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Death Interrupted: How Modern Medicine Is Complicating The Way We Die
In Death Interrupted, ICU doctor Blair Bigham shares his first-hand experiences of how medicine has complicated the way we die and offers a road map for dying in the modern era.
Doctors today can call on previously unimaginable technologies to help keep our bodies alive. In this new era, most organs can be kept from dying almost indefinitely by machines. But this unprecedented shift in end-of-life care has created a major crisis. In the widening grey zone between life and death, doctors fight with doctors, families feel pressured to make tough decisions about their loved ones, and lawyers are left to argue life-and-death cases in the courts. Meanwhile, intensive care patients are caught in purgatory, attached to machines and unable to speak for themselves.
In Death Interrupted, Dr. Blair Bigham seeks to help readers understand the options facing them at the end of their lives. Through conversations with end-of-life professionals ― including ethicists, social workers, and nurses and doctors who practise palliative care ― and observations from his own time working in ambulances, emergency rooms, and the ICU, Bigham exposes the tensions inherent in this new era of dying and answers the tough questions facing us all. Because now, for the first time in human history, we may be able to choose how our own story ends.
Bio
Blair is an award-winning journalist, scientist and physician who trained in emergency and critical care medicine at McMaster and Stanford Universities. He was a Global Journalism Fellow at the Munk School of Global Affairs and Associate Scientist at St Michael’s Hospital. His work has appeared in newspapers, magazines, newscasts, podcasts and medical journals. He is co-host of the CMAJ Podcast and deputy editor at healthydebate.ca.
He witnesses the relationship between wealth and health on a daily basis, and reports on the undertold stories of patients, healthcare providers, and the systems that help or fail them.
His first book, Death Interrupted: How modern medicine is complicating the way we die became a national bestseller. His second book is scheduled to be released in September 2025.
Why I Write
Stories form the backbone of medicine. Every doctor must be a skilled listener, hearing narratives told by patients, teachers, and colleagues. A skilled doctor, though, can tell a story just as well. Communicating a cancer diagnosis and the painful road ahead, or engaging a sick patient to modify the lifestyle choices that are threatening their health, requires skillful oration, insightful angles, and respectful tones.
As a doctor, I hear stories every day; stories that I want to share. Many start tragically, have roller-coaster arcs, and end on a note of joy. Some end quickly; others drag on mercilessly. Most enrich my life, like the inspiring story of John, who’s impact I’ve written about on this blog. But other stories are heart-wrenching. At home and abroad, I have heard tales of injustice and misery.
I tell these stories, the good and the bad, to my colleagues every day. Some I share in blog posts or magazine articles, or on stage at conferences. Others I withhold, telling no one, afraid of judgment or criticism, hypothetical stones to be thrown at my authentic glass house.
These stories, of medical brilliance, medical hubris, and medical tragedy, need to be shared, not only in the halls of hospitals but with the public. Some are directly relevant to everyday life. Others require spotlights to bring attention to injustice and misfortune. Some are just plain weird.
I hope you enjoy them. Thanks for reading, and be well.