Final Exam: A Surgeon's Reflections on Mortality
(OverDrive MP3 Audiobook, OverDrive Listen)
When Pauline Chen began medical school 20 years ago, she dreamed of saving lives. Almost immediately, Chen found herself wrestling with medicine's most profound paradox: that a profession premised on caring for the ill also systematically depersonalizes dying. Final Exam follows Chen over the course of her education, training, and practice as she grapples at strikingly close range with the problem of mortality. She struggles to reconcile the lessons of her training with her innate knowledge of shared humanity, and to separate her ideas about healing from her fierce desire to cure. Chen's transfixing and beautiful rumination on how doctors negotiate the ineluctable fact of death becomes, in the end, a brilliant questioning of how we should live.
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Pauline W. Chen. (2016). Final Exam: A Surgeon's Reflections on Mortality. Unabridged Phoenix Books.
Chicago / Turabian - Author Date Citation (style guide)Pauline W. Chen. 2016. Final Exam: A Surgeon's Reflections On Mortality. Phoenix Books.
Chicago / Turabian - Humanities Citation (style guide)Pauline W. Chen, Final Exam: A Surgeon's Reflections On Mortality. Phoenix Books, 2016.
MLA Citation (style guide)Pauline W. Chen. Final Exam: A Surgeon's Reflections On Mortality. Unabridged Phoenix Books, 2016.
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When Pauline Chen began medical school 20 years ago, she dreamed of saving lives. Almost immediately, Chen found herself wrestling with medicine's most profound paradox: that a profession premised on caring for the ill also systematically depersonalizes dying. Final Exam follows Chen over the course of her education, training, and practice as she grapples at strikingly close range with the problem of mortality. She struggles to reconcile the lessons of her training with her innate knowledge of shared humanity, and to separate her ideas about healing from her fierce desire to cure. Chen's transfixing and beautiful rumination on how doctors negotiate the ineluctable fact of death becomes, in the end, a brilliant questioning of how we should live.
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- content: Dr. Pauline W. Chen, a surgeon, began her journal twenty years ago, when her profession began to bring her face-to-face with death on a regular basis. As time went on, she found she continued to confront the residual effects of many of these experiences in her personal and professional lives. Chen's controlled and soothing narration painstakingly escorts listeners through some uncomfortable subject matter, making the most poignant scenes almost bearable to hear. With grace and poise Chen opens a window onto one of the most challenging aspects of a surgeon's job--coping with a patient's death when all efforts to heal have failed. B.J.P. (c) AudioFile 2007, Portland, Maine
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November 20, 2006
Like most physicians, Chen, a transplant surgeon and former UCLA faculty member, entered medicine in order to save lives. But as a medical student in the 1980s, she discovered that she had to face death repeatedly and "found disturbing inconsistencies" as she learned from teachers and colleagues "to suspend or suppress any shared human feelings for my dying patients." Chen writes with immaculately honed prose and moral passion as she recounts her quest to overcome "lessons in denial and depersonalization," vividly evoking the paradoxes of end-of-life care in an age of life-preserving treatments. Chen charts her personal and professional rites of passage in dealing with mortality, from her first dissection of a human cadaver, through the first time she pronounces a patient dead, to having to officially took responsibility for the accidental death of a patient in her care. Focusing on the enormous moral and psychological pressures on doctors and on the need for greater empathy in hospital end-of-life care, Chen also reports on signs of change within the profession, stemming from both criticisms of training and institutions and from physicians' initiatives to bring a greater sense of shared humanity to their work. Announced first printing of 75,000.
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When Pauline Chen began medical school 20 years ago, she dreamed of saving lives. Almost immediately, Chen found herself wrestling with medicine's most profound paradox: that a profession premised on caring for the ill also systematically depersonalizes dying. Final Exam follows Chen over the course of her education, training, and practice as she grapples at strikingly close range with the problem of mortality. She struggles to reconcile the lessons of her training with her innate knowledge of shared humanity, and to separate her ideas about healing from her fierce desire to cure. Chen's transfixing and beautiful rumination on how doctors negotiate the ineluctable fact of death becomes, in the end, a brilliant questioning of how we should live.
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