Karen's Reviews > Being Mortal: Medicine and What Matters in the End

Being Mortal by Atul Gawande
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Catching up…

It was December 2016 when our Library Book Discussion group decided to read and discuss this book. It seemed appropriate at the time. A lot of us were dealing with either aging parents, or our own feelings about death and dying. His focus was on assisted living. I was caregiving my mother, and my husband was caregiving his father in the same assisted living environment. So, this discussion and book was very personal for me, at the time.

My Mom and father-in-law have since passed on. (Interestingly, within two weeks of each other.) But I remember how helpful this book was for me, and the group of men and women who surrounded me in discussion that day.

We shared how to distill what mattered most to each of us in life so that we could navigate our way toward the edge in a meaningful and satisfying way.

I won’t go into the various stories that he shares about the different people through his pages, I think that is best read by readers, but he did bring up a variety of heartfelt statements that were meaningful discussion moments for us as a group. As an example…

“It is not death that the very old tell me they fear. It is what happens short of death.”

In our discussion, we wondered how our family would feel about telling them, “I’m ready to go” or even if we would know how we would feel when we were ready to go. It was that fine line about striking a balance between fear of death and just being ready to let go.

I remember that this wasn’t an easy discussion to have with my mother. Especially as her mind began slipping from the Dementia with Lewy Bodies/Parkinson’s Disease.

One day, my mother shared with me that she was afraid of her own pending death. I tried to calm her. I remember her asking me what stage she was in of Parkinson’s disease. And I tried to explain it to her as sensitively as I could. I found out that after I left, her caregiver called me and said she was in tears, because she thought she was going to die soon. I drove back to her immediately, to calm her again and reassure her that wasn’t the case. I realized then, that this was only the beginning that things were going downhill for her – mind.

So much of our discussion about this book, talked about the various fears and challenges associated about end-of-life. The book asked us to consider…

How can we appreciate, honor, value a life, our well-being to live and die in dignity?

I certainly appreciated the experience of this book in working with my mother through her end-of-life.

The author may not have all the answers in this book, but he definitely opened the conversation.
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Quotes Karen Liked

Atul Gawande
“In the end, people don't view their life as merely the average of all its moments—which, after all, is mostly nothing much plus some sleep. For human beings, life is meaningful because it is a story. A story has a sense of a whole, and its 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 this fundamental aspect of human existence. A seemingly happy life maybe empty. A seemingly difficult life may be devoted to a great cause. We have purposes larger than ourselves.”
Atul Gawande, Being Mortal: Medicine and What Matters in the End

Atul Gawande
“Our ultimate goal, after all, is not a good death but a good life to the very end.”
Atul Gawande, Being Mortal: Medicine and What Matters in the End

Atul Gawande
“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.”
Atul Gawande, Being Mortal: Medicine and What Matters in the End

Atul Gawande
“The battle of being mortal is the battle to maintain the integrity of one’s life—to avoid becoming so diminished or dissipated or subjugated that who you are becomes disconnected from who you were or who you want to be.”
Atul Gawande, Being Mortal: Medicine and What Matters in the End

Atul Gawande
“When you are young and healthy, you believe you will live forever. You do not worry about losing any of your capabilities. People tell you “the world is your oyster,” “the sky is the limit,” and so on. And you are willing to delay gratification—to invest years, for example, in gaining skills and resources for a brighter future. You seek to plug into bigger streams of knowledge and information. You widen your networks of friends and connections, instead of hanging out with your mother. When horizons are measured in decades, which might as well be infinity to human beings, you most desire all that stuff at the top of Maslow’s pyramid—achievement, creativity, and other attributes of “self-actualization.” But as your horizons contract—when you see the future ahead of you as finite and uncertain—your focus shifts to the here and now, to everyday pleasures and the people closest to you.”
Atul Gawande, Being Mortal: Medicine and What Matters in the End


Reading Progress

April 14, 2023 – Shelved
April 14, 2023 – Shelved as: excellent
April 14, 2023 – Shelved as: loved-it
April 14, 2023 – Shelved as: favorites
Started Reading
March 27, 2024 – Shelved as: book-discussion-perfect
March 27, 2024 – Shelved as: captivating
March 27, 2024 – Shelved as: compelling
March 27, 2024 – Shelved as: complex
March 27, 2024 – Shelved as: conversational
March 27, 2024 – Shelved as: creates-questions
March 27, 2024 – Shelved as: educational
March 27, 2024 – Shelved as: engaging
March 27, 2024 – Shelved as: heart-felt
March 27, 2024 – Shelved as: makes-you-think
March 27, 2024 – Shelved as: thought-provoking
March 27, 2024 – Shelved as: thoughtful
March 27, 2024 – Shelved as: transformative
March 27, 2024 – Finished Reading

Comments Showing 1-23 of 23 (23 new)

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message 1: by Karine (new)

Karine A very thoughtful review Karen, thank you. I believe we should be more open about our end of lives, certainly in an era where so many people chase youth and fitness instead of embracing who we truly are - at the age we truly are. Eventually we will all face loss, not only of those we love, but also little bits of ourselves as we age. To quote my (since long deceased): father: be grateful for your aches and pains of aging; the alternative is dying young.


message 2: by Karen (last edited Mar 27, 2024 09:55AM) (new) - rated it 5 stars

Karen Karine wrote: "A very thoughtful review Karen, thank you. I believe we should be more open about our end of lives, certainly in an era where so many people chase youth and fitness instead of embracing who we trul..."

