Try free for 30 days

Listen with a free trial

1 credit a month to use on any title, yours to keep (you’ll use your first credit on this title).
Stream or download thousands of included titles.
Access to exclusive deals and discounts.
$16.45 a month after 30 day trial. Cancel anytime.
Buy Now for $13.26

Buy Now for $13.26

Pay using coupon balance (if available) then card ending in
By confirming your purchase, you agree to Audible's Conditions Of Use and Privacy Notice and authorise Audible to charge your designated credit card or another available credit card on file.

Publisher's Summary

What colour is cancer? Why do some people appear to have made miraculous recoveries? How can you tell when someone is in the final hours of their life? How can we ensure our most vulnerable are treated with the dignity they deserve? 

In this unprecedented memoir, a palliative medicine pioneer explores the biggest taboo in our society and the only certainty we all share: death. Kathryn Mannix immortalises the thousands of men and women she has seen off. These unforgettable stories send an urgent message to the living, answering all our questions about the end-of-life process with touching honesty and humanity. 

Drawing on four decades of experience studying and practicing palliative care, Mannix shows us what happens when people are approaching the end of their lives: how they cope, how they live, what matters most, how dying evolves, what a deathbed is like and how families react. 

Kathryn Mannix's stories, although drawn from her clinical practice, are those of our friends, our family, our partners. We learn about the body language of death through a young mother who raves the night away before falling into a forever slumber. The psychology of death, too, is illuminated, as with the endearing story of Sanjeev, an elderly man admitted to the hospital who is convinced he is on a night train to Delhi where he will meet his parents in the morning. A husband asks the doctor not to tell his wife of the fatality of her condition - the wife later confesses to having kept her husband in the dark about the finality of her illness to preserve him. These meditations tells us everything about the dying and their loved ones. 

With the End in Mind is a book for all of us: the grieving and bereaved, ill and healthy. It is also an insight into palliation as a mixture of teamwork with clinical detective work to find the origins of patients' symptoms in order offer the best possible living conditions towards the end. Mannix argues that with planning, honesty and information, death doesn't have to be either painful or terrifying. With at-times funny, poignant and always wise storytelling about how people die, Mannix has written a book of immense power and importance.

PLEASE NOTE: When you purchase this title, the accompanying reference material will be available in your Library section along with the audio on our Desktop Site.

©2017 Kathryn Mannix (P)2017 HarperCollins Publishers Limited

What listeners say about With the End in Mind

Average Customer Ratings
Overall
  • 5 out of 5 stars
  • 5 Stars
    53
  • 4 Stars
    5
  • 3 Stars
    0
  • 2 Stars
    0
  • 1 Stars
    0
Performance
  • 5 out of 5 stars
  • 5 Stars
    44
  • 4 Stars
    5
  • 3 Stars
    0
  • 2 Stars
    0
  • 1 Stars
    0
Story
  • 5 out of 5 stars
  • 5 Stars
    46
  • 4 Stars
    2
  • 3 Stars
    0
  • 2 Stars
    0
  • 1 Stars
    0

Reviews - Please select the tabs below to change the source of reviews.

Sort by:
Filter by:
  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

A treasure.

Dr Mannix successfully navigates the complexity of the responses of the human spirit in the inevitable period before one leaves this existence. The content is explored with grace, sensitivity and great understanding. Compulsory reading for anyone in the medical field and certainly important for those who are not. A treasure.

2 people found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

loved it

A remarkable insight into the life of dying. a must listen, I'm listening again already.

1 person found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Outstanding!

Beautifully written and compelling stories and excellent narration. It was a joy to listen to and to hear the experiences of families and medical people.

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

incredible.

completely shifted my perspective on death and dying. highly recommend for anyone suffering from existential dread

  • Overall
    5 out of 5 stars

A very useful demystification of death and dying

This was a very useful demystification of death and dying. I felt comforted by the stories

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Excellent

What an excellent book. As a health professional this book gave me the confidence to talk and think about death, and as a person, it gave me the reminder I needed to cherish every moment.

