An otherwise ordinary cat--he'd sooner give you his back or a sideways glance than curl up on your lap--Oscar has the uncanny ability to predict when people are about to die. Adopted by staff members at Steere House nursing home when he was a kitten, the three-year-old tabby has presided over the deaths of more than twenty-five nursing home residents thus far. His mere presence at the bedside is viewed by physicians and nursing-home staff as an almost absolute indicator of impending death, considered a blessing because it allows staff members to notify families that the end is near and because he provides companionship to those who would otherwise have died alone. Dr. Dosa uses Oscar and the stories of several patients to examine end-of-life care as it exists today for the family and caregivers of dementia and Alzheimer's patients. Heartfelt, inspiring, and sometimes even funny, Making Rounds with Oscar allows listeners into a world that is often misunderstood and rarely seen from the outside.
I'm such a cat person I couldn't resist the title, but in fact the book isn't about a cat at all. The title is just a hook to get cat lovers like me to part with $$$ hoping we might understand something more about the totally mysterious thought processes of a cat.
What the book is about is Dr Dosa who isn't very interesting. He's married with kids and has non-disabling arthritis. He's very ordinary but nice, I'd like him for my GP. The book is really about his job which is treating Alzheimers' patients in a nursing home. The cat, not a friendly creature, knows when people are dying and goes to sit with them. We don't know any more about Oscar and anyway the book isn't about him and an investigation into how Oscar gains this knowledge that beats even medical technology's ability to predict death.
The book might have been a lot more interesting if I hadn't just finished Atul Gawande's Being Mortal: Medicine and What Matters in the End which is about the options for end-care mostly in old people and especially Alzheimers and explains, among other things, how the model of the nursing home with cats (and dogs and birds) that is where Dr Dosa and Oscar came to be. Atul Gawande is a wonderful writer, David Dosa just writes serviceable prose and then again Gawande is a more interesting person and goes into his subject very thoroughly leaving you much to think over and regretting the book is so short. It's always the same with Gawande's books, you want more. It's rather the opposite for Dosa's "Making Rounds with Oscar", less would have been greatly appreciated.
One of my friends in town lent me this book about a year ago. I put it on my closet shelf and forgot about it until last week. In haste to get the book back to its rightful owner, I moved it to the top of the TBR list. This turned out to be a great move as I just loved it!
Making Rounds with Oscar addresses three of my favorite topics—cats, medical issues, and elderly people. The Steere House, a Rhode Island nursing and rehab facility for clients with dementia, adopts six house cats in 2005. One is a kitten named Oscar. He isn’t deemed the friendliest boy, but the residents are happy to have him. (As an aside, when it’s time for me to go to the old folks’ home, my first question will be “Do you allow cats?” It will be a deal breaker if the answer is no). In 2007, after two years of fascinating observation, the House’s main doctor, Dr. Dosa, publishes an article in the New England Journal of Medicine, one of the most prestigious medical journals in the world, about Oscar’s ability to predict death. The staff knows that whenever Oscar settles on a bed, it’s time to call the family. As of 2015, Oscar has attended over 100 deaths.
This book is a very easy read; I read it in two days. Dr. Dosa, not a cat expert, becomes more and more captivated the longer he watches Oscar. He decides to interview the relatives/caregivers of some of the people Oscar sat vigil for in hopes of gaining insight into the feline’s secret. It is clear from these interviews that Oscar made a hugely positive impression on these people. Not only did he provide comfort to the dying, but also to the families. Oscar’s actions are so remarkable, you will think you are reading fiction.
The story not only addresses Oscar, but also gives us a glimpse into the lives of dementia patients and their families. The sadness of basically losing a loved one prior to their actual death is wrenching and something I’m sure many of us have experienced. How long to let a family member linger before letting go is also discussed. All I know is that when I can no longer function, I will not hesitate to choose an Oscar to help me pass peacefully rather than have procedure after procedure in efforts to keep my body alive.
I really appreciated a couple of other features. In the Afterword, Dr. Dosa gives 5 pieces of advice to all caregivers of loved ones with dementia. The ones I like best are: 1) “Celebrate the little victories but see the big picture;” and 2) “Love and let go.” I also loved the wise quotes about cats that accompany the beginning of each of the 22 chapters. My favorite is the one associated with chapter 22: “You can’t own a cat The best you can do is be partners.”
