Dr. Raúl Necochea
Department of Social Medicine
Faculty Profile
-
Interview Transcript
Interviewer: To the cloud, and now I’m recording. Well, hello Dr. Thompson. My name is Raúl Necochea from the . I’m interviewing Dr. Charles Thompson, Class of 1970 and today is Tuesday, February 1. It’s 3:00 p.m. Hello and welcome, Dr. Thompson.
Interviewee: Thank you for inviting me.
Interviewer: It’s our pleasure. To begin, let’s talk a little bit about your origin story. Would you please tell us where you were born and when?
Interviewee: I was born in Portsmouth, Virginia, near the Navy base during World War II, but I relocated. Our family moved back to Rocky Mount, North Carolina and I was reared in Rocky Mount, North Carolina. My date of birth is May 29, 1944.
Interviewer: Who did you grow up with?
Interviewee: I grew up with my father and my mother, but my parents divorced early and so I grew up primarily with my mother, my aunts, and uncles, and in Rocky Mount, North Carolina – my earlier memories. I grew up –
Interviewee: Go ahead.
Interviewer: Did you have any siblings?
Interviewee: Yes. I had three brothers – two brothers, I’m sorry, and one sister in Rocky Mount, North Carolina. I went to school there – elementary school, high school at Booker T. Washington High School – a segregated high school and was educated in Rocky Mount, North Carolina. Actually, all my siblings were college grads. My mother and father were graduates of North Carolina Agricultural and Technical College in Greensboro, North Carolina – the site of the first sit-ins. Jessie Jackson – when I was there – was president of the study body. The civil rights leader?
Interviewer: Yeah.
Interviewee: Which was very interesting – a very interesting background.
Interviewer: Yeah, it sure is. So, all five of your siblings went to college? Well, all five of you?
Interviewee: Yeah. We were four with three – two brothers, one sister, and, of course, myself. So, we all went to college and my parents were graduates of the North Carolina A&T, Agricultural and Technical College. They had an engineering school, but we all went to the same school. Most of us went to the same school. My brother went to, older brother, went to North Carolina Central University in Durham, North Carolina.
Interviewer: What did your parents do for a living?
Interviewee: My mother was a home economics teacher, but she subsequently worked as a lab technician in the health department of Edgecombe County and Nash County in Rocky Mount, North Carolina. My father was an Agricultural & Technical school grad, but he did mostly consultation with the Black farmers in North Carolina because – at that time – you could only, if you’re Black, you could only consult with Black farmers advising them about plants, agriculture, farming. He was a farmer and his father was a farmer. In fact, my grandfather was a farmer. I’d actually visit my grandfather in the summers at his large farm in Mebane, North Carolina.
Interviewer: Really? In Mebane?
Interviewee: Mebane, North Carolina, yes.
Interviewer: How do you remember – sorry, let me take one step back also. You said that in school you went to a segregated school.
Interviewee: Yeah.
Interviewer: Was it segregated throughout your whole schooling years?
Interviewee: It was certainly segregated in my high school. The high school subsequently closed and was integrated into the main White high school in Rocky Mount, but we had a large, educated population there of graduates of Fisk University, Howard University, North Carolina A&T. In fact, one of the teachers, science teacher, had gone to Meharry Medical College for a period of one or two years. So, they were very interested in science and education and were mentors – mentors.
They encouraged us to go to college. They said, “You’re going to college. You can do that.” So, even in a segregated environment, we had a lot of leadership – pastors, Boy Scoutmasters, teachers – teachers, especially teachers. It was a nourishing environment.
Interviewer: That’s great.
Interviewee: And I personally had uncles. I had uncles too and they had gone to college. My uncle went to North Carolina A&T and one of my uncles left high school in the 10th grade or something like that, went to the Air Force, came back to finish college at – well, start college at Howard University – and subsequently went to UCLA and went to law school at UCLA and became dean of the Howard University School of Law. He was a judge. He became dean of the Howard University School of Law. He encouraged us.
He encouraged us. He was a mentor. He said, “You can do it. I did it. You’re smarter than I am.” But we had a lot of encouragement from the males in the family and certainly the women in the family.
Interviewer: That’s great. That was gonna be my next question for you.
Interviewee: Oh, is that right? Okay, maybe I’m getting ahead of you.
Interviewer: You already did. You already answered it – my question about who were the most influential people when you were little and young?
Interviewee: Yes. Well, certainly the pastor too – the pastor of the church – was well-educated. He was a community activist, but he encouraged people to read, study, and stay out of trouble. We did not have a TV when I was a kid. We had a library. So, we had books and we had mentors.
Interviewer: Did you know many physicians when you were little?
Interviewee: Yes, I did. In fact, my brother had glomerulonephritis. And he was under the care of a physician in Rocky Mount. My mother had hypertension. In fact, her mother – my grandmother – died early of a stroke, a massive stroke, at age 50. So, we were certainly encouraged to eat low salt and control our blood pressure, but at the time of my grandmother’s passing, we did not have diuretics.
People forget that when diuretics were discovered, the incidence of heart failure, kidney failure, and stroke decreased dramatically especially in the Black and poor populations – not just Black population, but the White population of North Carolina. That was a significant development. We take it for granted these days.
Interviewer: Yeah.
Interviewee: Three physicians came to mind. One was a graduate of Medical School – the two-year medical school – when was a two-year medical school. Dr. Louis Thorp, T-H-O-R-P, and he went on to finish school at the University of Pennsylvania. The University of Pennsylvania I think that happened. He was my mother’s physician – a very caring physician – although he saw her in a segregated office, I remember. But at the time – because of widespread segregation in the south – he didn’t think anything of it.
Another physician was Dr. Parker. He was a young physician who died early in a single-car crash in Rocky Mount, which was unfortunate. And the third physician was Dr. Bryant, James Bryant, a US Army Captain in Korea – in the Korean War – who subsequently went to med school at Howard University and did a residency in family medicine and practiced in Rocky Mount for 20 plus years.
