Being Mortal

Medicine and What Matters in the End

Estimated reading time: 2 minutes, 32 seconds

Before departing for Toronto to celebrate our 44th Wedding Anniversary, I went through the e-library. Everything on my list that I wanted to read was not available except for this book. Being Mortal by Atul Gawande is the book I read on our vacation before Jan’s diagnosis of non-Hodgkin Large B-cell Lymphoma.

Selecting Being Mortal might seem an accidental choice to some, and I believe it was a divine intervention. It prepared me to be a caregiver to my wife over the nineteen months of her fight with cancer. It helped me focus on the good life that my wife lived and not the pain and suffering.

Atul Gawande describes his book as “riveting, honest, and humane. Being Mortal shows that the ultimate goal is not a good death but a good life – to the very end.”

When I read the book, I wondered what I could have done to help my mother in her final years. The book offers an excellent overview of how nursing homes and assisted living facilities have struggled to meet the needs of their residents.

Dr. Gawande provides an in-depth overview of the benefits of hospice care. Although I knew of this option, reading this book helped me understand that I was ready for hospice when my wife came home for the last time.

He reminds us that “when it comes to the inescapable realities of aging and death, what medicine can do often runs counter to what it should.” As he writes in the book, the current system does not work and, in many cases, actually shortens life.

This book has had a lasting impact on my life. It allowed me to be a loving caregiver to my wife when she needed it more than anything else. I read it when it would be most beneficial to me.

I highly recommend this book.


Atul Gawande is the author of several bestselling books: Complications, a finalist for the National Book Award; Better; The Checklist Manifesto; and Being Mortal. He is also a surgeon at Brigham and Women’s Hospital in Boston, a staff writer for The New Yorker, and a professor at Harvard Medical School and the Harvard School of Public Health. He has won the Lewis Thomas Prize for Writing about Science, a MacArthur Fellowship, and two National Magazine Awards. In his work in public health, he is the Founder and Chair of Ariadne Labs, a joint center for health systems innovation, and Lifebox, a nonprofit organization dedicated to making surgery safer globally. He is also the chair of Haven, where he served as CEO from 2018 to 2020. He and his wife have three children and live in Newton, Massachusetts.



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The Shadow King: A Novel

Read: April 2022

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The Shadow King: A Novel

by Maaza Mengiste

The Shadow King: A Novel by Maaza Mengiste is a book happened to offer two often overlooked threads of history. The first is Mussolini’s 1935 invasion of Ethiopia. The second one I am most interested in is the women soldiers who were left out of the historical record. I highly recommend The Shadow King. It is a gorgeously crafted and unputdownable exploration of female power and what it means to be a woman at war.

Hirut and Aster come alive in Maaza Mengiste talented writing. Their struggles to be seen as equal in a society at war is engaging. Hirut’s plan to create a shadow kingpin the absence of Emperor Haile Selassie is one that turns defeat into victory.

Goodreads provides a good overview of the book.

With the threat of Mussolini’s army looming, recently orphaned Hirut struggles to adapt to her new life as a maid in Kidane and his wife Aster’s household. Kidane, an officer in Emperor Haile Selassie’s army, rushes to mobilize his most muscular men before the Italians invaded. His initial kindness to Hirut shifts into flinty cruelty when she resists his advances. Hirut finds herself tumbling into a new world of thefts and violations, betrayals, and overwhelming rage. Meanwhile, Mussolini’s technologically advanced army prepared for an easy victory. Hundreds of thousands of Italians―Jewish photographer Ettore among them―march on Ethiopia seeking adventure.

As the war begins in earnest, Hirut, Aster, and the other women long to do more than care for the wounded and bury the dead. When Emperor Haile Selassie goes into exile and Ethiopia quickly loses hope, Hirut offers a plan to maintain morale. She helps disguise a gentle peasant as the emperor and soon becomes his guard, inspiring other women to take arms against the Italians. But how could she have predicted her war as a prisoner of one of Italy’s most vicious officers, who would force her to pose before Ettore’s camera?

What follows is a gorgeously crafted and unputdownable exploration of female power, with Hirut as the fierce, original, and brilliant voice at its heart. In incandescent, lyrical prose, Maaza Mengiste breathes life into complicated characters on both sides of the battle line, shaping a heartrending, unforgettable exploration of what it means to be a woman at war.

