“the patient is first, and last…always ” a history of the department of pediatrics

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“The Patient is first, and last…always” A History of the Department of Pediatrics at Walter Reed National Military Medical Center

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“The Patient is first, and last…always ” A History of the Department of Pediatrics at Walter Reed National Military Medical Center. First Patients Admitted 1909. Early Pediatrics at Walter Reed. 12 deliveries/month between 1920-40; dependent care was optional. - PowerPoint PPT Presentation

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Page 1: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

“The Patient is first, and last…always”

A History of the Department of Pediatrics at Walter Reed National Military Medical Center

Page 2: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics
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First Patients Admitted 1909

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Early Pediatrics at Walter Reed

12 deliveries/month between 1920-40; dependent care was optional

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Page 8: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics
Page 9: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

War Brides and 10,000 infants transported to U.S. in 1st year after VE Day

Page 10: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

High Infant Mortality on the USNS Zebulon Vance

Sister ship to USNS Cateau-Therrieu pictured above

Page 11: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

COL Ogden Bruton

Page 12: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

Pediatric Section Established March 1949

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Rapid Growth in Pediatrics from ’49-’57

Page 14: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

Year Outpatients Inpatients

1949 12,000 3711950 17,365 5331951 29,777 1,2191952 27,000 1,2441953 26,571 1,2001954 27,708 1,1941955 35,600 1,4471956 32,600 1,2341957 29,782 1,629

Rapid Growth in Pediatrics from ’49-’57

Page 15: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

Pediatric Clinic: Building 7, 2nd Floor

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Inpatient Pediatrics, Building 1Wards 16, 17 and 22

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Walter Reed Newborn Nursery, 1954

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Disease Tokyo WRAHInfections 62.6 13.0Prenatalproblems

12.4 43.0

Trauma 5.6 9.0Cancer 1.3 10.0Metabolic/endocrine

2.1 4.1

Diagnostic Breakdown of Inpatient Admissions at Tokyo and Walter Reed, 1950s

Page 20: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

Primary Pediatric Medevac Site for the Western Hemisphere

Page 21: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

Hospital for Foreign Dignitaries

Page 22: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

Life on the Ward

Page 23: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics
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“Frequent Flier” on the Inpatient WardJoseph S. Holtoner, son of a USAF Major General J. Stanley Holtoner

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Meanwhile, a few miles away….

Page 28: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

NNMC Pediatrics Starts July 1948 under CAPT James T. Fowler

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Page 30: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

Bethesda Naval Hospital, 1957

CAPT ThomasCone

LCDR Howard Pearson

LT CharlesWaite

Page 31: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

CAPT Andy MargilethFather of Pediatric Dermatology

Page 32: “The Patient is first,  and last…always ” A  History of  the Department of Pediatrics

Walter Reed Expands in the 1960s

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COL James Bass – Chief of Pediatrics 1975-1981

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Women Pediatricians

1975Dr. Donna Schuster1st Female Graduate

Walter Reed

Mid 1960sDr. Eve Kimball

1st Female Intern in the ArmyMadigan AMC

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COL Erroll AldenChief of Pediatrics, 1983-1987

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Base Realignment and Closure - 1995

• Two residencies combined as the National Capital Consortium

• NICU and Newborn Services – NNMC• PICU, Inpatient Pediatrics – WRAMC• Subspecialty Clinics – WRAMC (mostly)• Primary Care Clinics - Both

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USAF Trainees

• Occasional USAF Pediatric Residents since 1956• B.J. Beard swaps spots with Jill Emerick in 2002• First class of USAF pediatric interns starts 2006

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Base Realignment and Closure, Round 22005

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