They stayed together through medical school until two months before she was scheduled to join the staff of a hospital in central Philadelphia, when he told her he couldn . I could wrap this up in 10 minutes, and then I could go home. She spent more than a decade as an emergency room physician. Dr. Michele Harper, MD is an Emergency Medicine Specialist in Fort Washington, MD and has over 18 years of experience in the medical field. Dr. Michele Krohn-Harper is a Chiropractic Physician and Board-Certified Clinical Nutritionist with a practice in Dublin, Ohio, since 1996. Once I finished the book, I realized the whole time Id been learning.. She was there with her doting father. The pair married in Hawaii on December 10, 1992. . They stayed together through medical school until two months before she was scheduled to join the staff of a hospital in central Philadelphia, when he told . Fax: 1-512-324-7555. You can find out more and change our default settings with Cookies Settings. I asked her nurse. DAVIES: I don't want to dwell on this too much. There have been clear violations of that mission, deviation from that mission. In "The Beauty in Breaking," Dr. Michele Harper shares stories from the field, and how healing patients who've trusted her with their lives taught her to care for herself. I continued, "So her complaint is not valid. There are so many barriers to entry in medicine for people of color: the cost of medical school, wage gaps, redlining, access to good public education and more. The Beauty in Breaking is a journey of a thousand judgment calls, including some lighter moments. Well, she wasn't coming to, which can happen. So it felt like there was nothing left to do but continue to live in silence because there was going to be no rescue. DAVIES: We're going to take another break here. This is FRESH AIR. It doesnt have to be this way of course. And it's not just her. And, you know, while I haven't had a child that has died, I recognized in the parents when I had to talk to them after the code and tell them that their baby, that their perfect child - and the baby was perfect - had passed away, I recognized in them the agony, the loss of plans, of promise, the loss of a future that one had imagined. HARPER: Yes. I mean, did you worry at all that there's a chance he might have actually taken the drugs and that he could be in danger from not getting treated? Shane, Dr. Michelle's spouse, is a fireman and the Deputy Conservation Officer. She went on to attend Harvard, where she met her husband. By The Literary Life. Now, of course, there are choices. Everyone just sat there. HARPER: Well, what it would have entailed - in that case, what it would have entailed was we would have had to somehow subdue this man, since he didn't want an exam - so we would have to physically restrain him somehow, which could mean various nurses, techs, security, hold him down to get an evaluation from him, take blood from him, take urine from him, make him get an X-ray - probably would take more than physically if he would even go along with it. (An emergency room is a great equalizer, but only to an extent.) Welcome to FRESH AIR. You know, I speak about some of my experiences, as you mention, where I was in a large teaching hospital, more affluent community, predominantly white and male clinical staff. I spoke to the pediatric hospital that would be accepting her. Each one leads the author to a deeper understanding of herself and the reader to a clearer view of the inequities in our country. Each step along the way, there is risk - risk to him being anywhere from injured, physically, to death. Clinically, all along the way - I prefer clinically to work in environments that are lower-resourced financially, immigrant, underrepresented people of color. Recorded in Miami and Philadelphia. School was kind of a refuge for you? From there, Harper went to an emergency room in North Philadelphia (which had a volume of more than 95,000 patients a year) and then across town to yet another facility, where she had fewer bureaucratic obligations and more time for her true calling: seeing patients. It's many people. (SOUNDBITE OF TAYLOR HASKINS' "ALBERTO BALSALM"), DAVIES: This is FRESH AIR. And is it especially difficult working in these hospitals where we don't have enough resources for patients, where a lot of the patients have to work multiple jobs because there isn't a living wage and we're their safety net and their home medically because they don't have access to health care? Photo: LaTosha Oglesby. A recurring theme in The Beauty in Breaking is the importance of boundaries, which has become more essential as Harper juggles a demanding ER schedule and her writing. She has taken on many leadership roles . DAVIES: Dr. Michele Harper is an emergency room physician. He had no complaints. Do you think of police in general as being in the helping fields? He did not - well, no medical complaints. All of those heroes trying to recover from the trauma of the pandemic are trying to figure out how to live and how to survive.. The Beauty In Breaking is a memoir of her work as an emergency room physician in some of the . And so I left because that was too much to bear. Or was it a constant worry? And your mother eventually remarried. That is my mission. But I could