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Trianon Scientific Communication

Embracing intersectionality in science: Dr. Patricia Bath - Illuminating the Path to Inclusive Healthcare and Sustainable Innovation (Chapter 3)

Updated: 4 days ago

In the pantheon of scientific trailblazers, Dr. Patricia Bath stands out not just for her groundbreaking innovations, but for the deeply personal mission that drove her work. As we continue our exploration of intersectionality in science, Dr. Patricia Bath’s story illuminates how one’s unique experiences can spark revolutionary changes in healthcare and beyond.




 

The Making of a Visionary

 

Patricia Era Bath’s journey began in Harlem (New York) on November 4, 1942.

Her father was Rupert Bath, a Trinidadian immigrant working as a subway motorman, and her mother was Gladys Elliott Bath, a housekeeper.

Young Patricia’s curiosity was nurtured from an early age. Her mother, recognizing a spark of scientific interest, gifted her a chemistry set – a simple act that would set the course for an extraordinary career.

 

“I wanted to pretend-play and model myself after scientists,”

Bath once shared with Time magazine.


“When we would play nurse and doctor, I didn’t want to be forced to play the role of the nurse. I wanted to be the one with the stethoscope, the one who gave the injections, the one in charge”

This childhood determination foreshadowed the barriers she would break and the changes she would champion.

 

A Prodigy’s Path

 

Bath’s brilliance shone early. At just 17, she co-authored a cancer study presented at the International Congress on Nutrition in Washington – an achievement that earned her a feature in The New York Times. This early recognition set the stage for a career defined by firsts and fierce advocacy.

 

Her academic journey took her from Hunter College, where she earned a bachelor’s degree in chemistry and physics, to Howard University for her medical degree. It was during her internship at Harlem Hospital and fellowship at Columbia University that Bath’s unique perspective as a black woman in medicine began to shape her mission.


Dr Patricia Bath’s experiences as a black woman in America profoundly influenced her perspective and career trajectory. To understand this, we must consider the historical and social context of her time:


Civil rights era

Dr Patricia Bath came of age during the height of the Civil Rights Movement. As a black woman, she witnessed and experienced the systemic racism and segregation that permeated American society, including in education and healthcare:


Gender discrimination

In addition to racial barriers, Bath faced significant gender discrimination in the male-dominated fields of medicine and science. Women, especially women of colour, were often discouraged from pursuing careers in these areas and faced numerous obstacles in their professional advancement.


Educational disparities

Despite her brilliance, Patricia Bath had to navigate an educational system that often underserved and underestimated black students. Her attendance at a National Science Foundation-sponsored cancer research workshop at the age of 16 was exceptional for a young black woman at that time.


Healthcare inequities

Through her experiences and observations, Patricia Bath became acutely aware of the stark disparities in healthcare access and quality between different racial and socioeconomic groups. This awareness would later fuel her innovations in community ophthalmology.

Limited representation

As one of the few Black women in her field, Patricia Bath often found herself being “the first” or “the only” in many professional settings. This lack of representation meant she had few role models and had to forge her own path.


Intersectional Challenges

Patricia Bath faced challenges that were unique to being both black and a woman – experiences that her white female colleagues or black male colleagues might not have shared. This intersectionality gave her a nuanced understanding of systemic inequalities.



Unveiling Healthcare Disparities

 

In the stark contrast between the predominantly black patient population at Harlem Hospital and the mostly white one at Columbia, Bath observed a troubling pattern:

"Disproportionate numbers of blacks are blinded by preventable causes,”

she wrote in a 1979 paper.


This realization ignited a lifelong commitment to addressing racial disparities in eye care.

 

Bath’s research revealed that blindness was twice as prevalent among black Americans compared to white Americans. These findings weren’t just statistics to her; they were a call to action. In 1976, she co-founded the American Institute for the Prevention of Blindness, championing what she termed “community ophthalmology” – a grassroots approach to screening, treatment, and education. [1]

 

Breaking Barriers, Facing Challenges

 

Bath’s journey was marked by triumphs and trials. As the first woman faculty member in UCLA’s Jules Stein Eye Institute’s ophthalmology department, she was initially offered an office in the basement next to the animal laboratory. Her response was characteristic of her approach to adversity:


“I didn’t say it was racist or sexist. I said it was inappropriate and succeeded in getting acceptable office space.”

The challenges she faced as a black woman in science ultimately led her to take a sabbatical in Europe to conduct her groundbreaking research. It was there, that she conceived the Laserphaco Probe.



Intersectonality as a catalyst for change


Community Ophthalmology

Recognizing the higher rates of blindness among Black Americans, Bath developed a community-based approach to eye care. A community-based approach to eye care involves actively engaging and empowering local communities to improve eye health outcomes. It involves community engagement and participation, bringing services closer to communities, empowering communities, improving access abd affordability, health education services.

