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The Methodist DeBakey Heart & Vascular Center A Poetic History (Abridged) Cover

The Methodist DeBakey Heart & Vascular Center A Poetic History (Abridged)

By:   
Open Access
|Jan 2017

Full Article

The Houston Methodist Hospital System stands proud and tall.

Its motto, “Leading Medicine,” proclaims it all.

Starting with “I Care”

We've all become aware

Of the values our culture proclaims to all.

Houston Methodist DeBakey Heart Center is but one part

Of our “centers of excellence” that impart

A sense of the best

Separating us from the rest

By providing only state of the art.

This history goes back a long way.

That started a remarkable journey, I'd say.

Lay it all on one man

Who opined that “I can”

Establish a landmark one day.

Dr. O.R. Norsworthy started it all

By building a brand new hospital.

It was in 19-0-8,

I'm quite sure of the date

As it's recorded in Houston's town hall.

For years it served the city quite well.

But with a constantly growing clientele,

It outgrew its space

Over the years at a pace

That ultimately forced the decision to sell.

That Methodist crowd was a clever lot.

In 1919 they snapped up the Norsworthy plot.

Made Methodist Hospital its name

Ensuring its forthcoming fame

As the best brand of all, believe it or not.

A few wise heads then foresaw a new need.

And decided they should take the lead

To find a new spot

One they'd like a lot

That would nourish great things from that seed.

It took many years and plenty of luck

With Ella Fondren and Josie Roberts' pluck

To secure the site

Fund it just right

Assuring it remained star struck.

So a new Hospital came to be

As part of the Texas Medical Center, you see.

It was in 1951,

A year second to none,

For setting the stage for things yet to be.

Other players were also getting it right.

Baylor brought DeBakey into its sight.

But it soon came to pass

That Dr. DeBakey, alas,

Had no private Hospital for his patients to light.

So DeBakey and Methodist joined in a pack

That resonated historically, in fact.

Like two peas in a pod,

More potent than A. Rod

In giving cardiovascular medicine a huge impact.

DeBakey began assembling his band.

Hiring Cooley and Crawford on one hand,

Training Morris and Howell

Not to grumble and growl

While teaching Garrett, Noon, and others his brand.

At the same time, cardiology made a play

For Don W. Chapman was having his say.

A cardiac cath was first done

In 1948, at hospital Hermann

In an old x-ray lab before the break of day.

The “Chapman Group” gradually took form

Peterson and Beazley joined to perform.

It didn't take long

To add to the throng

Winters, Spencer, and Cashion to the dorm.

Baylor Cardiology was making its play

With Dennis and O'Donnell leading the way.

The cath lab came of age

As angiograms were the rage.

Patients came by the hundreds in relays.

Another arrival in '48

Seemingly a very important date,

Ted Bowen was his name,

Destined for future fame

As successor to Josie Roberts, the great.

Cardiovascular medicine in those early years

Was focused on surgical frontiers,

To fixed faulty parts

In blood vessels and hearts,

By innovative surgical pioneers.

DeBakey, Cooley, and Crawford led the way

Developing techniques still used today

With Dacron and new tools

Proving them no fools

In putting clever solutions into play.

The intravascular catheter soon opened doors

For cardiologists and surgeons by the scores

To see inside the heart

Making decisions really smart

As they repaired and replaced defects galore.

Many firsts began to appear

From this rarified atmosphere:

Like a Dacron graft

To serve as a shaft

To repair an artery gone queer.

Or the idea Garrett and Howell had

To bypass a blocked artery, Egad!

From the leg, a vein,

Not really insane,

A better match than Guinevere and Sir Galahad.

When cardiac ultrasound appeared on the scene

It enabled doctors now to screen

For function and size

Then how better to advise

Those making hard decisions more routine.

Inge Edler and Helmuth Hertz were the key.

How the mitral valve worked, they wanted to see.

So they put sonar to work

To see what pearls might lurk

Inside the heart that could be set free.

Claude Joyner, at Penn, opened the door

For Winters' curiosity to learn more,

About ultrasound, per se

Whose very pearls to this day

Appear in images for us to savor.

So, when Winters moved to Houston town

Ultrasound accompanied him down.

In Methodist it became

A procedure to lay claim

To add to the hospital's renown.

Echocardiography as it is now known

Became strategic as it has grown.