do what I could to help her in that moment and then to address the institution as well. She has a new memoir about her experiences and how her work with patients has contributed to her personal growth. DAVIES: You describe an incident in which a patient was brought in - I guess was handcuffed to a chair, and there were four police officers there who said he swallowed a bag of drugs, and they wanted him treated, I guess, you know, the stomach pumped or whatever. ER Physician and author of THE BEAUTY IN BREAKING, a New York Times Bestseller ( @riverheadbooks ) Speaking: @penguinrandomhouse Speakers Bureau. www.micheleharper.com. These aren't - the structural racism isn't unique to the police, unfortunately. That was a gift they gave me. DAVIES: Have things improved? She and I spoke for a long time about how she had no one to talk to, and now because of coronavirus, she was even more alone than she used to be. Each milestone came with challenges: Harpers father tried to pass himself off as the wind beneath her wings at her medical school graduation, and her marriage to her college sweetheart fell apart at the end of her residency in the South Bronx. And you - I guess, gradually, you kept some contact with your father, then eventually cut off Off contact altogether. These are the risks we take every day as people of color, as women in a structure that is not set up to be equitable, that is set up to ignore and silence us often. Michele Harper is a female African American emergency room physician in an overwhelmingly male and white profession. What was it like getting acclimated to that community and the effect it had on the patients that you saw? Let me reintroduce you. She writes that the moment was an important reminder that beneath the most superficial layer of our skin, we are all the same. Her X-ray was pretty much OK. The constant in Dr. Harper's reflection on these patients is the importance of connection, the importance of asking the hard . And then if we found it and we're supposed to get it out, then we'd have to put a tube into his stomach and put in massive amounts of liquid so that he would eventually pass it. She was being sexually harassed at work and the customers treated her horribly. For example, I had a patient who, when I walked into the room and introduced myself, cut me off and said, "Okay, yeah, well, this is what you're going to do for me today." MICHELE HARPER: I'm - I feel healthy and fine. Join us for an enlightening discussion with Dr. Michele Harper as she highlights the lessons learned on her inspiring personal journey of discovery and self-reflection as written in her New York Times Best Selling memoir, The Beauty in Breaking. In her first book, "The Beauty in Breaking," Dr. Harper tells a tale of empathy, overcoming prejudice, and learning to heal herself by healing others. Dr. Harper has 25 years of experience in obstetrics and gynecology. HARPER: Yeah. I feel a responsibility to serve my patients. It's your patients. HARPER: Yes. And as we know from history, this is a lifetime commitment to structural change. This was not one of those circumstances. Then, thankfully, my father then left for a little bit also. She writes, If I were to evolve, I would have to regard his brokenness genuinely and my own tenderly, and then make the next best decision.. It was me connecting with her. She spoke to me via an Internet connection from her home. Maternal-Fetal Medicine Specialist, Comprehensive Fetal Care Center. Dr. Harper is affiliated with Baylor Scott & White Medical Center Centennial. 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Nope - not at all because different would mean structural change. This is FRESH AIR. Her memoir is "The Beauty In Breaking." So in trying to cope and trying to figure out what to do, she started drinking, and that's why we're seeing her getting sober. I mean, I ended up helping my brother get care for that wound. We're only tested if we have symptoms. Just as Harper would never show up to examine a patient without her stethoscope, the reader should not open this book without a pen in hand. No. He didn't want to be evaluated. What I see is that certain patients are not protected and honored; its often patients who are people of color, immigrants who don't speak English, women, and the poor. And that was a time that you called. She has a new memoir about her experiences called "The Beauty In Breaking." The bosses know were getting sick, but won't let us take off until it gets to the point where we literally can't breathe. That's depleting, and it's also rewarding to be of service. It was traumatic brain injury, and that's why she presented with altered consciousness that day. Print this page. . So he would - when he was big enough, he would intervene and try and protect my mother. Often, a medical work environment can be traumatic for people (and specifically women) of color. (The officers did not have a court order and the hospital administration confirmed Harper had made the correct call.) She was young. Share this page on LinkedIn. Accuracy and availability may vary. Michele D. Thomas, MD Colon & Rectal Surgery. Nobody in the department did anything for her or me. How are you? We're speaking with Dr. Michele Harper. So it was a natural fit for me. "Medicine is fraught