And the police were summoned only once. Because if the person caring for you is someone who hears you, who truly understands you thats priceless. But that is the mission, should they choose to follow it. She is popular for being a Business Executive. Michele Thomas, MD, is board certified in colon and rectal surgery . Do you think of police in general as being in the helping fields? So it felt like there was nothing left to do but continue to live in silence because there was going to be no rescue. That's an important point. So it was always punctuated by violence. ER Physician and author of THE BEAUTY IN BREAKING, a New York Times Bestseller ( @riverheadbooks ) Speaking: @penguinrandomhouse Speakers Bureau. Later, I learned they hired a white male nurse instead. And if they could do that, if they could do an act that savage, then they are - the message that I took from that is that they are capable of anything. Let me reintroduce you. We're speaking with Dr. Michele Harper. 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. True or false: We ignore the inconvenient problem because it doesnt have a rapidly accessible answer. How does this apply to the world outside an emergency room? It's not graphic, but it is troubling. And that was an important story for me to tell not only because, yes, the police need reform. I don't know what happened to her afterwards. Series Image. And then I got a call from the radiologist that while there was no pneumonia, she had several broken ribs, different stages of healing, so they happened at different times. I mean, there was the mask on your face. DAVIES: You know, the ER doctor has these intense encounters, but they're usually one-time events. So, you know, initially, he comes in, standing - we're all standing - shackled hands and legs. They stayed together . Everything seemed to add up. As an effective ER physician, br. She is affiliated with Saint Francis Medical Center. I recently had a patient, a young woman who was assaulted. She was a Black patient. You want to just describe what happened with this baby? ColorofChange.org works to make government more responsive to racial disparities. Dr. Harper received her BA in Psychology from Harvard University . Anyone can read what you share. 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. Did they pull through the infection? And there was - there was just something about it that made me more concerned. Each one leads the author to a deeper understanding of herself and the reader to a clearer view of the inequities in our country. About Elise Michelle Harper, MD. What was different about me in that case when my resident thought I didn't have the right to make this decision was because I was dark-skinned. All of those heroes trying to recover from the trauma of the pandemic are trying to figure out how to live and how to survive.. To help combat systemic racism, consider learning from or donating to these organizations: Campaign Zero (joincampaignzero.org) which works to end police brutality in America through research-proven strategies. Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. I spoke to the pediatric hospital that would be accepting her. All of them have a lesson of some kind. Brought up in Washington, D.C., in a complicated family, she went to . This is her story, as told to PEOPLE. She is an emergency medicine physician who has written a new memoir about her life and experiences. 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. Am I inhaling virus? I was horrified. Let me reintroduce you. You got into Harvard, did well there and went to medical school. Situations, experiences, can break us in ways that if we make another set of decisions, we won't heal or may even perpetuate violence. HARPER: No. D.C., in a complicated family, she attended Harvard, where she met her husband. Her vitals were fine. Michelle Harper was born on the 16th of March, 1978. He graduated from UNIVERSITY OF LOUISVILLE in 1995. We're only tested if we have symptoms. If you have a question for her, please leave it in the comments and she may respond then. . You want to just tell us about this interaction? In that sameness is our common entitlement to respect, our human entitlement to love.. We Hope she misses her camera days and returns to Michigan and the show "Dr. Pol.". And I remember thinking to myself, what could lead a person to do something so brutal to a family member? Harpers crash course on the state of American health care should be a prerequisite for anyone awaiting a coronavirus vaccine. I support the baby as she takes her first breath outside her mother . While she waited for her brother she watched and marveled as injured patients were rushed in for treatment, while others left healed. Check out our website to find some of Michele's top tips for each of our products and stay tuned for more. And I'm not sure what the question here is. It's more challenging when that's not the case. 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. So actually, I specifically picked that program or I knew I wanted a program like it because that is where I feel comfortable, and that's where I feel at home. DAVIES: Right. Brought up in Washington, D.C., in a complicated family, she went to Harvard, where she met her husband. And I should just note to listeners that this involves a subject that will - well, may be disturbing to some. I'm hoping that we will. Also, if you think your job is stressful, take a walk in this authors white coat. Shane, Dr. Michelle's spouse, is a fireman and the Deputy Conservation Officer. And you write that while you knew violence at home as a kid, you know, you didn't grow up where - in a world where there was danger getting to school or in the neighborhood. A graduate of . Michele Harper: Processing what she saw in and out of the ER. But I think there's something in this book about what you get out of treating these patients, the insight of this center of emergency medicine that you talk about. And it was a devastating moment because it just felt that there was no way out and that we - we identified with my brother as being our protector - were now all being blamed for the violence. And they were summoned, probably, a couple of times. He has bodily integrity that should be respected. Copyright 2020 NPR. Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. She's a veteran emergency room physician. She was just trying to get help because she was assaulted. Emergency room doctor Michele Harper brings her memoir, The Beauty in Breaking, to the L.A. Times Book Club June 29. August 28, 2020. National Cares Mentoring Movement (caresmentoring.org) provides social and academic support to help Black youth succeed in college and beyond. And as we know from history, this is a lifetime commitment to structural change. There are so many barriers to entry in medicine for people of color: the cost of medical school, wage gaps, redlining, access to good public education and more. And, you know, while I haven't had a child that has died, I recognized in the parents when I had to talk to them after the code and tell them that their baby, that their perfect child - and the baby was perfect - had passed away, I recognized in them the agony, the loss of plans, of promise, the loss of a future that one had imagined. Do you know what I mean? HARPER: At that time, I saw my future as needing to get out and needing to create something different for myself. Studies show that these doctors tend to be more empathetic to their patients. They have no role in a febrile seizure. DAVIES: Eventually, your father did leave the family. 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. In this gutting, philosophical memoir, a 37- year-old neurosurgeon chronicled what it is like to have terminal cancer. They're allowed to do it. And we use the same one. I suppose it's just like ER physicians, psychiatrists, social workers and all of us in the helping fields. At that point, at that time of the day, I was the only Black attending physician, and the police were white. But I could do what I could to help her in that moment and then to address the institution as well. Her book is called "The Beauty In Breaking." They stayed together through medical school until two months before she was scheduled to join the staff of a . It was traumatic brain injury, and that's why she presented with altered consciousness that day. Published on July 7, 2020 05:41 PM. She spent more than a decade as an emergency room physician. So it did open me up to that realization. One of the gifts of her literary journey, she says, are the conversations she is having across the country and around the world about healthcare. 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. Turns out she couldn't, and the hospital legal told her that I was actually quoting the law. She now works at Virginia Warren County Veterinary Clinic. There have been clear violations of that mission, deviation from that mission. "was reminded, too, of Dr. Albert Kligman's experiments on imprisoned men in Philadelphia from the 1950s to the 1970s. It's not an issue. Visit our website terms of use and permissions pages at www.npr.org for further information. But, you know, I'm a professional, so I just move on and treat her professionally each shift. Her memoir is "The Beauty In Breaking." Coming up, Maureen Corrigan reviews "Mexican Gothic," a horror story she says is a ghastly treat . "You can't pour from an empty cup.". The Wisconsin Book Festival and the UW-Madison All of Us research program collaborate to host a talk by Dr. Michele Harper. 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. She wanted to file a police report, so an officer came to the hospital. The patient, medically, was fine. 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. They stayed together . You want to just describe what happened here? A graduate of Harvard University and the Renaissance School of Medicine at Stony Brook University, she has worked as an ER doctor 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. But you don't - it's really the comfort with uncertainty that we've gained. The end of her marriage brought the beginning of her self-healing. DAVIES: I don't want to dwell on this too much. And I felt that if I just left the room and didn't ask that I would be ignoring her pain. You know, the dynamics are interesting there. Education. Well, she wasn't coming to, which can happen. 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). And my staff - I was working with a resident at the time who didn't understand. And the consensus in the ER at the time was, well, of course, that is what we're supposed to do. My boss stance was, "Well, we can't have this, we want to make her happy because she works here." That is my mission. 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. Her story begins with an introduction to her dysfunctional family, her childhood of physical abuse, and her . But she wasn't waking up, so I knew I was going to have to transfer her anyway. For me, school was a refuge. DAVIES: You know, I'm wondering if the fact that you spent so much of your childhood in a place where you didn't feel safe and there was no adult or professional that you encountered who could relieve that, who could rescue you, who could make you safe, do you think that that in some way made you a more empathetic doctor, somebody who is more inclined to find that person who is in need of help that they somehow can't quite identify or ask for? Join us for an enlightening discussion with Dr. Michele Harper as she highlights the lessons learned on her inspiring personal journey of discovery and . 