250 Years of Caring for Children
The Department of Pediatrics at Columbia University Irving Medical Center can trace its roots to 1767, when New York was still a British colony. In that year Dr. Samuel Bard founded the medical department of King's College, which later became the College of Physicians and Surgeons at Columbia University. Dr. Bard was one of America's most distinguished early physicians, and he and his successors laid the groundwork for what became, over the next 250 years, the modern field of pediatrics. During those two and a half centuries doctors here at Columbia have pioneered many advances in the care of children. Our faculty members established a number of independent pediatric subspecialties, including pediatric radiology, pediatric neurology, and neonatology, and many diseases and disorders were first described by department members.
Milestones in Pediatrics at Columbia
Dr. Samuel Bard advances the care of children
Samuel Bard, first dean of Columbia University Faculty of Medicine and Professor of Medicine at King’s College, describes “blue baby” syndrome, proposes a method for intubating infants, and publishes the first textbook of obstetrics, A Compendium of the Theory and Practice of Midwifery. Dr. Bard is also the first physician to recognize the symptoms, epidemiology, and autopsy findings of diphtheria.
Dr. Sarah McNutt (pictured) and her sister Dr. Julia McNutt found Babies Hospital
Drs. McNutt, Jeannie Smith, Isabella Satterthwaite, and Isabella Banks found Babies Hospital, the first hospital in New York City for children, in a brownstone on Lexington Avenue and 55th Street. The hospital, with only women resident physicians, has 30 beds for sick infants up to three years of age. Malnutrition is most common diagnosis.
Dr. Emmett Holt named medical director
Babies Hospital appoints L. Emmett Holt, who laid the groundwork for the field of pediatrics, as medical director. Dr. Holt observes that nurses are keeping a clipboard at the side of each bed and noting important clinical information on it. He begins adding physician observations to it, giving birth to the medical chart.
Babies Hospital uses first incubator in US
The hospital is the first in the US to use incubators, which were developed in France. Until this innovation many premature babies died because they were unable to regulate their body temperature, and the incubator solved this deadly problem.
Dr. Holt publishes first manual for mothers
Dr. Holt adapts lecture notes that the head of nursing used to educate parents for his book, The Care and Feeding of Children: A Catechism for the Use of Mothers and Children's Nurses.
First pediatrics textbook
Dr. Holt publishes the first modern textbook of pediatrics, Diseases of Infancy and Childhood. This textbook, in its 23rd edition in 2018, is now published as Rudolph’s Pediatrics.
Dr. Dorothy Reed identifies Hodgkin's disease cells
Dorothy Reed, MD observes the presence of a cell (subsequently called the Reed-Sternberg cell) that is characteristic of Hodgkin's disease, enabling physicians to differentiate it from tuberculosis.
Babies Hospital relocates
The new eight-story building on Lexington Avenue has a modern electric elevator, telephone, an X-ray machine, and 80 beds. The hospital also has dedicated departments of pathology, surgery, and radiology.
Tay-Sachs disease identified
Neurologist Bernard Sachs, MD publishes his findings on what was then called “amaurotic family idiocy” and later called Tay-Sachs disease. In 1887 Dr. Sachs had noted the higher incidence of this neurologic condition among Ashkenazi Jews from Eastern Europe.
First dedicated ward for preemies
Babies Hospital opens the first ward in the US specifically for premature infants.
Pioneers in pediatric radiology
Radiologists at Babies Hospital establish the first pediatric radiology service.
Babies Hospital relocates again
The hospital, now with 191 beds, moves to Broadway and 167th Street, affiliates with the College of Physicians & Surgeons, and becomes part of Columbia Presbyterian Medical Center. Hospital staff now treat children from three to 12 years of age.
Dr. Martha Wollstein breaks barriers
Pathologist Martha Wollstein, MD, whose research showed that mumps is caused by a virus, is elected as the first woman to the American Pediatric Society. Dr. Wollstein also studied polio and pneumonia, and helped to develop an antimeningitis serum.
Rustin McIntosh, MD named Chair
Dr. McIntosh remains department chair until 1960. He fostered a “spirit of doubt and need for inquiry” that led to breakthroughs in the treatments of many childhood diseases.
Rare endocrine disease described
Donovan McCune, MD, describes the first case of polyostotic fibrous dysplasia, a rare genetic endocrine disease affecting the bones and pigmentation of the skin, subsequently known as McCune-Albright syndrome.
Cystic fibrosis described by Dr. Dorothy Andersen
Pathologist Dorothy Andersen, MD, is the first to recognize the disease cystic fibrosis, and later helps to develop a test to identify it.
Kasabach-Merritt syndrome described
Katherine Merritt, MD, publishes a case report of an infant with thrombocytopenia with giant hemangioma, subsequently named Kasabach-Merritt syndrome.
New treatment for meningitis
Hattie E. Alexander, MD develops the first effective treatment for a lethal form of bacterial meningitis caused by Haemophilus influenza. Infants and children with this condition nearly always died until the development of her anti-serum, which results in an 80 percent recovery rate.
Advances in Radiology
John Caffey, MD publishes the comprehensive text, Pediatric X-Ray Diagnosis, which establishes the intellectual basis of pediatric radiology. Dr. Caffey also publishes a description of infantile cortical hyperostosis, now known as “Caffey disease,” and shortly after that the first description of “shaken baby syndrome.”
Dr. Spock publishes groundbreaking book
Publication of The Common Sense Book of Baby and Child Care turns Benjamin Spock, MD into a popular authority on parenting—and a global celebrity. His book is dramatically different from past child-rearing manuals, which recommend discipline and strict feeding schedules, and instead offers parents the reassurance to trust their instincts and love their children, as well as basic, medically-informed health advice. The book becomes an influential, best-selling guide for parents.
