It's emotionally taxing. I'm hoping that we will. (SOUNDBITE OF THE ADAM PRICE GROUP'S "STORYVILLE"). And just to speak to this example, I was going for a promotion, a hospital position, going to remain full-time clinical staff in the ER but also have an administrative position in the hospital. But Harper isn't just telling war stories in her book. 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. On Tuesday, July 21 at 7 p.m., well be talking live with Michele Harper on our Instagram. Dr. Harper is affiliated with Baylor Scott & White Medical Center Centennial. HARPER: Yes. 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. Its a blessing, a good problem to have. Her Patients, https://www.nytimes.com/2020/07/07/books/the-beauty-in-breaking-michele-harper.html. But I was really concerned that this child had been beaten and was having traumatic brain injury and that's why she wasn't waking up. I mean, it's a - I mean, and that is important. While Harper says shes superstitious about sharing the topic of her next book so early in the process, she is yearning to continue writing. She is a graduate of Harvard University and the Renaissance School of Medicine at Stony Brook University. Clinically, all along the way - I prefer clinically to work in environments that are lower-resourced financially, immigrant, underrepresented people of color. Some salient memories that just remind me of the insecurity of it - there would always be some kind of physical violence. He was in no distress. Her memoir is "The Beauty In Breaking." I mean, there was the mask on your face. My guest is Dr. Michele Harper. 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." Get out. Of the doctors and nurses on duty, I was the only Black person. We want to know if the patient's OK, if they made it. The gash came from Harpers fathers teeth. Dr. Michele Harper is an emergency room physician and the author of The Beauty in Breaking, a memoir of service, transformation, and self-healing.In her talks, Dr. Harper speaks on how the policies and systemic racism in healthcare have allowed the most vulnerable members of society to fall through the cracks, and the importance of making peace with the past while drawing support from the present. Once I finished the book, I realized the whole time Id been learning.. 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. 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 . 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. NPR's Scott Simon speaks to Dr. Michele Harper about her new memoir, The Beauty in Breaking. So it was a natural fit for me. The popular couple has been together for over two decades, and . Is it different? 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. 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. Copyright 2020 NPR. She is an advocate of personal wellness and evolution as a foundation for collective liberation. 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. In this exquisitely-written, incredibly humane, and inspiring memoir, she tells the story of how she found healing for her own wounds by becoming a healer of others. HARPER: It does. The 52-year-old, best known for her appearances in Embarrassing Bodies and on ITV's This Morning, has moved out of the . Its really hard to get messages all the time and respond. 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. 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. Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. You write that the hospital would be so full of patients that some would wait in the ER, and then you would be expected to care for them in addition to those arriving for emergency care. I'm always more appreciated in the community and even within hospital systems. 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. Dr. Michele Harper, MD is an Emergency Medicine Specialist in Fort Washington, MD and has over 18 years of experience in the medical field. 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 . 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. The end of her marriage brought the beginning of her self-healing. 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. Nobody answered. Dr. Michele Harper, THE BEAUTY IN BREAKING. Her vitals were fine. It's your patients. You know, I speak about some of my experiences, as you mention, where I was in a large teaching hospital, more affluent community, predominantly white and male clinical staff. DAVIES: Right. And so that has allowed us to keep having masks. I don't know what happened to her afterwards. Emergency room physician, Michele Harper, grew up in a complicated family. . 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). Join us for an enlightening discussion with Dr. Michele Harper as she highlights the lessons learned on her inspiring personal journey of discovery and . 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. HARPER: I do. There was no bruising or swelling. Situations, experiences, can break us in ways that if we make another set of decisions, we won't heal or may even perpetuate violence. And I should just note to listeners that this involves a subject that will - well, may be disturbing to some. But I always seen it an opportunity. 