Patricia Louise Davis, MD (June 14, 1959 to ) C HAPTER 22 Many people who become physicians attribute their inspiration and aspiration for the profession to some form of positive motivation from the medical world or from the suffering of a loved one with severe medical diseases or disorders. However, there are some who have chosen to become physicians because of negative experiences they have encountered directly as patients. Such is the case of Dr. Patricia Louise Davis (Figure 22-1), an African American New Englander, who experienced racist and sexist behavior from a Caucasian male physician in an emergency room situation. Instead of dwelling on the human limitations of the physician, she decided that she would transcend them and become a competent, caring physician. “I will never forget that evening when I was cramming for my physics exam,” began Dr. Patricia Davis as she described her ordeal that evening in the spring of 1980. She had been studying intently for an important test in physics when she became violently ill. “I was nauseous and vomited until I had dry heaves.” Severe abdominal pain soon ensued. “I couldn’t sleep. Sweat poured from me. At around 2:00 am, while rolling over and over in an effort to find a place where my abdomen was least painful, the pain suddenly stopped. I thanked God for hearing my prayers which had begun six hours prior.” But this relief was only the calm before the storm because the pain returned with a vengeance. “The rest of the night was hell.” The next morning she saw a physician. The diagnosis of pelvic inflammatory disease was made. “I knew this was not true. I did not have P.I.D.” Pelvic inflammatory disease, or inflammation of the fallopian tubes, is often caused by a bacterial infection in the setting of sexual promiscuity. “He just gave me that label of P.I.D. because I was black and that’s how he was trained.” Despite taking the prescribed antibiotics, the pain persisted and became as fierce and fiery as ever could be imagined. Twenty-four hours after the ordeal began, her ruptured appendix was removed. She had endured peritonitis, pneumonitis, and pancreatitis. “I Figure 22-1. Patricia Louise Davis, MD and triplets. remember waking up two days after the appendectomy procedure with a tube stuck in my nose running to my stomach. I just started crying.” It was at that moment that her resolve to become a physician became galvanized. “I wanted to be in a position where I could dispel myths about African American women and crush the stereotypes thrust upon people such as the one which nearly got me killed,” said Dr. Davis with stern confidence and determination. Davis has her roots in the country. She grew up on the 140-acre family farm situated in the middle of rural Rhode Island. The houses on her street stood numberless. Her nearest neighbor lived one-half mile away. At night the roads are dark. Patricia’s father, Henry Davis, owned the Stepping Stone Ranch across the street. She learned perseverance, patience, and the importance of time from observing her father as he managed the Stepping Stone Ranch. He had started the business with a small, ornery Shetland pony named Goldie. The business expanded to include a barn, a dance hall, an amphitheater, and a campground, among 92 Chapter 22 other structures. There were horse shows, rodeos, horse roping contests, and truck pulls. Hundreds of people would come to hear the country, bluegrass, and rock music concerts that were held on the premises. As a child, Patricia had lived with her parents, Colette, her younger sister, and Nana, her grandmother. Nana encouraged her to learn as much as she could and quickly. She instilled in Patricia and her sister a strong faith in and fear of God. “Because of her careful teaching I, to this day, try to treat others as I want to be treated. This credo definitely extends to my patients. They know that their best interests are paramount in my mind,” said Dr. Davis. Her family stressed the importance of education and supported Patricia’ efforts in school. In particular, her mother, Lucille Davis, encouraged her to keep her dream of becoming a physician a reality. Her mother had experienced the bitter disappointment of having a dream die. Her mother had been the valedictorian of her high school class in Warwick, Rhode Island. She wanted to become a nurse, but the nearest training program for colored women at that time was in New York City. Instead of moving to New York City, she became a medical technologist upon graduating from the local college as the salutatorian. Her mother later became the chief medical technologist at the Rhode Island State Medical Center. Patricia’s mother’s unfulfilled dream has served as a constant reminder for Patricia. “She is an important part of my success and the kind of person I have become,” fondly