The Last Doctor
Lessons in Living from the Front Lines of Medical Assistance in Dying
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Narrated by:
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Jean Marmoreo
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Eve Crawford
About this listen
NATIONAL BESTSELLER
*SHORTLISTED FOR THE 2022 WRITERS' TRUST BALSILLIE PRIZE FOR PUBLIC POLICY*
An urgently important exploration of the human stories behind Canada's evolving acceptance of Medical Assistance in Dying (MAiD), from one of its first and most thoughtful practitioners.
Dr. Jean Marmoreo spent her career keeping people alive. But when the Supreme Court of Canada gave the green light to Medical Assistance in Dying (MAiD) in 2016, she became one of a small group of doctors who chose to immediately train themselves in this new field. Over the course of a single year, Marmoreo learns about end-of-life practices in bustling Toronto hospitals, in hospices, and in the facilities of smaller communities. She found that the needed services were often minimal—or non-existent.
The Last Doctor recounts Marmoreo's crash course in MAiD and introduces a range of very different and memorable patients, some aged, some suffering from degenerative conditions or with a terminal disease, some surrounded by supportive love, some quite alone, who ask her help to end their suffering with dignity and on their own terms.
Dr. Marmoreo also shares her own emotional transformation as she climbs a steep learning curve and learns the intimate truths of the vast range of end-of-life situations. What she experiences with MAiD shakes her to her core, makes her think deeply about pain, loneliness, and joy, and brings her closer to life’s most profound questions.
At a time when end-of-life care and its quality are more in the public eye than ever before, The Last Doctor provides an accessibly personal, deeply humane, and authoritative guide through this difficult subject.
©2022 Jean Marmoreo and Johanna Schneller (P)2022 VikingListeners also enjoyed...
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Critic reviews
One of:
The Hill Times' 100 Best Books of 2022
TVO's "Books we couldn't stop talking about in 2022"
The Globe and Mail’s “64 books to keep you warm as the weather cools”
CBC’s “60 works of Canadian nonfiction to watch for in fall 2022”
"A remarkable book . . . extremely well-written, touching, full of love and nuance. Some humour, too, because both life and death are full of it. It is a must-read for anyone who wishes to understand the issue better."—Ottawa Citizen
“Dr. Jean Marmoreo has spent her medical career at the leading edge—of feminist practice, of comprehensive primary care, of pregnancy and birth care . . . and now as a witness to and faciliator of death. The moving and insightful moments of The Last Doctor offer a glimpse into the end of life in its complexity and beauty, and also into the remarkable gifts of one of Canada’s greatest family physicians.”—Danielle Martin, MD, bestselling author of Better Now: Six Big Ideas to Improve Health Care for All Canadians
“Powerfully honest and compelling, this book tackles the tough questions head on. MAiD is about choice, and these stories capture the truth of those who choose a dignified departure and the wonderful human beings who make it possible. Jean is one of those. In a simple yet profound way Jean makes the case that while MAiD does take away someone’s life, it first gives it back to them. That is indeed the power of good. Without the brave souls who take the risky, first steps we would have no Medicare, . . . no vaccines in this country. And without their compassion we would not have Medical Assistance in Dying to help those who want autonomy in life—and in death.”—Senator Pamela Wallin, Advocate for MAiD and Advance Requests, Member of the Special Joint Parliamentary Committee on Medical Assistance in Dying
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- By: Arun K. Singh MD, John Hanc - contributor, Delos Cosgrove MD - foreword
- Narrated by: Shridhar Solanki
- Length: 8 hrs and 39 mins
- Unabridged
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Leaving a life marked by crippling setbacks and his father's doubt, in 1967 a 20-something doctor from India arrived in America with only five dollars and the desire to claim his American dream. Faced with an entirely new culture, racism, and the lasting effects of disabling childhood injuries, through hard work and perseverance he overcame all odds. Now having performed over 15,000 open-heart surgeries, more than nearly every surgeon in history, Dr. Singh reflects on his most memorable patients and his incredible personal life.
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Remarkable!
- By Stacey on 12-01-22
By: Arun K. Singh MD, and others
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Advice for Future Corpses (and Those Who Love Them)
- A Practical Perspective on Death and Dying
- By: Sallie Tisdale
- Narrated by: Gabra Zackman
- Length: 7 hrs and 11 mins
- Unabridged
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You get ready to die the way you get ready for a trip. Start by realizing you don't know the way. Listen to a few travel guides. Study the language, look at maps, gather equipment. Let yourself imagine what it will be like. Pack your bags. This book is one of those travel guides - a guide to preparing for your own death and the deaths of people close to you. The fact of death is hard to believe. Sallie Tisdale explores our fears and all the ways death and talking about death make us uncomfortable - but she also explores its intimacies and joys.