Parlayed by our three

Quiñones, Zoghbi, Nagueh they be

As experts worldwide, they really shone.

To prevent and treat heart attacks rose to the fore

As they were occurring as never before,

In the young and the old

In numbers untold

Frustrating physicians to the core.

Many quickly joined the fray,

Like Gotto and Raizner in their own way.

Lipids by Gotto

With Raizner's new motto

Open closed arteries without delay.

The lipid concept, not entirely new.

But by other's work, and his, Gotto knew

Lowering cholesterol and LDL

Would work very well

At reducing heart attacks, a real breakthrough.

In the meantime, Winters and Raizner gave thought

To what Grundzig in 1978 had taught.

A catheter well placed,

Would a blockage erase

And restore circulation, miracle wrought.

So, he, Winters and Lewis,

Emboldened as opportunists

To Zurich they went.

There, was Grundzig's tent,

To learn how to become catheter balloonists.

So was born “Interventional Cardiology”

A whole new dynamic philosophy.

Identify what's wrong

Don't tarry too long

Then let the catheter fix it wondrously.

In 1970, an important event took place

Where Cardiology as a department, we can trace.

Henry McIntosh was the man

Who started it, a grand plan,

To train young doctors, he made the case.

So the training program he started

Came into full bloom, after he departed.

Becoming known, near and far,

For fine training on a par

With the best in programs uncharted.

In 1997 McIntosh left the scene.

His replacement was soon to be seen.

Antonio Gotto, the man,

Stepped in with a plan

That brought Bob Roberts in hand with a gene.

Roberts saw in cardiology a tether

That brought clinicians and researchers together

In a way that bode well

For patients and trainees to tell

The department is really a treasure.

But a pothole appeared one ignominious day

Incredulous to many they still say

When Methodist and Baylor

Were not able to tailor

An agreement to keep them in play.

Their paths then began to diverge

As Methodist's plan began to emerge

Stay on the academic path

Find a partner who hath

The will and the foresight to converge.

In New York, Weill Cornell passed the test

Being more receptive than the rest

Agreed to the plan

And a new alliance began

To keep Houston Methodist among the best.

The year was 2005 A.D.

With new goals for the hospital, indeed,

A new outpatient center

Plus a research building to enter

An age of progress seemed guaranteed.

So, now, the next hurdles to overcome

Were training programs to be second to none

So Judy Paukert, it was,

From San Antonio because

She was really good at what had to be done.

Over the next 10 years she succeeded

To set up 30 programs that proceeded

To pass all the tests

Required in the quest

For approval by ACGME, as needed.

Two new departments were created from scratch

Cardiology and Cardiovascular Surgery, the hatch.

Quiñones and Lumsden,

A pair rare like tungsten.

As new chairmen were an outstanding match.

Training programs were resurrected anew,

Continuing old programs with some things new.

In doing this, Dr. Pratt,

A cagey sly old cat

Proved again to be a pro through and through.

ACGME was so completely impressed

With the program, they quickly confessed

You're looking really smart

Ready and willing to start

So with nary a visit, it was blessed.

The MDH Center, in 2001, so named

Was now off to a new start untamed.

With a new sense of purpose,

Rededication to service

Through the motto, ICARE, all acclaimed.

It's time now to reflect on the past

At hospital leadership unsurpassed.

Mathis and Butler followed Bowen

Then Girotto kept good times flowin'

To Marc Boom, now 5 years before the mast.

In the 10 years since the historic split

All manner of good things have come, to wit:

Awards, internal and external,

Houston Hearts and this Heart journal,

And a cool staff with a “can do” spirit.

In 2016 a change in the guard.

A new high profile now in charge.

William Zoghbi's the name

Now in charge of the game

Brings to cardiology a new wildcard.

The cardiovascular deck is now fully loaded.

Nothing there looks out moded

The Research Institute is there

With John Cooke the chair

So cardiovascular science will roll as Perot did.

And as I look out my window, I see

The skeleton of what soon will be,

A new hospital to sit,

On the north campus where it

Will be MDHV Center's new home, Yipee!!

I'm so excited for the future I could shout.

So I will, as the old guy on the way out.

Look forward not back

To the front of the pack

And remember, attitude is the key, no doubt.

—William L. Winters Jr., M.D., M.A.C.C.

Language: English
Page range: 42 - 44
Published on: Jan 1, 2017
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2017 Jr. Winters, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.