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

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9780199982356: Caring for the Heart: Mayo Clinic and the Rise of Specialization
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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 of medical, 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 a wealth 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, counterbalances earlier ones that might be read as celebrations of new technologies.

"synopsis" may belong to another edition of this title.

About the Author:


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 Medical Center in Manhattan before returning to Johns Hopkins for his cardiology fellowship. Selected as a Robert Wood Johnson Clinical Scholar, he also received a master's degree from the Institute of the History of Medicine at Hopkins.

In 1978, Dr. Fye joined the Marshfield Clinic in Wisconsin, where he established the echocardiography laboratory. He was chair of the Cardiology Department from 1981 to 1999 and was vice-chief of staff of St. Joseph's Hospital in Marshfield from 1991 to 1999. He joined the Cardiovascular Division of the Mayo Clinic in 2000. A Professor of Medicine and the History of Medicine, he was the founding Medical Director of the Mayo Clinic Center for the History of Medicine.

He is the author of more than 100 historical papers and two books, The Development of American Physiology: Scientific Medicine in the 19th Century (1987) and American Cardiology: The History of a Specialty and Its College (1996). Oxford University Press will publish his third book, Caring for the Heart: Mayo Clinic and the Rise of Specialization, early in 2015. Dr. Fye is a past president of the American College of Cardiology, the American Association for the History of Medicine, and the American Osler Society.

He met his wife Lois in high school, and they recently celebrated their 45th wedding anniversary. They have two daughters and two grandsons.

Review:


Honorable Mention, 2016 Association of American Publishers Prose Award: History of Science, Technology and Medicine


The Archivists and Librarians in the History of the Health Sciences selected Caring for the Heart: Mayo Clinic and the Rise of Specialization for its Best Monograph Award (2016).


"Caring for the Heart is an extraordinary achievement that is an essential source of information about heart diseases, which were the primary causes of adult deaths in advanced countries in the twentieth century. It deserves the highest praise." --Medical History


"This historical book is written for the general public, health care professionals, historians, and policy makers alike. Patient stories, included throughout the text, offer a unique perspective and human element from individuals diagnosed with various types of heart disease." --American Medical Writers Association Journal


"Dr. Fye is the planet's foremost medical historian and his scholarship shows through on every page. This book is far more than a Mayo Clinic history. It probably should be required reading for any cardiologist or cardiovascular surgeon." --American Journal of Cardiology


"Anyone who is doing work on a related topic is likely to find something here of value. This is now the definitive history of the Mayo Clinic, and a valuable resource for a wide range of historians." --Social History of Medicine


"This is one of the most interesting medical books I have ever had the pleasure of reading, detailing the origin and evolution of cardiology from the perspective of the now legendary Mayo Clinic in Rochester, Minnesota. ... The book is well written, engrossing and littered with thought-provoking quotes which pay homage to the great maverick minds that pioneered the hospital and the specialty. ... I would heartily recommend this book to all those interested in medical history, cardiology, the Mayo Clinic, or all three. --David Warriner, British Journal of Hospital Medicine


"[T]his book will be an invaluable resource for physicians and historians interested in heart disease, the Mayo Clinic, medical technology, and the many challenges facing health care today." --Bulletin of the History of Medicine


ADVANCE PRAISE FOR CARING FOR THE HEART:


"This book describes the intersection of two of the greatest success stories in twentieth century medicine: the evolution of the subspecialty of cardiology, responsible for the greatest prolongation of life in industrialized nations, and the development and growth of the Mayo Clinic, the largest and arguably the finest high quality health care system in the United States. Fye is a highly respected consultant cardiologist at Mayo and an equally distinguished medical historian who has risen to the top of both of these fields. He has produced a lively, insightful book that should be of interest to health care professionals, cardiac patients, their families and all who are interested in the evolution of medical care in the United States." --Eugene Braunwald, MD, Distinguished Hersey Professor of Medicine, Harvard Medical School


"In his latest book Bruce Fye tells the story of how the Mayo Clinic has, through the years, been a valuable contributor in the fight against heart disease and stroke. The American Heart Association is devoted to building healthier lives, free of cardiovascular disease and stroke, and allies like the Mayo Clinic are essential to achieving this mission." --Nancy Brown, CEO, American Heart Association


"The Mayo Clinic has long epitomized the development of cardiovascular care, cardiology practice, and medical technology in the United States. Dr. W. Bruce Fye vividly recounts the history of this world-renowned, yet uniquely American, medical center. As a cardiologist and historian, he provides unique insights into the Mayo model of care, the growth of medical specialization, and the evolution of diagnostic and therapeutic techniques. He also presents fascinating glimpses into American society and culture. The personal stories about patients and physicians are particularly compelling. This scholarly yet engaging book deserves a broad audience of both medical and lay readers." --Denton A. Cooley, MD, founder and president emeritus, Texas Heart Institute