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. MICHELE HARPER: (Reading) I am the doctor whose palms bolster the head of the 20-year-old man with a gunshot wound to his brain. But this is another example of - as I was leaving the room, I just - I sensed something. So not only are we the subject of racism but then we're blamed for the racism and held accountable for other people's bad behavior. No. NPR's Scott Simon speaks to Dr. Michele Harper about her new memoir, The Beauty in Breaking. So I replied, "Well, do you want to check? I kept going, and something about it was just concerning me. And one of them that I wanted to focus on was one of the last in the book. HARPER: I do. School was kind of a refuge for you? She graduated from STATE UNIVERSITY OF NEW YORK / HEALTH SCIENCE CENTER AT STONY BROOK in 2005. This is FRESH AIR. Join our community book club. (SOUNDBITE OF TAYLOR HASKINS' "ALBERTO BALSALM"), DAVIES: This is FRESH AIR. So I could relate to that. All rights reserved. Harper looks each one in the eye. And apart from your many dealings with police as a physician, you had a relationship with a policeman you write about in the book, an officer who was getting out of a bad marriage to a woman who was irrational and very difficult. The constant in Dr. Harper's reflection on these patients is the importance of connection, the importance of asking the hard . When youre Black in medicine, there are constant battles. They stayed together through medical school until two months before she was scheduled to join the . This is FRESH AIR. It's people outside of your departments. She is a graduate of Harvard University and the Renaissance School of Medicine at Stony Brook University. She has a new memoir about her experiences called "The Beauty In Breaking." I was really scared because I didnt know that I could write a book. She has taken on many leadership roles . 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. But Im trying to figure out how to detonate my life to restructure and find the time to write the next book.. So in that way, it's hard. And eventually you call it. Dr. Harper reflects on her journey from navigating a complicated family in Washington D.C. to attending Harvard, where she pursued emergency medicine and met her husband. No. From there, Harper went to an emergency room in North Philadelphia (which had a volume of more than 95,000 patients a year) and then across town to yet another facility, where she had fewer bureaucratic obligations and more time for her true calling: seeing patients. This final, fourth installment of the United We Read series delves into books from Oregon to Wyoming. And in this case, the resident, who kind of tried to go over your head to the hospital, was a white person. Apparently, Dr. Michele Sharkey has found love with none other than the brother of a fellow coworker, Dr. Emily Thomas. Michele Harper, 2020. And that continued until, I guess, your high school years, because you actually drove your brother to the emergency room. She casually replied, "Oh, the police came to take her report and that's who's in there." Well, as the results came back one by one, they were elevated. It certainly has an emotional toll. Often, a medical work environment can be traumatic for people (and specifically women) of color. Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. I kept thinking, This is absurd. Part of me was laughing inside because she thought she could be so ignorant and inappropriate. And I thought back to her liver function studies, and I thought, well, they can be elevated because of trauma. But the hospital, if I had not intervened, would have been complicit. Photo: LaTosha Oglesby. She wanted us to sign off that she was OK because she was trying to get her her career back, trying to get sober. They didn't ask us if we were safe. And in that story and after - when I went home and cried, that was a moment where that experience allowed me to be honest. So I explained to her the course of treatment and she just continued to bark orders at me. Where: Free live streaming event on Facebook, YouTube and Twitter. One of the more memorable patients that you dealt with at the VA hospital was a woman who had served in Afghanistan, and you had quite a conversation with her. And I felt that, in that way, I would never be trapped. 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. Now, of course, there are choices. Her behavior was out of line.". Her Patients, https://www.nytimes.com/2020/07/07/books/the-beauty-in-breaking-michele-harper.html. Her book, The Beauty in Breaking: A Memoir. Harper joins the Los Angeles Times Book Club June 29 to discuss The Beauty in Breaking, which debuted last summer as the nation reeled from a global pandemic and the pain of George Floyds murder. This man has personal sovereignty. They are allowed to, you know, when certain criteria are met. Photo courtesy of Penguin Random House. A teenage Harper had newly received her learners permit when she drove her brother, bleeding from a bite wound inflicted by their father during a fight, to the ER. 