When Breath Becomes Air

When Breath Becomes Air

by Paul Kalanithi
4.40 (712K)  •  2016

Related videos

8:39
How cancer alters sense of time + author’s personal photos/footage
674K    5K
Feb, 2015
Spoiler: In addition to describing his diagnosis with lung cancer and some of the aftermath, the author reflects on how his perception of time changed from the pressured days of working as a surgeon to trying to savor every remaining moment of his quickly shortening life. He remarks that he probably would not live long enough for his baby daughter to form memories of him, a prediction that turned out to be true as he died when she was eight months old.
16:10
Author’s widow shares her story in TED talk format
311K    9K
Jun, 2017
Spoiler: Reflecting on what her husband’s cancer and death taught them, Lucy Kalanithi shares her story, from falling in love with Paul at Yale to the day she took him to the hospital for the last time. She encourages the audience to know that they don’t have to accept unwanted medical treatments, saying there is always a choice, whether it be genetic testing in pregnancy, undergoing a knee replacement, or suspending treatment in order to have a more peaceful death.
51:39
Lucy Kalanithi presents in Authors at Google format + Q&A
52K    623
Sep, 2016
Spoiler: Appearing at Google, the author’s widow converses with Saurabh Madaan, reads aloud from the book, and reflects on her late husband’s life, work, and death. She says that the book, which was published posthumously, became his purpose near the end. She shares that while many terminal patients decide to fight their illness as hard as they can, Paul immediately told her that he wanted her to marry again, signaling his acceptance and, as a doctor, his understanding of the gravity of the diagnosis.

4 Minute Summary

Sometimes you don’t go out and find a book; the book finds you. Facing an impending loss without a foundation of faith to fall back on, I find myself asking, “What is the meaning of life if we’re all just going to die?”

Paul Kalanithi answers that question in the most meaningful way possible in his outstanding book. A 36-year- old neurosurgeon, Paul wrestled between medicine and literature as an eventual career. Medicine won out and he was just on the cusp of a stellar trajectory when he was diagnosed with metastatic lung cancer.

Paul nurtured a passionate belief in the moral dimensions of his job. He also strongly believed that the relational aspect between people undergirded meaning and that life’s meaning has everything to do with the depth of the relationships we form in our journey. He says this, “The secret is to know that the deck is stacked, that you will lose, that your hands or judgment will slip, and yet still struggle to win …You can’t ever reach perfection, but you can believe in an asymptote toward which are ceaselessly striving.

Just as his surgeon’s scalpel eased disease of the brain and saved lives, his words give reasons for living. The grace with which he navigates his journey – from a top-rated surgical resident to writer to his most important role of all, husband and father of a young daughter – his book is ample testimony to how one life well-lived can continue to create such a great impact.
In the foreword by fellow doctor and writer Abraham Verghese, that doctor writes, “He (Paul) wasn’t writing about anything—he was writing about time and what it meant to him now, in the context of his illness.” And in the afterword by his wife Lucy, the meaning of that time becomes even clearer. I felt the sense of having lost a personal friend.

Let me make this clear if I haven’t already: this is NOT a self-pitying, manipulative memoir and it is not the reason I’m 5-starring it. It’s a beautifully written, insightful, page-turning book on how we connect as humans and why life – no matter how truncated – is worth living. I will be recommending this strongly to just about everyone in my life.

Follow the author

Paul Kalanithi

Paul Kalanithi was a neurosurgeon and writer from Kingman, Arizona. He earned a BA and MA in English literature and a BA in human biology from Stanford University. Initially considering a Ph.D. in English, he later attended Yale School of Medicine, graduating in 2007 and winning the Dr. Louis H. Nahum Prize for his research on Tourette’s syndrome. Kalanithi was also inducted into the Alpha Omega Alpha medical honor society.

Ask Albert:

Rate the book