Making Rounds with Oscar provides a poignant example of the “magic” of animals and how important they can be in our lives. I highly recommend this book for all.
4.5 stars. A fascinating look at the peculiar but foolproof behavior of a cat living on a dementia floor of a nursing home. I was happy to learn Oscar is still alive today and still living at Steere House!
It seems I am in the minority here, but I thought this book was just okay. It was billed as a story about a cat's ability to sense when dementia patients in a nursing home were approaching death and his dedication to remaining with them during their final hours. The real focus of the book, however, was on Dr. Dosa's experience treating his patients with dementia. That subject is certainly important and interesting, but the approach of revealing almost the entire story through dialogue between himself and the nursing staff and/or family members of the patients (most of which seemed stilted and manufactured) wore thin after a while. He brought up some serious issues in his own life, including a chronic health condition, but then left them as loose ends, making me wonder why he brought them up in the first place. [return][return]Dr. Dosa started the book by admitting that he is not a cat person, but that he wanted to understand more about how Oscar knew to do what he did. Aside from that initial curiosity, there was no real understanding of why he was so interested, nor any major conclusions revealed through his experience. Although technically a dog person, I love all animals, and anyone who spends any amount of time with them would not be at all surprised by Oscar's gift. I wish the book had focused more specifically on the patients' families perspectives on Oscar rather than the doctor's.[return][return]Finally, the book went on for too long. The story was initially published in a medical journal. The story would have been better served by taking that essay, putting it into lay terms and publishing it as a magazine article.[return][return]Nonetheless, I learned quite a bit about the disease of dementia, and the book was an easy and quick read. Not great, but not horrible.
This is a really touching story of Oscar, a cat who lives on the dementia floor of a nursing home called Steare House. When he senses a person is dying, he jumps on their bed and settles down to keep vigil until the undertakers collect the body. David Dosa, a physician who cared for patients in the nursing home, didn't believe that Oscar could know when someone was dying but at the suggestion of Mary the manager, he interviewed a number of families whose relative had died in the nursing home and got a remarkably consistent story and it is these stories that are told here.
When a patient was failing Oscar would often come into the room, look at the patient, sniff the air and either leave or if he sensed the patient would die soon, settle down on their bed. He started doing this while still a kitten and was never wrong. Patients loved living in a nursing home where there were two cats on each floor to come and visit them and be petted. It made them feel more at home, particularly if they were animal lovers and may have left pets at home. Many relatives remarked that they felt comforted that Oscar was keeping vigil with them during their loved one's last hours. For many they knew it was time to accept that this was the end and to call in their family members.
What a beautiful cat and what a wonderful nursing home to allow animals. It sounds like a very special place where the staff truly care about their patients and helping them achieve a peaceful death.
This is a heartwarming tale about aging, life, death and letting go. It's also about the love we give and receive from the animals in our lives. This book details the amazing ability of one particular cat, named Oscar, in a New England nursing home who is able to determine when one of the residents is about to die. He chooses to stand watch over these people until they die, comforting the families who come visit and spend the last moments with loved ones. He acts as a calming force, a sentry against the fear of dying and losing those we love.
The story is short, but is filled with anecdotes of Oscar's presence at the final moments of many of the residents at Steere House's third floor. The doctor who wrote the book was skeptical at first, but came to believe in the cat's ability to sense those who needed him most. Overall, it's a tale that is not only an interesting read, but is also a kind of primer of what to expect and what help is available to caregivers of people with dementia. I like that Dr. Dosa offers advice and the perspective of someone who has seen many people live with and eventually die from the affects of dementia, but he is not judgmental about the time it takes for people to accept the fate of those with this terrible disease.
