The Best Care Possible and over one million other books are available for Amazon Kindle. Learn more



or
Sign in to turn on 1-Click ordering
Sell Us Your Item
For a $0.44 Gift Card
Trade in
More Buying Choices
Have one to sell? Sell yours here
Start reading The Best Care Possible on your Kindle in under a minute.

Don't have a Kindle? Get your Kindle here, or download a FREE Kindle Reading App.
Sorry, this item is not available in
Image not available for
Color:
Image not available

To view this video download Flash Player

 

The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life [Hardcover]

Ira Byock MD
4.6 out of 5 stars  See all reviews (34 customer reviews)

List Price: $26.00
Price: $17.99 & FREE Shipping on orders over $25. Details
You Save: $8.01 (31%)
o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o
In Stock.
Ships from and sold by Amazon.com. Gift-wrap available.
Want it Tuesday, May 21? Choose One-Day Shipping at checkout. Details

Formats

Amazon Price New from Used from
Kindle Edition --  
Hardcover $17.99  
Paperback $11.96  
Image
Save on Popular Books This Summer
Browse our Bookshelf Favorites store for big savings on popular fiction, nonfiction, children's books, and more.

Book Description

March 15, 2012

A palliative care doctor on the front lines of hospital care illuminates one of the most important and controversial ethical issues of our time on his quest to transform care through the end of life.

It is harder to die in this country than ever before. Statistics show that the vast majority of Americans would prefer to die at home, yet many of us spend our last days fearful and in pain in a healthcare system ruled by high-tech procedures and a philosophy to "fight disease and illness at all cost."

Dr. Ira Byock, one of the foremost palliative-care physicians in the country, argues that end-of-life care is among the biggest national crises facing us today. In addressing the crisis, politics has trumped reason. Dr. Byock explains that to ensure the best possible care for those we love-and eventually ourselves- we must not only remake our healthcare system, we must also move past our cultural aversion to talking about death and acknowledge the fact of mortality once and for all.

Dr. Byock describes what palliative care really is, and-with a doctor's compassion and insight-puts a human face on the issues by telling richly moving, heart-wrenching, and uplifting stories of real people during the most difficult moments in their lives. Byock takes us inside his busy, cutting-edge academic medical center to show what the best care at the end of life can look like and how doctors and nurses can profoundly shape the way families experience loss.

Like books by Atul Gawande and Jerome Groopman, The Best Care Possible is a compelling meditation on medicine and ethics told through page-turning, life or death medical drama. It is passionate and timely, and it has the power to lead a new kind of national conversation.


Frequently Bought Together

The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life + Dying Well + The Four Things That Matter Most: A Book About Living
Price for all three: $47.81

Buy the selected items together

Customers Who Bought This Item Also Bought


Editorial Reviews

Review

“There is no palliative care physician for whom I have more respect and admiration than Ira Byock. In this strikingly important book, Byock presents an agenda for end-of-life care that should serve as an ideal template on which to build our best hopes for the final days of those we love and ourselves—and a corrective for our society.” –Sherwin B. Nuland, MD, Yale Interdisciplinary Center for Bioethics and author of How We Die


"With elegance, compassion, and energy, Ira Byock shows us how to get the best end of life care. He is a great storyteller and a brilliant analyst of health care in America. This is the book to read or give, if you are facing this hard situation. Nobody gets out of this life alive, but Byock shows us how to do it elegantly and well."
(-Jane Isay, author of Walking on Eggshells)

"This is an extraordinary and wise book on how dying people can be cared for. Written by a master clinician, a man of great compassion, Ira Byock has a vision of health care that is brilliant and kind."  -Roshi Joan Halifax, Abbot, Upaya Zen Center, Sante Fe, author of Being with Dying


"In a world in which politics are polarized and ethical discussions often descend into a food fight, Ira Byock is that rare doctor: a humane guide leading us with honesty and compassion through complex stories about living and dying well. He's a real-life rebuke to those who think palliative doctors are "death panels" and a mentor to every medical student inevitably faced with mortality. This is must reading for everyone trying to make humane decisions in a high tech world." - Ellen Goodman, longtime syndicated columnist for The Boston Globe


