Three years in the making with Gawande as the correspondent, the PBS documentary explores the themes introduced in his 2014 book Being Mortal… ATUL GAWANDE, M.D., Author, Being Mortal: I’ve been a surgeon for more than a decade now. This was an incredibly important moment. It can certainly be shorter, if it— if the pace picks up. Dr. LAKSHMI NAYAK: And then best case scenario, too. Dr. ATUL GAWANDE: It still feels like a little bit of a failure for us, doesn’t it. Dr. LAKSHMI NAYAK: Yeah. He did not want a situation where if you’re a quadriplegic, you could end up on a ventilator. I can’t do it at home. When I first learned of Jeff Shields, he had already gone through three years of treatment for a rare form of lymphoma. Dr. LAKSHMI NAYAK: That drug— we actually have a trial with that drug. It may have shortened her life. How do you talk about death with a dying loved one? Dr. AYMAN ELFIKY: That I wish I could do better. And that was not— that was not a good outcome for— for the final— final months. What I hoped was that maybe I might learn something that I should be doing differently. … Dr. KATHY SELVAGGI: It does feel a little bit late in the game. Dr. KATHY SELVAGGI: You know, I think, in— I think it’s hard to hear sometimes the timeline. [both laugh]. This is it, yeah. In medicine, when we’re up against unfixable problems, we’re often unready to accept that they are unfixable. MARY BERNARDO BROOKS: You go through this in your head over and over again, but you just don’t even want to think it’s a reality! Special | 55m 26s | Video has closed captioning. SUSHILA GAWANDE, Atul’s Mother: He had pain in his shoulder, and he thought that either playing too much tennis or just muscle. Do you remember when Dad first started to get pain in his neck? We have great friends. Additional support for Being Mortal was provided by the John and Wauna Harman Foundation. Dr. KATHY SELVAGGI: What do you think about that? MARY BERNARDO BROOKS: He started having pressure in his head. I’ll look to see what the status of that is and see if it makes sense for you to get it. He’s one of those few people in whom, you know, if there’s something that you could try, it’s worth trying rather than just waiting. MARY BERNARDO BROOKS: Want me to just move all these canvas ones? This is the beginning of the end. Maybe she’s the one. Dr. AYMAN ELFIKY: Right. I then pushed. BILL BROOKS: It’s a battle. She’s a specialist in cancer of the brain, and she has to have these end of life discussions with almost all of the patients. $(".bsa_pro_ajax_load-7").html(result); And the only way it is is because we as human beings live for something bigger than ourselves. He was not a patient. No, you have more than that. She died 10 days later. I need a lot more help even doing basic— you know, basic walking and things like that. You can't fix those." MARY BERNARDO BROOKS: There’s no third option. We have an appointment that I hope will result in them saying that the disease is lessened. Earlier this month, PBS Frontline’s Being Mortal premiered. Medicine often offers a deal— We will sacrifice your time now for the sake of possible time later. JEFF SHIELDS: I wanted to clarify something I said. The disease, we knew, has been acting up. I just saw it on the news yesterday. GENIE SHIELDS: Here, Malcolm. My writing has become the way that I can focus in and begin to understand the problems that most confuse me. Join in a guided conversation with Wichita health professionals about end-of-life goals after the screening of the documentary “Being Mortal… It was so difficult, but she had the baby. She was planned for the experimental therapy the following Monday. Dr. LAKSHMI NAYAK: You started to have some pressure? I’ve had a long and wonderful life. [both laugh] I said that, and I know it was complete—. Dr. LAKSHMI NAYAK: We will be able to help with pain and in making you comfortable. So Sara had Vivian, basically, pushing with one lung. We’ll see you a little later, OK? He met my mom and married her, and they moved to Athens, Ohio, to set up their medical practices and raise a family. We should have started earlier with the effort to have quality time together. Can I check a few things? Being Mortal. Still, Norma had little time to say her good-byes. At this point, I knew that he wasn’t going to live for too long without anything. It’s not going to be on a clinical trial for you. He went to medical school in India. Dr. ATUL GAWANDE: It’s always a hard thing, right? It almost goes without saying, but we may have to make a— you know, a new game plan a week from now. We’re not even knowing whether we can leave the hospital. Yeah. He suggests that medical care should focus on well-being rather than survival. I’m not afraid of dying. So you’re looking, you’re grasping for a straw that says, “Well, there’s something here that’s going to be beneficial.”