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Bellevue: Three Centuries of Medicine and Mayhem at America's Most Storied Hospital

door David Oshinsky

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4551854,506 (4.08)32
History. Medical. Nonfiction. HTML:From a Pulitzer Prize-winning historian comes a riveting history of New York's iconic public hospital that charts the turbulent rise of American medicine.
Bellevue Hospital, on New York City's East Side, occupies a colorful and horrifying place in the public imagination: a den of mangled crime victims, vicious psychopaths, assorted derelicts, lunatics, and exotic-disease sufferers. In its two and a half centuries of service, there was hardly an epidemic or social catastropheâ??or groundbreaking scientific advanceâ??that did not touch Bellevue.
     David Oshinsky, whose last book, Polio: An American Story, was awarded a Pulitzer Prize, chronicles the history of America's oldest hospital and in so doing also charts the rise of New York to the nation's preeminent city, the path of American medicine from butchery and quackery to a professional and scientific endeavor, and the growth of a civic institution. From its origins in 1738 as an almshouse and pesthouse, Bellevue today is a revered public hospital bringing first-class care to anyone in need. With its diverse, ailing, and unprotesting patient population, the hospital was a natural laboratory for the nation's first clinical research. It treated tens of thousands of Civil War soldiers, launched the first civilian ambulance corps and the first nursing school for women, pioneered medical photography and psychiatric treatment, and spurred New York City to establish the country's first official Board of Health.
     As medical technology advanced, "voluntary" hospitals began to seek out patients willing to pay for their care. For charity cases, it was left to Bellevue to fill the void. The latter decades of the twentieth century brought rampant crime, drug addiction, and homelessness to the nation's struggling citiesâ??problems that called a public hospital's very survival into question. It took the AIDS crisis to cement Bellevue's enduring place as New York's ultimate safety net, the iconic hospital of last resort. Lively, page-turning, fascinating, Bellevue is essential American
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Mention the word "Bellevue" and most Americans think of a derelict, frightening mental asylum, made notorious by Nellie Bly's exposé in 1887. In truth, Bellevue Hospital's history is long and often revolutionary. In this history, David Oshinsky weaves together the history of a hospital, a city, and medicine itself.

Bellevue Hospital began as an almshouse infirmary in the 1790s. From the very beginning, it never turned away patients, no matter their ability to pay, their religion, or ethnicity (a very unusual stance for the time). Soon it became a dumping ground where other hospitals sent their incurables so as to maintain high cure rates. Whenever epidemics swept through NYC, Bellevue took the brunt of it. Because of the large number of immigrants passing through its doors, Bellevue treated a wide variety of disease and illness, and soon doctors were eager to do a stint at Bellevue in order to gain experience. As apprenticeship gave way to medical schools, Bellevue teamed up with New York University, Columbia, and Cornell to become a premier teaching hospital. Despite its reputation as the hospital for the poor, it's emergency and trauma centers became first-class and if celebrities or visiting dignitaries had a medical emergency, they often chose to go to Bellevue.

Bellevue was often on the cutting edge of medical research and practice as well. The first American civilian ambulance service began here, medical photography was developed, and in 1956 two of its physicians won the Nobel Prize for their groundbreaking work in cardiac catherization. The first doctor to reach Lincoln in Ford's theatre was a Bellevue physician as was the doctor in charge of President Garfield's gunshot wound (unfortunately that doctor was not a subscriber to germ theory and probably unwittingly abetted his death). In the 1980s, Bellevue was at the forefront of the AIDS epidemic, both in terms of research and treatment. Although there was never enough funding for a hospital of its size and mandate to treat the indigent, Bellevue achieved remarkable things.

Oshinsky doesn't shy away from the dark side of Bellevue either, such as the murder in 1989 of a pregnant doctor in her office by a squatter, or the use of electric shock therapy on children, but he does put these events into perspective.

