by Paul Kalanathi
During the last year of his neurosurgical residency, Dr. Paul Kalanithi was diagnosed with terminal lung cancer. In this memoir, he shares his experiences in an attempt to help others. The book has a prolog, two parts, and an epilog.
In the prolog, Dr. Kalanathi shares how he and his wife Lucy learned of his diagnosis. In the first part, he talks about his life growing up in a small Arizona town, his interest in neuroscience, how he studied abroad before returning to the states and attending medical school at Yale.
In the second part, he shares his experiences as a neurosurgical resident at a San Francisco hospital, leading up to his diagnosis. He discusses his treatment and how he and Lucy conceived a child, despite his illness. He explains how he returned to his residency after treatment and completed it before he took a turn for the worst. He died before he could finish writing this book, so Lucy ties up loose ends in the epilog.
One thing I found disconcerting was the lack of dates. We know that Dr. Kalanathi died in March of 2015 and that he was diagnosed a couple of years earlier, but that’s it. I think it’s a good idea to insert dates throughout a memoir to orient the reader, and I do this in My Ideal Partner.
When Breath Becomes Air reminded me of when my mother was diagnosed with cancer in 1999. It was never known where the cancer originated. After six months of chemotherapy, she was given a good prognosis, but a couple of weeks later, she was gone. Dr. Kalanathi’s oncologist was reluctant at first to give him a prognosis. I can see why, I guess.
I liked Lucy’s description of her husband’s death in the epilog. He died in a hospital room, surrounded by his family, even his infant daughter. I felt guilty because my own husband died alone. Of course he wasn’t alert for the last few days of his life, and Dr. Kalanathi was, most of the time. Lucy’s concluding paragraphs emphasize something I’ve always believed. When you lose someone you love, you grieve, but where there’s love, even in death, life goes on.