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Highly recommended for ALL of us!

This book by eminent palliative care Dr Kathryn Mannix is both a profession text & one for all of us. Goodness me, I would be so delighted to have someone with Dr Mannix's experience, care & compassion caring for me as life was ebbing away. Now retired, let's hope more medical professionals learn from her! I will be looking out for her next book Listen! Thank you Dr Mannix

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Incredibly helpful

My palliated sister asked our family to read this book, to help us understand her state of mind, priorities and road ahead.
Thanks to this book I will be able to enjoy our remaining time together a lot more, and I'll probably be less annoying to her, with incorrect assumptions and pointless fears.

  • Overall
    5 out of 5 stars

useful teachings for living and dying

Dr Mannix shares openly on her experienes in palliative care. she is a natural story teller. highly recommend this book for anyone being with the dying, in all its messiness and grace.

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars

Life changing

So very compassionate. Takes away the fear of dying. I want everyone I know to have read this book

Sort by:
Filter by:
  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for D. B. Williams
  • D. B. Williams
  • 06-12-2021

Honesty, Humanity and Compassion

This is an extraordinary book. As a semi-retired Neurologist I can tell you that Dr Mannix's book could only be written by someone with a rare combination of clinical skill, humility, honesty, humanity and compassion. I was by turns amused, amazed, inspired and brought to tears as I listened to the stories of ordinary (and some extraordinary) people confronting their imminent death. I learned much as a clinician from listening to this book, but I think I learned even more as a human being concerning ways of reflecting on, and valuing the certain knowledge that we will all die at some (currently unknown) future time. I believe Dr Mannix will convince any open-minded person of the value of that reflection and learning. I cannot recommend this book highly enough, and have already begun giving copies to those I care about.

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for Sarah Vaulbert
  • Sarah Vaulbert
  • 17-08-2021

One of the best books ever

Loved this book. The reader was fabulous and the story so real. Very helpful for living. Helpful to plan dying and so real.

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for Debbie
  • Debbie
  • 24-10-2018

Such a great book!

I really thought this book was great all the way around! The only thing that I wish is that it included some story about someone who wanted to end their medical suffering but isn't allowed to do so in the State that we live in. How do you handle that person? otherwise...the book is very well written and nariated. Five stars!

  • Overall
    5 out of 5 stars
  • Performance
    4 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for Annette
  • Annette
  • 04-09-2018

Very enjoyable and poignant

No use running away from the inevitable, and this book is invaluable in learning more.

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for Isabella
  • Isabella
  • 09-06-2018

Oh my !

I would give book a 10! Touching, informative , a necessary subject to be discussed.

Sort by:
Filter by:
  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for Debi Rutter
  • Debi Rutter
  • 22-01-2018

Brilliant

This is a book everyone in our. Modern western ‘culture ‘ should be familiar with.
Yes, the content will make you cry but stick with it, there is safety and truth in the words.
As someone who has the knowledge of a journey soon to end, I am less scared of the destination and separation that transition will enforce.
Thank you for your wisdom.

30 people found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for Bob McG.
  • Bob McG.
  • 11-04-2021

Very reassuring.

I found this book incredibly helpful, having been diagnosed with stage four cancer two years ago, Because of this I felt I ought to read/ listen to it. In the end I was very glad that I had.
It is in part science and also anecdotal, drawing on Dr. Mannix's forty years in medicine, mainly in palliative care. I am not at the hospice stage yet, if indeed I ever may be, so I had not really addressed my end of life, except to put my everyday affairs (financial, body disposal etc.) in order.
I had no idea about the natural dying process, and this is very well explained, both using clear medical explanations and anecdotes.
I would recommend this book to anyone, whether ill or not.
The doctor rightly points out that because of medical advances we as a society are no longer as acquainted with death and the final days of others as we once were.
This book has answered all of my questions, ones that I did not like to ask my doctors for fear of being accused of being morbid or in case I sparked a lot of attention from the medical team, worried that I may be suffering from mental breakdown at the prospect of my own death. I came away from this book reassured, calm and confident that I now know all that I need to know for when I am about to die.
You will note that I do not use euphemisms like "when it is my time" or "passing away". I am not only ready to die, but happy and confident that I will be able to handle the situation.
A word of advice. Be careful if listening to this audiobook in public. I was moved to tears on several occasions. I was in a public park the first time, fortunately a good distance from the nearest dog-walkers.

