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Introduction

• In his Introduction, Dr. Nuland presents the idea of the modern death; it is here that he explains there are six primary avenues leading to death.

• Dr. Nuland expounds that each of these six avenues exhibit similar characteristics and result in processes he considers universal to dying.

• It is four decades after his mother’s death, and after the passing of his brother when Dr. Nuland attempts to put these reflections to pen and paper.

• In this Introduction the author beseeches the reader to cast aside the doubt or denial one might have regarding death and the dying process.

• As Dr. Nuland relates his case studies, patient accounts, and the dying processes he questions only what dignity is evident in each death.

Chapter 1

• In Chapter 1, titled "A Strangled Heart," Dr. Nuland relates his personal experience of an individual he chooses to call James McCarty (as noted in...

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