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Black Man in a White Coat: A Doctor's Reflections on Race and Medicine
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Review
“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
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About the Author
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.
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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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