Interviewer: Wow.
Interviewee: So, those were the physicians that I thought – I looked up to, certainly. I wanted to be a physician since I was in elementary school and high school – well, certainly high school, certainly high school.
Interviewer: Where did that come from?
Interviewee: Well, my mom had hypertension. We had a family history of stroke. Every generation had hypertension. My brother had kidney disease – glomerulonephritis. My brother had kidney disease. My mother was always worried that she would die early like her mother, like her mother, and I told my mother I said, “Your blood pressure is lower than mine. You’ll live to be 96.” She actually lived to be 94, but she was always concerned about hypertension and its adverse effect on relatives that she knew.
Interviewer: Right. As you were getting ready to finish high school, did you consider other options?
Interviewee: I didn’t really consider other options because I always wanted to be a physician. Actually, my high school experience, that was a very interesting thing because my senior year in high school one of the science teachers told me about a STEM program at North Carolina A&T in Greensboro and a six-week program for high school students in math and in physics, chemistry, and biology. I was accepted into that program, which was a very enlightening experience. In fact, they offered me a scholarship.
Interviewer: Nice.
Interviewee: They offered me a scholarship and I immediately accepted and went to enroll at North Carolina A&T, a freshman.
Interviewer: Tell me a little bit about being an Aggie.
Interviewee: Well, being an Aggie was fun. I was a student, but also in the band – the marching band.
Interviewer: Oh, what did you play?
Interviewee: I played the baritone horn. I played the baritone horn, for two years. I tried out for this junior year, but we had so many science labs and so much work to do that I couldn’t physically do that and get the grades I need to get to get into medical school. But it was a very interesting, enlightening experience, and – by the way – this was in the era of the Vietnam War. Yes, because I was enrolled in ROTC – Air Force ROTC – for two years, for two years, and First Lieutenants, Second Lieutenants who graduated from university in the Vietnam War were very likely to be injured.
The Vietnam War was very powerful for us because it was a constant reminder of threats and the dangers in our society, but we also had a lot of opportunities. As I said before, it was the beginning of the Civil Rights Movement and Jessie Jackson was president of the study body. The Civil Rights leader you know about was president of the student body when I was there and that was before. I arrived I think maybe a year or two after the sit-in in Greensboro. But the point is that there were a lot of things going on and we had to be mindful because if you didn’t make it in college, the next thing you know you were being drafted to Vietnam.
Interviewer: So, you went to A&T from what year to what year?
Interviewee: From 1962 to 1966.
Interviewer: Got it. How did you finance your college education?
Interviewee: I had some savings. I used to be a paperboy in Rocky Mount and we had a savings account. I got a scholarship from North Carolina A&T and I had federal loans – so those three sources of financing.
Interviewer: Can you tell me a little bit about people who helped you when you were at A&T to find your way into medicine?
Interviewee: Oh, okay. Well, as I say, I was always interested in medicine, but it was the influence of the head of the Department of Biology – primarily the head of the Department of Biology. I told him about my desires and my goals in life and he encouraged me to achieve my goals. But we did get a new assistant head of the department because at the time biology was more anatomy – anatomy of animals, anatomy of – and human anatomy too – but the biochemistry, the newer aspect of biology that you would need to be successful in med school – we recruited – he recruited a new PhD I think from either Iowa State or Ohio University. I’m not sure which one.
Interviewer: Wait, which one was the other one besides Howard?
Interviewee: I thought he came from Ohio State. He was a black PhD from Ohio State or Ohio University, but he was very influential.
Interviewer: Were there other premeds such as yourself at A&T?
Interviewee: Yes, there were other pre-med students, yes.
Interviewer: Do you remember how many of you there were?
Interviewee: I thought there were at least 10 because there were programs to prepare you to be a teacher of biology and chemistry and then there were programs to prepare you to go to medical school or research in biology. So, there were two tracks.
Interviewer: When you were preparing at A&T and getting your degree, do you remember this cohort of premeds being something of a reference group, a helpful resource, people that you stayed in touch with afterwards?
Interviewee: Well, in my group I thought I was the only one who actually went to medical school. Some of the people became teachers, principals, principals, leaders in education. In fact, one of my roommates – my roommate, my best roommate – became the principal of a high school in High Point, North Carolina. He never thought he would be a leader in education. He thought he would just be a little science teacher and found that he really loved the students, saw their potential, saw their potential, saw their problems too. And he became a devoted principal in High Point, North Carolina next to Greensboro, as you know.
Interviewee: You’re probably familiar with – you’re very familiar with North Carolina I know because you’re a professor.
Interviewer: I’m here. Yeah, I’ve been here 11 years now.
Interviewee: Yes.
Interviewer: Tell me why did you apply to the ?
Interviewee: Well, actually, I applied to three schools I thought. I was accepted immediately by Meharry and I sent them $1,000 to confirm the acceptance and I got a call from Chapel Hill and they accepted me and I asked Meharry for the $1,000 back and they didn’t return it. But it’s very interesting I was talking to one of the captains in the Air Force ROTC that I knew, and he said – I told him which schools I was accepted at and he said, “I think you should accept Meharry” and I told him, “Thank you” and left the office.
And I don’t know why he said that, but he did say that, which was very interesting because as I said before, it was during the Civil Rights Movement and people thought they could achieve anything that was possible. At least that’s what we were told by the student president and the leaders of the movement. So, it was surprising that someone who was a Captain in the Air Force – who had been stationed overseas – would tell a student that, “You’ll do better at Meharry” as opposed to staying in his own state of North Carolina in beautiful Chapel Hill.
Interviewer: Did that tell you perhaps a little something about the reputation that had?
Interviewee: Well, I didn’t ask him that because, number 1, I thought that I wasn’t gonna accept his advice anyway and I thought it was better to be diplomatic and move on. But I did know and I was told by someone I’m not sure that would accept one student per year, but so did NYU and Columbia, one or two students per year, right?
Interviewer: Mm-hmm.
