HOW WE DIE by Sherwin B. Nuland


Reflections on Life's Final Chapter
Email this review


 A sobering look at the clinical reality of death by a physician who wants it known that ``we rarely go gentle into that good night.'' Nuland (Yale Medical School; Doctors, 1988) takes the position that if we know the truth about the physical process of dying, we can rid ourselves of both our fears and our false expectations. By becoming familiar with the common patterns of illness, he says, we'll be better prepared to make appropriate decisions about continuing treatment or calling it quits. Nuland selects several common causes of death--heart attack, old age, Alzheimer's, violence, AIDS, and cancer--and, with unrelenting honesty and unsettling detail, shows precisely what happens to the body involved. His account of the decline and death of his grandmother--with whom he shared a bedroom until he was in his late teens and she in her late 90s--is unforgettable, as is his story of his well-intentioned mismanagement of the care of his older brother when he was dying of cancer. The emotional impact of these stories is quite different from that produced by the author's coldly clinical accounts (``a specific sequence of events takes place in people who bleed to death. At first, they will usually hyperventilate...''); but by demonstrating that dying is usually a messy business, Nuland succeeds in demythologizing death. His message is that the dignity we seek in dying must be found not in our final weeks, days, or moments--but in how we've lived our lives. Strong stuff: not for those who prefer to cling to comforting illusions about life's end.

Pub Date: Feb. 3rd, 1994
ISBN: 0-679-41461-4
Page count: 304pp
Publisher: Knopf
Review Posted Online:
Kirkus Reviews Issue: Nov. 15th, 1993


NonfictionTHE UNCERTAIN ART by Sherwin B. Nuland
by Sherwin B. Nuland
NonfictionMAIMONIDES by Sherwin B. Nuland
by Sherwin B. Nuland
NonfictionTHE DOCTORS’ PLAGUE by Sherwin B. Nuland
by Sherwin B. Nuland


NonfictionAMERICAN AFTERLIFE by Kate Sweeney
by Kate Sweeney
IndieDisposition of Remains by Laura T Emery
by Laura T Emery
NonfictionDEATH ON EARTH by Jules Howard
by Jules Howard
NonfictionHOPE FOR A COOL PILLOW by Margaret Overton
by Margaret Overton