This book was selected by my local library's book club as its May 2012 read. I really enjoyed reading it and realize that more and more I truly am a "cat person" and a sucker for a good cat story.
interesting quotes:
"Coincidence is God's way of remaining anonymous." [attributed to [author:Albert Einstein|9810] from his book The World as I See It] (p. 17)
"With Oscar at my side...well, I felt a little less alone. It's hard to explain, but some animals, well, the sense they give you is that they understand what's going on. More than that, they just accept. I don't know, but Oscar gave me a feeling that this is all natural. And it is, isn't it? If birth is a miracle, isn't death a miracle, too?" (p. 27)
"But I've learned over the years that explanations only make things worse. Simple apologies work better." (p. 31)
"A dog comes when you call and a cat takes a message and gets back to you." (p. 66)
"Dogs have owners. Cats have staff." (p. 129)
"I wasn't surprised by her response. I was a traveling salesman pitching an unpopular product: the reality check." (p. 158)
"And by the way, at the end of my days, I prefer the cat over the ICU." (p. 225)
If this book had been called "My Life with Dementia Patients (and oh yeah, there's a cat)", I'd have given it four stars. I also would NOT have bought it. I was fascinated with Oscar when I read his story online several years ago. I bought this book because I wanted to know more about THE CAT. Not about Doctor Dosa or the lives of his patients. Everything about the outside of the book points to it being ABOUT the cat, not being about the doctor who doesn't even like cats and makes no attempt to get to know the species or this member of it. This is about Dosa's health, or his family, or the interminable stories about people and then the "and oh yeah Oscar was there when they died and it was great." Seriously, the book gives Oscar maybe 10% of the real estate. The book opens with Dosa bemoaning not getting a grant--well, he's raking cash in with this book. Hope he's happy. If you were dissatisfied with Dewey the Library Cat for its meandering off the subject of Dewey, you'll hate this.
Making Rounds With Oscar: “The Extraordinary Gift of an Ordinary Cat” by David Dosa M.D.
This was an incredible read in so many aspects. If you are a caregiver for someone with dementia or you know someone suffering from dementia this is an absolutely must read. I was so impressed with the insight I learned from the devastating disease of dementia.
We must not forget the extraordinary cat Oscar. I have heard animals can smell illness and death on a human. Oscar was that cat his ability to know when a person was coming to the end of their life was amazing and a blessing to the family members.
I absolutely adore this book! Watching my own mother pass away from cancer and seeing how her dog interacted with her I believe that Oscar has that special gift too...the gift to comfort someone in the darkest of times. We all must die alone but with an animal lying by your side, purring or just snuggling I truly believe it brings comfort not only to the person who is passing on but those who are there with them. This is a beautiful book, simply written. The author starts off not believing that a cat could be capable of showing this kind of knowledge or empathy and by researching he finds it to be true. This book gives me hope and less fear of death since I have 4 pets. I KNOW they will be there for me at the end of my life as they are for me now.
I started reading this about one pm when my husband carried it home from the library for me and just finished it. I was unable to put it down. It is an amazing story about an unusual cat. He lives in a unit for those with dementia and helps when someone is dying. He knows when someone is going to die! It is believed that he may smell ketones. I did cry a good bit while reading.
I had to travel for work last week. I finished the book I brought with me for the trip out. And because of the “no electronics during take-off and landing” rule, I needed another book to keep me occupied on the return trip until I could read on the iPad (or, in this instance, re-watch the season finale of Sons of Anarchy). Anyway, I was in a really small airport that had a really small selection of books. The only one that really caught my eye was Making Rounds With Oscar.
Dr. David Dosa works with dementia patients and their families at a nursing home called Steere House in Rhode Island. Steere House is also home to Oscar and several other cats. While all the cats interact with the staff and patients, Oscar seems to know when a patient is going to die. Normally standoffish, Oscar makes a point of waiting, curled up next to a patient, in their final hours. He doesn’t leave until the patient has passed.
SPOILER ALERT: I only do this with books about animals, but before I bought the book, I flipped through the last few pages to make sure we were still talking about Oscar in the present tense. I cannot read books where the animals die, so I know it is a spoiler, but it’s one I’m OK sharing. SPOILER OVER
A scientist, Dr. Dosa was admittedly skeptical of Oscar’s ability to sense death. But he began interviewing the families of former patients about their experience with Oscar. And while he learned that Oscar provides a great sense of comfort to the families (and staff) during their loved one’s final hours, he also gained a greater understanding on the impact of dementia (which includes but is not synonymous with Alzheimer’s) on the patient and their families.
I enjoyed the book because as a pet owner I’m firmly convinced that animals can sense our moods and provide comfort and companionship when we need it most. But at the same time, I call the experience of reading the book bittersweet. My family has a history of Alzheimer’s, and those personal experiences (and fears that come from that place deep down inside that make me wonder if one day, I too, will suffer from it) brought a special poignancy and touch of melancholy to the story.
