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READ & DOWNLOAD ½ Modern Death Ç ❮Epub❯ ➟ Modern Death Author Haider Warraich – There is no universal truth in life than death No matter who you are it is certain that one day you will die but the mechanics and understanding of that experience will differ greatly in today’s mod There is no universal truThere is no universal truth in life than death No matter who you are it is certain that one day you will die but the mechanics and understanding of that experience will differ greatly in today’s modern age Dr Haider Warraich is a young and brilliant new voice in the conversation about death and dying started by Dr Sherwin Nuland’s classic How We Die Reflections on Life’s Final Chapter and Atul Gawande’s recent sensation Bein. 35 Haider Warraich a physician originally from Pakistan trained at Harvard and is now a fellow in cardiovascular medicine at Duke University in North Carolina Like Ed Yong’s I Contain Multitudes or Atul Gawande’s Being Mortal Modern Death is a learned but engaging book that intersperses science history medicine and personal stories Warraich addresses death as a biological phenomenon – perhaps complicated than one might expect – but also as a social one that has undergone great changes in recent decades“The vast majority of people die in places where inert tones provide the palette disinfectant the aroma alarm bells the soundtrack and open back johnnies the wardrobe” So Warraich describes a typical hospital or nursing home decline Compare this to a century ago when most births and deaths occurred in people’s homes Although dying at home is on the rise the author notes that patients’ wishes often have to cede to circumstances Moreover there’s ineuality at work affluent whites are likely to die at home In the United States a disparity is seen in life expectancy as well with just 300 miles separating the nation’s longest Fairfax Virginia – 82 years for men from its shortest McDowell West Virginia – 64The very definition of death has become less straightforward as medicine has advanced Warraich notes Cases like that of Karen Ann uinlan in the 1970s made the average person aware that physical life can continue even after the brain has died Yet there is still much we don’t understand and the idea that brain death could be reversible hasn’t been completely ruled out The author recounts his own experience of treating a patient who collapsed of a heroin overdose but temporarily regained a pulse known as the “Lazarus phenomenon”The first half of the book is about death as a medical reality while the second focuses on particular social aspects of death religious beliefs the burden on families and other caregivers the debate over euthanasia and physician assisted suicide and the pros and cons of using social media to share one’s journey towards death Relatives of the ill or dying will find plenty of useful information here on designating a health care proxy and setting up a living will andor DNR order – just bear in mind that much of this may be specific to the United StatesIf the book is reprinted it could do with careful proofreading as there are numerous minor errors whether typos or wrong word choices “deference” in place of “deferral” for instance In some places Warraich mixes his metaphors and ends up with unintentionally awkward phrases like “decapitation has digestible parables” and “the raison d’être of religion stems from the existential curve ball imbued so deep within us”Nevertheless this is uite a fascinating book with a vital message that Warraich delivers passionately we must bring death into the public conversation so that it holds less fear for patients and doesn’t euate to failure for doctors After all it’s inevitable for each of us

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G Mortal Medicine and What Matters in the End Dr Warraich takes a broader look at how we die today from the cellular level up to the very definition of death itselfThe most basic aspects of dying the whys wheres whens and hows are almost nothing like what they were mere decades ago Beyond its ecology epidemiology and economics the very ethos of death has changed Modern Death Dr Warraich’s debut book will explore the rituals and la. Dad flushed dead turtles and goldfish down the toilet From water pets we graduated to land mammals such as cats and dogs Then the day arrived when each of them died Then a classmate of hers died making my sister inconsolable Uncle Wes died and I remember attending his wake as a little boy in a dark oaky Chicago living room parlorDeath is part of life as early lessons teach us We also learn that life is for the living by remembering those who went before us and helping those behind us It’s an endless parade of humanity Modern death means different things to different people writes Haider Warraich The current issue comes down to uestions of extending life or prolonging death This book explores the history and evolving thought on end of life care decision making About two hundred years ago life expectancy began to rise with a reduction in child mortality accounting for most of the increase This period also witnessed better public sanitation hygiene and nutrition Today most Americans die of chronic diseases that sap the mind and body before the end arrives I found myself astonished at the story told here especially the last fifty years a period of medical advances that we take for granted today Warraich consolidates these recent events to crystallize where we are today Cardiopulmonary resuscitation came together in the sixties Also in the sixties an emergency response system developed with trained paramedics staffing ambulances With CPR cardiac monitors and ventilation devices the modern intensive care unit came into prime time Medicine an art for thousands of years became a science writes Warraich Around this time just fifty years ago new discoveries altered our conception of life and end of life But no one anticipated the long term outcomes of these advances Technology changed the patient doctor relationship Before the forties we interacted at home or in clinics Most of the action now takes place in hospitals Living wills of fifty years ago preceded today’s advanced care planning Congress endorsed living wills in the Patient Self Determination Act The patient autonomy revolution came at the right time to save patients rights Now we can define our treatment preferences Warraich’s research found that patients who wanted less aggressive treatment held to that preference But those who wanted aggressive treatment kept changing their minds which made them poorer and depressed After all the tears agonizing and hand wringing what does modern medicine do Does it prolong death or does it extend life Uncle Frank kept my aunt on life support way too long Money was not an issue for him but he was not going to let his wife go even though members of the family uietly urged him to face the inevitable Although there was life the uality of life was long gone Me I plan to take the least invasive path out of here When my time comes I just want to spend my final days and minutes laughing with familiar faces and voices with music because hearing is the last sense to go Interesting book Thirty three pages of notes This topic came on my radar four years ago when The Best American Essays 2012 published How Doctors Die by Ken Murray Fresh Air Oct 2012 Fresh Air July 2010 “When the evidence says no but the doctor says yes” from ProPublica and The Atlantic

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Modern DeathNguage of dying that have developed in the last century and how modern technology has not only changed the hows whens and wheres of death but the what of deathDelving into the vast body of research on the evolving nature of death Modern Death will provide readers with an enriched understanding of how death differs from the past what our ancestors got right and how trends and events have transformed this most final of human experienc. Two end of life emerged on my lengthy library reserve list at the same time Not pleasant reading but importantWhile MODERN DEATH is a sort of text book about death through the ages with discussions of cell death etc EXTREME MEASURES is of a handbook about what happens when one gets into the clutches of an ICU And it isn't prettyI thought it was especially telling that healthcare workers nurses doctors and others don't die the way members of the general public often do That's because healthcare workers avoid ventilators and extreme measures The author of EM even cites a nurse who had DO NOT INTUBATE tattooed on her chest More than a DNR is reuired to escape the extreme measures taken to preserve well not to preserve life but to preserve breathing and a beating heart even if useful brain function is gone foreverIn addition to a DNRDNI these often do not survive a patient's transfer from one facility to another people should have a POLST physician order for life sustaining treatment which has the force of law EM has many painful anecdotes and several pages of online resources such as polstorg and her own website jessicazittercom which are useful for informationMODERN DEATH is scholarly with many pages of bibliography Clearly the author did a ton of research but I found Zitter's book to be much practical and useful Except I hope I never need to read it again and that I and everyone I care about and for just fall asleep one night and never wake againThat's how it was with my mother She fell and ended up in an ICU with big mitts on her hands to prevent her from pulling out tubes etc I invoked hospice and got her out of there in a hurry and back to her own bed where she died five days later with my husband and me with her It was sad but it was peaceful