"Millions of people owe their lives and health to the rise of cardiac specialization and the remarkable personalities who made it happen. Bruce Fye, MD, has written a frank, fast-moving, and thoroughly readable account of this scientific revolution as it occurred at Mayo Clinic, Cleveland Clinic, and elsewhere. Those of us who played some small role in the events described can only thank Dr. Fye for his honest and generous history." --Delos M. Cosgrove, MD, CEO and president, Cleveland Clinic


"American health care is so often portrayed as a problem that it's easy to overlook the pioneers and visionaries whose remarkable advances have saved and improved millions of lives. With a focus on heart care, the rise of specialization, and the application of new technologies and protocols pioneered by the Mayo Clinic, Dr. Bruce Fye brings these remarkable achievements to life. He has written a scrupulously researched yet thoroughly readable book for experts and non-experts alike. Caring for the Heart is a compelling story and readers will be in awe of how far we have come in so short a time." --Thomas J. Donohue, president and CEO, US Chamber of Commerce


"Bruce Fye's Caring for the Heart: Mayo Clinic and the Rise of Specialization is a unique and brilliant platform to understand the complex interplay of medical, scientific, technological, social and economic forces that over a century have shaped the practice of medicine and cardiology. The author is a cardiologist and historian of international reputation who has produced a highly stimulating, pragmatic, didactic and easy to read book for the general public, health care professionals and policy makers. It portrays beautifully more than a century of cardiovascular science, sophisticated technology, and humanistic medicine. Whether the reader is concerned about the development and future of medicine in general, or heart disease in particular, or about integration of the best care on a technological or human basis, he or she must read this unique and brilliant book." --Valentin Fuster, MD, PhD, Physician-in-Chief, The Mount Sinai Medical Center, New York, NY


"There are many scholarly books about cardiology. This volume is unique as its focus is on the emergence and development of an institution whose goal is to do the very best that cardiology offers, and to apply this knowledge to patient care. Reading through the chapters, one becomes quickly aware that the Mayo Clinic has successfully implemented a partnership between the management of the institution, the clinical and scientific faculty, and the patients-including both their physical and emotional care and well-being. The best illustration of this is shown by the development of open-heart surgery beginning in the 1950s. The story of this advance of cardiology at the Mayo Clinic is unique and fascinating, but so is what it has done to extend or improve the lives of thousands of patients. Reading about this is an experience that no one should miss." --Claude Lenfant, MD, former director, National Heart, Lung and Blood Institute


"This well-written and thoroughly researched book is very timely and deserves wide readership. The chapter on Franklin Roosevelt's hypertensive heart disease is outstanding. Bruce Fye provides convincing evidence to support his argument that a few White House insiders conspired to mislead the press and the public about the president's health. While this precise and clear history recounts events occurring over seventy years ago, its lessons should be carefully studied by our leaders in the medical and public arenas; indeed by all Americans concerned about the need for honest politics." --Walter F. Mondale, former vice president of the United States


"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


"It is impossible to think of anyone else with the experience and passion to write this extraordinary book. Bruce Fye is a cardiologist who has lived through many of the changes he describes, and a historian who is well recognized in both careers." --Rosemary A. Stevens, PhD, emeritus professor, History and Sociology of Science, University of Pennsylvania


"W. Bruce Fye uses his unique background as a cardiologist and historian-writer to charm and educate a broad audience. He weaves the history of the Mayo Clinic and its world class surgical and cardiovascular programs with the worldwide historical advances in heart disease diagnosis and treatment. The pages seem to turn themselves, as the text is readable, entertaining, and educational." --Myron L. Weisfeldt, MD, professor of medicine and former director Department of Medicine, Johns Hopkins Medical Institutions


"Who other than the uniquely talented Bruce Fye could have written such a magnificent narrative of the development of cardiology and its growth at the pioneering Mayo Clinic? This beautifully researched volume is panoramic while meticulously informative; scholarly while engrossingly literate; historic while of the moment -- it is vintage Fye at his very best. Here he has created the template on which subsequent such treatises should be based." --Sherwin Nuland, MD, Emeritus Clinical Professor of Surgery, Yale University


"Caring for the Heart is an extraordinary achievement that is an essential source of
information about heart diseases, which were the primary causes of adult deaths in
advanced countries in the twentieth century. It deserves the highest praise." -- William G. Rothstein, Medical History


"This is an impressive book, exhaustively researched and well written for both medical and non-medical audiences, which will be used in dlfferent ways."- McKellar-Fye Book Review


"The book rewards its readers in many ways. The opening chapters track the
development of the Mayo Clinic from its founding until the 1940s, alongside the
history of cardiology, both nationally and at Mayo."- Bulletin of the History of Medicine, Volume 90


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