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I thought I had more time...
- By Alyssa on 09-09-19
By: Sallie Tisdale
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A Bittersweet Season
- Caring for Our Aging Parents - And Ourselves
- By: Jane Gross
- Narrated by: Kate Reading
- Length: 15 hrs and 35 mins
- Unabridged
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In telling the intimate story of caring for her aged and ailing mother, Jane Gross offers indispensable, and often surprising, advice for the rapidly increasing number of adult children responsible for aging parents. Gross deftly weaves the specifics of her personal experience with a comprehensive resource for effectively managing the lives of one's own parents while keeping sanity and strength intact.
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Exceptional, thought-provoking, liberating!
- By Anne on 08-10-11
By: Jane Gross
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Knocking on Heaven's Door
- The Path to a Better Way of Death
- By: Katy Butler
- Narrated by: Katy Butler
- Length: 10 hrs and 28 mins
- Unabridged
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Like so many of us, award-winning writer Katy Butler always assumed her aging parents would experience healthy, active retirements before dying peacefully at home. Then her father suffered a stroke that left him incapable of easily finishing a sentence or showering without assistance. Her mother was thrust into full-time caregiving, and Katy became one of the 24 million Americans who help care for aging parents. In an effort to correct a minor and non - life threatening heart arrhythmia, doctors outfitted her father with a pacemaker.
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A better way to narrate a book about death?
- By MAUREEN on 10-21-13
By: Katy Butler
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The Good Death
- An Exploration of Dying in America
- By: Ann Neumann
- Narrated by: Suzanne Toren
- Length: 8 hrs and 44 mins
- Unabridged
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Following the death of her father, journalist and hospice volunteer Ann Neumann sets out to examine what it means to die well in the United States. When Ann Neumann's father was diagnosed with non-Hodgkin's lymphoma, she left her job and moved back to her hometown of Lancaster, Pennsylvania. She became his full-time caregiver - cooking, cleaning, and administering medications. When her father died, she was undone by the experience, by grief and the visceral quality of dying.
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Ugh, so boring
- By Maranto on 05-13-19
By: Ann Neumann
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When Breath Becomes Air
- By: Paul Kalanithi, Abraham Verghese - foreword
- Narrated by: Sunil Malhotra, Cassandra Campbell
- Length: 5 hrs and 35 mins
- Unabridged
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At the age of thirty-six, on the verge of completing a decade’s worth of training as a neurosurgeon, Paul Kalanithi was diagnosed with stage IV lung cancer. One day he was a doctor treating the dying, and the next he was a patient struggling to live. And just like that, the future he and his wife had imagined evaporated.
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Phenomenal book!
- By A. Potter on 01-16-16
By: Paul Kalanithi, and others
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Rise and Shine
- The Path to Life
- By: Simon Lewis
- Narrated by: Kelsey Grammer
- Length: 8 hrs and 59 mins
- Unabridged
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Crushed between a truck and a tree, Simon and his wife were both pronounced dead at the scene of a horrific car accident. Enduring a broken skull, jaw, arms, clavicle and pelvis, followed by a coma, Simon lives to tell his remarkable journey from tragedy to triumph.
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Amazing opportunities for healing!
- By Leah on 04-29-17
By: Simon Lewis
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In Shock
- My Journey from Death to Recovery and the Redemptive Power of Hope
- By: Dr. Rana Awdish
- Narrated by: Dr. Rana Awdish, Teri Schnaubelt
- Length: 9 hrs and 2 mins
- Unabridged
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In Shock is a riveting first-hand account from a young critical care physician, who in the passage of a moment is transfigured into a dying patient. This transposition, coincidentally timed at the end of her medical training, instantly lays bare the vast chasm between the conventional practice of medicine and the stark reality of the prostrate patient.
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Read this book!
- By CT on 11-08-17
By: Dr. Rana Awdish
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The Spectrum of Hope
- An Optimistic and New Approach to Alzheimer's Disease and Other Dementias
- By: Gayatri Devi MD
- Narrated by: Wendy Tremont King
- Length: 12 hrs and 41 mins
- Unabridged
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Imagine finding a glimmer of good news in a diagnosis of Alzheimer's. And imagine how that would change the outlook of the five million Americans who suffer from Alzheimer's disease and other dementias, not to mention their families, loved ones, and caretakers. A neurologist who's been specializing in dementia and memory loss for more than 20 years, Dr. Gayatri Devi rewrites the story of Alzheimer's by defining it as a spectrum disorder - like autism, Alzheimer's is a disease that affects different people differently.
