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The Beauty in Breaking: A Memoir Hardcover – July 7, 2020

4.3 out of 5 stars 3,477 ratings

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A NEW YORK TIMES BESTSELLER

A
New York Times Notable Book

“Riveting, heartbreaking, sometimes difficult, always inspiring.” —
The New York Times Book Review

“An incredibly moving memoir about what it means to be a doctor.” Ellen Pompeo

As seen/heard on Fresh Air, The Daily Show with Trevor Noah, NBC Nightly News, MSNBC, Weekend Edition, and more

An emergency room physician explores how a life of service to others taught her how to heal herself.


Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. Brought up in Washington, D.C., in a complicated family, she went to Harvard, where she met her husband. 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 move with her. Her marriage at an end, Harper began her new life in a new city, in a new job, as a newly single woman.

In the ensuing years, as Harper learned to become an effective ER physician, bringing insight and empathy to every patient encounter, she came to understand that each of us is broken—physically, emotionally, psychically. How we recognize those breaks, how we try to mend them, and where we go from there are all crucial parts of the healing process.

The Beauty in Breaking is the poignant true story of Harper’s journey toward self-healing. Each of the patients Harper writes about taught her something important about recuperation and recovery. How to let go of fear even when the future is murky: How to tell the truth when it’s simpler to overlook it. How to understand that compassion isn’t the same as justice. As she shines a light on the systemic disenfranchisement of the patients she treats as they struggle to maintain their health and dignity, Harper comes to understand the importance of allowing ourselves to make peace with the past as we draw support from the present. In this hopeful, moving, and beautiful book, she passes along the precious, necessary lessons that she has learned as a daughter, a woman, and a physician.
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The Beauty In Breaking, Michele Harper

The Beauty In Breaking, Michele Harper

The Beauty In Breaking, Michele Harper

Editorial Reviews

Amazon.com Review

An Amazon Best Book of July 2020: When Michele Harper was in her teens, she got her first taste of the emergency room: “I marveled at the place, one of bright lights and dark hallways, a place so quiet and yet so throbbing with life.” She wasn’t there for an innocent childhood fall, but because her father had physically abused her brother, again. Growing up in Washington, DC, as part of the “Black elite,” Harper and her family never spoke about her father’s violence and the searing scars it left. Yet it was that visit to the emergency room that crystalized her desire to heal and pursue medicine—“if my brother’s body could be patched up, then certainly, in its own time, his spirit could mend, too.” The Beauty in Breaking is Dr. Harper’s story of breaks and fixes, of healing emotionally and physically. She recounts the fears of her childhood and how those same feelings of brokenness and abandonment returned when her husband left her, and how she copes as a Black female doctor. From tending to babies who were no longer breathing, to a boy who was beat up at school and vows to retaliate with a gun (the only way he knows how), to patients who have a history of sexual abuse, Dr. Harper vividly recounts what the ER is like at 3:30 in the morning. She peppers her memories with her own reflections on the racism and sexism that permeate the field of medicine and our country and what it is like to grieve and rebuild from a traumatic event, whether a cracked rib, a horrible father, or the babies she never had with her husband. Dr. Harper is determined to heal, but also to take the time necessary to understand the pain, in a page-turning memoir of hurt, diagnosis, and recovery. —Al Woodworth, Amazon Book Review

Review

“Riveting, heartbreaking, sometimes difficult, always inspiring.” —The New York Times Book Review

The Beauty in Breaking takes us into the life in an emergency room—the drama, the adrenaline, the emotion—with such immediacy that I could not help but be completely enthralled by the individual stories of the patients that Michele Harper treats. But this powerful, poignant page-turner of a book also tells a much larger and universal story about how healing actually happens, not just for broken bodies but for broken hearts and souls. In sharing the stories of her patients and her own life, Harper shows us that that healing begins only after we are broken open ourselves. And she shows us with hopeful, heartbreaking clarity that it comes from healing each other.” —Kerry Egan, author of On Living

