Nineteenth Century Medical Guide

Chapter 162 159. The Second Performance Report

When twilight fell on Vienna, the seventh meeting of the Medical Committee of the Military Medical Department ended, and the newly promoted director began to write the second performance report.

The Military Medical Office is also under the jurisdiction of the army, and the report should be reported upwards to the army commander.It's just that the candidate for the commander-in-chief has not yet been determined. The old Marshal Ludwig was plagued by old illnesses and suffered the pain of losing his son. It seemed that he had no intention of taking over this burden.

For this reason, Edinson had to choose to leapfrog report.

In fact, he personally handed over the last performance report to Franz, which included the establishment of the medical committee, the clarification of the scope of the committee's powers and responsibilities, the election of the two chief physicians of medicine and surgery, the procurement of medical drugs and equipment, and the The construction of hospitals, the distribution ratio of medical care, the transportation of medical supplies, etc. 【1】

There is a lot of content, but they only mention a few sentences briefly to set a general framework.In comparison, this report is much more specific and mainly revolves around a certain young man.

[Dear Your Majesty the King:
After receiving your military order three weeks ago, the medical committee was formally established and began to function normally.Just today we have basically confirmed the candidates for the Chief Physician of Medicine and Surgery. They will establish the medical and health standards and implementation methods in the military camp, and conduct assessment and training for other doctors who apply to enter the army.

The assessment content will be more difficult than the medical school graduation assessment. For this reason, I hope to issue a special military medical certificate to every doctor who passes the assessment to affirm their excellent medical skills and brave beliefs.

As for the hospital beds and ratio of doctors and nurses mentioned earlier, it is not yet clear. This needs to be determined based on the final number of soldiers in the army and the number of doctors and nurses participating in military medical services.

In this regard, the Medical Committee will follow up further, and His Majesty need not worry.

Today I mainly want to talk about procurement issues.

It is understandable that medical devices are steadily supplied by Mr. Laszlo's steelmaking and foundry.Because nearly 70% of the steel production in Austria is provided by him, and the swords, guns and even spurs used by the troops come from his factory.

I have seen finished surgical instruments, whether it is a scalpel or a new type of hemostat, from a professional point of view, they are very delicate and durable, and the price is very reasonable.

But for drug procurement, I have a different view.If we continue to deliver to Mr. Laszlo's new Karachi pharmaceutical factory, and ignore those medicinal herb shops with a fairly folk foundation, it will inevitably make people disgusted.

For the greedy capitalists digging their claws into the banking and financial industry to make a fortune]
At this point in the report, Edinson couldn't help but stop writing, looking at the last few lines of text on the paper, he always felt that something was wrong.

He is also a nobleman, and his father still holds a pivotal position in the House of Lords.In the face of emerging capitalists like Laszlo, one should not care too much about the views of the other party. It is the meaning of the existence of the medical committee to bravely express and put forward reasonable opinions.

but.
Laszlo has already surpassed the ranks of capitalists in the normal sense.

His family business has been operating on the European continent for more than 60 years, starting from the reselling of Hungarian wool. The factory bank has already spread all over Austria and Hungary, and its tentacles have even extended into many regions in Italy, France, Germany and Russia.

When a family business and factory have penetrated into every aspect of the country, and the person in charge has already made friends with a lot of nobles, and even his father and the king call each other friends, he, the head of a small military medical department, does not seem to matter much.

"Greedy" is not appropriate, you still need to control your wording.

Eddinson sighed in a low voice, crumpled up the half-written letter and threw it into a trash can far away, deleted the last two sentences and wrote it again:
[But for drug procurement, I have my own ideas, the ideas of a deputy dean of the College of Surgery with more than 20 years of surgical clinical experience.

Medical drugs are divided into narcotic pain relievers, quinine, enema decoctions, and various pills, each of which needs to be strictly processed.It is really inappropriate for a newly-built pharmaceutical factory to undertake the procurement of all medicinal materials relying on a few drugs used in surgery without years of pharmaceutical inheritance.

After all, medicine is not a device. There are various materials and different preparation methods. I still think that we should listen to the opinions of other medicine suppliers so that frontline soldiers can use the best medicine. ]
After writing this paragraph, Edinson looked back at it again, and found nothing wrong after reading it carefully, and finally nodded with satisfaction.

