Clinical Facilities
The Adolf
Meyer Center for Psychiatry and the Neurosciences is a nine story building
constructed in 1982. It houses the clinical, diagnostic, and research activities
for the Departments of Neurology, Neurosurgery and Psychiatry. The facility
solidifies interactions among these services which at Hopkins have considerable
overlapping and often converging interests. Administrative offices, beds,
operating rooms, diagnostic and research laboratories are in proximity.
Resident on-call rooms are centrally located. Additionally, there is a branch
of the Welch Medical Library on the eighth floor of the Meyer Center devoted
exclusively to the Neurosciences.
The Adolf Meyer Adult Neurology Service
The Adult Neurology service, combined with Neurosurgery, consists of 80
beds. It serves as the inpatient service for patients followed in the Hopkins
Neurology Consultation Clinic, a major tertiary referral clinic, as well
as offering neurologic care to the neighboring community. Adjacent to the
ward is a 6 bed, 24 hour Epilepsy Monitoring Unit (EMU), independently staffed
by an attending epileptologist and an epilepsy fellow. The EMU provides
diagnostic and therapeutic services as well as seizure locus mapping in
preparation for surgery. The Brain Recovery Unit is a 4 bed service dedicated
to the care of patients with TIA and stroke. The unit is staffed by cerebrovascular
neurologists and a nurse practitioner.
The Adult Neurology Consultation Service
The department staffs a busy consultation service, providing neurological
care to all medical and surgical services in addition to the Emergency Room,
Oncology Center, Labor and Delivery Suites, the Frank E. Polk AIDS Service,
and the Wilmer Ophthalomogic Institute. As a member of the consultation
teams assigned to the hospital, residents are exposed to the full spectrum
of neurologic manifestations of medical and surgical diseases.
The Neurosciences Critical Care Unit
The Johns Hopkins Hospital was among the first of a growing number of institutions
with facilities dedicated to acute and chronic intensive care of patients
with neurologic diseases including subarachnoid hemorrhage, intercerebral
hemorrhage, Guillain-Barre Syndrome and myasthenic crisis. The unit is staffed
by attendings from the departments of Neurology and Anesthesia who have
specialty training in Neurological/Neurosurgical Critical Care.
The Johns Hopkins Bayview Adult Neurology Inpatient
and Consultation Service
The
Johns Hopkins Bayview Medical Center (JHBMC) is a 400 bed primary care facility
located two miles east of the Johns Hopkins Medical Institutions. The Department
of Neurology is under the direction of Dr. Richard O'Brien. He and his staff
hold full time faculty appointments in the Department of Neurology at Hopkins.
They have an inpatient service of 8 critical care beds, 6 intermediate care
beds and 15 inpatient service beds, for a total of 29 beds dedicated to
neurological and neurosurgical patient care. There is a high percentage
of epilepsy and stroke represented among patients admitted to the inpatient
service. To support this need, there is a strong cerebrovascular group within
the hospital. Neurologic intensive care is supervised by the inpatient ward
team. The facilitiy also has an active consultation and outpatient service.
The consultation service serves the inpatient medical and surgical services
as well as the Hopkins Geriatric Center and Chronic AIDS facility. Also
based at JHBMC are the National Institutes of Drug Abuse, the Gerontology
Research Center of the National Institutes of Aging, the Johns Hopkins Asthma
and Allergy Center, and several new biotechnology ventures independent of
the University.
