Changing the Way We Die: Compassionate End of Life Care and The Hospice Movement

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There’s a quiet revolution happening in the way we die. More than 1.5 million Americans a year die in hospice care—nearly 44 percent of all deaths—and a vast industry has sprung up to meet the growing demand. Once viewed as a New Age indulgence, hospice is now a $14 billion business and one of the most successful segments in health care. Changing the Way We Die, by award-winning journalists Fran Smith and Sheila Himmel, is the first book to take a broad, penetrating look at the hospice landscape, through gripping stories of real patients, families, and doctors, as well as the corporate giants that increasingly own the market. Changing the Way We Die is a vital resource for anyone who wants to be prepared to face life’s most challenging and universal event. You will learn: — Hospice use is soaring, yet most people come too late to get the full benefits. — With the age tsunami, it becomes even more critical for families and patients to choose end-of-life care wisely. — Hospice at its best is much more than a way to relieve the suffering of dying. It is a way to live.
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About the author

Fran Smith has written for O: The Oprah Magazine, Redbook, Salon, Good Housekeeping, and many other newspapers and websites. A former John S. Knight Fellow at Stanford University and Pulitzer Prize winner, she lives in Dobbs Ferry, NY.
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Additional Information

Publisher
Simon and Schuster
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Published on
Oct 28, 2013
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Pages
288
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ISBN
9781936740604
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Features
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Language
English
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Genres
Family & Relationships / Death, Grief, Bereavement
Health & Fitness / Health Care Issues
Social Science / Death & Dying
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Content Protection
This content is DRM protected.
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Eligible for Family Library

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#1 NEW YORK TIMES BESTSELLER • PULITZER PRIZE FINALIST • This exquisite memoir by an idealistic young neurosurgeon asks What makes a life worth living? and makes a profound graduation gift—especially for aspiring doctors and nurses.

NAMED ONE OF THE BEST BOOKS OF THE YEAR BY
The New York Times Book Review • People • NPR • The Washington Post • Slate • Harper’s Bazaar • Esquire • Time Out New York • Publishers Weekly • BookPage

Finalist for the PEN Center USA Literary Award in Creative Nonfiction and the Books for a Better Life Award in Inspirational Memoir

At the age of thirty-six, on the verge of completing a decade’s worth of training as a neurosurgeon, Paul Kalanithi was diagnosed with stage IV lung cancer. One day he was a doctor treating the dying, and the next he was a patient struggling to live. And just like that, the future he and his wife had imagined evaporated. When Breath Becomes Air chronicles Kalanithi’s transformation from a naïve medical student “possessed,” as he wrote, “by the question of what, given that all organisms die, makes a virtuous and meaningful life” into a neurosurgeon at Stanford working in the brain, the most critical place for human identity, and finally into a patient and new father confronting his own mortality.

What makes life worth living in the face of death? What do you do when the future, no longer a ladder toward your goals in life, flattens out into a perpetual present? What does it mean to have a child, to nurture a new life as another fades away? These are some of the questions Kalanithi wrestles with in this profoundly moving, exquisitely observed memoir.

Paul Kalanithi died in March 2015, while working on this book, yet his words live on as a guide and a gift to us all. “I began to realize that coming face to face with my own mortality, in a sense, had changed nothing and everything,” he wrote. “Seven words from Samuel Beckett began to repeat in my head: ‘I can’t go on. I’ll go on.’” When Breath Becomes Air is an unforgettable, life-affirming reflection on the challenge of facing death and on the relationship between doctor and patient, from a brilliant writer who became both.

Praise for When Breath Becomes Air

“I guarantee that finishing this book and then forgetting about it is simply not an option. . . . Part of this book’s tremendous impact comes from the obvious fact that its author was such a brilliant polymath. And part comes from the way he conveys what happened to him—passionately working and striving, deferring gratification, waiting to live, learning to die—so well.”—Janet Maslin, The New York Times

“An emotional investment well worth making: a moving and thoughtful memoir of family, medicine and literature. It is, despite its grim undertone, accidentally inspiring.”—The Washington Post

“Possesses the gravity and wisdom of an ancient Greek tragedy . . . [Kalanithi] delivers his chronicle in austere, beautiful prose. The book brims with insightful reflections on mortality that are especially poignant coming from a trained physician familiar with what lies ahead.”—The Boston Globe

“Devastating and spectacular . . . [Kalanithi] is so likeable, so relatable, and so humble, that you become immersed in his world and forget where it’s all heading.”—USA Today
“Morbid and illuminating” (Entertainment Weekly)—a young mortician goes behind the scenes of her curious profession. Most people want to avoid thinking about death, but Caitlin Doughty—a twenty-something with a degree in medieval history and a flair for the macabre—took a job at a crematory, turning morbid curiosity into her life’s work. Thrown into a profession of gallows humor and vivid characters (both living and very dead), Caitlin learned to navigate the secretive culture of those who care for the deceased.

Smoke Gets in Your Eyes tells an unusual coming-of-age story full of bizarre encounters and unforgettable scenes. Caring for dead bodies of every color, shape, and affliction, Caitlin soon becomes an intrepid explorer in the world of the dead. She describes how she swept ashes from the machines (and sometimes onto her clothes) and reveals the strange history of cremation and undertaking, marveling at bizarre and wonderful funeral practices from different cultures.

Her eye-opening, candid, and often hilarious story is like going on a journey with your bravest friend to the cemetery at midnight. She demystifies death, leading us behind the black curtain of her unique profession. And she answers questions you didn’t know you had: Can you catch a disease from a corpse? How many dead bodies can you fit in a Dodge van? What exactly does a flaming skull look like?

Honest and heartfelt, self-deprecating and ironic, Caitlin's engaging style makes this otherwise taboo topic both approachable and engrossing. Now a licensed mortician with an alternative funeral practice, Caitlin argues that our fear of dying warps our culture and society, and she calls for better ways of dealing with death (and our dead).

A New York Times and Los Angeles Times Bestseller

The best-selling author of Smoke Gets in Your Eyes expands our sense of what it means to treat the dead with "dignity."

Fascinated by our pervasive fear of dead bodies, mortician Caitlin Doughty set out to discover how other cultures care for the dead. From Here to Eternity is an immersive global journey that introduces compelling, powerful rituals almost entirely unknown in America.

In rural Indonesia, she watches a man clean and dress his grandfather’s mummified body, which has resided in the family home for two years. In La Paz, she meets Bolivian natitas (cigarette-smoking, wish-granting human skulls), and in Tokyo she encounters the Japanese kotsuage ceremony, in which relatives use chopsticks to pluck their loved-ones’ bones from cremation ashes.

With boundless curiosity and gallows humor, Doughty vividly describes decomposed bodies and investigates the world’s funerary history. She introduces deathcare innovators researching body composting and green burial, and examines how varied traditions, from Mexico’s Días de los Muertos to Zoroastrian sky burial help us see our own death customs in a new light.

Doughty contends that the American funeral industry sells a particular—and, upon close inspection, peculiar—set of "respectful" rites: bodies are whisked to a mortuary, pumped full of chemicals, and entombed in concrete. She argues that our expensive, impersonal system fosters a corrosive fear of death that hinders our ability to cope and mourn. By comparing customs, she demonstrates that mourners everywhere respond best when they help care for the deceased, and have space to participate in the process.

Exquisitely illustrated by artist Landis Blair, From Here to Eternity is an adventure into the morbid unknown, a story about the many fascinating ways people everywhere have confronted the very human challenge of mortality.

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