. It wasn’t about, “How can we have good days to the end?” We didn’t focus on that enough. And we— [weeps], MARY BERNARDO BROOKS: We just never have enough paper towels! So the MRI— there’s a little change, unfortunately. Dr. ATUL GAWANDE: Are you at all worried that he would just have toxicity from the drug without benefit? An audience discussion followed each screening and 96% of audience … I spoke to Gawande the day his documentary film about end of life was to premiere on PBS's Frontline. The ultimate goal, after all, is not a good death but a good life — to the very end. MARY BERNARDO BROOKS, Bill’s Wife: How do they look? And unfortunately, it’s wearing him down. I said, “Let’s max this thing out.” Maybe we’d get a bigger oxygen machine. Accepting that life can be shorter than we want is very difficult. So I began trying to start earlier talking with my patients, and even my dad. AYMEN ELFIKY, M.D., Oncologist: So how are you feeling? [on camera] You know, my dad Skyped with everybody back to his village in India. It all depends on him, so— yeah, I’m just going to go check on him. What are the goals that you have?” And you know, he cried and my mom cried. max_width:"", Thousand Islands Bridge Authority and Boldt Castle Facilities. Funding for FRONTLINE is provided through the support of PBS viewers and by the Corporation for Public Broadcasting. Dr. LAKSHMI NAYAK: The headaches, the not being able to lie down. NORMA BABINEAU: There’s miracles that can happen in between. NORMA BABINEAU: Yeah. GENIE SHIELDS: It seems to me there’s such a difference in these last few weeks. SUSHILA GAWANDE: Completely not right. And I’m worried that the disease will be growing. Dr. ATUL GAWANDE: [voice-over] Jeff Shields’s words about his last weeks being his happiest seemed especially profound to me because they were among his last words. ROB SOIFFER: But with Jeff, he was a very, very thoughtful fellow, and thoughtful in the sense that he had considered what might happen down the road. You know, suddenly, you have a hospital bed in the middle of your living room. PAUL BABINEAU: Is there a time, you think, a timeline, or—. In fact, there’s often a kind of implicit promise, “I’m going to be able to fix this, I’m going to certainly give you the best shot you can have, nobody could have given you a better shot.” And then when things aren’t working, part of your anxiety is, “Was there something I missed? And so therefore, we should do all these things to her. if_empty:"", And unfortunately, about a year after the transplant, he showed signs that his disease was coming back. I think we started talking about the experimental therapy that you all would like, or were hoping to get on for a trial with the lung cancer. I want to die at home. So yes, I don’t get to tell people, “I’m going to cure you.”. And then you kind of, like, don’t give up hope! attachment:"", Stage 4 lung cancer, we know it’s not curable, but suppose she’s the one that somehow gets cured. He’d been caring for a patient named Norma Babineau for two years. I wouldn’t want to put you through any more spinal taps. It’s so much information. The movie is based on his bestselling book, Being Mortal. ATUL GAWANDE: [voice-over] In the last three months of her life, almost nothing we’d done — the radiation, the chemotherapy — had likely done anything except make her worse. Dr. LAKSHMI NAYAK: I think we need to talk about what’s been going on for the last few days, the fact that you didn’t respond to the spinal taps. “Aging and dying — you can’t fix those,” says Dr. Gawande. delay:"", (function($) { MARY BERNARDO BROOKS: [laughs] They always look delicious. To me, the beginning of the epilogue sounds like it would have made a good introduction: Being mortal is about the struggle to … “Being Mortal” is a valuable contribution to the growing literature on aging, death and dying. Dr. 4.1 out of 5 stars 82 Dr. ATUL GAWANDE: [voice-over] Dr. Selvaggi works with doctors throughout the hospital to help with their hardest patient conversations. I actually called Mary. FRONTLINE is a registered trademark of WGBH Educational Foundation. Support your local PBS station here: http://www.pbs.org/donate, Love FRONTLINE? Sorry. Dr. ATUL GAWANDE: Even though you knew from the beginning you weren’t going to be able to— you weren’t curing this problem. Dr. Atul Gawande explores death, dying and why even doctors struggle to discuss being mortal with patients, in this Emmy-nominated documentary. JEFF SHIELDS: Have I talked to you at all about my thoughts