With the End in Mind: Dying, Death and Wisdom in an Age of Denial
Written by Kathryn Mannix
Narrated by Kathryn Mannix and Elizabeth Carling
4.5/5
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About this audiobook
THE SUNDAY TIMES BESTSELLER
‘Impossible to read with dry eyes or an unaltered mindset’ Sunday Times
‘Illuminating and beautiful’ Cathy Rentzenbrink
With the End in Mind is a book for us all: the grieving and bereaved, the ill and the healthy. By turns touching and tragic, funny and wise, it tells powerful human stories of life and death.
Eric, the retired head teacher who even with Motor Neurone Disease gets things done. Sylvie, 19 and diagnosed with leukaemia, sewing a cushion for her mum to hold after she has died. Nelly and Joe, two people enduring loneliness to shield their beloveds from distress.
A powerful and emotional book based on a lifetime’s clinical experience, With the End in Mind offers calm, wise advice on how to face death, live fully and find a model for hope in dark times.
Kathryn Mannix’s With the End in Mind was a Sunday Times bestseller the weeks ending 6 January 2018, 13 January 2018 and 3 February 2018.
Kathryn Mannix
Kathryn Mannix has spent her medical career working with people who have incurable, advanced illnesses. Starting in cancer care and changing career to become a pioneer of the new discipline of palliative medicine, she has worked in teams in hospices, hospitals and in patients’ own homes to deliver palliative care. In 1993 she started the UK’s (possibly the world’s) first CBT clinic exclusively for palliative care patients.
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Reviews for With the End in Mind
58 ratings8 reviews
- Rating: 5 out of 5 stars5/5As I am not usually one to write long reviews, I will encapsulate my thoughts in that this book contains a lifetime of understanding and wisdom dealing with those who are facing end of life issues.
- Rating: 5 out of 5 stars5/5An outstanding book. Real life examples supporting challenging arguments for why we need to think differently about end of life.
Essential reading for policy makers, medics and the living! - Rating: 5 out of 5 stars5/5Such a beautiful look at Dr. Mannix's career and experiences as a palliative care doctor. Each story is so unique and universal.
- Rating: 5 out of 5 stars5/5This was an incredible little book which leads you to think about things you probably don't want to think about. But was also very reassuring in many ways. I cried a lot though - it's that kind of book.
- Rating: 5 out of 5 stars5/5To completely re-write the original quote that Benjamin Franklin made; there are three things that are certain in life; taxes, your computer crashing and death. The final of these inevitable events will happen to every single person on this planet at some point in the future. Even though it is one thing common to all life, it has reached the point where it is seen now as a taboo, something that we deliberately choose to ignore or rarely talk about when pushed. Death though is something that Dr Kathryn Mannix has faced throughout her career, and this book, With the End in Mind, is a collection of stories of the last moment of people from all walks of society.
Probably the most poignant stories are those about the children and teenagers who have barely got started at life before it is tragically taken away from them. She talks to patients that have rooms full of their family, dealing with the anger and unfairness of it all, we learn about a young man who does not have long to live, but was still considering suicide as he is so despondent that he will never leave a legacy, but he is one of the first in the country to carry a plan detailing what should happen should he become ill. The media attention raised awareness and they saw a huge rise in others wanting to do the same thing. People react to their terminal illnesses differently. One of her patients was a mother who still feels that she needs to keep up her glamorous appearance, but pouring herself into tight jeans was not helping with the pain; a few subtle changes helped immensely and allowed to be comfortable in the final days. Some of the hardest cases are those that have one close loved one who are not sure how they will cope alone.
It is said that your life flashes before your eyes just before you die. That is true, it's called Life. ― Terry Pratchett
All of the stories in this book are sad; people grieving the loss of their loved ones, but in amongst the tears there are moments of comfort and illumination on how to deal with death, all coupled together with the calm and considered advice from Mannix. What she is a big advocate of is communication, telling people what is wrong with you, getting them to ask sensitive questions, finding out if people want to be at home for their last moments, or have no real preference. There is a Pause for Thought moment at the end of each chapter where there are suggestions and practical details are discussed. This book is not going to be for everyone given the subject matter, but it is a step in the right direction to seeing death as an intrinsic part of life and coping with it in the best way for you. Can highly recommend this moving book and I think it should be essential reading for anyone who has any concerns about death - Rating: 5 out of 5 stars5/5Life-changing.
- Rating: 5 out of 5 stars5/5When I was studying to be an EMT, one of the topics we had to deal with was the inevitable death of one of our patients. My instructors were very clear that if this happened, we were to use words that would not leave any room for misinterpretation - died as opposed to passed on, etc. It was interesting to read this author's advice to use those terrible "d" words like dying and death as opposed to those other "kinder" words. Even more interesting was her description of what a "typical" death looked like. She takes much of the scariness and fear associated with death away. Having been with my father when he died at home, she is spot on in her descriptions and in helping to make sure people's wishes about the ends of their lives is observed. This is a book for everyone, but especially for those who either fear their deaths or those of loved ones.
- Rating: 5 out of 5 stars5/5This outstanding book, which was shortlisted for this year's Wellcome Book Prize and was written by a palliative care physician in the UK, describes several remarkable people she cared for at the end of their lives, their families and other loved ones, and her experiences and lessons learned during her four decades in clinical practice. Dr Mannix demystifies and humanizes the experience of death for her patients, their families, and especially her readers, as people who have or very likely will care for a dying person, and will ultimately succumb to death themmselves. In addition to being an engaging and, dare I say, heartwarming read, it is also richly filled with lessons and advice for current or future use. With the End in Mind, similar to Atul Gawande's recent book Being Mortal, is an outstanding contribution to the topic of end of life care, and as such it is a book that would be of benefit to everyone.