Sherwin B. Nuland
Sherwin B. Nuland
Sherwin Bernard Nulandwas an American surgeon and writer who taught bioethics, history of medicine, and medicine at the Yale School of Medicine, and occasionally bioethics and history of medicine at Yale College. His 1994 book How We Die: Reflections on Life's Final Chapter was a New York Times Best Seller and won the National Book Award for Nonfiction, as well as being a finalist for the Pulitzer Prize...
NationalityAmerican
ProfessionScientist
Date of Birth8 December 1930
CountryUnited States of America
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Medical judgment can be taught - laboriously, in long periods of training - but it cannot be neatly handed over as the occasion demands it. It is the irreplaceable and untransferable contribution that the healer makes to the suffering individual who would be healed.
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Nosology (from the Greek 'nosos,' meaning 'disease,' and 'logos,' referring to 'study') is not a sport for the timid, and certainly not for those so scrupulous about rules and order that they demand consistency in all things.
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Empires fall, ids explode, great symphonies are written, and behind all of it is a single instinct that demands satisfaction.
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I have not seen much dignity in the process by which we die. The quest to achieve true dignity fails when our bodies fail.
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At times, morality can be dismissed as a matter of personal conscience, no matter how widespread its acceptance. Ethics, on the other hand, arises from societal or group commitments to principia of behavior.
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Though President George W. Bush made some small noises about his intention to present some form of improved health coverage, nothing grew out of them.
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Every hope of successive generations of scholars that order might be constructed from the chaotic mess of medical nomenclature has been frustrated. Even diseases recognized in the same historical period have been given names based on characteristics that have no relation to one another, and thus no common criteria.
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The writings and the recommendations of the earliest medical scientists and the new breed of clinicians between the mid-fifteenth and early seventeenth centuries were based on the supposition that sufficient study and experimentation would elucidate not only the origins of disease, but its treatment as well.
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I've seen so many patients, particularly elderly patients, over the years who become debilitated and changed by the process by which I cure them or another doctor cures them. And has it really been worth it?
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Our deaths become a part of our lives in the sense that with our deaths we give something to those who are left behind, as we have given our lives to them.
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Of all the named structures within the abdomen and the chest, those associated with reproduction retained the mysteries of their willful behavior long after others had been solved to the satisfaction of physicians and philosophers.
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Only by a frank discussion of the very details of dying can we best deal with those aspects that frighten us the most. It is by knowing the truth... that we rid ourselves of that fear of the terra incognita of death.
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I have been following the attempt to initiate or revamp federal involvement in the health of Americans since it was a major topic for my high school debating team in 1947.
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It's unnatural to believe death usually has a beauty and a concordance and is usually a coming together of your life's work. It leads to frustration for the patient. And it leaves grieving families convinced they did something wrong.