"A timely book, its message an urgent one. . . . Perhaps one lesson to draw from the pandemic, with help from books like this one, is that the ICU experience can be changed for the better." —Washington Post
"With its vivid observations and heartfelt tone, Every Deep-Drawn Breath is a joy to read. Ely’s passion for his patients leaps from the pages, inspiring readers to channel Ely’s humility and love for life to brighten the future of medicine, and mankind." —The Federalist
"An intensely emotive journey through the science and history of the intensive care unit. . . . Every Deep-Drawn Breath is a paragon of humanity that will have lasting positive effects." —The Lancet
"[A] powerful new book. . . . provides true insight into what can be accomplished with humility, perseverance, dedication and above all else, love.” —Intima: A Journal of Narrative Medicine
"A remarkable look at transformations in ICU care. . . . This humble—and humbling—look at the limits and potential of medicine will stick with readers.” —Publishers Weekly, starred review
“In this dynamic, often touching debut, the author chronicles a personal, passionate return to the ethical heart of the Hippocratic oath. . . . Meaningful, thought-provoking insight into the world of critical care.” —Kirkus Reviews
"Timely." —St. Louis Post-Dispatch
"A stunning, heartbreaking, and hopeful book, expressing Dr. Ely's profound union of compassion and medical skill. Given that most of us will stay in an ICU, attend a loved one there, or even die in one, I hope that many readers demand treatment according to the humane practices Dr. Ely has pioneered. I equally hope that every critical care doctor and hospital administrator reads this beautiful book, puts its protocols into practice, and makes their ICUs more humane and medically effective." —Katy Butler, author of Knocking on Heaven's Door
“Every Deep-Drawn Breath is an enthralling journey through the ongoing evolution of critical care. In this richly illustrated book, with stories of people who teetered on the edge of death and survived to find their lives forever changed, Dr. Ely, a thought leader in his field, reveals hard lessons he’s learned, innovations he’s led, and his compelling, bright vision for the future of medicine.” —Ira Byock, MD, active emeritus professor, Dartmouth Geisel School of Medicine, author of Dying Well and The Best Care Possible, founder and chief medical officer of the Institute for Human Caring
“Through rich and remarkable accounts of caring for patients in the ICU, Dr. Wes Ely places the humanistic mission of medicine front and center, where it belongs, in this outstanding book.” —Eric Topol, MD, Professor, Scripps Research, author of Deep Medicine
“A remarkable book from a legendary physician. Dr. Ely revolutionized critical care and now, through stories that are intimate, honest, and brave, he reveals the failings and the great promise of the field. This could not be more timely—in the wake of a pandemic that challenged the humanity of our profession, Ely shows us the road forward. A must read.” —Daniela Lamas, MD, author of You Can Stop Humming Now: A Doctor's Stories of Life, Death, and in Between
"Every Deep-Drawn Breath is a beautiful, honest gem. If you’re interested in the wild world of the ICU, in the interface between nature and human nature, in how medicine (at its best) learns from good intentions gone awry, in the difference between in vitro and in vivo, or in how a good doctor becomes great, here is the book for you. I'm grateful to Dr. Ely for his candor and his storytelling." —BJ Miller, MD, author of A Beginner's Guide to the End
"Thanks to Dr. Wes Ely and his colleagues, help is on the way for ICU patients, as well as the healthcare professionals who care for them. Every Deep-Drawn Breath is a must read for anyone who may someday be impacted by an ICU, which means all of us." —Jessica Zitter, MD, MPH, author of Extreme Measures: Finding a Better Path to the End of Life
“The ICU is an important, mysterious character in the story of modern medicine, and Every Deep-Drawn Breath is its deeply felt, thoroughly researched biography. With compassion, grit and grace, Dr. Ely takes us into this liminal space and shows us, through the stories of his patients and his life, what it means to mobilize technology to save lives while also confronting the unintended pain and suffering that ICU care can inflict. This book illuminates the humanism, heroism, and humility required to stand with people at life’s edge, and reminds us to seek meaning and purpose in the life we have, a life sustained by each breath we take.” —Sunita Puri, MD, author of That Good Night: Life and Medicine in the Eleventh Hour
“In this fascinating and eye-opening book, Wes Ely makes the radical argument that we should be helping critically ill patients stay awake and engaged, not routinely sedating them into unconsciousness. Combining dogged research, intense reflection, and page-turning stories, Dr. Ely reminds us that we have to treat the patient, not just the disease.” —Danielle Ofri, MD, PhD, Clinical Professor of Medicine, NYU School of Medicine, and author of When We Do Harm: A Doctor Confronts Medical Error
“With the storytelling sensibilities of Oliver Sacks and the surgical precision of Atul Gawande, Dr. Wes Ely has given us an unforgettable journey of patients and doctors traveling in the disorienting world of intensive care, ultimately leading toward redemption for Dr. Ely himself. Required reading for all mortals. If you liked When Breath Becomes Air, you will love this book.” —Angelo Volandes, MD, author of The Conversation: A Revolutionary Plan for End-Of-Life Care