Thank you, so very much. Ahhh...Karine, your father said it so well. Yes, I believe so strongly in present moment living. Be grateful for this day. Be in this moment. It is really all that we know that we have. It doesn't mean we can't plan for tomorrow, but it really is today that matters more than anything. Thank you for your beautiful comments! 💝


message 3: by Karine (new)

Karine Karen wrote: "Karine wrote: "A very thoughtful review Karen, thank you. I believe we should be more open about our end of lives, certainly in an era where so many people chase youth and fitness instead of embrac..."

And let's keep reading wonderful books that open up our minds for the world around us ! 💝 Enjoy your day Karen.


Emma Wonderful, thoughtful review, Karen. I didn't have an opportunity to read this before or while caring for my husband at the end of his life. This book, along with many others, gave me comfort that his end of life was as good as it could have been.


Karen Emma wrote: "Wonderful, thoughtful review, Karen. I didn't have an opportunity to read this before or while caring for my husband at the end of his life. This book, along with many others, gave me comfort that ..."

Oh Emma. My heart opens wider for you knowing this about your life experiences. Thank you for sharing this with me. I can appreciate your personal experience. I can only imagine. Hugs. 🤗


Emma Thank you, Karen. The hugs are appreciated and returned.


message 7: by Renee (new)

Renee Roberts Very touching, Karen. Hugs.


message 8: by CoachJim (new)

CoachJim That is a very touching review Karen. An important book, although I may be on the receiving end of this discussion these days. I have seen this book around but have not read many reviews. I thought the quote “It is not death that the very old tell me they fear. It is what happens short of death.” was especially important.

A very compelling review Karen and I was happy to see all the stars.


message 9: by Yun (new) - rated it 4 stars

Yun Moving review, Karen. Yes, I also appreciated how he opened the conversation with this book.


Karen Emma wrote: "Thank you, Karen. The hugs are appreciated and returned."

🙏


Karen Renee wrote: "Very touching, Karen. Hugs."

Thank you so much Renee. 💝


Karen CoachJim wrote: "That is a very touching review Karen. An important book, although I may be on the receiving end of this discussion these days. I have seen this book around but have not read many reviews. I thought..."

Thank you so much Jim. I understand completely what you share here. Every day matters, doesn't it? 💝


Karen Yun wrote: "Moving review, Karen. Yes, I also appreciated how he opened the conversation with this book."

Thank you Yun. I know you did! 🙏


message 14: by TL (new) - rated it 5 stars

TL Beautiful review hun.


Karen TL wrote: "Beautiful review hun."

Thank you so much TL. ❤️‍🩹


message 16: by TL (new) - rated it 5 stars

TL You're welcome 😊


message 17: by Vicki (new) - added it

Vicki Herbert I need this book. I'm caregiving my mother in my home.


message 18: by Rosh (new) - added it

Rosh That's a beautiful review further enhanced by our personal touch, Karen. Such a tough topic to explore! I definitely want to read this but when I am in a stronger frame of mind.


message 19: by Zaynab (new)

Zaynab Aww this is so touching! Moving review Karen 💛


Karen Vicki wrote: "I need this book. I'm caregiving my mother in my home."

Oh Vicki, I can imagine what you are experiencing right now. I believe this book will be helpful for you. ❤️‍🩹


Karen Zaynab wrote: "Aww this is so touching! Moving review Karen 💛"

Thank you so much Zaynab. ❤️‍🩹


Karen Rosh (is busy; will catch up soon!) wrote: "That's a beautiful review further enhanced by our personal touch, Karen. Such a tough topic to explore! I definitely want to read this but when I am in a stronger frame of mind."

Ahhh... thank you Rosh. I understand completely. ❤️‍🩹


message 23: by JoJo_theDodo (last edited Jun 17, 2024 06:30PM) (new) - added it

JoJo_theDodo It seems like our recent reads are pointing to us both being on the same focus/thoughts. I’ve had health issues happening lately as well and it’s been challenging to say the least. I wish death was discussed more lately so maybe it could help alleviate some of the anxiety/fear around the topic. As it is now lately I’ve lost sleep thinking about it. Maybe it can be a small comfort that we’re not alone in what we’re going through…


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