cover image 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

Damon Tweedy. Picador, $26 (304p) ISBN 978-1-250-04463-1

In this eye-opening memoir, Tweedy, a black psychiatrist who interned at Duke University Medical School in the mid-1990s, vigorously confronts his profession and its erratic treatment of African-American patients. Tweedy, raised in a segregated working-class neighborhood, gets a full scholarship to the white academic world of Duke, where he's challenged on every level, including by a professor who wrongly assumes he's a janitor. Though Duke, like many elite colleges, tried to recruit minority students, Tweedy notes that the constant subliminal and overt racism at the school%E2%80%94which former professor Henry Louis Gates Jr. termed "the Plantation"%E2%80%94caused many non-white recruits to suffer self-doubt and anxiety. His painful anecdotes, both as an intern and physician, show the critical health crisis within the black community; his patients included a drug-addicted girl pregnant with a dead infant, an older woman suffering from high blood pressure and diabetes, a man struggling with mental illness, and a young woman who contracted AIDS from her boyfriend. Tweedy nicely unravels the essential issues of race, prejudice, class, mortality, treatment, and American medicine without blinking or polite excuses. (Sept.)