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Rough Sleepers: Dr. Jim O'Connell's urgent mission to bring healing to homeless people

by Tracy Kidder

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22714118,667 (4.27)9
NEW YORK TIMES BESTSELLER * The powerful story of an inspiring doctor who made a difference, by helping to create a program to care for Boston's homeless community--by the Pulitzer Prize-winning, New York Times bestselling author of Mountains Beyond Mountains "I couldn't put Rough Sleepers down. I am left in awe of the human spirit and inspired to do better."--Abraham Verghese, author of Cutting for Stone   Tracy Kidder has been described by The Baltimore Sun as a "master of the nonfiction narrative." In Rough Sleepers, Kidder shows how one person can make a difference, as he tells the story of Dr. Jim O'Connell, a gifted man who invented ways to create a community of care for a city's unhoused population, including those who sleep on the streets--the "rough sleepers."   When Jim O'Connell graduated from Harvard Medical School and was nearing the end of his residency at Massachusetts General Hospital, the chief of medicine made a proposal: Would he defer a prestigious fellowship and spend a year helping to create an organization to bring health care to homeless citizens? Jim took the job because he felt he couldn't refuse. But that year turned into his life's calling. Tracy Kidder spent five years following Dr. O'Connell and his colleagues as they served their thousands of homeless patients. In this illuminating book we travel with O'Connell as he navigates the city, offering medical care, socks, soup, empathy, humor, and friendship to some of the city's most endangered citizens. He emphasizes a style of medicine in which patients come first, joined with their providers in what he calls "a system of friends."    Much as he did with Paul Farmer in Mountains Beyond Mountains, Kidder explores how a small but dedicated group of people have changed countless lives by facing one of American society's difficult problems instead of looking away.… (more)
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Showing 1-5 of 13 (next | show all)
Tracy Kidder can always tell a story in his writing and we are eventually focused primarily on Tony, an in and out Rough Sleeper who plays such a central roll in Dr. Jim O'Connell's truly incredible work trying to help the homeless in Boston. I kept wondering if maybe, instead of trying to house the homeless in apartments, at least many of them would be better off in a home situaiton....the way some elderly people are now being put in group homes, with someone in charge...kind of like a housemother, with family meals as well as medical issues tended to. Leaving the streets cuts them off from their friends who are experiencing the same street life and apartment isolation becomes impossible. Absolutely no easy answers to problems that arise from so many different situations, but often originate in truly horrific childhoods. ( )
  nyiper | Mar 12, 2024 |
Difficult read, but one that gives human faces and histories to "the homeless". If you've ever wondered what it is like to survive on the absolute fringes, this is the book to read. Very depressing, however - that can't be avoided if you pick this up. As the author bleakly puts it, "the only cure for homelessness woul be an end to many of the country's deep and abiding flaws." ( )
  Octavia78 | Jan 4, 2024 |
Having read 2 of Mr. Kidder's other books I was thrilled to see this new title. And as with the other books, it didn't disappoint. His books are always well researched, detailed and yet written in a way that does not feel scholarly. I can't wait to see what he will publish next. ( )
  yukon92 | Sep 23, 2023 |
I admit, I just skimmed most of this book which covers the work of Dr. Jim O' Connell in Boston. Dr. O'Connell works with the homeless in a clinic that has grown under his administration. He goes out on the streets and deals with people where they are. I was probably expecting more about the homeless people themselves - as to how they arrived in the situation they are in. However, there are several individuals such as a tall man named Tony who are featured. Life is hard, the answers aren't easy. ( )
  maryreinert | Jun 16, 2023 |
I knew I wanted to read this book when I first heard about it. Tracy Kidder has been a favorite non-fiction writer of mine. I also read Dr. O'Connell's memoir, Stories from the Shadows. Following the Street Team around the city at night and into the clinics during the day was still an eye opener. No matter how often we learn about homelessness, the stark reality slips into the background until we are reminded again of the humanity behind the label. Kidder brings these street people to life with his gentle prose and well sourced facts. He introduces us to the patients, the volunteers, the medical professionals and especially Dr. O’Connell. Along with Kidder, we observe the team, get to know some of the rough sleepers and their backgrounds, and feel the heartbreak of a sad ending. I won’t disrespect this research to suggest there is an answer to the housing problems in Boston, but it helps to know there are such good people taking care of the health needs of many as others work towards a broader solution.

One of the most impactful anecdotes was about the woman who, after years on the street, embraced sobriety. When she qualified for a transplant, she asked Jim to take her picture.

But when she appeared for the picture taking, she was transformed. She had put on a dress, and mascara, lipstick, and nail polish. In the photo, she looks weathered in the face but elegant—fashionably thin, proudly erect. On the table beside her she has placed a bunch of cut flowers in a Styrofoam coffee cup. Jim remembers wondering what all this meant. Was she afraid she would die in surgery? She laughed at him. She reminded him that she had been a woman living on the streets for decades, in danger of dying every night. “And then she explained to me that she had two kids, two daughters, and one had been three years old, I think, and the other had been six years old, when she last saw them. And that was about twenty-five years ago. And she was worried that, should they ever go looking to see who their mother was or what happened to their mother, there wouldn’t be a picture of someone they could at least be proud of. Until Gretel, Jim had refrained from photographing patients. He thought they might feel embarrassed or exploited. But the day after he took her picture, twenty-two others came to him, asking that he take their pictures, too. He was surprised, but thought he understood. “They wanted something to show they passed this way,” he says. “I started to think that loneliness is really what drives much of what goes on in our world. Trying to fill that emptiness can be a real challenge.” ( )
  beebeereads | May 20, 2023 |
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NEW YORK TIMES BESTSELLER * The powerful story of an inspiring doctor who made a difference, by helping to create a program to care for Boston's homeless community--by the Pulitzer Prize-winning, New York Times bestselling author of Mountains Beyond Mountains "I couldn't put Rough Sleepers down. I am left in awe of the human spirit and inspired to do better."--Abraham Verghese, author of Cutting for Stone   Tracy Kidder has been described by The Baltimore Sun as a "master of the nonfiction narrative." In Rough Sleepers, Kidder shows how one person can make a difference, as he tells the story of Dr. Jim O'Connell, a gifted man who invented ways to create a community of care for a city's unhoused population, including those who sleep on the streets--the "rough sleepers."   When Jim O'Connell graduated from Harvard Medical School and was nearing the end of his residency at Massachusetts General Hospital, the chief of medicine made a proposal: Would he defer a prestigious fellowship and spend a year helping to create an organization to bring health care to homeless citizens? Jim took the job because he felt he couldn't refuse. But that year turned into his life's calling. Tracy Kidder spent five years following Dr. O'Connell and his colleagues as they served their thousands of homeless patients. In this illuminating book we travel with O'Connell as he navigates the city, offering medical care, socks, soup, empathy, humor, and friendship to some of the city's most endangered citizens. He emphasizes a style of medicine in which patients come first, joined with their providers in what he calls "a system of friends."    Much as he did with Paul Farmer in Mountains Beyond Mountains, Kidder explores how a small but dedicated group of people have changed countless lives by facing one of American society's difficult problems instead of looking away.

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