“…… Mr. Huntelaar, we meet again! ”

Hearing footsteps outside the door, Dr. Doug immediately stood up, and then when he saw John's figure, he stepped forward and stretched out his right hand in advance.

Just last year, the two met once.

Columbia College once invited John to be the school's professor of surgery, and although he backed down under two harsh conditions, he was invited to the school to give a lecture and have an exchange with several top physicians. As an associate professor of internal medicine, Dr. Doug was very interested in aspirin and sulfonamides, so he also had a very pleasant conversation with John, and the two knew each other.

Dr. Doug learned about acute appendicitis in that lecture.

Mr. Crawford's eyes widened instantly at the address of Dr. Doug to the young man in front of him. When Dr. Doug recommended him to come to Heinz General Hospital for diagnosis and recommended Mr. Huntelaar, Crawford made up his mind to come to this hospital because he specifically explained that he was studying in Germany and was an expert in this field. The good environment of the hospital also alleviated his resistance a little, but after seeing the so-called Mr. Huntelaar so young, his worries became strong again.

This Mr. Huntelaar is probably in his early 20s, right?

"Mr. Doug?"

After seeing the appearance of the person who came, John smiled in surprise: "I really didn't expect it to be you...... Uh, won't you be the patient this time? ”

"No, no, it's not me, it's my friend Mr. Crawford!"

After shaking John's hand vigorously, Dr. Doug quickly shook his head and smiled bitterly.

Under the gaze of Dr. Doug. John and Thomas's gaze soon turned to the other middle-aged man beside him, and they immediately noticed that something was wrong with Mr. Crawford—his face was pale, his expression was bitter, and his body was slightly hunched in a very unnatural state, which was not a good thing for a gentleman so well-dressed!

"Thomas. Give Mr. Crawford a full medical examination immediately."

Upon noticing Mr. Crawford's condition, John immediately frowned, and without hesitation gave orders to Thomas.

"I've checked it just now."

Mr. Crawford, who had a faint pain in his abdomen again, was anxious, and hurriedly pointed to the young doctor behind John and said loudly: "It was this gentleman who gave me a detailed examination, I think it should have been diagnosed, right?" ”

Glancing back at his subordinates, Thomas explained with a smile, "Mr. Crawford, Michael has only given you a preliminary diagnosis, and his diagnosis is acute appendicitis. In this case, I am afraid that I will have to confirm the diagnosis. Of course, we only need to carry out the most critical part of the diagnosis, and the previous consultation can be omitted......"

While Thomas explained the patient in detail, Dr. Doug asked John, with some confusion, "Mr. Huntelaar, Mr. Crawford is a gentleman of great repute and a good friend of mine...... Can I take the liberty of asking you to examine him and make a diagnosis yourself? ”

In fact, Dr. Doug was already a little displeased at this point.

That's why I've met John before. And he has a detailed understanding of the diagnosis of acute appendicitis, so he recommends his patients to Heinz General Hospital. And it's good to just register. Neither the young physician examined Mr. Crawford, but Dr. Doug did not identify himself and asked to see Mr. Huntelaar, intending to weigh the weight of the new hospital first.

But now, Mr. Huntelaar had his subordinates examined, making Dr. Doug feel slighted.

"This ......"

John was slightly stunned, then immediately explained with a smile: "Mr. Doug." Thomas is my most important assistant and the head of surgery at our hospital, and in fact I can assure you that he is no worse than me in acute appendicitis, and it is perfect for him to do the examination! “

After so many surgeries, John now has a lot of trust in Thomas.

Perhaps it was because of John's seriousness. Dr. Doug only hesitated for a moment, then turned his head and began to whisper persuasion of his patient, that is, a few words, and Mr. Crawford nodded in agreement with the advice of asking Thomas to re-examine him.

Thomas, who did not show his feelings of loss in the process, immediately started his work, and John sighed slightly and said with a smile: "Mr. Doug, you should also be coming to our hospital for the first time, right?" I'm afraid Thomas's inspection will last for a while, should you visit it during this time? ”

"Oh? Hehe, of course that's good! ”

After a moment's pause, Dr. Doug immediately understood John's intentions and nodded in agreement.

As Thomas began to assist Mr. Crawford in his return to the examination table, Dr. Doug followed John out of the clinic and was led around the building by his master.

Every time he passed a room or facility, John had to explain it carefully.

“…… On each floor, we have to make sure that there are two public toilets. ”

When the two came to the door of the bathroom, John casually explained: "And the sanitation of each floor, including the sanitation of the bathroom, is cleaned by a special person to ensure that our medical environment is always in a happy state for patients, and of course for doctors and nurses......

"But is it necessary? Wouldn't this increase the cost of the hospital? ”

When he heard this, Dr. Doug couldn't help but ask. In his opinion, although it is necessary to have toilets in the hospital, there are two on each floor, and it is a bit exaggerated to have a special person in charge of cleaning!

"Of course it is necessary!"

Facing Dr. Doug's questioning, John smiled slightly but nodded without hesitation: "Mr. Doug, I think you should have read my paper on patient wound infection, right?" ”

"Yes, very wonderful paper!"

Again, without any hesitation, Dr. Doug nodded immediately. However, after affirmation, he still frowned and asked, "But Mr. Huntelaar, is it really necessary to do such a thing, even to protect the wounds of surgical patients?" ”

"Haha, it's still necessary!"

Laughing, John went on to explain: "Although no physician has studied it so far, I firmly believe that in a relatively dense space, the good or bad sanitary conditions will seriously affect the health of patients, especially in the hospital environment, different patients may carry different germs, and they are likely to spread to each other...... And I also believe that an elegant, clean environment will greatly improve the patient's recovery! ”

"Oh?"

After hearing this, Dr. Doug was amazed.

In this era when the bacteria have only just been discovered, it is true that a doctor of the old era cannot be expected to understand the so-called cross-infection in the hospital, nor can he understand the impact of the patient's mood on the condition.

But......

After hesitating for a moment, Dr. Doug shook his head and questioned, "Mr. Huntelaar, but this will greatly increase the cost of your hospital, and the construction cost of the hospital itself is very high, how do you solve the problem of the source of funds?" ”

Regardless, Dr. Doug still couldn't understand.

Again, most hospitals in the 19th century were created for charitable purposes, and most of the running costs of hospitals came from donations from philanthropists. But by the end of the 19th century, as urbanization accelerated, more and more workers and citizens flocked to these hospitals, leaving them overwhelmed.

The professors at Columbia College also have a headache over this question.

With a smile, John said softly: "In the previous words, I will invest enough money to ensure the operation of the hospital, and this time may be relatively long." But in the long run, the hospital will have to rely on itself to support itself. ”

"How is this possible?!"

After listening to John's explanation, Dr. Doug suddenly smiled dumbly.

Because of the limitations of this era, Dr. Doug could not have known that it was in the last decade of the 19th century that these hospitals began to undergo a dramatic transformation, shifting from relying on external forces to relying on their own survival.

So......

"Why can't it be?"

Raising his eyebrows, John said indifferently: "Mr. Doug, you can remember what I said today, it won't be many years before the hospital can not only support itself with medical fees, but also pull those gentlemen who insist on seeing a doctor at home to the hospital!" I believe that twenty years at most will be enough......"

……

This is to make up for yesterday. (To be continued......)