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Black Man in a White Coat: A Doctor's Reflections on Race and Medicine
PDF Download Black Man in a White Coat: A Doctor's Reflections on Race and Medicine
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A NEW YORK TIMES BESTSELLER • ONE OF TIME MAGAZINE'S TOP TEN NONFICTION BOOKS OF THE YEARA LIBRARY JOURNAL BEST BOOK SELECTION • A BOOKLIST EDITORS' CHOICE BOOK SELECTIONOne doctor's passionate and profound memoir of his experience grappling with race, bias, and the unique health problems of black Americans
When Damon Tweedy begins medical school, he envisions a bright future where his segregated, working-class background will become largely irrelevant. Instead, he finds that he has joined a new world where race is front and center. The recipient of a scholarship designed to increase black student enrollment, Tweedy soon meets a professor who bluntly questions whether he belongs in medical school, a moment that crystallizes the challenges he will face throughout his career. Making matters worse, in lecture after lecture the common refrain for numerous diseases resounds, “More common in blacks than in whites.â€
Black Man in a White Coat examines the complex ways in which both black doctors and patients must navigate the difficult and often contradictory terrain of race and medicine. As Tweedy transforms from student to practicing physician, he discovers how often race influences his encounters with patients. Through their stories, he illustrates the complex social, cultural, and economic factors at the root of many health problems in the black community. These issues take on greater meaning when Tweedy is himself diagnosed with a chronic disease far more common among black people. In this powerful, moving, and deeply empathic book, Tweedy explores the challenges confronting black doctors, and the disproportionate health burdens faced by black patients, ultimately seeking a way forward to better treatment and more compassionate care.
Product details
Paperback: 304 pages
Publisher: Picador; Reprint edition (September 6, 2016)
Language: English
ISBN-10: 1250105048
ISBN-13: 978-1250105042
Product Dimensions:
5.4 x 0.8 x 8.2 inches
Shipping Weight: 8.8 ounces (View shipping rates and policies)
Average Customer Review:
4.7 out of 5 stars
233 customer reviews
Amazon Best Sellers Rank:
#14,372 in Books (See Top 100 in Books)
As the title suggests, this is an must read for anyone who is interested in how race and medicine intersect, from the development of young black talent to the unfortunate racial disparities in health care delivery and outcomes. The narrative is engaging and instructive without being preachy, overbearing, or simplistically pretending to have solutions to deeply rooted and complex problems. It is like having a good conversation with an old friend.I had the good fortune to walk the halls of Duke with Dr. Tweedy (when he was "Student-doctor" Tweedy) and can attest that very little poetic license has been taken in this work - the narratives are true and largely unmarred by time and emotional content. Perhaps this is what makes his stories so powerful and instructive, and relevant to people of many backgrounds. Dr. Tweedy's ability to turn disappointments and injustices into opportunities for personal growth and even policy making make for a compelling read as well.Readers from many backgrounds should find "Black Man In A White Coat" appealing, beneficial, and perhaps even transformative. If you have an interest in the etiologies and possible remedies of racial disparities in health outcomes, this book provides an excellent introduction to the scope of the problem in an engaging narrative form. If you are a practicing medical provider, this work can make you a better doctor - it provides an opportunity for self examination, encourages self-awareness of stereotypes we all carry around, and brings to the forefront the complex "perfect storm" of factors that lead to racial health disparities. And if you are an aspiring minority professional, the grit that Dr. Tweedy demonstrates throughout this work will serve as an inspiring example (much like those of Dr. Ben Carson and Dr. Keith Black) and to some extent a road map to navigating the slow to change racial landscape still encountered in the academic and professional world.One last piece of advice - although this book is written in a easy to read narrative form, make no mistake - it represents not only a life experience, but also is the product of many conversations and much scholarship. Take advantage of the copious "Notes" section following the main text, and consider using this book as an opportunity to explore primary source material referenced to further enrich your experience.Bravo Dr. Tweedy!
Dr. Tweedy has done the country a favor by writing this book. Using his own experience, he pens interesting anecdotes to illustrate his point: that race is a factor in the degree of access and quality of health care available to Americans. I found particularly chilling one story about him visiting urgent care after a weekend basketball injury (twisted knee). He was dressed in a sweatshirt and tennies. The doctor gave Tweedy a perfunctory exam and directions for aftercare, whereupon Tweedy asked a followup question including the term "left third metacarpal fracture." The doctor sat back down and basically started the exam over, this time ordering (and accompanying Tweedy through) Xrays, recommending a brace, lending him crutches, and offering a prescription. Reflecting on the event, Tweedy said,"I couldn't get out of my mind how I'd been treated as two entirely different patients. Damon Tweedy, the unknown black man, dressed like he was about to mow the lawn, couldn't get the doctor to look him in the eye or touch him; Damon Tweedy, M.D., was worthy of personal, first-class service...Was Dr. Parker aware that his initial lack of attention had been unfair and insulting, leading him to overcompensate (later)? Perhaps, but...he evidently saw me through a mental filter, and his assumptions were not positive..."There were a ton of interesting anecdotes like this, which made the stats and citations go down more easily. I regret that this situation exists, and as a layperson I don't know what to do about it except be aware, and thank Dr. Tweedy for writing this important book.
I am thoroughly enjoying Dr. Tweedy's memoir. He and I have shared many experiences, me 50 years before and protected by a hide of a different hue.Tweedy puts the personal touch on a number of issues of intense concern to all of us today: income inequality, our third-world healthcare system (yes, with 40 million uninsured we are no better than a banana republic!), the racist leitmotif that pervades current practices. There is no other explanation for the results we see in our outcomes when they are laid out by race.Through his heartfelt examples, Dr. Tweedy reemphasizes that we still fall short of our founders' aspirations even though we have the riches and wherewithal to provide everyone with quality, affordable healthcare. A system that results in inferior care for the poor (too often a surrogate for skin color) fails to meet the ideals we have set for our nation and weakens us all.Cry, my beloved country! I see little progress - even serious backsliding - since I graduated from medical school 55 years ago. President Obama often said, "We are better than this!" I once thought so, but I no longer am so certain.
Dr. Tweedy is a talented writer who provides a fascinating look at the process of developing from being a medical student to becoming a doctor. Some of the challenges he faced come from being a black male in a medical world where black males are often close to non-existent. In fact, even in 2016, there are some medical schools without even one American-born black male students.His response to the challenges he faced was to simply outwork everyone else. He did not allow himself to become discouraged. I sent a copy of his book to a college student in my family. Every college student has days when the work seems to much or a class seems to difficult. Dr. Tweedy's message is that young people need to set goals, not get discouraged, and by focusing all of their energy and time on their work, they can succeed. Perhaps that is an old fashioned approach to success, but Dr. Tweedy makes a convincing case that it does in fact work.
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