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Aging with Grace
- By Lisa F on 05-19-21
By: Gayatri Devi MD
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One Doctor
- Close Calls, Cold Cases, and the Mysteries of Medicine
- By: Brendan Reilly
- Narrated by: Rob Shapiro
- Length: 15 hrs and 7 mins
- Unabridged
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An epic story told by a unique voice in American medicine, One Doctor describes life-changing experiences in the career of a distinguished physician. In riveting first-person prose, Dr. Brendan Reilly takes us to the front lines of medicine today.
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Simply Brilliant
- By Jan on 06-20-14
By: Brendan Reilly
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The Center Cannot Hold
- By: Elyn R. Saks
- Narrated by: Alma Cuervo
- Length: 12 hrs and 10 mins
- Unabridged
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Professor of psychiatry Elyn R. Saks writes about her struggle with schizophrenia in this unflinching account of her mental illness. In The Center Cannot Hold, Saks draws readers into a nightmare world of medications, a misguided health-care system, and social stigmas. But she would not be defeated. With a strength and force of will that most can only imagine, Saks reclaimed her life and went on to achieve great success.
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Schizophrenia Inside Out
- By Pamela Harvey on 07-23-09
By: Elyn R. Saks
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Critical Care
- A New Nurse Faces Death, Life, and Everything in Between
- By: Theresa Brown
- Narrated by: Coleen Marlo
- Length: 5 hrs and 24 mins
- Unabridged
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In her former career as an English professor, Theresa Brown had been shielded from the harsh reality of death. That all changed the day she decided to become an oncology nurse. In Critical Care, Theresa writes powerfully and honestly about her first year on the hospital floor. With great compassion and a disarming sense of humor, she shares the trials and triumphs of her patients and comes to realize that caring for a patient means much more than simply treating a disease.
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Excellent all the way around!
- By Susan on 10-12-17
By: Theresa Brown
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The Desperate Hours
- One Hospital's Fight to Save a City on the Pandemic's Front Lines
- By: Marie Brenner
- Narrated by: Kirsten Potter
- Length: 15 hrs and 41 mins
- Unabridged
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In the spring of 2020, COVID-19 arrived in New York City. Before long, America’s largest metropolis was at war against a virus that mercilessly swept through its five boroughs. In The Desperate Hours, award-winning journalist Marie Brenner, having been granted unprecedented 18-month access to the entire New York-Presbyterian hospital system, tells the story of the doctors, nurses, residents, researchers, and suppliers who tried to save lives across Manhattan, Queens, and Brooklyn and the northern periphery of the city.
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Way too much politics
- By Josh on 07-18-22
By: Marie Brenner
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The Family Gene
- A Mission to Turn My Deadly Inheritance into a Hopeful Future
- By: Joselin Linder
- Narrated by: Khristine Hvam
- Length: 7 hrs and 17 mins
- Unabridged
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When Joselin Linder was in her 20s, her legs started to swell. She thought little of it until her health problems started to compound in ways that baffled her doctors. Diagnosed with extreme liver blockage and dangerous levels of lymph fluid, Joselin turned to the most similar case she could think of - her father's.
By: Joselin Linder
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Appointments with Heaven
- The True Story of a Country Doctor's Healing Encounters with the Hereafter
- By: Dr. Reggie Anderson, Jennifer Schuchmann
- Narrated by: Eric G. Dove
- Length: 9 hrs and 14 mins
- Unabridged
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When a patient first asked Dr. Reggie Anderson to sit at her bedside as she passed from this life, something miraculous happened. As he held her hand, the veil between this world and the next parted…and he received an astonishing glimpse of what awaits us in heaven. Little did he know this was just a foretaste of what was to come - a lifetime of God-given "appointments with heaven." Join Reggie as he shares remarkable stories from his life and practice, including the personal tragedy that nearly drove him away from faith forever.
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More about Christianity than the Hereafter
- By Karen on 11-25-14
By: Dr. Reggie Anderson, and others
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Confessions of a Surgeon
- The Good, the Bad, and the Complicated...Life Behind the O.R. Doors
- By: Paul A. Ruggieri MD
- Narrated by: Eric Martin
- Length: 8 hrs and 2 mins
- Unabridged
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As an active surgeon and former department chairman, Dr. Paul A. Ruggieri has seen the good, the bad, and the ugly of his profession. In Confessions of a Surgeon, he pushes open the doors of the OR and reveals the inscrutable place where lives are improved, saved, and sometimes lost. He shares the successes, failures, remarkable advances, and camaraderie that make it exciting.
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Enjoyed the anecdotes!
- By suzanne on 07-31-17