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Blink 3 of 8 - The 5 AM Club
by Robin Sharma
Listen to the Intro
With the End in Mind summary
Kathryn Mannix
Dying, Death and Wisdom in an Age of Denial
22 mins
What is With the End in Mind about?
With the End Mind (2017) provides a powerful antidote to the fear, ignorance and misunderstanding that surrounds death in contemporary culture. Through observations and personal reflections, it tells the poignant stories of some terminally ill patients with whom the author has worked over her three-decade career as a palliative care doctor.
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With the End in Mind
summarized in 8 key ideas
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Key idea 1 of 8
There’s a general pattern to the experience of dying, and it’s surpassingly peaceful.
From cancer to Parkinson’s disease, terminal illnesses come in many different forms, but there’s a general pattern to how most terminal patients die.
It begins with a gradual decline in energy, which starts slow and then speeds up over time. At first, you might just feel a difference in your energy level from year to year. Then you’ll notice a reduction from month to month, week to week and, finally, day to day. When you reach that point, it’s a sign that the end is drawing near.
But the end itself is something you won’t experience. That’s because the more you lose your energy, the more you need to sleep, as your body tries to compensate for the loss. Eventually, you’re asleep more than you’re awake each day, and while you’re sleeping, your mind dips into unconsciousness for a period. These periods of unconsciousness become longer and longer until finally, you’re unconscious all the time. As you reach the end of this final stage of dying, your breathing rate becomes slower and slower, until it gently ceases.
As a result, you don’t experience a surge of pain, a feeling of panic or a sense of life fading away in the final moments of dying. In fact, you don’t experience anything at all. It’s not even like falling asleep, where you can notice the transition from one state to the next. Remember, your mind is unconscious at this point, so you don’t perceive what’s happening. It just happens, and then it’s done.
That’s the general pattern, in a nutshell. There are some exceptions, and we’ll look at them in the next blink. But in the author’s professional experience, it’s helpful to know the general pattern for a couple of reasons.
First, it can be comforting to patients and their loved ones. It reassures them that the experience of dying will probably be a lot less painful or dramatic than many of them fear it will be. Second, it can give them time to prepare. If a patient has reached the point where his energy is rapidly diminishing from one day to the next, he and his loved ones know it’s time to start saying goodbye.
Now, let’s look at some exceptions.
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Who should read With the End in Mind?
- Friends and family members of people with terminal illnesses
- Fans of emotionally moving medical stories
- Anyone with a fear of death
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