Her physical exam was fine. Thank you. Our guest today, Michele Harper, is a career ER doctor and one of roughly 2% of American physicians who are African American women. And I felt that if I just left the room and didn't ask that I would be ignoring her pain. 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. It was a gift that they gave me that, then, yes, allowed me to heal in ways that weren't previously possible. They stayed together . He was in no distress. Because if the person caring for you is someone who hears you, who truly understands you thats priceless. 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.. Maternal-Fetal Medicine Specialist, Comprehensive Fetal Care Center. So you do the best you can while you try to gain some comfort with the uncertainty of it all. 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. 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. National Cares Mentoring Movement (caresmentoring.org) provides social and academic support to help Black youth succeed in college and beyond. Copyright 2020 NPR. This is a building I knew. I asked her nurse. Her book is called "The Beauty In Breaking.". 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. And there was no pneumonia. This is an interesting incident, the way it unfolded. Michele Harper: Processing what she saw in and out of the ER. No. Nope - not at all because different would mean structural change. But I just left it. And it felt dangerous. And I thought back to her liver function studies, and I thought, well, they can be elevated because of trauma. Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. At that point, at that time of the day, I was the only Black attending physician, and the police were white. That takes a little more time, you know, equitable hiring, equitable pay. And that continued until, I guess, your high school years, because you actually drove your brother to the emergency room. NPR transcripts are created on a rush deadline by an NPR contractor. The following techniques are used in her office . This happens all the time, where prisoners are brought in, and we do what the police tell us to do. But the shortages remain. It's not graphic, but it is troubling. Know My Name, by Chanel Miller. It relates to structural racism. Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. Heres what I learned, Book Club reads Michele Harpers The Beauty in Breaking, Travis Bickle, meet Toni Morrison, in a socially probing, fiercely fun debut novel, Scott Adams says he was using hyperbole: America being programmed to see race first, 10 books to add to your reading list in March, For the soul of Black history, a podcaster-author looked past the same old stories, How MIT scientists fought for gender equality and won, How free-market extremism became Americas default mode, Penguin announces The Roald Dahl Classic Collection after outrage over censorship, It was all a blur: How guitarist Graham Coxon (barely) survived Britpop, in a memoir, Sign up for the Los Angeles Times Book Club, Before and after photos from space show storms effect on California reservoirs, Dramatic before and after photos from space show epic snow blanketing SoCal mountains, The chance of a lifetime: Five friends ski the tallest mountain in Los Angeles, Best coffee city in the world? He didn't want to be evaluated. She really didn't know anything about medicine. Original release. Emergency room physician, Michele Harper, grew up in a complicated family. Turns out she couldn't, and the hospital legal told her that I was actually quoting the law. April 12, 2014. I mean, it's a - I mean, and that is important. 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. None of us knew what was happening. It's people outside of your departments. 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. This is FRESH AIR. It made me think that you really connect with patients emotionally, which I'm sure takes longer but maybe also has a cost associated with it. 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. She writes that the moment was an important reminder that beneath the most superficial layer of our skin, we are all the same. And that gave you some level of reassurance, I guess. And as we know from history, this is a lifetime commitment to structural change. 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. You know, the dynamics are interesting there. So he would - when he was big enough, he would intervene and try and protect my mother. How did you see your future then? 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. 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. But I feel well. HARPER: There are times and it's really difficult because we want to know. This is FRESH AIR. And also because of the pain I saw and felt in my home, it was also important for me to be of service and help to other people so that they could find their own liberation as well. Dr. Michele Harper is a New Jersey-based emergency room physician whose memoir, The Beauty in Breaking, is available now. Harper shares her poignant stories from the ER with Mitchell Kaplan. And in reflecting on their relationship, you write, (reading) it's strange how often police officers frequently find the wackadoos (ph). 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. 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. 