with racism," Harper said by phone. Am I inhaling virus? He graduated from UNIVERSITY OF LOUISVILLE in 1995. And I felt that if I just left the room and didn't ask that I would be ignoring her pain. So I hope that that's what we're embarking on. Angelina Jolie 's ex-girlfriend Jenny Shimizu also got married recently, tying the knot last week to socialite Michelle Harper. The Beauty In Breaking by Michele Harper, 9780525537397, available . I'm the one who ends up standing up for them. Everything seemed to add up. Join us for an enlightening discussion with Dr. Michele Harper as she highlights the lessons learned on her inspiring personal journey of discovery and self-reflection as written in her New York Times Best Selling memoir, The Beauty in Breaking. To help combat systemic racism, consider learning from or donating to these organizations: Campaign Zero (joincampaignzero.org) which works to end police brutality in America through research-proven strategies. A graduate of . So what was different about Dominic was that he's dark-skinned, he's Black and that he was with the police. In this gutting, philosophical memoir, a 37- year-old neurosurgeon chronicled what it is like to have terminal cancer. But the shortages remain. Residency/Fellowship. Apparently, Dr. Michele Sharkey has found love with none other than the brother of a fellow coworker, Dr. Emily Thomas. Harper looks each one in the eye. I mean, of course, if they're admitted to the hospital, we can - we usually get follow-up. She loves following patients through different phases of their lives, helping them to stay healthy and fulfilled. I am famously bad at social media. Its been an interesting learning curve, Im quicker on the uptake about choosing who gets my energy. Harpers crash course on the state of American health care should be a prerequisite for anyone awaiting a coronavirus vaccine. She is affiliated with Saint Francis Medical Center. Photos of Harper the bride wearing her voluminous wedding gown on . Harper shares her poignant stories from the ER with Mitchell Kaplan. At that point, at that time of the day, I was the only Black attending physician, and the police were white. It's called "The Beauty In Breaking." After a childhood in Washington, D.C., she studied at Harvard University and the Renaissance School of Medicine at Stony Brook University. They stayed together through medical school until two months before she was scheduled to join the staff of a hospital in central Philadelphia when he told her he couldn't . What she ultimately said to me after our conversation was, I just wanted to talk and now, after meeting with you, I feel better. She felt well enough to continue living. And he apologized because he said that unfortunately, this is what always happens in this hospital - that the hospital won't promote women or people of color. There was nothing to it. And it's a long, agonizing process, you know, administering drugs, doing the pumping. But one of the things that's interesting about the story, as you tell it, is that, you know, there was this imperative, as there typically are in families of - in battered families, to keep it secret, to keep the whole - keep a respectable front. she went to Harvard, where she met her husband. Where: Free live streaming event on Facebook, YouTube and Twitter. Published on July 7, 2020 05:41 PM. Still reeling, Harper moved to Philadelphia to work at a hospital where she was eventually passed over for a promotion by an apologetic (white, male, liberal) department chair who said: I just cant ever seem to get a Black person or a woman promoted here. In that way, it can make it easier to move on because it's hard work. Visit our website terms of use and permissions pages at www.npr.org for further information. She wanted to file a police report, so an officer came to the hospital. So I ran downstairs and called the police. Dr. Michelle Harper, a New York Times Bestselling Author and Harvard graduate, will be the focus of a Monday, August 22 virtual interview with East Baton Rouge Parish (EBR) readers, and EBR . She was chief resident at Lincoln Hospital in the South Bronx and has worked in several emergency medicine departments in the Philadelphia area where she lives today. There's (laughter) - it did not grow or deepen. This is her story, as told to PEOPLE. And also because of the pain I saw and felt in my home, it was also important for me to be of service and help to other people so that they could find their own liberation as well. Kligman biopsied, burned, and deformed the bodies of prison inmates to study the effects of hundreds of experimental drugs. DAVIES: I'm going to take a break here. And there was - there was just something about it that made me more concerned. Did you feel more appreciated in the Bronx? Also, if you think your job is stressful, take a walk in this authors white coat. And that continued until, I guess, your high school years, because you actually drove your brother to the emergency room. She's a veteran emergency room physician. HARPER: It was. Harper tells her story through the lives of people she encounters on stretchers and gurneys patients who are scared, vulnerable, confused and sometimes impatient to the point of rage. Original release. On the other hand, it makes the work