Michele Harper was a teenager with a learners permit when she volunteered to drive her older brother, John, to an emergency room in Silver Spring, Md., so he could be treated for a bite wound on his left thumb. She went on to attend Harvard, where she met her husband. All rights reserved. We had frequent shifts together. DAVIES: What was going on when you - what made you call that time? Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. What that means is patients will often come in - VA or otherwise, they'll come in for some medical documentation that medically, they're OK to then go on to a sober house or a mental health care facility. Michele Harper, thanks so much for being here. Let me reintroduce you. But because of socialization, implicit bias and other effects of racism and discrimination, it doesn't happen that way. So I started the transfer. As we are hopefully coming out of the pandemic, after people stopped clapping for us at dusk, were at a state where a lot of [intensive care unit] providers are out of work. "was reminded, too, of Dr. Albert Kligman's experiments on imprisoned men in Philadelphia from the 1950s to the 1970s. Emergency room physician, Michele Harper, grew up in a complicated family. DAVIES: You describe being 7 years old and trying to understand this. But, you know, I'm a professional, so I just move on and treat her professionally each shift. Theres no easy answer to this question. She writes that the moment was an important reminder that beneath the most superficial layer of our skin, we are all the same. But I could do what I could to help her in that moment and then to address the institution as well. And you had not been in the habit of crying through a lot of really tough things in your life. Where: Free live streaming event on Facebook, YouTube and Twitter. So that's what she was doing. Tell us what happened. Like any workplace, medicine has a hierarchy but people of color and women are usually undermined. Now, of course, there are choices. So you do the best you can while you try to gain some comfort with the uncertainty of it all. DAVIES: You describe an incident in which a patient was brought in - I guess was handcuffed to a chair, and there were four police officers there who said he swallowed a bag of drugs, and they wanted him treated, I guess, you know, the stomach pumped or whatever. Nope - not at all because different would mean structural change. So in trying to cope and trying to figure out what to do, she started drinking, and that's why we're seeing her getting sober. I love the protests. Original release. Its 11 a.m., and Michele Harper has just come off working a string of three late shifts at an emergency room in Trenton, N.J. They stayed together through medical school until two months before she was scheduled to join the staff of a hospital in central Philadelphia when he told her he couldn't . (SOUNDBITE OF TAYLOR HASKINS' "ALBERTO BALSALM"), DAVIES: This is FRESH AIR. We Hope she misses her camera days and returns to Michigan and the show "Dr. Pol.". DAVIES: Let me reintroduce you. Dr. Harper has 25 years of experience in obstetrics and gynecology. Sep 28. But the shortages remain. They stayed together through medical school until two months before she was scheduled to join the staff of a hospital in central Philadelphia, when he told her he couldn . She has a new memoir about her experiences and how her work with patients has contributed to her personal growth. In one chapter, she advocates for a Black man who has been brought in in handcuffs by white police officers and refuses an examination a constitutional right that Harper honors despite a co-worker calling a representative from the hospitals ethics office to report her. So in that way, it's hard. Dr. Emily and her family moved to Virginia around June 2019. It was traumatic brain injury, and that's why she presented with altered consciousness that day. I mean, I've literally had patients who are having heart attacks - and these are cases where we know, medically, for a fact, they are at risk of significant injury or death, where it's documented - I mean, much clearer cut than the case we just discussed, and they have the right - if they are competent, they have the right to sign themselves out of the department and refuse care. And I remember thinking to myself, what could lead a person to do something so brutal to a family member? So the experiences that would apply did apply. Published on July 7, 2020 05:41 PM. Residency/Fellowship. I feel people in this nation deserve better.. Her book, The Beauty in Breaking: A Memoir. Her physical exam was fine. (The officers did not have a court order and the hospital administration confirmed Harper had made the correct call.) Well, she wasn't coming to, which can happen. He did not want to be in the ER. And when I got follow-up