ah.thefinaldiagnosis-第12章
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〃Hi！〃 Seddons said。
〃Hullo。〃 The greeting came out awkwardly； Vivian having just bitten； with healthy appetite； into a chicken leg。 She pointed to her mouth and mumbled； 〃Excuse me。〃
〃That's perfectly all right；〃 Seddons said。 〃Take your time。 I'm here to proposition you。〃
She finished the mouthful of chicken； then said； 〃I thought that was supposed to e later。〃
Mike Seddons grinned。 〃Haven't you heard？…this is the jet age。 No time for formal frills。 Here's my proposition： theater the day after tomorrow； preceded by dinner at the Cuban Grill。〃
Vivian asked curiously； 〃Can you afford it？〃 Among house staff and student nurses poverty was a time…honored； rueful joke。
Seddons lowered his voice to a stage whisper。 〃Don't tell a soul； but I'm on to a side line。 Those patients we get in autopsy。 A lot of 'em have gold fillings in their teeth。 It's a very simple matter 。 。 。〃
〃Oh； shut up； you'll ruin my lunch。〃 She bit the chicken leg again； and Seddons reached over for two of her trench fries。
He savored them。 〃Um； not bad。 I must eat more often。 Now here's the story。〃 He produced two tickets from his pocket and a printed voucher。 〃Take a look at this…pliments of a grateful patient。〃 The tickets were for the road show of a Broadway musical。 The voucher covered dinner for two at the Cuban Grill。
〃What did you do？〃 Vivian was frankly curious。 〃Heart surgery？〃
〃No。 Last week I filled in for half an hour for Frank Worth in emergency。 A guy had a bad gash on his hand and I stitched it。 Next thing I knew； these were in the mail。〃 He chuckled。 〃Worth is furious； of course。 Says he'll never leave his post again。 Well； will you e？〃
〃I'd love to；〃 Vivian said； and meant it。
〃Great！ I'll pick you up at the nurses' residence at seven o'clock。 Okay？〃 As he spoke Mike Seddons found himself regarding this girl with even greater interest。 He was suddenly aware that she had a good deal more than a pretty face and a good figure。 When she looked at him and smiled it conveyed the feeling of something warm and fragrant。 He thought： I wish we were meeting today instead of the day after tomorrow； it's a long time to wait。 Then a faint warning voice inside him cautioned： Beware entanglements！ Remember the Seddons policy： love 'em and leave 'em…happy with their memories； parting is such sweet sorrow but； oh； so very practical for staying unattached。
〃Okay；〃 Vivian said。 〃I might be a little late but not much。〃
A week and a half had passed since Harry Tomaselli had told O'Donnell that construction of the hospital's extension was planned to begin in the spring。 Now； in the administrator's office； he； Kent O'Donnell； and Orden Brown； the board chairman； were meeting to discuss immediate things to be done。
Months before； with an architect at their elbows； the three had worked over the detailed plans for each section which would have its home in the new wing。 The wishes of heads of medical departments had had to be balanced against the money likely to be available。 Orden Brown had been the arbiter with O'Donnell as medical liaison。 As always； the chairman had been crisp and incisive； but with a humor that seasoned his basic toughness。 Sometimes they had gone along entirely with what was asked； at other times； when they suspected empire building for its own sake； the inquiries had been more searching。
One section head； the chief pharmacist； had pressed hard to have a private toilet included in his own office design。 When the architect had pointed out that more general facilities were available a mere forty feet down the corridor； the pharmacist had gone so far as to observe that forty feet was a long way when he was suffering one of his periodic attacks of diarrhea。 Orden Brown had dryly referred him to the department of internal medicine。
A few worth…while projects had had to be vetoed solely on the grounds of cost。 Ding Dong Bell； the senior radiologist； had made out a convincing case for creation of a cine…radiography unit…its purpose to improve diagnosis and treatment of heart disease。 But on learning that the equipment alone would cost fifty thousand dollars the plan had regretfully been ruled out。
But now； with the main planning pleted； the focus of attention was on the practical matter of getting the money。 Strictly speaking； this was the responsibility of the board of directors； but the medical staff was expected to help。
Orden Brown said； 〃We're suggesting some quotas for the doctors…six thousand dollars for senior attending physicians； four thousand for associates； two thousand for assistants。〃
O'Donnell whistled softly。 He told the chairman； 〃I'm afraid there'll be some plaining。〃
Brown smiled。 〃We must do our best to endure it。〃
Harry Tomaselli put in； 〃The money can be spread over four years； Kent。 As long as we have written pledges we can use them to borrow from the bank。〃
〃There's another thing；〃 Brown said。 〃When word gets around town that this is what the doctors themselves are giving； it will help our general fund raising a good deal。〃
〃And you'll see that word does get around？〃
Brown smiled。 〃Naturally。〃
O'Donnell reflected that it would be his job to break the news at a medical staff meeting。 He could visualize the pained expressions he would face。 Most medical men he knew； like the majority of people nowadays； lived right up to their ines。 Of course； there would be no pulsion about the quotas； but it would be hard for an individual to take a stand against them； especially since the medical staff had a lot to gain from the hospital's growth。 A good many certainly would give the full amount asked and； human nature being what it was； they would bring pressure on others to suffer equally。 A hospital was a breeding ground for politics； and there were many ways in which a nonconformist could have life made difficult for him。
