‘I’m A Black Female Doctor, And The Racism I Face In The ER Is Taking A Toll On My Mental Health'

Doobie Doo

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‘I’m A Black Female Doctor, And The Racism I Face In The ER Is Taking A Toll On My Mental Health'
Tasha Feaster, MD, as told to Rita Omokha
Thu, September 17, 2020, 8:32 AM EDT
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Photo credit: Dr. Tasha Feaster

From Women's Health

I can still remember one of my first encounters of discrimination and not-so-implicit racism on the job as an emergency room doctor. That morning in August 2009, I walked along the bright orange walls of the Dayton hospital where I was doing my rounds, greeting patients, and going from room to room. I entered a white man’s room. He was 87 and had a warmth to him.

With my clipboard in hand, coveted white coat on, stethoscope around my neck, I greeted him. “Hi, I’m Dr. Feaster.” (I remember it feeling so good saying that to patients after becoming an ER doc—I worked really hard to get there!) “What brings you here today?”

He was there because of chest pains. But even before he could tell me what was wrong, he couldn’t get past, well, me.


“Wow!” he said, chuckling. “You’re a woman? You’re a doctor? And you’re Black! You must be really smart.”

The room grew quiet. My mind was racing: Did he really say that? What do I say in response? I have to be a professional and not give anyone in this room any reason to believe the stereotypes of the “angry Black woman.” It took everything in me to not respond with, “Oh, you know, there’s that special part on the MCAT just for us Black women!”

Instead, I smiled and asked him again, “So, what brings you here today?”

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Photo credit: Dr. Tasha Feaster

They don’t prepare you for moments like that in medical school—and they don’t prepare you for the mental toll it will take.
My career as an ER doctor can be so overwhelming and exhausting simply given the nature of the job: long hours, dealing with illness and encountering death, communicating loss to families and loved ones. But that's not all I face every single day. You have to add the racism, microaggressions, and unconscious bias minority women in my position face in all areas of my work.

I'll give you another example. One time, I was sitting at my desk typing away, when I heard these two white nurses walk up behind me. And before I could even turn around and speak to them, all I heard was, "No, no, no, no, no!"

It turned out, one of the white nurses was about to touch my braids without my permission, when the other nurse yelled at her. "Dr. Feaster has taught me that you never ever touch a Black woman's hair without asking!"

I wear my hair in different styles. I might wear a wig one day, and then my natural hair on another day. (For the remainder of 2020, I'm wearing braids.)

"Oh, I'm sorry, I didn't know that,” the nurse said. “So, can I touch your hair?"

"No,” I told her. And then I made sure to add, “That concludes our lesson on cultural sensitivity for today.”

Add COVID-19 into the mix, and the emotional repercussions hit me even harder. Not only do I work anywhere from 12- to 14-hour shifts full of interactions like the ones I've described, but I am also now regularly treating patients for a deadly virus that disproportionately affects people that look like me (with both higher infection rates and morality rates) for a variety of reasons rooted in racism, including disparities in health care access as well as the fact that data collection on how the disease impacts people often leaves out communities of color. I'm 42, and I can't help but look at young Black patients in the ER with the disease and think, That could be me—a fear and unfair reality that only compounds the mental strain.

One important part of my self-care toolkit: offering teachable moments when whites still don’t understand how their behavior impacts me.

Another time, a white nurse came to me and complained about how she wasn’t getting respect from the white male doctors. She said that kind of unfairness could potentially be a discrimination case.

As she went on complaining, I finally told her, “Congratulations, now you know what it feels like to be a Black person every day.” The look on her face was priceless. I thought her mouth was going to fall off.

“I'm very serious,” I said. “All the anger and emotion you're feeling right now, I feel and deal with that on a daily basis. You're talking about one instance. For me, I'm talking about my entire life. This is what I feel. So, I want you to put that in context and think about that for a minute, and see if it changes your attitudes about certain things that you're seeing in the world.”

And another time, a white female doctor came over to me at work, fuming. “I’m tired of patients thinking I’m the nurse or the secretary!” she said.

“Have they ever mistaken you for the janitor?” I asked her.

“The janitor?” she looked confused. “No.”

“Have they ever mistaken you for their tech assistant?”

“No.”

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Photo credit: Dr. Tasha Feaster
I know she was trying to connect with me by saying our discrimination experiences are the same, but they are not. And they will never be.

