Physician to the President
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The physician to the president is the formal and official title of the
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
who is chosen by the president to be his personal physician. Often, the physician to the president also serves as the director of the
White House Medical Unit The White House Medical Unit (WHMU) is a unit of the White House Military Office and is responsible for the medical needs of White House staff and visitors. The unit also provides medical care to the president, the vice president, their families, ...
, a unit of the
White House Military Office The White House Military Office (WHMO) is a department within the White House Office that provides military support for White House functions, including food service, presidential transportation, medical support, emergency medical services and ho ...
responsible for the medical needs of the
president of the United States The president of the United States (POTUS) is the head of state and head of government of the United States of America. The president directs the executive branch of the federal government and is the commander-in-chief of the United States ...
,
vice president A vice president, also director in British English, is an officer in government or business who is below the president (chief executive officer) in rank. It can also refer to executive vice presidents, signifying that the vice president is on ...
,
White House The White House is the official residence and workplace of the president of the United States. It is located at 1600 Pennsylvania Avenue NW in Washington, D.C., and has been the residence of every U.S. president since John Adams in ...
staff, and visitors.Mishori, Ranit. "When The Patient Is The President."
'' Parade.'' August 16, 2009.
The physician to the president is also the chief White House physician."Release of the President's Medical Exam." Office of the Press Secretary. The White House. February 28, 2010.
Accessed May 12, 2010.


History

Doctors who have treated the president of the United States have had a variety of titles.Deppisch, p. 4. Presley Marion Rixey, a medical inspector in the
United States Navy The United States Navy (USN) is the maritime service branch of the United States Armed Forces and one of the eight uniformed services of the United States. It is the largest and most powerful navy in the world, with the estimated tonnage ...
, was the first individual to serve in a full-time capacity as physician to the president beginning in 1901, although the title "White House Physician" was not used until created by an act of Congress in 1928. It has been unclear if this legal position of White House physician rests with the physician to the president or the director of the White House Medical Unit.


Organization and role

The White House physician has an office inside the White House. The location of their medical unit plays an important role in keeping the president of the United States healthy. They also oversee a staff which is typically composed of five military physicians, five physician assistants, five
nurse Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health c ...
s, three
paramedic A paramedic is a registered healthcare professional who works autonomously across a range of health and care settings and may specialise in clinical practice, as well as in education, leadership, and research. Not all ambulance personnel are p ...
s, three administrators and one IT manager. The physician to the president is
metaphor A metaphor is a figure of speech that, for rhetorical effect, directly refers to one thing by mentioning another. It may provide (or obscure) clarity or identify hidden similarities between two different ideas. Metaphors are often compared wi ...
ically the "
shadow A shadow is a dark area where light from a light source is blocked by an opaque object. It occupies all of the three-dimensional volume behind an object with light in front of it. The cross section of a shadow is a two-dimensional silhouette, ...
of the president" because they (or one of the physicians assigned to the White House Medical Unit) are always close at hand whether the president is at the White House, overseas, on the campaign trail, or aboard presidential plane Air Force One; Daniel Ruge, for example, was nearby during the
attempted assassination of Ronald Reagan On March 30, 1981, President of the United States Ronald Reagan was shot and wounded by John Hinckley Jr. in Washington, D.C. as he was returning to his limousine after a speaking engagement at the Washington Hilton. Hinckley believed the att ...
in 1981, and supervised the president's immediate treatment. The physician to the president protects the president's health. The physician to the president, together with the director of the White House Medical Unit, is also responsible for managing comprehensive medical care for the members of the president's immediate family, the vice president, and the vice president's family and providing the medical support to ensure the continuity of the presidency. The physician may also provide medical care and attention to the more than 1.5 million visitors who tour the White House each year, as well as to international dignitaries and other guests of the president. The medical office of the White House doctor is a "mini urgent-care center" containing a physician's office, private examination rooms, basic medications and medical supplies, and a
crash cart A crash cart or code cart (crash trolley in UK medical jargon) or "MAX cart" is a set of trays/drawers/shelves on wheels used in hospitals for transportation and dispensing of emergency medication/equipment at site of medical/surgical emergency ...
for emergency resuscitation. Air Force One is equipped with emergency medical equipment, an operating table, and operating room lights installed at the center of the presidential plane for emergency use by the White House doctor. Ruge resigned after Reagan's first term and called his job "vastly overrated, boring and not medically challenging". Ruge could not attend most
state dinners A state banquet is an official banquet hosted by the head of state in his or her official residence for another head of state, or sometimes head of government, and other guests. Usually as part of a state visit or diplomatic conference, it is h ...
due to lack of space. He nonetheless had to be ready for emergencies, and usually waited alone in his office wearing a
tuxedo Black tie is a semi-formal Western dress code for evening events, originating in British and American conventions for attire in the 19th century. In British English, the dress code is often referred to synecdochically by its principal element ...
. Ruge stated that an advantage, however, was that because of the position's prestige " president's physician can ask for anything, and he will get it. No doctor will refuse a request to consult". The White House physician can enter the Oval Office or
Executive Residence Executive ( exe., exec., execu.) may refer to: Role or title * Executive, a senior management role in an organization ** Chief executive officer (CEO), one of the highest-ranking corporate officers (executives) or administrators ** Executive dire ...
at any time; Ruge sometimes invited experts visiting Washington to examine the president.


