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A Beginner's Guide to the End: Practical Advice for Living Life and Facing Death Hardcover – July 16, 2019

4.6 4.6 out of 5 stars 854 ratings

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“A gentle, knowledgeable guide to a fate we all share” (The Washington Post): the first and only all-encompassing action plan for the end of life.

“There is nothing wrong with you for dying,” hospice physician B.J. Miller and journalist and caregiver Shoshana Berger write in
A Beginner’s Guide to the End. “Our ultimate purpose here isn’t so much to help you die as it is to free up as much life as possible until you do.”

Theirs is a clear-eyed and big-hearted action plan for approaching the end of life, written to help readers feel more in control of an experience that so often seems anything but controllable. Their book offers everything from step-by-step instructions for how to do your paperwork and navigate the healthcare system to answers to questions you might be afraid to ask your doctor, like whether or not sex is still okay when you’re sick. Get advice for how to break the news to your employer, whether to share old secrets with your family, how to face friends who might not be as empathetic as you’d hoped, and how to talk to your children about your will. (Don’t worry: if anyone gets snippy, it’ll likely be their spouses, not them.) There are also lessons for survivors, like how to shut down a loved one’s social media accounts, clean out the house, and write a great eulogy.

An honest, surprising, and detail-oriented guide to the most universal of all experiences,
A Beginner’s Guide to the End is “a book that every family should have, the equivalent of Dr. Spock but for this other phase of life” (New York Times bestselling author Dr. Abraham Verghese).
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Editorial Reviews

Review

“The combined wisdom of a legendary hospice physician together with a journalist and experienced caregiver makes this book feel like a loving friend who is by our side with practical advice on the medical, legal, logistical, and emotional aspects of an event that awaits us all. This is a book that every family should have, the equivalent of Dr. Spock but for this other phase of life.”
— Abraham Verghese, author of Cutting for Stone

A Beginner’s Guide to the End is honest, funny, luminous, and essential. Full of real-world advice and hard-won insight, it’s a practical guide to dying that is actually much more about living.”
— Lucy Kalanithi, author of the epilogue to When Breath Becomes Air by Paul Kalanithi

“A gentle, knowledgeable guide to a fate we all share.”
The Washington Post

“Miller and Berger, through their honesty and deep experience, help us to live the best life possible with a serious illness. This is a beautiful, poignant, expert, and human handbook for all of us.”
Susan Block, MD, Professor of Psychiatry and Medicine, Harvard Medical School

“I wish I’d had this book when I needed it. Death and dying are not subjects that many people are comfortable talking about, but it’s hugely important to be as prepared as you can be—emotionally, physically, practically, financially, and spiritually. This book may be the most important guide you could have.”
— Elizabeth Gilbert, author of Big Magic and Eat Pray Love

“‘You know what would be fun today? Reading a book about death,’ said no one ever. So you can imagine my surprise when I opened these pages and found myself smiling on the first one. BJ Miller and Shoshana Berger have done something impressive: they’re written a book about dying that’s not only moving and practical, but also delightful to read.”
— Adam Grant, co-author of Option B and author of Give and Take and Originals

“When it comes to the final journey, we are all beginners. Navigating the complexities of serious illness requires grace and grit. With elegant simplicity and tender, earthy honesty, this beginner’s guide explains how to prepare, what possible routes you might take, mis-turns to avoid, and the beauty you might see along the way.”
Ira Byock, MD, Founder & Chief Medical Director, Institute for Human Caring

“There are many times in my personal life and my medical education when I could have used this book. In their clear and compelling guide, Miller and Berger help us understand how to approach one of the most important but least understood phases of our life. Their honest reflections and sharp insights will change lives for the better.”
— Vivek Murthy, MD, former Surgeon General of the United States

“If you are sure you would never read a book about how to face death, especially long before you need it,
A Beginner’s Guide to the End: Practical Advice for Living Life and Facing Death just might convince you it wouldn’t be bad to have on the shelf... The book blends practical information with compassionate advice for facing our own death or the death of a loved one.”
Next Avenue

About the Author

BJ Miller, MD, is a hospice and palliative medicine physician who has worked in many settings—inpatient, outpatient, hospice facility, and home—and now sees patients and families at the UCSF Helen Diller Family Comprehensive Cancer Center. Miller speaks all over the country and beyond on the theme of living well in the face of death. He has been profiled in The New York Times and interviewed by Oprah Winfrey, Tim Ferriss, and Krista Tippett.

