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Being Mortal
Being Mortal: Medicine and What Matters in the End | Atul Gawande
In Being Mortal, bestselling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its endingMedicine 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.Full of eye-opening research and riveting storytelling, Being Mortal asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end.
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calisoul615
Pickpick

A must read for anyone who has an elderly person to take care of... and anyone who works in healthcare... and anyone who is growing older themselves... so literally -- everyone. It's very insightful, educational, and eye-opening. Warning: if you've has to deal with cancer (yourself or through a loved one) -- it's quite triggering... but overall I can't recommend this book enough!

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Marmie7
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1. Tagged book- been on my tbr for 4 yrs.
2. Game of thrones💖
3. 926😳
4. The House witch 🌟🌟🌟
5. @Nazgul93 @crazycatlady
#wonderouswednesday @Eggs

Eggs 926 tbr!!!! May you have joy reading all of them🤗😊😉 3w
32 likes1 comment
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InnerSavvy
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Pickpick

Best non fiction book I have read in long time. Makes you think about aging and death, and that is a good thing. Highly recommend.

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Cheshirecat913
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Pickpick

I really didn't know what I was getting into when I started this book but I am so glad I read it. It really makes you think about how we want our last years, months and days of our lives to go. I feel so much more informed and see some of the different options there are out there. Also how to make decision about medical care when you know what kind of life or priorities you or your love ones wants.

14 likes2 stack adds
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Cheshirecat913
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#bfcr2 #justbookit
Week 1: Off to a good start
3 days of hour long walks
1 day of yoga
6 days of the Darebee Foundation Bodyweight workouts
1 finished book (tagged book)

@wanderinglynn @jillannjohn @Marmie7 @bookandcat @Chili @Dragonfairykats @Buchbeeg @bewareofwords

Picture is from the daylily garden at Huntsville Botanical Garden

Marmie7 Nice start! 👏 3mo
Dragonfairykats Yay!!,! 🤸‍♀️💃💥🤗 3mo
wanderinglynn Great first week! 🙌 3mo
See All 6 Comments
Megabooks Pretty! Great job! 3mo
bewareofwords Fantastic first week! And pretty flower! 3mo
Chili Awesome!! 3mo
19 likes6 comments
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GreenPaper

This is what it means to have autonomy—you may not control life‘s circumstances, but getting to be the author of your life means getting to control what you do with them.

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GreenPaper

All we ask is to be allowed to remain the writers of our own story.

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GreenPaper

The important thing was that, in ascribing value to the cause and seeing it as worth making sacrifices for, we give our lives meaning.

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samjmitchell
Pickpick

Being Mortal is split into chapters, each one a pillar that is used to explain why medical professionals concentrate on prolonging life when they should be focused on 'sustaining the soul'. An honest look into the medical profession, what it means to truly be a doctor of those that are aging or living with terminal illness, and setting aside this idea that we need to fight until the very end. A hard read but an important one. 5/5.

4 likes1 stack add
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Tanzy13
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“We all require devotion to something more than ourselves for our lives to be endurable.”

69 likes3 stack adds
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Smrloomis
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Kindle deal 4.99 USD 🎉 I thought everyone should read this, and now it‘s on sale. Cannot recommend it enough.

Ashley_Nicoletto I picked this one up today! Sounds so good. 10mo
Smrloomis @Ashley_Nicoletto it is! Enjoy! 10mo
61 likes1 stack add2 comments
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ForTheLoveOfReading
Pickpick

Wow, this one really changed my world view. I feel like it should be required reading for adults in their 30s and 40s. It's a tough emotional read, but also so cativating and well written. I highly recommend it!

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EllieDottie
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Pickpick

I absolutely loved this book! It really made me think about what it really means to be human

AmyG This should be required reading...as a human. 11mo
EllieDottie @AmyG I completely agree!! 11mo
Smrloomis Loved this too! 👍🏽🧡 11mo
66 likes3 comments
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CuriousG
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Lesson planning with Atul Gwande. Can't wait to do my 'institutional culture & change' lesson with my grade 11's tomorrow. Hoping they come up with some really great out-of-the-box ideas for addressing the plagues of school culture! #socialsciencejunkie #solvingproblems #studentvoicesforchange

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goodbyefrancie
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Saturday night. Audio, hot chocolate, a blanket, and both of the cats. Perfect.

75 likes3 stack adds
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EllieDottie
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#currentaudiobook! I‘m really enjoying this!!

CouronneDhiver The ending is 😭😭 if I remember correctly 11mo
56 likes1 comment
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CuriousG
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Camping trips, fireside reading & lots of time outdoors - #Canadian Thanksgiving is the BEST! 🍁🌲🍁 (sorry to my American friends, but football and shopping have nothing on this tradition 😉)

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CuriousG
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Every time I get overwhelmed with not knowing how to help my husband (post-brain injury) I turn to a favourite book to help. Today, Being Mortal did the trick.

