z ▁G ana ▁D arr igr and i , ▁a ▁woman ▁from ▁a ▁wealth y ▁family ▁and ▁sister - in - law ▁of ▁Manuel ▁Blan co ▁En cal ada , ▁which ▁helped ▁Dr ▁Bl est ▁in ▁setting ▁up ▁practice ▁independently ▁in ▁Chile . ▁ ▁Career ▁After ▁three ▁years ' ▁residence ▁in ▁his ▁adopted ▁country , ▁Bl est ▁wrote ▁in ▁ 1 8 2 6 ▁the ▁ess ay ▁" Ob serv ations ▁about ▁the ▁present ▁state ▁of ▁Medicine ▁in ▁Chile ▁and ▁a ▁proposal ▁for ▁its ▁improvement ", ▁highly ▁critical ▁of ▁the ▁san it ary ▁conditions ▁of ▁Chile , ▁its ▁poor ▁level ▁of ▁education , ▁and ▁the ▁lack ▁of ▁interest ▁in ▁learning ▁medical ▁science ▁properly . ▁The ▁re per cuss ions ▁of ▁this ▁report ▁were ▁immediate , ▁and ▁in ▁the ▁same ▁year ▁the ▁government ▁abol ished ▁the ▁Pro tom edic ato ▁and ▁created ▁the ▁Chile an ▁Medical ▁Society , ▁constit uted ▁of ▁all ▁pract ition ers ▁in ▁Santiago ▁de ▁Chile , ▁and ▁made ▁Bl est ▁its ▁chairman . ▁ ▁On ▁ 4 ▁April ▁ 1 8 2 7 ▁Fre ire , ▁who ▁was ▁back ▁in ▁government , ▁elimin ated ▁the ▁Medical ▁Society ▁and ▁replaced ▁it ▁with ▁the ▁General ▁Medical ▁Ins pect or ate , ▁naming ▁Bl est ▁as ▁its ▁Chief ▁Ins pect or . ▁After ▁many ▁other ▁changes ▁to ▁the ▁medical ▁body ▁of ▁the ▁young ▁nation ▁( each ▁of ▁which , ▁Bl est ▁head ed ▁in ▁turn ), ▁the ▁inf am ous ▁Pro tom edic ario ▁was ▁perman ently ▁re inst ated ▁in ▁ 1