Shoshana Berger is the editorial director at IDEO, where she has worked on projects ranging from the end of life to modern Judaism to school lunch. She was a senior editor at
WIRED, and has written for the New York Times, Fast Company, Time, WIRED, Popular Science, Marie Claire, and Quartz. She cofounded the DIY design magazine, ReadyMade, later turning it into a book, Ready Made: How to Make (Almost) Everything.

Product details

  • Publisher ‏ : ‎ Simon & Schuster; 1st edition (July 16, 2019)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 544 pages
  • ISBN-10 ‏ : ‎ 1501157167
  • ISBN-13 ‏ : ‎ 978-1501157165
  • Item Weight ‏ : ‎ 1.94 pounds
  • Dimensions ‏ : ‎ 6 x 1.8 x 9 inches
  • Customer Reviews:
    4.6 4.6 out of 5 stars 854 ratings

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Customer reviews

4.6 out of 5 stars
854 global ratings

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Customers say

Customers find the book provides practical advice and actionable steps for anyone facing end-of-life issues. They describe it as a thoughtful, meaningful read with good thoughts and inspiring stories. The content is easy to understand and accessible without being overly technical or dry. Readers appreciate the compassionate and understanding approach that helps them grieve. The visual style is engaging with tasteful illustrations that keep things light.

AI-generated from the text of customer reviews

46 customers mention "Advice quality"43 positive3 negative

Customers find the book provides practical advice and actionable steps for anyone facing end-of-life issues. They appreciate that it addresses both practical and existential questions. The book is easy to read and informative, with common practices and lessons that can be applied at any time. It serves as a valuable reference book to help plan for decisions and navigate difficult situations for families.

"Just received this book and have already highlighted several words of wisdom. Very easy to follow and to read...." Read more

"...They have covered the range of practical, emotional, spiritual and physiological guidance in preparing for our own end, and that of those we love...." Read more

"...This book is a fantastic guide, how-to manual, and practical encyclopedia on nearly all the topics that you could run into when dealing with either..." Read more

"...This really and truly is a practical guide that walks you through the nitty gritty elements of aging and preparing for your final years. “..." Read more

44 customers mention "Readability"44 positive0 negative

Customers find the book easy to read and informative. They appreciate the thoughtful content and illustrations that make complex information palatable. The book provides valuable insights and comprehension to help plan for decisions and navigate. Overall, readers describe it as a powerful reference book.

"...It seems like a lot of information but it's so worthwhile to read and digest BEFORE you need it. This will help us be prepared!" Read more

"...the breathable, strong fabric of this book, all the insight and comprehension its authors share...." Read more

"...This one chapter reduced the credibility of an otherwise excellent book. I would still recommend the book nonetheless." Read more

"One of the best books I have read around the topic of death...." Read more

19 customers mention "Enlightened"19 positive0 negative

Customers find the book informative and thought-provoking. They appreciate the personal stories and narratives that help them think about the topic. The book treats a delicate subject with a loving yet practical tone. Readers appreciate the author's approach to the topic.

"...They have covered the range of practical, emotional, spiritual and physiological guidance in preparing for our own end, and that of those we love...." Read more

"...There are so many stories shared as examples, many taken directly from the author’s own personal experiences within their personal lives...." Read more

"...have done a masterful job of taking an increasingly complex and multifaceted topic and breaking it down to what's most important for the reader to..." Read more

"...This book is thoughtfully written by two people with interesting perspectives; one suffered an unusual accident that changed his perspective on life..." Read more

15 customers mention "Ease of reading"15 positive0 negative

Customers appreciate the book's easy-to-understand and informative content. They find it accessible and humorous, with practical advice and actionable steps anyone can take. The book provides a straightforward way of discussing a difficult topic, with an engaging approach that educates readers on potential legal complications.