Still, it is a story of companionship and love in the sense of Oscar being a part of a patient’s final hours and in the stories of love from the patient’s families. It is overall heartwarming and comforting, and one I would recommend.
I don't know what it is about books written about a special cat. In most of the books it's the author that is in the middle of the attention and not the cat and that's dissapointing, but that's just my personal opinion. Here it isn't the author, but the disease called 'dementia'. Nevertheless, it was an interesting book to read. I'm a big believer of that cats and horses have some kind of sixth sense. i'm certain that cats are with one paw in the real world and with another in the spiritual world or in the underworld. I didn't knew much about dementia, but David Dosa gives a really interesting view on it and not only from the insight of a geriatric doctor, but from a human sight by talking with the patients and there family and what they are going or what they went through and, of course, how Oscar was a huge support for both of the parties. I loved the stories of the residents of Steere House, especially the Rubensteins. After reading, I've visited the website of Steere House to know more about Oscar and he has his own page on the website. It's a beautiful cat who gives the necessary comfort in leaving the earthly world. I only can encourage on having cats in retirement houses.
Oscar the cat ignores most of the patients at the nursing home where he lives until they are dying. Without fail, he shows up within 24 hours before a patient dies and stands watch until they are gone. He brings comfort to the patients and their families as they pass to the next life.
This is a true story, written by a doctor at the nursing home. Dr. Dosa was initially skeptical about Oscar's ability, but once he became convinced, he decided to interview the families that Oscar had comforted as they lost a loved one. This book is primarily about the stories behind the patients in the dementia/Alzheimer's units and how their family members dealt with losing a parent or spouse to dementia. I learned a lot about dementia.
Bonus points for:
*weaving his own story into the book -- Dr. Dosa has some chronic health problems and his mother-in-law was diagnosed with dementia while he was working on the book.
*Including some tips for caregivers of a patient that has been diagnosed with dementia at the end of the book.
Rated PG for mature themes (death and dying), but this is a very clean read.
The first half of this book especially felt like it was more about Dosa's patients with Dementia and their families than Oscar, so it took a little bit for me to adjust my expectations. Overall, it was a heartfelt book and I really felt for all the people involved. Thank God for the Marys of the world. 3.5★
This is a sweet story about Oscar, the famous nursing home cat who only spends time with patients who are near the end of life. But more than that, it is a painfully honest look at the devastating effects of dementia and Alzheimer's.
Using the story of Oscar's special gift, the author (Dr. Dosa) provides a moving look at the realities of this often misunderstood disease. My love for cats prompted me to read this book, but it was my love for an Alzheimer's patient that made me glad I did. -Candy V.
Oscar lived on the third floor of a rest home in Rhode Island, where all 41 dementia patients were. Oscar would jump on the beds of patients when they were near death. He was a comfort to them, the staff and the family. Often he would smell the air around the patients feet. He would stay with the patient until the undertaker came. Some families could not accept the fact that their loved one might die, so they wanted all the means to keep them alive. It seemed not to help them at all. When it was their time to go that was it. This book has many ideas for families with loved ones who have Alzheimers and how to cope.
To be clear, this book is not about a cat. It is a memoir about the experiences of a doctor providing hospice care in a nursing home. That said, I really hope that I have the comfort of a cat close by when I breathe my last (whether or not the cat is there by extraordinary instinct or simple happenstance).
Dr David Dosa a geriatrician who worked at Steere House Nursing and Rehabilitation in Rhode Island at the time of publication of this little book. He was told that Oscar the cat often provided comfort and companionship as patients and their families in the dementia unit as they approached their last hours. Dr Dosa had written an article in the New England Journal of Medicine, and the story started to build. Television news articles, a book, a movie was proposed.
Steere House had numerous therapy animals, numerous cats, one dog, and one bird. Dr Dosa tried to find out what made this common house cat special--able to tell when death was near and able to provide compassionate care to a group of people who are lonely due to living past everyone, due to medical staff not expecting death.
