How We Live [Paperback]

Sherwin B. Nuland (Author)

Book Description

Publication Date: May 26, 1998

Having won the National Book Award for How We Die, his best-selling inquiry into the causes and modes of death, Sherwin Nuland now turns his attention to the miraculous resiliency of human life.  For this lucid, wonderful, and wonder-filled new book explores the body's mysterious capacity to marshal disparate organs and processes in the interests of survival.

Like its predecessor, How We Live is filled with gripping medical case histories: a woman is pulled back from the brink of death from inexplicable internal bleeding; another patient triumphs over breast cancer; the "routine" removal of a polyp triggers a nearly lethal medical crisis.  For Nuland, each of these cases serves to illustrate the extraordinary responsiveness and adaptability of the human organism.  We learn how the aorta's baroreceptors monitor blood pressure and respond to its minutest fluctuations.  We follow the intricate chain of electrochemical command that makes us leap out of the path of a speeding car. We discover why the stomach--which is capable of breaking down everything from porridge to pizza--refrains from digesting itself.  Informed by sympathy for human suffering and an erudition that includes poetry and the Talmud as well as the medical canon, How We Live is science writing of the rarest kind--lucid, poetic, and genuinely uplifting.

Originally published under the title The Wisdom of the Body

Editorial Reviews

Amazon.com Review

After he won the National Book Award for How We Die, physician and popular medical writer Sherwin Nuland noticed that book critics kept referring to his next book, The Wisdom of the Body, as How We Live. Rather than fight the tide, he embraced the nickname and reissued the book. How We Live is a fascinating examination of the machinery of life. Dr. Nuland begins his meditation with a hair-raising account of a medical emergency that nearly ends in disaster: a 40-year-old woman almost bleeds to death on the operating table as he and other doctors struggle frantically to find the source of the hemorrhage. Eventually, Dr. Nuland and his team are able to locate the cause--a rare aneurysm of the splenic artery--and repair it. The patient survives. How We Live, Dr. Nuland tells us, grew out of the experiences of that night and his certainty that Marge Hanson lived because of her own will and the surgical team's will not to let her die. That "will to live" is what Dr. Nuland calls the Human Spirit, and spirit is very much a part of the body's wisdom.

Each chapter of How We Live focuses on a different biological function, from the work of the lymph nodes to the process of pregnancy and birth. The heart, the nervous and digestive systems, the sex organs, and the brain are all explored and commented on with clarity and grace. But Dr. Nuland is not content with merely providing an operating manual for the body. He is in a constant state of wonder at what a miraculous and mysterious thing the body is: a dynamic system of parts all working in concert, infused with that fierce, intangible quality--the human spirit.

From Library Journal

In this engrossing book, Nuland, author of the prize-winning How We Die, has turned his medical knowledge to the wonder of life. He offers a lucid anatomical and physiological tour of the human body, from cells and DNA to tissues and organs, reinforcing the sense of wonder with strategic case studies from his medical experience at Yale Medical School. Interspersed throughout is a discussion of the gnawing issue of what constitutes the mystery of life: How do biochemical interactions explain the quintessence of Homo sapiens? Nuland presents a formidable set of scientific facts and gives us much to ponder concerning our spirituality. Highly recommended.
-?James Swanton, Harlem Hosp. Lib., New York
Copyright 1997 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

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Product Details

• Paperback: 432 pages
• Publisher: Vintage (May 26, 1998)
• Language: English
• ISBN-10: 0679781404
• ISBN-13: 978-0679781400
• Product Dimensions: 5.1 x 0.9 x 8 inches
• Shipping Weight: 13.6 ounces (View shipping rates and policies)
• Average Customer Review: 4.2 out of 5 stars  See all reviews (18 customer reviews)
• Amazon Best Sellers Rank: #472,804 in Books (See Top 100 in Books)

More About the Author

Sherwin B. Nuland is Clinical Professor of Surgery at Yale University School of Medicine and a Fellow at Yale's Institute for Social and Policy Studies. He is the author of over ten books, including the National Book Award-winning, HOW WE DIE: Reflections on Life's Final Chapter, an inquiry into the causes and modes of death that spent 34 weeks on the New York Times best-seller list. In addition he is a contributor to leading publications including the New Yorker, the New Republic, and the New York Review of Books.

