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When Breath Becomes Air Reading Guide & Discussion Questions

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When Breath Becomes Air by Paul Kalanithi

When Breath Becomes Air

by Paul Kalanithi
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  • Jan 12, 2016, 256 pages
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For supplemental discussion material see our Beyond the Book article, Lung Cancer and our BookBrowse Review of When Breath Becomes Air.


Please be aware that this discussion guide will contain spoilers!

For readers of Atul Gawande, Andrew Solomon, and Anne Lamott, a profoundly moving, exquisitely observed memoir by a young neurosurgeon faced with a terminal cancer diagnosis who attempts to answer the question What makes a life worth living?

Use these discussion questions to guide your book club discussion of When Breath Becomes Air….

  1. How did you come away feeling, after reading this book? Upset? Inspired? Anxious? Less afraid?
  2. What did you think of Paul's exploration of the relationship between science and faith? As Paul wrote, "Science may provide the most useful way to organize empirical, reproducible data, but its power to do so is predicated on its inability to grasp the most central aspects of human life: hope, fear, love, hate, beauty, envy, honor, weakness, striving, suffering, virtue. Between these core passions and scientific theory, there will always be a gap. No system of thought can contain the fullness of human experience." Do you agree?
  3. How do you think the years Paul spent, tending to patients and training to be a neurosurgeon, affected the outlook he had on his own illness? When Paul wrote that the question he asked himself was not "why me," but "why not me," how did that strike you? Could you relate to it?
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  1. How does the author develop themes of identity and belonging throughout the narrative?
  2. What role does the setting play in shaping the characters' decisions and relationships?
  3. Discuss how the ending reframes the events of the story. Were you surprised?


Unless otherwise stated, this discussion guide is reprinted with the permission of Random House. Any page references refer to a USA edition of the book, usually the trade paperback version, and may vary in other editions.

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Beyond the Book:
  Lung Cancer

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