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What's Left Out (Literature & Medicine) Paperback – March 3, 2015

4.4 4.4 out of 5 stars 6 ratings

2015 INDIEFAB Book of the Year Bronze Award for Short Fiction

Short stories about the complex maze of health care

Conventional medical narratives often fail to capture the incoherent, surreal, and logic-twisting reality of the contemporary healthcare experience, where mystery, absurdity, and even cruelty are disguised as logic, reason, and compassion. In this new collection of stories by physician and writer Jay Baruch, characters struggle in their quest for meaning and a more hopeful tomorrow in a strange landscape where motivations are complex and convoluted and what is considered good and just operates as a perpetually shifting proposition.

Readers are invited to eavesdrop on the conversations and thoughts of those negotiating the healthcare landscape while attempting to maintain their sanity. Each glimpse into the minds of patients, doctors, and family members reveals the stark reality that reason and compassion are not always the lifeblood of a system devoted to healing. From a weary night shift doctor dealing with a chronic patient to a physician figuring out how to tell the next of kin about a relative’s death, each of Baruch’s characters exposes the multitude of emotions lurking behind the strained and sickly faces in the hospital waiting room.

With imagination and an eye for detail, Baruch takes readers on an unsparing ride through the hidden, ignored, or misunderstood challenges facing healers and the ill. It is a world where communities shoulder unrelenting burdens, optimism is held with caution, and people ration their dreams. Baruch’s vivid storytelling guides his readers through the incoherent and emotionally fraught reality he has faced during his twenty years as an emergency physician. The stories in What’s Left Out ask readers to take risks, to make leaps into unfamiliar territory, and, like the larger healthcare enterprise, to develop comfort and trust in the untraditional and unexpected.

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Editorial Reviews

Review

"The stories in What’s Left Out are often heartbreaking and strange, with layers of detail that make each one well worth a second read. Each of Baruch’s stories is like a little biopsy of humanity and our shared experiences of suffering, loss and uncertainty." ― Gold Foundation

"Filled with subtlety and nuance and the essence of the human condition, this new collection is the work of a master storyteller. These stories should be savored over time, and considered closely." ― Alpha Omega Alpha

About the Author

Jay Baruch obtained his medical degree from the State University of New York at Stony Brook before working as an emergency physician. Currently, Baruch is an Associate Professor of Emergency Medicine at Brown University’s Alpert Medical School. He is also the Director of the Program in Clinical Arts and Humanities and the Co- Director of the Medical Humanities and Bioethics Scholarly Concentration Program. Baruch is the author of Fourteen Stories: Doctors, Patients, and Other Strangers (The Kent State University Press, 2007).

Product details

  • Publisher ‏ : ‎ The Kent State University Press (March 3, 2015)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 144 pages
  • ISBN-10 ‏ : ‎ 1606352334
  • ISBN-13 ‏ : ‎ 978-1606352335
  • Item Weight ‏ : ‎ 8.5 ounces
  • Dimensions ‏ : ‎ 6.7 x 0.38 x 9.22 inches
  • Customer Reviews:
    4.4 4.4 out of 5 stars 6 ratings

About the author

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Jay Baruch
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Jay Baruch is a Professor of Emergency Medicine at Alpert Medical School of Brown University, where he directs the Medical Humanities and Bioethics Scholarly Concentration. His work as an ER doctor, a writer of fiction and essays, and medical educator and keynote speaker, share an appetite for messiness and problem finding. He believes we should never be afraid to take risks, to think differently, and be more creative, especially when we feel stuck. He also thinks stories will always be our most innovative technology, followed by coffee and dark chocolate.

His upcoming book of non-fiction, narrative essays: Tornado of Life: A Doctor's Journey through Constraints and Creativity in the ER (MIT Press, fall 2022), takes the reader into small but challenging experiences in the ER that receive less attention. We move from story to story, one emotional place after another, feel the weight of searching for answers when we haven't figured out the questions.

Jay Baruch is also the author of two award-winning short fiction collections, "What's Left Out" (Kent State University Press, 2015) and "Fourteen Stories: Doctors, Patients, and Other Strangers" (Kent State University Press, 2007).

His academic work emerged out of necessity. When faced with uncertainty and ambiguity in the ER, he leaned on creative writing skills to help understand patients' stories. He also considers teaching a creative conversation with people with different expertise and ways of looking at the world. His interdisciplinary collaborators have included brilliant museum educators, designers, and artists.

His writing has appeared in numerous print and online medical and literary journals and lay media outlets, including the STAT, Boston Globe, WBUR Cognoscenti, New England Journal of Medicine, Academic Medicine, KevinMD, and others.

He's been a Director-at-Large, American Society for Bioethics and Humanities; the medical humanities section chair for the American College of Emergency Physicians; and faculty fellow at the Cogut Institute for the Humanities at Brown University. In addition, he received the inaugural Society for Academic Emergency Medicine Gold Humanism Award.

Customer reviews

4.4 out of 5 stars
4.4 out of 5
6 global ratings

Top reviews from the United States

Reviewed in the United States on November 10, 2017
Very fine writer.
Reviewed in the United States on June 4, 2019
I am a doc. These stories are conceivable and give voice to issues many are afraid to address creatively, thought provoking.
Reviewed in the United States on June 30, 2015
True to the title, the stories in What’s Left Out are about the interstitial spaces of healthcare. While a few of the stories take place inside the hospital, the majority are about the emotional toll of dealing with illness and death in everyday life, after leaving the hospital. Dr. Baruch understands that in the wake of such stress, something as simple as finding one’s way out of a hospital parking garage can become a harrowing journey. In the space of a few pages, Baruch is able to create a new universe filled with incredible depth of feeling.

In his prologue, Baruch writes that the placing of his stories within “unfamiliar and unsettling moral universes” is purposeful. Dr. Baruch is an experienced emergency medicine physician, and while these stories are fictional and do not directly reflect his own experience with patients, his stories have an undeniable ring of truth.

His characters make difficult and painful choices, such as the story of the patient in the Emergency Department who is determined to return to her abusive boyfriend’s home to retrieve her beloved dog. A darkly humorous story about a town’s residents protesting against murderous telephone poles seems bizarre until you consider our society’s eagerness to blame others for our own mistakes. A fiercely independent elderly woman who continues to push the boundaries of her physical limitations is heartbreaking only because many people in real life are never granted the environmental adaptations that her caregivers eventually provide. From literal lab rats who fight and die for love and fame, to a haunted alcoholic judge, to a disgraced homeless researcher, the characters Baruch sketches are haunting and memorable, and more complex than ought to be possible within such a short frame.

The stories in What’s Left Out are often heartbreaking and strange, with layers of detail that make each one well worth a second read. Each of Baruch’s stories is like a little biopsy of humanity and our shared experiences of suffering, loss and uncertainty.

This review was first posted on the Arnold P. Gold Foundation blog at www.humanism-in-medicine.org/blog/
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