Laszlo is not the point. There must be a problem with the procurement of drugs, but it is not something he can change.All Eddinson had to do was to make a suitable suggestion, and on the premise that the king would definitely deny it, he would give another suggestion after he made a concession.

Carvey was another of his suggestions.

[Secondly, I would like to elaborate on the job responsibilities of the young military doctors.

As we all know, the number of physicians is significantly less than that of surgeons, and there are only 113 registered physicians so far.According to the number of our standing army, I am afraid that every 2 soldiers may not be able to allocate a physician.

And they are all high-achieving students with titles on their backs.The doctor's degree obtained after several selections by the medical school is an elite member of the military medical team.Even if such talents lack the experience of marching medical treatment, they should not be allowed to rush to the front line as stretcher bearers.

In comparison, the number of surgeons is much greater.

Including surgical medical assistants, the number of applicants has reached 689.I discussed with Dr. Ignatz that if the number of surgeons continues to increase beyond a certain number, then we have to be very vicious about weeding out some of them.

But if they are capable enough to pass the assessment, this approach is equivalent to extinguishing their passion to serve the empire.

In this case, I suggest that those young surgeons who lack medical experience in marching be sent to the front line and incorporated into the stretcher transport carriage team to serve as the attending physicians for the first-line treatment]
At this point, Edinson stopped writing again.

Physicians and surgeons are different, and the military has always chosen to treat them differently.

War has been the maker of plague since ancient times. The most lethal rate in war is not swords and bullets, but dysentery, cholera, spotted rash, pneumonia and malaria.Therefore, compared with surgery, which focuses on amputation and bullets, the work of internal medicine is more related to the health of the entire army.

Moreover, the stretcher team rushing to the front line does lack professional surgical treatment. The inclusion of surgeons in the stretcher team will definitely save the lives of more wounded soldiers.

Behind the seemingly pertinent suggestion, there is also some selfishness of his.

Three weeks ago, when the medical committee was formed, Carvey rants about the causes of death from anesthesia after performing a cesarean section.He attributed most of the reasons why he could not tolerate anesthesia due to physical problems to the surgeon in charge, rather than the nurse or assistant who gave the ether.

"It's outrageous!!!"

Edinson trembled with anger when he thought of the scene of the argument at the surgical college that day.If he hadn't tried his best to restrain his anger, the quill in his hand might have been broken by him long ago.

He admitted that half of what he did was revenge, because according to incomplete statistics from the Academy of Surgery, Edinson was the surgeon with the highest anesthesia fatality rate.And just before Carvey finished the cesarean, he also happened to have an anesthesia accident.

It takes time to change the concept of surgery, and constitution theory still occupies the mainstream, but Carvey's statement has also aroused the interest of many people.

Some surgeons even came to Edinson specifically to ask about the feelings of the anesthesia that caused the death of the patient.
He couldn't stand this kind of insult, he just wanted to send Carvey to the front line as a stretcher bearer for the wounded.As for the title of "indications" given, it is all a false title.If he really went to the front line where there was a lot of bullets, it would be nothing if he was given the title of director.

Edinson chuckled and picked up his pen again.

[At the end of this report, I also wish to say a few words about Dr. Kavi Hines.Because of his special status, there were some problems in the appointment process.

He is a partner of the purchasing pharmaceutical factory and owns the patents of three drugs. At the same time, he is also a surgeon highly recommended by the Municipal General Hospital. Not only has he completed the registration, but he will also pass the surgical examination in the near future.

The reason why I can confirm this is entirely out of recognition of his ability.

The overlapping identities of drug procurement and doctors will inevitably bring more critical attention. This kind of pressure will inevitably hinder the operation of surgery, which is not good for anyone.

I also thought about letting him leave the military medical team and be an inspector of medicinal material procurement, but when I thought that his superb surgery could not be used to treat the wounded, I felt deeply sorry.

So my suggestion is to minimize the quantity and types of medicinal materials purchased by the Karachi pharmaceutical factory, and place the main procurement direction in the warehouses of major pharmacies with a long history.A super powerful drug like a panacea would definitely be more useful than an anticoagulant.