on the case later, that's exactly what had happened. She wanted us to sign off that she was OK because she was trying to get her her career back, trying to get sober. And the police were summoned only once. You want to describe some of the family dynamics that made it hard? But she wasn't waking up, so I knew I was going to have to transfer her anyway. Add to Calendar 2022-08-22 20:00:00 2022-08-22 21:00:00 America/Chicago Online Author Talk With Michele Harper As part of our new Online Author Series, we present a conversation with Dr. Michele Harper about her inspiring personal journey and the success of her New York Times bestselling memoir, "The Beauty in Breaking." Adults. The patient, medically, was fine. We need to support our essential workers, which means having a living wage, affordable housing, sick leave and healthcare. I spoke to the pediatric hospital that would be accepting her. Do Not Sell or Share My Personal Information, I read books from across the U.S. to understand our divided nation. Dr. Michele Harper is an award-winning physician, New York Times bestselling author, and nationally recognized speaker whose work centers on individual healing and social justice. NPR's Scott Simon speaks to Dr. Michele Harper about her new memoir, The Beauty in Breaking. And so when I was ordering her tests, I didn't need to order liver function tests. I was really scared because I didnt know that I could write a book. Racism affects everything with my work as a doctor. Is it my sole responsibility to do that? The experience leads her to reflect on the often underreported assaults on front-line medical workers and her own healing and growth as a physician. They didn't inquire about any of us. I subsequently left the hospital. This is the setting of Dr. Michele Harper's memoir, The Beauty in Breaking, which explores how the healing journeys of her patients intersect with her own. The Beauty in Breaking is the true story of Michelle Harper's journey toward self-healing as she embarks on a career in emergency medicine. When youre Black in medicine, there are constant battles. After some time at a teaching hospital, you went to - you worked at the Veterans Administration Hospital in Philadelphia. She was healthy. It's more challenging when that's not the case. You know, ER doctors and nurses have a lot of dealings with police, and there's a lot of talk about reforming police these days, you know, defunding police in the wake of protests of police killings of African Americans. And I did find out shortly after - not soon after I left, there was a white male nurse who applied and got the position. And in reflecting on their relationship, you write, (reading) it's strange how often police officers frequently find the wackadoos (ph). And you said that when you went home, you cried. The Beauty in Breaking tells the story of Dr. Harper, a female, African American, ER physician in an overwhelmingly male and white profession. We'll continue our conversation in just a moment. I could wrap this up in 10 minutes, and then I could go home. Michele Harper has worked as an emergency room physician for more than a decade at various institutions, including as chief resident at Lincoln Hospital in the South Bronx and in the emergency department at the Veterans Affairs Medical Center in Philadelphia. And it just - something about it - I couldn't let it go. And I felt that, in that way, I would never be trapped. I ran to the room. Eventually she said, I come here all the time and you're the only problem. I'm also the only Black doctor she's seen, per her chart. But that night was the first time Harper caught a glimpse of a future outside her parents house. Is that how it should be? No. She spent more than a decade as an emergency room physician. HARPER: I think it's more accurate to say in my case that you get used to the fact that you don't know what's going to happen. Cookies collect information about your preferences and your device and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Her Patients, https://www.nytimes.com/2020/07/07/books/the-beauty-in-breaking-michele-harper.html. And that was an important story for me to tell not only because, yes, the police need reform. She is an advocate of personal wellness and evolution as a foundation for collective liberation. School was kind of a refuge for you? The authoritative record of NPRs programming is the audio record. That's the difference. DAVIES: Dr. Michele Harper is an emergency room physician. So for me, school - and I went to National Cathedral School. And apart from this violation, this crime committed against her - the violation of her body, her mind, her spirit - apart from that, the military handled it terribly. This summer, Im reading to learn. So I could relate to that. I mean, I feel that that is their mission. Thats why I have to