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The DO | Special Coverage | OMED 2011

OMED 2011: Behind the scenes with a former chief White House physician

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Former White House physician Eleanor “Connie” Mariano, MD, signs a copy of her memoir for Lino S. Dial Jr., DO, a fellow Filipino-American, during OMED 2011. (Photo by Patrick Sinco)

A tourist who fainted in the White House could not believe that Eleanor “Connie” Mariano, MD, was the White House physician. She kept asking if Dr. Mariano was the nurse, and when the male White House nurse came, the woman thought he was the doctor.

Dr. Mariano, who was the first woman in the military appointed chief White House physician, recounts this story in her memoir, The White House Doctor: My Patients Were Presidents.

As OMED’s final keynote speaker, Dr. Mariano described her remarkable career on Wednesday. For nine years, she was the personal physician to three presidents—George H.W. Bush, Bill Clinton and George W. Bush—as well as to their families and staffs.

“People always looked at me as not being mainstream, and it made me strive harder,” said Dr. Mariano, who also was the first Filipino-American to reach the rank of rear admiral in the U.S. Navy.

Job interview in the White House

Dr. Mariano told the audience in Orlando, Fla,. that she had considered leaving the military after eight years in the Navy, until her boss asked her to apply for the job of White House Navy physician in the White House Medical Unit. All other candidates who interviewed for the position were men, which led her to think, “I’m their token female minority,” Dr. Mariano said.

Dr. Mariano and Dr. Kendall

Shortly before taking the stage at OMED 2011, Eleanor “Connie” Mariano, MD, visits with Jennifer Kendall, DO, the intern and resident representative to the AOA Board of Trustees. (Photo by Patrick Sinco)

She described her intimidating interview at 1600 Pennsylvania Ave., in which a top-ranking physician started by “gruffly” asking her, “Why do you want this job?” She said she replied, “It’s payback time. My father came here from the Philippines, and I went to medical school here [Uniformed Services University of the Health Sciences School of Medicine in Bethesda, Md.]. If I can repay my debt to this country by serving the commander in chief, I want to do that.”

Answering the second interview question about what she could do in the job, Dr. Mariano recalls saying, “I’m a trench doctor. Put me anywhere in the world, and I can take care of anyone.” When the interviewer abruptly got up, she thought she had lost her chances at getting the position.

Then her interviewer said, “As far as I’m concerned, you got the job. I’m going to tell Barbara Bush.”

Not a glamorous job

In the six-physician medical unit of the White House, Dr. Mariano later became the chief physician. In that role, she instituted 24/7 on-site medical coverage and made the all-specialists medical team include primary care physicians.

The White House physician job is not as glamorous as it may appear, she said, apparently not just because she had to draw President Clinton’s blood for DNA analysis in the Monica Lewinsky scandal.

She listed several nonglamorous aspects of the job: “The car we ride in is called the decoy limo. It’s very humbling as a doctor to get a call, ‘The president is ready to see you now.’ And the patient is tough in many ways.”

The president is a VIP, a “Very Intimidating Patient,” said Dr. Mariano, who now is a physician in a concierge medical service she founded in Scottsdale, Ariz. From the sound of laughter, the audience enjoyed her definition of a VIP as “any patient who induces tachycardia in the physician.”

The presidential VIP, Dr. Mariano said, is “at huge risk for RIP—rest in peace” because of the demands of the job and attitudes to medical care. She explained that presidents “feel entitled to special care, tend to be noncompliant and believe the natural principles of medicine and healing do not apply to them. They want you to fix [their health problem] right away.”

Don’t compromise standards

If the physician complies with VIP patients’ requests for unhelpful care, this teaches them how to be a poor patient, Dr. Mariano believes.

When a request is medically inappropriate, Dr. Mariano said a physician must have “a lot of guts.” She recommended telling a VIP, ‘I’m not doing that. That’s not how I practice medicine. It’s not fair to give you substandard care.’ You have to reinforce that you are [acting] in their best interests.”

Dr. Mariano reportedly had to be forceful with President Clinton. On one occasion, she said the president initially refused her advice to take a day off to rest because of illness. “I told him if he didn’t rest, I’d have to tell his wife,” she commented, which drew laughs from the audience.

Bill Clinton must have forgiven Dr. Mariano for that threat because he wrote the foreword to her book, in which he calls “Dr. Connie” an American success story.

