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 are uncomfortable discussing patients' anxieties about death. They fall back on false hopes and treatments that are actually shortening lives instead of improving them. and families go along with all of it.
In his bestselling books, Atul Gawande, a practicing surgeon, has fearlessly revealed the struggles of his profession. Now he examines its ultimate limitations and failures—in his own practices as well as others'—as life draws to a close.
Gawande discovers how we can do better. He follows a hospice nurse on her rounds, a geriatrician in his clinic, and reformers turning nursing homes upside down. He finds people who show us how to have the hard conversations and how to ensure we never sacrifice what people really care about.
The book is riveting, honest and humane. It shows that the ultimate goal is not a good death but a good life, all the way to the end.
What a great book with a great theme!
Irene Roth
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