Selection of the physician

The White House physician is often selected personally by the president, and most White House doctors are active-duty
military officers An officer is a person who holds a position of authority as a member of an armed force or uniformed service. Broadly speaking, "officer" means a commissioned officer, a non-commissioned officer, or a warrant officer. However, absent context ...
,"White House Doctors: The President's Shadow."
CNN.com CNN (Cable News Network) is a multinational cable news channel headquartered in Atlanta, Georgia, U.S. Founded in 1980 by American media proprietor Ted Turner and Reese Schonfeld as a 24-hour cable news channel, and presently owned by ...
. September 24, 2004. Accessed May 12, 2010.
in part because most civilians would find closing and then later reopening their private practices difficult. Ruge was about to retire when Reagan chose him as his physician. , Colonel Kevin O'Connor, DO,
USA The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territori ...
(Ret.) is the incumbent White House physician.


White House physicians

Some of the individuals who have acted as physicians to the president: * 1789: Samuel Bard, MD. Bard was the first physician known to have treated a president when he lanced a
boil A boil, also called a furuncle, is a deep folliculitis, which is an infection of the hair follicle. It is most commonly caused by infection by the bacterium '' Staphylococcus aureus'', resulting in a painful swollen area on the skin caused by ...
on
George Washington George Washington (February 22, 1732, 1799) was an American military officer, statesman, and Founding Father who served as the first president of the United States from 1789 to 1797. Appointed by the Continental Congress as commander of ...
's thigh.Hedger, Brian. "White Coats in the White House: Former Presidential Physicians Reflect On Their Service."
'' American Medical News.'' March 23, 2009.
* 1789 to 1797: James Craig. Craig was a family friend of George Washington's. * 1895:
Leonard Wood Leonard Wood (October 9, 1860 – August 7, 1927) was a United States Army major general, physician, and public official. He served as the Chief of Staff of the United States Army, Military Governor of Cuba, and Governor-General of the Philipp ...
, MD,
USA The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territori ...
. Wood was not only the White House physician to President
Grover Cleveland Stephen Grover Cleveland (March 18, 1837June 24, 1908) was an American lawyer and politician who served as the 22nd and 24th president of the United States from 1885 to 1889 and from 1893 to 1897. Cleveland is the only president in American ...
in 1895, but also the personal physician of President and Mrs.
William McKinley William McKinley (January 29, 1843September 14, 1901) was the 25th president of the United States, serving from 1897 until his assassination in 1901. As a politician he led a realignment that made his Republican Party largely dominant in ...
. * 1913 to 1921: RADM
Cary Travers Grayson Cary Travers Grayson (October 11, 1878 – February 15, 1938) was a surgeon in the United States Navy who served a variety of roles from personal aide to President of the United States, President Woodrow Wilson to chairman of the American Red Cros ...
, MD,
Pharm.D. A Doctor of Pharmacy (PharmD; New Latin: ''Pharmaciae Doctor'') is a professional doctorate in pharmacy. In some countries, it is a doctoral degree to practice the profession of pharmacy or to become a clinical pharmacist. In many countries th ...
,
USN The United States Navy (USN) is the maritime service branch of the United States Armed Forces and one of the eight uniformed services of the United States. It is the largest and most powerful navy in the world, with the estimated tonnage o ...
. * 1921 to 1923: Charles E. Sawyer, HMD * 1923 to 1929: Major James Francis Coupal, MD, MS, US Army * 1929 to 1933: Commander Joel Thompson Boone, MD, US Navy * 1933 to 1945: VADM Ross T. McIntire, MD, US Navy * 1945: Lieutenant Commander Howard G. Bruenn, MD, US Navy * 1945 to 1953:
Major General Major general (abbreviated MG, maj. gen. and similar) is a military rank used in many countries. It is derived from the older rank of sergeant major general. The disappearance of the "sergeant" in the title explains the apparent confusion of ...
Wallace H. Graham, MD, US Army * 1953 to 1961: Major General
Howard McCrum Snyder Major General Howard McCrum Snyder (February 7, 1881 – September 22, 1970) was a member of the United States Army Medical Corps, and Physician to the President for Dwight D. Eisenhower. Biography Early life General Snyder was born in ...
, MD * 1961 to 1963: Janet G. Travell, MD"President's Physician: George Gregory Burkley." ''New York Times.'' July 20, 1963. * 1963 to 1969: RADM George G. Burkley, MD, US Navy (concurrent from 1963 to 1966 with Capt. James Young, MD, USN * 1969 to 1974: Major General Walter R. Tkach, MD,
USAF The United States Air Force (USAF) is the Aerial warfare, air military branch, service branch of the United States Armed Forces, and is one of the eight uniformed services of the United States. Originally created on 1 August 1907, as a part ...
* 1974 to 1981: RADM William M. Lukash, MD, FACP, FACG, USN * 1981 to 1985: Daniel Ruge, MD, Ph.D.Altman, Lawrence K. "Daniel Ruge, 88, Dies."
''
New York Times ''The New York Times'' (''the Times'', ''NYT'', or the Gray Lady) is a daily newspaper based in New York City with a worldwide readership reported in 2020 to comprise a declining 840,000 paid print subscribers, and a growing 6 million paid ...
.'' September 6, 2005.
* 1985 to 1986: T. Burton Smith, MD"Appointment of John E. Hutton, Jr., as Physician to the President." December 10, 1986. Ronald Reagan Presidential Library. National Archives and Records Administration. No date.
/ref> * 1986 to 1987:
John E. Hutton, Jr. John is a common English name and surname: * John (given name) * John (surname) John may also refer to: New Testament Works * Gospel of John, a title often shortened to John * First Epistle of John, often shortened to 1 John * Second ...
, MD * 1987 to 1993:
Colonel Colonel (abbreviated as Col., Col or COL) is a senior military officer rank used in many countries. It is also used in some police forces and paramilitary organizations. In the 17th, 18th and 19th centuries, a colonel was typically in charge o ...
Lawrence C. Mohr, Jr., MD, FACP, FCCP, US (concurrent from 1989 to 1993 with Burton J. Lee III) * 1989 to 1993: Burton J. Lee III, MD (concurrent with Lawrence C. Mohr, Jr.) * 1993 to 2001: RDML
Eleanor Mariano Eleanor Concepcion "Connie" Mariano (born 1958), is a Filipina American physician and retired flag officer in the United States Navy. She is the first Filipino American and graduate of the Uniformed Services University of Medicine to reach the ...
, MD, US Navy"Her Patients Were Presidents." ''
Filipino Reporter Filipino Americans ( fil, Mga Pilipinong Amerikano) are Americans of Filipino ancestry. Filipinos and other Asian ethnicities in North America were first documented in the 16th century as slaves and prisoners on ships sailing to and from New ...
.'' April 16–22, 2010.
* 2002 to 2009:
Brigadier General Brigadier general or Brigade general is a military rank used in many countries. It is the lowest ranking general officer in some countries. The rank is usually above a colonel, and below a major general or divisional general. When appointed ...
Richard J. Tubb, MD, USAF * 2009 to 2013: Captain Jeffrey Kuhlman, MD, USN * 2013 to 2018: RDML
Ronny Jackson Ronny Lynn Jackson (born May 4, 1967) is an American physician, politician, and retired United States Navy rear admiral who is the U.S. representative for . Jackson joined the White House Medical Unit in the mid-2000s under George W. Bush, a ...
, MD, USN * March 2018 to January 2021: CDR Sean Conley, DO, USN. * From January 2021: Colonel Kevin O'Connor, DO,
USA The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territori ...
(Ret.)