— Your Faithful Servant: Edinson Conrad von Herzendorf]
The performance report was sent to Franz's study by Edinson early the next morning.

"Your Majesty, this is my report." He was wearing a military uniform, with a high hat under his left arm, and delivered the document with his right hand. "Please have a look."

"I'm looking for you." What Franz wants to see most now is not the report, but his attitude towards Carvey, "I remember a young man named Carvey Hines in the surgeon team .”

Edinson was slightly taken aback: "Yes, there is such a person."

"What do you think of him?"

Eddinson didn't expect the king to ask such a vague question, and it was really difficult to answer, so he could only delay the time with a question: "I wonder what aspect His Majesty is talking about?"

"Of course it's about technical expertise."

"There is nothing to say about technology. I think the reports in the Vienna Daily can explain the problem very well." Since the question was vague, Edinson's answer was also vague. Anyway, it's right not to be explicit. "I don't know why Your Majesty asks such a question?"

"I heard that he is already able to be the chief surgeon?"

"That's true, but theoretically he hasn't got an undergraduate degree from the medical school, and he shouldn't be the surgeon if he hasn't passed the final assessment. In fact, this has violated the regulations of the School of Surgery. But we still give enough respect. A month ago It’s already accepted that fact.”

Franz's temptation has preliminary results, and the relationship between Edinson and Carvey is not good.

In fact, some clues can already be seen from the job arrangement. A surgeon who is good enough to stand in the largest surgical theater in Vienna and lose the right to perform surgery after entering the military medical office is very strange.

Moreover, Eddinson's statement just now that "you can only practice professional swordsmanship after the graduation assessment" is actually not accurate.

With Kavi's surgical prowess in anatomy without major training, he can pass the final assessment with only a few hundred crowns, which is also a feature of the Vienna Medical School in sending students off for graduation.

Even Franz had heard these rumors, but the deputy dean of the School of Surgery did not know about it: "He is only 17 years old, far from the age to face patients' cases independently. In the performance report, I also wrote I have some opinions, Your Majesty the King, please take a look."

Franz nodded and took the file: "I remember that Dean Watman first went to the operating table as an assistant when he was 19 years old, and Carvey was quite young. But, I personally don't think it should be his obstacle."

Edinson frowned: "Your Majesty, he is already your military doctor, and his surgical skills can serve the empire at any time."

"That's not enough." Franz put forward his suggestion for the first time, "Don't you find it strange that a doctor who can gain the trust of Marshal Ludwig can't get the position of chief surgeon in the military doctor's office?"

Edinson never heard about it until the king took out a letter from the drawer: "This is the letter from the old marshal yesterday afternoon. I have to rethink the candidate for the new marshal."

The content of the letter was not long, and it mainly focused on his own health and the murder of his son. 【2】

Franz was well aware of Ludwig's difficulties, and he would not have insisted on letting the old marshal go out if the empire was not short of talents.Now that things have come to this point, it would be unreasonable to insist any more. Besides, the marshal controls the entire army, and if there is a wrong command, the victory of the entire war will be ruined.

The two looked at what the other handed them.

"As for the issues you mentioned, I will consider them, especially the purchase share of pharmaceutical companies, and I will talk to Laszlo again." Franz closed the performance report document very calmly, " As for what I said"

Things didn't go in the direction Edinson thought at all, but turned around and chose the completely opposite direction.

But still the same sentence, under the king's order, his little military medical director can't change anything: "If the problem of drug procurement can be properly handled, it can greatly reduce the skepticism of other doctors. It is not difficult to resend the position of chief surgeon.”

Franz patted the cover of the report document lightly, and put it on the pile of documents beside him: "Okay, that's the deal."

Edinson nodded: "If there is nothing else, I will go out first."

"Hmm." Franz was about to nod his head when he suddenly thought of something and asked, "By the way, are you free the day after tomorrow?"

"the day after tomorrow?"

"One o'clock in the afternoon the day after tomorrow."

"Should be free."

"If you have time, come with me to the School of Surgery." Franz said, "I want to watch an operation, and I need an explanation by my side."

(End of this chapter)