100 Books Like That Good Night

Life expectancy among the working-class population in the United States was decreasing at an astounding rate well before the Covid-19 pandemic. While I was aware of growing inequality and decreasing access to health care for many, I didn’t realize how desperate the conditions of life seemed for many working-class Americans.

This book forced me to confront the uncomfortable reality of the health crisis among the many blue-collar workers living in the heartland of America.  

The author, Dr. Zitter, is described as an expert on the medical experience of death and dying. Her specialties of pulmonary/critical care and palliative care brought to life the spectrum between a comfortable, natural death versus a "keep alive at all costs" mentality. This book was thoughtful and presented many sides of difficult dying experiences. I found it incredibly valuable to understand typical trajectories that might occur at the end of life from illness, organ failure, frailty, or dementia. It helped me gain clarity on my own wishes, and I encourage others to read the book and then discuss it with loved ones. Rather than it being a depressing subject matter, it has the potential to be a gift if the reader can move into a place of communicating and documenting wishes for end-of-life.

This book was helpful for me to navigate the finale of my parent’s lives. But The Art of Dying Well isn't just about one's parents. Many baby boomers are unprepared for dealing with their own aging. I suggest reading it well before you need it. Knowledge is power, and Butler's book gave me the gift of learning more now, while things are relatively calm. A crisis visit to an ER isn't the time to cram in education and research. You may need to be an advocate for yourself or someone you love sooner than later. I have suggested the book to my siblings and friends, which will hopefully lead to meaningful conversation and planning to support each other through our elder years. I am grateful for Butler's practical guide, which is filled with wisdom and resources. I anticipate referring to it again and again as I age. 

My mom and I are competing to see who can give away more copies of this book; we love it that much. Both of us have been bedside caregivers for dying relatives and have seen firsthand how beautiful that process can be if people are prepared.

I love how the book is designed with nice, large print, lovely illustrations, and little snacks of insight sprinkled throughout in boxes and “fast facts.” This book is the essential What to Expect When You’re Expecting–but for death.

A fast read (just 100 pages) about an important concept of having conversations with your elderly parents sooner than later. The author talks about why we avoid uncomfortable conversations and why you should have them anyway. Denial that everything is fine is not helpful as your parent's age. When you are under duress or grief stricken, the opportunity to talk may have passed. Marcus suggests that sometimes your parents might just be waiting for someone to ask them questions. 

The author then goes on to discuss how to have tough conversations. I appreciated her advice of injecting some humor to help mitigate the fear. Other great ideas were to bring in a third party to neutralize challenging family dynamics, starting with easier topics first and then gradually adding on subjects over time, and using someone else's life as an example. The author then wraps up with what you should talk… show more.

One prevailing theory about the high cost of U.S. health care compared to other highly developed nations is that the prices charged for goods and services are simply higher in the United States and elsewhere.

Reinhardt is one of the leading proponents of this school of thought and this book summarizes his reasoning on the subject and how to deal with it.

John Wennberg is a medical doctor and researcher who has spent much of the last half century analyzing the practice of medicine across the United States.

He has used Medicare patients’ treatment records to show that health delivery is often more dependent on the supply of providers and facilities in an area than the expected demand for such treatment of the area population.

He and his associates have also shown that more intensive treatment generally does not result in better care and sometimes leads to more adverse outcomes.

These medical doctors explore the introduction of new medical practices that are subsequently shown to be of no value to patients or even harmful.

Prasad and Cifu report on a variety of procedures and practices often used widely that have been proven ineffective. They review 10 years of a prominent medical journal's articles reporting the results of efficacy studies of existing and new practices.

Of 363 articles reporting on the results of studies on existing practices, 40.2 percent indicated the practice of no value or harmful to the patients and another 21.8 percent were inconclusive on whether the practice was beneficial or not.

In looking at 981 articles on studies of new practices, 16.8 percent found the practice of no benefit or harmful and another 6.1 percent were inconclusive.

In the latter sections of their discussion, they describe ways to address the prevalence of what they call “medical reversals.”

Mannix is a retired Palliative Care Consultant, and this wonderful book takes case studies from her long career and presents them as vignettes designed to reassure a readership who may be anxious about the process of dying. She relates each story with candour and humility, acknowledging how much she has learnt from her patients and their families whilst glossing over the enormous impact that she has evidently had on their care.

This is an incredibly useful book for those working with people at the end of life, but it is also a really lovely read for anyone fearful of death, anyone who has felt the impact of a family bereavement, and anyone who will one day face death themselves, i.e., every single one of us. 

This novel by a neurologist/palliative care physician appealed to me because of its highly idiosyncratic yet spot-on accounts of many things I experienced in my own medical training.

I found her writing style challenging because of the novel’s highly fragmented structure, but I appreciated her trenchant observations and stunning language. Like other authors I’ve recommended, her protagonist comes from a devastatingly traumatic background. I could really relate to this fictional medical trainee’s struggles with despair and suicidality.

Reading this book was like a dash of ice water to the face, and I pondered it for weeks after I finished it.