4.19/5
Author: Sherwin B. Nuland
Publication Date: Jan 15, 1995
Formats: PDF,Paperback,Kindle,Audible Audiobook,Audio,Cassette,Hardcover
Rating: 4.19/5 out of 7225
Publisher: ModernVintageRadio
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New Edition: With a new chapter addressing
contemporary issues in end-of-life care
A runaway bestseller
and National Book Award winner, Sherwin Nuland's How We Die has
become the definitive text on perhaps the single most universal human
concern: death. This new edition includes an all-embracing and
incisive afterword that examines the current state of health care and
our relationship with life as it approaches its terminus. It also
discusses how we can take control of our own final days and those of our
loved ones.
Shewin Nuland's masterful How We Die is even
more relevant than when it was first published.
Jan 02, 2008
When I log on to my Goodreads home page I always see many notices saying things likeSep 24, 2010
On the back of "How We Die" Doris Lessing writes it's a must read for anyone over 50. I say anyone over 35. Because you might still have time then to internalise all the dying lessons Dr. Nuland has to teach, and you're past those forever twenties.Sep 05, 2007
This book is an attempt by the author, a surgeon, to de-mystify the process of death. He feels that our modern expectation of a "death with dignity" leads to increased suffering when we confront the ugly reality: most people don't experience a peaceful, pain-free death; they don't die at home surrounded by their loved ones; they don't utter profound last words of comfort to those they leave behind.Dec 23, 2012
I felt compelled to reread HOW WE DIE, starting with the chapters on Cancer, after my wife passed away from an aggressive form of breast cancer. Doctor Nuland is right on when he talks about how the specialists, for whom a disease such as cancer becomes a great riddle to solve, somehow withdraw from the patient's presence when the disease they are trying to interdict cannot be stopped with the assortment of chemo drugs and radiation therapy they have in their tool box. Yes, tool box seems like I felt compelled to reread HOW WE DIE, starting with the chapters on Cancer, after my wife passed away from an aggressive form of breast cancer. Doctor Nuland is right on when he talks about how the specialists, for whom a disease such as cancer becomes a great riddle to solve, somehow withdraw from the patient's presence when the disease they are trying to interdict cannot be stopped with the assortment of chemo drugs and radiation therapy they have in their tool box. Yes, tool box seems like an appropriate metaphor because chemo therapy with the way it devastates the body gives the whole process of treatment a clunky rattling sense to it. Even in the best of treatment centers with the caring technicians, nurses and doctors, the process of getting well is not very pretty, doling out its share of suffering and pain. Doctor Nuland knows this only too well and his sensitive prose explores that point in such treatment when it is best to start exploring other options, such as hospice care. I must say, however, that my wife's oncologists were caring and sensitive, while she was the subject of their attempts to find the right chemo drugs to slow down, and even beat back for a time, the relentless onslaught of an aggressive, triple negative tumor. It was after she was released and returned home, to die shortly after the last treatment at the cancer center, that the oncologists seem to lose interest. Dr. Nuland talks at length about the moment when the specialists pack up their tool kits and it becomes time for the generalists, the GP's and the hospice care nurses and therapists to work their compassion and relieve the pain that the disease has wrought. It is in this arena that Doctor Nuland's humanity and compassion shines through. ...moreOct 12, 2013
If you are alive, and might someday die, or know anyone who is alive and might somedayJun 25, 2017
It's hard not to compare this to Kalanithi's When Breath Becomes Air. Like Kalanithi, Nuland is a surgeon who has written a book exploring themes/ideas surrounding death. Nuland's account is a lot less personal; for one, he didn't experience dying as he wrote the text. His inspiration for writing was not his own mortality but rather the result of decades upon decades of watching his own patients suffer through the so-called "hidden" process of dying. Nuland explores the more common ways that It's hard not to compare this to Kalanithi's When Breath Becomes Air. Like Kalanithi, Nuland is a surgeon who has written a book exploring themes/ideas surrounding death. Nuland's account is a lot less personal; for one, he didn't experience dying as he wrote the text. His inspiration for writing was not his own mortality but rather the result of decades upon decades of watching his own patients suffer through the so-called "hidden" process of dying. Nuland explores the more common ways that most Americans die in his account, explaining the many possible processes of dying in scientific terms while also weaving in his personal experience and insight.Sep 15, 2019
Dec 25, 2012