"...Very easy to follow and to read. It seems like a lot of information but it's so worthwhile to read and digest BEFORE you need it...." Read more

"The authors have done a masterful job of taking an increasingly complex and multifaceted topic and breaking it down to what's most important for the..." Read more

"This book was practical and had an easy way of discussing a very difficult topic...." Read more

"...editor of Readymade magazine gives her the perfect voice for the straightforward, step-by-step guidance this book provides...." Read more

11 customers mention "Compassion"11 positive0 negative

Customers appreciate the author's compassion and wisdom. They find the book helpful in addressing real emotions and helping them grieve. The author also mentions that relationships with doctors, nurses, caregivers, and patients are important.

"...They have covered the range of practical, emotional, spiritual and physiological guidance in preparing for our own end, and that of those we love...." Read more

"...Miller and Berger have injected personal stories, humor and empathy throughout, making it a positive and enlightening experience to read this book..." Read more

"...of this book to be helpful & presented in a thoughtful & compassionate manner. So I’d give the book itself 5 stars. ⭐️⭐️⭐️⭐️⭐️" Read more

"...the start removes the stigma, fear and terror - while also addressing the real emotions that we feel of the same." Read more

6 customers mention "Visual style"6 positive0 negative

Customers appreciate the book's visual style. They find the illustrations tasteful, handy checklists, and engaging design that make them want to flip through it. The book is presented in a thoughtful and compassionate manner, with lovely illustrations that break up sections and keep things light.

"...’s videos so expect the content of this book to be helpful & presented in a thoughtful & compassionate manner. So I’d give the book itself 5 stars...." Read more

"...Engaging design makes me want to flip through to read all the "For Caregivers" tips...." Read more

"This book was beautifully put together. It has tasteful illustrations, handy checklists, and no-nonsense language and advice...." Read more

"...The illustrations help to keep things light by breaking up the sections...." Read more

5 customers mention "Humor"5 positive0 negative

Customers enjoy the humor in the book. They find it helps balance the content and appreciate the playful tone throughout.

"...Playfulness and humor is sprinkled through out the book which is not easy, but is so needed when working with such a taboo and difficult subject...." Read more

"...Miller and Berger have injected personal stories, humor and empathy throughout, making it a positive and enlightening experience to read this book..." Read more

"...Beautiful prose -- even funny at times, which charmed me...." Read more

"...subject and the book's authors manage that discomfort with some good humor that helps counterbalance the weight of the subject...." Read more

5 customers mention "Value for money"5 positive0 negative

Customers find the book a good value for money and worth the wait.

"...it was very interesting so I bought this book the book as well worth every penny the author is really knowledgeable on the subject...." Read more

"Get this book FIRST from your local library (it is well worth the wait). Then, do what most people do--purchase it from Amazon...." Read more

"...Definitely worth the time and money." Read more

"...A good guide for the dying as well as their caregivers. Worth every penny." Read more