“At a time when a long life can become a curse as readily as a blessing, this lucid and compassionate book points the way to more humane treatment of a life’s last days.” –Rabbi Harold Kushner, author of When Bad Things Happen to Good People


“The baby boom generation has transformed every stage of live we’ve touched. We’re now transforming the dying process. And Dr. Byock is leading the way… brilliantly!” – Christiane Northrup, MD, ob/gyn and author of the New York Times bestselling Women’s Bodies, Women’s Wisdom and The Wisdom of Menopause


"A magnificent, moving, and deeply important work. Ira Byock is a trailblazer whose life’s work has forever changed the way we view dying in this country. But there’s much more to be done. The Best Care Possible is Byock’s urgent and passionate call to action for the nation. This book is a must-read for anyone who thinks there’s even a possibility that they someday might die.” –Dave Isay, founder of StoryCorps, author-editor of Listening Is an Act of Love


“In a world of sound bites, end-of-life concerns are framed politically with emotionally charged rhetoric. Above the clamor, Dr. Byock writes a compelling case for consistent, compassionate, and enduring palliative care for all people as they reach the winter of their lives. Through vignettes he outlines the challenges for the patient, the caregivers, and the medical community, and ably advocates a revolution of care for the end of life. This is a revolution sorely needed and worth fighting for.” –Pastor Robert Fleischmann, National Director, Christian Life Resources


“Dr. Byock, one of the country’s leading experts in palliative care, shares his wisdom and insights on how to get the best care possible when we are confronted with a potentially life-limiting illness.  When my own mother was seriously ill, Ira’s words helped our family make the right choices and make sure she got the care she wanted – and no more – during her last months. His words can help you.” --Elliott S. Fisher, MD, MPH, Director of Population Health and Policy, The Dartmouth Institute


“In The Best Care Possible, Ira Byock tells us why we need to move beyond medicine’s fixation on conquering death to a vision of end-of-life care focused on the quality of the patient’s experience.  This is a beautifully written, highly personal account that makes real the struggle of patients and families to escape the “high-tech”, more is better imperative that dominates the American way of death. It provides compelling examples of how the physician, committed to reform, can help patients achieve the care they want and need.  But Byock goes further: he makes the case that professional reform is only part of the solution; overcoming the medicalization of death will require the mobilization of the wider community in the support of the dying (and those with chronic illness).”--Jack Wennberg, MD author of Tracking Medicine: a Researcher’s Quest to Understand Health Care


“This is a profoundly truthful book. Ira Byock uses powerful stories about real people to explain the complications, nuances and often absurdity of advanced illness in 21st century America. He shows how courage, shared decisions, wise doctors and nurses and palliative care can make the difference. Above all, he calls for a cultural transformation, so we can deal with the end of life as individuals, families and society. Who should read it? All of us who are mortal.” -- Bill Novelli, Professor, Georgetown University and co-chair, the Coalition to Transform Advanced Care (and former CEO, AARP)


“Dr. Byock lets the stories of patients, families, and medical colleagues open windows into the heart of the issues. He leads the reader captivatingly from story to story to see and feel what the best care through the end of life can be and deftly invites our nation to envision the best care for our culturally diverse society and cultures. Dr. Byock captures the fundamental human impulse to care lovingly for one another at the most sacred and privileged moments of our lives…now and through the end of life.”-- David Lichter, D.Min., Executive Director, National Association of Catholic Chaplains


“Dr. Byock’s book rejuvenates me. In allowing us the special privilege of entering the sacred space of their final journey, people teach us precious lessons about ourselves. Dr. Byock has a gift of sharing the lessons he’s learned in a most readable narrative marked by compassion, love of life, and lucidity.” -- Rabbi Bunny Freedman, Founding Director of Jewish Hospice & Chaplaincy Network


“There is no palliative care physician for whom I have more respect and admiration than Ira Byock. In this strikingly important book, he presents an agenda for end-of-life care that should serve as an ideal template on which to build our best hopes for the final days of those we love and of ourselves --- and a corrective for our society.”—Sherwin B. Nuland MD Yale Interdisciplinary Center for Bioethics; author of How We Die.
 
