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WITH THE END IN MIND

DYING, DEATH, AND WISDOM IN AN AGE OF DENIAL

An inspiring book on an always-difficult subject. Though for American readers the care facilities and specific treatments...

A physician reflects on her 30-year practice caring for the dying.

In her deeply compassionate first book, Mannix, a British palliative care specialist and cognitive behavior therapist, takes readers on an illuminating journey through the natural process of dying. Though palliative care is, by definition, the treatment of symptoms and discomfort associated with any serious illness, and not solely focused on individuals who are dying, the author notes that the majority of her patients are in the last months of their lives. She offers a selection of their stories arranged thematically; each provides a full portrait of the individual, often revealing that how they have lived their lives is a key to how they approach their experience of dying. In the first section, “Patterns,” Mannix familiarizes readers with the natural progression of physical symptoms leading to death; here, she includes a discussion of her experience of personal loss. “My Way” reveals the individual coping styles of various patients, ranging from their acceptance or denial of their pending death. “Legacy” touches on ways in which individuals, whether intentionally or not, may choose to create some form of legacy for their loved ones or greater community through actions they take during their final days. For example, a young girl assembles a quilted memory pillow for her mother, and a young man with Duchenne muscular dystrophy helps raise public awareness for his condition by sharing his personal story through several media interviews. “The art of dying has become a forgotten wisdom,” writes Mannix, “but every deathbed is an opportunity to restore that wisdom to those who will live, to benefit from it as they face other deaths in the future, including their own.”

An inspiring book on an always-difficult subject. Though for American readers the care facilities and specific treatments provided in the U.K. may differ, the personal stories will have universal resonance.

Pub Date: Jan. 16, 2018

ISBN: 978-0-316-50448-5

Page Count: 352

Publisher: Little, Brown

Review Posted Online: Oct. 29, 2017

Kirkus Reviews Issue: Nov. 15, 2017

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A PEOPLE'S HISTORY OF THE UNITED STATES

For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.

Pub Date: Jan. 1, 1979

ISBN: 0061965588

Page Count: 772

Publisher: Harper & Row

Review Posted Online: May 26, 2012

Kirkus Reviews Issue: Jan. 1, 1979

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.

Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.

Pub Date: Jan. 19, 2016

ISBN: 978-0-8129-8840-6

Page Count: 248

Publisher: Random House

Review Posted Online: Sept. 29, 2015

Kirkus Reviews Issue: Oct. 15, 2015

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