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The Compound
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Book cover for Reasons to Stay Alive
Things people say to depressives that they don’t say in other life-threatening situations “COME ON, I know you’ve got tuberculosis, but it could be worse. At least no one’s died.” “Why do you think you got cancer of the stomach?” “Yes, I ...more
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Atul Gawande
“In one of her most influential studies, she and her team tracked the emotional experiences of nearly two hundred people over years of their lives. The subjects spanned a broad range of backgrounds and ages. (They were from eighteen to ninety-four years old when they entered the study.) At the beginning of the study and then every five years, the subjects were given a beeper to carry around twenty-four hours a day for one week. They were randomly paged thirty-five times over the course of that week and asked to choose from a list all the emotions they were experiencing at that exact moment.
If Maslow’s hierarchy was right, then the narrowing of life runs against people’s greatest sources of fulfillment and you would expect people to grow unhappier as they age. But Carstensen’s research found exactly the opposite. The results were unequivocal. Far from growing unhappier, people reported more positive emotions as they aged. They became less prone to anxiety, depression, and anger. They experienced trials, to be sure, and more moments of poignancy—that is, of positive and negative emotion mixed together. But overall, they found living to be a more emotionally satisfying and stable experience as time passed, even as old age narrowed the lives they led.
The findings raised a further question. If we shift as we age toward appreciating everyday pleasures and relationships rather than toward achieving, having, and getting, and if we find this more fulfilling, then why do we take so long to do it? Why do we wait until we’re old? The common view was that these lessons are hard to learn. Living is a kind of skill. The calm and wisdom of old age are achieved over time.
Carstensen was attracted to a different explanation. What if the change in needs and desires has nothing to do with age per se? Suppose it merely has to do with perspective—your personal sense of how finite your time in this world is. This idea was regarded in scientific circles as somewhat odd. But Carstensen had her own reason for thinking that one’s personal perspective might be centrally important”
Atul Gawande, Being Mortal: Medicine and What Matters in the End

Atul Gawande
“I’m in dread of what would happen if she becomes too hard for me to care for,” he said. “I try not to think too far ahead. I don’t think about next year. It’s too depressing. I just think about next week.”
It’s the route people the world over take, and that is understandable. But it tends to backfire. Eventually, the crisis they dreaded arrived”
Atul Gawande, Being Mortal: Medicine and What Matters in the End

Atul Gawande
“The risk of a fatal car crash with a driver who’s eighty-five or older is more than three times higher than it is with a teenage driver. The very old are the highest-risk drivers on the road”
Atul Gawande, Being Mortal: Medicine and What Matters in the End

Laurie Halse Anderson
“the necessary, impossible goodbye that had suddenly, in slow motion, arrived”
Laurie Halse Anderson, Shout

Atul Gawande
“We want autonomy for ourselves and safety for those we love.” That remains the main problem and paradox for the frail. “Many of the things that we want for those we care about are things that we would adamantly oppose for ourselves because they would infringe upon our sense of self.”

“It’s the rare child who is able to think, ‘Is this place what Mom would want or like or need?’ It’s more like they’re seeing it through their own lens.” The child asks, “Is this a place I would be comfortable leaving Mom?”
Atul Gawande, Being Mortal: Medicine and What Matters in the End

1096302 Between the Pages - UGA Alumni Readers — 254 members — last activity May 22, 2021 10:46AM
At the University of Georgia, learning doesn’t end when the diploma arrives in the mail. We are a community of lifelong learners, committed to continu ...more
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