Nineteenth Century Medical Guide

Chapter 181. Chapter 178
Compared with practicing medicine in society, although serving in the army increases the danger in wartime, it can also get a very stable income.Of course, the premise is that the economy of the Austrian Empire is sufficient to support this kind of expenditure
Ordinary physicians can receive a salary of 10-15 crowns per day for serving in the army, while surgeons can receive between 5-10 crowns.If it is an ordinary assistant, this income will drop to only 1/3, but compared with working in an ordinary hospital, this money is very stable.

And the most important point is that doctors who serve in the military medical service will get great promotion.

During the Franco-Austrian War, there was a young surgeon who experienced the transition from assistant to chief surgeon, and his military rank directly climbed from the original sergeant to captain, which took only 8 months. 【1】

And in the meritorious deeds at the end of the war, he was promoted two more ranks, and finally won the title of lieutenant colonel.

That man was none other than Ignatz, the current Chief Surgeon General.

During the promotion process, there must have been the support of the chief doctor Watman, and the addition of the baron title on his head, and it was inseparable from Ignatz's superb surgical skills, but this can also reflect the military doctor's promotion in the army How easy it is.

But looking at it from another angle, the reason why the benefits are so high is nothing more than the shortage of military doctors.

The recruitment news was sent out at the end of March, and now it is mid-to-early May, a whole month and a half, and there are still limited people who are willing to join the military medical team.

This limitation is not reflected in numbers but in quality, because the number of applicants received by Edinson is not small, but there are very few people who can really meet the requirements and can be put into the wartime hospital to complete the corresponding work in the first place .

"I have read some old documents of the medical committee at that time, and I can still see Dean Watman's complaints in it."【2】

Carvey took Morazo to chat in the small garden of the hospital: "I don't need to go into details about the internal medicine department. All of them are elites. The number is less than 1/5 of the surgery department. It is definitely not enough. I will only mention the ones I am involved in here." In surgery, there are three types of positions: ward assistant, surgical assistant, and chief surgeon, do you know the respective ratios?"

Moraso shook his head.

"A surgery is basically 1 chief surgeon and 1-3 assistants, plus 2-3 assistants in the ward. In Dr. Edinson's list, the ratio is 1:10:35." Carvey said, "Don't be so surprised, he wrote the data himself, I just saw it accidentally."

"There are so few surgeons?" Even though Moraso had never studied medicine, he was lying on the bed and had his body cut by a doctor. He knew who the backbone of surgery was.

"Just looking at the number of people, there are indeed quite a lot, but if you look at the chief surgeon, the situation is actually not more optimistic than that of internal medicine."

Carvey calculated the time: "The recruitment has passed the golden period at the beginning, and even if there are still 1-2 months left, it is impossible to recruit the same number of surgeons. The saddest thing is that even if it is really recruited Even with the same number of chief surgeons, the gap is still huge.”

"so."

"So you, the Chief Inspector, have to remind him that now is not the time to worry about drug channels, but to make up for the shortage of doctors as soon as possible."

Carvey really wanted to beat Edinson, but the more purpose was to run the medical committee with various historical problems.Only in a qualified medical environment, the statistics brought about by clinical trials are the most objective.

Of course, he didn't want to see some unnecessary conflicts that would damage the national power of the empire, at least those soldiers who were wounded and quit the front line were innocent.

When looking up information at the university before, he often turned to various problems that occurred in the French-Austrian War.Austria does not lack people who find loopholes, but what it lacks is a management team that can actively correct mistakes.

Many mistakes and omissions still exist in all aspects of the army after seven years of precipitation. The appearance is gorgeous, but the inside is full of holes.

If it really comes to wartime, the hospital will face a large number of severely traumatized patients, and there will be absolutely not enough surgeons.At that time, Edinson will inevitably follow the usual practice of promoting those who have just started as assistants to be chief surgeons.

In a sense, this measure can promote many outstanding young people, but more and more serious consequences have to be borne by wounded soldiers.

