Gawande begins “Letting Go” with the story of Sara Thomas Monopoli, 39 weeks pregnant with her first child “when her doctors learned that. I want to draw people’s attention to a fantastic new piece in the New Yorker by Atul Gawande titled, “Letting Go: What should medicine do when. THE NEW YORKER. ANNALS OF MEDICINE. LETTING GO. What should medicine do uhen it can’t suve pour life? by Atul Gawande. AUGUST *. >> wait.

Author: Kagat Negal
Country: Armenia
Language: English (Spanish)
Genre: Politics
Published (Last): 11 March 2007
Pages: 255
PDF File Size: 13.64 Mb
ePub File Size: 14.93 Mb
ISBN: 840-9-71323-561-6
Downloads: 7405
Price: Free* [*Free Regsitration Required]
Uploader: Shacage

Atul Gawande: “Letting Go: What Should Medicine Do When It Can’t Save Your Life?”

That said, as discussed earlier, the medical culture is rigid in many parts of the country. One person found this helpful. The subject is how doctors at a New Orleans hospital may have been to quick to euthanize a group of patients while desperately waiting for rescue after Katrina.

February 12, Sold by: When you have a patient like Sara Monopoli, the last thing you want to do is grapple with the truth. John Ballard, Barry John—Thanks— and thanks for confirming atjl I had read and heard about the South from doctors down there.

“Letting go,” and why it’s so hard to do: Atul Gawande explores the challenges of end-of-life care

Many doctors and hospitals fear that they will lose revenue. Atuk you can start reading Kindle books on your smartphone, tablet, or computer – no Kindle device required.

English Choose a language for shopping. It is the most common non-cardiac cause of critical illness and is associated with a high mortality rate. All this is just another way in which our love affair with high tech medicine has prevented us from offering better and more appropriate care and harmed patients as well as the economy.


In some places, we may have to wait for a generation of doctors to retire. Two years later, over-the-counter preparations of these drugs were voluntarily withdrawn by the manufacturers. So she was geared up, eager to discuss when to operate.

What we spend now, per capita, far exceeds spending in any other developed country. His wife took part in the discussions.

She had told her family on legting occasions that she did not want to die in the hospital. Since, as the Gawande article stresses, discussions involving planning for the death of patients are well outside the comfort zone for most doctors as well as outside their training experience, many simply choose to ignore the notion, or as Gawande admits about himself, botch and chicken out of discussions.

Missed opportunities in medical student education. But what happens to those who survive their hospitalization for severe sepsis? Two-thirds athl the terminal-cancer patients in the Coping with Cancer study reported having had no discussion with their doctors about their goals for end-of-life care, despite being, on average, just four months from death. Their use gawabde hospitals and I. In many instances this is the first time people hear that their loved ones are dying.

Letting Go: What Should Medicine Do When It Can’t Save Your Life?

Amazon Renewed Refurbished products with a warranty. Someone is paid for those extreme, often very lucrative treatments during the last two weeks of life: Read more Read less. They are not going to gawxnde large medical organizations; they are going to remain in small private practices doing things exactly the way they think best—the way they have always done them.

Patients need to understand their illness and their options — that they can have comfort care, or that certain treatments may have side effects, or may prolong life without improving it. Gawande writes that by many objective metrics, patients who seriously discussed end-of-life care ended up suffering less:. For most of us, that would mean dying at home with palliative or hospice care. My dad went to the hospital for pneumonia. Stul how to let go is Mary Beth Willi’s first work, in a line of many books to follow.


Atul Gawande New Yorker Article “Letting Go”

Curiously, hospice care seemed to extend survival for some patients; those with pancreatic cancer gained an average of three weeks, those with lung cancer gained six weeks, letging those with congestive heart failure gained three months.

But, ultimately, death comes, and no one is good at knowing when to stop. At Gundersen, Linda Briggs, assoc.

Ms Cox was the only one who was older at Amazon Second Chance Pass it on, trade it in, give it a second life. Market purists blame the existence of insurance: For these patients, too, hospice enrollment jumped to seventy per cent, and their use of hospital services dropped sharply. I give them this booklet to help them understand the dying process, and they always come back to me and state how it has helped them.

In his article Dr. It may seem biased for me to write this as Mary Beth is my mother in law.