Apgar Score created
Anesthesiologist Virginia Apgar, MD creates a simple scoring method for predicting infant health, now known as the “Apgar score.” The Apgar score measures five body functions to determine the need for life-saving assistance within 60 seconds of birth and remains the international standard for assessing newborn health.
First randomized clinical trial
Neonatologist William Silverman, MD creates the first randomized clinical trial, which confirmed the harm of adrenocorticotropic hormone in treating retinopathy of prematurity.
Sweat test for CF
Building on Dr. Dorothy Anderson's work, Paul di Sant’Agnese, MD first describes elevated sweat chloride in cystic fibrosis, then develops the noninvasive, and now standard, “sweat test” for the disease.
New paradigm for cancer research established
Pediatric hematologist/oncologist James Wolff, MD is one of the founding members of the Acute Leukemia Chemotherapy Cooperative Study Group A, which pooled patients from several hospitals to ensure a sufficient number of patients to conduct statistically rigorous trials of new therapies. This eventually became the Children’s Oncology Group, now an international network of more than 200 hospitals, universities, and cancer centers. The results of this coordinated approach have spread far beyond pediatric cancers: Many of the drugs that eventually became mainstay treatments for adult cancer were initially tested by this consortium of researchers in pediatric patients.
Rh vaccine eradicates Rh disease
Vincent Freda, MD, an obstetrician, and John Gorman, MD, director of the blood bank at Columbia, pioneer a vaccine that effectively eradicates Rh disease in newborn children. Rh disease is a form of hemolytic disease of the fetus and newborn that once claimed the lives of nearly 10,000 babies a year in the US. Drs. Freda and Gorman receive the 1980 Albert Lasker Clinical Medical Research Award in recognition of their work.
Prognostic guidelines for retinoblastoma
Algernon Reese, MD, founder of the field of ophthalmic oncology, develops the Reese-Ellsworth classification of retinoblastoma to predict a patient’s prognosis after treatment with radiation.
Breaking through the glass ceiling
Hattie Alexander, MD is named president of the American Pediatric Society, and is one of the first women to head a national medical association.
Welton Gersony, MD publishes the first description of pulmonary hypertension of the newborn.
Nasal CPAP improves future for preemies
Neonatologists Drs. Stanley James (pictured), Jen-Tien Wung, and James Driscoll pioneer the use of non-invasive nasal continuous positive airway pressure (CPAP) therapy to manage respiratory issues in premature infants. CPAP is shown to improve survival rates, and reduce the need for retinopathy of prematurity (ROP) surgery and the length of hospital stay among extremely low birthweight infants.
First textbook of pediatric rheumatology
Jerry Jacobs, MD, a leading authority on rheumatoid arthritis in children, publishes Pediatric Rheumatology for the Practitioner.
A pediatrician leads the America Thoracic Society
Robert Mellins, MD is the first and only pediatrician to be appointed president of the American Thoracic Society. Dr. Mellins, a founding father of the field of pediatric pulmonology, was an international authority in the field of pediatric asthma and a career-long advocate for multidisciplinary research and patient care who welcomed into his laboratory and clinics trainees from disciplines as widespread as allergy, anesthesiology, engineering, health education, psychology, and nutrition.
Successful heart transplant in a child
Columbia surgeons Keith Reemtsma, MD and Eric Rose, MD perform the first successful pediatric heart transplant. Pediatric heart transplants are now standard, and more than 100 are now performed at Columbia each year.
John Driscoll MD named department chair
Neonatologist John Driscoll, MD, who had directed the NICU since 1971, is named chair of Pediatrics. Under his leadership, the NICU gained international recognition for its innovative approaches. During Dr. Driscoll’s 15-year tenure as chair, he was instrumental in the construction of the new Morgan Stanley Children’s Hospital. He retired in June 2007.
FDA licenses chickenpox vaccine
Based on the research of Anne Gershon, MD, who studied its safety and efficacy, the varicella zoster vaccine is licensed for use in the US. By 2005 the number of chickenpox cases has dropped by 90 percent, and chicken pox-related deaths in children by 97 percent. In 2013 Dr. Gershon receives the Albert B. Sabin Gold Medal from the Sabin Vaccine Institute.
Lawrence Stanberry, MD, PhD appointed Chair
Lawrence Stanberry, MD, PhD, a world-renowned virologist and prolific author, is appointed department chair. Under his leadership the department expands its NIH funding and endowment, creates a faculty development and mentorship program and Children’s Board, and enters the era of precision medicine with the Precision in Pediatric Sequencing (PIPseq) program. The department establishes programs in Global Health Security and Diplomacy, complex care coordination for children with multi-system illnesses, and comprehensive obesity prevention and treatment. The department also opens the Milstein Infant Cardiac Unit, the first dedicated infant unit in world; the Phyllis and Ivan Seidenberg Center for Children’s Digestive Health; and the Neuro Intensive Care Unit. Dr. Stanberry retires in 2018.
Genetic causes of rare diseases identified
While diagnosing and treating children with rare disorders through the Discover Program, clinical geneticist Wendy Chung MD, PhD identifies 40 novel genes in diseases including pulmonary hypertension, congenital heart disease, congenital diaphragmatic hernia, and autism. Dr. Chung and colleagues publish research that justifies New York State mandated newborn screening for spinal muscular atrophy.
Jordan Orange, MD, PhD appointed Chair of Pediatrics
Jordan Orange, MD, PhD, an international leader in pediatric primary immunodeficiency, is credited with defining a new class of diseases known as natural killer cell deficiencies. Throughout his career Dr. Orange has blended a commitment to pediatric clinical care with a focus on basic and translational research.