Being Mortal
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''Being Mortal: Medicine and What Matters in the End'' is a 2014 non-fiction book by American surgeon
Atul Gawande Atul Atmaram Gawande (born November 5, 1965) is an American surgeon, writer, and public health researcher. He practices general and endocrine surgery at Brigham and Women's Hospital in Boston, Massachusetts. He is a professor in the Department ...
. The book addresses
end-of-life care End-of-life care is health care provided in the time leading up to a person's death. End-of-life care can be provided in the hours, days, or months before a person dies and encompasses care and support for a person's mental and emotional needs, phy ...
,
hospice Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life b ...
care, and also contains Gawande's reflections and personal stories. He suggests that medical care should focus on well-being rather than survival. ''Being Mortal'' has won awards, appeared on lists of best books, and been featured in a documentary.


Description

''Being Mortal'' is a meditation on how people can better live with age-related frailty, serious illness, and approaching death. Gawande calls for a change in the way that medical professionals treat patients approaching their ends. He recommends that instead of focusing on survival, practitioners should work to improve quality of life and enable well-being. Gawande shares personal stories of his patients' and his own relatives' experiences, the realities of old age which involve broken hips and dementia, overwhelmed families and expensive geriatric care, and loneliness and loss of independence. In the beginning of the book he explores different models of senior living, including concepts such as
poorhouse A poorhouse or workhouse is a government-run (usually by a county or municipality) facility to support and provide housing for the dependent or needy. Workhouses In England, Wales and Ireland (but not in Scotland), "workhouse" has been the more ...
s, multi-generational households and
nursing home A nursing home is a facility for the residential care of older people, senior citizens, or disabled people. Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF), or long-term care facilities. Often, these terms ...
s. Gawande explores personal stories as well as accounts from geriatric doctors such as Keren Brown Wilson, an originator of the
assisted living An assisted living residence or assisted living facility (ALF) is a housing facility for people with disabilities or for adults who cannot or who choose not to live independently. The term is popular in the United States. Still, the setting i ...
concept. He ruminates on stories of people dealing with age-related frailty, serious illness and death, and his own confrontation with mortality. Gawande emphasizes the notion that people nearing death should be given the opportunity to live a meaningful life and still have a purpose. In the latter part of the book, Gawande shifts to end-of-life medical care and mentions practices such as
euthanasia Euthanasia (from : + ) is the practice of intentionally ending life to eliminate pain and suffering. Different countries have different Legality of euthanasia, euthanasia laws. The British House of Lords Select committee (United Kingdom), se ...
and
physician-assisted suicide Assisted suicide, sometimes restricted to the context of physician-assisted suicide (PAS), is the process by which a person, with the help of others, takes actions to end their life. Once it is determined that the person's situation qualifie ...
. He postulates that hospice is the most humane model of care. The book includes two of Gawande's New Yorker essays, which make up two of the book's eight chapters: "Things Fall Apart" and "Letting Go".