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Clean: A Novel

Read: October 2024

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Clean: A Novel

by Alia Trabucco Zerán

Today, I delved into the unique narrative of ‘Clean: A Novel‘ by Alia Trabucco Zerán, translated by Sophie Hughes. This compelling novel, shortlisted for the Femina Etranger and Medicis Etranger Prizes, unfolds the story of a maid who has witnessed a lot and a family on the brink of collapse. The narrative is centered around a young girl’s death, with the family’s maid being the critical witness under interrogation, tasked with recounting the events leading up to the tragedy.

Estela’s journey from the countryside, leaving her mother behind, to work for the señor and señora when their only child was born is poignant. Their ad for a housemaid: ‘Smart appearance, full-time,’ was her ticket to earning enough to support her mother and return home. Estela cleaned their laundry, wiped their floors, and made their meals for seven years, but she also became privy to their secrets, witnessed their conflicts, and raised their daughter. She heard the rats in the ceiling, saw the looks the señor gave the señora, and knew about the poison in the cabinet, the gun, the daughter’s rebellion, the mother’s coldness, and the father’s distance. She experienced it all.

After a series of shocking betrayals and revelations, Estela’s silence becomes her shield, broken only now to reveal how it all unraveled. Is this a tale of vengeance or a confession? A clash of classes or a lesson in caution? With each page turn, ‘Clean: A Novel‘ builds tension, offering a gripping, incisive exploration of power, domesticity, and betrayal from an international star at the peak of her storytelling prowess.

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The Invisible Life of Addie LaRue

Read: May 2022

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The Invisible Life of Addie LaRue

by V.E. Schwab

The Invisible Life of Addie LaRue by V.E. Schwab is a page-turner, and one of the rare books I have read that I wish had not ended. On the last page, I wanted the story of Addie to continue now that she had modified her deal with the dark side to save Henry Strauss. It was not that I wished Addie and Henry to reunite; it was to see how Addie’s life with Luc would continue. I recommend this book without any reservations!

Both Jan and I have always enjoyed books and movies about time travel. One of the first books I read after Jan died was The Time Travelers Wife, and now I am reading another book about time travel. If I could travel back in time, I would love to spend tens of thousands of days with her again.

But time travel is not possible. Or is it? Her spirit returns to me whenever I am paralyzed, encouraging me to dust myself off and keep going. Maybe one day we will travel together!

The Goodreads summary includes an overview.

France, 1714: in a moment of desperation, a young woman makes a Faustian bargain to live forever and is cursed to be forgotten by everyone she meets.

Thus begins the extraordinary life of Addie LaRue and a dazzling adventure that will play out across centuries and continents, across history and art, as a young woman learns how far she will go to leave her mark on the world.

But everything changes when, after nearly 300 years, Addie stumbles across a young man in a hidden bookstore, and he remembers her name.


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Crow Lake

Read: January 2022

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Crow Lake

by Mary Lawson

Crow Lake by Mary Lawson is set in northern Ontario’s rural “badlands.” The badlands are where heartbreak and hardship are mirrored in the landscape of the farming Pye family. Crow Lake is that rare find, a first novel so quietly assured, so emotionally pitch-perfect, you know from the opening page that this is the real thing – a literary experience in which to lose yourself, by an author of immense talent.

Crow Lake was a page-turner for me once I read the prologue.

Two families dominate the story.

On the one hand, it is the Greek tragedy of the Pye family. On their farm, “the sins of the fathers are visited on the sons, and terrible events occur—offstage.”

Kate Morrison has left her two brothers and sister at the lake to become a zoologist. The four siblings lost their parents and struggled to remain together. Their “tragedy looks more immediate if less brutal, but is, in reality, insidious and divisive.

As Goodreads describes the novel,

In this universal drama of family love and misunderstandings, of resentments harbored and driven underground, Lawson ratchets up the tension with heartbreaking humor and consummate control, continually overturning one’s expectations right to the very end. Tragic, funny, unforgettable, this deceptively simple masterpiece about the perils of hero worship leaped to the top of the bestseller lists only days after being released in Canada and earned glowing reviews in The New York Times and The Globe and Mail, to name a few.

I highly recommend this novel and am looking forward to reading more from Mary Lawson.

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The Night Swim

Read: January 2022

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The Night Swim

by Megan Goldin

The Night Swim by Megan Goldin is a book that I thought would be different from the last two books – Sarah’s Key and Send for Me – that I had read. Both of those were directly or indirectly about the Holocaust. I often selected this book from the e-library based on reviews and reading the sample section.

The Night Swim was a page-turner, but it also was about numerous social issues that Jan ad I had spent our lives working to resolve.

