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Fredrick Heldrich, M.D., Revered Pediatric Diagnostician, Dies at Age 82 - 01/03/2007

Fredrick Heldrich, M.D., Revered Pediatric Diagnostician, Dies at Age 82

Release Date: January 3, 2007

Frederick Heldrich, M.D., associate professor of pediatrics at Johns Hopkins, and a master diagnostician who taught generations of fledgling pediatricians the art and science of solving medical puzzles, died Jan. 2 in Baltimore. He was 82.

“Dr. Heldrich was a pediatrician’s pediatrician,” said George Dover, M.D., pediatrician in chief and Given Professor of Pediatrics at the Johns Hopkins Children’s Center. “For more than five decades, he trained pediatricians in the art of medicine, and seemed happiest teaching and learning new things, particularly at the bedside. He was a role model for us all.”

Heldrich had the brilliant mind of a scholar, the sharp analytical skills of a sleuth and the heart of a caregiver, with an endless capacity for compassion and without a trace of cynicism, Dover noted.

Hopkins, with its stream of complex cases, provided the ideal setting for Heldrich’s restlessly inquisitive mind, his colleagues recalled.

As director of the Johns Hopkins Children’s Center Diagnostic and Referral Clinic, he became something of a legend and diagnostician of last resort.

“He is probably the single person about whom I’ve heard residents and students say most often, ‘I want to be like him,’” said Julia McMillan, M.D., director of the pediatric residency program at Johns Hopkins.

“When you’re a medical student, you hear about master clinicians, and I knew I’d met one as soon as I met Dr. Heldrich,” recalled Michael Barone, M.D., M.H.P., assistant professor of pediatrics at Johns Hopkins and St. Agnes Hospital and former student of Heldrich’s. “His humility was remarkable. He was always courteous and valued every opinion, no matter how far-fetched. His colleagues admired him, but virtually everyone who met Heldrich revered him as a gentle man.”

Colleague Charles Shubin recalled a telling account of Heldrich’s deep embarrassment after learning that St. Agnes Hospital, where he directed the pediatrics division for many years, had named a lectureship after him.

“He didn’t have an arrogant bone in his body, that’s how nice and how modest he was,” said Shubin, assistant professor of pediatrics at Hopkins and the head of pediatrics at Mercy Family Care.

“He was warm and sensitive and immensely knowledgeable,” McMillan said. “He’d come to see a patient at the drop of a hat, always appearing in his bow tie.”

After spending five decades on the front lines and seeing tens of thousands of cases, Heldrich was a reservoir of knowledge for his residents and students.

“Because of his vast experience, Heldrich used anecdotes and cases that he’d come across in his practice in a manner that was very illustrative and very helpful to the students,” McMillan said. 

Heldrich believed that the most critical skill for a pediatrician was the ability to listen to his patients, and it was something he told his students time and again.

“He taught us that without a detailed patient history and detailed physical exam, all else is a misguided effort,” Barone said. “It was a skill he elevated to an art.”

Recalled colleague Michael Burke, M.D., chair of pediatrics at St. Agnes, “He taught pediatricians the three A’s of medicine: ability, availability and affability.”

Perhaps because he grew up in an era when doctors could rely on little more than a stethoscope, palpation and observation to make a diagnosis, Heldrich belonged to a generation of physicians whose skills were sharpened by the absence of advanced imaging techniques and invasive procedures. Indeed, Heldrich was often exasperated by those too eager to use these as diagnostic crutches.
 
Heldrich received his medical degree from the University of Maryland in 1948 and served his residency in pediatrics there and at Mercy Hospital. He joined St. Agnes Hospital in Baltimore in 1955 and served as chairman of pediatrics there from 1970 to 1992. In 1992, Heldrich joined the faculty at Hopkins and split his clinical work between Hopkins and St. Agnes.

Heldrich was a prolific researcher who co-wrote a book, Pediatric Emergency Medicine, in 1987 and published extensively on topics including infectious diseases, urinary tract infections, hemophilia, metabolic disorders, and genetic conditions, such as Marfan syndrome, among others.

Heldrich remained active well into his 80s, resuming some of his teaching duties even after he suffered a small stroke last summer. He enjoyed boating and closely followed local lacrosse.

Heldrich is survived by wife, Eleanor, daughters Sarah and Susan, and sons Frederick J. III and Philip. The funeral will take place at 4 p.m. on Monday, Jan. 8, at the Episcopal Cathedral Church of the Incarnation, 4 E. University Pkwy.

Founded in 1912 as the children’s hospital of the Johns Hopkins Medical Institutions, the Johns Hopkins Children’s Center offers one of the most comprehensive pediatric medical programs in the country, from performing emergency trauma surgery, to finding causes and treatments for childhood cancers, to delivering a child’s good bill of health. The Johns Hopkins Children Center’s Pediatric Trauma Service and Burn Unit are Maryland’s state-designated trauma and burn centers for children. With recognized Centers of Excellence in 20 pediatric subspecialties including cardiology, transplant, psychiatric illnesses and genetic disorders, Children’s Center physicians, nurses and staff provide compassionate care to more than 90,000 children each year.

For more information, please visit: http://www.hopkinschildrens.org

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