Harry Tomaselli； intuitive as usual； said； 〃Don't worry； Kent。 I'll brief you thoroughly before the staff meeting。 We'll have all the selling points lined up。 In fact； when you're through some people may even want to exceed quota。〃
〃Don't count on it。〃 O'Donnell smiled。 〃You're about to touch a number of doctors on their tenderest nerve…the pocketbook。〃
Tomaselli grinned back。 He knew that when the chief of surgery made his appeal to the staff it would be as incisive and thorough as everything else O'Donnell did。 He reflected； not for the first time； how good it was to work with someone of O'Donnell's character。 In Tomaselli's last hospital； where he had been assistant administrator； the president of the medical board had been a man who courted popularity and trimmed his sails to every wind of opinion。 As a result there had been no real leadership and hospital standards had suffered accordingly。
Harry Tomaselli admired forthrightness and swift decisions； mostly because those were methods he used himself as administrator of Three Counties。 With swift decisions you sometimes made mistakes； but on the whole you got a lot more done； and your average of hits unproved as time went on。 Quickness…of speech and thought； as well as action…was something Harry Tomaselli had learned in courtrooms long before he ever thought of finding his destiny behind a hospital desk。
He had entered law school from college and bad begun to lay the foundations of a good practice when war intervened。 Anticipating the draft； he had enlisted in the U。S。 Navy where he had received a mission and a job in medical administration。 Later； as the navy hospitals filled with wounded； Lieutenant Tomaselli had proven himself an able administrator with an instinct for sensing the invisible border line between the practice of medicine and the business of hospital management。
After the war； faced with the choice of returning to law or remaining in hospital work； he had chosen the latter and enrolled in the School of Hospital Administration at Columbia University。 He had graduated from Columbia at a time when there was growing recognition of hospital administration as a specialized field of endeavor in which a medical degree was neither necessary nor particularly useful。 This had opened up a brisk demand for good administrators； and after two years as an assistant he had accepted Orden Brown's offer of the top post at Three Counties。
Now Harry Tomaselli was in love with his work。 He shared Kent O'Donnell's views about the standards of good medicine and respected the business acumen and caginess of the board chairman； Orden Brown。 As administrator； it was Tomaselli's business to see that all hospital services…nursing； housekeeping； engineering； building； accounting； and their subsidiaries…measured up to the standards the other two men required。
He did this by delegation…he had a happy faculty of appointing good department heads…and also by an intense personal interest in everything that went on within the hospital。 Almost nothing of importance escaped Harry Tomaselli。 Each day his short； stocky figure could be seen bustling along the corridors but pausing frequently while he talked with nurses； patients； janitors； clerks； cooks…anyone who could tell him something about the hospital or make a suggestion on how to run it better。 New ideas excited him； his own enthusiasm engendered more in others。 Sometimes； head thrust forward； eyes gleaming behind his big black…rimmed glasses； he would talk volubly； his thoughts moving at a gallop； his hands underscoring points as he made them。
In all his peregrinations Harry Tomaselli seldom made a written note。 His lawyer's training enabled him to carry assorted facts readily in his head。 But after each inspection tour he fired off a barrage of staccato memoranda on all points； big and little； where he felt the administration of Three Counties could be improved。
Yet； for all this； he had a diplomat's sense of tone and language that seldom gave offense。 Verbally he would hand out a reprimand； then talk cheerfully of something else。 And though he never wasted words； his written memos were always gracious。 He hated to fire a hospital employee unless the provocation were really strong。 He frequently told his department heads； 〃If anyone has worked here more than a month； we have an investment in their experience。 It's to our advantage to mold them if we can； rather than try for someone new who may have other faults we haven't thought of。〃 Because this policy was known and respected； employee morale was high。
There were still things about the organization that worried him。 Some departments； he knew； could be made more efficient。 There were areas where service to patients could be improved。 A good deal of old equipment needed junking and replacement。 There was newly developed equipment…the cine…radiography unit was an example…which； under ideal conditions； the hospital should have。 The new building program would make good some of these deficiencies but not all。 Like O'Donnell； he knew there were years of work ahead and that some objectives perhaps would remain beyond reach。 But； after all； that was the road to achievement； you always tried for a little more than you knew you could acplish。
His thoughts were brought back to the present by Orden Brown。 The chairman was telling O'Donnell； 〃There'll be a good deal of social activity； of course； once th
