Sherwin B. Nuland Quote

Mine is not the first voice to suggest that as patients, as families, and even as doctors, we need to find hope in other ways, more realistic ways, than in the pursuit of elusive and danger-filled cures. In the care of advanced disease, whether cancer or some other determined killer, hope should be redefined. Some of my sickest patients have taught me of the varieties of hope that can come when death is certain. I wish I could report that there were many such people, but there have, in fact, been few. Almost everyone seems to want to take a chance with the slim statistics that oncologists give to patients with advanced disease. Usually they suffer for it, and they die anyway, having magnified the burdens they and those who love them must carry to the final moments. Though everyone may yearn for a tranquil death, the basic instinct to stay alive is a far more powerful force.

Sherwin B. Nuland

Mine is not the first voice to suggest that as patients, as families, and even as doctors, we need to find hope in other ways, more realistic ways, than in the pursuit of elusive and danger-filled cures. In the care of advanced disease, whether cancer or some other determined killer, hope should be redefined. Some of my sickest patients have taught me of the varieties of hope that can come when death is certain. I wish I could report that there were many such people, but there have, in fact, been few. Almost everyone seems to want to take a chance with the slim statistics that oncologists give to patients with advanced disease. Usually they suffer for it, and they die anyway, having magnified the burdens they and those who love them must carry to the final moments. Though everyone may yearn for a tranquil death, the basic instinct to stay alive is a far more powerful force.

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About Sherwin B. Nuland

Sherwin Bernard Nuland (born Shepsel Ber Nudelman; December 8, 1930 – March 3, 2014) was an American surgeon and writer who taught bioethics, history of medicine, and medicine at the Yale School of Medicine, and occasionally bioethics and history of medicine at Yale College. His 1994 book How We Die: Reflections on Life's Final Chapter was a
New York Times Best Seller and won the National Book Award for Nonfiction, as well as being a finalist for the Pulitzer Prize.
In 2011 Nuland was awarded the Jonathan Rhoads Gold Medal of the American Philosophical Society, for “Distinguished Service to Medicine.”
Nuland wrote non-academic articles for The New Yorker, The New York Times, The New Republic, Time, MIT Technology Review and the New York Review of Books. He was a fellow of the Hastings Center, an independent bioethics research institution.
He is the father of Victoria Nuland, who served as under secretary of State for Political Affairs from 2021 to 2024.