The Beauty in Breaking is a compelling page-turner about how Dr. Michele Harper took a broken childhood and wove herself into a strong, honest, compassionate doctor. A must read.” —Louann Brizendine, MD, author of The Female Brain

“Tackling such painful subjects as domestic abuse, trauma, and racism with grace and wisdom, this eloquent book probes the human condition as it chronicles a woman’s ever evolving spiritual journey. A profoundly humane memoir from a thoughtful doctor.” —
Kirkus Reviews

“Taking on the painful topics of trauma, domestic abuse, and the ‘ubiquitous microaggressions faced by people of color,’ Harper witnesses the resilience of the human spirit of her patients and begins her own process of self-healing. . . . This powerful story will resonate with readers.” —Publishers Weekly (starred review)

“Harper’s words inspire hope and understanding of the importance of peace and acceptance of the past. Poignant, helpful, and encouraging, [her] lessons from life in and outside of the emergency room ultimately teach readers how to trust the healing process.” —Library Journal

“In this illuminating memoir, an African American emergency room doctor finds that her patients’ stories lead her to make connections between her work and the larger world.” —
Shelf Awareness

“A book for our times, Harper’s debut is a compelling memoir about her life as a Black woman emergency room doctor and how that work overlaps with the complexities of life. Harper explores hurt and healing, race and gender, justice and hope with candor and compassion.” —Ms. Magazine

“Inspiring.” —
Parade

“A moving, beautifully written memoir.” —New York Post

Product details

  • Publisher ‏ : ‎ Riverhead Books (July 7, 2020)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 304 pages
  • ISBN-10 ‏ : ‎ 0525537384
  • ISBN-13 ‏ : ‎ 978-0525537380
  • Item Weight ‏ : ‎ 13.1 ounces
  • Dimensions ‏ : ‎ 5.33 x 1.02 x 8.27 inches
  • Customer Reviews:
    4.3 out of 5 stars 3,477 ratings

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Michele Harper
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Customer reviews

4.3 out of 5 stars
3,477 global ratings

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Customers say

Customers find this memoir compelling and beautifully written, with one noting its elegant style. The book provides wonderful insight into life and features a compassionate soul of a true healer, touching hearts and souls. While the story quality receives mixed reactions, with some customers nearly crying while reading it.

AI-generated from the text of customer reviews

83 customers mention "Readability"77 positive6 negative

Customers find the book compelling and wonderful, praising how the author tells an incredible story.

"...Harper weaves together a compelling and ultimately optimistic story of her puzzling to make sense of the souls that cross her path in various..." Read more

"...Overall, the author tells an incredible story of overcoming her childhood trauma, dealing with racism and sexism, and growing into an ethical human..." Read more

"This was an unexpected great read...." Read more

"...Good read, got it done in two nights, quick rhythm, etc. 4 stars if only because I didn't want to read pages and pages of yogi-isms." Read more

65 customers mention "Insight"65 positive0 negative

Customers find the memoir insightful, describing it as an inspiring and revealing story that provides meaningful perspective, with one customer noting how it opens both mind and heart.

"...This is an encouraging story to hear from a front-line hero as we struggle with the loss of faith and societal structure in the midst of the biggest..." Read more

"...Michelle Harper lays it right on the line & pours out her inner thoughts & feelings, which pulls the reader in to experience the same...." Read more

"Very well written and the author really expresses her thoughts so eloquently and her descriptions of her patient encounters are compassionate and..." Read more

"...Dr. Harper is very intelligent and well educated...." Read more

49 customers mention "Writing style"45 positive4 negative

Customers praise the writing style of the memoir, describing it as beautifully and engagingly written, with one customer noting its impeccable grammar.