"I also looked through some biographies and memoirs during the Franco-Austrian War. I was deeply impressed by the description of an ordinary young man who was called into the army. He was just 17 years old at the time, with a high school diploma, and was in a clinic. Apprenticeship for 3 months, and then temporarily promoted by the Medical Council to be a surgical assistant because of the shortage of medical service personnel.”【3】

Carvey is worried: "Too many non-medical people have been promoted to become doctors, but even so many battalions may not be able to assign a chief surgeon."

Listening to these words, Moraso kept nodding, but the expression on his face was very calm, as if he was not shocked by it.

"Don't you think this is outrageous?"

"em, I think it's okay." Morazo looked at Carvey, "Didn't you also be dragged to the operating table by Ignatz as an assistant when I had the surgery? You just came to the hospital to report at that time Bar?"

Carvey was stunned, and he could only change an example: "Let's talk about the later period of the Franco-Austrian War, when the army's wounded increased and the number of doctors accompanying the army could not cope. At that time, the military medical office could only choose those who could not recruit people. The quartermaster responsible for the procurement and distribution of medicines, and the pharmacy assistant who undertook the medicines came to be assistants, and the former assistants were promoted to be the chief surgeons.”【4】

"It's really a little too much."

"No way, there is a lack of people." Carvey continued, "The situation now is the same as before. There is no problem in terms of numbers, but the structure is very unreasonable. It may not be obvious at the beginning of the war, but in the middle and late stages, this kind of Weaknesses will be exposed."

Carvey put the facts and reasoned, explained the staffing very thoroughly, and let Moraso basically understand the main problems of the current military medical department.

But knowing where the problem is doesn't solve the problem. What he needs most now is a solution.

"What should I do?" Morazo was not polite, knowing that Kawei could talk to himself, he must have thought of a solution, "You have to give me a good way, so that I can compete with Edinson."

"The method is actually very simple." Carvey said with a smile, "Change the existing recruitment strategy, because the army recruits military doctors in the wrong way."

Morazo couldn't understand, the recruitment was nothing more than giving conditions for them to actively enlist in the army.The conditions were set by Franz and a group of ministers after a joint discussion. The amount of daily salary, promotion conditions, and military ranks were all stipulated in detail, so there was no reason to change them.

"This kind of half-baked money, power, and status are precisely the least of those surgeons' concerns, and they have no appeal."

Carvey explained: "From a surgeon's point of view, 'contributing to the empire' is not a good reason to go to the front line to serve in the army. And for a surgeon who is already able to operate, the 'steady daily salary' reduces the their income." [5]

Morazo found it incredible, because in his eyes, making contributions to the empire is a matter of course.Even if he has wealth and status, he will be the first to rush to the front line when he hears that the empire is under external threats.

"Many of them have titles!"

"So what?" Carvey asked back, "The world has changed, Earl."

It was only then that Moraso realized that he also encountered a lot of resistance when he went to find Kawei. Maybe this is the predicament brought about by his career?
"maybe."

Carvey doesn't have the energy to discuss the internal connection between loyalty and profession. He only needs to solve the troubles caused by this connection: "The title is becoming more and more difficult to restrain people, but the profession can. Without the title, those doctors will still be the same. They can make money to support their families, but without their jobs, the titles can only let them stay at home and wait to die."

Morazo gradually realized the crux of the problem: "So you mean that in the recruitment order, the doctor should not use the title to guide the thought of serving the country, but should do what he likes?"

"Although it's very philistine, this is the reality." Carvey asked, "Do you know why Mr. Ignatz can become so good?"

Moraso shook his head: "I don't know."

Carvey sighed: "Then let me change the angle. Do you know what surgeons care about most?"

Morazo frowned and thought for a long time, but still shook his head: "What is it?"

"Corpse!" Carvey showed a slight smile, "The most lacking thing in the medical field of surgery is a corpse. Especially for those hospitals that do not have sources of corpses, the corpses often take more than a week. Because there is no opportunity to practice without a corpse, without practice, Surgical techniques cannot be improved.”

Morazo has an insight: "War brings a steady stream of corpses."

"And they are all free corpses, while in Vienna, they need to spend at least 30 crowns to get a rotting corpse." Carvey said with a smile, "Just ask the Military Medical Office to authorize the surgery, so that the surgeon can dissect the dead soldiers I don’t think there is any need for ideological mobilization at all, and a bunch of surgeons will come to sign up soon.”