I enjoyed reading Bellevue and learned a lot about the history of NYC and of American medicine, as well as of this storied hospital. Oshinsky has a knack for describing the personalities and quirks of those who impacted Bellevue, from politicians at Tammany Hall to the doctors and nurses who worked on the wards to the researchers in its famous pathology labs and morgue. A fantastic piece of narrative nonfiction, I would recommend it to anyone interested in NYC and/or medicine. ( )
2 stem labfs39 | Nov 5, 2023 |
This is a wonderfully organized (even though is presented chronologically) and colorful history of one of our flagship Hospitals in American history. Bellevue's history is told within the context of immigration, healthcare science, and the politics of New York. It is extremely well researched but is easily read with most explanations included in the text rather than as footnotes (there are notes added, but the text is clear enough to allow one to actually read the book rather than always flipping back to the notes pages). The book begins with New York as a "wilderness" and moves forward to include Bellevue's response to 9/11 and Hurricane Sandy.
Anyone who enjoys reading non-fiction will appreciate this book. ( )
  Kimberlyhi | Apr 15, 2023 |
To tell the story of Bellevue Hospital is to tell the story of New York. Since its humble beginnings as an almshouse in 1736, Bellevue has seen almost every outbreak and epidemic in NYC: yellow fever, cholera, smallpox, typhus, tuberculosis, influenza and AIDS. Bellevue, as a public hospital, was the largest provider for Irish, German and Italian immigrants, souls deemed "too poor" or "too far gone" by other facilities. Bellevue was also on the frontline of the American Civil War, the Great Depression, and created the first ambulance fleet, opened the first nursing school for women, pioneered medical photography and forensic science. The book includes the incredibly pioneering but forgotten stories of Valentine Mott, Stephen Smith, Oscar G. Mason, Edward Dalton, Ignaz Semmelweis and many others. The more popular names include Florence Nightingale, Nellie Bly, David Hosack, Joseph Lister and Alexander Gettler (of Radium Girls fame)

I couldn't give it a perfect score for how quickly it covered the asylum portion of Bellevue. Also, the voices are largely those of the medical staff, and I would've liked to have seen more from the "cured." But I had zero issue with the cuts to outside events, I feel like it always circled back at the right moment. ( )
  asukamaxwell | Feb 3, 2022 |
As a hospital librarian, I'm a geek for books likes this. As a writer published in the Bellevue Literary Review, a lit mag published by the NYU Langone Medical Center, I'm even more kindly inclined. And I loved Oshinsky's previous book on polio. In "Bellevue," he knits together a history of New York City, medical practice and eminent practitioners, and the hospital itself. Though many think of Bellevue as the legendary "looney bin," it is in fact an amazing institution of dedicated, sophisticated medical care for anyone and everyone who comes through the doors, even and especially those in desperate straits with no other option. Such a mission may seem quixotic, foolish, dangerous and -these days - critically endangered. Young doctors died in dozens during yellow fever epidemics; later on, indigent and despised TB-infected immigrants were treated there, as were the AIDS patients when no one knew what was even wrong with them except that it was deadly. It's a great story, well told, and I'm also a sucker for any writer who thanks - by name! - the librarians who helped him research it. Well done! ( )
  JulieStielstra | May 17, 2021 |
A thorough history of New York's largest and most famous public hospital, from its early days through the present, with stops by numerous famous events that affected its residents, from the Civil War riots to the AIDS epidemic to Hurricane Sandy. There were a couple stretches, like events that happened elsewhere involving doctors who once, say, interned at Bellevue, but that isn't all that important. If you like medical history, this is a decent read. ( )
  melydia | May 12, 2018 |
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History. Medical. Nonfiction. HTML:From a Pulitzer Prize-winning historian comes a riveting history of New York's iconic public hospital that charts the turbulent rise of American medicine.
Bellevue Hospital, on New York City's East Side, occupies a colorful and horrifying place in the public imagination: a den of mangled crime victims, vicious psychopaths, assorted derelicts, lunatics, and exotic-disease sufferers. In its two and a half centuries of service, there was hardly an epidemic or social catastropheâ??or groundbreaking scientific advanceâ??that did not touch Bellevue.
     David Oshinsky, whose last book, Polio: An American Story, was awarded a Pulitzer Prize, chronicles the history of America's oldest hospital and in so doing also charts the rise of New York to the nation's preeminent city, the path of American medicine from butchery and quackery to a professional and scientific endeavor, and the growth of a civic institution. From its origins in 1738 as an almshouse and pesthouse, Bellevue today is a revered public hospital bringing first-class care to anyone in need. With its diverse, ailing, and unprotesting patient population, the hospital was a natural laboratory for the nation's first clinical research. It treated tens of thousands of Civil War soldiers, launched the first civilian ambulance corps and the first nursing school for women, pioneered medical photography and psychiatric treatment, and spurred New York City to establish the country's first official Board of Health.
     As medical technology advanced, "voluntary" hospitals began to seek out patients willing to pay for their care. For charity cases, it was left to Bellevue to fill the void. The latter decades of the twentieth century brought rampant crime, drug addiction, and homelessness to the nation's struggling citiesâ??problems that called a public hospital's very survival into question. It took the AIDS crisis to cement Bellevue's enduring place as New York's ultimate safety net, the iconic hospital of last resort. Lively, page-turning, fascinating, Bellevue is essential American

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