“Every Deep Drawn Breath deserves a wide and deep readership. . . . it summons physicians to seek relief for their patients' endemic suffering, but not by standard yet short-sighted procedures that ignore post-ICU torment. On the contrary, doctors must humbly recognize their own limits, indeed their inevitable mistakes. Precisely and ever so admirably, this is what Wes Ely has done. —Ralph C. Wood, Emeritus Professor of Theology and Literature, Baylor University
“A treasure trove of hard-won wisdom. Reading Every Deep-Drawn Breath is like getting a backstage pass to the cloistered world of medical science. A gifted storyteller, Wes Ely brings his humanity to every moment, inspiring us to reexamine our own beliefs and reimagine what is possible. He has seamlessly woven together the private stories behind the very public successes and failures of our well-intentioned ICU care. Illuminating and generous, he revisits with humility the pivotal moments of his career in this wise gift of a book.” —Rana Awdish, MD, author of In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope
★ 08/09/2021
Ely, a critical care doctor, debuts with a remarkable look at transformations in ICU care. He opens with a confession—that he’d “sacrificed patient dignity and caused harm” as a young physician by trading “the priceless gift of eye contact and conversation for medically induced unconsciousness and...deep sedation.” For years, the standard practice was to keep patients on ventilators heavily sedated, but Ely began questioning the protocol after encountering numerous patients who suffered from “post-intensive care syndrome” and whose cognitive functioning had been dramatically impaired by the length of time spent unconscious. Ely discovered doctors in the U.S. and abroad who’d adopted different approaches, including reducing the duration and level of sedation, and active measures to keep patients mentally engaged, which he began to implement. Ely movingly recounts his efforts, notably when his vision of an improved ICU was put into place in 2014 with rooms that “were spacious, practical, and filled with light... and included a comfortable area for family members or friends.” And the revised, reduced-sedation “return to humanity” program, he writes, saves lives. This humble—and humbling—look at the limits and potential of medicine will stick with readers. Agent: Susan Golomb, Writer’s House. (Sept.)
09/01/2021
Critical care physician Ely (Vanderbilt Univ. Medical Ctr.) draws on his own experience for this book about the role of humanity and compassion in the ICU. Looking back on his early career, Ely now finds that he focused on the methodology of keeping ICU patients alive, at the expense of trying to understand patients' experiences during and beyond their ICU stay; his path forward from that insight forms the backbone of the book. It includes sensitive analysis of the racialized history of critical care medicine and health care disparities that stem from gender, class, and disability. Ely discusses post-intensive care syndrome, which he believes is too-little discussed by patients and health-care professionals. The syndrome's sometimes permanent changes to a patient's health arise from the ICU stay itself rather than the original reason for admission; overuse of deep sedation and medical paralysis on ventilator patients is now recognized as a primary contributor to delirium on the unit and long-term mental and physical disabilities. Ely's book also supplies a number of resources for patients and their families, plus a list of further reading. VERDICT Heightened media attention to intensive care medicine during the pandemic should make this of interest to both lay and professional readers. Ely writes with passion, clarity, and authority.—Richard Maxwell, Porter Adventist Hosp. Lib., Denver
2021-07-14
A physician reflects on the lessons learned throughout his career in intensive care.
As a young medical student in 1985, Ely recognized that his drive to save lives sometimes came at the expense of patients’ dignity. In this dynamic, often touching debut, the author chronicles a personal, passionate return to the ethical heart of the Hippocratic oath. In addition to a timeline of the ICU and its history of medical innovations, Ely details a succession of individual bedside narratives. They range from the heartbreakingly sad, like that of his first patient, whom he wasn’t able to save who but spurred him toward more revolutionary lifesaving technologies; to more hopeful cases of patients with delirium who were aided by patient-centered care and a defining moment during his daughter’s recovery from a skull fracture. The author effectively illuminates the daily pressures placed on caregivers, especially as they relate to one particularly harrowing condition, post-intensive care syndrome, when discharged ICU patients begin to suffer chronic new conditions brought on by their tenure in the ICU (this was especially prevalent among Covid-19 survivors). Ely also provides a thoughtful exploration of the ICU treatment culture of sedation and immobilization and analyzes how it can be recentered around a core value of “humanity in doctoring.” Collectively, these anecdotes movingly exemplify the caregiver’s role in assuaging patient suffering through compassionate efforts to not only deliver quality clinical care, but to focus on “finding the person in the patient, using touch first and technology second,” and preparing and supporting patients back into life beyond the ICU setting. Ely promotes these protocols within the end-of-life spectrum, as well, where compassion, respect, and comfort are tantamount. A closing section offers practical tips and resources for further research on the care delivery process within an ICU setting, useful for both general readers and professionals. As Ely conveys through anecdotes and experience, physicians can maximize their knowledge by focusing on, listening to, and learning from their patients.
Meaningful, thought-provoking insight into the world of critical care.