Interviewee: I knew physicians who went overseas and got their medical degree in Sweden, France, and came back to New York to do internship residency, residency – internship and residency – in things like radiology and fellowships in radiology because there was a program to send Black medical students overseas to get their medical education. The reason I mentioned New York is that I had two uncles and one aunt in New York City, and I worked in New York City during my summers in college.
So, I experienced a different kind of situation in New York City as opposed to Greensboro. Greensboro was segregated at the time I went to school there. New York City was integrated, but the neighborhoods basically I thought were segregated, yeah.
Interviewee: The neighborhoods were segregated.
Interviewer: Yes. Yeah, it’s –
Interviewee: But not completely segregated.
Interviewer: I want to go back through that – to what you said about how something can be formally integrated, but not really be integrated in everyday life. And also to this point you raised earlier, I’ve heard from others – from the classes of the 1960s and the 1970s – that yeah, would admit one Black student per year or one every couple of years and that was more or less the status quo for several years in the ‘70s. I’ve heard that before. Thank you for reminding me. And another question, tell me a little bit about what the process was like at the time to apply to .
Interviewee: What was the process like?
Interviewer: Mm-hmm.
Interviewee: Well, I applied. I got recommendations from the professors – especially the chair of the Department of Biology – and I think the chemistry department because I was a biology major and a chemistry minor and I was immediately accepted. I think I went for an interview. Meharry, I did not go for an interview, but I was accepted at Meharry on the recommendation of the chairman of the department. He knew people at Meharry.
Interviewer: That’s very nice. $1,000 though, that was some money.
Interviewee: That was a lot of money. That was a lot of money in 1966. I put it on my credit card.
Interviewer: Oh, man. Yeah, that was –
Interviewee: I remember I sent them a check. I sent them a check, but I had put the money into my account.
Interviewer: That’s a good story. Did you have the option of attending another medical school besides Meharry?
Interviewee: I thought I applied at Howard, but I’m not sure because, as I said, I got the acceptance from Meharry fairly quickly, and then three weeks later I thought I got the call from and I said, “Oh, I want to go to . Why not go to ? The hospitals are there. I’m a resident of the State of North Carolina,” and I was told that they had excellent facilities and it was no longer a two-year medical school, it was a four-year medical school.
Interviewer: Exactly.
Interviewee: And as I said before, the family physician in Rocky Mount, Dr. Thorpe, my mother told him about my acceptance and he said, “Go. It’s a good school.” He did an internship there after finishing at the University of Pennsylvania Medical School.
Interviewer: Mm-hmm. Taking notes about that. Okay. so, now you are at the . Can you tell me a little bit about your time over here? What was it like to be one of the few Black people in your class, for example?
Interviewee: Well, we had an interesting class – one Black student, but we had the first Indian American medical student, who was Subir Roy, R-O-Y. We had the first Chinese American student, Bruce Chang, who I knew. And we had I think four women and probably people of multiple religious affiliations. I think we may have had five Jews, but it was very difficult to tell who was Jewish and who’s not. Of course, Presbyterians and lots of Baptists, but because we had – I wasn’t the only person of color in our class and I think our class was more diverse at that time than the previous classes.
I was told that another Black student was accepted but went to another school. I thought it was Duke, but I wasn’t privy to that information, but I was happy to be accepted and the class was friendly. The professors were friendly and very cooperative and good teachers – excellent teachers. They were rewarded for teaching excellence. So, I thought it was a very good experience. You have to remember this is 1966 to ’70 during the Vietnam War and I mentioned the Vietnam War because if you’re thinking about any problems you have, you’d have to look at what happened to other people. My high school classmate was killed in Vietnam.
My brother’s high school classmate – who was a medic in the Navy but assigned to a Marine battalion – was killed in Vietnam. We had people at North Carolina A&T who finished ROTC training who got Second Lieutenant commissions wounded in Vietnam and it was terrible. The Civil Rights Movement in 1968 you have to remember we had the Tet Offensive. We were in med school, but we knew what was happening in the world. It was not isolated.
Martin Luther King was killed in 1968. And I think Robert Kennedy was killed in 1968 and the Tet Offensive wounded a lot of soldiers, sailors, and Marines – but mostly soldiers and Marines – in Vietnam in 1968. I remember that decisively. And of course, there was protests on the streets – on Franklin Street in Chapel Hill – concerning the Vietnam War. I think Martin Luther King also opposed Vietnam before he was assassinated. So, I was thinking about med school and working hard, working in groups, making friends, but it was a very enjoyable experience for me.
I also met some other students in some of the lower classes. In fact, my roommate was a medical student I think one or two years behind me, but he was my roommate and he was – His name was Charles Harshaw, Jr. He was a graduate of and was the first Black resident fellow in cardiology at . He subsequently was a cardiologist at Moses Cone Hospital in Greensboro. In fact, at one time he asked me to come back to Greensboro to practice medicine with him, but I declined. And unfortunately, he died early. He may have died at age 55 or 60 in Greensboro, but –
May his memory be a blessing because he was a very good student and I think many of his students probably don’t know that he was the first cardiology fellow at , I think with Dr. Craig. I think Ernest Craig was the Chief of Cardiology at that time. In fact, I’m sure he was.
Interviewer: Can you spell his name, Dr. Hasher?
Interviewee: H-A-R-H-H – S. H-A-R-S-H-A-W. Charles is his first name.
Interviewer:H-A-R-S-H-E-R?
Interviewee: A-R-S-H-A-W. H-A-R-S-H-A-W. I think the alumni probably didn’t give you his name because he’s passed. He passed away.
Interviewer: Yes, that’s correct. And then you told me that even though he wasn’t on that list, it would be very important to think about him and all he did, and possibly he has some descendants.
Interviewee: He has descendants. I don’t think any of his children went to med school. I did not see that. In fact, they did not go to med school.
Interviewer: Who were you closest to here in medical school – besides, obviously, Dr. Harshaw – faculty, students, admin?
