2015

Cheers Publishing

207000
32.99

Being Mortal: Medicine and What Matters in the End by Atul Gawande
Copyright 2014 by Atul Gawande
All rights reserved including the rights of reproduction in whole or in part in any form.

Being Mortal
Medicine
and
What Matters
in the End

Katherine Boo

Janet Maslin

Peter Carey

Diana Athill

01

100

02

03

04

05

06

100

07

100

08

Being Mortal
Medicine
and
What Matters
in the End

WHO

1987
1995

0.6

45

1996
2 240
738

620

20%

13 600

50

34

ICU

ICU

50

30 000

45


19

***

60

50

19

***

1945

20

80

17%

Sherwin Nuland

How We Die

21

***

10

1985

77

6
10

60

1965
56

20

1963

1976

200


500

12
18
12

12
3

1 200
13

110

19
71

Emily Dickinson

40

[1]

18

1790
14%
1

65

2%
20%

***

20

50
60

20

19

21

20

30
20
30

30
50

60

10

65

60%
15%

80

60
10%

25%

20
1975

1960
Del Webb

retirement community

1992

84

[1]

20

50
2-1

2-1

30

20

4%

30

2-2

2-2

2-3

2-3

97

40%

20%

60

1/3

85

40%

65
30

40

80

25%~50%
40%
X

50

1%

29
48


30
400

70

2.5

40

85
40%

***

23.5

6.3

10

10
30

28

16

80

Demographic Research

90%

15

James Vaupel

Max Planck Institute for

3%

Leonid Gavrilov

DNA
DNA

50

60

Jewish Institute

40
20

Felix Silverstone
24

1/3
Parker
100

Younger Next Year

Ageless

The Fountain of Age

The Sexy Years

11%
30

80

1950

45~49
5

6%

80

1%

50

65

5
5

65

20%

1996

2010

25%

50

15

80

Juergen Bludau

85

23

The Price Is Right

45

35

40%
4

20%
12%
100%

86

***

1 000

7 000

568

18
1/4

70

10%
50%

40%

75
40

Chad Boult

the John Hopkins Bloomberg School of

Public Health

1 350
Medicare

25 000
20

50
87

60
79

200

1.73

82

60
Flatbush
70

10
2001
Orchard Cove

75

assisted living

3.2
12

80
5

1.5

87
87

300

10

97%
10

***

Stoughton
10

63 000

85

George Weller
10

86

138
45

72

60

Everyman

Philip Roth

90

70

24

continuum of care

Longwood House
10

1992

11

1913

Mabel Nassau

100

65
27

35

62

72
67

poorhouse

almshouse

1912

12

1909
25

20
2/3
1935

100

60

100

Harry Truman

1980

83
5
300

16

80

16

1980

18

40

Art Carney

***

20
1937
Thomas

Boston City Hospital

Lewis

1946

20

Hill-Burton Act
9 000

1935
Social Security Act

20

50

1954

1965

1970

13 000
32
36

1993
X

50

Erving Goffman

Asylums

89

DVD

10

***
1994

88

40
50
67

3%

1994 10
73

76

10

cribbage

20

2003

85

88

90

***

90

TV ears

Keren Brown Wilson

80

19
55

[1]

20

1983

Park Place

112

M&M


142
1998
20%

1943
A Theory of Human Motivation

Abraham Maslow

Laura Carstensen
200
18
94
24

35
5

1974

21
Hot Tuna

21

21

15

socioemotional selectivity theory

23
66

20

2003

93

SARS

9 11
300

***
1990

Assisted
Living Concepts
3 000

Sunrise
2000
18

184

2010

Atria

Sterling

Karrington
100


16

2003

1 500

11%

2000
CEO

Foundation

Jessie F. Richardson

92

Danielle Steel

92

24

[1]

1991

31
Chase Memorial Nursing Home
80%

Bill Thomas
80

20

70

4.0

Beth Israel Hospital

531

2 000

100

20

100

100

100

60

100

100

M.C.
M.C.

