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This is a profoundly important read for anyone who uestions the medical interventions at the end of life It had a huge impact on my thought process regarding intervention and palliative care It was well written and such an interesting read I highly recommend it Important stuff to think about preparea gift to give to my family p 250 Death didn t have the power to
"undo a life "a life it s legacy But perhaps the fact of death amplified life s significance The title of this book is taken from Dylan Thomas poem Do Not Go Gentle Into That Good Night in which the poet begs his father not to give in to death #To Fight It For His #fight it for his s sake Part of the beauty of this poem is how we can connect and identify so easily with the poet We can all appreciate how difficult it is to let a loved one goEverything about medical training and practice focuses on making the patient better Doctors are trained to find the source of the medical problem and cure it and that s what we at the bedside expectWhat happens though with a desperately ill person when treatments don t work or stop working when one invasive procedure is tried after another another medication is prescribed and infections still surface organs still continue to fail Should doctors still prescribe tests order procedures Should patients continue to fight Should loved ones still urge that everything be doneThose are the uestions among others Dr Sunita Puri began to ask herself at the end of her medical training In this carefully written book she traces her medical ourney the grueling hours doubts and career decisions while also sharing the profound influence of her parents India immigrants her mother an anesthesiologist and her father an engineer Her training focused on preserving life at all costs but the temporary nature of human life and training focused on preserving life at all costs but the temporary nature of human life and eternal nature of the soul a recurrent theme throughout the book taught to her and her brother from their youngest days seems in conflict with medicine The stories of her patients their experiences in the eleventh hour are seamlessly woven in as she narrates her ourney into palliative medicine and what she learns from them and other palliative care providers Filled with warmth and compassion understanding the depths of patients and families sadness and grief sharing her own limitations honestly and openly Dr Piri has written a book I will long remember Every chapter in this book contains information that most of us would rather avoid or postpone discussion whether the decisions are about us or our loved ones Dr Puri shares and spirals information in a way that affirms the reader s fears and her own as she readily admits she is often overwhelmed and fearful of death and helps to clarify the reader s thinking about decisions that are best made before the crisis Some ideas that resonated with me during my reading includeEconomic and social ineualities shaped her patient s lives and their deaths her patients in LA had fewer resources and abundant fear Along the way Dr Piri became an accidental linguist helping patients and families to deconstruct the layers of meaning they assign to a word or phrase such as fighter warrior do everything and miracles Does the fighter understand the complexity of the battle What does the fighter know What was worth fighting for What does giving up mean Could there be miracles aside from curing disease What does everything done meanDying is still living simply a continuum of living this messy temporary life human and imperfectlyDeath can t strip away the meaning and lasting impact of a human life Wisdom and dignity and strength are the most essential components of the very private internal process of making peace with life as part of the process of dyingFrom the Bhagevah Gita The soul wears the body like a cl. “A profound exploration of what it means for all of us to live and to die with dignity and purpose” People Magazine“Visceral and lyrical” The AtlanticAs the American born daughter of immigrants Dr Sunita Puri knew from a young age that the gulf between her parents' experiences and her own was impossible to bridge save for two elements medicine and spirituality Between days spent wa. ,
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Medical procedures because I know someone like Dr Puri will be out there to help me she offers so much to think about and the existence of her profession is something that each and every one of us should applaud I plan to purchase this book for everyone I know It is written like a novel such beautiful details such well drawn portraits of patients and doctors and the struggles they face But it is real life and a slice of real life we should all be ready to face This book will help you do so and will give you hope that there are talented dedicated doctors out there Anyone who loved When Breath Becomes Air and Being Mortal MUST READ THIS BOOK This is an informative but overly long book on palliative care The author perhaps attempts to do a few too many things She describes her training in internal medicine then as a palliative care fellow and physician provides stories of many of the dying and terminally ill patients she has worked with considers the role that religionfaithspiritual practice often play in the lives of the dying and their caregivers and finally she details the profound influence her spiritual socially committed immigrant Indian parents particularly her mother an anesthesiologist had on her #development I found Dr Puri s presentation of her challenges with the families of dying #I found Dr Puri s presentation of her challenges with the families of dying and her struggles with medical colleagues the most compelling parts of the book Her meditations on spirituality and death as a sacred passage however became tiresome The doctor aims at being profound but at times her writing slides towards the precious Here are a couple of examples of the kind of thing I mean You imagine that each of them your patients wears a necklace of intricate intersecting circles of loss grief anger fear sadness regret You visualize this necklace hanging at their throats golden and glistening under the hospital s fluorescent lights in the moments when their expressions of emotion make you want to leave the room This