Footnotes


Notes


References


Bibliography

* Deppisch, Ludwig M. ''The White House Physician: A History From Washington to George W. Bush.'' Jefferson, NC: McFarland, 2007. * Evans, Hugh E. ''The Hidden Campaign: FDR's Health and the 1944 Election.'' Armonk, NY: Sharpe, 2002. * Ferrell, Robert H. '' The Dying President: Franklin D. Roosevelt, 1944-1945.'' Columbia, MO: University of Missouri Press, 1998. * Ferrell, Robert H. '' Ill-Advised: Presidential Health and Public Trust.'' Columbia, MO: University of Missouri Press, 1992.
Joynt, Robert J. and Toole, James F. ''Presidential Disability: Papers and Discussions on Inability and Disability Among U.S. Presidents.''
Woodbridge, Suffolk, UK: University of Rochester Press, 2001. * Levin, Phyllis Lee. ''Edith and Woodrow: The Wilson White House.'' New York: Simon and Schuster, 2001. * McCullough, David. '' Truman.'' New York: Simon and Schuster, 2003. * Smith, Jean Edward. ''Eisenhower: In War and Peace.'' New York: Random House, 2012. * Steely, Skipper. ''Pearl Harbor Countdown: Admiral James O. Richardson.'' Gretna, LA: Pelican Publishing, 2008. * Ullman, Dana. ''The Homeopathic Revolution: Why Famous People and Cultural Heroes Choose Homeopathy.'' Berkeley, CA: North Atlantic Books, 2007. {{ISBN? + American military personnel *