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How We Die: Reflections on Life's Final Chapter Kindle Edition. Find all the books, read about the author, and more. Winner National Book Award. Nuland's How We Die has come to be regarded as the definitive book about the most universal human concern: death.
Table of contents

Sherwin B. New York City , U. Hamden, Connecticut , U. Sarah Peterson m. National Book Foundation. Retrieved Web of Stories.


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The New York Times. Filmed , posted Sign In Set Up Account. You will be directed to acponline. Open Athens Shibboleth Log In. Subscribe to Annals of Internal Medicine. Advanced Search. The Literature of Medicine 1 August Sherwin B. New York: Alfred A. Knopf; It is also based completely on American experiences. This matters, as medical advances have been made in the interim, ethical practices and public expectations have also changed, and while the physiology of dyeing has remained, the framework has altered.

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Perhaps the most interesting and relevant chapter is the final Coda, added to the book in the current edition in This deals passionately and urgently with the need to develop medical education and practices. If this short Coda could be separately reprinted and made compulsory reading for the Secretary of State for Health and every senior administrator both in the NHS but also in the schools of medicine and the Royal Colleges, it could be very beneficial. Mistakenly enquired for!.

Someone dear died and this really walked me through the grieving process. I would recommend it to anyone suffering. Verified Purchase. Thought provoking. Interesting psychological read.

Shakespeare reflects through Julius Caesar. It comes. It comes when it should.


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But the passage through which it comes makes all the difference. It may come upon us so suddenly that we may not even get to be surprised. It may also come upon us in a prolonged deliberate fashion devastating us and our loved ones so much that it robs even the last vestiges of dignity. How it comes we have no control. But we can, definitely have some control over our acceptance to it. We can also have some control, at least some semblance of control, of how we react to it when it comes.

Nuland, he died in in the age of 84, talks about the choices we have during our life and when we die. During later period of our life, when chances of suffering due to some terminal disease increases many folds, its burden robs us of our decision-making faculties and we end up being a pawn in the hands of modern medicine practitioners. Modern medicine, since the invention of Small Pox vaccine and penicillin have travelled a long distance, so much so, that it almost verges towards realm of science fiction.

But in the process, it has robbed itself of the compassion that was the hall mark of medicine practitioners during previous centuries.

Sherwin B. Nuland

Nuland knows what he is talking about. He was representative of that generation which witnessed the shift from hi compassion to hi dependence of technology in the practice of medicine. Modern practitioners of medicine are more of, what Nuland calls, a riddle solver than a care giver. This does not mean they do not care about the patients they treat. Far from it. In the process of focusing for the cure of the disease most often they forget the person for whom care is given. The focus, lamentably, shifts from the patient to the disease.

How We Die

A time comes when one, as patient or as the loved one of the patients, must take a decision however hard it is. It is not about life as opposed to death, but about quality of life and knowing when to let go and face the inevitable.


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This choice can only be taken when the patient and her loved ones are aware of all the options and eventualities. Better to know what dying is like, and better to make choices that are most likely to avert the worst of it. What cannot be averted can usually at least be mitigated. An interesting book. Fascinating read. It has been an eye opener on several aspects. Very interesting, looking forward to reading more books like this. Curiosity about a doctor's take on dying I felt overwhelmed at times--but I continued reading and I found it to be very real, very informative, and above all, compassionate and honest.

I would really conclude that I'm very glad I purchased this book--it meant a lot to me. My relatives were somewhat taken aback because I said I reading my fourth book this summer and it's called How We Die. Deeply moving and personal testament of a thoughtful and compassionate physician.

Sherwin B. Nuland - Wikipedia

A telling inditement of modern medicine and how the system has evolved with depersonalizations of the individual, and the ascendancy of the administration. Nuland has written a very deep account of the causes which lead us to death. He has also cleared this misconception that the death is only caused by the diseases by highlighting the old age as an irresistible factor for the death. This a book to be studeed even by non-medical person. This gives an idea as to how we meet the ultimate destiny.

Perspectives in Biology and Medicine

Another point to consider it that any disease does not come suddenly, we reap it beforehand. One should be therefore cautious about maintaining one's lifestyle including selection f ood. Parents have ample role to play for frame the habit among their offsprings. One person found this helpful. What other items do customers buy after viewing this item? There's a problem loading this menu right now. Learn more about Amazon Prime.