Among these are male violence and its impact directly and indirectly on women. Rachel Krall, a podcaster, spoke about how male violence had impacted her. Two of the other female characters were either a victim or the sister of a victim. Having spent my life trying not to exhibit male violence, I was reminded while reading his novel of how painful it can be and the impact of micro-aggressions.

I knew that the author had done her research when I realized that. Ms. Goldin set the story in Neapolis, a fictional town on the outer banks of North Carolina. Neapolis, which in Latin means “New Town,” is also the old Roman name for the biblical city of Sheechem, where the rape of Dinah took place.

I missed the role of the Nightingale as it appears more as a background piece and not a primary role. Of course, this is a subtle reference by the author to Greek mythology and the rape of Philomela by her sisters’ husband. Her assailant cut out her tongue to prevent her from speaking of the crime. She was turned into a nightingale to escape. That is why female nightingales cannot sing. The one in the novel never sings and is rescued by Rachel at the end of the book.

Rachel narrates two sections of the novel, first with her on-the-ground work at the trial and second with her podcasts.

Hannah’s narrative is initially only in letters and then emails.

This format helped move the story along and make the story unfold in unique ways.

The following is a summary from Goodreads.

After the first season of her true-crime podcast became an overnight sensation and set an innocent man free, Rachel Krall is now a household name―and the last hope for thousands of people seeking justice. But she’s used to being recognized for her voice, not her face. Which makes it all the more unsettling when she finds a note on her car windshield, addressed to her, begging for help.

The small town of Neapolis is being torn apart by a devastating rape trial. The town’s golden boy, a swimmer, destined for Olympic greatness, has been accused of raping a high school student, the beloved granddaughter of the police chief. Under pressure to make Season Three a success, Rachel throws herself into interviewing and investigating―but the mysterious letters keep showing up in unexpected places. Someone is following her, and she won’t stop until Rachel finds out what happened to her sister twenty-five years ago. Officially, Jenny Stills tragically drowned, but the letters insist she was murdered―and when Rachel starts asking questions, nobody seems to want to answer. The past and present start to collide as Rachel uncovers startling connections between the two cases that will change the course of the trial and the lives of everyone involved.

Electrifying and propulsive, The Night Swim asks: What is the price of a reputation? Can a small town ever right the wrongs of its past? And what happened to Jenny?

I highly recommend this novel and look forward to reading more of Ms. Goldin’s work.

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What We Can Know

Read: September 2025

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What We Can Know: A Novel

by Ian McEwan

What We Can Know” by Ian McEwan, the critically acclaimed author of nineteen novels and two short story collections, is a remarkable work of fiction and a love story that celebrates both individuals and the words they leave behind. This literary detective story reclaims the present from our sense of impending catastrophe and envisions a future world where not everything is lost.

In 2014, during a dinner for close friends and colleagues, renowned poet Francis Blundy honored his wife’s birthday by reading aloud a new poem dedicated to her, titled “A Corona for Vivien.” As the guests enjoy a delicious meal and drink plenty of wine, little do they know that people will speculate about the meaning of this poem for generations to come. A copy of the poem was never published, and it remains an enduring mystery.

Fast forward to 2119: over one hundred years in the future, rising seas following a catastrophic nuclear accident have submerged much of the Western world. The survivors tormented by the memory of the vibrant world research the world that once existed. In the waterlogged south of what was once England, Thomas Metcalfe, a lonely scholar and researcher, longs for the early twenty-first century as he searches for the elusive poem “A Corona for Vivien.”

Thomas reflects on how wild and full of risk their lives were, captivated by the freedoms and possibilities of human life at its zenith. When he stumbles upon a clue that may lead to the poem’s discovery, he uncovers a story of entangled loves and a brutal crime that shatters his assumptions about people he thought he knew intimately.


Ian McEwan is a critically acclaimed author known for his nineteen novels and two short story collections. His first published work, a collection of short stories titled “First Love, Last Rites,” won the Somerset Maugham Award.

His notable novels include “The Child in Time,” which won the Whitbread Novel of the Year Award in 1987; “The Cement Garden“; “Enduring Love;” “Amsterdam;” which won the Booker Prize in 1998; “Atonement;” “Saturday;” “On Chesil Beach;” “Solar;” “Sweet Tooth;” “The Children Act;” “Nutshell;” and “Machines Like Me,” which became a number-one bestseller.

Several of his works, including “Atonement,” “Enduring Love,” “The Children Act;,” and “On Chesil Beach,” have been adapted into films.



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