Magicapita

Chapter 225: Defending Solution


Lord Leonul frowned at Cæ's words as he fell into thought, pondering Cæ's words. On an intuitive level, he couldn't help but feel that such a rigorous use of a senior healer surgeon's energy would undoubtedly be very tiring, not something that was viable in the long run. Yet it made sense that specialists would be more comfortable spending time and energy on the thing that they had been trained for, as opposed to something that was tedious and outside of their direct specialization, but tangential enough that it could justify taking their time.

As a veteran magetant, he himself could relate to the point of being forced to do all kinds of inane tasks that were important enough that he would need to be involved but not at all what he had trained to do.

He much enjoyed it when he could simply exercise his magic and then leave everything else to everybody else, but because he was the head of a powerful family, he had powerful responsibilities that only he could take care of. It was, in fact, those responsibilities that tired him more than anything else that he did as a mage.

"You have a point," he admitted. "Your hypothesis could be viable, if not for the fact that teleportation magic is extremely energy-consuming and taxing. The instantaneous knowledge acquisition part is even more nonsensical. If your hypothetical solution requires nonsensically expensive and even non-existent fields of magic, then I can't particularly say that it is very viable."

"It does not strictly need teleportation technology or any kind of knowledge transfer," Cæ clarified with a calm tone. "Instead of teleportation, you could have ten adjacent surgeries in adjacent rooms separated by a sterilizing magic field that allows a senior surgeon to move between surgeries in rapid succession. We can have the senior surgeon study all ten cases for half a day before it is time to conduct the ten surgeries, and that should be enough. That would still be ten senior-level healing surgeries per day, which is already anywhere between three to five times more than they currently do. It could increase the supply of senior-level surgeries by three hundred percent."

Lord Leonul's eyes lit up as he realized the merits of the model that Cæ was proposing. Indeed, most senior healers did conduct that many surgeries each day, largely because their participation in each surgery was unnecessarily high, regardless of their knowledge and skill base.

If they cut down on unnecessary tasks and duties that could be delegated to other parties, they could probably do far, far more of the things that only they could do.

"The healthcare industry currently operates on a model known as the personalized healthcare model, where a surgeon is heavily involved with a patient from before, through, and after the surgery, making them spend a lot of time with each patient," Cæ explained patiently. "I'm not going to pretend that there isn't a benefit to this process. The benefits are a consistency in quality, which promotes greater patient familiarity, allowing doctors to spot irregularities and anomalies in their patients after having spent so much time with them. However what I have in mind is a much superior model that retains all the good with this model while getting rid of all that bad."

Lord Leonul raised an eyebrow. "Are you saying patient care will be as high in your model compared to the existing model? Even with senior healers entirely absent in any patient healthcare?"

"Yes," Cæ replied. "And the reason is rather simple. The truth is that senior healer surgeons are not the best at patient care in the first place. Yes, they have the greatest knowledge, but the reality of the matter is that their knowledge has everything to do with the particulars of their healing surgical practice. I'm sure we all have anecdotes with the hospital, how nurses are often much better at patient care than the hailed surgeons who interact with you less often than they do."

Cæ hadn't simply been researching for nothing over the past three weeks. He had pored over everything relevant from medical protocols when it came to surgical processes, whether it was pre-operation or post-surgical. He ran into surveys with patients that almost unanimously felt that nurses did more for them in patient care than their assigned surgeons, who monitored their conditions, a job that didn't require their lofty skill set.

"What I propose is a team of nurses and doctors assigned to a set of patients who handle all pre-surgical processes and post-operation care. Junior but especially senior healer surgeons focus exclusively on surgery, and specifically on the part of the surgery that they are focused on. This, of course…"

He continued with a more thoughtful tone. "…would require us to reconsider our conceptualization of what surgery even is. While we already divide a single surgical process into many sub-processes, we might need to further break the process down by what parts require what skill level. Then categorize all sub-parts that require a senior healer to be considered as a different section."

"…Having ten surgeries in ten adjacent rooms and having one surgeon go from room to room would require an incredible amount of micro-management of scheduling, would it not?" Serulia astutely noted. "You would need each senior-level surgery to begin exactly at the right moment and take precisely the exact amount of time needed for each process, and the senior surgeon would also need to conduct each of his processes on time for this to work."

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She turned to Cæ with a curious expression. "If one surgery completes all their tasks too early, then they'll simply have to sit around waiting with their patient sitting on the operating table with their bodies cut open. Or even worse, if one of the surgeries takes too long, then everybody else after them will also experience the delay, along with the senior surgeon."

His father nodded with a pleased expression. He was happy to see that his daughter's newfound infatuation with this admittedly worthy young man had not dulled her critical thinking.