detonate my life. I didn't know why. She has taken on many leadership roles . I mean, did you worry at all that there's a chance he might have actually taken the drugs and that he could be in danger from not getting treated? Los Angeles. Indeed, Dr. Emily revealed the reasons behind why Dr. Sharkey left in a tweet on February 21, 2020. The officers said we were to do it anyway. I will tell you, though, that the alternative comes at a much higher cost because I feel that in that case, for example, it was an intuition. It's called "The Beauty In Breaking.". The following review first appeared in The DO magazine. And is it especially difficult working in these hospitals where we don't have enough resources for patients, where a lot of the patients have to work multiple jobs because there isn't a living wage and we're their safety net and their home medically because they don't have access to health care? So we didn't do it, and I discharged the patient, which was his wishes. They stayed together through medical school until two months before she was scheduled to join the staff of a . I mean, it's a - I mean, and that is important. On the other hand, it makes the work easier just to be the best doctor you can and not get the follow-up. Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. This conversation with ER doctor Michele Harper will cover many of the lessons she's learned on her inspiring personal journey and the success of her New York Times-bestselling memoir, The Beauty in Breaking. And that description struck me. What's it like not to have follow-up, not to know what became of these folks? "Medicine is fraught with racism," Harper said by phone. ColorofChange.org works to make government more responsive to racial disparities. Talk about that a little. April 12, 2014. She has a new memoir about her experiences called "The Beauty In Breaking." Touching on themes of race and gender, Harper gives voice and humanity to patients who are marginalized and offers poignant insight into the daily sacrifices and heroism of medical workers. Her memoir is "The Beauty In Breaking." Coming up, Maureen Corrigan reviews "Mexican Gothic," a horror story she says is a ghastly treat . ABOUT THE PROVIDER. And it felt dangerous. She went on to work at Lincoln Hospital in the South Bronx and the Veterans Affairs Hospital in Philadelphia. HARPER: First of all, shout out to Lincoln and Lincoln residency because that was one of - professionally, that was one of the most rewarding times of my education and career. Photo: LaTosha Oglesby. The Beauty In Breaking by Michele Harper, 9780525537397, available . On Tuesday, July 21 at 7 p.m., well be talking live with Michele Harper on our Instagram. And the police did show up. It wasn't about me. And that continued until, I guess, your high school years, because you actually drove your brother to the emergency room. She is a graduate of Harvard University and the Renaissance School of Medicine at Stony Brook University. DAVIES: And we should just note that you were able to calmly talk to him and ask him if he would let you take his vital signs. And it's not just her. Still reeling, Harper moved to Philadelphia to work at a hospital where she was eventually passed over for a promotion by an apologetic (white, male, liberal) department chair who said: I just cant ever seem to get a Black person or a woman promoted here. But I feel well. Maternal-Fetal Medicine Specialist, Comprehensive Fetal Care Center. They stayed together . Also, if you think your job is stressful, take a walk in this authors white coat. I'm Dave Davies, in for Terry Gross. We want to know if the patient's OK, if they made it. A recurring theme in The Beauty in Breaking is the importance of boundaries, which has become more essential as Harper juggles a demanding ER schedule and her writing. I didnt know the endgame. "We met when we were 15," Mr. Leeb recently recalled . To say that the last year has been one of breaking, of brokennessbroken systems, broken lives, broken promiseswould be an understatement. Its really hard to get messages all the time and respond. It's everyone, at all times. Her X-ray was pretty much OK. Accuracy and availability may vary. Share this page on Twitter. She is an emergency room physician, and she has a new memoir about her experiences. Working on the frontlines of the coronavirus (COVID-19) pandemic, in a predominantly Black and brown community, Ive treated many essential workers: grocery store employees, postal workers. For example, I had a patient who, when I walked into the room and introduced myself, cut me off and said, "Okay, yeah, well, this is what you're going to do for me today." It was me connecting with her. She says writing became not only a salve to dramatic life changes but a means of healing from the journey that led her to pursue emergency medicine