Lovely, functional, evocative and inspiring - a kind of shroud for the living
5 out of 5 stars
Lovely, functional, evocative and inspiring - a kind of shroud for the living
How does this book resonate? I can’t even count the ways. For me, BJ Miller and Shoshana Berger have woven a kind of shroud for the living – a lovely, pieced “cover so as to protect” (from shroud's Middle English root). They have covered the range of practical, emotional, spiritual and physiological guidance in preparing for our own end, and that of those we love. From large questions to ask about our own care plan, to specific spices and herbs to deal with taste changes with illness, to the range of natural reactions within the geography of grief, I found myself nodding, weeping, smiling, nodding. From their quilt of stories, I found myself wrapped in remembering those I’ve lost, some with time to prepare, others too suddenly. How helpful this protective cover would have been for my sister-in-law as she reckoned with leaving three young girls and my brother? For my friend and classmate at VCFA, a caregiver to his mother who absorbed that toll and died first? For my young patient-students and their families in a children’s hospital? How grateful, years later, to be reminded how my stepfather willed himself to wait until a bed opened up at the hospice center, days past his active dying began? (He didn't want to die in the bed our mother would be sleeping in.) People and memories cascaded throughout as I read, and I’m so grateful for this book’s careful, generous spirit, to allow those resonant gifts.I also found myself compelled to action. Why do I have all this crap in my house that I’ll “use someday”? Why haven’t I done more than prepare an advanced directive, like write a will by now, for Pete’s (and my siblings’) sake? (Finally called HR this morning about the ‘legal advice’ elective benefit I’ve been paying for so long.) How do I imagine my remains to be most useful, somehow, after I’m gone? (Biodegrading in a simple sack – where? - or mixed into concrete as a coral habitat in international waters, like a friend’s brother did, or spread over special soil, like the ‘cindres’ of my friend’s mother, that we cast over her childhood home in southern France? How long might I have to figure that one out?)And there’s the rub, the “bumping up against what [we] can’t necessarily command or comprehend,” as the authors say. Regardless, now we have the breathable, strong fabric of this book, all the insight and comprehension its authors share. It’s one of those books I’ll reread over time as I try to make the most of living at all. And I’ve found a book to give everyone I love, to pass on its protective layer, toward, as Browning put it, “the ends of being and ideal grace.”
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Top reviews from the United States

  • Reviewed in the United States on June 10, 2024
    Just received this book and have already highlighted several words of wisdom. Very easy to follow and to read. It seems like a lot of information but it's so worthwhile to read and digest BEFORE you need it. This will help us be prepared!
    One person found this helpful
    Report
  • Reviewed in the United States on July 23, 2019
    How does this book resonate? I can’t even count the ways. For me, BJ Miller and Shoshana Berger have woven a kind of shroud for the living – a lovely, pieced “cover so as to protect” (from shroud's Middle English root). They have covered the range of practical, emotional, spiritual and physiological guidance in preparing for our own end, and that of those we love. From large questions to ask about our own care plan, to specific spices and herbs to deal with taste changes with illness, to the range of natural reactions within the geography of grief, I found myself nodding, weeping, smiling, nodding. From their quilt of stories, I found myself wrapped in remembering those I’ve lost, some with time to prepare, others too suddenly. How helpful this protective cover would have been for my sister-in-law as she reckoned with leaving three young girls and my brother? For my friend and classmate at VCFA, a caregiver to his mother who absorbed that toll and died first? For my young patient-students and their families in a children’s hospital? How grateful, years later, to be reminded how my stepfather willed himself to wait until a bed opened up at the hospice center, days past his active dying began? (He didn't want to die in the bed our mother would be sleeping in.) People and memories cascaded throughout as I read, and I’m so grateful for this book’s careful, generous spirit, to allow those resonant gifts.

    I also found myself compelled to action. Why do I have all this crap in my house that I’ll “use someday”? Why haven’t I done more than prepare an advanced directive, like write a will by now, for Pete’s (and my siblings’) sake? (Finally called HR this morning about the ‘legal advice’ elective benefit I’ve been paying for so long.) How do I imagine my remains to be most useful, somehow, after I’m gone? (Biodegrading in a simple sack – where? - or mixed into concrete as a coral habitat in international waters, like a friend’s brother did, or spread over special soil, like the ‘cindres’ of my friend’s mother, that we cast over her childhood home in southern France? How long might I have to figure that one out?)