"What buoyed him, despite his limitations, was having a purpose"

Refocused in my task of helping him maintain purpose in his life. Thank you Atul Gwande!

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rwmg
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couters7

“Culture is the sum total of shared habits and expectations.”

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rwmg
Pickpick

Thoughtful and moving. I hope it has an effect

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rwmg
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couters7

“Your chances of avoiding the nursing home are directly related the number of children you have, and, according to what little research has been done, having at least one daughter seems to be crucial to the amount of help you will receive.”

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Mamashep
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So glad I finally got my library card again. Listened to 95% of this and then my loan expired and there are holes on the audio so I couldn‘t re-up it. No problem, just going to check out the ebook to finish it up. Love the options! #library #probablygoingtobuythisoneanyway

21 likes1 stack add
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KimM
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Pickpick

“A landmark 2010 study from Massachusetts General Hosp: Those who saw palliative care specialists stopped chemotherapy sooner, entered hospice far earlier, experienced less suffering at the end of their lives—and they lived 25% longer. In other words, our decision making in medicine has failed so spectacularly that we have reached the point of actively inflicting harm on patients rather than confronting the subject of mortality.”

5⭐️s

Bklover Oh I LOVE that bookmark!! I‘ve never seen one like it- beautiful! 12mo
KimM Thank you @Bklover It was a gift from @scripturient from Germany 💚 12mo
MStew I wanna read this so bad!! 12mo
24 likes1 stack add3 comments
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Dolly
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1. Finding direction, working a budget, self-care. My 98 yr old Mom passed this week. I‘ve cared for her since
the mid 1980s, (intensively for 12 years)
2. Being Mortal. This author gave us a great gift. Don‘t be afraid of it. It, it‘s goal is not as creepy as you think.
3. London- but I hope to visit the countryside someday.
4. I don‘t want to “own” wild animals
5. 78 !! 😃 Between heat waves in New England

#friyayintro
@jesshowbooks

Susanita I‘m sorry for your loss. 😢 13mo
Bklover Oh, I am so sorry for your loss! Taking care of her all those years will leave you with time to fill. Take care of yourself. Do kind things for yourself every day. Much love to you💙💙 13mo
Lcsmcat I‘m so sorry for your loss. Hugs. ❤️ 13mo
See All 12 Comments
Dragon Sorry for your loss. 💔 13mo
mabell I'm so sorry for your loss. 😔❤️ 13mo
youneverarrived So sorry for your loss. ❤️ 13mo
JessClark78 Sorry for your loss. 💔❤️ 13mo
Avanders Oh I'm so sorry ❣️💔🖤 13mo
jfalkens I'm so sorry for your loss xXxX 13mo
Dolly @Susanita @Bklover @Lcsmcat @dragon @mabell @youneverarrived @JessClark78 @Avanders @jfalkens Awww, you guys are the best! 💗 💞💖Thank you for your thoughts and taking the time to comment. I feel the love. Read on book buddies! 📚📚📚📚📚📚📚📚📚❣️ 13mo
MaureenMc So sorry for your loss. 💗💗 13mo
Dolly @MaureenMc thank you, this is such a thoughtful community ❤️ 13mo
36 likes12 comments
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BookaholicNatty
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My local library has something called book club in a bag where you can check out an entire bag of books for your face to face book club which includes discussion questions and fun activities to do with the group! I love this. Today there was a “new” bag so I had to see what book was inside of it of course!!!! I haven‘t heard of this one! Has anyone read this? Does anyone else have book clubs in a bag at your library? 📚

LibrarianRyan I used to make these for my library in Colorado. I specialized in making MG and YA kits that could be used for a book club or a classroom. I loved doing that soooooo much. 13mo
Jess7 I‘ve heard it‘s incredible, but very, very, very sad. The leader of my in person book club loved it, but she also really loves deep, sad books. 13mo
mrp27 My old library in my old town used to do this but not my current library in my current town. I think it's such a great idea. 13mo
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GripLitGrl My library does not have this but its a great idea! They have a library book club section only 13mo
minkyb Great program. I have heard wonderful things about this book! 13mo
Zelma I absolute loved this book. It made me reflect on aging and illness and in a new way, and shaped some of of my feelings on it. 13mo
Abe My local library doesn‘t have this exactly but I think it‘s a great idea! 13mo
Kayla.Adriena Being Mortal is an important book! 13mo
tracey38 This is an amazing idea. 13mo
fleeting I have most of Gawande's books and this one is a fairly quick and insightful read. :) 13mo
RebelReader Yes we have them here too. Being Mortal is a book everyone should read! 13mo
Karkar This book was great! 13mo
shanaqui I loved this book, immediately had to share it with other folks. It'll be a good one for discussion! 13mo
EH2018 Great idea! 13mo
113 likes5 stack adds14 comments
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DyAnne
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Read this. We can do better.

