The Patient is first and lastalways A History

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

“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

First Patients Admitted 1909

Early Pediatrics at Walter Reed 12 deliveries/month between 1920 -40; dependent care was optional

Early Pediatrics at Walter Reed 12 deliveries/month between 1920 -40; dependent care was optional

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

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

High Infant Mortality on the USNS Zebulon Vance Sister ship to USNS Cateau-Therrieu pictured

High Infant Mortality on the USNS Zebulon Vance Sister ship to USNS Cateau-Therrieu pictured above

COL Ogden Bruton

COL Ogden Bruton

Pediatric Section Established March 1949

Pediatric Section Established March 1949

Rapid Growth in Pediatrics from ’ 49 -’ 57

Rapid Growth in Pediatrics from ’ 49 -’ 57

Rapid Growth in Pediatrics from ’ 49 -’ 57

Rapid Growth in Pediatrics from ’ 49 -’ 57

Pediatric Clinic: Building 7, 2 nd Floor

Pediatric Clinic: Building 7, 2 nd Floor

Inpatient Pediatrics, Building 1 Wards 16, 17 and 22

Inpatient Pediatrics, Building 1 Wards 16, 17 and 22

Walter Reed Newborn Nursery, 1954

Walter Reed Newborn Nursery, 1954

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

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

Primary Pediatric Medevac Site for the Western Hemisphere

Primary Pediatric Medevac Site for the Western Hemisphere

Hospital for Foreign Dignitaries

Hospital for Foreign Dignitaries

Life on the Ward

Life on the Ward

“Frequent Flier” on the Inpatient Ward Joseph S. Holtoner, son of a USAF Major

“Frequent Flier” on the Inpatient Ward Joseph S. Holtoner, son of a USAF Major General J. Stanley Holtoner

Meanwhile, a few miles away….

Meanwhile, a few miles away….

NNMC Pediatrics Starts July 1948 under CAPT James T. Fowler

NNMC Pediatrics Starts July 1948 under CAPT James T. Fowler

CAPT Thomas Cone LCDR Howard Pearson LT Charles Waite Bethesda Naval Hospital, 1957

CAPT Thomas Cone LCDR Howard Pearson LT Charles Waite Bethesda Naval Hospital, 1957

CAPT Andy Margileth Father of Pediatric Dermatology

CAPT Andy Margileth Father of Pediatric Dermatology

Walter Reed Expands in the 1960 s

Walter Reed Expands in the 1960 s

COL James Bass – Chief of Pediatrics 1975 -1981

COL James Bass – Chief of Pediatrics 1975 -1981

Women Pediatricians Mid 1960 s Dr. Eve Kimball 1 st Female Intern in the

Women Pediatricians Mid 1960 s Dr. Eve Kimball 1 st Female Intern in the Army Madigan AMC 1975 Dr. Donna Schuster 1 st Female Graduate Walter Reed

COL Erroll Alden Chief of Pediatrics, 1983 -1987

COL Erroll Alden Chief of Pediatrics, 1983 -1987

First Flight & Infant Botulism 1992

First Flight & Infant Botulism 1992

Base Realignment and Closure - 1995 • Two residencies combined as the National Capital

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

USAF Trainees • Occasional USAF Pediatric Residents since 1956 • B. J. Beard swaps

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

Base Realignment and Closure, Round 2 2005

Base Realignment and Closure, Round 2 2005

New Construction 2017

New Construction 2017

New Construction

New Construction

Why Military Pediatricians? (for combatant personnel)

Why Military Pediatricians? (for combatant personnel)

1. There are more troops in the agerange of *our* wheelhouse

1. There are more troops in the agerange of *our* wheelhouse

2. 90% of combat-zone medical issues and medevacs are for ‘Disease Non. Battle Injuries’

2. 90% of combat-zone medical issues and medevacs are for ‘Disease Non. Battle Injuries’ aka ambulatory care – which we do often & well >>

3. We are a specialty focused on Preventive Care of healthy patients – what

3. We are a specialty focused on Preventive Care of healthy patients – what combatant commanders know as ‘medical readiness ‘

4. We are an adaptable specialty used to making do with equipment & patients

4. We are an adaptable specialty used to making do with equipment & patients of different sizes/ages – a valuable trait in austere and chaotic environments

The Patient is first and lastalways A HistoryThe Patient is first and lastalways A History
Patient 1 Patient 3 Patient 5 Patient 6Patient 1 Patient 3 Patient 5 Patient 6
Patient Assessment History Taking History of Patient MedicalPatient Assessment History Taking History of Patient Medical
Patient 5 ALS Patient Background and Problems PatientPatient 5 ALS Patient Background and Problems Patient
Patient Care and Monitoring Systems Patient care PatientPatient Care and Monitoring Systems Patient care Patient
Patient Care and Monitoring Systems Patient care PatientPatient Care and Monitoring Systems Patient care Patient
Improving patient care Improving patient care Patient safetyImproving patient care Improving patient care Patient safety
Patient Questionnaire 2008 09 Patient Comments Patient CommentsPatient Questionnaire 2008 09 Patient Comments Patient Comments
Patient 1 Patient 2 Patient 3 Normal LungPatient 1 Patient 2 Patient 3 Normal Lung
Patient Patient Presentatieformat versie 2020 Patient Reden vanPatient Patient Presentatieformat versie 2020 Patient Reden van
Patient Compliance With Medical Advice Patient compliance patientPatient Compliance With Medical Advice Patient compliance patient
Mission Patient Connect Patient Portal 2015 Patient PortalMission Patient Connect Patient Portal 2015 Patient Portal
Patient A Patient A Patient Normal Ranges HbPatient A Patient A Patient Normal Ranges Hb
Patient Safety An Overview Patient Safety Patient SafetyPatient Safety An Overview Patient Safety Patient Safety
PATIENT ASSESSMENT PATIENT ASSESSMENT Patient assessment in emergencyPATIENT ASSESSMENT PATIENT ASSESSMENT Patient assessment in emergency
PATIENT ASSESSMENT PATIENT ASSESSMENT Patient assessment in emergencyPATIENT ASSESSMENT PATIENT ASSESSMENT Patient assessment in emergency
First Impressions First Impressions First Impressions First ITFirst Impressions First Impressions First Impressions First IT
First Thing First First Thing First What doFirst Thing First First Thing First What do
First Things to do first First Things FirstFirst Things to do first First Things First
First Impressions First Impressions First Impressions First ImpressionsFirst Impressions First Impressions First Impressions First Impressions
Markets First Security First Policy First Sustainability FirstMarkets First Security First Policy First Sustainability First
NEW PATIENT INFORMATION SHEET PATIENT INFORMATION Name FirstNEW PATIENT INFORMATION SHEET PATIENT INFORMATION Name First
First National Conference on Patient Safety Patient safetyFirst National Conference on Patient Safety Patient safety
Patient Care Team Model History Patient Care TeamsPatient Care Team Model History Patient Care Teams