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Carl W. Walter, MD

JAMA. 1990;263(12):1675-1678.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE CONCEPTUAL design of the Peter Bent Brigham Hospital, Boston, Mass, was that of a sanitorium, intended to provide the modes of therapy deemed crucial at the start of this century: quiet, space, and fresh, outdoor air. The wards for the indigent sick, constructed in 1911 through 1913, were pavilion style and spacious, with vaulted ceilings. High-volume air-conditioning mimicked the outdoors. The concrete floors under the beds were heated to provide radiant energy and warmth. Each ward had several wide doorways through which beds could be pushed onto porches. Some patients were so enchanted with the open air, they came indoors only for nursing care or during severe weather.

The hospital buildings—10 in all by 1933 when I began my internship—were interconnected at ground level by 250 yd of covered walkway known as "the Pike." The southern exposure was open except where it was draped by gnarled wisteria vines.

The . . . [Full Text PDF of this Article]

Author Affiliations
Dr Walter is Clinical Professor of Surgery Emeritus, Harvard Medical School, and Surgeon Emeritus, Peter Bent Brigham Hospital, Boston, Mass.

Footnotes
Reprint requests to 10 Shattuck St, Boston, MA 02115 (Dr Walter).

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