A physician in the audience was similarly impressed with Dr. Mariano. “She was amazing,” Jennifer Kendall, DO, the intern`and resident representative to the AOA Board of Trustees, told The DO. “She doesn’t compromise her own high personal standards. That was really motivational to me.”

During the question-and-answer session, Dr. Kendall asked the keynote speaker how she was able to balance her demanding career with being a wife and mother. Dr. Mariano said her time in the White House took a toll on her marriage, which later ended in divorce.

She offered these words of wisdom: “Someone once said to me, ‘You’ve had it all,’ I said, ‘You can have it all, but not all at the same time.’ ”

thedo@osteopathic.org

8 Responses

  1. Sam Fillingane, D.O. on Nov. 5, 2011, 10:54 a.m.

    Very interesting story and believable. I was a United States Capitol Page my senior year in high school and found the legislative branch to act similarly with issues such as their health. Dr. Mariano was wise to hold to her medical principles and apparently served our country well by taking care of presidents! My hat is off to Dr. Mariano and I wish her well in her new practice life!

  2. Gerald Reynolds DO on Nov. 5, 2011, 10:59 a.m.

    What a sad comment that she failed her family for the sake of being “the president’s doctor”.

  3. GMA on Nov. 6, 2011, 6:32 p.m.

    To our fellow Osteopathic bretheren, CONGRATULATIONS:
    *On our 2nd unanswered decade of being on Quackwatch.com
    *To being so devoid of role models, that we’re fawning over the MD doctor treating the highest profile couple in the world, then blasting her the minute we can.
    *The most visible/memorable Osteopath, by the way, is the Hydroxycut guy that has been sued just like the rest of the company that hired him due to lies about a “different type of medicine.”
    *To managing to underwhelm everyone so much with the AOA still in full-retirement mode that attendance at OMED was even lower than last year (did you walk around at lunch on Monday wondering where everyone else was?)

    Patients: There is too much anger and resentment going on for an Osteopath to treat you well, so seek help elsewhere.

    Future Medical Students: RUN AWAY! You’ll be on a sinking ship where everyone in power makes sure you know they hate you. The cover charge to enter this club is many times what the MDs pay and you get little from them in return.

    Current DO students: By the first year you’ve already spent more on your medical education than an MD spends in 3, so you’re stuck; might as well make the most of it:

    *Buy MedStudy Board Study Materials and get notes from your upper classmen for the rest. They test all students off of material they wouldn’t see until 2 years out of residency to keep the scores low and everyone in Family Medicine; this evens the playing field a bit.
    *If you don’t have upper classmen in residency yet, they shouldn’t have your tuition check.
    *The COMLEX computer exams have been ‘documented’ and are in “yearbooks” so get together the $1000 or so with your classmates and ask around whom to buy them from. Sorry NBOME, you forced our hand on this one.
    *All 27 PE exam cases have also been ‘documented’ down to the very last detail as well, so ask around for those too. If they aren’t going to make this test fair, you’ll need to.
    *COMLEX 3 is no different from the rest of them, so study USMLE 3 stuff to be a better doctor, but pull your flashcards back out of your short coat for the rest.
    *They know that the lawsuits are coming, so organize and make sure you have your documentation ready.

  4. Roselia Conrad, DO on Nov. 9, 2011, 2 p.m.

    Or perhaps, her husband failed her. That IS very sad.
    Thank you for your service, Dr. Mariano.

  5. RASHEED HASSAN, DO on Nov. 11, 2011, 8:18 p.m.

    Serving the presidents of the greatest nation in the world is serving humanity. Thanks for your selfless service Admiral.

  6. Arts | Long Island: ‘Singgalot — The Ties that Bind: Filipinos in America’ Is at Stony Brook on Feb. 25, 2012, 9:58 p.m.

    […] most emblematic of the Filipino journey is the photo of Eleanor Mariano, also known as Connie, a career naval officer who was chief White House physician from 1994 to […]

  7. | Arts | Long Island: ‘Singgalot — The Ties that Bind: Filipinos in America’ Is at Stony Brook on Feb. 26, 2012, 7:46 p.m.

    […] most emblematic of the Filipino journey is the photo of Eleanor Mariano, also known as Connie, a career naval officer who was chief White House physician from 1994 to […]

  8. Filipinos in America: Tangled Roots – NY Times Article | Ilocano York on July 11, 2013, 10:38 p.m.

    […] most emblematic of the Filipino journey is the photo of Eleanor Mariano, also known as Connie, a career naval officer who was chief White House physician from 1994 to […]

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