Interviewee: I think I was closer to the students I worked within groups. Rick and Christine Suberman, S-U-B-E-R-M-A-N, the anatomy class, Bruce Chang, Subir Roy. Actually, they made an effort to introduce themselves to me and there was another, John Zirkle, Z-I-R-K-L-E, Z-I-R-K-L-E, and Gene Sherman, G-E-N-E, Eugene Sherman, S-H-E-R-M-A-N. I’m pretty sure that’s his name and Steve Green. Steve Green actually – believe it or not – came to my house in New Rochelle. I happened to move into his neighborhood.
He was from New Rochelle, New York. He knocks on the door and said, “I’m Steve Green. Welcome to the neighborhood.” And by the way, our neighborhood was the epicenter of the coronavirus in Westchester County.
Interviewer: Oh, really?
Interviewee: We had a lot of cases, but fewer deaths. The outbreak was at the synagogue, which is 15 blocks from my house in New Rochelle, New York in 2020. But he had come to my house earlier visiting his relatives in New Rochelle. It was very interesting.
Interviewer: That must have been pretty scary to be –
Interviewee: Well, no. You know what it is is that we had a lot of people – we did have some people die. Some of my friends died. Some of my friends died. So, one of my friends died. She was a mental health counselor in Malvern, New York, which is next door to New Rochelle and her boyfriend was a Black psychologist. He died two weeks after she died and one of my friend’s parents. Both parents had COVID-19 symptoms. Mom did very well and the father passed away, unfortunately. But we know of the higher death rate among men and diabetics in this epidemic. In fact, the epidemic shows – revealed the disparity in health and health outcomes in Black and Hispanic and White communities.
Interviewer: Yeah – I was just at a talk with a colleague from the University of Houston who was talking about that tight link between diabetes and COVID – death rates for people who have both. Yeah, it’s exactly like you said. I forgot to ask you just a couple of quick questions from a few years back. I forgot to ask you about how many people were there in your class in medical school?
Interviewee: Oh, in fact, I have a picture of the medical school –
Interviewer: Oh, awesome.
Interviewee: I have a picture of that I got from my library.
Interviewer: That’s awesome.
Interviewee: Yes. I think I’m here. I think I’m here.
Interviewer: Oh, yes, there you are!
Interviewee: I’m here. So, I could count them for you. One, two, three, four, five, six, seven – I think we had about 60 people.
Interviewer: Wow.
Interviewee: Subsequent medical classes were expanded to include I think 10 Black students, with a federal grant so no White students were denied. No places were taken, I should say, but I think they had a federal grant to do that.
Interviewer: Wow. And the other question that I wanted to ask you also from a few years before is about the interview process for . Do you remember anything about what that interview was like?
Interviewee: You know I don’t remember a lot about it. I thought there was an interview. Certainly, there was a recommendation. There was an interview. It may have been with a physician who was a graduate of Medical School. I don’t remember a lot about the interview process. I do remember that I subsequently went to New York City for an interview with the National Medical Science Foundation. They offered me a scholarship and asked me which university am I choosing and I said, “I’m gonna choose the university in the state where I live, North Carolina, but I appreciate the acceptance from Meharry.”
Interviewer: Of course. Now moving forward then, you’re at in the School of Medicine and this new class that includes one Chinese American, women, an Indian American. Do you recall facing any hardships as a medical student?
Interviewee: Well, I thought I was accepted. I was a friendly person – not as extrovert as some of the other people. As I said before, I felt fortunate. I was drafted my first month in med school so that also – and I got a deferment in the Berry Plan for four years, right?
Interviewer: Mm-hmm.
Interviewee: And so I was called up to the dean’s office my first month of med school and I said, “Why am I here?” because it’s only been one month. But there were papers on the desk saying, “You can either go in as a draftee or you can sign these papers and be deferred for four years.” So, I immediately signed the papers and went back to class. That was an easy decision.
Interviewer: Finish that degree and not go to Vietnam right away.
Interviewee: Right.
Interviewer: Wow. Can you tell me about a time when you asked for help as a medical student?
Interviewee: Well, yes. I asked the histology professor for help and he volunteered to help me. I think my problem was that I had an old microscope – a one-scope microscope, lens microscope – and that was a mistake. I should have had the classic newer scopes where you can see the entire field so you can get a better perspective of what you’re looking at. And he was very helpful to me in that sense certainly.
Also, working in groups students were helpful. I didn’t hesitate to ask people if they knew about this problem or did they have any information about that mainly because I thought it was a very friendly environment. And as I said before, I thought I was fortunate. I wasn’t in Vietnam. I was studying medicine. I was in the lovely town of Chapel Hill and I thought I could do the work. At least I was told I could do the work by the professors at North Carolina A&T.
Interviewer: That’s good, and to come in and feel confident about your abilities and the fact that you can do the work. What was the hardest thing to do in the School of Medicine when it came to doing the work?
Interviewee: I think the hardest course I had was statistics.
Interviewer: Statistics.
Interviewee: Yes, yes. The person, I didn’t think the person was a very good teacher, but I noticed that was the toughest medical school course I had and I’m not sure why it was, but it was tough for me.
Interviewer: And what about the work?
Interviewee: The actual work I enjoyed the work. I really enjoyed the work. It was exciting, it was new, it was physiology of humans instead of animals, right?
Interviewer: Mm-hmm.
Interviewee: And we had very good teachers. The teachers were rewarded for teaching. They were researchers too, but they were actually rewarded for teaching and you would have professors, for example. I remember when I was doing rotations in cardiology. I missed the rotation in clinical cardiology on the floor, but I got a rotation in the cardiac cath lab and so we had more interesting patients. We had more interesting patients who went to cardiac catheterization, the patients with rheumatic heart disease, right, the patients with coronary artery stenosis, the patients with heart failure and that informed my decision to subsequently do a fellowship in cardiology at Harlem Hospital Center.