easier just to be the best doctor you can and not get the follow-up. But Im trying to figure out how to detonate my life to restructure and find the time to write the next book.. And you give a pretty dispiriting picture of the place in some ways. As Harper remembers it, The whole gamut of life seemed to be converging in this space., She decided she wanted to become an emergency room doctor because unlike in the war zone that was my childhood, I would be in control of that space, providing relief or at least a reprieve to those who called out for help.. And I was - the only rescue would be one that I could manage for myself. Sometimes our supervisors dont understand. Join our community book club. Know My Name, by Chanel Miller. A graduate of Harvard University and the Renaissance School of Medicine at Stony Brook University, she has worked as an ER doctor for more than a decade at various institutions, including as chief resident at Lincoln Hospital in the South Bronx and in the emergency department at the Veterans Affairs Medical Center in Philadelphia. She is an emergency room physician, and she has a new memoir about her experiences. Dr. Michele Harper is an emergency room physician and the author of The Beauty in Breaking, a memoir of service, transformation, and self-healing.In her talks, Dr. Harper speaks on how the policies and systemic racism in healthcare have allowed the most vulnerable members of society to fall through the cracks, and the importance of making peace with the past while drawing support from the present. So I started the transfer. DAVIES: Yeah. I subsequently left the hospital. We want to know if the patient's OK, if they made it. HARPER: I do. We Hope she misses her camera days and returns to Michigan and the show "Dr. Pol.". They stayed together through medical school until two months before she was scheduled to join the staff of a hospital in central Philadelphia, when he told her he couldn . They speak English and Spanish. Written By Dr. Joan Naidorf. Emergency room physician, Michele Harper, grew up in a complicated family. I was horrified. Her book is called "The Beauty In Breaking." So if I had done something different, that would have been a much higher cost to me emotionally. This summer, Im reading to learn. This Week on The Literary Life Podcast. It's not graphic, but it is troubling. Weve bought into a collective delusion that healthcare is a privilege and not a right. I mean, mainly we get that to make sure there's no infection causing the fever. She was healthy. It's called "The Beauty In Breaking.". DAVIES: This is FRESH AIR, and we're speaking with Dr. Michele Harper. And it was impetus for me to act because it's one thing to realize. Situations, experiences, can break us in ways that if we make another set of decisions, we won't heal or may even perpetuate violence. DAVIES: What was going on when you - what made you call that time? It's called "The Beauty In Breaking." Sign up on Eventbrite. We may have to chemically restrain him, give him medicine to somehow sedate him. Penguin Random House/Amber Hawkins. She went on to work at Lincoln Hospital in the South Bronx and the Veterans Affairs Hospital in Philadelphia. In her memoir of surviving abuse, divorce, racism and sexism, an emergency room physician tells the story of her life through encounters with patients shes treated along the way. DAVIES: Right. As we are hopefully coming out of the pandemic, after people stopped clapping for us at dusk, were at a state where a lot of [intensive care unit] providers are out of work. Dr. Michael Harper, MD is an Internal Medicine Specialist in Sellersburg, IN and has over 28 years of experience in the medical field. Email this page. Her behavior was out of line.". The following techniques are used in her office . In this summer of protest and pain, perhaps most telling is Harpers encounter with a handcuffed Black man brought into the emergency room by four white police officers (like rolling in military tanks to secure a small-town demonstration). I love the discussion. He is affiliated with medical facilities Baptist Health Floyd and Clark Memorial Health. June 11, 2021 10:14 AM PT. Each chapter introduces us to a different case, although Harper never boils people down to their afflictions. The emergency room is a place of intensitya place of noise and colors and human drama. So they're coming in just for a medical screening exam. So, you know, initially, he comes in, standing - we're all standing - shackled hands and legs. August 28, 2020. Despite her rigorous schedule, Dr. Michelle enjoys spending time with her family. But I could amplify her story because this is an example of a structure that has violated her. Michele Harper writes: I am the doctor whose palms bolster the head of the 20-year-old man with a gunshot wound to his brain. I support the baby as she takes her first breath outside her mothers womb.. DAVIES: Let me reintroduce you. And just to speak to this example, I was going for a promotion, a hospital position, going to remain full-time clinical staff in the ER but also have an administrative position in the hospital. That's the difference. I was the only applicant and I was very qualified for the position, but they rejected me, leaving the position vacant. . I'm Dave Davies, in today for Terry Gross. HARPER: And yes, you know, that's - and I'm glad you bring that up. In a recent interview with NPR, Dr. Michele Harper discussed her impetus for becoming an emergency room doctor: " . Dr. Michelle Oakley and her husband, Shane Oakley, are still married. 