dimension of understanding and a sense of medical obligation that surpass the ephemeral concerns of the moment and the parochial concerns of the guild.
I have taken advantage of his friendship by making him my sounding board, my oracle, and even my authority for classical allusions, not to mention Latin grammar.
There is almost nothing in this book that he and I have not discussed. His confidence in the value of this undertaking has been a source of quiet energy for me over these many months of work.
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Each chapter of How We Die has been reviewed by one or more authorities on its content. New York: Knopf, Probably every reader of Perspectives in Biology and Medicine has heard of How We Die; most have probably read reviews, and many have read the book.
There are many books on death and dying, written from clinical, psychological, economic , moral, religious, legal, and other perspectives; indeed, for some decades a small industry has developed around the subject. Surely the principal stimulant to much of the literature is the development of medical technology and its use.
Veatch's book, Death, Dying, and the Biological Revolution. Beatty's book interprets various humanistic and religious treatises designed to help persons die well, while Veatch's book is written by a leader in the contemporary medical ethics movement, and its agenda is set by the current standard clinical questions, such as the choice whether to prolong life.
Nuland, in How We Die, intends to educate his readers in the dying process and is concerned with the conditions that make for a "good" death; he shares with Veatch and others the context of contemporary medical technology and care.
But, following one of many "thick" descriptions of a patient's illness and Nuland's professional and personal relations to her one hesitates to call his accounts "cases," since that term already suggests abstract and depersonalized accounts of the story , he points out that "ethicists and moralists run aground when they try to judge the actions of bedside doctors, because they cannot see the trenches from their own distant viewing point" p.
There are several lines of argument that run through Nuland's book.
Argument , however, is not in its precise sense either the purpose or the style of the book. The general argument is suffused in richly descriptive and explanatory accounts of disease processes, or the experiences of patients and physicians and families, and in particularities of how persons die differently if they have heart conditions, suffer accidents, contract AIDS, or suffer from Alzheimer's.
This general argument is incontrovertible, though its significance is not easily assimilated intellectually and affectively by physicians and other health care persons, or by patients and their families.We sometimes laugh about death and dying.
Actually, it has always been for the most part a myth, but never nearly as much as today.
How We Die : Reflections on Life's Final Chapter
This type of care and thinking are most often to be found in the academic medical center such as the one in which he worked. Nuland, M.
This doctor has done us a service by being so clear, so honest, and so unsentimental. In these days there is also a tendency to hide death from view, particularly in nursing homes and hospitals.