13 likes1 stack add
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Chelseabillups30

What is your understanding of the situation and it‘s potential outcomes? What are your fears and what are your hopes? What are the trade offs you are willing to make and not willing to make? And what is the course of action that best serves this understanding?

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Chelseabillups30

We‘ve been wrong about what our job is in medicine. We think our job is to ensure health and survival. But really it is larger than that. It is to enable well-being. And well-being is about the reasons one wishes to be alive. Those reasons matter not just at the end of life, or when debility comes, but all along the way.

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Chelseabillups30

Endings matter, not just for the person but, perhaps even more, for the ones left behind.

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Chelseabillups30

We stop the healthy from committing suicide because we recognize that their psychic suffering is often temporary. We believe that, with help, the remembering self will later see matters differently than the experiencing self—and indeed only a minority of people saved from suicide make a repeated attempt; the vast majority eventually report being glad to be alive.

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Chelseabillups30

“....that we have the opportunity to refashion our institutions, our culture, and our conversations in ways that transform the possibilities for the last chapters of everyone‘s lives.”

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Chelseabillups30

A few conclusions become clear when we understand this: that our most cruel failure in how we treat the sick and the aged is the failure to recognize that they have priorities beyond merely being safe and living longer; that the chance to shape one‘s story is essential to sustaining meaning in life.

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Chelseabillups30

We have room to act, to shape our stories, though as time goes on it is within narrower and narrower confines.

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Chelseabillups30

No one ever really has control. Physics and biology and accident ultimately have their way in our lives. But the point is we are not helpless either. Courage is the strength to recognize both realities.

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Chelseabillups30

When our time is limited and we are uncertain about how best to serve our priorities, we are forced to deal with the fact that both the experiencing self and the remembering self matter.

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Chelseabillups30

We have purposes larger than ourselves. Unlike your experiencing self—which is absorbed in the moment, —your remembering self is attempting to recognize not only the peaks of joy and valleys of misery but also how the story works out as a whole.

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Chelseabillups30

For human beings, life is meaningful because it is a story. A story has a sense of a whole, and it‘s arc is determined by the significant moments, the ones where something happens. Measurements of people‘s minute by minute levels of pleasure and pain miss the fundamental aspect of human existence.

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Chelseabillups30
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Even though I want to work in pediatric care as opposed to geriatrics, this passage struck me as important regarding the questions I ask my eventual patients about their goals for therapy.

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Chelseabillups30

Courage is strength in the face of knowledge of what is to be feared or hoped. Wisdom is prudent strength.

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Chelseabillups30

One has to decide whether one‘s fears or one‘s hopes are what should matter most.

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Chelseabillups30

For one can have courage without perfect knowledge of the future. Indeed, one often must.

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Crewgurl
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Bailedbailed

A book I hated and destroyed....Sooooo I might have thrown a book away once... I had signed up for a fun monthly YA book box and they put this book in it..it‘s about talking to your loved ones about end of life care. It was the 2 year anniversary of my mom‘s death and I was completely horrified. I canceled my subscription and trashed the book. @ErinSueG #crimesagainstcovers

ErinSueMreads BRUTAL! SOUNDS LIKE IT DESERVED THE TRASH! 💪🏻💪🏻💪🏻💪🏻 14mo
DivineDiana Just why! It makes no sense! 🙁 14mo
Crewgurl @ErinSueG those were my feelings 😂😂 14mo
Crewgurl @DivineDiana I have no idea!!! There were other things in the box too. I emailed the company and they were just like sorry you didn‘t like it 🤷‍♀️ didn‘t see anything wrong with the selection 14mo
20 likes5 comments
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Chelseabillups30

Life is choices, and they are relentless. No sooner have you made one choice than another is upon you.

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Chelseabillups30

This is what it means to have autonomy—you may not control life‘s circumstances, but getting to be the author of your life means getting to control what you do with them.

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Chelseabillups30

Anyone, but chronic illness sufferers will most likely find this very much amusing.....

O-One
D-Damn
T-Thing
A-After
A-Another
S- Syndrome

😂👏🏻😂💯😂🙌🏻😂

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Chelseabillups30
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💥 BOOM!💥 #truthbomb

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Chelseabillups30

All that we ask is to be allowed to remain the writers of our own story. That story is ever changing. Over the course of our lives, we may encounter unimaginable difficulties. Our concerns and desires may shift. But whatever happens, we want to retain the freedom to shape our lives in ways consistent with our character and loyalties.

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Chelseabillups30

The amount of freedom you have in your life is not the measure of the worth of your life.