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How We Die: Reflections on Life's Final Chapter, by Sherwin B. Nuland
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There is a vast literature on death and dying, but there are few reliable accounts of the ways in which we die. The intimate accounts of how various diseases take away life offered in How We Die, is not meant to prompt horror or terror but to demythologize the process of dying. Though the avenues of death -- AIDS, cancer, heart attack, Alzheimer's, accident, and stroke -- are common, each of us will die in a way different from any that has gone before. Each one of death's diverse appearances is as distinctive as that singular face we each show during our lives. Behind each death is a story. In How We Die, Sherwin B. Nuland, a surgeon and teacher of medicine, tells some stories of dying that reveal not only why someone dies but how. He offers a portrait of the experience of dying that makes clear the choices that can be made to allow each of us his or her own death.
- Sales Rank: #784973 in Books
- Published on: 2008-06-26
- Original language: English
- Dimensions: 8.25" h x 5.25" w x .75" l,
- Binding: Library Binding
From Publishers Weekly
A physician who teaches at the Yale School of Medicine, Nuland writes gracefully about a topic most of us would rather not dwell on--our impending deaths. He demystifies the process of dying by providing straightforward information on the clinical, biological and emotional details of deaths resulting from heart disease, stroke, cancer, AIDS, Alzheimer's disease, old age, accidents, suicide, euthanasia and murder or violent physical assault. Crammed with intriguing scientific findings and useful facts, as well as case histories of dying patients whom Nuland ( Doctors: The Biography of Medicine ) has treated, his report is imbued with wisdom rooted in a belief that the dignity we seek in dying must be found in the art of living life to the fullest. 50,000 first printing.
Copyright 1994 Reed Business Information, Inc.
From Booklist
Drawing upon his own broad experience and the characteristics of the six most common death-causing diseases, Nuland examines what death means to the doctor, patient, nurse, administrator, and family. Thought provoking and humane, his is not the usual syrup-and-generality approach to this well-worn topic. Fundamental to it are Nuland's experiences with the deaths of his aunt, his older brother, and a longtime patient. With each of these deaths, he made what he now sees as mistakes of denial, false hope, and refusal to abide by a patient's wishes. Disease, not death, is the real enemy, he reminds us, despite the facts that most deaths are unpleasant, painful, or agonized, and to argue otherwise is to plaster over the truth. The doctor, Nuland stresses, should instill in dying patients the hope not for a miraculous cure but for the dignity and high quality of the remainder of their lives as well as of what they have meant--and will continue to mean--to family, friends, and colleagues. Nuland also has strong feelings about suicide and "assisted death": the doctor should be prepared psychologically and practically to help the longtime patient slip off the scene in relative comfort. William Beatty
From Kirkus Reviews
A sobering look at the clinical reality of death by a physician who wants it known that ``we rarely go gentle into that good night.'' Nuland (Yale Medical School; Doctors, 1988) takes the position that if we know the truth about the physical process of dying, we can rid ourselves of both our fears and our false expectations. By becoming familiar with the common patterns of illness, he says, we'll be better prepared to make appropriate decisions about continuing treatment or calling it quits. Nuland selects several common causes of death--heart attack, old age, Alzheimer's, violence, AIDS, and cancer--and, with unrelenting honesty and unsettling detail, shows precisely what happens to the body involved. His account of the decline and death of his grandmother--with whom he shared a bedroom until he was in his late teens and she in her late 90s--is unforgettable, as is his story of his well-intentioned mismanagement of the care of his older brother when he was dying of cancer. The emotional impact of these stories is quite different from that produced by the author's coldly clinical accounts (``a specific sequence of events takes place in people who bleed to death. At first, they will usually hyperventilate...''); but by demonstrating that dying is usually a messy business, Nuland succeeds in demythologizing death. His message is that the dignity we seek in dying must be found not in our final weeks, days, or moments--but in how we've lived our lives. Strong stuff: not for those who prefer to cling to comforting illusions about life's end. -- Copyright �1993, Kirkus Associates, LP. All rights reserved.
Most helpful customer reviews
18 of 19 people found the following review helpful.
My Husband Died In My Arms.....
By Jan
This book was a guiding light for me as I witnessed my sweet husband exhibit these symptoms and signs that death was near. He was not yet in hospice, but palliative care. We were alone here at home together just as he had wanted to be. I learned not to force liquids or food which is a mistake I would have undoubtedly made. Knowing brought peace and I'm grateful that a lot of medical people were not involved at the time of his death. He died from prostate cancer that had spread to his bones/skull, etc. Sunday, February 21,2016 in my arms.
6 of 6 people found the following review helpful.
Meaningful, timely, and thought-provoking
By Masked Pelican
For some who have experienced or are experiencing the process of dying with a loved one, or even a stranger, this book may be helpful. It explains in relatively lay terms what happens in the body as the body ages (starting around age 20) and what the impacts of that aging process are over time. It also talks about those aging processes in relation to death. As a non-medical type, it is helpful to me to understand more about the physical processes at work in the course of disease and dying. It doesn't make them easier to witness, but it gives a road map to begin to understand what's happening in the body as various symptoms present along the way. I truly appreciate Dr. Nuland's honesty and directness about the fact that the human organism is not built to last forever. While intellectually 'knowing' this, most of us live in denial about it, and thus are terrified when we're presented the experience of watching someone die. Hopefully this book will help more people with understanding the process.
It also begs farther-reaching questions about the appropriateness of some medical treatments at certain life and disease stages as well as the persnickety question about allocating our diminishing resources for offering expensive medical treatments to all. As we age, at what point does it become selfish to take the resources away from younger, more viable bodies when we have lived good, long lives? If we weren't afraid or accepting of death, how would we behave differently?
7 of 7 people found the following review helpful.
Peace in living peace in dying
By bulent
The book needs to be taken very seriously I have personally lived a tragedy recently I have lost my beloved wife during the 15 months of desperate fight against the great killer she and us has suffered all the terrible medical interventions with no benefit at all Medicine needs a totally different approach for terminal ilnesses
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