"This"

"It doesn't matter if it doesn't work, there are still Prussian corpses."

"Makes sense!"

In terms of staffing, Carvey gave a good plan, but it was limited to surgery.Compared with internal medicine, the problem is more serious, because not only is there a serious shortage of staff, but the biggest problem with internal medicine now is that the overall level is very limited.

Although there is a very high threshold for becoming a physician, it objectively avoids the dilemma of uneven quality of personnel like surgery.But in fact, they don't have much experience in the plague and nutritional problems that may arise in the army, and even the medical behaviors that really fall within their capabilities are lacklustre.

"Staffing is just one of the problems that the Military Medical Office is facing." Carvey said, "My solution can only improve the shortage of people and the proportion of staffing. There are still some necessary assessments to improve the overall quality."

"Edinson has set up an assessment office." Morazo said, "I saw it in the plan."

"What assessment? Is it a simple bandage? A plaster cast? Or suture? Surgery?"

Carvey does not report too much hope for this kind of assessment: "There are also front-line stretcher teams, the establishment of first-aid stations, and how to maintain the delivery line, all of which are directly related to the prime time for the wounded to be rescued. The tentative 350-person wartime hospital is still too small."

"Is it very small?"

"It was mentioned in the post-war logistics discussion of the French-Austrian War that the wartime hospital and the two medical tents accompanying the army are always in a state of full capacity. The speed of recovery of the wounded is far from being as simple and fast as making the wounded. The new arrival Wounded soldiers can only lie outside in the sun or in the rain."【6】

Carvey said helplessly: "For ordinary people, being exposed to the rain will only cause a cold, and a little exposure to the sun is good for the body. But for wounded soldiers who have lost too much blood, being exposed to the rain will only accelerate the reduction of their body temperature." , and exposure to the sun can exacerbate their dehydration."

"So how big do you think the hospital needs to be?"

"500 beds, with 5 accompanying tents, each tent can accommodate 20 beds."

The content of the chat is more and more inclined to the real military medical profession. Although Moraso also experienced it when he was in the army, he completely lost his patience when it really involved logistics, transportation and supplies: "Doctor recruitment, assessment and additional beds in the hospital, these three things It's enough to take back the initiative."

"Then I wish the Earl the best of luck."

Moraso recorded the outline of the chat in a small notebook, and was about to leave, but he realized a problem, a problem that could solve his tiredness: "By the way, I remember that the Chief Inspector of the Military Medical Department directly Acknowledge your fate and promote the power of doctors in the area, right?"

"Huh? There should be."

"Then it is reasonable for me to directly appoint a deputy inspector to accompany me in order to divert my heavy workload?"

Carvey heard his voice, and the deputy inspector he was talking about was himself.

Just when he wanted to chat with Morasor, a black figure suddenly appeared beside the wall of the second ward in the distance.He walked quickly into the garden and found where he was still with Moraso.

"Sergeant Witt, why do you have the leisure to come here today?"

"Mr. Earl is here too." Werther bowed slightly, with a serious expression on his face, "Karvey, do you have a patient named Fernand?"

"Yes, what's wrong?"

"What surgery did you have?"

"Surgery? That's too much." Carvey briefly described the name of the operation, "bladder stone removal, circumcision, bilateral mastectomy, and unilateral gauectomy."

Breasts, gao pills, and Werther's mind gradually overlapped, and now it's only luck: "Do you know where he lives now?"

"It was supposed to be in the butcher's shop on Niujiao Street, but I don't know where it moved later." Carvey has not yet realized the seriousness of the problem, "His operation has been over for almost a week, and he didn't ask me to change the dressing. I don’t even know if there is something wrong with the incision.”

"What's the number of the butcher shop?"

"number 94."

"it is good"

In just two or three minutes, Werther got almost all the materials, and now the only thing missing is the surgical certificate: "Mr. Carvey, please take his medical records and go to the police station with me. Don't be nervous, I just want to know more about it." It's just something about Fernand."

"Fernan? What happened to him?"

"We suspect he killed people, many, many people."

(End of this chapter)