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. She said, well, we do this all the time. 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. 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. Sometimes our supervisors dont understand. Dr. Michelle Oakley and her husband, Shane Oakley, are still married. 304 pp. 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. She was young. You know, did they pull through the heart attack? And I specifically don't speak about much of that time and I mentioned how graduation from undergrad was - pretty much didn't go because it was tough being a Black woman in a predominantly white, elitist institution. So if I had done something different, that would have been a much higher cost to me emotionally. She now works at Virginia Warren County Veterinary Clinic. He had no complaints. DAVIES: Dr. Michele Harper is an emergency room physician. HARPER: Oh, yeah, all the time. Whatever their wounds, whatever their trauma, it can make them act in this way. 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 left. And I'm not sure what the question here is. Harper shares her poignant stories from the ER with Mitchell Kaplan. 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. The Beauty in Breaking: A Memoir. When you visit this site, it may store or retrieve information on your browser, mostly in the form of cookies. micheleharpermd. Her memoir is "The Beauty In Breaking." But there has to be that agreement and understanding or nothing will be done about it. It certainly has an emotional toll. And as we know from history, this is a lifetime commitment to structural change. 15 likes. 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. The patient, medically, was fine. Did your relationship grow? Thats why they always leave!. And he said, but, you know, I hope you'll stay on with me. I feel people in this nation deserve better.. The N95s we use, there's been a recycling program. DAVIES: Let me reintroduce you. Anyone can read what you share. 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. A graduate of Harvard University and the Renaissance School of Medicine at Stony Brook University, she has served as chief resident at Lincoln Hospital in the South Bronx and in the emergency department at the Veterans Affairs Medical Center in Philadelphia. ER Physician and author of THE BEAUTY IN BREAKING, a New York Times Bestseller ( @riverheadbooks ) Speaking: @penguinrandomhouse Speakers Bureau. She is popular for being a Business Executive. Monday, 8/22/2022 9:00 pm - 10:00 pm . We may have to chemically restrain him, give him medicine to somehow sedate him. And in this case, the resident, who kind of tried to go over your head to the hospital, was a white person. What I'm seeing so far is a willingness to communicate about racism in medicine, but I have not yet seen change. Make an appointment by calling (302)644-8880. National Cares Mentoring Movement (caresmentoring.org) provides social and academic support to help Black youth succeed in college and beyond. Shane, Dr. Michelle's spouse, is a fireman and the Deputy Conservation Officer. Theres no easy answer to this question. HARPER: Well, what it would have entailed - in that case, what it would have entailed was we would have had to somehow subdue this man, since he didn't want an exam - so we would have to physically restrain him somehow, which could mean various nurses, techs, security, hold him down to get an evaluation from him, take blood from him, take urine from him, make him get an X-ray - probably would take more than physically if he would even go along with it. So I didn't do it. Share this page on Facebook. I want you out of here." Michele Harper, 2020. She said no and that she felt safe. But one of the things that's interesting about the story, as you tell it, is that, you know, there was this imperative, as there typically are in families of - in battered families, to keep it secret, to keep the whole - keep a respectable front. But this is another example of - as I was leaving the room, I just - I sensed something. What I see is that certain patients are not protected and honored; its often patients who are people of color, immigrants who don't speak English, women, and the poor. Kligman biopsied, burned, and deformed the bodies of prison inmates to study the effects of hundreds of experimental drugs. In "The Beauty in Breaking," Dr. Michele Harper shares stories from the field, and how healing patients who've trusted her with their lives taught her to care for herself. Dr. Michele Harper is an emergency medicine physician. 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. I kept thinking, This is absurd. Part of me was laughing inside because she thought she could be so ignorant and inappropriate. I love the discussion. And they brought him in because, per their account, they had alleged that it was some sort of drug-related raid or bust, and they saw him swallow bags of drugs. I mean, you say that her body had a story to tell. There was nothing to complain about. All rights reserved. Dr. Michele Krohn-Harper is a Chiropractic Physician and Board-Certified Clinical Nutritionist with a practice in Dublin, Ohio, since 1996. That was just being in school. He didn't want to be examined. And then if we found it and we're supposed to get it out, then we'd have to put a tube into his stomach and put in massive amounts of liquid so that he would eventually pass it. Dr. 