Chapter 181 178. The Military Medical Office full of holes

Compared with practicing medicine in society, serving the army increases the dangers of wartime, it can also obtain extremely stable income. Of course, the premise is that the economy of the Austrian Empire is enough to support this expense.

Ordinary internal medicine doctors can receive a salary of 10-15 kronor per day when serving in the army, while surgeons can be between 5-10 kronor. If they are ordinary assistants, the income will drop to only 1/3, but this money is very stable compared to working in an ordinary hospital.

And most importantly, doctors who serve in the military will receive great promotion.

During the French-Austrian War, a young surgeon experienced a leap from assistant to principal surgery, and his military rank above his head also rose from the original sergeant to the captain, which took only 8 months. [1]

In the reward of merit at the end of the war, he was promoted to two levels in a row and finally won the title of lieutenant colonel.

That person is Ignaz, the current chief surgeon.

During the promotion process, there must be the support of the chief doctor Watman and the bonus of the baron on his head, which is even more inseparable from Ignaz's superb surgical skills, but this can also reflect how easy it is for a military doctor to be promoted in the army.

But from another perspective, the reason why the benefits are so high is simply because the military doctors are short of people.

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

This finiteness is not reflected in numbers but in quality, because Aidinson received quite a few registrations, but there are very few people who can truly meet the requirements and can devote themselves to the wartime hospital to complete the corresponding work as soon as possible.

"I have read some old documents from the Medical Committee at that time, and you can also see President Watman's complaints." [2]

Kavey took Morasso to chat in the small garden of the hospital: "I don't need to elaborate on internal medicine. Everyone is elite, and the number of people is less than 1/5 of that of surgical medicine, which is definitely not enough. I will only mention the surgery I am involved in here. There are three types of ward assistants, surgical assistants and surgeons in terms of positions. Do you know the proportions of each?"

Moraso shook his head.

"A surgery is basically one main surgery with 1-3 assistants, plus 2-3 assistants in the ward. On Dr. Altinson's list, the ratio is 1:10:35." Kavey said, "Don't be so surprised. It was the data he wrote himself. I just accidentally saw it."

"So few main surgeons?" Even though Moraso had never studied medicine, he was still lying on the bed and was cut by a doctor. He knew very well who the backbone of the surgery was.

"Only looking at the number of people, there are indeed quite a lot of people, but if you look at the main surgery, the situation is actually not optimistic than internal medicine."

Kawei calculated the time: "The recruitment had passed the golden period before the beginning. Even if there were 1-2 months left, it would be impossible to recruit an equal number of surgeons. The most tragic thing is that even if the equal number of surgeons was really recruited, the gap was still huge."

"so."

"So, the general inspector, has to remind him that now is not the time to get into trouble with the drug channels, but to fill the doctor's gap as soon as possible."

Kawei really wanted to hit Aidinson, but his purpose was to run the medical committee with various historical problems well. Only in a qualified medical environment can the statistics brought by clinical experiments be the most objective.

Of course, he didn't want to see some unnecessary contradictions that would damage the empire's national strength. At least those soldiers who were injured and quit the front line were innocent.

When he was looking up information at university, he often looked at various problems that arose during the French-Austrian War. Austria does not lack people to find loopholes, but management teams who can actively correct mistakes.

Many mistakes and omissions still exist in all aspects of the army after seven years of precipitation. They look gorgeous on the outside, but they are full of holes inside.

If it is really time for war, the hospital faces a large number of severe trauma patients, the surgeon is definitely not enough. At that time, Aidinson will definitely follow the usual practices before and promote those who have just started to be assistants to do the surgeon.

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

"I also read some biography and memoirs from the French-Austrian War period. I was deeply impressed by an ordinary young man who was called to the army. He was only 17 years old at the time, with a high school diploma, and worked as an apprentice in a clinic for three months. He was temporarily promoted by the Medical Committee to be a surgical assistant because of the shortage of medical service staff." [3]

Kawei was worried: "There are too many non-medical personnel promoted to doctors, but even so many battalions may not be assigned to a surgeon."

Moraso nodded constantly as he heard these words, but the expression on his face was calm and he seemed not shocked.

"Don't you think this is outrageous?"

"I think it's okay." Moraso looked at Kavi, "When I had the surgery, weren't you taken to the operating table to be an assistant by Ignaz? Didn't you just come to the hospital to report?"

Kawei was stunned for a moment, and could only change the example: "Then let's talk about the later period of the French-Austrian War, when the number of wounded soldiers in the army increased and the number of military doctors could not cope with it. At that time, the military medical department could not recruit people, so they could only choose the quarantine officers responsible for drug procurement and distribution, and the pharmacy shop staff who were in charge of medicines as assistants, and the original assistant was promoted to the main surgery." [4]

“This is indeed a bit too much.”

"There is no way, there is a shortage of people." Kavey continued, "The situation is the same as before. There is no problem with the number of people, but the structure is very unreasonable. The war may not be able to see anything at the beginning, but in the middle and late stages, this shortcoming will be exposed."

Kawei presented facts and reasoned the staffing arrangements very thoroughly, which also made Morasso basically understand the main problems of the current military medical department.

But understanding where the problem is not enough to solve the problem, what he needs most now is the solution.

"What should I do?" Moraso was not polite. He knew that Kavi could talk to him and had to think of a solution. "You have to give me a good solution so that I can compete with Edinson."

"The method is actually very simple." Kawei said with a smile, "change the existing recruitment strategy because the military recruits military doctors incorrectly."

Moraso couldn't understand that recruitment was nothing more than giving conditions to allow them to actively join the army. The conditions were decided by Franz and a group of ministers after a joint meeting. There were detailed regulations on the daily salary, promotion conditions, and military ranks, so how could there be any change?