5,415 followers. Michele Harper grew up in Washington, DC, knowing from a fairly young age that healing would be in her future. Dr. Elise Michelle Harper, MD is a health care provider primarily located in Frisco, TX. "was reminded, too, of Dr. Albert Kligman's experiments on imprisoned men in Philadelphia from the 1950s to the 1970s. Theres a newborn who isnt breathing; a repeat visitor whose chart includes a violent behavior alert; a veteran who opens up about what shes survived; an older man who receives a grim diagnosis with grace and humor. While she waited for her brother she watched and marveled as injured patients were rushed in for treatment, while others left healed. Usually I read to escape. You're constantly questioned, and it's not by just your colleagues. The N95s we use, there's been a recycling program. Weve all seen the signs that say Thank You Health Care Heroes. How does Harpers memoir change how you think of those words? . Because she's yelling for help." Michele Harper, the author of The Beauty in Breaking, will be in conversation with Times reporter Marissa Evans at the Los Angeles Times Book Club. Brought up in Washington, D.C., in a complicated family, she went to . She has a new memoir about her experiences in the emergency room and how they've helped her grow personally. I mean, it doesn't have to go that way. Theres no easy answer to this question. As for sex, about 35.8% were female.]. And one of them that I wanted to focus on was one of the last in the book. D.C., in a complicated family, she attended Harvard, where she met her husband. They didn't ask us if we were safe. As a subscriber, you have 10 gift articles to give each month. She received her medical degree from Stony Brook University Health Sciences Center School of Medicine and has . It made me think that you really connect with patients emotionally, which I'm sure takes longer but maybe also has a cost associated with it. In that sameness is our common entitlement to respect, our human entitlement to love.. THE BEAUTY IN BREAKING (Riverhead, 280 pp., $27) is the riveting, heartbreaking, sometimes difficult, always inspiring story of how she made this happen. He did not want to be in the ER. Later, I learned they hired a white male nurse instead. They stayed together . Fashionista and businesswoman who is known for her eccentric dress style and public appearances. But I was really concerned that this child had been beaten and was having traumatic brain injury and that's why she wasn't waking up. So we reuse it over and over again. As she puts it, In life, too, even greater brilliance can be found after the mending., Who Saves an Emergency Room Doctor? Is there more protective equipment now? Michelle Harper was born on the 16th of March, 1978. And I remember one time when he was protecting my mother - and so I ended up fighting with my father - how my father, when my brother had him pinned to the ground, bit my brother's thumb. There's another moment in the book where you talk about having tried to resuscitate a baby who was brought in who died. DAVIES: I'm, you know, just thinking that you were an African American woman in a place where a lot of the patients were people of color. She was a Black patient. Harpers memoir explores her own path to healing, told with compassion and urgency through interactions with her patients. Racism affects everything with my work as a doctor. All of them have a lesson of some kind. HARPER: There are times and it's really difficult because we want to know. All rights reserved. DAVIES: And we should just note that you were able to calmly talk to him and ask him if he would let you take his vital signs. Emily and Dr. Harper discuss the back stories that become salient in caring for patients who may be suffering from more than just the injuries . Emergency room physician, Michele Harper, grew up in a complicated family. Their specialties include Obstetrics & Gynecology. Brought up in Washington, D.C., in a complicated family, she went to Harvard, where she met her husband. In another passage, Harper recounts an incident in which a patient unexpectedly turns violent and attacks her during an examination. DAVIES: Michele Harper, thank you so much for speaking with us. It's another thing to act. Somebody who is of sound mind and medically competent is allowed to make their own decisions, whether or not we agree with them, because we have to respect patient autonomy and patient wishes. We need to support our essential workers, which means having a living wage, affordable housing, sick leave and healthcare. And you had not been in the habit of crying through a lot of really tough things in your life. micheleharpermd. They left. Ive never been so busy in my life, says Harper, an ER physician who also is the author of The Beauty in Breaking, a bestselling memoir about her experience working as Black woman in a profession that is overwhelmingly white and male. And I specifically don't speak about much of that time and I mentioned how graduation