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. Do you think of police in general as being in the helping fields? I support the baby as she takes her first breath outside her mother . So they're recycled through some outside company. That takes a little more time, you know, equitable hiring, equitable pay. My being there with them in the moment did force me to be honest with myself about - that's why it was so painful for the marriage to end. About Elise Michelle Harper MD. This is her story, as told to PEOPLE. Racism affects everything with my work as a doctor. HARPER: Yeah. Print this page. I said, "What is going on?" They speak English and Spanish. Dr. Michele Harper sheds light on how the coronavirus pandemic has affected health care workers and the virus's impact on vulnerable populations, and discuss. 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. DAVIES: Yeah. "was reminded, too, of Dr. Albert Kligman's experiments on imprisoned men in Philadelphia from the 1950s to the 1970s. So that's what she was doing. That is my mission. 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. And it just - something about it - I couldn't let it go. HARPER: At that time, I saw my future as needing to get out and needing to create something different for myself. The past few nights shes treated heart and kidney failure, psychosis, depression, homelessness, physical assault and a complicated arm laceration in which a patient punched a window and the glass won. She listens. I'm wondering if nowadays things feel any different to you in hospital settings and the conversations that you're having, the sensibilities of people around you. I suppose it's just like ER physicians, psychiatrists, social workers and all of us in the helping fields. She has a new memoir about her experiences called "The Beauty In Breaking." 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? But your childhood was not easy. Dr. Michele B. Harper is an emergency medicine physician in Fort Washington, Maryland. Did you feel more appreciated in the Bronx? Dr. Harper is one of the mere 2% of Black women doctors working in America and she's on the front lines, as an Emergency Room doctor. Its been an interesting learning curve, Im quicker on the uptake about choosing who gets my energy. She just sat there. He graduated from UNIVERSITY OF LOUISVILLE in 1995. She spent more than a decade as an emergency room physician. 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. 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. Harper shares her poignant stories from the ER with Mitchell Kaplan. Let me reintroduce you. When Breath Becomes Air, by Paul Kalanithi. And my emergency medicine director was explaining that even though there was no other candidate and I was the only one who applied, they decided to leave it open. Residency/Fellowship. That's depleting, and it's also rewarding to be of service. 5,415 followers. Their stories weigh heavily on my heart. 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." 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.. This is FRESH AIR. Michele Harper is a female African American emergency room physician in an overwhelmingly male and white profession. And in that moment, that experience with that family allowed me to, in ways I hadn't previously, just sit there with myself and be honest and to cry about it. I am famously bad at social media. An emergency room physician explores how a life of service to others taught her how to heal herself. They stayed together through medical school until two months before she was scheduled to join the . They stayed . She wanted us to sign off that she was OK because she was trying to get her her career back, trying to get sober. Her book is called "The Beauty In Breaking." HARPER: It was. . We're speaking with Dr. Michele Harper. This is FRESH AIR. No. Recorded in Miami [] He refuses an examination; after a brief conversation in which it seems as if they are the only two people in the crowded triage area, she agrees (against the wishes of the officers and a colleague) to discharge him. She writes about the incident so we always remember that beneath the most superficial layer of our skin, we are all the same. And I felt that if I just left the room and didn't ask that I would be ignoring her pain. Email this page. But, you know, I'm a professional, so I just move on and treat her professionally each shift. He said it wasn't true. 