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UNION MEDICAL COLLEGE HOSPITAL, TSI NAN FU, CHINA

some day as Chen-chou Fu and be an American physician willing to help. I hope to see some day, under the touch of the knife, in the dispensary, at the bedside, the play of the masterful forces of Jesus Christ, as through sympathy and tenderness and unselfish service, his own life may strike deep into the lives of these who know him not. God is going up and down in this great concourse of students, laying his hand upon man after man, medical student after medical student, calling him to be great enough and big enough and loyal enough to go out into this staggering, sorrowing, struggling world and be to it what Christ was, to pity it as Christ pitied it, to love it as Christ loved it, and to serve it with his own sacrificial heart. God calls with loving patience for men to lay their lives alongside of the tremendous immeasurable needs of the non-Christian countries, and to solve the awful problem of human suffering; and as I shall set sail in a little while for that great Empire of China, I want to carry with me from this hour the conviction that the men here are going to enter into a solemn compact with me to devote their lives, especially the medical students, to the solving of the problem of human suffering in the non-Christian world.”

The members of the Catholic brotherhoods and sisterhoods also support movements of this kind in all parts of the world.

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CHAPTER XXI.

CORPORATION SERVICE.

Railway Service.

Every one of the railway organizations has its own surgical staff, consisting of a chief surgeon and local assistant surgeons.

The chief surgeon's duties are to pass upon all examinations of employees wishing to enter the railway service; to direct the sanitation of the road, disinfect coaches, supervise the drinking water supply, to appoint and dismiss local assistant surgeons, and see to the efficiency of the medical service of the road. He passes upon the applications for pension of disabled employees, he assists or advises the legal department in all cases of a medico-legal aspect, such as damage suits for injuries sustained by employees, or others, on the railroad property. This latter function is a very important one, as thousands of claims for damages are filed against railroad corporations by persons whose claims are based upon injuries received on railroad property. The chief surgeon in these cases must have physical examinations made of the victim, in order to determine the extent of permanent disability and to be able to advise the legal department.

The chief surgeon directs the treatment of cases of injury, he instructs the local surgeons how to proceed in emergency work, and in rendering first aid. One must

remember that these railroad surgeons do not only render first aid to the injured employees of the system, but also to those of the traveling public who receive injury in railroad accidents.

On one of the western railroad systems there is a hospital system organized jointly by the corporation and employees. It is very necessary where there are great distances between large cities. The railway company pays for the care of the injured, and for the employees by assessments; in this way sufficient hospital facilities are maintained in sparsely settled communities, providing competent medical service for employees and the traveling public.

The salaries of the chief surgeons run from $2,500 to $6,000, depending somewhat upon the amount of work, and whether part or whole time is taken up by official duties.

The local railway surgeons who are stationed at all important points, one or more in practically every county, are on the fee-bill basis, and receive payment according to the rates prevailing in their locality. Others in division points are on a straight salary, subject to call of the local railway officials. In nearly all cases the local surgeon gets free transportation for himself and family, over the lines of the company; and some companies extend this, upon special application, to foreign roads.

The duties of the local surgeons are outlined in the general instructions, and if the case demands special instructions, these are given by the chief or division surgeon.

The railway service should not be considered as a field in itself offering sufficient remuneration for a young

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