Reception

''Being Mortal'' won
British Medical Association The British Medical Association (BMA) is a registered trade union and professional body for physician, doctors in the United Kingdom. It does not regulate or certify doctors, a responsibility which lies with the General Medical Council. The BMA ...
Council Chair's Choice, the overall prize, at the BMA Medical Book Awards, and the National MS Society Books for a Better Life Award Winner. Other recognitions include, Samuel Johnson Prize for Non-Fiction Nominee for Longlist (2014),
Royal Society of Biology The Royal Society of Biology (RSB), previously called the Society of Biology, is a learned society and professional association in the United Kingdom created to advance the interests of biology in academia, industry, education, and research. Fo ...
General Book Prize (2015), Oprah.com Best Books of the Year, ''
Los Angeles Times The ''Los Angeles Times'' is an American Newspaper#Daily, daily newspaper that began publishing in Los Angeles, California, in 1881. Based in the Greater Los Angeles city of El Segundo, California, El Segundo since 2018, it is the List of new ...
'' Holiday Books Guide,
BuzzFeed BuzzFeed, Inc. is an American Internet mass media, media, news and entertainment company with a focus on digital media. Based in New York City, BuzzFeed was founded in 2006 by Jonah Peretti and John Seward Johnson III, John S. Johnson III to ...
Best Books of the Year, ''
Shelf Awareness Shelf Awareness is an American publishing company that produces two e-zines focused on bookselling, books, and book reviews: ''Shelf Awareness'' is aimed at general consumers, while ''Shelf Awareness Pro'' caters for industry professionals. ...
'' Best Books of the Year, Apple iBooks Best of the Year, L.A. Times Book Prize – Finalist,
NPR National Public Radio (NPR) is an American public broadcasting organization headquartered in Washington, D.C., with its NPR West headquarters in Culver City, California. It serves as a national Radio syndication, syndicator to a network of more ...
Best Book of the Year,
Indies Choice Book Awards The Indies Choice Book Award (formerly known as Book Sense Book of the Year 2000-2008) is an American literary award that was inaugurated at BookExpo America 2000. The American Booksellers Association (ABA) rededicated the award (previously known ...
winner, ''
Milwaukee Journal Sentinel The ''Milwaukee Journal Sentinel'' is a daily morning broadsheet printed in Milwaukee, Wisconsin, where it is the primary newspaper and also the largest newspaper in the state of Wisconsin, where it is widely read. It was purchased by the G ...
'' Guide to the 100 Best Books of the Year,
Barnes & Noble Discover Great New Writers Award The Barnes & Noble Discover Great New Writers Award is an annual literary prize presented by Barnes & Noble Barnes & Noble Booksellers is an American bookseller with the largest number of retail outlets in the United States. The company ...
,
Audie Award The Audie Awards (, rhymes with "gaudy"; abbreviated from ''audiobook''), or simply the Audies, are awards for achievement in spoken word, particularly audiobook narration and audiodrama performance, published in the United States of America. They ...
finalist,
Amazon's Best Books of the Year Amazon's Best Books of the Year is a list of best books created yearly by Amazon.com. It is a list of best books picked by Amazon editors and customers. It began in 2000. Customer favorites are ranked according to the number of sales made throug ...
,
Barnes and Noble Barnes & Noble Booksellers is an American bookseller with the largest number of retail outlets in the United States. The company operates approximately 600 retail stores across the United States. Barnes & Noble operates mainly through its B ...
Best New Books of the Year, and ''
The Economist ''The Economist'' is a British newspaper published weekly in printed magazine format and daily on Electronic publishing, digital platforms. It publishes stories on topics that include economics, business, geopolitics, technology and culture. M ...
'' Books of the Year.


Adaptations


Television documentary

"Being Mortal" was a
PBS The Public Broadcasting Service (PBS) is an American public broadcaster and non-commercial, free-to-air television network based in Arlington, Virginia. PBS is a publicly funded nonprofit organization and the most prominent provider of educat ...
Frontline documentary episode based on the book of the same name that aired February 2015. It was directed and co-written by Thomas Jennings; Gawande served as co-writer and correspondent. It follows Gawande "as he explores the relationships doctors have with patients who are nearing the end of life". The film shows how doctors—himself included—are often untrained, ill-suited and uncomfortable talking about chronic illness and death with their patients. "Being Mortal" was nominated for an
Emmy award The Emmy Awards, or Emmys, are an extensive range of awards for artistic and technical merit for the television industry. A number of annual Emmy Award ceremonies are held throughout the year, each with their own set of rules and award categor ...
in the "Outstanding Informational Programming: Long Form" category.


Film

In February 2022,
Searchlight Pictures Searchlight Pictures, Inc., formerly known as Fox Searchlight Pictures, is an American arthouse film production and distribution company, which since 2019 is owned by Walt Disney Studios, a division of the Disney Entertainment segment of the ...
announced the development of a film adaptation written, directed, and produced by
Aziz Ansari Aziz Ismail Ansari ( ; born February 23, 1983) is an American actor, comedian, and filmmaker. He played Tom Haverford on the NBC series '' Parks and Recreation'' (2009–2015) and created and starred in the Netflix series ''Master of None'' (2 ...
in his feature directorial debut. It was set to star Ansari,
Bill Murray William James Murray (born September 21, 1950) is an American actor and comedian, known for his deadpan delivery in roles ranging from studio comedies to independent dramas. He has received List of awards and nominations received by Bill Murra ...
,
Keke Palmer Lauren Keyana "Keke" Palmer ( ; born August 26, 1993) is an American actress, singer, and television personality. She has received numerous accolades, including two Primetime Emmy Awards and nominations for a Daytime Emmy Award and a Screen Act ...
, and
Seth Rogen Seth Aaron Rogen (; born April 15, 1982) is a Canadian actor, comedian, and filmmaker. Known primarily for his comedic Leading actor, leading man roles in films, the accolades he has received include nominations for three Golden Globe Awards, ...
. After
principal photography Principal photography is the phase of producing a film or television show in which the bulk of shooting takes place, as distinct from the phases of pre-production and post-production. Personnel Besides the main film personnel, such as the ...
began on March 28, 2022, Searchlight halted production on April 18 and officially suspended production on April 20 after investigating a complaint filed against Murray for "inappropriate behavior" a week prior.


See also

* '' A Beginner's Guide to Dying''


References

{{reflist 2014 non-fiction books American non-fiction books Metropolitan Books books Books about death Books by Atul Gawande Non-fiction books adapted into films