How We Die Reflections of Life s Final Chapter 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 al

  • Title: How We Die: Reflections of Life's Final Chapter
  • Author: Sherwin B. Nuland
  • ISBN: 9780679742449
  • Page: 489
  • Format: Paperback
  • 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 canA 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 relevant than when it was first published.

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      Published :2019-06-17T21:43:11+00:00

    About "Sherwin B. Nuland"

    1. Sherwin B. Nuland

      Sherwin Nuland was an American surgeon and author who taught bioethics and medicine at the Yale University School of Medicine He was the author of The New York Times bestseller and National Book Award winning How We Die, and has also written for The New Yorker, The New York Times, The New Republic, Time, and the New York Review of Books.His NYTimes obit nyti 1kxNtQC

    618 thoughts on “How We Die: Reflections of Life's Final Chapter”

    1. When I log on to my home page I always see many notices saying things likeBrainiac the Magnificent is now friends with Death By RadiationIs This Catching? is now friends with My Mother Has Turned BlueTiny Little Aardvark is now friends with The Biker who Eats BabiesThe Seventeenth Beatle is now friends with BarkybarkywoofwoofBut really, that's got nothing whatsover to do with how we die. At least, I don't think so. Unless these are all the names of angels. As regards the book itself, since I so [...]


    2. 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. We've got three score and ten years and most of that could be healthy, but after that, the remainder of our body life is borrowed and breaking down. Towards that end, Dr. Nuland urges us to measure quality of life against mechanical extensions of life [...]


    3. 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.He offers detailed, technical descriptions of the most common mechanisms of death, including vivid, [...]


    4. 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 a [...]


    5. If you are alive, and might someday die, or know anyone who is alive and might somedaydie, this might be one of those books you have to read. It takes the piss out of heroics,and science, and the Dignified Death; it harshly regards the coldness of medical personnel dedicated to solving what the author calls the Riddle and ignoring the needs of the person that provides it. He is hard on doctors, and hard on himself. Some books please, some entertain, some disappoint. Few,though, change you, and t [...]


    6. 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 mos [...]


    7. Rất khó khăn để đọc xong được cuốn sách này. Vì đọc thấy sợ; sợ bị già đi, sợ bệnh Alzheimer, sợ đột quỵ, sợ mất quá nhiều máu, sợ bị ung thư. Sợ chết. Nhưng hơn cả sự hù doạ không mong muốn, Nuland khiến suy nghĩ của mình về cái chết trở nên thay đổi. “Chân giá trị lớn lao nhất được tìm thấy trong cái chết chính là chân giá trị của cuộc sống đã có trước đó. () Hi vọ [...]


    8. 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,” h [...]


    9. A beautifully written account by one who has witnessed many deaths, as a retired surgeon, in a hospital setting.A scholarly and reflective depiction on the process of quietus.Great insight for anyone who is concerned that one day they might die.


    10. 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.Then the book began to hold my attention as it developed into an exploration of how people deal with dy [...]


    11. 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.In these days there is also a tendency to hide death from view, particularly in nursing homes and hospitals. (As of 1993, 80% o [...]


    12. 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 t [...]


    13. Đọc từ Hơi thở hoá thinh không sang thẳng quyển này luôn - tác giả quyển này là thầy của anh Paul Kalanithi (tội nghiệp cuốn Sapiens của em bị bỏ xó :'()How we die - Chúng ta chết như nào? - mình thích tựa này hơn là "Hiểu về sự chết" vì sát với nội dung sách hơn.Tác giả Sherwin B. Nuland đã viết nên quyển sách bằng tất cả những kiến thức về sinh lý giải phẫu lẫn kinh nghiệm hơn vài chục nă [...]


    14. 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.It is a cruelty of the evolutive path that create us inteligent and mort [...]


    15. 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. Nu [...]


    16. 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 h [...]


    17. 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 t [...]


