Appendectomy, vitamin theory and diphtheria antitoxin serum can be said to be the three most powerful magic weapons of Heinz General Hospital right now.

Needless to say, appendectomy is not to be mentioned, John and Thomas are the pioneers of this new surgical technique, and they are also one of the world's leading authorities, and their reputation has always been at the top. Since surgeons from Columbia College have come to study, surgeons from Philadelphia, Baltimore, and other places have also come to study for short-term periods ranging from three months to six months. Of course, in addition to appendectomy itself, local anesthesia and surgical disinfection techniques must also be mastered, which has invisibly rapidly increased the influence of Heinz General Hospital among its peers.

As for the vitamin theory, it's even simpler. After John left, the two young physicians devoted themselves almost entirely to the study of this theory. With the assistance of Ehrlich's laboratory and the guidance of the materials left by John, their entry into the country can be described as a thousand miles in a day! Although it is difficult to purify a certain vitamin with current technology, data such as which foods are more effective for which diseases are more effective in clinical practice has begun to accumulate little by little. In more than half a year, they and their collaborators in the laboratory published seven papers in one go, and the scenery was extremely beautiful for a while.

But neither appendectomy nor vitamin theory can compare to the appearance of diphtheria antitoxin serum!

The news that diphtheria could be treated was like a sudden hurricane that swept across both sides of the Atlantic in an instant. The only pity is that with the strength of Ehrlich, at present only less than 100 antitoxin serums can be produced per month for clinical use, although the technical problems of purification and production have been solved, but there are still some small problems to be solved in other aspects such as animals, and it is still difficult to produce them on a large scale at least in 1889. But it was these 100 antitoxin serums that made many people rush to New York with hope. Came to Heinz General Hospital......

"If I hadn't followed Professor Osler's advice, I'm afraid there would be long queues in the hospital every day."

When he said this, Thomas shook his head with a wry smile.

"Oh? What advice do you give? ”

John's brow furrowed, and he turned to look at Professor Osler.

The professor smiled slightly, waved his hand, and said, "Actually, it's not worth mentioning, it's nothing more than distributing these serums to other hospitals in New York City." Let's just bear the pressure together! ”

"Uh...... Sure enough, it's a good way! ”

John's face darkened, and he was stunned for a moment before muttering something in a low voice.

However, after the secret slander, John also had to admire Professor Osler's handling of it. For the United States, which is in the period of high incidence of diphtheria, dozens of antitoxin serums every month are certainly not enough, and hundreds of children die every year in New York City alone! If you keep all the medicines in the hands of your own hospital, you can indeed get a lot of benefits, but the influx of patients every day will definitely bring a lot of trouble......

"The thing I regret most now is agreeing to John's suggestion!"

Speaking of antitoxin serum, the expression on Thomas's face has been bitter, and he looked at Mr. Osler beside him and sighed again and again: "Separate the institute from the hospital." In the future, it will be merged into the medical school...... Tsk, it's a big loss! ”

"Haha......"

Seeing Thomas's appearance, John and Professor Osler burst out laughing.

Thomas was disgusted that the institutes were too expensive, and John spun them out and incorporated them into the medical school in the future. Unexpectedly, less than a year later, the antitoxin serum was born! The bold John directly reserved 15% of the profit share for the institute, of which five points were used as rewards for Ehrlich and others, and the other ten points were used as funds for the institute!

That's not a small amount of money!

John wasn't giving a share of the profits of New York alone. Rather, it is a share of the sales of all antitoxin serums in the future until the patent expires. In this way, not only will Ehrlich and his family receive a large dividend from the technology, but the institute will also receive ample research funding.

This future dean, now regrets his death!

After the three of them chatted for more than an hour, Professor Osler looked at the time and stood up: "John, I have one more important matter to attend to...... Not. By the way, the master plan for the medical school has been completed, if you have time tomorrow morning? Let's sit down and take a good look at it! ”

"Oh? Already designed? That's great! ”

After listening to Professor Osler's words, John's eyes lit up and he was quite surprised.

Before he left for Europe, he asked his grandfather to help design the medical school, including a series of buildings that were currently needed to be built. In order to build a truly centennial medical school. John was determined to create a truly beautiful campus, one that would not be obsolete in a hundred years. In addition to investing large sums of money, this depends on the outstanding architects of this era.

"See you tomorrow!"

Nodding at Thomas, Professor Osler got up and left.

"Hoo ......"

After seeing off Professor Osler, John and Thomas both exhaled at the same time, both feeling much more relaxed. In addition to the working relationship, the two are also good friends in private, and the atmosphere would naturally be less formal without Professor Osler's presence.

"Since last month, the hospital has started to make a profit!"

After a short pause, Thomas smiled a little proudly: "If you remove the cost of building the hospital and the light bulbs on the roof that burn money every night, the hospital's current income and expenditure have basically reached a balance, and there was even a profit of more than forty dollars last month!" Tsk, that's about half a year earlier than I expected......"

"Oh? Actually made money? ”

Thomas's words made John really a little surprised, and he was stunned for a while before asking: "Thomas, the main source of our profits is those drugs, right?" ”

"Uh...... How do you know? ”

Thomas was stunned for a moment, nodded and said: "The main income is three yuan, one is the outpatient registration fee, which is not much, but it is very stable; The second is the cost of various surgeries, which is just enough to maintain the operation of the surgery; Only the third drug has a relatively high profit, which supports the huge expenses of our hospital. ”

Really!

After listening to Thomas's explanation, John nodded silently.

In fact, the profit model of hospitals is the same in all eras, and drugs and outpatient fees must be the majority. It's just that compared with the dazzling array of examination fees, various consumables charges, and the hospital fee sheet that can be used for several meters, the hospital in 1889 is too pure. Without even thinking about it, John knew that the main profit point must be in the pharmaceuticals - especially sulfonamides, which are simply huge profits!

After thinking for a while, John's brows gradually frowned: "Thomas, I'm afraid not everyone who comes to see the doctor can afford the medicine, right?" ”

"Yes, yes."

Nodding, Thomas agreed: "In fact, it's not just a matter of not being able to afford the medicine, as far as I know, many people are forced to carry it after they get sick, especially those new immigrants, who don't have the money to come to the hospital at all." And to be honest, the fees in our hospital are really not low...... John, to be honest, my personal suggestion is that some of the poor people's medical bills could be waived? ”

"Hmm."

His eyes narrowed slightly, and John nodded after a long time: "Let me think about this matter again, and I'll give you a definite answer later......"

……

Dizziness doesn't work, I can't write at all.

Looking at what is written in this chapter, it's messy, and I think it's better not to write it today. (To be continued.) )