Modern Death (Download)
I wanted to write a comprehensive review but I don t think #any review does justice to this excellent and well researched book Consider #review does justice to this excellent and well researched book Consider lousy review the exact opposite of this wonderful and sobering book I was surprised and pleased by this book The author is a physician who appears to be in training in cardiology at Duke The book is a collections of memoir and essay on the subject of how death is viewed in the context of modern medicine The motivation is that death is perhaps the central topic of human existence in one way or another and yet it is an event that everyone ndergoes but nobody knows anything about Moreover most OF THE COMMON CONCEPTIONS ABOUT DEATH the common conceptions about death "Are Widely Held Are Anecdotal And Often " widely held are anecdotal and often out wrong and even if not wrong are often hopelessly out of date when looked at in terms of medical science and practice The idea is that to get peo Amazing to read from the perspective of a nurse who increasingly feels like she commits medical battery on the elderly every day in the course of her work because their families refuse to let them go Stop asking what else can be done for her medically when your mother is 95 and has dementia and a slew of comorbidities It is awful to watch and even worse to be forced to participate in these torturous procedures tests and invasions thrust When We Were Dragons upon the dying Get those advance directives done nowdon t waitntil it s too late This is really a 45 star review Let s start with a few background facts that color this review My family and in particular my mother has been very open in its discussion of death I know my parents wishes when the end comes and they know mine We re of the perspective that less is at the end I have also read How We Die many years ago and part of Being Mortal I was afraid this book was going to feel like a retread of those popular titles but it was anything but First of all this is a well written book It is a nice read I read it in 4 days As for the content it takes a wholistic approach to death and dying It covers a lot of territory including a historical look at some issues I often find the history chapters in nonfiction kind of boring but not this one It gave nice context without bogging it down Overall this gave me a lot to think about on a subject I felt like I had already given a lot of thought to I highly recommend especially if you are ncomfortable about the subject matter Really 45 stars I have not read this in a discussion group but it s an important topic to talk about Because it also touches on the role of religion and spirituality on the definition of death and on assisted suicide it might spur some different viewpoints Besides which as the author and others have pointed out death has been removed from a natural part of life to the technological world of medicine and it needs to become normalized again so that we can talk about our preferencesThanks to reader Art included the following links in his review I copy them below in case Art s review doesn t come p when you search He also included Terry Gross s interview with author Haider Warraich on Fresh Air which led me to this book How Doctors Die It s Not Like the Rest of Us But I Two end of life emerged on my lengthy library reserve list at the same time Not pleasant reading but importantWhile MODERN DEATH is a sort of text book about death through the ages with discussions of cell death etc EXTREME MEASURES is of a handbook about what happens when one gets into the clutches of an ICU And it isn t prettyI thought it was especially telling that healthcare workers nurses doctors and others don t die the way members of the general public often do That s because healthcare workers avoid ventilators and extreme measures The author of EM even cites a nurse who had DO NOT INTUBATE tattooed on her chest More than a DNR is reuired to escape the extreme measures taken to preserve well not to preserve life but to preserve breathing and a beating heart even if Conduct Unbecoming useful brain function is gone foreverIn addition to a DNRDNI the 35 Haider Warraich a physician originally from Pakistan trained at Harvard and is now a fellow in cardiovascular medicine at Duke University in North Carolina Like Ed Yong s I Contain Multitudes or Atul Gawande s Being Mortal Modern Death is a learned but engaging book that intersperses science history medicine and personal stories Warraich addresses death as a biological phenomenon perhaps complicated than one might expect but also as a social one that hasndergone great changes in recent decades The vast majority of people die in places where inert tones provide the palette disinfectant the aroma alarm bells the soundtrack and open back johnnies the wardrobe So Warraich describes a typical hospital or nursing home decline Compare this to a century ago when most births and. There is no Erikson, Eskimos, and Columbus universal truth in life than death No matter who you are it is certain that one day you will die but the mechanics andnderstanding of that experience will differ greatly in today’s modern age Dr Haider Warraich is a young and brilliant new voice in the conversation about death and dying started by Dr Sherwin Nuland’s classic How We Die Reflections on Life’s Final Chapter and Atul Gawande’s recent sensation Bein.Deaths occurred in people s homes Although dying at home is "on the rise the author notes that patients wishes often have to cede to circumstances Moreover there s ineuality at work " the rise the author notes that patients wishes often have to cede to circumstances Moreover there s ineuality at work whites are likely to die at home In the United States a disparity is seen in life expectancy as well with just 300 miles separating the nation s longest Fairfax Virginia 82 years for men from its shortest McDowell West Virginia 64The very definition of death has become less straightforward as medicine has advanced Warraich notes Cases like that of Karen Ann Church Bell Tolls uinlan in the 1970s made the average person aware that physical life can continue even after the brain has died Yet there is still much we don tnderstand and the idea that brain death could be reversible hasn t been completely ruled out The author recounts his own experience of treating a patient who collapsed of a heroin overdose but temporarily regained a pulse known as the Lazarus phenomenon The first half of the book is about death as a medical reality while the second focuses on particular social aspects of death religious beliefs the burden on families and other caregivers the debate over euthanasia and physician assisted suicide and the pros and cons of Scraping By (Studies in Early American Economy and Society from the Library Company of Philadelphia) using social media to share one s journey towards death Relatives of the ill or dying will find plenty ofseful information here on designating a health care proxy and setting Beyond Human Rights and the War on Terror up a living will andor DNR order just bear in mind that much of this may be specific to the United StatesIf the book is reprinted it could do with careful proofreading as there are numerous minor errors whether typos or wrong word choices deference in place of deferral for instance In some places Warraich mixes his metaphors and endsp with nintentionally awkward phrases like decapitation has digestible parables and the raison d tre of religion stems from the existential curve ball imbued so deep within s Nevertheless this is The Womens Movement in Postcolonial Indonesia uite a fascinating book with a vital message that Warraich delivers passionately we must bring death into the public conversation so that it holds less fear for patients and doesn t euate to failure for doctors After all it s inevitable for each ofs Dad flushed dead turtles and goldfish down the toilet From water pets we graduated to land mammals such as cats and dogs Then the day arrived when each of them died Then a classmate of hers died making my sister inconsolable Uncle Wes died and I remember attending his wake as a little boy in a dark oaky Chicago living room parlorDeath is part of life as early lessons teach Forensic Entomology The Utillity Of Arthropodos In Legal Investigations us We also learn that life is for the living by remembering those who went befores and helping those behind Men of Destiny us It s an endless parade of humanity Modern death means different things to different people writes Haider Warraich The current issue comes down toestions of extending life or prolonging death This book explores the history and evolving thought on end of life care decision making About two hundred years ago life expectancy began to rise with a reduction in child mortality accounting for most of the increase This period also witnessed better public sanitation hygiene and nutrition Today most Americans die of chronic diseases that sap the mind and body before the end arrives I found myself astonished at the story told here especially the last fifty years a period of medical advances that we take for granted today Warraich consolidates these recent events to crystallize where we are today Cardiopulmonary resuscitation came together in the sixties Also in the sixties an emergency response system developed with trained paramedics staffing ambulances With CPR cardiac monitors and ventilation devices the modern intensive care nit came into prime time Medicine an art for thousands of years became a science writes Warraich Around this time just fifty years ago new discoveries altered our conception of life and end of life But no one anticipated the long term outcomes of these advances Technology changed the patient doctor relationship Before the forties we interacted at home or in clinics Most of the action now takes place in hospitals Living wills of fifty years ago preceded today s advanced care planning Congress endorsed living wills in the Patient Self Determination Act The patient autonomy revolution came at the right time to save patients rights Now we can define our treatment preferences Warraich s research found that patients who wanted less aggressive treatment held to that preference But those who wanted aggressive treatment kept changing their minds which made them #poorer and After all the tears agonizing and hand wringing #and depressed all the tears agonizing and hand wringing does modern medicine do Does it prolong death or does it extend life Uncle Frank kept my aunt on life support way too long Money was not an issue for him but he G Mortal Medicine and What Matters in the End Dr Warraich takes a broader look at how we die today from the cellular level p to the very definition of death itselfThe most basic aspects of dying the whys wheres whens and hows are almost nothing like what they were mere decades ago Beyond its ecology epidemiology and economics the very ethos of death has changed Modern Death Dr Warraich’s debut book will explore the rituals and la. ,