recalled Dr. Davis. The road to becoming an ophthalmologist was not smoothly paved for Davis. Frequently dissuaded by her high school guidance counselor from taking courses to prepare her academically, she nonetheless took calculus, trigonometry, and advanced chemistry in her senior year. Davis applied and was accepted by Brown University in Rhode Island to which she matriculated in 1977. Davis found the transition from high school to this Ivy League college difficult. She realized that she did not know how to study effectively as did her colleagues. Davis was very outgoing, having 14 extracurricular activities claiming her time and enthusiasm in college. These were not only outlets, but opportunities to gain organizational skills and leadership experience. Davis joined the gospel choirs, dance ensembles, Delta Sigma Theta sorority, political groups, and the varsity track team among others. “As a result, my grades suffered some, but I had a blast,” explained Dr. Davis. Brown University had a significant contingency of African American students and other people of color which provided a unique opportunity for Davis. “I had been harassed and ridiculed as a grade schooler because of the color of my skin. In the first grade, I was one of two black children in my school. I went from being called names to the class co-president by my senior year of high school. Brown University, however, was paradise compared to those places,” exclaimed Dr. Davis. Davis was graduated in 1982 from Brown University with a baccalaureate degree in biology. She then attended the University of Pennsylvania School of Medicine in Philadelphia. “Medical school was like being back in grade school. There were five blacks in my class of 150 at Penn. We were considered tokens by many of our class,” reported Dr. Davis. “I recalled some of the students asking ‘Which one are you?’ when trying to identify and address one of us [African Americans].” Davis, like many of the other medical students in her class, found the basic science curriculum conducted during the first two years of medical school challenging. “The course work was so loud, it was nearly deafening,” described Dr. Davis. In the latter two years of medical school she was exposed to clinical ophthalmology. “The ophthalmoscope made the eye come alive,” said Dr. Davis as she explained why she chose ophthalmology as her area of specialization. Dr. Patricia Louise Davis received her MD degree from the University of Pennsylvania in 1987, with additional training in health care management from the Wharton School of Business. Dr. Davis completed her internship at the Chestnut Hill Hospital in Philadelphia followed by ophthalmology residency at Scheie Eye Institute of the University of Pennsylvania in 1991. The residency was stressful to say the least. “I carried antacids and flash cards in my pockets,” explained Dr. Davis. Her patients comforted her during some of those darkest moments. Just hearing the voice of a patient saying, “I sure am proud to see a black doctor in here,” or “Thanks doc, you’re the first one who sat down and told me how to take my drops,” or “Doc, thanks for listening” provided the necessary remedy for her consolation. After completion of her ophthalmology residency, Dr. Davis joined the faculty at the Eye Institute at Cooper Hospital of UMDNJ Medical Center in Camden, New Jersey. She worked hard, taught hard, and expected no less from her residents. She left two years later having earned the love and respect of her residents and colleagues. She then did specialized fellowship training in pediatric ophthalmology and neuro-ophthalmology at the University of Kentucky. Pediatric ophthalmology, which provided the opportunity to take care of children with retinopathy of prematurity, congenital glaucoma, strabismus, craniofacial abnormalities, and many other disorders, enticed her. “By enabling even one child to have better vision, I will improve that child’s visual health, educational potential, and overall quality of life,” reported Dr. Davis. Dr. Davis went to Kentucky with trepidation about the rural south, but found this exaggerated fear unwarranted. “People were nice to me. They didn’t ask me where I went to school in the veiled way that some of the patients on the East coast did. People, especially those from the Appalachian areas, were glad to have a doctor to see and treat little Jimmy Ray regardless of the way that physician looked or talked.” Her fellowship was quite fulfilling. Dr. Davis is currently in private practice in Chicago and a clinical assistant professor of ophthalmology at Loyola University. She volunteers free eye care at an inner city clinic. Dr. Davis summarized her overall experience as positive. “In all, I’m glad I chose medicine. I became a physician in order to serve others.”