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 . And I was - the only rescue would be one that I could manage for myself. But if it's just a one-time event in the ER and they're discharged and go out into the world - there are people and stories that stay with us, clearly, as I write about such cases. Because she's yelling for help." And my brother, who was older than me by about 8 1/2 years - he's older than me. TV doctor Dawn Harper has split from her husband of 20 years Graham Isaac. Michele Harper writes: I am the doctor whose palms bolster the head of the 20-year-old man with a gunshot wound to his brain. The N95s we use, there's been a recycling program. So we didn't do it, and I discharged the patient, which was his wishes. 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. Each chapter introduces us to a different case, although Harper never boils people down to their afflictions. Michele Harper, the author of The Beauty in Breaking, will be in conversation with Times reporter Marissa Evans at the Los Angeles Times Book Club. I mean, was it difficult? In another passage, Harper recounts an incident in which a patient unexpectedly turns violent and attacks her during an examination. Her book, The Beauty in Breaking: A Memoir. She'll be back to talk more about her experiences in the emergency room after this short break. And your mother eventually remarried. Michele Harpers memoir could not be more timely. HARPER: It was. DAVIES: I'm, you know, just thinking that you were an African American woman in a place where a lot of the patients were people of color. Dr. Harper is affiliated with Baylor Scott & White Medical Center Centennial. And I did find out shortly after - not soon after I left, there was a white male nurse who applied and got the position. 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. At some point, I heard screaming from her room. And I don't know whether or not he took drugs. She writes that she's grown emotionally and learned from her patients as she struggled to overcome pain in her own life, growing up with an abusive father and coping with the breakup of her marriage. When we do experience racism, they often don't get it and may even hold us accountable for it. 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. Nope - not at all because different would mean structural change. I said, "What is going on?" 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. I asked her if there was anything we at the hospital could do, after I made sure she wasn't in physical danger and wasn't going to kill herself. She has a new memoir about her experiences in the emergency room and how they've helped her grow personally. April 12, 2014. NPR transcripts are created on a rush deadline by an NPR contractor. When I was in high school, I would write poetry, she says. Dr. Michele Harper, MD is an Emergency Medicine Specialist in Fort Washington, MD and has over 18 years of experience in the medical field. 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. An emergency room physician explores how a life of service to others taught her how to heal herself. So the medical establishment, also, clearly needs reform. Brought up in Washington, D.C., in a complicated family, she went to Harvard, where she met her husband. Dr. Michele Harper, THE BEAUTY IN BREAKING. His office is not accepting new patients. The following review first appeared in The DO magazine. Dr. Michele B. Harper is an emergency medicine physician in Fort Washington, Maryland. It was me connecting with her. Join us for an enlightening discussion with Dr. Michele Harper as she highlights the lessons learned on her inspiring personal journey of discovery and self-reflection as written in her New York . And I would say, we have patients refuse evaluation in the ER all the time or change their mind, decide they want to leave. 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? She writes, If I were to evolve, I would have to regard his brokenness genuinely and my own tenderly, and then make the next best decision.. They speak English and Spanish. As an African American emergency room physician currently working in New Jersey, Dr. Michele Harper has not only been forced to constantly prove herself to her colleagues, patients and supervisors, but she has also been compelled to take a stand for people of color and women who are often undermined by the medical community. She was rushed into the department unconscious, not clear why but assuming a febrile seizure, a seizure that children - young children can have when they have a fever. Their specialties include Obstetrics & Gynecology. Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. Her memoir is "The Beauty In Breaking." But I could amplify her story because this is an example of a structure that has violated her. Like any workplace, medicine has a hierarchy but people of color and women are usually undermined. Her cries became more and more distressed. Recorded in Miami and Philadelphia. It wasnt the first time he was violent, and it wouldnt be the last. www.micheleharper.com. The authoritative record of NPRs programming is the audio record. So they're recycled through some outside company. She was saying, "Leave. HARPER: Oh, yeah, all the time. She looked fine physically. : Oh, yeah, all the time was, well, may be disturbing to.... To racial disparities back one by one, they often do n't whether. Was, well, of course, that is overwhelmingly male and white I suppose it 's graphic... Harper writes: I do n't know whether or not he took drugs time who n't. Comes in, standing - we 're supposed to do but continue to live silence... And women are usually undermined was leaving the room and did n't do,! Room doctor michele Harper brings her memoir is `` the Beauty in Breaking. they often n't... Waking up, so I explained to her the course of treatment and may... Thought back to talk more about her new memoir, the ER at the time and you 're the problem... 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