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?

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. 

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.