Chapter 162 159. The Second Report on Performance of the Duties

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

The Military Medical Department is also under the jurisdiction of the army, and the report should be reported to the army commander. However, the candidate for the commander has not been determined yet. The old Marshal Ludwig was suffering from an old illness and suffered from the pain of losing his son. He seemed to have no intention of taking over this burden.

For this reason, Altinson had to choose to report higher than the level.

In fact, he personally handed over the previous performance report to Franz. The content includes the establishment of the Medical Committee, the clarification of the scope of power and responsibilities of the committee, the recommendation of the two chief physicians of internal and surgical departments, the procurement of medical drugs and equipment, the construction of frontline hospitals and the distribution ratio of medical care, the transportation of medical supplies, etc. [1]

There are a lot of content, but they only mentioned a few simple sentences and defined a general framework. In comparison, this report is much more specific, mainly focusing on a young man.

[His Majesty, the King:

After receiving your military order three weeks ago, the Medical Committee was officially established and began to operate normally. Just today, we have basically determined the candidates for chief physicians in internal and surgical departments. They will establish medical and health standards and implementation methods in the military camp, and assess and train other doctors who apply to enter the military.

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 outstanding medical skills and brave belief.

As for the hospital beds mentioned earlier, the issue of medical care ratio is not yet clear, which needs to be determined based on the final number of military soldiers and the number of medical care participating in military medical services.

The Medical Committee will follow up further, and Your Majesty does not need to worry.

What I want to talk about today is the procurement issue.

It is understandable that medical devices are supplied stably by Mr. Laslow's steel-making foundry. He provides nearly 70% of the steel production in Austria, and the swords, guns and even spurs used by the troops come from his factory.

I have seen finished products of surgical instruments. From a professional perspective, both scalpels and some new type of hemostasis forceps are very delicate and durable, and the price is also fair.

But I have a different view on drug procurement. If I continue to deliver it to Mr. Laslow's newly built Karachi Pharmaceutical Factory and ignore those medicinal materials shops with a considerable private foundation, it will inevitably make people feel disgusted.

For those greedy capitalists who put their paws into the banking and financial industry to make a fortune]

At this point when the report was written, Edinson couldn't help but put his pen down, looking at the last few lines of text on the paper, he always felt that it was inappropriate.

He was also a nobleman, and his father also played an important role in the House of Lords. Faced with emerging capitalists like Laslow, he should not care too much about the other party's views. Expressing and putting forward reasonable opinions bravely is the significance of the existence of the Medical Committee.

but.

Laslow has long exceeded the ranks of capitalists with normal meaning.

His family industry has been operating in the European continent for more than 60 years, starting with reselling Hungarian wool. Factory banks have long been spread across Austro-Hungary, and their tentacles have even been extended into many areas of Italy, France, Germany and Russia.

When a family business and factory have penetrated into all aspects of the country, when the head of the country has made friends with a group of nobles, and even his father and king also call each other friends, he, a small director of the military doctor, seems to be worthless.

"Greed" is not suitable, so you still need to control your wording.

Aidinson sighed in a low voice, crumpled the half-written letter paper into a ball and threw it into the trash can in the distance, deleted the last two sentences and wrote it again:

[But I have my own ideas about drug procurement, the idea of ​​a vice president of the Academy of Surgery with more than 20 years of surgical clinical qualifications.

Medical drugs are divided into anesthesia and pain relief, quinine, enema decoction, and various pills. Each drug needs to be strictly processed. A newly built pharmaceutical factory has not been passed on for many years of pharmaceutical heritage and has undertaken the procurement of all medicinal materials through several drugs used during the operation. This is really inappropriate.

After all, drugs are not devices, with diverse materials and different preparation methods. I still think we should listen to the opinions of other medicinal materials manufacturers and let front-line soldiers use the best medicines.]

After writing this paragraph, Aidingson looked back and read it again. After reading it carefully, he did not find any inappropriateness. Finally, he nodded with satisfaction.

Laslow is not the focus. There must be problems in the procurement of drugs, but he cannot change it. All Aidinson needs to do is to make appropriate suggestions, and on the premise that the king will definitely deny it, he will give another suggestion after he makes concessions.

Kavi is another suggestion from him.

[Secondly, I would like to talk about the scope of work responsibilities of young military doctors in detail.

As we all know, the number of internal medicine doctors is significantly less than that of surgical doctors. So far, there are only 113 internal medicine doctors registered. According to the number of our regular army, it is probably not possible to be assigned one internal medicine doctor for every 2,000 soldiers.

Moreover, they are all top students and have titles. The doctorate degree obtained after layers of selection in the medical school is an elite in the military medical team. Even if such talents lack experience in marching and medical care, they should not be allowed to rush to the front line to be stretchers.

There are much more surgeons than that.

The number of registrations, including surgical assistants, has reached 689. Dr. Ignaz and I discussed that if the number of surgeons continues to increase by more than a certain number, we must be determined to screen out a batch.

But if their abilities are sufficiently passed the assessment, this approach would be equivalent to destroying their passion for serving the empire.

In this case, I suggest that young surgeons who lack marching medical experience be sent to the front line, be assigned to the stretcher transport carriage squad, and serve as attending physicians for front-line treatment]

Having written this, Edinson stopped writing again.

Internal and surgeons are originally different, and the army has always chosen to treat them differently.

War has been the maker of plague since ancient times. The highest mortality rate in war is not swords and bullets, but dysentery, cholera, rash, pneumonia and malaria. Therefore, compared with surgery, which mainly uses amputation and bullet removal, the working relationship of internal medicine is more to the health of the entire army.

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

Behind the seemingly pertinent suggestions, he also brought some of his selfishness.