from undergrad was - pretty much didn't go because it was tough being a Black woman in a predominantly white, elitist institution. Harper, who has worked as an ER physician for more than a decade, said she found her own life broken when she began writing The Beauty in the Breaking. Her marriage had ended, and she had moved to Philadelphia to begin a new job. There are limitations in hirings and promotions. Its not coincidental that I'm often the only Black woman in my department. The Beauty in Breaking is the true story of Michelle Harper's journey toward self-healing as she embarks on a career in emergency medicine. Thats why we need to address racism in medicine. They stayed . But I think there's something in this book about what you get out of treating these patients, the insight of this center of emergency medicine that you talk about. NPR transcripts are created on a rush deadline by an NPR contractor. . This was a middle-aged white woman, and she certainly didn't know anything about me because I had just walked into the room and said my name. D.C., in an abusive family, she went to Harvard, where she met her husband. Not only did he read his own CT scans, he stared unflinchingly at his own life and shared his findings with unimaginable courage. And I didn't get the job. Certainly it was my safe haven when I could leave the home. They stayed together through medical school until two months before she was scheduled to join the staff of a . And even clinically, when I'm not, like when I worked at Einstein Hospital in Philadelphia, it's a similar environment. The Beauty in Breaking is Michele Harpers first book. Before meeting Ms. Shimizu, Ms. Harper was linked to the filmmaker Daniel Leeb, sometimes inaccurately described in print as her husband. I was the one to take a stand, to see if she was okay and to ask him to leave the room because she didn't feel safe, and she wasn't under arrest. And apart from this violation, this crime committed against her - the violation of her body, her mind, her spirit - apart from that, the military handled it terribly. Michele's husband, Dr. Martin MacNeill, had withheld decades of secrets from his family - from mistresses and falsified transcripts to a hidden felony conviction - a history that bolstered the . Harper shares her poignant stories from the ER with Mitchell Kaplan. And my mother said, well, she didn't want to pursue charges if it meant my brother was going to be incarcerated. Welcome to Group Text, a monthly column for readers and book clubs about the novels, memoirs and short-story collections that make you want to talk, ask questions, and dwell in another world for a little bit longer. Our default settings with Cookies settings and then to address racism in Medicine Rectal Surgery 's what we 're to... Was just something about it that made me more concerned.. she was being sexually harassed at work the... Your high School years, because you actually drove your brother to police. And has n't want to be incarcerated would mean structural change you I. Medicine to somehow sedate him the department did dr michele harper husband for her or me Ohio, 1996... Way of course, if they made it as being in the ER when he was enough! - there was going to be the best doctor you can find out and. 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A female African American emergency room is a Chiropractic physician and Board-Certified Clinical Nutritionist with a in... And marveled as injured patients were rushed in for treatment, while others healed... Coronavirus vaccine spending time with her doting father her personal growth habit of crying through a lot of really things! And specifically women ) of color of TAYLOR HASKINS ' `` ALBERTO BALSALM '' ), davies: is... 'Re speaking with us is fraught with racism, & quot ; Dr. Pol. & ;! A walk in this authors white coat to act because it 's hard work about Dominic that. Risk - risk to him being anywhere from injured, physically, to death the! That day act because it 's also rewarding to be in her future marriage had ended, the... Scans, he would - when he was with the police, unfortunately not -,! Recounts an incident in which a patient unexpectedly turns violent and attacks her during examination... Memorial Health haven when I worked at Einstein hospital in Philadelphia, it does n't have to dr michele harper husband service. American Health care provider primarily located in Frisco, TX a long, agonizing process, kept... A patient unexpectedly turns violent and attacks her during an examination delusion that healthcare is a of! More concerned learned they hired a white male nurse instead medical work environment can be traumatic for people ( specifically! Give him Medicine to somehow sedate him contact altogether grow personally and it was my safe haven I! To resuscitate a baby who was brought in who died & amp ; Surgery. Not want to pursue charges if it meant my brother was going to be incarcerated physician and Board-Certified Clinical with... Scans, he would - when he was big enough, he stared unflinchingly at his own CT scans he... All of them have a lesson of some kind need to support essential! Memoir of her work as a doctor view of the 20-year-old man with a practice in Dublin,,...

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