Customer Reviews

Most Helpful Customer Reviews

30 of 32 people found the following review helpful:

5.0 out of 5 stars Body Mechanics, March 12, 2004

By 

Mary L. Hyatt - See all my reviews
(REAL NAME)   

This review is from: How We Live (Paperback)

I bought this book under the title "Wisdom of the Body". Because it was written after "How We Die", which won a National Book Award, it was changed from "Wisdom of the Body" to "How We Live" because so many reviewers nicknamed it that. Dr. Nuland is one of the best writer's I have come across concerning the function of the human body. He writes with such clarity and interweaves his stories with wonderful references to the history of medicine. I think everyone that has the least bit of interest in how their body works should read his books. You don't have to have a medical background to understand his writing, but if you do have a medical background, he helps you see things even more clearly. These books are especially meaningful for anyone who has an aging parent suffering from certain illnesses. It will give you an understanding and a peace that you might not find elsewhere.

22 of 23 people found the following review helpful:

5.0 out of 5 stars An outstanding book, March 4, 2001

By 

George Davidson (Albuquerque, New Mexico USA) - See all my reviews
(REAL NAME)   

This review is from: The Wisdom of the Body (Audio Cassette)

Dr. Nuland has written a well constructed book that leads the reader through a bit of anatomy, together with helpful discussions of the Greek and Latin words behind the anatomical names. However, the main focus is on how the body strives to maintain health and how the emergent phenomena of 'Human Spirit' plays into that maintenance. Contrary to the impressions from earlier reviewers, I found this book to be extremely well written, and carefully constructed so that the reader is exposed to the nature of the material in a well ordered way. I loved his writing style, I loved the emotion behind the stories he told, and I appreciate his struggles with how the human spirit could emerge from the chaos of evolution. I highly recommend this book.

11 of 11 people found the following review helpful:

5.0 out of 5 stars It's Great!!!, May 18, 2006

By 

Smarty "Jen" (MA) - See all my reviews

This review is from: How We Live (Paperback)

How We Live, by Sherwin B. Nunland, is an intriguing, well-written book worthy of a five-star review. The 364-page book is beautifully written, with excellent descriptions and powerful stories. In addition to scientifically accurate descriptions of each body system, How We Live relates the structure of each part of the body to the function of a human being as a whole. This book is truly the work of an excellent author.
The first chapter, "The Will to Live", is a story of just that - a woman who requires immediate emergency surgery top treat a desperate condition. The descriptions in this chapter are vivid and graphic - including detailed accounts of the surgery itself. Spurting blood, ruptured organs, and jerking muscle are described so intensely it is easy to imagine what the scene described would look like. In fact, this chapter is so well-written, I advise anyone with a weak stomach to skip it!
The second chapter provides many accurate descriptions of the body and how it works - everything from blood and capillaries to the differences between voluntary and involuntary muscle. The circulatory system is described in such detail that it is easy to forget this is a scientific book! The body and its structures are described as wonders of nature. The third chapter goes into a story of breast cancer and gets more deeply into the endocrine system. There is, in this chapter, an interesting description of a cancerous breast and the procedure done to remove it. The fourth chapter deals with the nervous system, and provides several helpful illustrations to help the reader understand somewhat challenging information. The fifth chapter details the cell, and the sixth and seventh chapters discuss sexuality and the reproductive process. The book goes on the discuss birth, the heart, the digestive system, and the brain. These chapters add up to a scientifically accurate, yet interesting book.
How We Live is different from most other science books in that it isn't dry or confusing. It combines accurate information with heart-warming stories and is fun to read. The information is surprisingly easy to understand and the book is interesting enough to contend with fiction novels. This is a must read!