When Does Life Really End? Dr. Sunita Puri On The Problem With CPR And the Denial Of Death
The Unspeakeasy With Meghan Daum
Meghan Daum
4.7 • 855 Ratings
🗓️ 26 July 2023
⏱️ 88 minutes
🔗️ Recording | iTunes | RSS
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Summary
In the latest installment of her unofficial series about death and dying, Meghan talks with writer and palliative care physician Dr. Sunita Puri. Sunita is the author of That Good Night, Life and Medicine in the Eleventh Hour and has written about end-of-life issues in The New York Times, The Atlantic, Slate, and elsewhere. In this conversation, Sunita discusses the ways that medical advancements can cloud the vision of doctors and patients alike when it comes to being realistic –and even humane –about how we die. She describes how terminally ill patients can get treated differently–and often receive different information–depending on a variety of factors, including their age. Sunita also discusses her forthcoming New Yorker article about the complexities and misconceptions around CPR, a practice that turns out to be not nearly as effective as many people think. CPR's origins also contain some fascinating trivia. For instance, did you know that the expression "blowing smoke up your ass" is said to come from an 18th-century life-saving procedure involving bellows and tobacco smoke?
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For paying Substack subscribers, Sunita stays overtime to share personal thoughts about the struggle to overcome a hyper-critical inner voice, whether doctors' inner voices are extra critical, and why it's so hard to get into medical school even though there seems to be a shortage of doctors. To hear that portion, visit meghandaum.substack.com and join the listener community.Â
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Guest Bio:
Dr. Sunita Puri is currently the Program Director of the Hospice and Palliative Medicine fellowship at the University of Massachusetts, where she is also an Associate Professor of Clinical Medicine. She completed medical school and residency training in internal medicine at the University of California San Francisco followed by a fellowship in Hospice and Palliative Medicine at Stanford. She is the author of That Good Night: Life and Medicine in the Eleventh Hour, a critically acclaimed literary memoir examining her journey to the practice of palliative medicine, and her quest to help patients and families redefine what it means to live and die well in the face of serious illness.
Transcript
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| 0:00.0 | When we think about even like the tragedy of a life cut short, how do we know that someone in their 20s hasn't lived a full life? |
| 0:12.2 | How do we know that someone in their 70s has? |
| 0:15.5 | I mean, I think there's a lot of these interesting kind of sentimental narratives and stories and assumptions about a life |
| 0:24.4 | well lived, a life cut short, what it means to be ready to die. All of that stuff filters |
| 0:30.5 | into how we see where our patients are at. Welcome to the unspeakable podcast. |
| 0:39.2 | I'm your host, Megan Down. |
| 0:41.1 | Before I introduce my guest, Dr. Sunita Puri, some business items. |
| 0:46.1 | I have quite a few, but I will try to go through them as quickly as possible. |
| 0:49.9 | The first is that I am thrilled to announce that our guest speaker for the unspeak-easy three-night retreat in the Poconos this coming October is none other than Cat Rosenfield. |
| 1:03.7 | You've probably read Kat's brilliant cultural criticism in places like The New York Times and unheard tablet and reason. |
| 1:12.0 | She's also the author of five books, including No One Will Miss Her, which was nominated |
| 1:17.1 | for an Edgar Prize. |
| 1:19.0 | She's the co-host with Phoebe Maltzbovy of the Feminent Chaos podcast. |
| 1:23.4 | The two have been guests on this podcast. |
| 1:25.4 | And she will be joining us. |
| 1:27.3 | We are doing this at a really posh resort in the Poconos, not the heart-shaped bed kind of resort, although maybe you can request one. |
| 1:38.2 | And Kat will be joining us for a little speaking event and then staying overnight with us. |
| 1:44.5 | So if this intrigues you, please go to the unspeak easy.com right now and request information. |
| 1:53.1 | This is October 23rd through 26th. |
| 1:56.0 | Space for these things is very limited. |
| 1:58.7 | That's what makes them so special. |
| 2:00.5 | And we do have a number of sign-ups, |
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