When Breath Becomes Air When Breath Becomes Air question


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What drove Paul on even in the face of impending death?
Girri  Palaniyapan Girri Jul 03, 2016 07:01AM
One of things that struck me was how in the face of death, Paul was focusing on making the most out of his life and doing things that were meaningful rather than just giving up. What drove him forward?

Is it perhaps the intrinsic worth in pursuing meaning? The idea that, "You can’t ever reach perfection, but you can believe in an asymptote toward which you are ceaselessly striving.”

Or perhaps sense that one's actions would continue to have ripple effects even after one's time?



Some of his drive I believe was that he wanted to live his life on his own "timeline" being in control of the things that were most important to him at that moment.


My feeling after reading the book is that even though he is a skilled neurosurgeon and loved his job, his first love was always language and writing. He knew he had very less time to give for that passion, now that his fate is almost sealed. It was that passion that drove him.

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C.A. Rothermund-Franklin Girri,
I found Paul's drive to complete the book strong and evident. I am encouraged by it and go back and reread parts often. I hope, in the future wh
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Aug 31, 2017 08:18AM · flag
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Rafia Yaqub Completely agreed, he was a passionate and career-oriented person. His passion for literature and writing was the driving force behind his book
Jul 18, 2019 11:47AM · flag

All of us when faced with our death want to know that somehow,somewhere we made a difference if not in others lives then at least our own. Paul always was driven to make that difference but the timeline got accelerated with his illness


Personally, I would say it was a way to communicate with his daughter about who he was as the prime motivator.


The drive behind writing could have been the wish of some sort of legacy and communication with his un-borned child. But what drove him to perform the last operation under such stress? It could have been an act of rebellion against the fate as Amy and Girri are suggesting.....


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Carol (last edited Jan 19, 2018 05:26PM ) Jan 18, 2018 01:17PM   0 votes
I felt like what drove Paul on was that he refused to stop living. Just like when he performed his last surgery, he wanted to perform it because he knew he could do it and he refused to let the disease control any more of his life than it had to.


i wrote my college essay about this book. moved me to tears, he was such a strong person. will recommend this to all my friends.


superb book i read today . thanks goodreads


I think he found purpose in sharing his story and definitely valued his life even though it was cut short. It also seemed like at the end of his life, he found a lot of meaning, purpose and peace in spirituality and faith.


Paul was looking to finish his passion about the brain and make a difference in the life of others, he try’s so hard but the clock biological was there .... so sad but still he did write this book


He understood death. He lived with it for many years. When he finally saw it across the street, he understood that the only thing left was to live his life until it was time to hold hands with it. That's what I took from this book. We all are on Paul's journey. We all see death across the street but many of us don't dare even to acknowledge its presence. What Paul did at the end of his life, it's what we all should be doing every day of our lives. Do the things we want to do, love the people we have to love, forgive those who need to be forgiven, and appreciate this limited and precious resource called time. He knew all along that writing was his call, but circumstances of life took him to be an extraordinary neurosurgeon. When he realized that his life was coming to an end, he spent his time doing the thing he knew he had to do since the beginning. Whatever it is that we know we have to do, let's do it right now, this moment, that is the only thing we have for certain. As Buddhists say "Our actions are the ground upon which we stand".


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