"Out in Joy" is a personal and thoughtful autobiography, providing valuable insights into family, spiritual growth, and connections with diverse cultures. Included are stories about growing up, athletics, family life, and the impact of father's work with First Nations tribes. All result in becoming an international physician. The book offers a glimpse into life in a poor rural environment, yet various people touch his life to overcoming personal hardships and find consolation in canoeing, discovering a supportive spouse and fulfilling the dream to be a physician. The inspiring journey includes working in Africa, Madagascar and China. Historical and cultural insights, reviewed in the stories about the Anishinabek, Chinese, Russian and Malagasy families, add to the rich depth of the story.