These teachable moments make a big difference for my mental health. In my own way, I’m improving the environment I’m committed to every day, which ultimately helps long, trying days feel a little more manageable and comfortable.

I will continue to be *all* the things I am—a strong Black woman, doctor, girlfriend, mother, and sister-friend—and not let others chip away at my mental health.
I know that people have high expectations of me. I was raised with the understanding that Black women have to work twice as hard or have a superior work performance to even be considered average. I know I'm meant to fulfill a doctor-superhero image on top of that. But I'm as human as everybody else.

So part of how I allow myself to feel all my raw, human feelings and take care of myself is by turning to my physician girlfriends. Black female physicians—there are only 2 percent of us in the country—have to navigate this mental journey together.

That’s the good thing about having doctor friends in different fields—one of them happens to be a therapist, and we make a point to speak every week. We unload some of the things that we're seeing and feeling because we understand it. We tell each other things like, “I don’t know how to explain this feeling”—because we know and understand what that feeling is even when we can’t find the words for it.

I'm also making an effort to be more in the moment and make time with my family count. I am cherishing my children and appreciate those moments more than ever. I find myself looking at them from head to toe, sort of taking them in and observing all the details. I practice mindfulness and meditation and I am connecting more with my faith. I stay still and listen to my heart for about 10 to 15 minutes. It’s amazing how much you can unpack in that silence and by letting yourself just be.
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Gold

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Sadly this happens all the time. Every black female nurse/doctor i know tells me about this, not just medsurge either. Im sure the coli brehettes in the medical field will say the same.

And its not like they can fade their patients... lose your license for even touching them in some cases

:snoop:
 

Dr. Acula

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Mother is a doctor which I mentioned quite a few times and she has told me some crazy shyt she had to deal with. @Gold she actually did residency over at the medical center at Vandy.

You think patients are the worse but actually its other doctors. A lot of these doctors are fox news watching :mjpls: types.

I think the craziest story she told me was when she was working in the midwest and this new doctor she was working with was saying some slick racial shyt. My mother is very light skin but most black folks could tell she is black and black patients love her partly because they recognize it. Think Gina from Martin. But non-black people or white people don't really have the sixth sense to know someone got some black in them. She said something like "You know, I'm black?" to something he said I can't remember what she said it was. Now remember, this is an operating room with full ppe. They had on gown, gloves, goggles, masks, and head coverings. Supposedly this dude looked at her dumbfounded then had the balls to reach over without saying a word and pull her surgical cap or whatever off to see if she had "black hair". Just the entitled disrespect in feeling you can put your hands on someone else like that had me ready to fly up there to whoop his ass when she told me about it.

So, no lies were told here. This is why I never really wanted to go into the medical field. I couldn't deal with this shyt. My temper is too bad to deal with it. I would be punching nikkas on operating tables and shyt.
 

Gold

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Mother is a doctor which I mentioned quite a few times and she has told me some crazy shyt she had to deal with. @Gold she actually did residency over at the medical center at Vandy.

You think patients are the worse but actually its other doctors. A lot of these doctors are fox news watching :mjpls: types.

I think the craziest story she told me was when she was working in the midwest and this new doctor she was working with was saying some slick racial shyt. My mother is very light skin but most black folks could tell she is black and black patients love her partly because they recognize it. Think Gina from Martin. But non-black people or white people don't really have the sixth sense to know someone got some black in them. She said something like "You know, I'm black?" to something he said I can't remember what she said it was. Now remember, this is an operating room with full ppe. They had on gown, gloves, goggles, masks, and head coverings. Supposedly this dude looked at her dumbfounded then had the balls to reach over without saying a word and pull her surgical cap or whatever off to see if she had "black hair". Just the entitled disrespect in feeling you can put your hands on someone else like that had me ready to fly up there to whoop his ass when she told me about it.

So, no lies were told here. This is why I never really wanted to go into the medical field. I couldn't deal with this shyt. My temper is too bad to deal with it. I would be punching nikkas on operating tables and shyt.

The fukk....

i felt the disrespect all the way from over here. :picard:


He lucky your mom didnt give him a scapel to the face :ufdup:
 

CodeBlaMeVi

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Mother is a doctor which I mentioned quite a few times and she has told me some crazy shyt she had to deal with. @Gold she actually did residency over at the medical center at Vandy.

You think patients are the worse but actually its other doctors. A lot of these doctors are fox news watching :mjpls: types.

