A review by kaulhilo
When Breath Becomes Air by Paul Kalanithi

4.0

“the word hope first appeared in english about a thousand years ago, denoting some combination of confidence and desire. but what i desired—life—was not what i was confident about—death. when i talked about hope, then, did i really mean “leave some room for unfounded desire?” no. medical statistics not only describe numbers such as mean survival, they measure our confidence in our numbers, with tools like confidence levels, confidence intervals, and confidence bounds. so did i mean “leave some room for a statistically improbable but still plausible outcome—a survival just above the measured 95 percent confidence interval?” is that what hope was? could we divide the curve into existential sections, from “defeated” to “pessimistic” to “realistic” to “hopeful” to “delusional”? weren’t the numbers just the numbers? had we all just given in to the “hope” that every patient was above average? it occurred to me that my relationship with statistics changed as soon as i became one.”

two days, and this book has been an eye-opener but also a silencer; what do you say in the face of this, in the face of life transitioning to death? what do you say before? i had an entire review planned while i was somewhere around 40% in the book, things i needed to say, but they all feel incredibly insubstantial now. i’d say i wish i had read this sooner, but i feel like that would be an antithesis to the book- so i’ll admit i’m glad i read it now.