"If the senior surgeon gets delayed, then even more surgeries will get delayed," Lord Leonul added. "If one of the surgeries enters into a state of emergency, then the senior surgeon would be forced to remain in that one surgery, potentially for hours, since such emergencies often take a long time to resolve. What will you do then? Will you have the remaining nine surgeries simply sit in place as they wait for this senior healer for hours as he deals with an emergency?"

That was an extremely good point.

Indeed, anything could happen in such surgeries, especially in surgeries that deal with life-threatening or risky problems and procedures. Cæ had to admit that this was a problem that he needed to confront, which was not easy to deal with. However, even a problem as major as this had ways to overcome it.

Ways that Cæ had already conceived of.

"It is indeed true that anything is possible in a surgical procedure and that there is no way for anybody to have any certainty in the outcome or the timetable. However… there are ways of ascertaining risk. Medical magic has come a long, long way in the past one thousand years since the Awakening of Magic across the entire world. Today, we have a profound understanding of the risks involved with each healing surgical procedure, such that their position in the series of ten surgeries can be estimated. What I propose is having all ten surgeries completed in ascending order of risk. Meaning…"

He gestured different levels midair with a flat horizontal hand. "The least risky healing surgery gets completed first, while the riskiest surgical procedure gets completed last. This ensures that even if something goes wrong during the risky surgical procedures, they can be completed last, ensuring that there are no surgeries waiting after them to be delayed."

Lord Leonul's eyes lit up at that solution while Serulia beamed at him. His solution was not perfect, of course, such a thing did not exist, but it was elegant and did indeed manage the problem well enough to fall well within the scope of tolerable, especially so when considering the immense benefits that came with it.

"So you plan on estimating risk on each surgical procedure which is extremely complicated in and of itself, then you plan to order them in accordance with their risk profile, then you need to estimate exactly when each of them needs to begin and exactly how much time it each of them to reach the phase where they need senior healer intervention and plan all of them accordingly…" Lord Leonul summed up what would need to be done for Cæ's model to work. "Are you aware of just how absurdly complex, tedious, and exhausting that would be, especially when you need to do this over and over and over again for every set of ten patients?"

"I am aware of exactly just that," Cæ replied with a confident tone. "But I posit to you that we already engage in such complex scheduling in every other industry. Scheduling, in fact, is its own field of science. There exists an entire theory and model on how to schedule processes to maximize efficiency or minimize risk. You even learn it in business school, like I did. Of course, for something this complex, I will likely need to hire a manager who specializes in scheduling management, but we already engage in even more complex processes. You wouldn't believe how complicated manufacturing processes can get, with sometimes dozens of processes for many different components that are all managed perfectly precisely because there are experts who perfectly schedule them to produce the maximum output."

Cæ's words were true, unbeknownst to most laymen, scheduling was its own field of science applied to business to maximize efficiency. It was about damn time, Cæ figured, that it was more extensively applied to healthcare. Some might have protested that healthcare was a right, not a product, but he didn't particularly care about the semantics or the conceptualization.

More surgical healthcare was neede,d and treating it like a manufactured product could create more and more lives would be saved.

Lord Leonul remained silent as he pondered Cæ's words.

He was a little out of his depth there, he didn't know even the first thing about scheduling as a field of business or science, he thought people just randomly scheduled processes concurrently, not realizing that there was an algorithmic and mathematical objective truth of what was most optimal.

He was a magetant, after all.

It was not his job to know about such stuff.

Still, he found Cæ's composure to be reassuring.

His responses were quick and precise, to the point. He didn't ramble on endlessly, and his solution to the problems that father and daughter had brought up was cogent and even compelling. He didn't oversell how powerful his solutions were, but confidently asserted what he could.

"…Even with the best scheduling process, you're still going to have mishaps," Lord Leonul remarked, offering one more poke to test how well Cæ had thought everything out. "When you do, people will suffer and people will die. You will be held liable for your process, and your management will have failed to deliver the products that they were promised. What do you say to that?"

The air grew serious as Lord Leonul brought up the inevitable deaths that Cæ's model was going to cause.

"…You're right."

Cæ's tone was calm.

"The reality is that no matter how well we analyze risk profiles and no matter how well we schedule them accordingly, the fact of the matter is that mishaps will happen and that will affect some patients and even potentially kill the patient involved. However…"

His stormy, gray eyes sharpened.

"…Mishaps occur all the time with the existing medical paradigms as well. In fact, just how many lives have been lost because there weren't enough senior healers to conduct senior healing surgeries to date? Thousands? Millions? In comparison, my system will save far more lives than it will fail to protect. But that is simply the reality of any and all medical paradigms in this world as long as human mortality is a reality."

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