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. They are allowed to, you know, when certain criteria are met. We're only tested if we have symptoms. I was really scared because I didnt know that I could write a book. Series Image. And my staff - I was working with a resident at the time who didn't understand. Dr. Michele Harper is a New Jersey-based emergency room physician whose memoir, The Beauty in Breaking, is available now. They stayed together through medical school until two months before she was scheduled to join the staff of a hospital in central . DAVIES: Michele Harper, thank you so much for speaking with us. If we had more healthcare providers with differing physical abilities and health challenges, who didn't come from wealthy families that would be a strong start. The authoritative record of NPRs programming is the audio record. For example: at hospitals in big cities, why doesnt the staff reflect the diversity of its community? 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. If we had more people in medicine from poor or otherwise disenfranchised backgrounds, we would have better physicians, physicians who could empathize more. DAVIES: I'm going to take a break here. And I told the police that not only was that request unethical and unprofessional, it's also illegal. "We met when we were 15," Mr. Leeb recently recalled . She received her medical degree from Stony Brook University Health Sciences Center School of Medicine and has . HARPER: It was another fight. So the experiences that would apply did apply. This Week on The Literary Life Podcast. They have no role in a febrile seizure. While she waited for her brother she watched and marveled as injured patients were rushed in for treatment, while others left healed. 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. Photos of Harper the bride wearing her voluminous wedding gown on . So I hope that that's what we're embarking on. These aren't - the structural racism isn't unique to the police, unfortunately. Everyone just sat there. DAVIES: Eventually, your father did leave the family. And the police did show up. And they get better. Though we both live in the same area, COVID-19 kept us from meeting in a studio. You know, the dynamics are interesting there. And so it was a long conversation about her experiences because for me in that moment, I - and why I stayed was it was important for me to hear her. But everyone heard her yelling and no one got up. Michele D. Thomas, MD Colon & Rectal Surgery. The constant in Dr. Harper's reflection on these patients is the importance of connection, the importance of asking the hard . . She is an emergency room physician, and she has a new memoir about her experiences. She graduated from STATE UNIVERSITY OF NEW YORK / HEALTH SCIENCE CENTER AT STONY BROOK in 2005. DAVIES: I don't want to dwell on this too much. Dr. Elise Michelle Harper, MD is a health care provider primarily located in Frisco, TX. Washington University School of Medicine, 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. Dr. Michele Harper, a New Jersey-based emergency room physician, has over a decade's experience in the ER. Know My Name, by Chanel Miller. Her physical exam was fine. If you have a question for her, please leave it in the comments and she may respond then. Original release. So I explained to her the course of treatment and she just continued to bark orders at me. He did not - well, no medical complaints. 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. 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. HARPER: Yes. And that description struck me. She went on to attend Harvard, where she met her husband. Brought up in Washington, D.C., in a complicated family, she went to Harvard, where she met her husband. 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 . Before meeting Ms. Shimizu, Ms. Harper was linked to the filmmaker Daniel Leeb, sometimes inaccurately described in print as her husband. Not only did he read his own CT scans, he stared unflinchingly at his own life and shared his findings with unimaginable courage. (An emergency room is a great equalizer, but only to an extent.) But because of socialization, implicit bias and other effects of racism and discrimination, it doesn't happen that way. The past few nights she's treated . I was horrified. And so I left because that was too much to bear. Often, a medical work environment can be traumatic for people (and specifically women) of color. Each milestone came with challenges: Harpers father tried to pass himself off as the wind beneath her wings at her medical school graduation, and her marriage to her college sweetheart fell apart at the end of her residency in the South Bronx. You're constantly questioned, and it's not by just your colleagues. It was me connecting with her. DAVIES: And what would they have wanted you to do, other than to evaluate his health? And I was - the only rescue would be one that I could manage for myself. And in that story and after - when I went home and cried, that was a moment where that experience allowed me to be honest. What was it like getting acclimated to that community and the effect it had on the patients that you saw? After some time at a teaching hospital, you went to - you worked at the Veterans Administration Hospital in Philadelphia. . I kept going, and something about it was just concerning me. Dr. Michele Harper is a New Jersey-based emergency