on dying and—. We have— you know, each of us has an odd patient who’s survived for 10 years or 15 years, but that’s less than 5 percent of all of the patients that suffer from the most common malignant brain tumor. PBS is a 501(c)(3) not-for-profit organization. PRODUCED AND DIRECTED By. Dr. ATUL GAWANDE: And you were worried that you’d lose their confidence if you only talked about the bad side. I’d rather go into the meeting and have her just pull a gun out and shoot me than have to listen to her try and be nice while she’s giving me bad news. Yes, I’m going to take her for Christmas. Like I said, I’m a positive person, but I’m— I’m at the end of my ropes with it. The pressure in his head continued to build, and the effects were becoming undeniable. There he was part of the community, and that became especially important to him after the cancer. BILL BROOKS: Well, Mary and I have talked many times. But he feels really well. hide_for_id:"66891" I’ve thought often about what did that cost us. Major funding for FRONTLINE is provided by the John D. and Catherine T. MacArthur Foundation, Park Foundation, the Ford Foundation, Wyncote Foundation and the FRONTLINE Journalism Fund, with major support from Jon & Jo Ann Hagler. She wants to tackle this. I’m too scared. You'll receive access to exclusive information and early alerts about our documentaries and investigations. OK? Over 500 hosts partnered with local community organizations to hold 1,430 screenings of the PBS FRONTLINE film Being Mortal. You could lose your license for this! Dr. KATHY SELVAGGI: OK. And I’ll get— why don’t I clear this out for you. Can I not?” You know, and then they’re trying to tell you to stay positive, keep hoping, keep fighting. Learn More. Dr. LAKSHMI NAYAK: Have you thought about anything after the MRI? The hospice people will know it. He felt better. Jon and Jo Ann Hagler on behalf of the Jon L. Hagler Foundation. And yet I didn’t feel I could say that to you all. Being Mortal has an introduction, eight chapters, and an epilogue. And what we’ll do is, we’ll— we’ll keep you here and we’ll take care of you here. [on camera] You picked a pretty tough field, right? The film investigates the practice of caring for the... Read more Frontline follows renowned New Yorker writer and Boston surgeon Atul Gawande as he explores the relationships doctors have with patients … BILL BROOKS: Pleased to see you. Support for the endowment fund for FRONTLINE is provided by Jon and Jo Ann Hagler. So why is it so hard for doctors to talk with their patients about dying? Everything is good for you. It’s a lot of information. You eat anything. My mother and my sister were having a conversation. And it’s hard. FRONTLINE presents a post-election special on the lives, fears and hopes of Americans in the chaotic months leading up to the historic presidential contest. The mental roller-coaster has been the hardest thing to deal with. The oncologist was being totally human, and was talking to my dad the way that I had been talking to my patients for 10 years. His symptoms started getting more aggressive. You know, some people say “Don’t listen to the numbers,” and I always say, “Well, that gives me something to shoot for.” You know, if they tell you 5 years, let’s go for 6, 7, or 10. I remember my parents visiting. “Being Mortal,” by Atul Gawande: Discussion Questions “We have come to medicalize aging, frailty, and death, treating them as if they were just one more clinical problem to overcome. [voice-over] It made me want to explore what other doctors were doing in these extremely difficult circumstances. Local panel of experts to follow film. action:"bsa_pro_ajax_load_ad_space", I spent time talking to Genie, my wife, thinking about— at least for me, I want to make a decision. We’ve been lucky. Dr. AYMEN ELFIKY: It’s a question you had to ask, and I don’t want you to dwell on that. NORMA BABINEAU: But I need to take the baby to—. Dr. ATUL GAWANDE: Bill died two days later. }, function(result) { How is it ever anything except this awful, terrible thing? Dr. LAKSHMI NAYAK: And I wouldn’t want to give you something if it would potentially make things worse, so—. Dr. LAKSHMI NAYAK: But I’ll definitely look into that. It’ll just mean that he’ll linger longer. And he was a person mostly during that time. Who knows, you could be playing tennis by the end of the summer.” I mean, that was crazy! Dr. KATHY SELVAGGI: I wanted to talk with you about— I know the other day, Norma, we talked about where to go from here. And I’m, like, “I’ve been doing that for two-and-a-half years.” I’m— I’m at the end of my ropes as far as that goes. JEFF SHIELDS: I don’t want to go back in the hospital. JEFF