    18. Otro libro que trata el tema de la muerte, y esta vez de modo muy bien organizado. El autor divide en capítulos lo que son las causas comunes y luego trata por separado cada una de ellas. Como se publicó en el '95, se entiende que está un poco desactualizado, aunque hay cosas que siguen. Las conclusiones son generales, eso sí. Como la muerte.El libro cumple. Las historias personales son buenísimas, las citas literarias excelentes, pero luego la parte médica un poco árida. Mucha terminolog [...]


    19. Liệu có quá trẻ để đọc cuốn sách thế này?Liệu có quá điên rồ để tìm hiểu về cái chết?Một sự thật là chúng ta cố gắng tránh né cái kết tất yếu lắm bi thương này như một cách để ngăn chặn nó đến gần với ta. Nhưng dù ta có vờ như không để tâm đến nó thì định mệnh không thể tránh khỏi này vẫn sẽ xảy ra.Thông điệp mà tác giả muốn truyền tải đến người đọc đó là c [...]


    20. 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 pe [...]


    21. 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. The author explains the physical processes that occur during death, starting with the process of aging. He then goes into detail about the ways the body can shut down and why. This may be too much information for some and although a little morbid, I found it well worth understanding. He also covers some of the most [...]


    22. (Note: this author quickly became my all time favorite writer, leading me to buy all of his wonderful books, enjoying each and every one of them!1. Surgeons view of death from personal, physical and emotional views2. Even if you don’t read all of the various death descriptions, be sure to read the final two chapters, The Lessons Learned and Epilogue to see what he summarizes from all the details provided in the earlier chapters3. Lot said about extending life beyond what is reasonable, due to [...]


    23. Um livro bem curto e bem denso de um médico falando sobre a morte, de pacientes e de entes queridos. Tem um tom de desabafo bem grande, de alguém que escreveu aquilo por passar pelo processo, o que deixa o livro bem tocante. Mas me parece acrescentar mais para profissionais da área de saúde (e em um tom pessoal) do que para o público em geral, ao contrário do Mortais: Nós, a medicina e o que realmente Importa no final.


    24. 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.


    25. Since we all share this experience, this is a must read. Honest and realistic yet still very tender in its approach. I read pertinent chapters to my Mom while she was dying of liver cancer. We both appreciated the insights. It empowered her to maintain a voice and make choice in a situation where she could easily have just gotten swept along by the current. Our lovely Hospice Nurse recommended it and it was a gift. Now that she has died, I can look back and say "We did right by our Mom".


    26. I do want to actually finish it sometime. I think it's important to have accurate information about the process of dying instead of holding on to myths about what it's like to end this life. Dying is indeed messy, painful and undignified business. I'm grateful that this detailed account of how different diseases kill us is out there. Just wasn't ready to read it all right now.


    27. A little technical at times with regard to some of the medical descriptions, terminology, and so on. Also a little out-of-date in some areas (the book was published in 1994), but more relevant than ever and fascinating all the same.The book really shines when addressing our misconceptions surrounding the dying process, helping us to demystify and come to terms with it in a rational, informed manner. Will definitely revisit this one in the future. Recommended to anyone curious about a universal h [...]


    28. This book gave me an existential crisis! For a philosophy novel this is an achievement, right to "Oh dang!".Very good novel


    29. Some pretty rough descriptions, which illustrate the author's general point that death is rarely the serene, dignified experience for which we hope. It was not the prospect of my own death that motivated me to read this, but I couldn't help thinking about that as well. Though much of the book is taken up with describing at various levels the processes of death, the author also wanted to emphasize the difficulty and the importance of patients and their families taking some control of the process [...]


    30. "Every life is different from any that has gone before it and so is every death." Despite the opening line, it seems (after reading the book) that although each death is individual to the person's body peculiarities and responsiveness to intervention, ways of dying are readily categorized (mostly) due to a handful of particular maladies. The author divides the chapters by illness: "The Strangled Heart" and "Alzheimer's Disease" and so on, except for the ending chapters he uses to discuss his poi [...]


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