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. She received her medical degree from Stony Brook University Health Sciences Center School of Medicine and has . (SOUNDBITE OF TAYLOR HASKINS' "ALBERTO BALSALM"), DAVIES: This is FRESH AIR. Dr. Harper received her BA in Psychology from Harvard University . They stayed . They have 28 years of experience. How are you? That's depleting, and it's also rewarding to be of service. 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. She was healthy. It's called "The Beauty In Breaking." What I'm seeing so far is a willingness to communicate about racism in medicine, but I have not yet seen change. I'm always more appreciated in the community and even within hospital systems. Michele Harpers memoir could not be more timely. And I did find out shortly after - not soon after I left, there was a white male nurse who applied and got the position. The patient, medically, was fine. We need to support our essential workers, which means having a living wage, affordable housing, sick leave and healthcare. Certainly it was my safe haven when I could leave the home. Is it different? And so we're all just bracing to see what happens this fall. 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. Each chapter introduces us to a different case, although Harper never boils people down to their afflictions. The following review first appeared in The DO magazine. You wrote a piece recently for the website Medium - I guess it was about six weeks ago - describing the harrowing work of treating COVID-19 patients. In that sameness is our common entitlement to respect, our human entitlement to love.. Visit our website terms of use and permissions pages at www.npr.org for further information. And so that has allowed us to keep having masks. And the police were summoned only once. 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. Growing up, it was. She has a new memoir about her experiences and how her work with patients has contributed to her personal growth. Until that's addressed, we won't have more people from underrepresented communities in medicine. Her book is called "The Beauty In Breaking." Shane, Dr. Michelle's spouse, is a fireman and the Deputy Conservation Officer. As she puts it, In life, too, even greater brilliance can be found after the mending., Who Saves an Emergency Room Doctor? THE BEAUTY IN BREAKING (Riverhead, 280 pp., $27) is the riveting, heartbreaking, sometimes difficult, always inspiring story of how she made this happen. We had frequent shifts together. 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.. She was in there alone. . 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. DAVIES: I'm going to take a break here. Get out. This will be a lifetime work, though. She has taken on many leadership roles . 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. I mean, mainly we get that to make sure there's no infection causing the fever. Photo courtesy of Penguin Random House. 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. And I should just note to listeners that this involves a subject that will - well, may be disturbing to some. Before meeting Ms. Shimizu, Ms. Harper was linked to the filmmaker Daniel Leeb, sometimes inaccurately described in print as her husband. It is not graphic, but it is in some respects troubling. 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. I love the protests. Monday, 8/22/2022 9:00 pm - 10:00 pm . You know, there's no way for me to determine it. Michele Harper, 2020. I was horrified. Its been an interesting learning curve, Im quicker on the uptake about choosing who gets my energy. So he left the department. She loves following patients through different phases of their lives, helping them to stay healthy and fulfilled. As a Black woman, I navigate an American landscape that claims to be postracial when every waking moment reveals the contrary, Michele Harper writes. 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 as a result, it did expedite the care that she needed. Penguin Publishing. Michele Harper. ER Physician and author of THE BEAUTY IN BREAKING, a New York Times Bestseller ( @riverheadbooks ) Speaking: @penguinrandomhouse Speakers Bureau. D.C., in a complicated family, she attended Harvard, where she met her husband. 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. That's what it would entail to do what the police were telling us to do. So I ran downstairs and called the police. NPR's Scott Simon speaks to Dr. Michele Harper about her new memoir, The Beauty in Breaking. HARPER: It does. The end of her marriage brought the beginning of her self-healing. When I speak to people in the U.K. about medical bills, they are shocked that the cost of care [in the U.S.] can be devastating and insurmountable, she says. But there was one time that I called. You got into Harvard, did well there and went to medical school. Print this page. 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 was important for me to see her. My trainee, the resident, was white. She writes about the incident so we always remember that beneath the most superficial layer of our skin, we are all the same. Now, of course, there are choices. And it's the end of my shift. She was just trying to get help because she was assaulted. 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 Times Best Selling memoir, The Beauty in Breaking. So I explained to her the course of treatment and she just continued to bark orders at me. Published on July 7, 2020 05:41 PM. Is it my sole responsibility to do that? And that was a time that you called. And my mother said, well, she didn't want to pursue charges if it meant my brother was going to be incarcerated. And I didn't get the job. 