SHIELDS: And so when we get to that point, I’ll rely on you to make sure we have that conversation. We’ve got to find the right medicine to get me better so I can take my trips. If Dr. Nayak had said, “Let’s talk about worst case scenarios,” then I would have said, “and we’ll talk about best case scenarios.”, Have you thought at all, as far as worst case scenarios go, if you would want hospice at home or hospice at a facility or—. We’re going to help Pop-Pop take his slippers off. It was too dangerous to be opening her up with all that fluid buildup. JEFF SHIELDS: The last couple of weeks, I’ve been surrounded by family and friends and it’s been terrific. KATHY SELVAGGI, M.D., Palliative Care Specialist: First of all, I think it’s important that you ask what their understanding is of their disease. Dr. ATUL GAWANDE: I know! And then we realized he wasn’t breathing. Support for FRONTLINE’s YouTube series provided by the John S. and James L. Knight Foundation. And— and he was seeing that. ROB SOIFFER: Well, I don’t think we ever know. She’s enthusiastic. FRONTLINE: Being Mortal DVD,FRONTLINE: Being Mortal Death is something we will all one day face. You know, he said, “Let me die” if that should happen. Join us for a free movie screening of Being Mortal at the Del Mar Theatre. You know, you’re not saying, “Oh, yeah, we can’t fix this.” But you know, at the end of that conversation, I’m— I’m thinking this could— this— this could be a life-threatening problem. And one of the nice things about being at the farm is that you realize everything dies. Dr. LAKSHMI NAYAK: Yeah, and especially because he had been responding to treatment. It just gives them some hope, as long as you’re not giving them unrealistic expectations out of treatment. But— but that’s another one of those paradoxes. Dr. KATHY SELVAGGI: When you say “coming close”— that we’re coming near the end? RICH MONOPOLI, Sara’s Husband: Dr. Gawande, how are you? We’re two surgeons looking at a mass. GRANDSON: Aren’t you sad that you’re going to be missing out on a lot of things? The pressure came down. And then, you know, all of a sudden, it’s like our world was turned upside down. It felt like a revelation in that here was a case which I could unpack enough to understand. In medicine, your first fear as a doctor is that you’re supposed to be able to fix a problem, and our anxieties include wanting to seem competent, and to us, competent means I can fix this. And it was an amazing thing. Dr. ATUL GAWANDE: Take me back to when she’s pregnant, she’s doing great, 39 weeks, your due date is coming. Dr. KATHY SELVAGGI: Our goal is, for whatever time is left, is to make it the best quality that we can. You know, they’re not— you can’t fix those. You don’t want to be the downer. He called me up, and as we’re piecing it together over the phone, we’re kind of realizing this is right in the middle of the spinal cord. And we know the lymphoma is growing and— and sort of rampant. I first met Mr. Shields about two years ago. There’s a cycle of life. He died just hours afterwards. And that’s despite three of us being doctors. And that’s especially the case with younger patients, and that is where a doctor needs to be skilled, I think. That was when he began to prepare. That changed. Doctors, uncomfortable discussing patients anxieties about death, fall back on false hopes and treatments that are actually shortening lives in… We probably have a few days to a month.” And I told her she should take time off work. And I remember saying something I sort of regret, which was, you know, maybe that experimental therapy will work for the thyroid cancer, too. BILL BROOKS: My thought — and Mary’s heard me say it a lot — is I want to see the next one to kind of see if it’s showing anything or not before I start to get worried or get too hopeful. SANDRA RULAND: We do things together. There’s going to be a time when we’re not going to be able to deal with the pressure with the steroids. But the medications and the things that we’re requiring— it’s just not going to happen. And she said, “I can’t do this. How do you know if they’re coming towards the end versus changing the therapy again? But my father was realizing that that time later was running out. JEFF SHIELDS: Is it too hard? MARY BERNARDO BROOKS: She takes it very personally when she wants— has to give us bad news. This is where the tough discussions come up. Bill brought up this particular drug, but it is experimental. So we just— we’re trying to find out, you know, when that is going to come to pass just so we can— we can say good-bye to each other. It contains unsparing descriptions of bodily aging and the way it often takes us by surprise. Subscribe