Tornado of Life: A Doctor's Journey through Constraints and Creativity in the ER

Tornado of Life: A Doctor's Journey through Constraints and Creativity in the ER

by Jay Baruch
Tornado of Life: A Doctor's Journey through Constraints and Creativity in the ER

Tornado of Life: A Doctor's Journey through Constraints and Creativity in the ER

by Jay Baruch

Hardcover

$27.95 
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Overview

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.

Product Details

ISBN-13: 9780262046978
Publisher: MIT Press
Publication date: 08/30/2022
Pages: 320
Sales rank: 370,018
Product dimensions: 5.40(w) x 8.10(h) x 1.10(d)

About the Author

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.

Table of Contents

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

What People are Saying About This

From the Publisher

"Through stories that are often tender, sometimes chaotic, and always revealing, Jay Baruch beautifully conveys the messy art of doctoring. Read Tornado of Life to understand the emergency room in all its glory—warts and all."
—Sandeep Jauhar, author of Intern: A Doctor's Initiation

"A book that, with huge empathy and compassion, builds a bridge between doctor and patient, writer and reader. Engaging and thoughtful."
— Sinéad Gleeson, author of Constellations

"Among the vast literature of doctors writing about their profession, Dr. Jay Baruch is a unique talent, a spellbinding storyteller and an expert and experienced diagnostician. With literary references and poetic flare, Tornado of Life reveals the whirlwind of emotions gusting through emergency rooms. Rarely does a physician admit his own vulnerabilities and uncertainties in a way that illuminates the true art of his healing."
—Randi Hutter Epstein, Writer in Residence Yale School of Medicine, and author of Aroused: The History of Hormones and How They Control Just About Everything

“This is THE BEST medical autoethnography/ memoir that I have read, no question. It addresses all the issues that I am constantly raising with medical students. It is so inspiring, thank you for this gift - a rare gem!”
—Alan Bleakley, Emeritus Professor of Medical Education and Medical Humanities, Plymouth Peninsula School of Medicine, University of Plymouth

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