Бельвю: История крупнейшей больницы Нью-Йорка

Historically, Bellevue was so frequently associated with its treatment of mentally ill patients that "Bellevue" became a local pejorative slang term for a psychiatric hospital. The hospital has since developed into a comprehensive major medical center including outpatient, specialty, and skilled nursing care, as well as emergency and inpatient services. The hospital contains a 25 story patient care facility and has an attending physician staff of 1,200 and an in house staff of about 5,500. Bellevue is a safety net hospital, providing healthcare for individuals regardless of their insurance status or ability to pay. It handles over half a million patient visits each year. In 1798, the city purchased Belle Vue farm, a property near the East River several miles north of the settled city, which had been used to quarantine the sick during a series of yellow fever outbreaks. The hospital was formally named Bellevue Hospital in 1824. By 1787, Columbia University College of Physicians and Surgeons had assigned faculty and medical students to Bellevue. Columbia faculty and students would remain at Bellevue for the next 181 years, until the restructuring of the academic affiliations of Bellevue Hospital in 1968. New York University faculty began to conduct clinical instruction at the hospital in 1819. In 1849, an amphitheater for clinical teaching and surgery opened. In 1861, the Bellevue Hospital Medical College, the first medical college in New York with connections to a hospital, was founded. By 1873, the nation's first nursing school based on Florence Nightingale's principles opened at Bellevue, followed by the nation's first children's clinic in 1874 and the nation's first emergency pavilion in 1876; a pavilion for the insane, an approach considered revolutionary at the time, was erected within hospital grounds in 1879. For that reason, the name Bellevue is sometimes used as a metonym for psychiatric hospitals. Mark Harris in New York called it "the Chelsea Hotel of the mad". B&AH opened doors to female and black physicians. In the midst of a tuberculosis epidemic a year later, the Bellevue Chest Service was founded. Bellevue opened the nation's first ambulatory cardiac clinic in 1911, followed by the Western Hemisphere's first ward for metabolic disorders in 1917. New York City's Office of the Chief Medical Examiner began on the second floor in 1918. German spy and saboteur Fritz Joubert Duquesne escaped the hospital prison ward in 1919 after having feigned paralysis for nearly two years. PS 106, the first public school for the emotionally disturbed children located in a public hospital, opened at Bellevue in 1935. In 1939, David Margolis began work on nine Work Projects Administration murals in entrance rotunda titled Materials of Relaxation, which were completed in 1941. Bellevue became the site of the world's first hospital catastrophe unit the same year; the world's first cardiopulmonary laboratory was established at Bellevue by Andre Cournand and Dickinson Richards a year later, and the nation's first heart failure clinic opened, staffed by Eugene Braunwald, in 1952. In 1960. New York City's Office of the Chief Medical Examiner moved out of the second floor and into its new building at 520 First Avenue, but still maintained close relations with Bellevue. In 1962, Bellevue established the first intensive care unit in a municipal hospital, and in 1964, Bellevue was designated as the stand by hospital for treatment of visiting presidents, foreign dignitaries, injured members of the city's uniformed services, and United Nations diplomats. Bellevue joined the New York City Health and Hospitals Corporation as one of 11 acute care hospitals in 1970. In 1981, Bellevue was certified as an official heart station for cardiac emergencies; a year later it was designated as a micro surgical reimplantation center for the City of New York, by 1983 as a level one trauma center, and by 1988 as a head and spinal cord injury center. In 1990, it established an accredited residency training program in Emergency Medicine. The building that formerly served as the hospital's psychiatric facility started to be used as a homeless intake center and a men's homeless shelter in 1998. The publication of the Bellevue Literary Review, the first literary magazine to arise from a medical center, commenced in 2001; Bellevue Literary Press was founded six years later as a sister organization of the Bellevue Literary Review. In April 2010, plans to redevelop the former psychiatric hospital building as a hotel and conference center connected to NYU Langone Medical Center fell through. The aftermath of Hurricane Sandy in October 2012 required evacuation of all patients due to power failure and flooding in the basement generators. Bellevue was renamed NYC Health + Hospitals/Bellevue in November 2015 as a reflection of its parent organization's rebranding. In 2014 Bellevue was ranked 40th overall best hospital in the New York metro area and 29th in New York City by U. S. News & World Report. In 1889, Bellevue physicians were the first to report that tuberculosis is a preventable disease; five years later was the successful operation of the abdomen for a pistol shot wound. William Tillett discovered streptokinase, later used for the acute treatment of myocardial infarction, at Bellevue in 1933. Nina Starr Braunwald performed the first mitral valve replacement in 1960 at the hospital. In 1967, Bellevue physicians performed the first cadaver kidney transplant. In 1971, the first active immunization for hepatitis B was developed by Bellevue physicians. Bellevue played a key role in the development of the "Triple Drug Cocktail" or HAART, a breakthrough in the treatment of AIDS, in 1996. In October 2014, Bellevue took in an Ebola patient, Craig Spencer, an individual who worked with Médecins Sans Frontières (Doctors Without Borders) in Guinea a month prior during the 2014 Ebola virus epidemic in West Africa.

David Wechsler, Ph. D. who worked at Bellevue from 1932 to 1967, including as Chief Psychologist, developed the well known intelligence tests, such as the Wechsler Adult Intelligence Scale (WAIS) and the Wechsler Intelligence Scale for Children (WISC), to get to know his patients at the hospital. This battery differed greatly from the Binet scale which, in Wechsler's day, was generally considered the supreme authority with regard to intelligence testing. As the 1960 form of Lewis Terman's Stanford–Binet Intelligence Scales was less carefully developed than previous versions, Form I of the WAIS surpassed the Stanford–Binet tests in popularity by the 1960s.

One of the largest hospitals in the United States by number of beds, it handles nearly 460,000 non ER outpatient clinic visits, nearly 106,000 emergency visits and some 30,000 inpatients each year. More than 80 percent of Bellevue's patients come from the city's medically underserved populations. Bellevue is a safety net hospital, in that it will provide healthcare for individuals regardless of their insurance status or ability to pay. Bellevue features separate pediatric (0 25) and adult (25+) emergency departments.

Bellevue has entered popular consciousness through its status as a major hospital in the largest city in the United States. The hospital notably treated the author Norman Mailer, who was taken to Bellevue after he stabbed his wife; and Mark David Chapman, who shuttled between Bellevue and the jail complex on Rikers Island after he shot and killed musician John Lennon. The poet Allen Ginsberg, also a former patient, mentioned the hospital by name in his famous poem "Howl" (1955). and Singular Intimacies: Becoming a Doctor at Bellevue (2002), by Danielle Ofri, a long time physician at Bellevue. The 2018 NBC television series New Amsterdam takes place at a fictionalized version of Bellevue, renamed "New Amsterdam" in the show. Based on Manheimer's book, the series has filmed scenes at Bellevue and other New York City public hospitals.