I did a – I’m maybe getting ahead of myself but – but I did a straight medical internship and a medical residency at Harlem Hospital and I started on a fellowship in heart disease, cardiology, and I was thinking that’s when they called me up two months into that fellowship and I had to report in three months and I think two months – maybe six weeks.
So, I left that and went to South Korea, South Korea, where my uncle was captured in the Korean War and where my primary physician was a Captain in the Korean War – Dr. Bryant, the Black physician I was telling you about who went to Korea before he went to medical school and so I was there for a year in South Korea – the Republic of South Korea – at an Army base there 25 miles south of Seoul. And subsequently, I went to Madigan Army Medical Center in Tacoma, Washington, near Seattle, Washington, Fort Lewis Military Base.
I was a physician in the emergency room there counseling medical students who were in the military – interns I should say – who were in the military, not students. That was very exciting for me, and also I was able to attend some cardiology conferences and other conferences at the Madigan Army Medical Center. It’s now Joint Base.
Interviewer: It’s now a what?
Interviewee: It’s now Joint Base Fort Lewis and the Air Force base next to [inaudible] [00:41:00] joining together.
Interviewer: Right. Going back a few years when you were still in medical school, I’m curious about how you financed your education?
Interviewee: I received a National Medical Fellowship and I received a loan, government-based loan. So, I got a 50 percent National Medical Fellowship and I think 50 percent government loan, which I subsequently repaid.
Interviewer: Nice. That’s great.
Interviewee: Over the next 10 to 15 years.
Interviewer: It takes time. When you think about your time as a medical student, what kept you steady or at least not incredibly stressed out in pursuit of your degree? Were there friends and people, hobbies, sources of inspiration that helped you steady yourself?
Interviewee: Well, I had friends primarily in the medical school – not necessarily in the other grad schools – because I came from North Carolina A&T and people had already formed their fellowships. Even people who came from Davison, let’s say, or the University of North Carolina Chapel Hill or from other universities – Wake Forest, for example. They had already formed. They seem to have already formed their fellowships and I lived on campus and they lived off-campus.
So, I studied primarily at the medical school while some people studied off-campus, but we did research and experiments in groups. So, you did form a friendship with the people you actually worked within those groups – whether it was anatomy class, for example, or physiology class. And, of course, I mentioned the professors. One professor in particular – well, Dr. Cray, I mentioned Dr. Cray – but the Scat, Dr. Scatliff, S-C-A-T-L-I-F-F, he was head of the Department of Radiology.
Interviewer: Yes.
Interviewee: He actually spent time. He spent time with students – take a full week time with students to review radiology especially emergencies and things you would see in an emergency room. And when I was an intern at Harlem Hospital, I saw a lot of these things that he was talking about. This was a large, 20 story, new building affiliated with Columbia University School of Medicine. They brought the Bellevue Columbia division to Harlem Hospital in the new hospital.
So, they brought Charles Ragan – who was head of medicine at Belleview, the Columbia Division – and subsequently became head of – Chief of Medicine at Columbia University College of Physicians and Surgeons at 168th Street in Manhattan. He subsequently recruited Dr. Gerald Thomson, T-H-O-M-S-O-N who was a nephrologist who was very interested in health care disparities and treatment of hypertension, diabetes, and of course, kidney failure. So, he established the first dialysis unit at Harlem Hospital – a large, urban hospital with no significant capabilities for doing dialysis.
But he was a Howard University graduate and did a fellowship, internship/fellowship, downstate under one of the famous kidney nephrologists. And Dr. Ragan recruited him to Harlem Hospital and he became– when Ragan left two years later or three years later, Dr. Thomson became Chief of Medicine, professor of medicine, and Dr. Thomson – who was a very good mentor not only to Black students but to White students and Hispanic residents – and the community.
By the way – because he was politically active and he got funding for his dialysis unit – and more funding for the hospital and he was a major influence in our lives because he continued to talk about disparities between populations, health care, health disease, diseases, and access to health care from especially when comparing public hospitals – which Harlem Hospital was – to well-funded, private institutions like NYU, Cornell, and Columbia Presbyterian.
I have to mention is Dr. Tyroler, Herman Tyroler.
Interviewer: Can you spell that?
Interviewee: T-Y-R-O-L-E-R, Tyroler.
Interviewer: Tyroler.
Interviewee: Herman Tyroler. He was the epidemiology professor in the School of Public Health and also a New York City grad. I thought he graduated from NYU. I thought he graduated from NYU. And I got a summer fellowship with him in epidemiology. We talked about he was doing epidemiology with the Evans County Healthcare Study – Evans County, Georgia – the national study with disparities between health care between Blacks and Whites in Evans County rural Georgia?
Interviewer: Mm-hmm.
Interviewee: At which the School of Public Health was very involved in. And, of course, the sickle cell anemia study in Charleston County in the Sea Islands of South Carolina, the disparity and high death rate among sickle cell patients in hospital as compared to people in the community. So, he was
[00:47:31] he kept talking about disparities in health care and access to health care and what could be done to achieve that – to lower the disparity?Interviewer: Right, yeah. Dr. Thompson, tell me about the transition to residency for you. You graduated in 1970. Did the process more or less, was it similar to now where you interview, then match, then choose?
Interviewee: Well, no. You simply asked for the residency and – if you perform well as an internship – you got it. It was a two-year residency in internal medicine, but a large urban hospital needs a lot of bodies. You have to be very strong and you had to be quick on your feet because many times at night you were the only person there. The attendings were home. It’s not like today, but we did have second year – we had second-year internal medicine fellows and we had fellows in cardiology, pulmonary, kidney disease nephrology of course, and we had some attendings in the emergency room. So, the transition was fairly smooth, I thought.
Interviewer: What attracted you to come up to New York?
Interviewee: Well, I had come to New York to visit my uncles. Half of my family was in New York. It was part of the great migration from south to north. Let me turn the phone off and I’ll be right back.
Interviewer: Mm-hmm.