100

Haldol

38%

Ellen Langer

15%

70

20

Judith Rodin

[1]

60
L

1908
Loyalty

Josiah Royce

The Philosophy of

transcendence

1992

2010

20

NewBridge

60
16

household

20

99

24

100

110

79

86

15

Fifty Shades of Grey

70%

Peter Sanborn Place

1996

1983

73

Cure Alzheimers Fund

70

13

25

35

24

85

11
4

24

55

30

93

GPS

90

30
30

***

Beacon Hill Villages

1986

Ronald Dworkin

Pioneer Network

2000

Green House Replication Initiative

25

10

150

National

10
12

10

MSNBC

MSNBC

Dracula

Robert

Ludlum
YouTube

Benny Goodman

Pandora

94

Karma

[1]

34
X

39

free day
8

cancer

55

6.9


15%

85%

10

CT


11

CT

25%

5%

2011
28 000
2 000

U
94 000

12 000

4 000

7 000

80
70
80

10

2008

Coping With Cancer

6

***

1799

12

13

Joanne Lynn

1415
100

60

ICU

ICU

72

10

24

1/4

99%

100%

42
3

comfort pack

1
6

10

911

100

20

supportive care
PF0231006

10

20

500
17%
[1]

Nicholas Christakis
63%
530%

40%

PET

12

12

CT

1
2

9
PF0231006

1.3

24
2

12

5
23

2
1985

15

Stephen Jay Gould

The Median Isnt the Message

8
20

2002

60

1985

100%

22

911

***

8
5

rationing

20

90

1991

38

Health Net

21.2

8
8 900

HMO

2004

10

Aetna

26%

70%
ICU

2/3

1/4

palliative care

70%

ICU

85%

2/3

4
1/3

ICU

2010

151

1/4

FDA

4 493
3

***
6

50%
1

ICU
Gregory Thompson

Gundersen Lutheran Hospital

ICU
60

ICU

1991
4
4

1996
15%

85%

ICU

Susan Block

70

20%
100%

10

***

breakpoint discussion

29

2/3

Lee
[2]

George Custer

Robert

ICU
2

Chuck Morris

[1]
[2]

10

2/3

2030

1/2

80

80

1945
17%
45%

20

90

20

80
2010

70
2 000

30
X

2006

300

25%

Edward Benzel

Van Dyke

Ezekiel Emanuel

Linda Emanuel

20

72

1/3
1/3

25%

CT

CT

1956

Nat King Cole

Bob Arnold

ODTAA
Thing After Another Syndrome

2009

One Damn

10

Email

59

26 000

[1]

3 700
60

24

2010

30

150

ICU

L-I-S
HAPPY

T-A-P

).
ICU

19

120

MRI

10
befacizimab

carboplatin

temozolomide

4.1
thalidomide

vincristine

vinblastine

[2]

befacizimab
30%

10

20

10

20

911
Emergency Medical Technician, EMT
X

75

911
120

1/3

Beacon Hill Village

2009

Athens Village
400

75
100

400

visiting nurse agency

80

nurse practitioner

50

24

14

Do not resuscitate

DNR

24

911

Email

Skype

20

[1] Wendys
[2]

380

11

30

75%
25%


Thinking, Fast and Slow
Daniel Kahneman

Donald Redelmeier

287
1

10

60
4

60
1/3

1/4

10

Peak-End rule

90%

assisted suicide

2012

35

13

1/3

62

13

48

dying role

50

X
70%

100%

ICU

10

Lowe,s

yellow split-pea dahl

black-eyed-pea chutney

shira

Ipad

10

***

12

moksha

Being Mortal
Medicine
and
What Matters
in the End

Gawande

Sushila

Meeta

Yadaorao Raut


Robert Jenkens
Dana Farber Cancer Institute

15
Ariadne Lab

Seecharan

Katie Hurley
Tanya Palit

Jennifer Nadelson
Arnie Epstein

Chip Moore

Dalia Littman
Karlage
Bourbon Brambles

Khaleel

Kristina Vitek

Bill Berry
Michael Zinner

Ami

[1]

[Josiah Royce]

Tina Bennett

Henry Finder

David Segal

Grigory Tovbis

Roslyn Schloss

Jacob Weisberg
Leo Carey
Riva Hocherman

Kathleen Hobson

[1] David Remnick

Sara Bershtel

Being Mortal
Medicine
and
What Matters
in the End

2014

10

Being Mortal

Being Mortal

mortal being

mortal being

being mortal

Allan H. Barr