The next time I am an inmate of a nursing home, I hope I should be so blessed to have therapy animals. Although I am a decidedly cat person, I would not be opposed to a dog or a bird or a gerbil or whatever is made available. I was given special permission to have a beta fish when I was in the nursing home. It made a big difference. I talked with Fishy some, watched him. Others came by to check on Fishy too--other nursing home inmates and nursing staff. He made a difference. How much more difference a cat, a dog, or a bird would make--a sentient being who could be pet or curled up with or sit up with (bird perching and human sitting.)
Additional Note. Newcasters too often being drama makers, referred to the cat as being the harbringer of death. What drama. How disrespectful of a compassionate cat. The dementia patients perhaps listened or otherwise heard of the so-called news of their cat being the Death Cat (another way irresponsible newscasters miscast the information). Some time later Oscar was found dead in mysterious circumstances. Now less compassion being shown dementia patients as they let go of this life. Words have power. Use them wisely.
Read ahead in honor of Elderly Americans Month (May)
Um testemunho bem real de como os animais, e neste caso em especial, os gatos podem influenciar estados de espírito e mudar a nossa vida. Muito comovente e tocante!
Where to start? This non-fiction book took me over. It is mesmerizing. Making Rounds with Oscar is about a marvelous cat, one of three, on the third floor of a Rhode Island nursing home. Oscar is special. He senses when death is imminent, and that is a gift that sets the staff talking and prompts the facility’s doctor David Sosa, M.D., the author, on a quest to understand what makes Oscar purr, er, tick.
More importantly, this book is about dementia, particularly Alzheimer’s disease, which affects some 5 million people in the United States and likely will affect more as the Baby Boomer generation, including me, continues to age. It is about Oscar, whose paws walk us down the halls of how this horrible disease steals the memories of its sufferers and leaves spouses and other family members dumbfounded, angry and lost. It is about Oscar, a gentle soul, who brings amazing comfort to both the dying and the living merely by his timely presence.
There is one couple, in particular, whose story winds through most of the book. The husband is totally dedicated, sometimes to the point of overwhelming obsession, to his wife and her spiraling downhill plight. Their story comes to a head in Chapter 20 and ends two chapters later. Chapter 20 left me totally teared and overwhelmingly stunned. This couple’s story is told amid a heart-breaking incident. I had to take an hour’s break before I could return to read the book’s final two chapters.
I had to get up, go find my wife and talk to her about what I had read. My wife had started the book a couple weeks earlier but had to put it down. Her mom died of complications of Alzheimer’s; we had watched the symptoms emerge and urged testing, which confirmed our worst suspicions. Those memories still too close to the surface forced my wife, a nurse, to turn away from traveling Oscar’s road, for now.
Making Rounds with Oscar is tough to read, but should be mandatory for young people and, especially, anyone with parents who are aging. Once you finish reading the 23-chapter book, don’t stop. Read the Afterward. It is a guide to dealing with dementia. It is short and offers five excellent suggestions about love, acceptance and letting go.
More than anything, this book should spark family discussions about end of life care, especially if dementia, particularly Alzheimer’s, becomes part of your world.
Making Rounds with Oscar is simply one of the best short books (222 pages counting the Afterword) that I have ever read.
I found this book while searching for non-fiction audiobooks about animals. Some reviews said that it’s actually more about dementia/end-of-life care than it is about cats, which also appealed to me, so I checked it out. I agree with those reviews. Oscar is a cat that lives at a hospice and has an uncanny ability to know when residents are going to pass away. He generally prefers to leave the residents alone, but if he starts sleeping on someone’s bed, that person usually dies within the day. I say “usually,” but there aren’t actually any stories in the book about him sitting with someone who doesn’t then pass on, so I guess it’s more like always. There’s not much about HOW Oscar knows which residents are going to die. There are some references to animals sensing illness or earthquakes and stuff, and the author has some theories, but it’s definitely not a book about how animals know things. The book is more about the author’s experience working with patients with dementia and their families. One powerful section was about the hesitancy people have to accept their diagnosis, and how far they go to hide the symptoms. And how far their families go to deny it as well.
I thought it was a really interesting book, and pretty moving at times. It wasn’t really amazing writing, but the subject is one that’s close to home for me, and I appreciated that the author talked to a bunch of different families about their experiences with Oscar. Several of the people that he talked to referred to Oscar as their “angel,” and said that he was there to help escort their loved one to death, and also to comfort the surviving family. I’m glad he was there for them.