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 . And I don't know whether or not he took drugs. 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. Share this page on Facebook. DAVIES: The resident in this case who sought to go over your head and consult with the hospital's legal department - did you continue to work with her? DAVIES: You did your residency in the South Bronx in a community that had issues with drug dealing and gang violence. Dr. Michele Harper. Apparently, Dr. Michele Sharkey has found love with none other than the brother of a fellow coworker, Dr. Emily Thomas. HARPER: At that time, I saw my future as needing to get out and needing to create something different for myself. So I started the transfer. The Beauty in Breaking tells the story of Dr. Harper, a female, African American, ER physician in an overwhelmingly male and white profession. As an effective ER physician, br. And I remember one time when he was protecting my mother - and so I ended up fighting with my father - how my father, when my brother had him pinned to the ground, bit my brother's thumb. 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. 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. 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. DAVIES: I don't want to dwell on this too much. HARPER: Yes. Harper looks each one in the eye. You know, did they pull through the heart attack? And he said, but, you know, I hope you'll stay on with me. When youre Black in medicine, there are constant battles. I don't know what happened to her afterwards. I'm hoping that we will. [Read an excerpt from The Beauty in Breaking. ]. She was cast by Lady Gaga in the Elle magazine series The New Muse. Her behavior was out of line.". HARPER: Yes. And I remember thinking to myself, what could lead a person to do something so brutal to a family member? It's difficult growing up with a batter for a father and his wife, who was my mother. You say that this center has the sturdy roots of insight that, in their grounding, offer nourishment that can lead to lives of ever-increasing growth. When we do experience racism, they often don't get it and may even hold us accountable for it. We want to know if the patient's OK, if they made it. She is popular for being a Business Executive. And even clinically, when I'm not, like when I worked at Einstein Hospital in Philadelphia, it's a similar environment. 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. You were the attending person who was actually her supervisor, but she thought she could take this into her own hands. 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. Join our community book club. Clinically, all along the way - I prefer clinically to work in environments that are lower-resourced financially, immigrant, underrepresented people of color. The past few nights she's treated . She went on to work at Lincoln Hospital in the South Bronx and the Veterans Affairs Hospital in Philadelphia. 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. If we had more people in medicine from poor or otherwise disenfranchised backgrounds, we would have better physicians, physicians who could empathize more. HARPER: Well, it's difficult. So it felt particularly timely that, for The . 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. 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. I mean, was it difficult? It wasn't about me. For example, the face shield I talk about is different than the one we have now because we had a donation from an outside company. And eventually you call it. It wasnt easy. Coming up, Maureen Corrigan reviews "Mexican Gothic," a horror story she says is a ghastly treat to read. Whether you have read The Beauty in Breaking or not there are important lessons in self-healing to take . So they brought him in because part of their legal work is to prove it. 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. Then along the way, undergrad, medical school, that was no longer a refuge. In a new memoir, Dr. Michele Harper writes about treating gunshot wounds, discovering evidence of child abuse and drawing courage from her patients as she's struggled to overcome her own trauma. She is an emergency medicine physician who has written a new memoir about her life and experiences. I recently had a patient, a young woman who was assaulted. MICHELE HARPER: I'm - I feel healthy and fine. 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. It's your patients. SHARE. Nat Geo WILD. Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. If you have a question for her, please leave it in the comments and she may respond then. It certainly has an emotional toll. 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. While she waited for her brother she watched and marveled as injured patients were rushed in for treatment, while others left healed. She is a graduate of Harvard University and the Renaissance School of Medicine at Stony Brook University. It is the responsibility of everyone in the department. Michele Harper grew up in Washington, DC, knowing from a fairly young age that healing would be in her future. So the only difference with Dominic was he was a person considered not to have rights. The popular couple has been together for over two decades, and . Make an appointment by calling (302)644-8880. Kligman biopsied, burned, and deformed the bodies of prison inmates to study the effects of hundreds of experimental drugs. Dr. Elise Michelle Harper, MD is a health care provider primarily located in Frisco, TX. HARPER: Yes. She received a Bachelor of Science at Bowling Green State University and a Masters of Human Science and Doctorate from National College of Chiropractic. 