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As not going to let his wife even "THOUGH MEMBERS OF THE FAMILY UIETLY URGED HIM TO "members of the family ietly rged to the inevitable Although there was life the ality of life was long gone Me I plan to take the least invasive path out of here When my time comes I just want to spend my final days and minutes laughing with familiar faces and voices with music because hearing is the last sense to go Interesting book Thirty three pages of notes This topic came on my radar four years ago when The Best American Essays 2012 published How Doctors Die by Ken Murray Fresh Air Oct 2012 Fresh Air July 2010 When the evidence says no but #The Doctor Says Yes #doctor says yes ProPublica and The Atlantic Modern DeathI picked p a copy of Haider Warraich s book Modern Death as soon as I saw it advertised This is a topic that I find fascinating and Mr Warraich s book was billed as the follow p to Atul Gawande s Being Mortal so I didn t think twice about the impulse purchase While reading the first few chapters I was a little disappointed Mr Warraich wasn t presenting anything that I hadn t already read or taught about as a professor of health law and ethics I didn t make my first earmark ntil page 91 but shortly after had to be careful not to earmark every other page I Resonance of Suffering uickly decided that Mr Warraich had written a text that should be read by everyone not just people fascinated with the legal and ethical issues surrounding end of lifeModern Death begins with an overview of issues surrounding death including the legal definition of death and methods of sustaining life Landmark cases are explained and a detailed history of the development of CPR is included After building a firm foundation Mr Warraich delves into the issues he sees most often as a physician That first earmark on page 91 It was for thisote The reason people increasingly don t want CPR is not that they are afraid it will fail but that they are afraid it will only partially work Patients are afraid that if CPR makes their heart start beating again their brain will have to pay a huge cost In a society that values independence and self reliance this is so very true Most people would rather not continuing living if they have to live in a vegetative or severally impaired condition What is life in today s world if you cannot continue to do the daily activities that you loveAfter an excellent ethical analysis of death and resuscitation efforts Mr Warraich considers deeply the role of religion in the dying process He states Physicians very freuently find themselves in difficult situations with patients who have a strong faith but rarely do they talk about religion and spirituality One study estimates that only 10% of physicians broach this difficult but important subject This number is extremely low considering a study of cancer patients showing that patients provided with spiritual care had a better The Last Circus and the Electrocution uality of life prior to their deaths were likely to pass in hospice and were less likely to receive aggressive andnnecessary care close to death when compared to patients not provided spiritual interventionModern Death also examines the role of physicians assisting care givers and surrogate decision makers He proffers that physicians are sually at the center of the decision making process and they are often reuired to buffer the various opinions of family members and caregivers In addition he states that the burden placed on surrogate decision makers aka health care proxies is seriously overlookedThe topics of euthanasia and physician assisted suicide are also touched on in Modern Death Mr Warraich offers his own personal perspective and thoughts regarding this controversial topic He provides a niue perspective regarding the shift in opinion over centuries not just decadesI have added this book to my list of texts that every healthcare professional should consider reading Additionally I will be giving it to my parents Per Mr Warraich s suggestion I will instigate the talk that everyone avoids but everyone should have before it is too late and we simply have to guess Dr Warraich is currently working Duke and I went to his hometown readingdiscussion at the Regulator This is a compelling interesting read about as the title says modern death I appreciate some of the historical and social background he brings in along with personal stories He writes about legal battles related to withdrawal of life sustaining treatment right to die issues and perspectives from the ICU none of which I ever see in an NC hospice That said I wish he would have explored a bit about what a non acute or critical death looks like to show people how it can be He touches on it but you can tell he really doesn t have experience in that arena I would also argue with the idea which Warraich repeats throughout that death is a Minds Of Their Own universally feared and fough. Nguage of dying that have developed in the last century and how modern technology has not only changed the hows whens and wheres of death but the what of deathDelving into the vast body of research on the evolving nature of death Modern Death will provide readers with an enrichednderstanding of how death differs from the past what our ancestors got right and how trends and events have transformed this most final of human experienc.