When Breath Becomes Air: Pulitzer Prize Finalist

This brief memoir is interposed between a foreword by Abraham Verghese, the brilliant author of “Cutting for Stone” and an epilogue by author’s wife, Lucy Kalanithi. It is a beautifully, heartrending, deeply philosophical piece by an accomplished young man who dedicated heart and mind to his work and study in neurosurgery. He discovers that he has terminal lung cancer at the age of 36, just before completing his grueling neurosurgical residency and embarking on the career he has worked so hard to attain. The book is very thoughtful and reflective in nature, especially upon the meaning of life. It made me wonder if the author was truly always so interested in finding the meaning of life, or if only when told of this terminal diagnosis, that reflection back on his life made this search so apparent. As one nears death, what is most important, becomes glaringly more obvious, and Paul Kalanithi describes this so well. Abraham Verghese speaks in the foreword of how he had met Paul in person several times before his death, but it was not until he read his book that he felt he really knew him. I too, felt like I got to know Paul through this book. He is very open and honest about himself, his sickness, his relationships, and struggles and triumphs throughout the process of dealing with cancer. I find it interesting that Paul did not always think he wanted to be a physician, but rather thought he might be a writer. He may not have realized his full potential as neurosurgeon and professor, but he surely achieved his goal to be a writer. He has left behind a beautiful book that will be read for many years to come. It will be of great interest to those with life-threatening disease, their family members, and really everyone, because we will all be in those shoes at some point. He has also left behind a wonderful gift of himself to his daughter. She will not remember her time with him, but she will be able to know him through this book and well as through the memories that I’m sure his close relations will share with her. Aside from writing and even delving back into neurosurgery residency at one point, he spent the last years of his life following his diagnosis, building closer bonds with his family, and the love there was overflowing. Aside from being an important read for anyone facing a life-threatening illness themselves or loving someone who is, I think it is a very important read for all medical professionals. It puts a face behind a patient, who is clearly able to articulate the thoughts and feelings of being a patient in our medical system. It emphasizes and highlights the importance of the physician-patient relationship. I gave this book 5 stars for it’s thought provoking, beautiful prose, as well as for writing it’s way through a death with utmost dignity. He strengthens his belief systems, forges stronger relationships with family and loved ones, and finds greater meaning in life once he is given this terminal diagnosis. For discussion questions, please visit book-chatter.com

This book is a must-read. Wonderfully written, the story unfolds when a renowned surgeon receives a diagnosis of cancer. It is a book so honest, the grief will take your breath away. It is also so honest that your heart will soar at the beauty of life. Paul Kalanithi had much he wanted to accomplish in his work life, but even more with his wife and new baby. Dr. Kalanithi's wife, Lucy, who completed Paul's work, is my hero. She wears her grief well and has survived. A blessing. Read this book. It teaches us how to live.

I re-read this book after having read it some years ago. It was a good book then, but it meant so much more this time. A little over two years ago I was diagnosed with cancer. Although I have no evidence of disease now, Paul’s story takes on a deeper meaning than it did the first time I read it. I recognize the feelings and thoughts from being diagnosed to going through treatments. It was also helpful to read what his wife experienced, because although my husband spoke to me of his feelings, there are some thoughts he never voiced.

I listened to When Breath Becomes Air on Audible during my commute, and it’s one of those rare audiobooks that stays with you long after it ends. Paul Kalanithi’s story is thoughtful and deeply personal, reflecting on what it means to live a meaningful life even in the face of death. The narration is calm and respectful, capturing both his medical precision and quiet vulnerability. It feels more like being spoken to than being read to, which makes the experience even more powerful. The only small drawback is that a few sections are emotionally heavy, definitely something to listen to when you can focus. Overall, it’s a beautifully written and narrated memoir that I’d recommend to anyone who appreciates introspective, life-affirming stories.

A really good read.

5\5 Not a fraction less. As I finished this book tears rolled down both my cheeks. Breathing was hard for the last 40 pages, as I struggle to choke back the conflicting emotions I felt in reading Paul's last words and those his wife Lucy would conclude with. On the one hand I felt heartbroken with sorrow for the fate of this man who would strive so hard to help others live or to ease the agony of those who would die. Yet this book was as heart wrenching as it was beautiful. It was as uplifting as it was sad. This book deeply touched me on an emotional and what some would call a spiritual level. While I am not spiritual, I cannot deny the spirit of this man, who lived, loved, triumphed and accepted his fate with courage and strength, even as cancer weakened him physiologically. Paul died very near my own age. I struggle to find meaning in life, especially as I see others die around me every year. I also grapple with my own impending end which could come any moment, future or present. I began to question everything as I've aged. I fear perhaps I have made the wrong choices in life. I question what it is all for. Being an atheist is a blessing and a curse, for it gives life at times a hollow definition. We live to die. Most of us spend the majority of our lives dying, or declining until our last day. This does not have to be a sad thing though. This book has revealed to me that there is another way in which to die. That is, to live... until death. From the bottom of my heart I am thankful to Paul, for this book, and to Lucy for her epilogue, for her kind words which will touch my own spirit, my core being, until the end. It will forever remind me that our fate may not always be what we want it to be but our lives are what we will make of them. We will all die, some sooner, some later. This is a fact. While we live to die this does not mean we cannot also live to live, to live life appreciatively. While I do not share the expansive and loving family Paul did and while I feel at times vastly alone in this world, I have learned the deep lessons of this book. I have no one to truly comfort me in my sorrows as I grind through life. This book, these words, are my comfort. Alone we embrace, this philosophy and I. I am not dying such as Paul was. I am merely dying as life would naturally have it, as we all are, until something decides to speed this natural process up, like a cancer or some other malignance. I merely suffer the physiological strife that comes with working on a farm in rural Nova Scotia. I toil so others may not. Someone must till the soil, grow the food, harvest from life to give life. Though I often feel I should be doing more. My English degree hangs on a wall, a banner of achievement, yet a reminder of failure. I relate to Paul in that, like him, I want to help others. After all, there is no better feeling than having consoled or counselled another. I have often had the dream of using words to ease the pain of suffering. Paul has awakened me to the fallacy of how I see that piece of paper in the negative. Perhaps I will do no more than I have. Some do nothing. Some live and die, forgotten to the winds of time. The important thing is to understand that life is a treasure. It is a thing to be cherished, this consciousness, this awareness, our ability to think and see and question and comprehend. To compel or be compelled is to live. Whether alone or in the company of loved ones, we should hold dear this thing we call life. Find your happiness where you can. Be it within the pages of a book such as this or in the company of others, seek it and embrace it, for a life lived happily is to truly live. Whether short or long, alone or otherwise, we need not despair the eventuality of our end. Smile, my fellows, for were we not alive, we would not know what it is to live. Thank you Paul. Thank you Lucy. You have both, in death, and life, warmed my heart beyond what other words have elsewhere been able.

If one could caress or lovingly stroke the surface of another's heart then this is the writing in this book. Pain and pleasure live side by side with honor and simplicity. A moving account of a great soul which can in its truth pull the air from your lungs.

Not the easiest read but very well worth it. Makes you think about the meaning of life

This book is one of the best books I have ever read. Profoundly touching, it gives you a different perspective on life.