My Dad is ninety-three. I bought this book to share with him some time ago as we have been grappling with the Inevitably of Death for some time now. He is relatively healthy and he has always counted on living at least until ninety-six, the age his father died. But this past year his sharp mind has begun to notice his body lagging somewhat. He likes to have his “four wheeler†to help him get around and dozes more frequently sitting in his chair. “Maybe I won’t make it to ninety-six,†he says.May 15, 2017
A beautifully written account by one who has witnessed many deaths, as a retired surgeon, in a hospital setting.Apr 27, 2014
Sherwin Nuland, MD, was a well known and successful surgeon at Yale Medical Center for many years. In this book he begins to describe, literally, the way we die. In detail, he explains how infection and cancer and heart disease ravage the body and cause essential systems to fail. As a physician, I found it interesting, but I did not think I would finish the book if that was all there was to it.Jan 03, 2013
A remarkable book which my mother, my husband and I all read when my mother developed the heart condition from which she eventually died about 8 years later. Sherland combines scientific knowledge, medical experience, ethical concern and emotional sensitivity as he describes the stages people go through when they are dying of the most common conditions that kill us. It helped us all live with Mum's condition, has since helped through the passing of other close people and I hope will help us in A remarkable book which my mother, my husband and I all read when my mother developed the heart condition from which she eventually died about 8 years later. Sherland combines scientific knowledge, medical experience, ethical concern and emotional sensitivity as he describes the stages people go through when they are dying of the most common conditions that kill us. It helped us all live with Mum's condition, has since helped through the passing of other close people and I hope will help us in turn to understand what is likely to happen. For me, warmth and compassion are much easier when I'm not troubled by anxiety about not knowing what is happening.Jan 20, 2019
Interesting book, not what I thought it was going to be. A lot of technical information about death and the human body.Jun 30, 2011
It’s not new (1993), but Sherwin Nuland’s How We Die is a timely treatise on what’s going on under the hood when humans die. We all have to leave this world sooner or later, whether by heart attack, stroke, cancer, or accident, but in our culture, it’s not that common to think about or speak of our own demises. Most of us act, instead, as if we will live forever.Dec 26, 2013
Lest there be any doubt, it was doctors who created the opioid epidemic. Big Pharma was there, ready to pounce, but it was foolish, god-like thinking that set it up....Dec 31, 2011
A truly enlightening read for those who want to either know more about the physiological processes of terminal diseases, those with a family member or loved one suffering from one of the six common pathways to death Nuland outlines, or even those who simply wish to expose themselves in a relatively removed environment to the mysterious process of their ultimate fate, How We Die explores just that- the physical, mental, and emotional processes one goes through on the journey to the other side. A truly enlightening read for those who want to either know more about the physiological processes of terminal diseases, those with a family member or loved one suffering from one of the six common pathways to death Nuland outlines, or even those who simply wish to expose themselves in a relatively removed environment to the mysterious process of their ultimate fate, How We Die explores just that- the physical, mental, and emotional processes one goes through on the journey to the other side. Nuland attempts to break down the myth of dying as a dignified process so often described by "poets, essayists, chroniclers, wags, and wise men," who "often write about death but have rarely seen it...[whereas] Physicians and nurses, who see it often, rarely write about it." Stripped to the core, the ultimate death encountered by all is the deprivation of oxygen which shuts down our core vital centers. No matter which disease or illness one is dying from, our existence as obligate aerobes is our ultimate death sentence, for without oxygen we have no life.Oct 22, 2016
As Adan was expeled from paradise for chosing freedom and knowledge ,paid a high price and was punished by his election so we being inteligent beings also have to pay a high price for our inteligence and be punished,our punishment is that we are aware of our inexorable future death and destruction as individuals that we will be departed of our loved ones and we will dont enjoy terrenal future life nor will know future world.Sep 05, 2007
