Caring for the Heart: Mayo Clinic and the Rise of Specialization

Hardcover | March 16, 2015

byW. Bruce Fye

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This groundbreaking book weaves together three important themes. It describes major developments in the diagnosis and treatment of heart disease in the twentieth century, explains how the Mayo Clinic evolved from a family practice in Minnesota into one of the world's leading medical centers,and reveals how the invention of new technologies and procedures promoted specialization among physicians and surgeons. Caring for the Heart is written for general readers as well as health care professionals, historians, and policy analysts. Unlike traditional institutional or disease-focused histories, this book places individuals and events in national and international contexts that emphasize the interplay ofmedical, scientific, technological, social, political, and economic forces that have resulted in contemporary heart care. Patient stories and media perspectives are included throughout to help general readers understand the medical and technological developments that are described. The book is a synthetic study, but it is written so that readers may pick and choose the chapters of most interest to them. Another feature of the book is that readers may follow the stories without looking at the notes. Those who are interested in delving deeper into the main topics will find awealth of carefully chosen references that offer greater detail and additional perspectives. The descriptions and interpretations that fill the book benefit from the fact that the author has been a practicing cardiologist and medical historian for almost four decades. This is mainly a twentieth-century story, but it begins earlier - before there were physicians who were identified as cardiologists and at a time when medical specialization was just emerging in America. The final chapter, which addresses present-day concerns about health care costs, counterbalancesearlier ones that might be read as celebrations of new technologies.

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From the Publisher

This groundbreaking book weaves together three important themes. It describes major developments in the diagnosis and treatment of heart disease in the twentieth century, explains how the Mayo Clinic evolved from a family practice in Minnesota into one of the world's leading medical centers,and reveals how the invention of new technolo...

W. Bruce Fye, M.D. retired recently as a consultant in the Division of Cardiovascular Diseases at Mayo Clinic. Born and raised in Pennsylvania, he received his undergraduate and medical degrees from Johns Hopkins, where he was elected to Phi Beta Kappa and Alpha Omega Alpha. He completed a medical residency at New York Hospital-Cornell...
Format:HardcoverDimensions:704 pages, 9.29 × 6.61 × 1.61 inPublished:March 16, 2015Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:019998235X

ISBN - 13:9780199982356

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Table of Contents

List of Figures and TablesRosemary A. Stevens: ForewordPreface (with Acknowledgements)IntroductionSection One: Inventing the Mayo Clinic and Cardiology1. The Nineteenth-Century Origins of the Mayo Practice2. The Mayos' Invention of Multispecialty Group Practice3. The Development of an Academic Medical Center in Rochester4. Patient Care and Clinical Research in the 1920s5. The Electrocardiograph and the Birth of Cardiology6. Challenges and Changes during the DepressionSection Two: Developments in the Diagnosis and Treatment of Heart Disease7. President Roosevelt's Secret Hypertensive Heart Disease8. The Reinvention of the American Heart Association, and the Invention of Cardiac Catheterization9. Surgeons Begin Trying to Treat Heart Disease10. Pioneering Open-Heart Surgery at the University of Minnesota and the Mayo Clinic11. The Expansion of Open-Heart Surgery and Cardiac Catheterization12. Beyond Mid-Century: Two Decades of Growth and ChangeSection Three: Technologies Transform Heart Care and Stimulate Subspecialization13. Creating Coronary Care Units and Empowering Nurses14. Coronary Angiography: The Cleveland Clinic Leads the Way15. Coronary Artery Bypass Surgery Stimulates the Growth of Angiography16. Transforming Cardiac Catheters into Treatment Tools17. Analyzing and Managing Abnormal Heart Rhythms18. Seeing the Heart: Echocardiography and Other Imaging Technologies19. Treating Heart Failure and Preventing Cardiovascular Disease20. Challenges and Opportunities around the New MillenniumAppendix Alphabetical List of the Subjects of Oral HistoriesNotesIndex

Editorial Reviews

"Bruce Fye is a magnificent storyteller. I had a hard time putting this book down." --William C. Roberts, MD, executive director, Baylor Heart and Vascular Institute and editor-in-chief, American Journal of Cardiology