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. Her book, The Beauty in Breaking: A Memoir. Her vitals were fine. Dr. Michele Harper is a female African American emergency room physician in an overwhelmingly male and white profession. DAVIES: Let's talk a bit about your background as you describe it in the book. Its really hard to get messages all the time and respond. But, and perhaps most critically, people have to be held accountable when it comes to racism. This is FRESH AIR. No. So in that way, it's hard. 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. They didn't inquire about any of us. She looked fine physically. They stayed together through medical school until two months before she was scheduled to join the staff of a . So it was always punctuated by violence. An emergency room physician explores how a life of service to others taught her how to heal herself. Welcome to FRESH AIR. 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. There wasn't a doctor assigned yet to her, she only had a nurse. HARPER: It was. That was a gift they gave me. There have been clear violations of that mission, deviation from that mission. Michelle Harper's age is 44. [2] The show stars Dr. Michelle Oakley and follows her adventures usually around her home base of Haines Junction, Yukon [3] and Haines, Alaska. When Breath Becomes Air, by Paul Kalanithi. They left. Everyone just sat there. He said it wasn't true. And their next step was an attempt to destroy her career. Emergency room doctor Michele Harper brings her memoir, The Beauty in Breaking, to the L.A. Times Book Club June 29. 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. So I replied, "Well, do you want to check? She was young. This summer, Im reading to learn. She's an emergency medicine physician. Did you get more comfortable with it as time went on? No. I enjoyed my studies. So for me, school - and I went to National Cathedral School. Share this page on Twitter. It wasnt the first time he was violent, and it wouldnt be the last. 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. 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. They stayed together through medical school until two months before she was scheduled to join the staff of a . Its not coincidental that I'm often the only Black woman in my department. ( 2014-04-12) Dr. Oakley, Yukon Vet is an American television series on Nat Geo Wild. Our hours have been cut, our pay has been cut because healthcare in America is a for-profit system. HARPER: It was another fight. I mean, she said that she had been through a lot. 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. But Harper isn't just telling war stories in her book. Accuracy and availability may vary. You want to just describe what happened here? So the police just left. (The officers did not have a court order and the hospital administration confirmed Harper had made the correct call.) Thats why I have to detonate my life. But that is the mission, should they choose to follow it. True enough, Dr. Sharkey was dating her coworker's brother, and he relocated to Missouri. 419 following. Weve all seen the signs that say Thank You Health Care Heroes. How does Harpers memoir change how you think of those words? . That's an important point. (SOUNDBITE OF RHYTHM FUTURE QUARTET'S "IBERIAN SUNRISE"), DAVIES: This is FRESH AIR, and we're speaking with Dr. Michele Harper. Please register to receive a link for viewing this online event. In this gutting, philosophical memoir, a 37- year-old neurosurgeon chronicled what it is like to have terminal cancer. HARPER: Oh, yeah, all the time. 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. He graduated from UNIVERSITY OF LOUISVILLE in 1995. Each step along the way, there is risk - risk to him being anywhere from injured, physically, to death. At first glance, this memoir by a sexual assault survivor may not appear to have much in common with The Beauty in Breaking. But the cover of Chanel Millers book was inspired by the Japanese art of kintsukuroi, where broken pottery is repaired by filling the cracks with gold, silver or platinum. Further, for women and people of color who do make it into the medical field, were often overlooked for leadership roles. I mean, it doesn't have to go that way. Dr. Michele Harper is an emergency medicine physician. I'm Dave Davies, in for Terry Gross. After some time at a teaching hospital, you went to - you worked at the Veterans Administration Hospital in Philadelphia. So the experiences that would apply did apply. Situations, experiences, can break us in ways that if we make another set of decisions, we won't heal or may even perpetuate violence. This final, fourth installment of the United We Read series delves into books from Oregon to Wyoming. On Tuesday, July 21 at 7 p.m., well be talking live with Michele Harper on our Instagram. So they're coming in just for a medical screening exam. She looked well, just stuporous. The curtain was closed. I am famously bad at social media. Her cries became more and more distressed. Email this page. And I was qualified, more than qualified. 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