I think the craziest story she told me was when she was working in the midwest and this new doctor she was working with was saying some slick racial shyt. My mother is very light skin but most black folks could tell she is black and black patients love her partly because they recognize it. Think Gina from Martin. But non-black people or white people don't really have the sixth sense to know someone got some black in them. She said something like "You know, I'm black?" to something he said I can't remember what she said it was. Now remember, this is an operating room with full ppe. They had on gown, gloves, goggles, masks, and head coverings. Supposedly this dude looked at her dumbfounded then had the balls to reach over without saying a word and pull her surgical cap or whatever off to see if she had "black hair". Just the entitled disrespect in feeling you can put your hands on someone else like that had me ready to fly up there to whoop his ass when she told me about it.

So, no lies were told here. This is why I never really wanted to go into the medical field. I couldn't deal with this shyt. My temper is too bad to deal with it. I would be punching nikkas on operating tables and shyt.

I remember my parents wanted to push me towards the medical field but truth be told, shyt like this would’ve made me let these CACs die. :yeshrug:
necessary sacrifice. Can’t 100% leave our health and care in the hands of cacs.
 

ThrobbingHood

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I get racist patients all the time, really don't give af to be honest :yeshrug:.
What do you do?

necessary sacrifice. Can’t 100% leave our health and care in the hands of cacs.
Having black officers is a necessary sacrifice. As well black teachers etc. Salute to those willing to deal with the outright Institutional racism they have to deal with day in day out.

Me? I wouldn’t uphold my Hippocratic oath with those racist faggits. Imagine me saving the life of someone who wouldn’t spit on me if I was on fire? Or protecting a CAC dropping the n-bomb constantly? Couldn’t be me.

I’ve heard too many stories from extended family in the medical field, where the outright disrespect is just disgusting.
 

get these nets

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So, no lies were told here. This is why I never really wanted to go into the medical field. I couldn't deal with this shyt. My temper is too bad to deal with it. I would be punching nikkas on operating tables and shyt.
Was with you until the quoted part.
Overt racism is what kept you from pursuing a career in the medical field??

What arena of life or occupation is free from overt racism?
 

Dr. Acula

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The fukk....

i felt the disrespect all the way from over here. :picard:


He lucky your mom didnt give him a scapel to the face :ufdup:
She supposedly told him off and he never tried it with her again from what I remember her telling me.

Trying to think of some other stuff. Supposedly, the same doctor also used to tell a nurse or nurse assistant or something like that that I guess was Mexican, that she is a "mexican not a mexican't" (:mjlol:) when she made a mistake. Also, she supposedly worked with this Irish doctor, who for some reason decided to go work in the podunk midwest, who had no problem using words like c00n and jiggaboo. Countless stories saying inappropriate things about patients who were knocked out while they are being worked on like commenting on parts of their bodies.

Where she is currently working, there is a white doctor who is again another this fox news right wing racist cacs who told a nurse and my mother happened to hear it, that you have to use more force to insert needles in black patients because they "thicker skin" and it doesn't hurt them as much. He is also the same dude who supposed torpedoed this black woman's chances from joining the group claiming she was "not a good fit" and instead of going with the black woman doctor, they hired some white male doctor who turned out to have a past of stealing drugs from his previous work place and almost found with a kilo of weed and obviously selling that shyt. Also tons of stories related to how money is becoming more important than helping patients among hospital administrators and a lot of push to do cases faster to bring in more money as opposed to making sure you do it safely.

Based on all the stuff she told me, I've lost a lot of respect for doctors as a profession tbh.
 

Commish

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I feel Brehette. This is why she needs a strong support system because truth be told, her experiences mirrors damn near every Black persons experience in the workforce.

I know it is convenient to discuss passive and aggressive racism from white folks and other non-Blacks, but when will there be a serious discussion about the bullsh*t that Black folks have to deal with from other Black folks at the job? Seems like that gets swept under the rug, but also can be mentally and emotionally taxing after a while.
 
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ThrobbingHood

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Was with you until the quoted part.
Overt racism is what kept you from pursuing a career in the medical field??

What arena of life or occupation is free from overt racism?
There’s different levels of racism we all have to deal with. The difference is, in my field for example, someone’s life isn’t in my hands where they can blatantly refuse to see me because of my race. Or where doctors and nurses can be openly dismissive.
 
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