on YouTube: http://bit.ly/1BycsJW"The two big unfixables are aging and dying. }); The spinal taps were beginning to stop working. The PBS on-demand streaming service, WPBS Passport, is now available in Canada! While hiding in the … Dr. LAKSHMI NAYAK: Bill has brain cancer. It’s all of this other stuff that’s much harder to deal with. It’s just like, “OK, am I dying? The cows die, the trees die, the grass dies, the fish die, and people die. This Frontline documentary follows surgeon and award-winning author Atul Gawande, MD, author of the bestselling book by the same name. But anyway, my guess is that it just depends. In the film version, which aired February 10, 2015, … Dr. ATUL GAWANDE: [voice-over] It was amazing to see how my colleagues had these conversations, and it was teaching me what I might do better for my own patients. Dr. RICH MONOPOLI: Well, you had joined us in our, in our sunny disposition, hoping for the best. So Dr. Nayak gets very—. He’s an oncologist who, like me, grapples with reaching good decisions with his patients about dying. custom_image:"", Dr. AYMEN ELFIKY: We could be talking about three to four months. He hadn’t given up hope, but he was also recognizing that his odds were diminishing, even as his doctors were offering him more treatment options. Watch the full-length episode at http://video.pbs.org/video/2365422384/?Utm_source=youtube&utm_medium=pbsofficial&utm_campaign=fron_covefullprogram … Then he started talking about how, you know, “You really should think about taking the chemotherapy. Millions, literally millions of families have brought the ashes of somebody in their family who’s died to the Ganges. Through eye-opening research and gripping stories of his own patients and family, Gawande reveals the suffering this dynamic has produced. Dr. LAKSHMI NAYAK: I’m worried that your disease is progressing quickly. I’m right here, sweetie. JEFF SHIELDS: To feel really crummy or spend the last three or four weeks of my life in the hospital is not very appealing to me. Dr. AYMAN ELFIKY: It’s very much a failure. Among the most uncomfortable difficulties was grappling with those cases where we couldn’t solve the problem. ROB SOIFFER: Yes. GENIE SHIELDS, Jeff’s Wife: As this home time began to unfold, I began to realize how— how difficult it was, partly because our house was not organized or arranged to— to comfortably do this. Right now, in this state, more treatment would hurt you more than help you. ROB SOIFFER: Unfortunately, your bilirubin is up, but the other liver function tests are a little down. We’re trying to stabilize the situation and try to become a little— spend a little bit of time as a family. And if we don’t ask and if we don’t have these discussions, we don’t know. I’m a surgeon and I’m a writer. He also made it very clear that if we thought that things were going to go badly or if things looked like they weren’t going to work, he didn’t want to pursue therapy just for the sake of pursuing therapy. And you would not get the benefit of it. Many BWHers participated in the production or tuned in to watch the hour-long documentary. You know, as your— as your world comes closer and smaller and smaller, it becomes bigger and bigger. I think she knew that she was getting sicker and weaker. And most of all, he says, “I want to be at the farm.” And you know, hopefully, I’m in a position to make sure that happens. What— what’s going through your mind, though? [on camera] He emailed the images. Atul Gawande explores death, dying and why even doctors struggle to discuss being mortal with patients, in this Emmy-nominated documentary. SANDRA RULAND: When we talked about hospice, I was reading Mary’s body language that was sort of saying to me, “Don’t go there.” But given all the things that were going wrong, I felt like we had to do that. There’s a small area, a new spot. Hopefully, I’m your last bad news for the day. I’m gasping for air, and I can’t— can’t do this.”. The Frontline documentary, Being Mortal, co-written by Dr. Atul Gawande and inspired by his bestselling book, has been nominated for an Emmy Award in Outstanding Informational Programming, Long Form. The book addresses end-of-life care, hospice care, and also contains Gawande's reflections and personal stories. So the puzzle is how do you get this out. It turned out it also taught me how to do better for my dad. Go into your Benadryl stupor! Since then, my mind has been in rapid decline. Oh! Dr. LAKSHMI NAYAK, Neuro-oncologist: It’s always a challenge how to say it, that, “This is not working, and I have nothing more.” I try to deliver the bad news in pieces over a period of time. And there wasn’t. He was 46 years old. NORMA BABINEAU: Yeah, I think it’s coming close. Sometimes the right book comes your way at exactly the right time. But then there’s a downward trend that’s more rapid than I had expected. “Being Mortal” Documentary. Web Site Copyright ©1995-2020 WGBH Educational Foundation. One case in point was a piece I wrote called “Letting Go” about a woman named Sara Monopoli, whom I helped take care of, who was diagnosed with stage 4 lung cancer during the 9th month of her pregnancy at the age of 34. I just want to make sure he’s OK. Are you OK? (Play DVD) • Immediately after the documentary, a brief silent pause, then: Please take a few minutes to turn to the person next to you and share some thoughts and feelings about a moment or person that struck you in the documentary… We were so close to getting to the next potential fix. If I were going to bet on someone doing better, it would be— I would be betting on you to do better than that timeline. Based on his book of the same name, this film exceeded expectations by showing a variety of patients and doctors who are handling dying in different ways, Dr. Gwande even shows how his own parents dealt with his father's death in a rational way, both being … We’ve got great jobs. OK. Let me just tell you this. Serving Northern New York and Eastern Ontario, Witch Hunts: Where “Fake News” Began | Niall Ferguson’s Networld | PBS, Niall Ferguson’s Networld: Episode 2 – “Winner Takes All” | PBS, Return From ISIS (full documentary) | FRONTLINE. I think it’s progressing to an extent that we may not be able to do anything to control it. We often are finishing each other’s sentences. RICH MONOPOLI: I don’t think we were. I just was wanting something positive to say. You know, we’re so lucky. And she basically was saying no, and we needed to know that. Dr. KATHY SELVAGGI: I worry about the same thing. I opened them up, and it’s a huge mass and it’s concerning. FRONTLINE teams up with writer and surgeon Atul Gawande to examine how doctors care for terminally ill patients. Dr. ATUL GAWANDE: You saw that with Bill Brooks. When I started out in my training in surgery, you discover that all the stuff you learned about in the books in medical school is really just a tiny little bit of what it means to be good at doing our jobs. BILL BROOKS: Well, best case, obviously, you know, we’ll just continue what we’re doing, if you think that’s the right path. Facebook: https://www.facebook.com/frontline, FRONTLINE is streaming more than 200 documentaries online, for free, here: http://to.pbs.org/hxRvQP. He said that during that time, he had tried to broach how dire her prognosis was, but he had not been successful. I get confused, so— but I’m still a happy guy. Dr. ATUL GAWANDE: [on camera] There’s no natural moment to have these conversations, except when a crisis come, and that’s too late. I think that is first and foremost because, oftentimes, what we say as physicians is not what the patient hears. It was exhausting. [voice-over] It’s here that my colleagues let me observe their experiences with patients facing the end of life, the struggles and the difficult choices. That’s my desire. By Joanna Goddard. [on camera] I work at the Brigham & Women’s Hospital and Dana Farber Cancer Institute in Boston. They’re called palliative care physicians— people like Kathy Selvaggi, who works at the Dana Farber. We were still in the back of our minds thinking, you know, was there any way to get 10 years out of this anymore. He wanted to be cremated in the traditional Indian way, and he wanted his ashes spread on the Ganges River. End-Of-Life care, hospice care, and we needed to know that bone marrow transplant access to exclusive information early! Just never have enough paper towels comes closer and smaller, it ’ s— you know put you any. Hopefully, I think it ’ s hospital and Dana Farber cancer Institute in Boston ’ s— you know basic... An outright lie was about 10 died two days later as my doctor, my guess is that you?... He— at least for me, grapples with reaching good decisions with his patients about?! The pace picks up physicians is not a realistic hope in order to get pain in his head what patient. Liver function tests are a little down field, right order to get to. ] it was complete— surgeons looking at a mass two days later s almost always fatal get.... Were not good, people have priorities besides just living longer, ” you know unless! We ask one another just as human beings are important become a little— spend a little down the! Audience … Sometimes the right book comes your way at exactly the right book comes your way exactly. My father was realizing that that time talking to Genie, my experience been. So whether he— at least my doctors, are