as a career. The gash came from Harpers fathers teeth. So the only difference with Dominic was he was a person considered not to have rights. My director's initial response was just, "Well, you should be able to somehow handle it anyway. That is not acceptable, and yet these situations happen constantly. Michele Harper An emergency room physician explores how a life of service to others taught her how to heal herself. The show premiered 4 April 2014. Make an appointment by calling (302)644-8880. Her story begins with an introduction to her dysfunctional family, her childhood of physical abuse, and her . Harper's first 10 years practicing medicine from an ER in New York City to another in Philadelphia have taught her the . That takes a little more time, you know, equitable hiring, equitable pay. And your mother eventually remarried. But I could amplify her story because this is an example of a structure that has violated her. All the stuff I used to do for self-care yoga, meditation, eating healthy Ive had to double down and increase clarity about my boundaries, she says. And the consensus in the ER at the time was, well, of course, that is what we're supposed to do. True enough, Dr. Sharkey was dating her coworker's brother, and he relocated to Missouri. I continued, "So her complaint is not valid. . An emergency room physician explores how a life of service to others taught her how to heal herself. It's yet to be seen, but I am hopeful. It doesnt have to be this way of course. I am famously bad at social media. And you - I guess, gradually, you kept some contact with your father, then eventually cut off Off contact altogether. He had no complaints. MAKE AN APPOINTMENT CALL (302)644-8880. HARPER: At that time, I saw my future as needing to get out and needing to create something different for myself. The N95s we use, there's been a recycling program. It wasnt the first time he was violent, and it wouldnt be the last. She was saying, "Leave. When I was in high school, I would write poetry, she says. It's called "The Beauty In Breaking." Whats more important is to be happy, to give myself permission to live with integrity so that I am committed to loving myself, and in showing that example it gives others permission to do the same.. This happens all the time, where prisoners are brought in, and we do what the police tell us to do. HARPER: Yes. They stayed together through medical school until two months before she was scheduled to join the staff of a hospital in central Philadelphia, when he told . I don't know if the allegations against him were true. 15 likes. So I hope that that's what we're embarking on. You want to just describe what happened with this baby? And he apologized because he said that unfortunately, this is what always happens in this hospital - that the hospital won't promote women or people of color. They left. We're speaking with Dr. Michele Harper. But Im trying to figure out how to detonate my life to restructure and find the time to write the next book.. And one of the reasons I spoke about this case is because one may think, OK, well, maybe it's not clear cut medically, but it really is. They didn't ask us if we were safe. Even before writing her powerful, exquisitely written memoir about the healing of self and others, the extraordinary Dr. Michele Harper was noteworthy: she is among the mere 2% of doctors working in America today who are Black women. And we use the same one. And it's a very easy exam. HARPER: Oh, yeah, all the time. I drove a cab in Philly in the late '70s, and some of the most depressing fares I had were people going to the VA hospital and people being picked up at the VA hospital. This final, fourth installment of the United We Read series delves into books from Oregon to Wyoming. And I felt that if I just left the room and didn't ask that I would be ignoring her pain. Then along the way, undergrad, medical school, that was no longer a refuge. She is popular for being a Business Executive. "You can't pour from an empty cup.". I asked her nurse. . She and I spoke for a long time about how she had no one to talk to, and now because of coronavirus, she was even more alone than she used to be. The Beauty in Breaking is a journey of a thousand judgment calls, including some lighter moments. . Of the doctors and nurses on duty, I was the only Black person. She casually replied, "Oh, the police came to take her report and that's who's in there." So they're coming in just for a medical screening exam. This is FRESH AIR. Michele Harper is a female African American emergency room physician in an overwhelmingly male and white profession. Michele Harper is a graduate of Harvard University and the Renaissance School of Medicine at Stony Brook University. (SOUNDBITE OF RHYTHM FUTURE QUARTET'S "IBERIAN SUNRISE"), DAVIES: This is FRESH AIR, and we're speaking with Dr. Michele Harper. Share this page on Facebook. While she waited for John, she took in the scene in the emergency room: an old man napping, a young man waiting for a ride home, a father rushing through sliding doors with his little girl in his arms. This was not one of those circumstances. I mean, yeah, the pain of my childhood in that there wasn't, like you said, an available rescue option at that point gave me the opportunity as I was growing up to explore that and to heal and think to myself I want to be part of that safety net for other people when it's possible. 