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MODERN DEATH

HOW MEDICINE CHANGED THE END OF LIFE

An important contribution to a serious discussion of profound life-and-death issues.

An examination of “our ongoing battle with aging, disease, and death.”

Notwithstanding the dramatic increase in life expectancy over the past century, death has become a taboo subject in polite society. “Never has death been as feared as it is today,” writes Warraich, a cardiology fellow at Duke University Medical Center who expresses the hope that his book will play a part in encouraging a more “honest and open conversation about death” among physicians and among patients and their family members. He explains how advances in the understanding of cellular functioning, coupled with improvements in end-of life treatment such as the ability to resuscitate people with cardiac arrest, have essentially blurred the line between life and death. Consequently, thorny new practical and ethical considerations have arisen regarding quality of life and the right to die: when is it appropriate to terminate the life of a patient in a vegetative coma? Does such a patient have a right to die? If so, who should be empowered to decide when life support should be terminated? Warraich describes how doctors are frequently forced to make such on-the-spot decisions for unconscious patients when relatives are unavailable and in instances where family members disagree. He explains that their training predisposes them to favor life extension even when the prospects of recovery are minimal. The author reviews the well-publicized case of Karen Ann Quinlan to illustrate the conflicts that may arise between doctors and relatives, and he takes an unflinching look at the problem for family caregivers when patients remain at the point of death for prolonged periods. This leads him to a compassionate consideration of physically assisted suicide, instituted when a patient expresses the desire to terminate his or her life rather than suffer a terminal illness. Warraich concludes this sensitive review of a painful subject with guarded optimism that a cultural shift toward open discussion is now occurring.

An important contribution to a serious discussion of profound life-and-death issues.

Pub Date: Feb. 7, 2017

ISBN: 978-1-250-10458-8

Page Count: 336

Publisher: St. Martin's

Review Posted Online: Dec. 6, 2016

Kirkus Reviews Issue: Dec. 15, 2016

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A PEOPLE'S HISTORY OF THE UNITED STATES

For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.

Pub Date: Jan. 1, 1979

ISBN: 0061965588

Page Count: 772

Publisher: Harper & Row

Review Posted Online: May 26, 2012

Kirkus Reviews Issue: Jan. 1, 1979

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I KNOW WHY THE CAGED BIRD SINGS

However charily one should apply the word, a beautiful book, an unconditionally involving memoir for our time or any time.

Maya Angelou is a natural writer with an inordinate sense of life and she has written an exceptional autobiographical narrative which retrieves her first sixteen years from "the general darkness just beyond the great blinkers of childhood."

Her story is told in scenes, ineluctably moving scenes, from the time when she and her brother were sent by her fancy living parents to Stamps, Arkansas, and a grandmother who had the local Store. Displaced they were and "If growing up is painful for the Southern Black girl, being aware of her displacement is the rust on the razor that threatens the throat." But alternating with all the pain and terror (her rape at the age of eight when in St. Louis With her mother) and humiliation (a brief spell in the kitchen of a white woman who refused to remember her name) and fear (of a lynching—and the time they buried afflicted Uncle Willie under a blanket of vegetables) as well as all the unanswered and unanswerable questions, there are affirmative memories and moments: her charming brother Bailey; her own "unshakable God"; a revival meeting in a tent; her 8th grade graduation; and at the end, when she's sixteen, the birth of a baby. Times When as she says "It seemed that the peace of a day's ending was an assurance that the covenant God made with children, Negroes and the crippled was still in effect."

However charily one should apply the word, a beautiful book, an unconditionally involving memoir for our time or any time.

Pub Date: Feb. 1, 1969

ISBN: 0375507892

Page Count: 235

Publisher: Random House

Review Posted Online: May 14, 2012

Kirkus Reviews Issue: Feb. 1, 1969

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