14 people found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for DR GEORGINA MORGAN
  • DR GEORGINA MORGAN
  • 20-02-2021

Tremendous book

As a doctor dying from cancer and having worked in the hospice, with the team described in this book I needed to hear this as a patient. I needed to address my own fears about the end of my own life and this book reassures me that it will be ok. I’ve gained additional skills to communicate with my loved ones my own preferences, needs and wants. Thank you Kathryn Mannix for writing this book x

13 people found this helpful

  • Overall
    3 out of 5 stars
  • Performance
    2 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for The Constant Gardener
  • The Constant Gardener
  • 12-11-2019

Fantastic book but narrator unbearable

One of my best friends was diagnosed with cancer last November, and since May he knows that it is terminal as it has spread extremely fast. I find this book very moving and helpful for dealing with my friend's illness. I bought the book on Kindle and have finished it, with lots of tears every now and then. But I had to stop listening and return the Audible version as I found the narrator unbearable when doing the different characters' voices, completely over the top in my opinion. She would be better for a funny novel.

11 people found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for Amazon Customer
  • Amazon Customer
  • 28-09-2018

Informative and comforting

I purchased this audiobook after my mother had been diagnosed with terminal cancer. It was recommended to me by my dentist who had read it and knowing of the sad situation of our family, thought I might find it helpful. At first I thought it was a bit gory to read a book about death. But it actually prepared me for what was to come in a comforting way, so I knew what to expect, that things did not come as a shock or a surprise. I recommended the book to the nurses of the palliative care unit and some of them read it and found it good too. I would highly recommend it to anyone who wants to understand better and who wants to alleviate the fear of the unknown. Thank you Dr Mannix!

8 people found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for clevercavendish
  • clevercavendish
  • 18-01-2018

If you read only one book this year.....

Joining what I can only imagine is a river (stream is not enough) of fan mail. Thank you for such a brilliant book. I fear I’m not articulate enough to tell you here how much I admire your work, not just the work of your career but also the book.
As I read it I kept thinking of my friends young and old and thinking they should read it too!

6 people found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for Jon Rogers
  • Jon Rogers
  • 29-04-2020

A beautiful read and now a beautiful listen

I read this book two years ago and it was my ‘read of the year’. What I have learned from it has been immensely valuable professionally and personally. I’ve thoroughly enjoyed ‘refreshing’ t experience with this audiobook. Dr Mannix writes with compassion, sensitivity and wisdom.

5 people found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for Liz Brown
  • Liz Brown
  • 02-01-2019

Showed me my fear of death was not needed.

Fantastic book
Opens up the conversation about death and shows us most deaths are peaceful

4 people found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for Anonymous User
  • Anonymous User
  • 11-12-2018

Everyone needs to listen to this!

What a book, everyone needs to listen/read it, such an insight into to a part of life no one talks about! Brilliant but peaceful stories read so well!

4 people found this helpful

  • Overall
    5 out of 5 stars
  • Performance
    5 out of 5 stars
  • Story
    5 out of 5 stars
Profile Image for Amazon Customer
  • Amazon Customer
  • 18-04-2019

Food for the soul

A thought provoking sometimes difficult theme to listen to but such an authentic honest discussion of death and the process of dying. Thank you Kathryn.

3 people found this helpful

In the spirit of reconciliation, Audible Australia acknowledges the Traditional Custodians of country throughout Australia and their connections to land, sea and community. We pay our respect to their elders past and present and extend that respect to all Aboriginal and Torres Strait Islander peoples today.