a well-written book. Dr. Nuland writes from years of experience on the topic of death, and how really there is no dignity to it. he explores this myth of 'ars moriendi' (the art of dying) and both the pathophysiology and mental/emotional states that accompany it. he argues against the modern 'hospital' death devoid of feeling, he reproaches biomedicine for it's mistakes in prolonging the lives of their patients for their benefit in solving the Riddle, and not for the patient's best interest... a well-written book. Dr. Nuland writes from years of experience on the topic of death, and how really there is no dignity to it. he explores this myth of 'ars moriendi' (the art of dying) and both the pathophysiology and mental/emotional states that accompany it. he argues against the modern 'hospital' death devoid of feeling, he reproaches biomedicine for it's mistakes in prolonging the lives of their patients for their benefit in solving the Riddle, and not for the patient's best interest... "I have no real quarrell with those who insist upon invoking the laboratory-bred specificity of microscopic pathology in order to satisfy the compulsive demands of the biomedical worldview - I simply think they miss the point." he explores both his mental processes and emotional ones with personal vignettes. he writes with knowledge of pathophysiology, etymology, history, literature and most importantly, humanity.Jan 15, 2015
Nuland died last year at 94 years of age. He wrote “How We Die†as a surgeon in New Haven Connecticut in his 70s looking back on his career and his life. What makes this book stand above most others, is Nuland’s wisdom and wonderful ability to write about how death has affected him both personally when dealing with family members’ deaths, but also outlining how his patients have died from different types of diseases, giving us a full, frank picture of the details and ways we could die personally Nuland died last year at 94 years of age. He wrote “How We Die†as a surgeon in New Haven Connecticut in his 70s looking back on his career and his life. What makes this book stand above most others, is Nuland’s wisdom and wonderful ability to write about how death has affected him both personally when dealing with family members’ deaths, but also outlining how his patients have died from different types of diseases, giving us a full, frank picture of the details and ways we could die personally—what those final weeks and moments are like.Nov 24, 2018
I read this book because I have started to work as a healthcare professional, and in particular with countless clients who are "palliative." What I wanted to know was why, when I review the medical history of some of my clients (patients) with Chronic Heart Failure, and a history of a Cerebrovascular Accident (CVA), and Hypertension, and a CABG (bypass) in 2013, and kidney failure, and... what have these diagnoses done? Are they really dying of all of these things?Feb 04, 2018
It’s no secret or surprise that much of my processing and understanding of life happens through reading. I’ve been a bibliophile since birth (literally– one of my dad’s proudest moments as a father was reading to me on the day that I was born); books are the primary way in which I explore the world, grapple with emotion, and make sense of the human condition. So, naturally, after the death of my grandfather on January 26th, one of my first instincts was to find the right story for this time in It’s no secret or surprise that much of my processing and understanding of life happens through reading. I’ve been a bibliophile since birth (literally– one of my dad’s proudest moments as a father was reading to me on the day that I was born); books are the primary way in which I explore the world, grapple with emotion, and make sense of the human condition. So, naturally, after the death of my grandfather on January 26th, one of my first instincts was to find the right story for this time in my life.Apr 06, 2018
Important bookMay 04, 2018
If I could give 'How we Die' more than 5 stars, I would. Having seen the deaths of some loved ones from close quarters, which gave rise to many difficult questions about the nature of death, the kind of death I want and more importantly why do doctors overreach their responsibilities ( is the reason only commercial or something deeper), this book helped answer many questions while explaining the logic and science behind them. Not only is Nuland's description of biology readable, he has the gift If I could give 'How we Die' more than 5 stars, I would. Having seen the deaths of some loved ones from close quarters, which gave rise to many difficult questions about the nature of death, the kind of death I want and more importantly why do doctors overreach their responsibilities ( is the reason only commercial or something deeper), this book helped answer many questions while explaining the logic and science behind them. Not only is Nuland's description of biology readable, he has the gift of language and depths of a philosopher to make the most morose and terrying subject of death read beautiful.Jun 06, 2009
The purpose of this book is to help people have reasonable expectations about death and is a plea for more empathetic doctoring; namely more family practitioners and hospice workers.Apr 09, 2018
I'm currently reading Being Mortal, and I thought back to How We Die and how profoundly it affected me. From the first page to the last, it had me in its grip.Oct 03, 2012
A very well-written, unsentimental account of how it is that we actually die, what happens in our bodies, and which ailments are most likely to kill us. As Dr. Nuland points out, waxing eloquent about death is a very common theme among artists, but it is rare that we get to hear about death from someone whose actual business is living and dying. A thoughtful and important perspective. Recommended.Take your time and choose the perfect book.
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