Black Man in a White Coat: A Doctor's Reflections on Race and Medicine
Black Man in a White Coat: A Doctor's Reflections on Race and Medicine book cover

Black Man in a White Coat: A Doctor's Reflections on Race and Medicine

Hardcover – September 8, 2015

Price
$15.91
Format
Hardcover
Pages
304
Publisher
Picador
Publication Date
ISBN-13
978-1250044631
Dimensions
6.5 x 1 x 9.75 inches
Weight
1.06 pounds

Description

“In this fascinating, heartbreaking memoir, Tweedy documents his experiences as an African American doctor in a medical system that can be 'just as sick as its patients.'” ― O, The Oprah Magazine “Tweedy reveals all you need to know about the Byzantine health care system, wide-ranging disparities that persist and, more important, how we can take control of our well-being... Black Man in a White Coat is certain to garner incredible attention during the literary awards season. It's a book that deserves a very long shelf life.” ― Essence “In ways wholly individual but similarly intricate, Margo Jefferson, Dr. Damon Tweedy and Ta-Nehisi Coates examine the impact of race on our expectations and experiences. And in doing so, they challenge us to as well.” ― Time “Riveting.” ― Entertainment Weekly, The Must List “On one level the book is a straightforward memoir; on another it’s a thoughtful, painfully honest, multi-angled, constant self-interrogation about himself and about the health implications of being black.” ― Sarah Lyall, The New York Times “[A] heartfelt account... Black Man in a White Coat is a commentary on challenges and lessons [Dr. Tweedy has] encountered as a physician of color, offering first-hand truths about the medical issues and racial divides in health care plaguing our community.” ― Ebony “Fascinating… What sets this book in motion is Tweedy’s dogged quest to understand how his personal experience relates to the staggering issue of health care inequality. In the process, he shines a light on disparities than can be hard to fathom…. An engaging, introspective memoir that will force readers to contemplate the uncomfortable reality that race impacts every aspect of life, even medicine…. A timely, thought-provoking examination of our heartbreaking health care system.” ― USA Today “ Black Man in a White Coat offers a clear, informative and uncommonly balanced assessment. Tweedy unflinchingly examines historical patterns of racial inequity in health care. But he also brings attention to often-overlooked indicators of progress…. Attentive to the frustrating inequalities rooted in our history, Tweedy’s Black Man in a White Coat is also usefully attuned to the promising prospects ahead.” ― Randall Kennedy, The Washington Post “While many doctors write books―the Greek physician Ctesias in antiquity, Atul Gawande today―few have concerned themselves with race. Black Man in a White Coat: A Doctor's Reflections on Race and Medicine is Tweedy’s thoughtful answer to that gap.” ― Newsday “Tweedy’s vulnerability makes him a vivid and engaging narrator…. [ Black Man in a White Coat] makes important contribution to the ongoing debate about health care in America. Tweedy has advanced a much-needed public conversation about racial disparities in medicine which, while less familiar to most Americans than the deaths that inspired the Black Lives Matter movement, continue to cost black lives.” ― The Boston Globe “A powerful case on how, in the era of Obamacare and the nation’s first black president, race can still determine who gets sick and lives, or dies.” ― Minneapolis Star Tribune "A revealing, moving, and courageous examination of racism in American health care ...[Tweedy's] willingness to be self-critical as well as his reluctance to be overtly partisan gives Tweedy’s book an evenhandedness that lends its conclusions added weight, even when he wades into partisan waters."― The Daily Beast “Required reading for African-Americans and health care professionals.” ― Raleigh News & Observer “Tweedy uses vivid anecdotes to ground his critiques of physician prejudice and health concerns that affect his community… It’s this investment in the personal that makes Black Man in a White Coat especially powerful. Tweedy’s perspective―and his willingness to challenge his own fundamental biases―puts a voice to a social epidemic that demands to be addressed.” ― Maclean's "Black Man in a White Coat is a thoughtful memoir that explores the nexus of race and medicine through the eyes of a black physician."