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Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering. Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified.
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The book talks about death with dignity. What makes life worth living when your body is at the edge of failure? How much medicine is too much? How can we do the right thing to make care for the elderly better in assisted living homes?
I read this book a week after my Mother passed away. I feel comforted by the book because it supports the decisions that were made at the very end of her life but it makes me feel terrible about my own lack of interest in her life while she was living in assisted living.
Very readable despite the subject matter. ( )