PRIZES to win! PROMOTIONS

Close Notification

Your cart does not contain any items

Tornado of Life

A Doctor's Tales of Constraints and Creativity in the ER

Jay Baruch

$55

Hardback

Not in-store but you can order this
How long will it take?

QTY:

English
MIT Press
30 August 2022
Stories from the ER- a doctor shows how empathy, creativity, and imagination are the cornerstones of clinical care.

Stories from the ER- a doctor shows how empathy, creativity, and imagination are the cornerstones of clinical care.

To be an emergency room doctor is to be a professional listener to stories. Each patient presents a story; finding the heart of that story is the doctor's most critical task. More technology, more tests, and more data won't work if doctors get the story wrong. When caring for others can feel like venturing into uncharted territory without a map, empathy, creativity, imagination, and thinking like a writer become the cornerstones of clinical care. In Tornado of Life, ER physician Jay Baruch shares these struggles in a series of short, powerful, and affecting essays that invite the reader into stories rich with complexity and messiness.

Patients come to the ER with lives troubled by scales of misfortune that have little to do with disease or injury. ER doctors must be problem-finders before they are problem-solvers. Cheryl, for example, whose story is a chaos narrative of ""and this happened, and then that happened, and then, and then and then and then,"" tells Baruch she is ""stuck in a tornado of life."" What will help her, and what will help Mr. K., who seems like a textbook case of post-combat PTSD but turns out not to be? Baruch describes, among other things, the emergency of loneliness (invoking Chekhov, another doctor-writer); his own (frightening) experience as a patient; the patient who demanded a hug; and emergency medicine during COVID-19. These stories often end without closure or solutions. The patients are discharged into the world. But if they're lucky, the doctor has listened to their stories as well as treated them.
By:  
Imprint:   MIT Press
Country of Publication:   United States
Dimensions:   Height: 203mm,  Width: 133mm, 
Weight:   567g
ISBN:   9780262046978
ISBN 10:   0262046970
Pages:   320
Publication Date:  
Audience:   General/trade ,  ELT Advanced
Format:   Hardback
Publisher's Status:   Active
1 Chief Complaint 1 2 Not the Beginning 3 Part I: Vulnerability 3 Tornado of Life 11 4 Backstory 19 5 Why Medicine Needs More Not-Knowing 27 6 Ambassador to Nightmares 37 7 Catheters 47 8 When Loneliness Is an Emergency 49 9 Trust as Protection 55 10 Upside Down 61 11 Waiting for the Surge 71 12 Narrative Risks: Shape, Place, and Gutter 75 13 Zebras 85 14 Hug, or Ugh 87 Part II: Constraints  15 Moving On 99 16 Compassion at the Crossroads 107 17 Pain: A Story That's Hard to Treat 115 18 There's Dying, and Dying Now 125 19 Holding On, Letting Go 135 20 When Waiting Feels Immoral 139 21 Benefit Paradox 149 22 Unsafe Discharge 159 23 Big Incision 161 24 To Err Is to Be a Physician 171 25 When Sensitivity Is a Liability 179 26 Why Won't My Patient Act Like a Jerk? 183 27 Wheelchair 189 Part III: Possibility 28 Caring for the Caregiver 193 29 Oktoberfest 201 30 Dr. Douchebag 203 31 In Defense of Cheaper Stethoscopes 209 32 The Appendix: Ancient Organ for the Modern Age 217 33 Judging Patients 221 34 A Knock on the Door 227 35 Paper Scrubs 229 36 The Ashtray 235 37 The Patient Who Wanted Nothing 241 38 Can We Write a Better Story for Ourselves? 247 39 Not an Ending 253 40 Writing Stories of Medicine 261 41 One Last Thing 265 Acknowledgements 273 Notes 279 Index 299

Jay Baruch, a practicing emergency room physician, is Professor of Emergency Medicine at Alpert Medical School of Brown University and the author of two award-winning short fiction collections, What's Left Out and Fourteen Stories- Doctors, Patients, and Other Strangers.

Reviews for Tornado of Life: A Doctor's Tales of Constraints and Creativity in the ER

In this collection of brief, touching essays, an emergency room doctor presents poignant stories about disease and loneliness and argues that medical professionals are stewards of their patients' stories, morally obligated to look beyond data and tests. -New York Times Book Review ER physician Baruch (What's Left Out) recounts in this unflinching essay collection the professional challenges he's encountered, both pre-Covid and from the worst of the pandemic...Baruch has a knack for narrative and writes in a refined prose, and many entries, such as two concerning domestic violence victims who won't say that they're in danger, are tough to forget. Fans of Thomas Fisher's The Emergency: A Year of Healing and Heartbreak in a Chicago ER should give this a look. -Publishers Weekly Baruch (Fourteen Stories: Doctors, Patients, and Other Strangers), an emergency room physician and author of two award-winning short story collections, writes a book of essays about his experiences in the ER and his philosophy of patient care. The book showcases his belief that the power of story is just as important to doctors as it is to patients. However, Baruch writes, chronic underfunding and understaffing make it difficult for doctors to make the time to hear patients' stories, to read between the lines. Written during the pandemic, the book includes a couple of essays about working with COVID patients, but COVID is not the full focus. This is not an overtly political book about the state of the health system; it is an homage to the people Baruch has treated, failed, and helped. His ability to tell a story is what makes it so compelling. Tender, thoughtful... it focuses on a doctor doing his best to truly hear patients, while constantly questioning whether his efforts are enough. Beautifully written with a different take on life, this is recommended for any collection. -Library Journal A rich collection of stories from years of working as an ER doctor...Baruch's point is not simply to reaffirm what many doctor-writers and medical humanities programs have now made clear-that story making is an essential part of clinical medicine. His point is that story making is also a morally, spiritually, and medically relevant part of clinical responsibility. It is a precarious business, riddled with pitfalls, that needs to be approached with attentiveness and skill...With admirable humility, Baruch avoids pontificating about what his professional colleagues should do. Instead he reflects openheartedly on what he has learned from patients, from his own mistakes, and from surprising epiphanies that come from the way a patient worded a question, or from a telling metaphor, or from an information gap that opened a new path of inquiry. -The Christian Century Tornado of Life is a tour de force. It features patient narratives, sketches of the ER, self-portraits of [Baruch's] development as a provider throughout [his] career, and [his] reflective and analytical essays on the multidirectional relationships between narrative and healthcare. It's a many-faceted collection. -Synapsis Journal


See Inside

See Also