― Los Angeles Review of Books “Tweedy, an African American psychiatrist at Duke University, expertly weaves together statistics, personal anecdotes, and patient stories to explain why 'being black can be bad for your health'... A smart, thought-provoking, frontline look at race and medicine.” ― Booklist, starred review “An arresting memoir that personalizes the enduring racial divide in contemporary American medicine.... In this unsparingly honest chronicle, Tweedy cohesively illuminates the experiences of black doctors and black patients and reiterates the need for improved understanding of racial differences within global medical communities.” ― Kirkus Reviews “Eye-opening...[Tweedy's] painful anecdotes, both as an intern and physician, show the critical health crisis within the black community....[and] he nicely unravels the essential issues of race, prejudice, class, mortality, treatment, and American medicine without blinking or polite excuses.” ― Publishers Weekly “A must-read for anyone interested in improving medical care from training to delivery in a world where race persists as a factor in life and death.” ― Library Journal “[Tweedy] brings an interesting and valuable perspective on healthcare in this country for all of those who are less privileged, without being preachy or political. It's a clear view from a man in a white coat.” ― Carol Fitzgerald, BookReporter “In this thought-provoking memoir, an African-American doctor discusses not only how ‘being Black can be bad for your health,’ but also the complex cultural and physiological reasons why.” ― Refinery29, Fall’s Most Highly Anticipated Nonfiction Reads “I could not stop reading Damon Tweedy's Black Man in a White Coat: A Doctor's Reflections on Race and Medicine , an engrossing look at the modern medical profession from a unique and often unheard perspective.” ― Patrik Henry Bass of Essence Magazine “A sincere and heartfelt memoir about being black in a mostly white medical world. Essential reading for all of us in this time of racial unrest.” ― Sandeep Jauhar, author of Intern: A Doctor's Initiation and Doctored: The Disillusionment of an American Physician “An eye-opening and compelling examination of medicine's continued discomfort with race. Damon Tweedy is unafraid to dissect both the intriguing and disturbing elements of becoming a doctor. Required reading for anyone wishing to understand medicine in America today.” ― Danielle Ofri, MD, PhD, author of What Doctors Feel: How Emotions Affect the Practice of Medicine “Damon Tweedy eloquently weaves the experiences of an African-American physician with those of African-American patients, carefully documenting how issues of race-too often unspoken-permeate American medicine in this timely and necessary book.” ― Barron H. Lerner, MD, PhD, author of The Good Doctor: A Father, A Son and the Evolution of Medical Ethics “Everyone interested in Medical Education should read this book.Tweedy's writing is clear and compelling as he describes his experience as a black medical student and resident in a predominantly white southern university. This book inspires hope that racial prejudice is diminishing in medical education and patient care. It is an optimistic commentary on the future of American Medicine.” ― H. Keith H. Brodie, MD, President Emeritus Duke University Damon Tweedy is a graduate of Duke Medical School and Yale Law School. He is an assistant professor of psychiatry at Duke University Medical Center and staff physician at the Durham VA Medical Center. He has published articles about race and medicine in the Journal of the American Medical Association (JAMA) and the Annals of Internal Medicine . His columns and op-eds have appeared in the New York Times , the Chicago Tribune , the Raleigh News & Observer , and the Atlanta Journal-Constitution . He lives outside Raleigh-Durham, North Carolina.