"This kind of half-baked money, power, and status is exactly what surgeons care about the least and are not attractive to them."

Kavey explained: "From the perspective of surgeons, 'contributing to the empire' is not a good reason to go to the front line to serve the army. And 'stable daily salary' has reduced their income for surgeons who are already able to take the surgery." [5]

Moraso found it incredible because in his eyes, it was natural to contribute to the empire. Even if he had wealth and status, he would definitely be the first to rush to the front line when he heard that the empire was under external threats.

“Many of them have titles!”

"So what?" Kavey asked back and said, "The world has changed, Earl."

Only then did Moraso realize that he encountered a lot of resistance when he went to find Kavi. Perhaps this was the dilemma brought by his profession?

"Maybe."

Kavey didn't have the energy to discuss the inner connection between loyalty and profession. He now only needs to solve the trouble caused by this connection: "The title is becoming increasingly unrestrained, but the profession can be done. Without the title, those doctors can still make money to support their families, but without the job, the title can only let them live at home and wait for death."

Moraso gradually realized the key to the problem: "So what you mean is that the recruitment order should not use titles to guide the doctor's idea of ​​serving the country, but should we serve his preferences?"

"Although it's very philosophical, this is reality," Kavey asked. "Do you know why Teacher Ignaz can become so good?"

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

Kavey sighed: "Then I will change my perspective and know what surgeons care about the most and like the most?"

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

"Corps!" Kawei smiled, "What the most lacking in surgical medicine is corpses. Especially in hospitals without sources of corpses, corpses often take more than a week. Because there is no corpse, there is no opportunity to practice. Without practice, surgical techniques will not be improved."

Moraso got his idea: "War can bring endless corpses."

"And they are all free corpses, and in Vienna, they need to spend at least 30 kronor to get a decayed body." Kavey said with a smile. "As long as the military doctor authorizes the surgeons to get the privilege of dissecting dead soldiers, I don't think there is any need for any 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 also Prussian corpses."

“It makes sense!”

Kawei gave a good plan for staffing, but it was limited to surgery. Compared with internal medicine, the problem is more serious, because it is not just a serious shortage of staffing, but the biggest trouble for internal medicine now is that the overall level is very limited.

Although there is a very high threshold for becoming an internal physician, objectively avoiding the dilemma of uneven quality of personnel like surgery. In fact, they do not have much experience with the possible plagues and nutritional problems in the army, and even medical behaviors that are truly within their abilities are not good.

"Staffing is only one of the problems faced by the Military Medical Department," Kawei said. "My solution can only improve the insufficient number of people and the proportion of configurations. It also requires some necessary assessments for the improvement of overall quality."

"Addingson has set up an assessment office," Moraso said, "I have seen it in the plan."

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

Kawei has great hope for this kind of assessment: "There are also front-line stretcher teams, first aid stations are established, and how to maintain the conveyor lines, which are directly related to the prime time for rescue of the wounded. Personally, Dr. Altinson's tentative 350-person wartime hospital is still too small."

"Is it very small?"

"It was mentioned in the logistics discussion after the French-Austrian War that during the war, the hospital and the two medical tents that accompanied the army were always in full capacity. The recovery speed of the wounded was far less simple and quick than the wounded. The new wounded could only lie outside to bask in the sun or get wet in the rain." [6]

Kawei said helplessly: "For ordinary people, getting wet rain can only cause colds, and proper sun exposure is also beneficial to the body. But for wounded soldiers who have lost too much blood, getting wet rain will only accelerate the reduction of their body temperature, while exposure to the sun will aggravate their dehydration."

“So how big do you think the hospital needs?”

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

The chat content is becoming more and more biased towards the real military medicine major. Although Moraso also experienced it when he joined the army, he completely lost his patience after really involved in logistics transportation and supplies: "These three things are enough to get the initiative back when the doctor recruitment, assessment and the addition of beds in the hospital."

"Then I wish the Earl's flag a victory."

Moraso recorded the outline of the chat in a small notebook. He was about to leave, but he realized a problem, one that could solve his fatigue: "By the way, I remember that the general inspector of the Military Medical Department has the right to directly accept his fate and promote doctors in the area, right?"

"Hmm? There should be."

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

Kawei heard his voice-over, and the deputy inspector he spoke was himself.

Just as he was trying to pull Moraso to chat for a few more words, a black figure suddenly appeared by the wall of Ward 2 in the distance. He quickly walked into the garden and found that he was still in the position with Moraso.

"Sir Witt, why do you have the time to run to me today?"

"Mr. Earl is here too." Witt bowed slightly and looked solemn on his face. "Cavi, do you have a patient named Fernan?"

"Yes, what's wrong?"

"What surgery did you do?"

"Surgery? That's a lot." Kawei briefly described the name of the surgery, "Bladder lithography, PI resection, bilateral mastectomy, unilateral gao pillectomy."

The two key points in the breasts and gaowan and Witt's mind slowly overlapped, and now they can only rely on luck: "Do you know where he lives now?"

"It was supposed to be in the butcher shop on Niujiao Street, but later I don't know where I moved." Kawei didn't realize the seriousness of the problem. "His surgery has been over for almost a week and he didn't ask me to change the medicine. I don't even know if there is any problem with the incision."

“What is the butcher shop?”

“No. 94.”

"good"

In just two or three minutes, Vette got almost all the materials, and now the fewest is the surgical certificate: "Mr. Kawei, please bring his medical records and go to the police station with me. You don't have to be nervous, I just want to learn more about Fernan's situation."

"Fernan? What's wrong with him?"

"We suspect he killed people, many, many people."
Chapter completed!