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From birth to death and through the exploration of topics such as disease, sex, mind, eating and drinking, Burch tracks the future of medicine by looking at what is already possible today. Weaving in insights from literature, art and history, The Shape of Things to Come considers the cultural complexity surrounding medicine as well as its impact on the humanities. As a specialist in geriatric medicine Burch writes with a keen understanding of the medical profession.

Isabelle, a woman in her 30s without any of the trappings of a grown-up life, has just been fired from her job at a San Francisco phone company. Returning to the midwestern suburb of her childhood, Standardsville, Illinois, she contends with her dating single mother, a neighbor who once appeared on The Honeymooners, and an ex-boyfriend.