 

About the Author

Ira Byock, MD is a practicing physician. He is Director of Palliative Medicine at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire and  Professor at Dartmouth Medical School. Dr. Byock has written widely on the ethics and practice of palliative care and health care systems change. He is a consistent advocate for the voice and rights of patients and their families.


Product Details

  • Hardcover: 336 pages
  • Publisher: Avery; 1 edition (March 15, 2012)
  • Language: English
  • ISBN-10: 1583334599
  • ISBN-13: 978-1583334591
  • Product Dimensions: 9.1 x 6.2 x 1.4 inches
  • Shipping Weight: 1 pounds (View shipping rates and policies)
  • Average Customer Review: 4.6 out of 5 stars  See all reviews (34 customer reviews)
  • Amazon Best Sellers Rank: #68,131 in Books (See Top 100 in Books)

More About the Author

Discover books, learn about writers, read author blogs, and more.

Customer Reviews

Or those of us who may at some time have an ailing loved one, or a loved one who may die. duditos  |  11 reviewers made a similar statement
Dr. Byock is compelling. Tarris Rosell  |  8 reviewers made a similar statement
I even loaned the book to another friend who found this book interesting reading. Barbara  |  4 reviewers made a similar statement
Most Helpful Customer Reviews
46 of 46 people found the following review helpful
By duditos
Format:Hardcover|Amazon Verified Purchase
This book is not intended for everyone. Just for those of us with an ailing loved one, or a loved one who who is dying. Or those of us who may at some time have an ailing loved one, or a loved one who may die. Or those of us who may at some time ourselves be ailing or dying. Dr Byock transforms the discussion of how we live our final days from a political hot potato to a rational, personal and heartfelt fact of life. As a physician, I am keenly aware of the miraculous medical tools that we as Americans are fortunate to have available to us. I am equally aware, however how the inappropriate use of these tools can contradict our ultimate responsibility as physicians to "above all do no harm". More importantly, as the son of one of the patients whose journey through critical illness and hospice care is chronicled in The Best Care Possible, I have witnessed and experienced how an informed and caring medical team can positively effect not only the patient, but those who love her as well. Let the publication of this book awaken us all to the need for a national discussion, in a sane and rational way, of the need of advanced directives, and an assessment of how we choose to spend our final days. Sanford E Glikin, MD
Was this review helpful to you?
21 of 21 people found the following review helpful
5.0 out of 5 stars A "good death?"... March 30, 2012
Format:Hardcover|Amazon Verified Purchase
Dr Ira Byock's new book, "The Best Care Possible" is one doctor's look at the inevitability we all face - death. Like taxes, death is a by-product of life and a "good death", while seemingly an oxymoron, is something Dr Byock has been writing about for many years. An "end-of-life" specialist at New Hampshire's Dartmouth-Hitchcock Medical Center, Ira Byock works with a team to put together as good and gentle a death experience as possible for his patients.

Byock writes, that as we baby-boomers age, we're facing both the inevitable deaths of two generations - our parents, and then, in our turn, ourselves. As overall medical treatments advance, we're living longer and what used to kill us at earlier ages, doesn't do that so much anymore. And we're not dying as often in a family-setting. Most deaths occur in hospitals and nursing homes, with the dying tied up to machines that often keep them alive far past the point most people want to be kept alive. The old conundrum of "quality of life" vs "quantity of life".