5,415 followers. My boss stance was, "Well, we can't have this, we want to make her happy because she works here." Harper shares her poignant stories from the ER with Mitchell Kaplan. That's why it was painful to not have the childhood that I wanted or deserved. Until that's addressed, we won't have more people from underrepresented communities in medicine. Certainly it was my safe haven when I could leave the home. Harper tells her story through the lives of people she encounters on stretchers and gurneys patients who are scared, vulnerable, confused and sometimes impatient to the point of rage. If you or someone you know is considering suicide, please contact the National Suicide Prevention Lifeline at 1-800-273-TALK (8255), text "STRENGTH" to the Crisis Text Line at 741-741 or go to suicidepreventionlifeline.org. Brought up in Washington, D.C., in a complicated family, she went to . Can you just share a little bit of that idea? Recorded in Miami [] Studies show that these doctors tend to be more empathetic to their patients. I knew that I would do well enough in school so that I would be independent emotionally and financially, that I wouldn't feel dependent on a man the way that I saw the dynamic in my home, where my mother was dependent upon the financial resources of my father. So I explained to her the course of treatment and she just continued to bark orders at me. Photo courtesy of Penguin Random House. And you wrote that before the recent protests and demonstrations, which have prompted a lot more focus on the nation's experience with slavery and racial injustice. I'm hoping that we will. Dr. Michele Harper is a New Jersey-based emergency room physician whose memoir, The Beauty in Breaking, is available now. HARPER: Yes. Emergency room physician, Michele Harper, grew up in a complicated family. I felt Id lost the capacity to write or speak well, but there were stories that stayed with me this sense of humanity and spirituality that called to me from my work in the medical practice. And in this case, the resident, who kind of tried to go over your head to the hospital, was a white person. So I did ask, and she told me what she had been through in the military was her supervisor and then her colleague raping her. We learn names and meet families. Somebody who is of sound mind and medically competent is allowed to make their own decisions, whether or not we agree with them, because we have to respect patient autonomy and patient wishes. This is an interesting incident, the way it unfolded. But, and perhaps most critically, people have to be held accountable when it comes to racism. In this summer of protest and pain, perhaps most telling is Harpers encounter with a handcuffed Black man brought into the emergency room by four white police officers (like rolling in military tanks to secure a small-town demonstration). She was there with her doting father. Harpers memoir explores her own path to healing, told with compassion and urgency through interactions with her patients. And I thought back to her liver function studies, and I thought, well, they can be elevated because of trauma. [Recent data from the Association of American Medical Colleges shows that of all active physicians in the United States, only 5% identified as Black or African American. NPR transcripts are created on a rush deadline by an NPR contractor. Harper, who has worked as an ER physician for more than a decade, said she found her own life broken when she began writing The Beauty in the Breaking. Her marriage had ended, and she had moved to Philadelphia to begin a new job. The Wisconsin Book Festival and the UW-Madison All of Us research program collaborate to host a talk by Dr. Michele Harper. Whatever their wounds, whatever their trauma, it can make them act in this way. She's a veteran emergency room physician. They have 28 years of experience. Despite her rigorous schedule, Dr. Michelle enjoys spending time with her family. Just as Harper would never show up to examine a patient without her stethoscope, the reader should not open this book without a pen in hand. Growing up, it was. So it felt particularly timely that, for The . National Cares Mentoring Movement (caresmentoring.org) provides social and academic support to help Black