Interviewee: I better leave it on because I think that’s a call for my wife, but I’ll speak louder. As I said before, half the family, my uncle – I had two uncles in New York. One was a principal and one was an engineer for Con Ed – Con Edison – and I had an aunt who brought her three children to – four children to New York. That was a big mistake, but my uncle was a teacher and a principal in the New York City school system. In fact, he got a master’s degree at NYU, which he could not get in North Carolina.
Interviewer: Oh, that’s interesting. And you don’t –
Interviewee: My aunt also got her master’s degree in teaching at NYU and they had a program that encouraged Black educators to come to New York to get their master’s degree.
Interviewer: And you –
Interviewee: Go ahead.
Interviewer: No, say that again, please?
Interviewee: I guess you would call that affirmative action. It’s not negative action.
Interviewer: Right. And you already told me some about the experience of working in a large, urban hospital and some of the people who were there and supported you and some people who acted as mentors, those who were interested in things like health disparities already at the time. It sounds like a really wonderful environment.
Interviewee: It was a wonderful environment. As I said before, I was used to New York because I worked here and I had relatives here. I came here in the summer to stay with my uncle, who was a principal – teacher/principal – and I worked in New York to earn money to complete my education at North Carolina A&T and he didn’t charge me for rent or food or anything like that, but his brother also did the same thing for him. He was passing it on.
Interviewer: Right, yeah. And when you were there as an intern – so that’s one year and then you said you stayed one additional year?
Interviewee: Two years, two years.
Interviewer: Two years.
Interviewee: As a resident in medicine.
Interviewer: In internal med, yeah.
Interviewee: Yes.
Interviewer: And at the end of those two years, that’s when you were drafted I remember.
Interviewee: I was beginning a fellowship in cardiology and I was drafted. I was called up.
Interviewer: You were called up?
Interviewee: I was already in the Berry Plan. They sent me 15 pages of orders and – on page six – it says, “Report within two months” or something like that.
Interviewer: Wow.
Interviewee: So, I had to stop that and report.
Interviewer: And that was how you ended up in Korea?
Interviewee: That’s how. I wanted to go to Germany and my second choice was Hawaii and they wanted five years to go to Germany or four or five years to go to Hawaii and I said, “I can only give you two years” and I was single. So, they gave the single guys Korea. But I wasn’t up there at the border – at the DMZ – with the North Koreans. That was 20 miles away. So, I stopped complaining after a month because the physicians up there had to stay up there during the weekends.
Interviewer: What did you do in Korea?
Interviewee: Well, I was the medical officer for a battalion, for a CAP. We call it a CAP, 25 miles south of Seoul. I was a Captain initially and working under a Major and I was promoted to Major my first year in South Korea and then I was in charge of that medical office, medical battalion.
Interviewer: I’m sorry. I’m a little confused because were you still a trainee at the time or were you –
Interviewee: No, no. I had finished a two-year residency in medicine. I had an internship, you know internship, and additional so I had three years of training and I had a New York medical license, and I had a lot of experience in emergencies at Harlem Hospital, which I didn’t get at , because we had drug overdoses. We had gunshots. We had trauma. We had diabetic ketoacidosis, you name it. was more a referral hospital from other hospitals in North Carolina. had very good teacher, mentors.
Interviewer: Yeah. Was there a special moment or event when you felt you came into your own as a medical professional?
Interviewee: I did. I thought it was in the military because the things we saw in the military I had seen at Harlem Hospital or . The only thing I did not have was a lot of surgical experience and, in retrospect, I wish I had done some more rotations as an intern in surgery. I did rotate through surgery at . In fact, I remember a case with Dr. Wilcox. I think he was head of surgery, cardiovascular surgery, and he was doing a complex operation, but the students were allowed to be in the room and look and watch and observe, but also his – Wilcox’s mentor who was from New York City.
I think he was from either NYU or downstate. He was Chief of Cardiovascular Surgery before Wilcox took over. He would fly to small hospitals in North Carolina on a Piper and take students with him and care for patients who needed excision, for example, of a tuberculous lobe or things like that, where tuberculosis had destroyed half of the lungs and it was very difficult to treat the infection and he would fly students there and go over the case with them. It was very interesting. Of course, I forgot his name. I should never have forgotten his name.
Interviewer: You stayed in Korea only one year?
Interviewee: One year, yes.
Interviewer: Not the two years you had planned originally?
Interviewee: Well, no. I stayed in Korea one year and then I got a better assignment the second year at Madigan Army Medical Center.
Interviewer: Thank you for that reminder. Can you spell Madigan for me, please?
Interviewee: M-A-D-I-G-A-N.
Interviewer: A-N, Air Force Base – an air force base?
Interviewee: An Army base with an Air Force base attached.
Interviewer: Got it. And that was in Washington state?
Interviewee: That was in Tacoma. Washington state, yes, right near Seattle, Washington.
Interviewer: Why did you go there?
Interviewee: Well, I was assigned there and as I said before because I accepted the assignment in Korea, you get a better assignment the second year. Now Korea was very interesting. Korea was very interesting. I was a physician for a Korean orphanage.
Interviewer: Oh, really?
Interviewee: Yeah, pediatrics. I had to review my pediatrics. My sergeant took me to a Korean orphanage just because the base was sponsoring health care at a Korean orphanage.
Interviewer: Wow. That is fascinating.
Interviewee: It is fascinating, yes. In fact, I referred a Korean – we had a Korean doctor at our base and he asked me. One of the surgeons – a cardiac thoracic surgeon – asked me to look for patients who needed surgery. These were patients with rheumatic heart disease, rheumatic valve disease, and one of my – my Korean doctor asked me to see a patient who had severe mitral stenosis, severe mitral stenosis, classic mitral stenosis and I examined the patient, called the surgeon up and he said, “Send the patient up. We’ll take care of it. No charge.”
And they opened up his mitral valve and relieved his symptoms. The mother was so gracious that she gave me a Korean gift and, unfortunately, I had to refuse it because you were not supposed to accept gifts from Koreans, right? But my Korean doctor friend said, “You must accept it. In our culture, you can’t refuse those kinds of gifts.” So, I accepted it.