    And there’s the rub, the “bumping up against what [we] can’t necessarily command or comprehend,” as the authors say. Regardless, now we have the breathable, strong fabric of this book, all the insight and comprehension its authors share. It’s one of those books I’ll reread over time as I try to make the most of living at all. And I’ve found a book to give everyone I love, to pass on its protective layer, toward, as Browning put it, “the ends of being and ideal grace.”
    Customer image
    5.0 out of 5 stars Lovely, functional, evocative and inspiring - a kind of shroud for the living
    Reviewed in the United States on July 23, 2019
    How does this book resonate? I can’t even count the ways. For me, BJ Miller and Shoshana Berger have woven a kind of shroud for the living – a lovely, pieced “cover so as to protect” (from shroud's Middle English root). They have covered the range of practical, emotional, spiritual and physiological guidance in preparing for our own end, and that of those we love. From large questions to ask about our own care plan, to specific spices and herbs to deal with taste changes with illness, to the range of natural reactions within the geography of grief, I found myself nodding, weeping, smiling, nodding. From their quilt of stories, I found myself wrapped in remembering those I’ve lost, some with time to prepare, others too suddenly. How helpful this protective cover would have been for my sister-in-law as she reckoned with leaving three young girls and my brother? For my friend and classmate at VCFA, a caregiver to his mother who absorbed that toll and died first? For my young patient-students and their families in a children’s hospital? How grateful, years later, to be reminded how my stepfather willed himself to wait until a bed opened up at the hospice center, days past his active dying began? (He didn't want to die in the bed our mother would be sleeping in.) People and memories cascaded throughout as I read, and I’m so grateful for this book’s careful, generous spirit, to allow those resonant gifts.

    I also found myself compelled to action. Why do I have all this crap in my house that I’ll “use someday”? Why haven’t I done more than prepare an advanced directive, like write a will by now, for Pete’s (and my siblings’) sake? (Finally called HR this morning about the ‘legal advice’ elective benefit I’ve been paying for so long.) How do I imagine my remains to be most useful, somehow, after I’m gone? (Biodegrading in a simple sack – where? - or mixed into concrete as a coral habitat in international waters, like a friend’s brother did, or spread over special soil, like the ‘cindres’ of my friend’s mother, that we cast over her childhood home in southern France? How long might I have to figure that one out?)

    And there’s the rub, the “bumping up against what [we] can’t necessarily command or comprehend,” as the authors say. Regardless, now we have the breathable, strong fabric of this book, all the insight and comprehension its authors share. It’s one of those books I’ll reread over time as I try to make the most of living at all. And I’ve found a book to give everyone I love, to pass on its protective layer, toward, as Browning put it, “the ends of being and ideal grace.”
    Images in this review
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    125 people found this helpful
    Report
  • Reviewed in the United States on October 16, 2022
    After hearing a very thoughtful and insightful conversation with the authors on Sam Harris’ “Making Sense” podcast, I ordered the book and found it a mostly excellent & informative read. I would’ve given it a full five stars if not for some of the disappointing recommendations in their chapter on symptoms, where mixed in with many science-based treatments, they also recommend “snake oil” treatments, such as homeopathy, reiki, and acupuncture, that have no scientific/physical basis for efficacy, beyond possibly placebo effects. This one chapter reduced the credibility of an otherwise excellent book. I would still recommend the book nonetheless.
    31 people found this helpful
    Report
  • Reviewed in the United States on December 23, 2023
    One of the best books I have read around the topic of death. I have been very interested in late life / end of life topics for some time, and while there have been several very good books on the topic, it is really surprising how clueless most people are when dealing with aging or dying family.

    This book is a fantastic guide, how-to manual, and practical encyclopedia on nearly all the topics that you could run into when dealing with either your death or the death of a love one. I described the book as the end of life equivalent to the famous 1980's baby guide "Dr Spock's Baby and Child Care". This book would be a helpful addition to almost anyone's library, and I am planning on giving it to 3 or 4 families who will leverage it.

