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Extreme Measures: Finding a Better Path to the End of Life
Free Ebook Extreme Measures: Finding a Better Path to the End of Life
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Review
"Like Atul Gawande's Being Mortal, Zitter's book shows how knowing when do to nothing is as vital to being a good doctor as knowing when do to everything."—New York Times Book Review“Jessica here reveals a fuller truth of how the end-of-life plays out within our healthcare system. There’s nothing easy in these pages, but plenty to learn from, cautions to absorb, and material for creating a better way.” —BJ Miller, MD, Assistant Clinical Professor of Medicine at UCSF"Part memoir, part exposé, this book is an insider's view of intensive care in America and its impact on how we die, written by a physician uniquely positioned to examine end-of-life care. Dr. Jessica Zitter’s wisdom derives from a career whose trajectory – she specializes in both ICU and palliative medicine – models a rethinking of care for the dying. Her book is a trenchant critique and a clarion call for end-of-life care that aligns with what each patient values most." —Lucy Kalanithi, MD"Dr. Zitter has pulled back the curtain on the needless suffering undergone by the dying in Intensive Care. Honest about her own uncertainties, mistakes and limitations, she spares no one, not even herself. The average person will learn much about the pitfalls of navigating the strange subculture of medicine close to the end of life.” —Katy Butler, author of Knocking on Heaven's Door: The Path to a Better Way of Death and A Good End of Life: a Practical Guide “America's healthcare system inadvertently makes things worse for dying patients and their families. This situation calls for Extreme Measures – and this book is the remedy we need. Dr. Zitter’s guidance is an elixir of medical sophistication, practical savvy, and timeless soulfulness. She writes with the clinical mastery of an intensivist and the personal sensitivity of a trusted friend.”—Ira Byock, MD, author of The Best Care Possible "Required reading for every young medical student and every family member wondering how to help the people they love live well to the end." —Ellen Goodman, founder of The Conversation Project "With compassion, intelligence, and a rare expertise, Jessica Zitter shines a light on some of the most difficult issues we face in our lives." —Angelo Volandes, MD, author of The Conversation: A Revolutionary Plan for End-of-Life Care "You wouldn't take a trip to a foreign country without learning as much as you could about its rituals, its culture, and its landscape. The ICU, a place many of us will pass through at least once in our lives, is as foreign as it gets. Thus Dr. Zitter provides an essential illumination for her fellow humans."—Diane E. Meier, MD. Director, Center to Advance Palliative Care "A stunning portrait of the ways decisions in the intensive care unit shape the way we live—and die—now. Whether we live with illness, love someone who is facing these decisions, or care for them professionally, Dr. Zitter has written a call to action that none of us can ignore.”—Anthony Back MD, author of Mastering Communication with Seriously Ill Patients: Balancing Honesty with Empathy and Hope “Extreme Measures provides a gripping and intimate tour of the experiences and dilemmas physicians, patients and families face dealing with terminal illness in the modern ICU. A tour de force for those seeking to better understand and improve care of patients and families at end of life."—James Mittelberger MD, MPH, FACP, FAAHPM, Optum Director and Chief Medical Officer, Center for Palliative Care and Supportive Care"Clarity and compassion unite in this touching and convincing new conversation on comfortable, patient-centered end-of-life care."—Kirkus Reviews
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About the Author
Jessica Nutik Zitter, M.D., MPH, is an expert on the medical experience of death and dying. She attended Stanford University and Case Western Reserve Medical School, and completed her residency in internal medicine at the Brigham and Women’s Hospital in Boston. She was a fellow in pulmonary and critical care medicine at the University of California San Francisco. Zitter is double-boarded in the two specialties of pulmonary/critical care medicine and palliative care medicine—a rare combination. She writes for The New York Times, The Huffington Post, Pacific Standard, The Atlantic, and Journal of Palliative Medicine, and is featured in Extremis, an Oscar-nominated Netflix documentary about end-of-life decision-making in an ICU.
