How Death Becomes Life: Notes from a Transplant Surgeon

By Joshua Mezrich

Gripping and evocative, How Death Becomes Life takes us inside the operating room and presents the stark dilemmas that transplant surgeons must face daily:

How much risk should a healthy person be allowed to take to save someone she loves?

Should a patient suffering from alcoholism receive a healthy liver?

The human story behind the most exceptional medicine of our time and it is a poignant reminder that a life lost can also offer the hope of a new beginning.

Leading transplant surgeon Dr Joshua Mezrich creates life from loss, moving organs from one body to another. In this intimate, profoundly moving work, he examines more than one hundred years of remarkable medical breakthroughs, connecting this fascinating history with the stories of his own patients.

• Language: English
• Publisher: Atlantic Books
• Release date: May 2, 2019
• ISBN: 9781786498885

Reviews for How Death Becomes Life

[lostinalibrary · Rating: 4 out of 5 stars]

In this non-fiction book, When Death Becomes Life: Notes from a Transplant Surgeon, Joshua D. Mezrich gives the reader a comprehensive, and personal look at transplants. But this is no dry medical memoir. He looks at the history, the medical techniques used, personal stories of some recipients and donors, cross-species attempts, and even some of the mistakes and failures including his own. He is passionate about his field but he shows a great deal of empathy towards the suffering of both donors and recipients. This is a highly readable, often deeply moving, and, in the end, hopeful look at an important field of medicine. Thanks to Bookshout and the publisher for the opportunity to read this book in exchange for an honest review

[linda.a. · Rating: 5 out of 5 stars]

Although in his introduction to his book transplant surgeon Joshua Mezrich claims “the following book is neither a memoir nor a complete history of transplantation”, in fact it encompasses elements of both. In the first couple of hundred pages he highlights key moments in research and experimentation, from the late nineteenth century through to the remarkable work being done today. He expresses his admiration for the early pioneers of transplant surgery, doctors who were determined and courageous in their continuing efforts to experiment and to find solutions to set-backs, even when faced with a very high death rate; he also admired their determination to persist in the face of being surrounded by colleagues who thought they were crazy, as well their willingness to face the very real threat of ending up in prison. I found it fascinating to discover that in the 1960s and 70s, when versions of anti-rejection drugs were in their infancy, the death rate for patients was approximately fifty percent. However, since cyclosporine, the first truly effective immunosuppressant was approved for routine use in the 1980’s, success rates now exceed ninety percent. Interspersed with this history were some of the author’s own experiences and I found this helped to put the history into an understandable, human context. There was a considerable amount medical terminology but, partly because I do have some knowledge of this terminology, but mainly as a result of the eloquence and clarity of the author’s writing, I never felt that I couldn’t understand it. Neither did I feel that it unbalanced the flow of the story he was trying to tell.However, I must admit that the book really came to life for me in its final third, when he described individual cases in much more detail. Some of these accounts are quite upsetting, some are inspiring but all are intensely moving in the ways in which they capture the life and death situations transplant surgeons face on a daily basis. Another aspect of the book which fascinated me was the author’s exploration, a narrative which weaves its way in and out of the individual cases, of the range of ethical questions which surround the question of transplant surgery. For example, should alcoholics be eligible for scarce livers? Should patients whose life-style has made no contribution to their need for a transplant be given priority? How sick do people have to become before they “qualify” for a donated organ? It is clear from his reflections that whilst the author has no easy answers, he constantly considers these dilemmas using a combination of clinical judgement and compassionate caring. What also becomes very clear from his writing is the huge respect he has for his patients and the courage they show in agreeing to transplant surgery. However, his especial admiration and respect for all donors, whom he describes as “the heroes, the ones who make it all happen”, is apparent throughout his writing. I also admired the author’s willingness to admit to his mistakes and fallibility, something which isn’t always a given in the medical profession!I found this an impressively accessible, engrossing and very moving account of the complexities of this life-changing area of surgery. The frequent moments of tension in the life and death situations described are sometimes leavened by some humorous moments. However, this is a humour which never felt inappropriate or dismissive, but rather one which reminds the reader that Joshua Mezrich retains huge respect for each and every one of his patients and their families, as well as the donors and their relatives. It is quite clear that he never loses sight of the fact that most transplant surgery is dependent on the death of a donor and his compassion for the surviving relatives is always apparent in his accounts of his interactions.I’ve been on the donor register for many decades but, had I not been, I’m sure that having read this book and been made aware of how this “gift of life” really does transform the lives of dying patients, I would have made it a priority to register as soon as possible.My thanks to Atlantic Books and Real Readers for a copy of this book in exchange for an honest review.