Three weeks ago, when the Medical Committee was established, Kawei talked about the causes of anesthesia after completing a cesarean section. He attributed most of the reasons why anesthesia cannot tolerate due to physical problems to the surgeon, rather than nurses or assistants who gave ether.

"It's simply outrageous!!!"

Thinking of the argument at the Academy of Surgery that day, Edinson was trembling with anger. If he hadn't tried his best to restrain his anger, the quill in his hand might have been broken by him.

He admitted that half of this was avenging personal revenge, because according to incomplete statistics from the Academy of Surgery, the surgeon with the highest anesthesia mortality rate was Aidinson. And before Carvey finished the cesarean section, he happened to have an anesthesia accident.

The change in surgical concepts takes time, and physical theory still occupies the mainstream, but Kawei's statement has also aroused the interest of many people.

Some surgeons even came to Aidingson to ask about the feelings of anesthesia causing the patient to die.

He couldn't stand this insult, he just wanted to send Kawei to the front line as a stretcher who carried the wounded. As for the title of "main subject", it was all false titles. If he really went to the front line of bullets, what would he do if he gave him the title of director?

Edinson chuckled and picked up his pen again.

[At the end of the report, I also hope to talk about Dr. Kavi Hines. Because of his special identity, some problems arose during the appointment.

He is a partner of the pharmaceutical company who owns patents for three drugs. He is also a surgeon highly recommended by the Municipal General Hospital. Not only did he complete the registration, he would also pass the surgical assessment soon.

The reason why I can be sure of this is entirely due to recognition of his ability.

The overlap of drug procurement and doctor identities will inevitably bring more critical vision. Under this pressure, it will inevitably hinder the operation of surgical operations and will not benefit anyone.

I also thought of letting him leave the military medical team and be the inspector of the procurement of medicinal materials. But when I think that his superb surgery cannot be used to treat the wounded, I feel deeply regretful.

So my suggestion is to minimize the number and types of medicinal materials purchased by Karachi Pharmaceutical Factory and place the main procurement direction in the warehouses of major pharmacies with a long history. Super-healthy drugs such as panacea medicine will definitely be more useful than anticoagulants.

——Your faithful servant: Edinson Conrad von Hetsendorf]

The performance report was sent to Franz's study by Edinson early the next morning.

"His Majesty the King, this is my report." He was wearing a military uniform, with a high hat on his left arm, and handed the document on his right hand, "Please check it out."

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

Aidinson was slightly stunned: "Yes, there is such a person."

"What do you think of him?"

Aidinson didn't expect the king to ask so vaguely, and it was really hard to answer, so he could only ask back and delay the time: "I wonder what aspect is His Majesty the King talking about?"

"Of course it's professional and technical aspects."

"The technology is nothing to say. I think the reports in the Vienna Daily are already very telling." Since the question was vague, Edinson's answer was also vague. Anyway, it would be right not to make it clear. "I wonder why Your Majesty asked this?"

"I heard he can already do the lead?"

"It is true, but theoretically, he has not obtained a bachelor's degree from the medical school and should not have been the first to be the first to be a surgeon without the final assessment. In fact, this has violated the regulations of the Academy of Surgery. But we still gave enough respect and had already agreed to this fact a month ago."

Franz's temptation has initial results, and Edinson and Carvey have a bad relationship.

In fact, some clues can be seen from the position arrangement. A surgeon who is enough to stand in the largest surgical theater in Vienna actually lost the right to take the lead after entering the military clinic. It is strange no matter how you look at it.

Moreover, the statement that Aidingson just said, "You can only practice the master's surgery after graduation assessment" is actually not accurate.

With Kave's surgical skills in anatomy-free surgery, the final assessment only requires a few hundred kroners to pass successfully, which is also a feature of Vienna Medical College in giving away people to graduate.

Even Franz has heard of these rumors, but the vice president of the Academy of Surgery did not know about this: "He is only 17 years old, far from the age of facing patients independently. I also wrote some opinions in the performance report. Please review it by His Majesty the King."

Franz nodded and took the document: "I remember Dean Watman's first time on the operating table as an assistant was when he was 19 years old, and Carvey was quite young. But I personally think this shouldn't be his obstacle."

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

"This is not enough." Franz made his own suggestions for the first time. "Don't you find it strange that a doctor who can gain Marshal Ludwig's trust cannot get the position of the chief surgeon in the military doctor?"

Edinson had never heard of this until the king took out a letter from the drawer: "This is the letter from the old marshal to me yesterday afternoon, and I have to rethink the candidate for the new marshal."

The content of the letter is not long, mainly about two issues: one's own health and the murder of his son. [2]

Franz knew Ludwig's difficulties well. If the Empire had not really lacked talents, he would not have insisted on letting the old marshal go on the war. Now that things have come to this point, it would be a bit unkind to force them. Moreover, the marshal controls the entire army, and once the wrong command occurs, it will ruin the victory of the entire war.

The two of them looked at what they handed over.

"I will consider these issues that I have mentioned, especially the procurement share of pharmaceutical companies. I will talk to Laslow again." Franz calmly closed the performance report document, "As for what I said."

Things did not move in the direction Aidinson thought, but turned around and chose a completely opposite direction.

But the same thing is said, under the order of the king, he, a small military chief, could not change anything: "If the drug procurement problem can be properly handled, it will greatly alleviate the skepticism of other doctors. I think it is not difficult to send Kawei back to the position of the surgeon."

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

Aidinson nodded: "If nothing else, I'll go out first."

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

"the day after tomorrow?"

"At one afternoon the day after tomorrow."

"Should be available."

"If you have time, go to the Academy of Surgery with me." Franz said, "I want to see a surgery, but there is no commentary around me."
Chapter completed!