Black Man in a White Coat

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by Damon Tweedy, M. D.


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  Acknowledgments

  It’s hard for me to believe that I’ve actually written a book, and I’d feel like a cheat if I left taking all of the credit. The first round of thanks goes to all of the patients and patient family members who have allowed me into their lives. I am a better person for having gotten to know each of you, however briefly, and I can only hope that I’ve returned some small part of this goodwill back into your lives.

  On the writing front, Rebecca Gradinger has been all one can ask for in a literary agent. When she offered to represent me, I knew that I was in good hands. The same is true for my editor, Anna deVries, whose diligent efforts shaped this book into something much grander than I initially envisioned.

  Several people were immensely helpful at the early stages of the writing process, including Tom Linden, Doris Iarovici, Peder Zane, Peggy Payne, and Paul Austin. Jane Harrigan deserves special mention in this regard; without her, I seriously doubt I would have ever gotten an agent or book contract. Longtime friends Christine Wilder, Kevin Woodson, and Jattu Senesie all provided valuable insights and edits.

  My supervisors and colleagues at Duke University Medical Center and the Durham VA Medical Center have been wonderful in supporting my professional life as a psychiatrist. There are too many of you to name individually, but you know who you are. Special mention must go out to H. Keith Brodie, Dan Blazer II, Jean Spaulding, and Brenda Armstrong—all Duke mainstays—for their advice, encouragement, and support throughout my work on this book.

  I’d be remiss without thanking the authors whose books on medicine and race I’ve cited in the bibliography. Each of you, in your own way, has been an inspiration for my efforts.

  Finally, I have to end by giving thanks to my family. I’m a loner by nature and don’t make friends easily, so you all have really been my foundation. Mom and Dad, I’ll never be able to express how grateful I feel to have been born into your home. To my brother, Bryan, the example you’ve set as student, husband, and father is one that all young black men should have. And to Kerrie, my wife, you and our two boys are what make every day worth living.

  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 a staff physician at the Durham VA Medical Center. He has published articles about race and medicine in the Journal of the American Medical Association 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, with his family. You can sign up for email updates here.

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  Contents

  TITLE PAGE

  COPYRIGHT NOTICE

  INTRODUCTION

  PART I: DISPARITIES

  1: PEOPLE LIKE US

  2: BABY MAMAS

  3: CHARITY CARE

  4: INNER-CITY BLUES

  PART II: BARRIERS

  5: CONFRONTING HATE

  6: WHEN DOCTORS DISCRIMINATE

  7: THE COLOR OF HIV/AIDS

  PART III: PERSEVERANCE

  8: MATCHING

  9: DOING THE RIGHT THING

  10: BEYOND RACE

  NOTES

  SELECTED BIBLIOGRAPHY

  ACKNOWLEDGMENTS

  ABOUT THE AUTHOR

  COPYRIGHT

  The names and identifying features of patients and their family members have been changed to preserve their confidentiality. I have also changed the names and identifying details of medical students, nurses, and doctors to protect their privacy, with the exception of those doctors whom I identify by their full name. Some dialogue has been reconstructed to the best of my recollection.

  BLACK MAN IN A WHITE COAT. Copyright © 2015 by Damon Tweedy. All rights reserved. For information, address Picador, 175 Fifth Avenue, New York, N.Y. 10010.

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  Portions of this book were previously published in “A Case of Racism and Reconciliation,” by Damon S. Tweedy, M.D., Annals of Internal Medicine 156, no. 3 (2012): 246–47, and “A Perfect Match,” by Damon S. Tweedy, M.D., Journal of the American Medical Association 307, no. 7 (2012): 673. Copyright © 2012 American Medical Association. All rights reserved. Other material in this book has appeared in different forms in the Raleigh News and Observer and the Atlanta Journal-Constitution.

  eCover design by Henry Sene Yee

  eCover photograph by Vstock/Alamy

  Our eBooks may be purchased in bulk for promotional, educational, or business use. Please contact the Macmillan Corporate and Premium Sales Department at 1-800-221-7945, ext. 5442, or by e-mail at [email protected].

  The Library of Congress Cataloging-in-Publication Data is available upon request.

  ISBN 978-1-250-04463-1 (hardcover)

  ISBN 978-1-250-04464-8 (e-book)

  e-ISBN 9781250044648

  First e-Edition: September 2015

 

 

 
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