Bellevue: Three Centuries of Medicine and Mayhem at America's Most Storied Hospital by David M. Oshinsky
March 26, 2018
I loved loved loved this book. Like most people, my knowledge of Bellevue was really derived from jokes made by Ralph Kramden et al on black & white episodes of The Honeymooners... the inference being that Bellevue was a mental institution. So learning about Bellevue's historical contribution to the entirety of US healthcare and the ways in which they've been a major innovator in medicine was an eye-opener. Not only was this beleaguered public hospital in the forefront of the fights against AIDS, typhus, etc, but it also created the first maternity ward in the US, performed the first ligation of the femoral artery, helped developed New York's sanitary code.
In Bellevue: Three Centuries of Medicine and Mayhem at America's Most Storied Hospital, Oshinsky tells the tale of Bellevue in a way that is bother informative but emotional. Dealing with watching patients die of AIDs, the aftermath of Hurricane Sandy, the doctors of Bellevue have been, since its inception, exceedingly empathetic, charitable, and forward-thinking. David Oshinsky's love and respect for this institution comes through in what, at times, appears to be a love letter to Bellevue Hospital.
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 catastrophe--or groundbreaking scientific advance--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 cities--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 history.