Interviewer: What was it?
Interviewee: It was a Korean gift that showed that changed color in the light. It was almost like a – and it showed a Korean in a native dress.
Interviewer: Cool.
Interviewee: It was very – I have it somewhere in my attic. I don’t know what I did with it. I did keep it.
Interviewer: That’s amazing. And then you came back and you were here at Madigan for one more year?
Interviewee: I was at Madigan for one year. So, I was two years in the service and I think maybe six years in the Reserve.
Interviewer: And how long have you now been living in New York state?
Interviewee: I have been living in New York State since certainly 1979, 19 – I’m sorry, 1975. Actually, I’ve been in New York State longer than I’d been in North Carolina. In fact, my high school class said I picked up a New York accent.
Interviewer: Oh, that’s not good, Dr. Thompson.
Interviewee: That’s not good. That’s not good. But I’ve been living in New York State certainly 30, 40, almost 50 years.
Interviewer: Oh, really?
Interviewee: On and off for 50 years, but I did live in New Jersey. I used to work in New Jersey. In fact, you’ll probably ask me the question what did I do subsequently when I finished my cardiology fellowship in ’76 I think it was. I got an offer after Madigan Army Medical Center to work for eight months at Bristol Myers Squibb headquarters – the pharmaceutical company in New York City?
Interviewer: Oh, yeah.
Interviewee: For about eight months or so in between completion of the military service and the start of my cardiology fellowship at Harlem Hospital. And I was interviewed there by a Dr. Allen Garb, G-A-R-B, also a New Yorker. And I worked there for nine months, did my cardiology fellowship, and he actually called me asking me to return and I said, “Oh, I’ll come back for four years or so” and 20 years later, I’m still there. But I was in New York City at their headquarters and then in Princeton, New Jersey at a research facility, and Wallingford, Connecticut at another research facility. But I always lived in New Rochelle, New York.
Interviewer: I did not realize that a lot of your career had involved research in pharmaceuticals.
Interviewee: It wasn’t research. I actually was involved in OSHA rules and regulations. We had factories and we had to – and we also did research with animals – especially monkeys – monkeys. I had to learn about diseases monkeys can transmit to humans – Herpes B virus, which a lot of people don’t know about. But in those days, we had one researcher who died of Herpes B virus a year because he thought he had classic herpes and didn’t report that he was bitten by a monkey that he was doing research on, right?
But OSHA evaluated our factories. I had to learn occupational medicine. We also did stress testing. We did echocardiograms and we did – had an internal medicine office there in the headquarters and in the research facilities. So, employees expected a lot more than just occupational health and safety.
Interviewer: I see. So, you were one of the doctors for the company?
Interviewee: Yes.
Interviewer: Got it.
Interviewee: Yes. But we also did disabilities and we had some emergencies.
Interviewer: Wow.
Interviewee: But they wanted someone who could read EKGs, do echoes, and take them to another level.
Interviewer: Yeah. You’re the first doc that I have interviewed for this project who had a long career working in private industry.
Interviewee: Yes, I did. But the other thing I did I was also vice chairman of a pediatric clinic in a black neighborhood in Trenton, New Jersey. We established a clinic with the help of a father, Catholic father, in the neighborhood who was doing community service and was an activist, but he saw the need for a pediatric clinic. I took the place of a Bristol Myers Squibb executive who was on the board there. We finally sold the clinic for a dollar to St. Francis Hospital, which allowed them to complete their community service obligations and allowed them to establish a cardiac surgery unit.
Interviewer: Wow, that’s wonderful. I was gonna ask you maybe this is related. If you look back at your long career, of what are you proudest?
Interviewee: Well, I’m proudest of my service to the community. I’m proud of my military service too because – as I said before – my uncle was captured in South Korea and the Black soldiers were very happy to see a Black physician. I’m proud of my contributions, my studies at Harlem Hospital, and I’m also proud of my affiliation with Dr. Gerald Thomson and Herman Tyroler who discussed disparities in health care. At the time, Tyroler was more interested in the Black/White dichotomy in the south, but Gerald Thomson was interested in not only the Black/White disparity, but the Hispanic disparity too.
To get off the subject, I am also a member of what’s called the Westchester Clubmen – a group of 20, 22, or 23, 25 Black and one Hispanic professionals. We mentor high school students and middle school students, but we talk about jobs and our experiences, and where we came from. On Wall Street, some of the guys are on Wall Street, and we have physicians.
We had one surgeon and one urologist and one cardiologist and a lot of Wall Street guys, some involved in Lehman Brothers – that bankruptcy of 2008 – I thought it was. And we’re telling the kids about where we came from and that they’re not too much different from who we are – who we were. They can achieve what we achieve. But their mothers are very happy that we’re mentoring them. We take them to Knicks games, the Metropolitan Museum of History, right?
Interviewer: Mm-hmm.
Interviewee: The historical museum. We take them to McDonald’s and we take them to dinner and we have scholarships and computers for them when they graduate from high school. But these are Black and Hispanic youth. Initially, it was Black youth and we expanded 15 years ago to Hispanic. Hispanics are the largest minority certainly in the northeast.
Interviewer: Yeah, I think we’ve been growing a lot.
Interviewee: Yes, a lot, a lot.
Interviewer: Back in I think early in the 1990s here just in North Carolina – I wasn’t living here yet but – we were not more than one percent of the population and now we’re close to 10 percent.
Interviewee: I read a stat that – in rural North Carolina – the fastest growing population is the Hispanic population. In fact, said something like the language of the ICU is Spanish because they wanted to communicate with the COVID patients, right?
Interviewer: Yeah.
Interviewee: But it’s the changing demographics in the country, medical and demographics, yeah.
Interviewer: Yeah.