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Product details
Hardcover: 352 pages
Publisher: Avery; 1 edition (February 21, 2017)
Language: English
ISBN-10: 1101982551
ISBN-13: 978-1101982556
Product Dimensions:
6.2 x 1.2 x 9.3 inches
Shipping Weight: 1.2 pounds (View shipping rates and policies)
Average Customer Review:
4.7 out of 5 stars
73 customer reviews
Amazon Best Sellers Rank:
#55,399 in Books (See Top 100 in Books)
I had placed this book on my wish list. I was sure I should read it. I was not sure I wanted to read it. Without divulging my own history, allow me to say that I am a lifelong skeptic in so far as the value of medical treatment for any but the most common human conditions. At the same time I have the highest respect for the sacrifices made by nurses and physicians. In the end, I clicked on the wrong button and ended up with a complete copy in my Kindle.The first time I attempted to read it the early history of author and ancestors caused buyers remorse. The second time I started with chapter 2 and was immediately engrossed. That was because it validated nearly all my firmly held convictions about just how badly so many people end their lives in the ICU. Please consider that living in Brazil and traveling in much of latin america opened my eyes to pain, suffering, and death many years ago. Inflicting it in the ICU seems much worse, however.My parents are deceased. In the ten years following the death of one, management of death had improved remarkably for the other. With the passage of death with dignity here in Colorado, I see a glimmer of hope that death may come to be viewed as merely the end of life. For many it will merely become a release without the fears of anguish so frequently dispensed in the ICU.
There have been a number of important texts (Being Mortal, Modern Death, The Conversation) written about end of life and end of life choices and non-choices. This new book by Dr Zitter by another excellent book for those interested in this topic. Dr Zitter has a long history as an intensivist and palliative care physician, an unique combination that allows her to understand the nuances of "conveyor belt medicine" that is now the default for the dying in America. Her stories are poignant and revealing, including the fact that she herself struggles to complete her advance directive. Family physicians, geriatricians, internists, and oncologists should read this book and think about it. Medical care should be about the patient, not about the doctor or the malpractice attorney.
Outstanding! Extreme Measures arrived at my door on Friday, I started it Saturday evening, and finished it Sunday afternoon. Replete with personal anecdotes and stories from a career that has spanned more than 20 years, Dr. Zitter succeeds in exploring and revealing the complexities, moral and ethical, of end-of-life care in twenty-first century America. As she so thoughtfully and compassionately points out, striving for a good death is no less important than fiercely fighting to help those who may recover, once the point has been reached where cure is no longer possible and the costs of delaying the inevitable are measured in dehumanizing and often unbearable suffering for patient and family alike.Dr. Zitter is a very gifted writer, but more importantly: She shows herself to be the physician any of us would want caring for ourselves or for our loved ones in our hour of need.
Working in long term care and rehabilitation I am amazed how very few patients are presented with choices in an honest manner. Extreme Measures is a breath of fresh air, candid and humane. The author willingly exposes her own shortcomings/ignorance as a young physician when embarking on the journey of not only saving lives but saving patients from unnecessary suffering. I applaud her.There is no right or wrong to informed choices, but their is literally a lot "deathly" wrong with suffering due to ignorance or unwillingness to share the good the bad and the ugly with those most vulnerable. Only when we lift the veil and shadow off of death can we get up close and personal with our own personal endings and celebrate death as honorable and human as birth.
This is a deep and deeply helpful book, beautifully written. All of us will die, sometimes in ways we do not want but can change with forethought. This book helps us prepare to navigate the many choices at critical points, especially at the end of life. The short, compassionate descriptions of real life situations that went well, or badly, give concrete examples of what we might face and what we can do about it. The author is uniquely qualified to speak to these issues, as both an intensivist (ICU doctor) and a palliative care specialist. i am so glad I have this in my end of life tool kit.
If you care at all about end-of life-issues, either for yourself or for the sake of your loved ones.,I highly recommend that you read this book. Had this book been available before my father's death, he could have been spared a lot of pain and treatments that only contributed to his suffering without improving his quality of life or his overall health. You never know when you'll be faced with these tough decisions, or when someone else will be tasked with making these decisions on your behalf. This book is extremely informative and will help you prepare at any stage of your life.
Read this book after watching the documentary featuring Dr. Zitter. It is an honest appraisal of what the health care system has to offer--and fails to deliver at times. I admit to being a passionate zealot on the subject of palliative care but would recommend this book to anyone who is, or may one day be, making medical decisions for oneself or for another. A refreshingly candid respective on how to best prepare oneself for the realities of today's health care as the end of life approaches.
Extreme Measures is an incredible book! Dr. Zitter reaches back into her moments of professional distress and resulting insights to bring us a new way of caring for the seriously ill. This book will seed the revolution for re-empowering patients and families.
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