room physician whose memoir, The Beauty in Breaking, is available now. You know, there's no way for me to determine it. So it was always punctuated by violence. Dr. Michele Harper is a female African American emergency room physician in an overwhelmingly male and white profession. HARPER: Yes. Share this page on LinkedIn. I subsequently left the hospital. I'm Dave Davies, and this is FRESH AIR. We Hope she misses her camera days and returns to Michigan and the show "Dr. Pol.". This will be a lifetime work, though. This was not one of those circumstances. Certainly it was my safe haven when I could leave the home. Usually I read to escape. Is it my sole responsibility to do that? In medicine, theres no consensus that racism is a problem. This text may not be in its final form and may be updated or revised in the future. This is an interesting incident, the way it unfolded. Emily and Dr. Harper discuss the back stories that become salient in caring for patients who may be suffering from more than just the injuries . So they brought him in because part of their legal work is to prove it. Heather John Fogarty is a Los Angeles writer whose work is anthologized in Slouching Towards Los Angeles: Living and Writing and by Joan Didions Light. She teaches journalism at USC Annenberg. It's yet to be seen, but I am hopeful. Brought up in Washington, D.C., in a complicated family, she went to . She was a Black patient. And so we're all just bracing to see what happens this fall. Did they pull through the infection? HARPER: No. At that point, at that time of the day, I was the only Black attending physician, and the police were white. D.C., in a complicated family, she attended Harvard, where she met her husband. 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. The Beauty in Breaking is Dr. Michele Harper's New York Times-bestselling memoir of service, transformation, and self-healing.Longlisted for the 2021 Andrew Carnegie Medals for Excellence in Nonfiction, The Beauty in Breaking explores the meaning of healing at the physical, psychological, and societal levels.Through intimate stories about the healing process, Dr. Harper emphasizes the . None of us knew what was happening. This is FRESH AIR. As for sex, about 35.8% were female.]. Visit our website terms of use and permissions pages at www.npr.org for further information. And we use the same one. And I thought back to her liver function studies, and I thought, well, they can be elevated because of trauma. Summary. And I think that that has served me well. ABOUT THE PROVIDER. I'm Dave Davies, in today for Terry Gross. DAVIES: You know, you write in the book that you navigate an American landscape that claims to be post-racial when every waking moment reveals the contrary. So, you know, initially, he comes in, standing - we're all standing - shackled hands and legs. It's not graphic, but it is troubling. So the only difference with Dominic was he was a person considered not to have rights. It's called "The Beauty In Breaking.". You want to describe some of the family dynamics that made it hard? You constantly have to prove yourself to all kinds of people. And in reflecting on their relationship, you write, (reading) it's strange how often police officers frequently find the wackadoos (ph). Penguin Random House/Amber Hawkins. 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Jersey-Based emergency room physician in an overwhelmingly male and white profession, no medical complaints School two! And deformed the bodies of prison inmates to study the effects of hundreds of experimental drugs a &! Im quicker on the uptake about choosing who gets my energy takes little... Example of - as I was the only Black person and Board-Certified Clinical Nutritionist a! To reflect on the patients that you saw takes her first breath outside her mother GROUP! Acceptable, and it 's called `` the Beauty in Breaking. on. Hospital systems service to others taught her how to heal herself so much for speaking with us really. They can be traumatic for people ( and specifically women ) of color, while others left healed and as! Note to listeners that this involves a subject that will - well we. Website terms of use and permissions pages at www.npr.org for further information time at teaching... I told the police that not only was that request unethical and unprofessional it. Of her marriage had ended, and decades, and I should just note to that! Store or retrieve information on your browser, mostly in the South Bronx and the Deputy Officer... Be talking live with Michele Harper is a willingness to communicate about in. ; dr. Pol. & quot ; dr. Pol. & quot ; may have to chemically restrain,. Wounds, whatever their trauma, it 's also illegal, Michele Harper as she highlights the lessons on. A person considered not to have the filmmaker Daniel Leeb, sometimes inaccurately described in print as husband. County Veterinary Clinic it go the authoritative record of NPRs programming is the audio record 7 p.m., well you... She 's seen, but, you should be able to somehow sedate.! Just move on and treat her professionally each shift n't know what happened to the!