Features & Highlights

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  • One 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."
  • 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.

Customer Reviews

Rating Breakdown

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Most Helpful Reviews

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Fantastic, eye-opening memoir

Black Man in a White Coat is Damon Tweedy’s memoir of his experience as a black man getting into medical school up through becoming a practicing physician. At the very beginning of medical school, one of his professors mistook him for a maintenance worker even though he was dressed nicely and had been in his class for a month. Tweedy recounts his embarrassment, even though it was the professor who should have been embarrassed. He also talks about the mixed emotions he felt about a form of affirmative action being one of the reasons that he was admitted to Duke medical school.

Once he starts interacting with patients, he has a variety of experiences related to race that make him aware of the issues that both black doctors and black patients face. Some of them aren’t too surprising (although still horrible), like the white patient who didn’t want a black doctor. Some were very surprising to me. For instance, he encountered a black patient who didn’t want a black doctor. Tweedy backs up his personal examples with research that shows whatever issues he encounters exist on a larger scale. They are not isolated incidents experienced only by him.

Tweedy writes about medical information in an accessible manner with a conversational tone. My eyes were opened to race related issues in the medical field that I hadn’t previously considered. This is a great memoir that I highly recommend.
64 people found this helpful
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Honest look at racism and health disparities and one black doctor's success at overcoming these challenges

I enjoyed this book very much. It was easy to read (I finished it over two days) and readers do not need to have a background in medicine, public health, or the health sciences to understand it. I liked the tone too--Dr. Tweedy is humble yet still able to convey just how rare people like him are in the medical/health profession--middle/working class African-American who made it to Duke Medical School and improved his lot in life through hard work and education. He took advantage of an opportunity given to him--a full scholarship to Duke Medical School because Duke wanted to increase the number of minority (read "black") students. He discusses the challenges not only though primarily of being a black student there, how few of the students were like him, and some of the problems and challenges it created for him, not only in school but as he went through his clinical rotations, residency, and working as a doctor. The prime example is of how one of his professors thought he was a maintenance worker there to fix the lights in the classroom. Would the professor have made the same assumption about one of his white students? Not likely. And this happened despite the author being in this professor's class for a month! Reading this, and other instances of racism (such as the patients who flat out refused to be treated by a black doctor) made me sad, for Tweedy's tale does not take place during the Jim Crow era of segregation nor during the time of the fight for civil rights for blacks but from 1996 (he matriculated in medical school in 1996) to the present day--post MLK Jr.'s march and his "I have a dream" speech, post affirmative action and the backlash (with honorable mentions of the Bakke case). The book pointed out that though there are better opportunities for blacks, there is still a long way to go.

What Dr. Tweedy failed to point out as well, though it was written about in a more tertiary way, was the role socio-economic class and class issues worked hand-in-hand with racial issues to create a perfect storm for those like Dr. Tweedy who were trying to improve their lives and for the poor and working class patients he treated. He did discuss poverty, mentioned the struggles of the working poor who labored to pay their bills and put food on the table, to care for their children and their parents and still never had enough extra for health insurance. Poor communities lacked the better schools, better amenities, better health education, and more, which in turn cause health problems and result in the greater health disparities between blacks and whites. Whites tended to be better educated, have better jobs (that came with health insurance). He admitted that Duke spoiled him, and he too started making assumptions about patients, such as their use of community clinics because he assumed that they did not have jobs. He was surprised to learn that many of them were working, but either their jobs did not come with health insurance or they made too much money to qualify for Medicaid, and hence the poorer health outcomes for this population. He could see what poverty and lack of education and opportunities did to people in terms of their health--even for women who did the right things--such as finishing high school or community college, being employed and being married. He learned that most of his poorer patients were not ignorant deadbeats, but lacked the same opportunities in life that he had been given.

He seems to genuinely want to help people, and his book is a must-read for those who complain about the ACA (just get a job! don't be a deadbeat loser!), who seek to lay the blame for the poorer health outcomes solely on the poorer patients, who often live in food deserts (lacking access to good fresh vegetables and fruit and have limited choices for food), who may need to work to help support the family and thus do not finish high school, let alone have the ability or the opportunity to go to college, who may follow the patterns of their mothers, grandmothers, aunts, and older sisters in becoming teen mothers and thus further limiting their chances of getting out of poverty, who cannot afford to buy the medication they need to manage their health issues (diabetes, hypertension, high blood pressure, etc. are all more prevalent among blacks compared to whites).

I would have liked to know what propelled Dr. Tweedy to law school, and why he chose psychiatry as his specialty within the medical profession. Given his background and abilities, I think he would have made an excellent public health practitioner and perhaps have been able to make an even greater impact on those who need it most. Highly recommended.
2 people found this helpful
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I liked the book

Book arrived in a timely manner; I liked the book.
1 people found this helpful
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Information reading !

A must have in anyone's personal library. So informative!
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Great read! Feels conversational!

Eye opening book! I thoroughly enjoyed reading, and couldn't put it down!
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... book arrived exactly when said it would look new like I hoped also nice and clean

Recently received the book arrived exactly when said it would look new like I hoped also nice and clean...just started reading already in love with the right to the point honesty, Black Power.
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Five Stars

Amazing and inspiring
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Pretty good read gives a idea what a Black doc ...

Pretty good read gives a idea what a Black doc had to go through in the 70's and particularly in the
1980's.....
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Five Stars

excellent book, received in excellent condition
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I haven't quite finished it but I am amazed at the clarity of his writing and the importance ...

I haven't quite finished it but I am amazed at the clarity of his writing and the importance of the story. A must read from my point of view.