"Very well written and the author really expresses her thoughts so eloquently and her descriptions of her patient encounters are compassionate and..." Read more

"I appreciate this book so much. The author is authentic and passionate...." Read more

"...lays her soul bare for all of us to see in this beautifully written account of her life journey...." Read more

"While this book was well written, I was a bit disappointed. I had heard great things about this memoir but the story felt a bit disjointed to me...." Read more

38 customers mention "Compassion"38 positive0 negative

Customers appreciate the author's compassionate approach, describing her as a true healer who shares her personal journey of healing and touches hearts and souls. One customer notes how she combines emergency medicine with spiritual growth in her writing.

"...childhood trauma, dealing with racism and sexism, and growing into an ethical human being...." Read more

"...expresses her thoughts so eloquently and her descriptions of her patient encounters are compassionate and tug at your heart strings...." Read more

"I appreciate this book so much. The author is authentic and passionate...." Read more

"...I first saw this remarkable young emergency physician, Michele Harper, MD being interviewed by Trevor Noah on The Daily Show...." Read more

9 customers mention "Beauty"9 positive0 negative

Customers find the book beautiful, with one customer noting it provides an eye-opening view.

"...The Author paints a perfect picture of vivid moments in the hospital and allows the reader to feel present in that moment with her...." Read more

"...And she does this in beautiful, descriptive, often lyrical, language that makes the book a pleasure to read...." Read more

"...Yet she handles even those moments with such beautiful grace that its far less disturbing. Her view of life and love are poetic and freeing...." Read more

"Eye opening view on the life of a very strong woman. I felt like I was in the hospital with her the whole time." Read more

17 customers mention "Story quality"6 positive11 negative

Customers have mixed reactions to the book's stories, with some nearly crying while reading it, while others find them incoherent and jumbled.

"...I had heard great things about this memoir but the story felt a bit disjointed to me...." Read more

"...The author does a good job of breaking down medical terminology and explaining how the ER's she worked in were set up and functioned...." Read more

"...4 stars though because she got very philosophical and a little preachy toward the end regarding alternative life styles and what a great job she's..." Read more

"...It's a rambling, incoherent jumble of anecdotes and pseudo-Buddhist/Vedic spiritualism interspersed with disturbingly racist and bigoted overtones...." Read more

A journey through the process of healing
4 out of 5 stars
A journey through the process of healing
In her memoir, Harper takes us through her journey as a medical student and later as an ER physician. She describes encounters with different patients she has had over the course of her career and how she faced the breaking of the human spirit in many ways, both physically and emotionally.The author let us know how she learned to equate the experiences she had with patients and use them in her personal life, learning from her patients, trying to understand the human condition, their resilience, how they find strength to overcome problems and adapt to difficult situations. From this understanding she began her own process of healing while continuing to promote social rehabilitation.This book is very well-written and I really enjoyed the experience of reading it. I loved to see her determination and respect for her patients. This book was written before COVID-19 so I would love to read her experience as a physician during this pandemic. I really hope she can write another memoir soon.
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Top reviews from the United States

  • Reviewed in the United States on July 13, 2020
    Michele Harper's book is the first I've read in a very long time in a single sitting. After hearing the author interviewed last week on NPR, I ordered "The Beauty in Breaking" with curiosity, but I've been rewarded with hope, and with comfort in CovidTIme.

    The author, an ER doctor of obvious skill, dedication, and passion, is, as she says "a healer." But more than that, she is a thoughtful and curious woman who is as affected by her patients as she affects them. From children to the very old, from people of dignity and control to addicts, alcoholics, and malingerers, each encounter she describes causes her to tie the patient's struggle to something happening in her own life at the same time: love, divorce, loneliness, self-care, job insecurity...

    Harper weaves together a compelling and ultimately optimistic story of her puzzling to make sense of the souls that cross her path in various hospitals: her patients, her colleagues, the broken systems called US Healthcare, the steps she takes to heal herself, even as she works to heal her patients.

    Ultimately, this is a story of Harper's ability to forgive and recover, stronger, from the many times she was broken: by her father, by a system that promotes mediocrity and masculinity, by despairing patients bent on self-destruction, by her yearning for a child and for righteousness.

