By Atul Gawande
In Being Mortal, Gawande examines his reports as a doctor, as he confronts the realities of getting older and death in his sufferers and in his relatives, in addition to the boundaries of what he can do. And he emerges with tale that crosses the globe and historical past, exploring questions that diversity from the curious to the profound: What occurs to people's tooth as they get outdated? Did people rather dedicate senecide, the sacrifice of the aged? Why do the elderly so dread nursing houses and hospitals? How should still somebody provide someone else the dreadful information that they are going to die?
This is a narrative advised in basic terms as Atul Gawande can — penetrating people's lives and likewise the platforms that experience developed to control our mortality. these platforms, he observes, normally fail to serve — or maybe recognize — people's wishes and priorities past mere survival. And the implications are devastating lives, households, or even entire economies. yet, as he finds, it does not must be this fashion.
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Extra resources for Being Mortal: Illness, Medicine and What Matters in the End
They undergo treatment. Symptoms come under control. They resume regular life. They don’t feel sick. But the disease, while slowed, continues progressing, like a night brigade taking out perimeter defenses. Eventually, it makes itself known, turning up in the lungs, or in the brain, or in the spine, as it did with Joseph Lazaroff. From there, the decline is often relatively rapid, much as in the past. Death occurs later, but the trajectory remains the same. In a matter of months or weeks, the body becomes overwhelmed.
But the patients who had seen a geriatrics team were a quarter less likely to become disabled and half as likely to develop depression. They were 40 percent less likely to require home health services. These were stunning results. If scientists came up with a device—call it an automatic defrailer—that wouldn’t extend your life but would slash the likelihood you’d end up in a nursing home or miserable with depression, we’d be clamoring for it. We wouldn’t care if doctors had to open up your chest and plug the thing into your heart.
The ultimate total was more than seven thousand dollars. Again, she wasn’t going to say anything. Neighbors, however, heard the raised voices at Alice’s doorstep and called the police. The men were gone by the time the police arrived. A policeman took a statement from Alice and promised to 56 investigate further. She still didn’t want to tell the family about what had happened. But she knew this was trouble and after a while finally told my father-in-law, Jim. He spoke to the neighbors who’d reported the crime.
Being Mortal: Illness, Medicine and What Matters in the End by Atul Gawande