Dr Byock's book is not a "how-to" guide to making a "good death". There are no steps he advises taking, but rather he speaks to the larger issue, from both a medical standpoint and a personal one. As a doctor in a smallish community, Byock often has to look at both views when treating his patients. He writes about teaching medical students at Dartmouth Medical School to be aware of the responsibilities as future doctors when medical treatments fail at arresting illness and the patient moves on toward death. And when advanced chemo might be granting a cancer patient a somewhat longer life span but at the cost of agonising side effects. When does a "good life" sequence into a "good death"? How does the doctor, his or her support staff, and the patient's family and friends make that "good death" occur? He's a long-time believer in hospice.

I think Dr Byock has written a few books on the subject of dying. This is the first one I've read, but not the last one. He asks questions of the reader in subtle ways that make the reader look past the often first and easy answers, to the tougher ones. But those are the answers that need to be thought about in end-of-life issues.
Was this review helpful to you?
20 of 20 people found the following review helpful
5.0 out of 5 stars Just What the Doctor Ordered for US Health Care March 24, 2012
Format:Hardcover
I wish I could send a copy of this to my mother, an RN who loved Dr. Byock's work and died 6 years ago... This book has changed the way I think about hospice and palliative medicine, not a minor accomplishment as I have been practicing this subspecialty since 1988, before it officially even existed.

Dr. Byock's earlier book "Dying Well" was a revelation to me because it held up a mirror, convinced me of the terrific potential of the work I had just begun doing and let me share that with others; "The Best Care Possible" holds such a mirror up to the whole country, showing us as a nation where we are failing to provide the care needed by the seriously ill, and how we can transform that, not only to benefit the suffering but to change the system.

Patrick Clary, MD
Exeter, New Hampshire
Comment | 
Was this review helpful to you?
Most Recent Customer Reviews
5.0 out of 5 stars excellent
book was in excellend condition and arrived when expected.
the book itself is at the leading edge of where home health care should be moving towards.
thanks
Published 13 days ago by Helen C Mabry
5.0 out of 5 stars Immensely helpful
I loved Dr. Byock's other book, Dying Well, and wanted to read this one also. To give you some backstory, I had no interest whatsoever in these types of issues until my mother died... Read more
Published 18 days ago by A. McCLure
4.0 out of 5 stars Job Well Done
As a fellow physician I feels that Dr. Byock did a wonderful job at presenting the complexities at hand in American healthcare. Read more
Published 1 month ago by drkrohn
5.0 out of 5 stars What is a good death?
Let me begin by saying that in my current stage of life, I'm buying sympathy cards in bulk rather than birthday cards. Read more
Published 2 months ago by Judith H.
5.0 out of 5 stars A sensitive approach to End of Life health care
My wife and I are involved with end of life care and ministry. We found it to be a sensitive and sensible approach to helping people who are facing end of life events. Read more
Published 3 months ago by Barbara Lindsley
5.0 out of 5 stars So Proud
This is my brother's book, so everything he writes is quite meaningful to me. I have been a hospice volunteer for over 10 yrs due to his inspiration. Read more
Published 3 months ago by Molly Byock
4.0 out of 5 stars Looks like a good read
I haven't read this as yet, but it came recommended to me & as I am a medical professional, I think it will be interesting & probably eye opening. It arrived in a timely manner.
Published 4 months ago by K. Ziegler
5.0 out of 5 stars Excellent book!
I can highly recommend this book. Very informative. This should be required reading for anyone that is a Caretaker.
Jam Kramer
Published 5 months ago by Jam K.
3.0 out of 5 stars Book on care in hospital
The author makes good points, but it seems drawn out, and one is not likely to read it until the time is at hand to be necessary.
Published 6 months ago by J from tampa
5.0 out of 5 stars More people need to read this!
I am a RN who cares for Hospice patients and their families. I is not only about dying but living fully with all your symptoms addressed and relieved to your comfort. Read more
Published 8 months ago by Beth Gonzales
Search Customer Reviews
Only search this product's reviews


Forums

There are no discussions about this product yet.
Be the first to discuss this product with the community.
Start a new discussion
Topic:
First post:
Prompts for sign-in
 





Look for Similar Items by Category