First, a disclaimer. I know the author, which is the only reason I initially chose to read this book. I was familiar with the story of the cat who knew when the nursing home residents were about to die and wasn't particularly interested in hearing more about it. However, I was pleasantly surprised to find that (despite the way the publisher promoted it) the book is not really about the cat at all. While intriguing in its own right, the cat is merely a vehicle for discussing much more important and complex topics--aging, dementia, end-of-life care, and the effect of all of these things on family members.
While that description might lead you to think it is a depressing book, it surprisingly is not. The author has an easy-to-read style and conveys his points using true anecdotes from his geriatric practice. It is heartwarming and thought-provoking. I imagine that this might be a very difficult book for someone currently (or recently) dealing with a family member suffering from dementia, as it very clearly states that there are ultimately no long-term positive outcomes to be expected. However, I think it provides perspective on saying goodbye to the loved one who once was, while delicately raising end-of-life care issues that will be relevant to nearly all of us someday (as patient or caregiver).
An easy read that left me thinking about it days after I completed it.
An interesting account of a nursing home's resident cat, who always seems to know when a patient is about to die. As someone who studied human-animal interactions, I enjoyed hearing of this instance of what can only be described as animal-assisted therapy. Oscar the cat not only eased the journey of patients stricken with dementia into the next realm, he also provided comfort to the families of those patients and the staff that cared for them. Note that there is extremely little discussion of the possible mechanism by which Oscar operates; I had hoped there would be more, but didn't dislike the book for its absence. Note also that this is not an upbeat book; as much as it is a story of an extraordinary animal, it is also very much the story of the slow death of several patients to whom you are introduced, and the grief of the families that are left behind. If you think it will be difficult for you to endure such stories, then this book is not for you. Ultimately this is perhaps less a book about the why and how of a cat's uncanny ministrations to patients, and more a book about the tragedy of Alzheimer's and other forms of dementia, and how caregivers cope with that. You will learn respect for the senses of non-human animals, but this book will teach you more about the effects of dementia on people and those who care for them.
I heard about this cat a few years back. So when the opportunity came to read a book about him, I was curious to say the least. To my surprise this is not really a book about Oscar, the cat. He has more of a supporting actor role in this book. It's more about a doctor's experience with his dementia patients and their families. The doctor finds he trusts this cat and he learns to be guided by the cat because Oscar has the ability to sense when a patient is about to die. Oscar goes and curls up with them (or their family members) during their last 24 hours in this life and he is never wrong.
This was a heartwarming and heart-wrenching book about an awful disease called dementia. It wreaks havoc in the lives of the loved ones who are to care for their rapidly declining family member. This was more about letting go with dignity and allowing one to pass on in dignity, as much as one can. Admittedly, the doctor had a hard job, but his bed-side manner could have been a little warmer. However, with that being said, I liked his honest approach to the reality that so many have a hard time embracing until it is ultimately thrust upon them towards the very end.
O Dr David Dosa é geriatra num lar de idosos, e onde têm também uma unidade para doentes com alzheimer, mas também vários gatos, que tornam o lar mais acolhedor para os seus utentes. Um desses gatos é Óscar, que começa a dar nas vistas por fazer visitas aos residentes que acabam por morrer. Vamos conhecendo a história de Óscar, através do Dr Dosa, que nos vai relatando conversas com auxiliares, enfermeiras e até familiares de utentes que faleceram, e que contaram com o apoio de Óscar. Uma história incrível em como um gato pode dar o conforto necessário nos momentos mais difíceis. E como as famílias lidam, quer como a doenças mas também com a perda dos seus entes queridos. Encontramos ainda algumas fotos do Óscar e no início de cada capítulo uma citação sempre relacionada com gatos. Recomendo!
Taken literally this book is about a cat who recognises when a patient is about to demise. However, it is so much more. Dr. Dosa may not write in poetic prose but -his simplistic and straightforward style helps to highlight the tender manner is which he approaches dementia and death. It highlights the journey that the patient and their family sets upon from diagnosis till death. His retelling of these life stories is delicate and beautiful- further showing his interpretation of humanity. This is a book that offers closure whilst providing you with the company of a cat. Oscar would be proud.
This entire review has been hidden because of spoilers.