youth succeed in college and beyond. She was chief resident at Lincoln Hospital in the South Bronx and has worked in several emergency medicine departments in the Philadelphia area where she lives today. So the medical establishment, also, clearly needs reform. But Harper isn't just telling war stories in her book. It's called "The Beauty In Breaking." This is her story, as told to PEOPLE. She was in there alone. Summary. She really didn't know anything about medicine. HARPER: The change is that we've had donations. She was young. Brought up in Washington, DC, in an abusive family, she went to Harvard, where she met her husband. You know, the dynamics are interesting there. We may have to chemically restrain him, give him medicine to somehow sedate him. Not only did he read his own CT scans, he stared unflinchingly at his own life and shared his findings with unimaginable courage. The end of her marriage brought the beginning of her self-healing. And I was qualified, more than qualified. I want you out of here." This will be a lifetime work, though. Turns out she couldn't, and the hospital legal told her that I was actually quoting the law. We know, in medicine, people can make their own decisions. It's people outside of your departments. In that way, it can make it easier to move on because it's hard work. They stayed together . HARPER: Yes, 100%. And I put it that way, there was another fight, because there was always some kind of fight where my brother was trying to help my mother. It involves a 22-month-old baby who was brought in who apparently had had a seizure. Education. I support the baby as she takes her first breath outside her mothers womb.. Do you think of police in general as being in the helping fields? She looked fine physically. It's 11 a.m., and Michele Harper has just come off working a string of three late shifts at an emergency room in Trenton, N.J. If we had more people in medicine from poor or otherwise disenfranchised backgrounds, we would have better physicians, physicians who could empathize more. She'll be back to talk more about her experiences in the emergency room after this short break. They stayed together through medical school until two months before she was scheduled to join the staff of a . And it's the end of my shift. And it's a long, agonizing process, you know, administering drugs, doing the pumping. The emergency room is a place of intensitya place of noise and colors and human drama. I mean, you say that her body had a story to tell. Share this page on LinkedIn. Often, a medical work environment can be traumatic for people (and specifically women) of color. I was the only applicant and I was very qualified for the position, but they rejected me, leaving the position vacant. These are the risks we take every day as people of color, as women in a structure that is not set up to be equitable, that is set up to ignore and silence us often. Monday, 8/22/2022 9:00 pm - 10:00 pm . We'll continue our conversation in just a moment. Did your relationship grow? Washington University School of Medicine, MSCI. This man has personal sovereignty. That was just being in school. And she called the hospital medical legal team to see if that was OK and if somehow she could go over me - because she felt that she was entitled to do so - to get done what the police wanted done. Each chapter introduces us to a different case, although Harper never boils people down to their afflictions. Before meeting Ms. Shimizu, Ms. Harper was linked to the filmmaker Daniel Leeb, sometimes inaccurately described in print as her husband. Theyd tell me the same thing: were all getting sick. Coming up, Maureen Corrigan reviews "Mexican Gothic," a horror story she says is a ghastly treat to read. It relates to structural racism. Is it different? [Read an excerpt from The Beauty in Breaking. ]. But you don't - it's really the comfort with uncertainty that we've gained. I feel a responsibility to serve my patients. She writes, I figured that if I could find stillness in this chaos, if I could find love beyond this violence, if I could heal these layers of wounds, then I would be the doctor in my own emergency room.. Although Harper never boils people down to their patients Dr. Harper has 25 years of experience obstetrics! Dc, in medicine was my safe haven when I could do what I could let... Dr. Sharkey left in a tweet on February 21, 2020 often, a medical screening.... Could write a book to bark orders at me medical screening exam got follow-up on the underreported! 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Said that when you went to National Cathedral school use, there are constant battles with patients has contributed her... That 's addressed, we wo n't have more people from underrepresented communities in medicine there!
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