    I am thankful to the author's for writing such a practical book, and I plan on referencing it often as my parents, myself and others age.
    9 people found this helpful
    Report
  • Reviewed in the United States on May 22, 2024
    This author, I first saw on a show that he did with Chris Hemsworth and it was very interesting so I bought this book the book as well worth every penny the author is really knowledgeable on the subject. Read interesting read
    One person found this helpful
    Report
  • Reviewed in the United States on July 27, 2019
    This book.
    First, of all, authors BJ Miller and Shoshana Berger thought of everything when they created this book, "A Beginners Guide To The End". The font is larger than average to accommodate our aging eyes. The tone for the book is casual with both authors talking directly to the reader. There are so many stories shared as examples, many taken directly from the author’s own personal experiences within their personal lives. Playfulness and humor is sprinkled through out the book which is not easy, but is so needed when working with such a taboo and difficult subject. This really and truly is a practical guide that walks you through the nitty gritty elements of aging and preparing for your final years.

    “One mess that will keep on messing with your survivors has to do with billing accounts….It can take years to resolve it all. Really. Think of every frustrating call you’ve had with your cell provider, and then multiply it by ten, and you’ll get an idea.By calling these companies now and adding your partner to the account as a joint owner, you can make sure he or she will be feeling relieve instead of exasperation.”

    I have been taking A Beginners Guide to the End to the beach and reading it in between playing in the waves with my family. It is not meant to be read in a dark room with a heavy heart. This is real advice given in a concise and playful manner.
    Customer image
    5.0 out of 5 stars Practical and Playful Guide to Preparing for Your Final Years
    Reviewed in the United States on July 27, 2019
    This book.
    First, of all, authors BJ Miller and Shoshana Berger thought of everything when they created this book, "A Beginners Guide To The End". The font is larger than average to accommodate our aging eyes. The tone for the book is casual with both authors talking directly to the reader. There are so many stories shared as examples, many taken directly from the author’s own personal experiences within their personal lives. Playfulness and humor is sprinkled through out the book which is not easy, but is so needed when working with such a taboo and difficult subject. This really and truly is a practical guide that walks you through the nitty gritty elements of aging and preparing for your final years.

    “One mess that will keep on messing with your survivors has to do with billing accounts….It can take years to resolve it all. Really. Think of every frustrating call you’ve had with your cell provider, and then multiply it by ten, and you’ll get an idea.By calling these companies now and adding your partner to the account as a joint owner, you can make sure he or she will be feeling relieve instead of exasperation.”

    I have been taking A Beginners Guide to the End to the beach and reading it in between playing in the waves with my family. It is not meant to be read in a dark room with a heavy heart. This is real advice given in a concise and playful manner.
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    39 people found this helpful
    Report

Top reviews from other countries

  • Maronnelle
    5.0 out of 5 stars A must read for anyone mature, or ill
    Reviewed in Canada on April 3, 2024
    Pertinent. Realistic. Accessible. Sensible. Respectful. Informative.
    We all are going to face death someday.
    Let’s face it for real and get prepared.
    Thankyou to the authors. I haven’t seen any translated version, unfortunately. Would recommend a french version a lot around me.
  • JRussell
    5.0 out of 5 stars Very useful
    Reviewed in the United Kingdom on March 19, 2022
    I bought this to help me to help my parents transition to hospice care. Gave me a better understanding about what was coming and questions my parents might have so I was much better prepared to help them cope and understand what was happening and what we all need to get organised.
  • Wood Sliver
    5.0 out of 5 stars Should be a Mandatory Read for Everybody
    Reviewed in Canada on September 14, 2023
    This is a well-written, gentle book about a subject we ALL have to deal with. I can't think of a better way to be made aware of our ultimate future.
    It would be especially helpful for those people denying or afraid of death. Information is knowledge, and knowledge minimizes fear.
  • Fog-Dog
    5.0 out of 5 stars Insightful
    Reviewed in Canada on November 20, 2019
    Really good read very insightful
  • James
    5.0 out of 5 stars Informative reading
    Reviewed in Canada on June 2, 2023
    Not everyone would appreciate this type of book