Interviewee: But also – as I mentioned with Dr. Gerald Thomson – he encouraged people to be politically active and he kept mentioning disparities, disparities, disparities, but he also mentioned it to all of the residents and the attendings and the politicians because you need money to solve any problems, you know?
Interviewer: This last question that I want to ask you dovetails with what you just said and the question is what have all these different experiences taught you about the best ways that we can support present-day minority students and communities? I quite understand you’ve been speaking up about disparities is one of those ways from what you’re saying.
Interviewee: Well, Dr. Gerald Thomson told us we must be mentors. We must encourage students, minority students especially, but also White students too because there’s a White poor population in the US that people, for example, sometimes forget. It’s not just Blacks and Hispanics, but also White students. So, we must be concerned about health care for all groups, but you need money to solve these problems. I think the Hope Recovery Act showed that, in order to solve the problem of joblessness, you need money to solve that problem, right?
Little New Rochelle got $13 million from the Hope Recovery Act – $13 million. Mount Vernon – a predominantly Black town I think 60 or 70 percent – got $14 million and they were able to help their people with the funds. So, you need funds. You need to be politically active. You need to know what the problem is. You need to know the scope of the problem – which is epidemiology – but you need funds to solve the disparity problem and we’re still experiencing that. So, we have to be mentors. We have to be activists.
We have to connect with politicians because that’s where the money is. I was talking to a politician the other day and I said something. I think she’s now the Senate chairman – New York State senate chairman. Her name is Cousin and I said, “You know us physicians we have to be concerned about the prison population.” New York City wants to build four new prisons in four boroughs and close Riker’s out at the cost of $7.8 billion, with a B, right?
Interviewer: Yeah.
Interviewee: And I said, “I’m not a politician, but the money for prisons comes from the budget of the poor. We build those prisons, we’re not gonna be able to take care of the health care problems in minority neighborhoods – Black and Hispanic neighborhoods. And she said something to the effect that, “Well, the budget for the prisons is a separate budget.” I said, “I know that but – if we spend the money – we’re not gonna have money left over to spend for health care.”
I said, “You’re gonna have to build at least one prison because you’ve promised that, but don’t build the other four because the people in Harlem don’t want a prison. The people in Queens don’t want a prison. They want apartments. They want help with evictions. They want help with affordable housing and health care, right, and jobs, and education for their children. But she was a little surprised that I kept talking about prisons.
I said, “Physicians have to be concerned about deaths because – whether you die of a gunshot wound at Harlem Hospital emergency room or you die of kidney failure or you die of a heart attack that could have been prevented – death is medicine and we have to prevent early premature death. So we have to be concerned about that and act appropriately, but it takes money to do this.”
Interviewer: Yeah.
Interviewee: Physicians have to be advocates – especially people who were mentored and got to where they were, where they are in life. I’m retired, but I had a lot of mentors. I had a lot of mentors and I encourage students to be advocates. “You were prepared. You were accepted as medical students. They know what they’re doing when they accepted you. You belong. Be active, work hard, and bring someone else along with you. Mentor people.”
Interviewer: That’s wonderful, Dr. Thompson. I think we need to wrap up on that note.
Interviewee: A better way is contribute to the foundations whether you do $100 a year or $1,000 a year. Fortunately, I’m able to match my donation with the Bristol Myers Squibb Foundation. Whether I give a grant to the organization I’m with or to the medical school directly or to another, for example, the Southern Poverty Law Center or the University of North Carolina A&T. That grant is matched. So, my donations are matched, but other people have to donate. There are no excuses for not donating, not being active, and not encouraging other people to follow your example. In fact, I have to tell you this. My daughter is now an attending physician at MedStar Washington Hospital in emergency medicine.
Interviewer: Wow.
Interviewee: She’s a graduate of Columbia where she did a residency at Columbia in New York – Cornell, Cornell, Weil Cornell – because they’re now New York Presbyterian Hospital. She did a four-year residency and is an attending physician there.
Interviewer: Wow, congratulations to her.
Interviewee: She decided on her own to become a physician because she didn’t see me a lot of the times. I was either working or coming home late at night, but you have to mentor people – encourage them – because they’re smarter than you are and certainly they can do the work. If you did the job, they can do the work because they’re smarter than we are. Their parents are. I should say their parents are.
Interviewer: They’re smarter than I am. They are really well put together these medical students that I teach these days. I’m very impressed by them. Thank you, Dr. Thompson. This was wonderful and this hour and a half has gone by just like that. I’m gonna stop this recording.
[End of Audio]Duration: 75 minutes
- Download Transcript
About
Dr. Charles Thompson grew up in Rocky Mount, NC, in 1944. He had great teachers and mentors in school, despite segregation policies. Several family members, religious leaders, and local Black physicians encouraged him to follow his interest in a medical career. He attended North Carolina A&T for college, where he enrolled in the ROTC, amid Civil Rights mobilization and the Vietnam War. Shortly after being admitted to the , he received a 4-year deferment for military service thanks to the Berry Plan. After , he moved to New York City, where he completed a residency in Internal Medicine at Harlem Hospital and paid special attention to mentors interested in discussing and studying health disparities. About to start a fellowship in cardiology, he was pulled to serve in the military. He spent a year at a base in Korea where, among other things, he was the physician for a Korean orphanage. Then he spent a second year at Madigan Air Force Base in Washington state. After his service, he completed his cardiology fellowship and was offered a job at Bristol Myers Squibb in the NY/NJ area. He spent decades working as a physician for the company, particularly in the fields of OSHA regulations compliance, disability claims, and providing emergency care for employees. He was also the Vice-Chairman of a pediatric clinic in a Black neighborhood in Trenton, New Jersey. He concludes by emphasizing the importance of being politically active and find ways to fund initiatives to address health disparities.
-
More Interviews
Dr. Jon Regis
Class of 1978
Go To Interview
1H 14M
Dr. Cornelius Cathcart
Class of 1976
Go To Interview
0H 53M
Dr. Dorothy Linster
Class of 1978
Go To Interview
1H 33M