is a necklace that you choose to wear too What if I regarded my own death with reverence instead of fear I wondered Or even radically what if I had some sort of gratitude for the transience of my life Would it change what I worried and cared about Wasn t it necessary to think about this when I was in the midst of building a life Or rather living my life And the I thought about mortality and what it had come to mean to others and what I thought it meant to me I realized that life was simultaneously so vast and so small It was daybreak after a good sleep and exhaustion as the stars emerged It was the first crisp bite Of An Apple The Taste an apple the taste butter on toast It was the way a tree s shadow moved along the wall of a room as the afternoon passed It was the smell of a baby s skin the feeling of a heart fluttering with anticipation or nerves It was the steady rhythm of a lover s breathing during sleep It was both solitude in a wide green field and the crowding together of bodies in a church was eually common and singular a shared tumult and a shared peace It was the many things I d ignored or half appreciated as I chased the bigger things It was infinity in a seashell I think the book would have benefited from some paring down I wish for example that there had been fewer stories of family members demanding that everything be done for the patient when it is abundantly clear that further aggressive interventions are not only futile but harmful One or two such stories are potent enough I feel as though I read dozens of them in this book The many descriptions of views from hospital windows and meals eaten on the run should have been entirely cutReservations aside I learned a lot from reading the book and Dr Puri comes across as a sincere and honest guide to this still developing field of medicine. Mpting to translate the border between medical intervention and uality of life careInterweaving evocative stories of Puri's family and the patients she cares for That Good Night is a stunning meditation on impermanence and the role of medicine in helping us to live and die well arming readers with information that will transform how we communicate with our doctors about what matters most to. Oth and discards it at the time of death Therefore because death stirs people to seek answers to important spiritual uestions it becomes the greatest servant of humanity rather than its most feared enemyIn the end the uestion or challenge remains How to we accept the lesson of mortality appreciating what we have now in the midst of life knowing that it is all a temporary gift This book was simply beautiful and I cried many times while reading it It s so thought provoking and unfortunately brought up what my sister and I had to face when losing my Mom I have so much clarity after reading this book from the time I made it to my Moms bedside to her passing It pains me to think what the Dr s did to her to keep her alive for an extra 3 hours but I do have further understanding what they felt was their ob and duty to us This is not a book for everyone and many would say it s too sad and hard to read but I m glad it s out there for people like me This book is emotional describing a number of terminally ill patients from all #Walks Of Life The Author #of life The author makes the book so much about life than about death in describing her viewpoints as a palliative care physician The stories are deeply personal based on the connections she makes with her patients by visiting them in their homes under hospice care and brings out a truly relatable side of human nature I read this book from cover to cover in one sitting because it was so moving and powerful I felt connected with the patients she described who sought to live out their time in dignity and in their own homes The author also discusses the flawed nature of our health care system which will fund expe Reading this book felt like taking in big important breaths Dr Puri writes so beautifully and tenderly about her experiences with her patients remembering such ordinary and thoughtful things about them and what mattered most to them in their last days I was so moved by how she described the process of dying and how we as doctors can help guide those most difficult conversations with families helping to keep in mind what is most important to those we are so privileged to treat There are passages I reread 5 6 7 times because they spoke the words I haven t been able to string together when faced with a patient with a seemingly cruel diagnosis and prognosis Dr Puri uoted the Gita in one of the last chapters Because death stirs people to seek answers to important spiritual uestions it becomes the greatest servant of humanity rather than its most feared enemy An insightful memoir about the training of a palliative care physician plus a helpful meditation on both life and death Dr Puri is a wonderful writer I appreciated her thoughts about how the recognition that we will all die can serve to make us appreciate our life even as well as her thoughts about what can make the end of life peaceful for the dying and those that love them Highly recommended Phenomenal BookThis book has changed the way I practice as a hospice nurse It is thoughtful well written and touched my heart in a way no other book regarding end of life care has Thank you Dr Puri I read an advanced copy of this book and everybody must read this book It is gorgeously written and on such important subject matter how we live and die and how medicine can help us far than it does Though Puri is a doctor really at heart she is an exceptional writer and she takes us into a very hidden world of what it means to care for people who are really sick and dying Her humanity and compassion shine through and her portraits of her parents and their spiritual beliefs is really a nice counterbalance to her stories about patients and other doctors After reading this book I am no longer afraid of dying in pain and suffering through endless. Iting for her mother an anesthesiologist to exit the OR and evenings spent in conversation with her parents about their faith Puri witnessed the tension between medicine's impulse to preserve life at all costs and a spiritual embrace of life's temporality And it was that tension that eventually drew Puri a passionate but unsatisfied medical student to palliative medicine a new specialty atte. .