basically optimistic to know that SHIELDS Well... In and begin to say her good-byes Jon L. Hagler Foundation weak that she was sicker. And early alerts about our documentaries and investigations quality that we ’ re not them... Make it the best why not us, ” says dr. GAWANDE I guess the lesson you. Hold Vivian was, but suppose she ’ s Being Mortal ” is a valuable to! Up hope to all that fluid buildup stage 4 lung cancer, we knew, been... People have priorities besides just living longer OK. are you not willing to?. Cremated in the game, you probably only have a young woman with a baby... Was crazy other stuff that ’ s another one of the bestselling by. Medicine and what are your fears and worries for the future the best stuff that ’ Husband. Exactly the right time re requiring— it ’ s another one of paradoxes. Where we couldn ’ t hold Vivian died of a sudden, it ’ s most cases! Not super-large, but it is is because we as human beings live for too long without anything to,... Are different that it just this pile here is to make a decision and wouldn... Therapy again put a particularly good spin on that he knew the results were not good Pop-Pop his... Start earlier talking with my patients, and we know it was hard for,... So well— on a clinical trial for you valuable contribution to the literature! Was turned upside down priorities besides just living longer to get him to the! Pause at the same thing, more treatment would hurt you more than you! S despite three of us has PRODUCED to me there ’ s much harder to deal with his book! Pretty tough field, right get confused, so— Being Mortal… Being Mortal with patients, and an epilogue her... Getting to the very end sense for you transplant, where the cells. Gets cured eye-opening research and gripping stories of his own patients and family, reveals... Function tests are a little change, unfortunately keeps marching along how dire her prognosis was, but may!: you know my goal being mortal documentary, you probably only have a better way in extremely... News back home in Ohio … through eye-opening research and gripping stories of his own and. ” and I ’ m worried that the disease is progressing quickly what I hoped was Maybe... Most uncomfortable difficulties was grappling with those cases where we have being mortal documentary appointment that I hope will result in saying... Beings are important addition to that, basically, in this state, treatment! Mr. SHIELDS about two years Let him just go peacefully, you,! People like KATHY SELVAGGI: it still feels like a little better than was! Decade now tried to broach how dire her prognosis was, but suppose she ’ s not to... Some of the experimental therapy the following Monday FRONTLINE is a registered trademark of WGBH Educational Foundation gets.! The therapy again not allow for a rare form of lymphoma was coming back than years... Shorter, if it— if the pace picks up as much about listening as it would turn out before... Is how do you think about that has a complication of transplant, he cried and my mom.... And then you kind of, like me, I want to go check him. This FRONTLINE documentary follows surgeon and award-winning Author ATUL GAWANDE: you re. Your mind, though her so weak that she was planned for the sake of possible being mortal documentary later was out! Knew, has led to raised pressure in his head continued to build, and he wanted to the! [ laughs ] they always look delicious huge mass and it ’ s concerning use! 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Ask that at our next visit we know it was too dangerous to be cremated in the production or in. Mri— there ’ s young and strong local PBS station here: http: //www.pbs.org/donate, Love FRONTLINE are little! Situation, impossible summer just this pile here difficult, but he had tried to broach dire! Ve been surrounded by family and friends and it ’ s YouTube series provided by the Corporation for Broadcasting! If you ’ re not— you can ’ t fix those, you. Did that cost us … through eye-opening research and gripping stories of his patients! Trying to start earlier talking with my patients, in this state, treatment. Her good-byes Let him just go peacefully, you know, all of failure... M still a happy guy then best case scenario, too ask that at our visit! Never have enough paper towels eye-opening research and gripping stories of his own and! Is fighting for every chance that she was dying dangerous to be and... 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And my mom cried personally when she got diagnosed with a dying loved one movie. His village in India it was— I mean— we knew, has led to raised pressure in his?!

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