This system, born from her understanding of racial and economic disparities, brought vital eye care services to underserved communities.

By actively engaging communities, bringing services closer, empowering local stakeholders, and improving access, a community-based approach aims to eliminate avoidable blindness in a sustainable manner.


The Laserphaco Probe


Dr. Patricia Bath invented the Laserphaco Probe in 1986 and patented it in 1988. The device was created to treat cataracts, which are cloudy areas in the eye's lens that can cause vision impairment or blindness. The Laserphaco Probe is an innovative medical device designed to improve cataract surgery and make it more precise and less invasive.



It uses laser technology to quickly and painlessly dissolve cataracts. The probe is inserted into a small incision in the eye. It then uses laser pulses to vapourise the cataract with the resulting debris being gently suctioned out. This method is more precise and less invasive than traditional cataract removal techniques, which often involved manual cutting.


The Laserphaco Probe helped revolutionize cataract surgery, making it faster, more accurate, and more comfortable for patients. [2]



Dr. Bath was the first African American woman

In 1988, Bath became the first African American female doctor to receive a medical patent, marking a significant achievement in both medical and social history.

The technology has been used worldwide to help restore or improve vision for many cataract patients.

The Laserphaco Probe represents a significant advancement in ophthalmology and highlights the importance of diversity in scientific and medical innovation.


Bath’s vision of using laser technology to remove cataracts was ahead of its time. When she first conceived of that possibility in 1981, her idea was more advanced than the technology available at the time. It took nearly five years of research and testing before she could apply for a patent.


Bath's invention of this revolutionary device for cataract treatment was influenced by her commitment to making eye care more accessible and effective for all populations. Her unique position as a black woman in medicine allowed her to identify and address needs that had been overlooked by the predominantly white, male scientific community.


This achievement wasn’t just a personal triumph; it represented hope for millions. The United States Patent and Trademark Office acknowledged that her work had “helped restore or improve vision to millions of patients worldwide.”[3]




 

Sustainability Through Inclusive Innovation


Dr. Bath's work exemplifies how intersectionality can drive sustainable innovation:


Social Sustainability:

By advocating for "eyesight as a basic human right" and developing community ophthalmology programs, Bath contributed to more equitable and sustainable healthcare systems. Her approach ensured that advancements in eye care reached beyond affluent communities, promoting long-term social sustainability.

 

Environmental Sustainability:

The Laserphaco Probe's precision and efficiency potentially reduced the resources needed for cataract surgeries. By improving surgical outcomes, it may have decreased the need for repeat procedures, thus conserving medical resources and reducing environmental impact.

 

Economic Sustainability:

Bath's innovations likely contributed to economic sustainability in healthcare. The Laserphaco Probe's more efficient and effective treatment of cataracts have reduced long-term healthcare costs associated with vision impairment and blindness.



A Legacy of Compassion and Innovation

 

Dr. Patricia Bath's career demonstrates how embracing intersectionality in science can lead to more comprehensive, equitable, and sustainable solutions. Her work, building on the foundations laid by pioneers like Dr. Susan McKinney Steward (Chapter 1) in medicine and Dr. Chien-Shiung Wu (Chapter 2) in physics, shows that diverse perspectives are essential for addressing complex global challenges.


For Dr. Patricia Bath, the true reward lay in the lives she changed. She described her “personal best moment” as using a keratoprosthesis implant to restore sight to a woman in North Africa who had been blind for 30 years.

“The ability to restore sight is the ultimate reward,”

she said, encapsulating the deeply personal nature of her work.

 

Dr. Patricia Bath passed away on May 30, 2019, at the age of 76, leaving behind a legacy that extends far beyond her inventions. Her daughter, Dr Eraka Bath, carries forward the memory of a woman who saw science not just as a pursuit of knowledge, but as a means to create a more equitable world.

 

Conclusion: The Power of Perspective

 

Dr. Bath’s story is a testament to the power of intersectionality in driving innovation and sustainability in science. Her experiences as a black woman in America didn’t hinder her progress; they fueled her determination to address overlooked issues and serve underrepresented communities.

 

As we face the complex challenges of our time, from healthcare disparities to climate change, Bath’s legacy reminds us of the invaluable contributions that diverse perspectives bring to scientific endeavors. Her life’s work challenges us to consider: How can we foster scientific environments that not only welcome diversity but actively seek out and value the unique insights that arise from varied lived experiences?

 

In embracing intersectionality, as Dr. Patricia Bath did throughout her remarkable career, we open doors to innovations that are not just groundbreaking, but also sustainable and equitable for all. Her vision for a world where eyesight is a basic human right continues to inspire and guide us toward a future where science serves all of humanity.



This article is part of a series exploring the importance of intersectionalty in science for innovation and sustainability.


 

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