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Mohrbooks Literary Agency
Sebastian Ritscher
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English
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EXTREME MEASURES

Jessica Nutik Zitter

Finding a Better Path to the End of Life

Jessica Nutik Zitter, MD, 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. EXTREME MEASURES charts the authors journey from wanting to be one kind of hero to becoming another—a doctor who midwifes death. In our current medical culture, the old and the ill are put on what she calls the End of Life Conveyor Belt. They are intubated, catheterized, and even shelved away in care facilities to live out their final days alone, confused, and sometimes in pain. In her work Zitter has learned to understand that what patients fear more than death itself is the prospect of dying alone.
In his New York Times bestseller Being Mortal, Atul Gawande looks at the medicalization of age and asks how we can find a better way to exit life. In Extreme Measures, an Intensive Care Unit doctor and Palliative Care specialist provides the answer, offering a framework that will change medical culture at the deepest level.

In medical school, no one teaches you how to let a patient die.

Jessica Nutik Zitter became a doctor because she wanted to be a hero. She elected to specialize in critical care—to become an ICU physician—and imagined herself swooping in to rescue patients from the brink of death. But after the terrible experience of her first code, in which she found herself cracking the ribs of a patient so ancient and frail it was unimaginable how he would ever be able to breathe again, she began to question her choice.

EXTREME MEASURES charts the authors journey from wanting to be one kind of hero to becoming another—a doctor who midwifes death. In our current medical culture, the old and the ill are put on what she calls the End of Life Conveyor Belt. They are intubated, catheterized, and even shelved away in care facilities to live out their final days alone, confused, and sometimes in pain. In her work Zitter has learned to understand that what patients fear more than death itself is the prospect of dying alone. She builds bridges between patients and caregivers, formulates plans so that patients never have to experience pain or anxiety, and brings in the support of loved ones so that life can end well, even beautifully.

Filled with the kinds of rich patient stories that make the most compelling medical narratives, EXTREME MEASURES enlarges the national conversation as well as thoughtfully and compassionately examines an experience that defines being human.

Jessica Nutik Zitter, MD, 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 forThe NewYork Times,The Huffington Post,Pacific Standard,The Atlantic, andJournal ofPalliative Medicine, and is featured inExtremis, an award-winning documentary about end-of-life decision-making in an ICU.
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Book

Published 2017-02-21 by Avery

Book

Published 2017-02-21 by Avery

Comments

Required reading for every young medical student and every family member wondering how to help the people they love live well to the end.

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.

Author's article: In the Hospital, Resisting the Urge to Do More Read more...

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.

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.

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.

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.

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.

With compassion, intelligence, and a rare expertise, Jessica Zitter shines a light on some of the most difficult issues we face in our lives.

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.

Clarity and compassion unite in this touching and convincing new conversation on comfortable, patient-centered end-of-life care.