When Breath Becomes AirBook - 2016
"For readers of Atul Gawande, Andrew Solomon, and Anne Lamott, a profoundly moving, exquisitely observed memoir by a young neurosurgeon faced with a terminal cancer diagnosis who attempts to answer the question What makes a life worth living? 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 na詶e 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. Advance praise for When Breath Becomes Air "Rattling, heartbreaking, and ultimately beautiful, the too-young Dr. Kalanithi's memoir is proof that the dying are the ones who have the most to teach us about life."--Atul Gawande "Thanks to When Breath Becomes Air, those of us who never met Paul Kalanithi will both mourn his death and benefit from his life. This is one of a handful of books I consider to be a universal donor--I would recommend it to anyone, everyone."--Ann Patchett"-- Provided by publisher
From the critics
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"... As a resident [neurosurgeon], my highest ideal was not saving lives - everyone dies eventually - but guiding a patient or family to an understanding of death or illness. ... The families [of the patient] see the past, the ... memories, the freshly felt love, all represented by the body before them. I see the possible futures, the breathing machines connected [to] the neck, the pasty liquid dripping [into] the belly, the possible long, painful, and only partial recovery - or, sometimes more likely, no return at all of the person they remember. In these moments, I acted not, as I most often did, as death's enemy, but as its ambassador. I had to help those families understand that the person they know ... now lived only in the past and that I needed their input to understand what sort of future he or she would want: an easy death or to be strung between bags of fluids ... to persist despite being unable to struggle." (p. 87-88)
...When you come to one of the many moments in life when you must give an account of yourself, provide a ledger of what you have been, and done, and meant to the world, do not, I pray, discount that you filled a dying man’s days with a sated joy, a joy unknown to me in all my prior years, a joy that does not hunger for more and more, but rests, satisfied. In this time, right now, that is an enormous thing.
You can't ever reach perfection, but you can believe in an asymptote toward which you are ceaselessly striving.
I was less driven by achievement than by trying to understand, in earnest: what makes human life meaningful? I still felt literature provided the best account of the life of the mind, while neuroscience laid down the most elegant rules of the brain.
Chemotherapy began on Monday. Lucy, my mother and I went to the infusion center together. I had an IV placed, settled into an easy chair and waited.
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After ten years of medical education, Paul Kalanithi was on the verge of completing his training as a neurosurgeon when he became concerned about his own health. At first he blamed the rigours of residency, but a CT scan soon revealed the worst: cancer in the lungs, spine, and liver. Early in his university career, Kalanithi studied literature, dreaming of a career as a writer, but was driven to medicine by questions about mortality and meaning that he felt could not be answered by literature alone. Suddenly, those questions became urgent and personal, and the only time left to write a book and achieve that dream was now.
This book is one of the best 75 books in the past 75 years and it was just published this year. It will be truly a classic when you consider it’s about a neurosurgeon who discovers he has lung cancer. As the summary on the back of the box says – “One day he was a doctor treating the dying, and the next he was a patient struggling to live.” Only 36 years old Kalanithi had many questions he wanted answers to – “What make 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?” Together with his large, loving family Kalanithi discovers the meaning of life. He was a brilliant writer and surgeon and was transformed as he explored literature in pursuit of what is important in life. I admire that he found what he was looking for and reported in a sensitive, matter-of-fact way without sentimentality.
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