the dying are the ones who have the most to teach us about life

I had a feeling that Paul Kalanithi’s memoir, When Breath Becomes Air, would be a powerful read.  In fact I called it a “once in a decade” book, before I even read it.  I wasn’t wrong.

I don’t think there’s a lot I can say to augment the rhapsodic reviews this book has rightly received, but I still wanted to add my voice to the loud chorus of people celebrating Kalanithi’s courage, his unflinching gaze, his poetic prose, his incredibly powerful first and last book.  This book is unforgettable.

There are so many things about When Breath Becomes Air that I loved, so many sentences I underlined, so many points where I cried.  Kalanithi was both a doctor and a lover of literature, and that particular combination is one of my very favorite to read (Verghese, Sacks, and Gawande are giants in my life, and Kalanithi belongs in their company).  Kalanithi sought to understand the boundary between life and death, and the ways that the irrefutable presence of the latter shapes the former.   In his own words: “Neurosurgery attracted me as much for its intertwining of brain and consciousness as for its intertwining of life and death.”  The book is one man’s meditation on this intertwining truth, which abruptly transitions for him from an abstract fascination to a brutal reality.

Though he was a profoundly gifted physician, it seems to me that Kalanithi’s soul was one of a writer, and a reader.  “Literature not only illuminated another’s experience, it provided, I believed, the richest material for moral reflection,” he writes early in a book dotted with quotes and references to books as wide ranging as T.S. Eliot and Thomas Browne.

One of my favorite passages in When Breath Becomes Air is Kalanithi’s musings on the inadequacy of scientific thought to really capture the “existential, visceral nature of human life.”  This reminded me of my writing about growing up in the space between my father’s faith in the rational mind and his abiding awe of the ineffable.  “No system of though can contain the fullness of the human experience,” writes Kalanithi, and I found myself nodding.  Indeed.  It cannot.  So much of writing – all of it? – is a writer’s attempt to capture his or her own experience, don’t you think?  We scratch on the glass, we grasp at something as it drifts through our hands, we try, as best as we can, to say: this is what life is for me, and maybe that will help you know what it is for you.

When Breath Becomes Air is short and reads quickly.  When I was most of the way through, I took Whit to a hockey game.  I walked out of the rink and felt the world had shifted.  Literally something was different in the air I walked through; it was crisper, clearer, more defined.  Kalanithi’s story rang in my head as I walked to the car to get something I’d forgotten.  The best books do this, of course: they change our experience of living in the world.

Lucy Kalanithi, Paul’s widow, wrote the afterword that concludes the book.  She writes a heartbreaking, beautiful account of Paul’s final days, and I read those pages through floods of tears.  She also asserts that Paul “found poetry more comforting than Scripture,” which is resonant for me.  Her last sentences are clear, sharp, strong, and perfect:

“For much of his life, Paul wondered about death – and whether he could face it with integrity.  In the end, the answer was yes.  I was his wife and a witness.”

Read this book.  It will shine a light on your life.  I promise you it will.


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12 Comments

  1. Posted January 25, 2016 at 5:27 am | Permalink

    Sigh. I know. This book was beautiful and heartbreaking. I have not been able to sleep since I finished it. Like you, I have so many lines underlined. His wife’s epilogue wrecked me; she is also a lovely writer. Thanks for sharing your thoughts on it here. xo

  2. Posted January 25, 2016 at 7:41 am | Permalink

    This title keeps popping up over and over in my life. I know I need to read it- just not sure how I will.

  3. Nadine
    Posted January 25, 2016 at 8:50 am | Permalink

    I’m waiting my turn for the library hold. I found out about the book right before I saw you mention it for the first time on Instagram. Had I not wanted to read it before I would have then. Think about it, not only by writing books you’re touching lives, but also by recommending and sharing them with the world. Thank you!

  4. Posted January 25, 2016 at 9:08 am | Permalink

    Both of their essays (he and his wife) have affected me deeply. I have a feeling I’d cry my way through this book. Thanks for your thoughtful review. I need to read Oliver Sachs too; I have a feeling I would just love him.

  5. Posted January 25, 2016 at 10:50 am | Permalink

    As you know, I loved this book. I am sad the world lost Paul’s voice and his insight. I’ve thought about his legacy and perspective since reading his words and I agree, this book is one that will stay with me for a long time. Maybe forever.

    Thanks for your introspective review.

  6. Posted January 25, 2016 at 4:51 pm | Permalink

    I’m loving it so far.

  7. Posted January 25, 2016 at 8:15 pm | Permalink

    Oh yes. I will be reading this. His wife’s piece in the NYT was wrenching and beautiful.

  8. Posted January 27, 2016 at 9:36 am | Permalink

    Even the reviews about this book are profoundly moving and have me in tears. Definitely on my list. Thanks for this beautiful review.

  9. Posted January 28, 2016 at 6:01 am | Permalink

    It’s my next book to read. Your sentiments only make me wish that I can read it sooner.

  10. Posted January 29, 2016 at 8:47 pm | Permalink

    I agree with you that those authors belong together. I’m looking forward to this one and Sacks’ Gratitude, but I just read ‘On the Move’ so I’m waiting a bit so I can stretch out the amount of time I have left until I’ve read everything he’s written. Giants, to be sure.

  11. Posted February 21, 2016 at 2:11 pm | Permalink

    Oh my. I definitely have to read it now. I believe a book can wash through you and change you and it sounds like this is jsut such a book.

  12. Posted March 17, 2016 at 4:48 pm | Permalink

    Months after being on the library wait list I finally got a copy of the book. Like you suggested it was a quick read, life changing to be sure. The loss pains me, but what pains me more is the remote possibility that his death could have been averted. I find myself going back to that first doctor visit where he suggested an MRI and the doctor recommended an X-ray. It baffles me that his cancer went on for six months when intervention could have happened early on and his life could have been spared. Which brings me to my question (s) ~ since my dad got diagnosed with cancer more than two years ago, I have been grappling trying to find an answer “if our life and deaths are pre-determined for us by God, then would any intervention, or lack thereof, add or decrease from our years? I have struggled to find an answer and am in a dilemma. If Paul’s cancer had been detected, would he still have died when he did, but from a different cause, in a different manner?” I am curious as to your take on this.

    Along the same lines I have also been struggling to find an answer to “what makes a life worth saving, and another not?” Paul brought up that matter a few times in his writing, and it has been a topic going through my mind since seeing my dad house-ridden despite the success in treating his cancer. Seeing him in that condition causes me to wonder, and question, though I have not arrived at an answer. “Who am I to decide if the costs associated with sustaining his life (financial, physical, emotional) are worth the years added, the memories created, the days spent.” Which then brings me back to my original question ~ do we live a predetermined number of days.

    Much love to you, my dear. I so enjoy reading your writing.