BELLEVUE IS THE MAIN PUBLIC HOSPITAL OF NYC HEALTH+HOSPITALS. THIS ALONG WITH ALL THE 11 PUBLIC HOSPITALS TREAT ALL THE NEED CARE WITHOUT REGARD FOR INSURANCE, ORIGINS, AND STATUS.
Bellevue Hospital in Kips Bay, officially NYC Health + Hospitals/Bellevue, is one of the largest hospitals in the United States. The hospital has achieved many breakthroughs throughout its history, from being one of the first to employ ambulance services to having the earliest maternity ward. Bellevue Hospital has contributed massively to the development of modern medicine but also has a dark history. At one point, the name “Bellevue” was often used to refer to psychiatric hospitals in the 1800s. The hospital made important developments in treating epidemics, from yellow fever to AIDS, and saved the lives of people from all walks of life, from the general public to presidents and celebrities. Here, we take a look back at the hospital’s long history and pull out the top 10 secrets of Bellevue Hospital!
1. Bellevue Hospital used to operate floating quarantine boats
Looking SW from East River at houseboat used by Bellevue as Tuberculosis care boats
During the tuberculosis crisis of the 19th century, Bellevue Hospital transformed ferry barges into floating wards. The floating “hospitals” were reserved for those in the early stages of tuberculosis, prioritizing indoor spaces for the many patients suffering from more severe symptoms. Poorer patients who were turned away from the barges would change their names and appearance to try for help at other facilities. It was believed that fresh air could help cure patients of tuberculosis, a disease that many believed at the time was genetic.
2. Bellevue, the nation’s first public hospital, traces its origins to NYC’s first almshouse
Image from the New York Public LibraryBellevue Hospital traces its origins to a two-story brick building that stood in what is now City Hall Park. The building housed the city’s first permanent almshouse, which provided charitable housing to poorer residents. The ailing poor would move to almshouses once it became clear they would wither away from their disease; wealthier New Yorkers could more easily get doctors to come directly to their homes. With the development of more sanitary and advanced medical practices, hospitals, where all patients could go and get treatment, became all the more common. Ultimately, Bellevue became the first public hospital in the nation.Bellevue began to employ faculty and medical students from Columbia University College of Physicians and Surgeons around 1787. Columbia maintained its presence at the hospital until it was restructured in 1968. The present-day Bellevue Hospital was built on the previous Belle Vue Farm along the East River, which had been used to quarantine yellow fever patients as it was a few miles north of most homes. The hospital got its current name in 1824, around the time when it became better known on a national scale.
3. Bellevue Hospital operated the country’s second hospital-based ambulance service
Bellevue Hospital played a significant role in the history of the emergency ambulance, as it operated the nation’s second hospital-based ambulance service. Prior to the system’s creation, those suffering from all sorts of medical emergencies had to get to hospitals however they could manage. Because getting to the hospital was a top priority, there was little emphasis placed on trying to temporarily mitigate symptoms like bleeding. A U.S. Army surgeon named Edward Dalton proposed to the New York Hospital Board that the city should adopt some form of ambulance system similar to military ambulances.The board adopted five horse-drawn ambulances in June 1869, and according to the commissioner’s report, “Each ambulance shall have a box beneath the driver’s seat, containing a quart flask of brandy, two tourniquets, a half-dozen bandages, a half-dozen small sponges, some splint material, pieces of old blankets for padding, strips of various lengths with buckles, and a two-ounce vial of persulphate of iron.” This paved the way for emergency ambulance services at Long Island College Hospital and Eastern District Hospital in 1873.By 1891, the Bellevue Hospital received 4,392 ambulance calls per year. The sheer quantity of calls led the hospital to have “the record for the largest number of telephone calls to any public institution in the country.” Though, the hospital needed a more efficient system that would ensure faster arrival times and less confusion. Calls would first go to Madison Square Central Office, which would then be dispatched to the local police headquarters, which then would have to contact the particular hospital. Nothing changed until 1967 when President Lyndon B. Johnson recommended that a single number be created for emergencies, thus sparking the birth of 9-1-1.
4. Bellevue Hospital opened NYC’s first morgue, among many other firsts
In addition to being the first public hospital in the U.S., Bellevue Hospital achieved a significant number of medical firsts that have paved the way for major developments in medicine and other treatments.Bellevue opened the nation’s first maternity ward in 1799.In 1808, the hospital conducted the world’s first ligation of the femoral artery, located in the thigh, for an aneurysm. Ten years later, the hospital also performed the world’s first ligation of the brachiocephalic artery supplying blood to the right arm, neck, and head.New York’s first medical college with connections to a hospital was Bellevue Hospital Medical College, which opened in 1861.In 1862, Bellevue cardiologist Austin Flint gave his name to a low-pitched heart murmur he identified, which is associated with a condition called aortic regurgitation.The hospital played a major role in helping draft what is likely the nation’s first sanitary code for New York City in 1867. Later that year, the hospital established one of the country’s first outpatient departments.In 1873, Bellevue opened the country’s first nursing school using Florence Nightingale’s teachings. The nation’s first men’s nursing school opened 15 years later at Bellevue.The hospital opened the nation’s first children’s clinic in 1874.The nation’s first emergency pavilion was opened at Bellevue in 1876.The hospital’s Carnegie Laboratory, which opened in 1884, was the country’s first pathology and bacteriology laboratory.Physicians at Bellevue were the first to identify tuberculosis as a preventable disease in 1889.The nation’s first ambulatory cardiac clinic opened in 1911 at Bellevue, which paved the way for the world’s first cardiopulmonary laboratory that opened in 1942 and the nation’s first heart failure clinic.Physician William Tillett discovered streptokinase at Bellevue in 1933, which was used to treat heart attacks.The nation’s first mitral valve replacement took place at Bellevue in 1960.In 1962, the hospital established the first intensive care unit at a municipal hospital.In 1971, Bellevue physicians developed the first active immunization for hepatitis B.
5. Barnum and Bailey’s Circus would pay annual visits to patients
In 2013, Barnum and Bailey’s Circus revived a decades-old tradition at Brooklyn Hospital Center: performing for patients and staff. The tradition was started at Bellevue Hospital, and some performances would feature everything from acrobatic stunts to elephants. These performances would often attract thousands of people, many of whom were children and members of the community. The tradition began in 1901 and would continue each year for decades, with patients often watching from the hospital’s iron balconies.“Dr. Ringling’s medicine is of the finest quality, easy to take, good for almost any ailment; children love it and adults enjoy it,” Dr. William F. Jacobs, Bellevue’s medical superintendent, told The New York Times in 1946. “I’ll prescribe it any time in same dosage for young and old alike.” More than 4,000 patients at Bellevue, some on stretchers and in wheelchairs, applauded clowns, six adult elephants, a baby elephant, a zebra, and a llama, according to a 1964 Times article. The tradition ended in the 1960s when the iron balconies were removed.
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Text by Judith Berdy Thanks to Bobbie Slonevsky for her dedication to Blackwell’s Almanac and the RIHS Thanks to Deborah Dorff for maintaining our website Edited by Melanie Colter and Deborah Dorff
All image are copyrighted (c) Roosevelt Island Historical Society unless otherwise indicated
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