The way we die now : the view from medicine's front line

First Title Value for Searching:

Personal Author:

O'Mahony, Seamus

Edition:

First U.S. edition.

Physical Description:

xii, 292 pages ; 22 cm.

General Note:

Orignally published: London : Head of Zeus, 2016.

Summary:

"We have lost the ability to deal with death. Most of our friends and beloved relations will die in a busy hospital in the care of strangers, doctors, and nurses they have known at best for a couple of weeks. They may not even know they are dying, victims of the kindly lie that there is still hope. They are unlikely to see even their family doctor in their final hours, robbed of their dignity and fed through a tube after a long series of excessive and hopeless medical interventions. This is the starting point of Seamus O'Mahony's The Way We Die Now, a thoughtful, moving and unforgettable book on the western way of death. Dying has never been more public, with celebrities writing detailed memoirs of their illness, but in private we have done our best to banish all thought of dying and made a good death increasingly difficult to achieve"--

Contents:

What do I know? -- Hidden death -- A hesitation to be brave -- How the poor die -- Deathology -- Celebrity cancer ward -- A passion for control -- To philosophize is to learn how to die -- Live for ever -- Creatureliness.

Subject Term:

Death -- Sociological aspects.

Death -- Social aspects.

Terminally ill -- Care.

Publication Info:

New York : Thomas Dunne Books, 2017.

Subject:

Death -- Sociological aspects.

Death -- Social aspects.

Terminally ill -- Care.

Death -- Philosophy

Dying

End of life

Dying persons

Fatally ill

SAILS ISBN:

9781250112798

Available:

Library	Shelf Number	Shelf Location	Status
Searching... Mattapoisett Free Public Library	306.9 OMA 2017	NONFICTION	Searching... Unknown

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On Order

Summary

We have lost the ability to deal with death. Most of the dying spend their last days in general hospitals and nursing homes, in the care of strangers. They may not even know they are dying, victims of the kindly lie that there is still hope. They are often robbed of their dignity after a long series of excessive and hopeless medical interventions.

This is the starting point of Seamus O'Mahony's book on the western way of death. Dying has never been more exposed, with public figures writing memoirs of their illness, but in private we have done our best to banish all thought of death.
Dying has become medicalized and sanitized, but doctors cannot prescribe a "good death." The Way We Die Now asks us to consider how we have gotten to this age of spiritual poverty and argues that giving up our fantasies of control over death can help restore its significance.

Reviews (3)

Publisher's Weekly Review

Irish gastroenterologist O'Mahony adopts an extraordinary view of end-of-life care in the 21st century, exploring the difficult conversation that many doctors have come to avoid in a world of consumer-friendly medicine. O'Mahony persuasively argues for telling dying patients "things they do not want to hear," thereby becoming the "amicus mortis" who "tells you the bitter truth and stays with you to the inexorable end." He writes from his own experiences with people dying in hospitals, as well as those of friends and family. O'Mahony also reflects on the accounts of writers and philosophers, including Phillipe Ariès, Ernest Becker, Christopher Hitchens, Ivan Illich, and Susan Sontag. He tracks the medical movement toward living wills and assisted suicide as "informed by a passion for personal autonomy: for control," eloquently reasoning that "human agency has replaced the powers of nature, 'majestic, cruel, and inexorable.'" Death is messy and always will be, he notes, and "eventually, inevitably, nature, or the syringe-driver, takes control." The "over-medicalization" of modern dying is at the core of O'Mahony's criticism; he maintains that doctors might better help their dying patients by giving up "the quest to conquer nature" and returning "to a core function of providing comfort and succor." O'Mahony's clear-eyed analysis is important, poignant, and immensely humane. (July) © Copyright PWxyz, LLC. All rights reserved.

Booklist Review

Gastroenterologist O'Mahony focuses on the Lie: the tendency in wealthy Western countries to keep the terminally ill ignorant of imminent death and how this approach often undermines a more peaceful close to life. It also encourages overreliance on medicine, with much pointless treatment and many graceless deaths, such as putting extremely old and sick people in ICU units. Many Westerners view hospitals as dust bins meant to process all unpleasant medical situations. This, along with health care and legal systems that foment overtreatment, creates impossible situations, with doctors accused of overintervention, then being sued for giving false hope. Should nursing homes send declining patients to the hospital or let them stay in a familiar setting at the risk of the home being accused of neglect? O'Mahony shows how living wills and other directives meant to clarify end-of-life decisions can be misconstrued and how assisted suicide can be more about excessive control than dignity. Though he seems, at times, to view any fight against terminal disease as delusional, O'Mahony's thorough exploration of an increasingly urgent topic should create solid demand.--Carr, Dane Copyright 2017 Booklist

Library Journal Review

Gastroenterologist O'Mahony (Univ. of Cork Hospital, Ireland) examines the purpose and limitations of modern medicine, especially as it tends to dominate the end of human life. Drawing on his 30 years of experience, he considers the role of medical technology and intervention in an array of scenarios: resuscitation, intubation, and terminal care for patients with chronic illness, as well as the experiences of accidental, sudden, or premature death. The author clearly evaluates the fallibility of some procedures when death is inevitable, showing how familial attitudes influence medical decisions while also bringing a social and historical dimension to his reflections. This analysis summarizes Western perspectives of death and dying from cultural anthropologists Geoffrey Gorer and Ernest Becker, historian Philippe Aries, and social philosopher Ivan Illich. Their disparate works shed light on the communal manner in which death has been "tamed," denied, diminished and medicalized. The book concludes that religion and spirituality must complete what medicine cannot adequately accomplish. VERDICT A valuable and thoughtful treatment that effectively draws on O'Mahony's professional insights as well as his Irish Catholic upbringing to provide cglimpses into Western society's relationship with mortality.-Bernadette McGrath, Vancouver P.L. © Copyright 2017. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.