    Michele Harper brings us along as she makes life and death decisions for a living, and ultimately chooses to keep pursuing a richer life for herself and encourages the reader to do the same. She says "I knew that after letting go, there is forgiveness; after forgiveness, there is faith."

    This is an encouraging story to hear from a front-line hero as we struggle with the loss of faith and societal structure in the midst of the biggest medical challenge in a century. Michele Harper moves far beyond medicine to share her pursuit of health, and ultimately leaves the reader with "... a message to love more, no matter what, to be happy now, no matter what."
    81 people found this helpful
    Report
  • Reviewed in the United States on June 14, 2022
    The biggest negative of this book is the over-the-top polished editing. The tone was so polished as to almost sound fake, and made me doubt the author's veracity. Contradictions in the story also gave credence to this polished editing (one example, she said she couldn't remember what she wore to her graduation, then later said how pictures were the only memories she had of her graduation.....well wouldn't she have known what she wore by the pictures?) However, 3/4ths way through the book, I saw a video of an interview with the author, and I was struck by her honesty and passion. Unfortunately because of the editing, this honesty and passion don't show through in the book. I had originally planned to give the book 2 - 3 stars, but bumped it up to 4 after hearing the author talk in a video, because I then found the book more believable.
    Overall, the author tells an incredible story of overcoming her childhood trauma, dealing with racism and sexism, and growing into an ethical human being. I enjoyed the stories of her respecting the autonomy of her patients, even when she disagree with their decisions. The author does a good job of breaking down medical terminology and explaining how the ER's she worked in were set up and functioned. The only part I disagreed with the author was when she was working in a new ER, and when she insisted on following the law, the other staff doubted her because none of the other doctors did it that way. She felt they were doubting her because she was a black woman, when it seemed far more likely they doubted her because she was a new doctor telling them the completely opposite of what the doctors they were familiar with told them.
    Overall, I hope when the author writes another book, she will find an editor who respects her voice and encourages her to tell her story in her own voice, not in an overly formal and polished voice.
    18 people found this helpful
    Report
  • Reviewed in the United States on May 23, 2023
    This was an unexpected great read. When I chose this e-book, I had never heard of this author, but the title peeked my interest...The Beauty in Breaking. I wasn't quite sure what to expect. OMG, this book will open both your mind & heart. Michelle Harper lays it right on the line & pours out her inner thoughts & feelings, which pulls the reader in to experience the same. After each chapter, I had to stop & dwell on each of the scenarios. Her honest reflections made me go through a deep process of my own reflections & stop & think of the world around me on a more daily basis. It certainly made me extremely grateful for all people in the field of medicine, Her memoir is a gift to us all! I hope you enough it as much as I did & gives you a truer sense of oneself.
    2 people found this helpful
    Report
  • Reviewed in the United States on November 3, 2020
    Very well written and the author really expresses her thoughts so eloquently and her descriptions of her patient encounters are compassionate and tug at your heart strings. Gives a nice glimpse into ED life. However the focus on mentioning the race for EVERY patient was a bit much. As a minority female physician myself, I can agree that there definitely is inequality in healthcare however I don’t believe every patient encounter should be from the lens of race.
    Additionally, it should be appropriately recognized that yoga comes from India and ‘Om Namah Shivay’ comes from Hinduism not any other religion.
    9 people found this helpful
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  • Reviewed in the United States on April 1, 2024
    I appreciate this book so much. The author is authentic and passionate. Highly recommended to help understand what medical providers go through emotionally.

Top reviews from other countries

  • Hanne
    5.0 out of 5 stars Awesome!
    Reviewed in Germany on July 29, 2020
    Describes the sides of Ameriof the American culture no one wants to see. Michele Harper's talking about her own healing process touched my heart, enspires, and encourages me. Thanks for this wonderful book!
  • Lozza
    5.0 out of 5 stars A must read!
    Reviewed in the United Kingdom on July 31, 2020
    A beautiful book worth every penny!