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Spoilers Season 3 episode 4 'Forget me not' promo and sneak peek

As for the in-universe angle...

Originally, he may have been Stamets' personal physician, by and large - just one out of a dozen of special-role medics toiling in the multiple parallel projects to find anti-Klingon superweapons. His medical responsibilities might never have covered the whole crew. (Or, for all we know, he was involved in a project parallel to Paul's, and was chiefly striving to invent a poison that only kills Klingons. Or an antidote to theragen, or whatever.)

During the second season, he would be mostly dead.

But during the third, all other medical personnel would be mostly dead, and he would actually become the CMO, outranking Pollard and the rest. He'd have to start acting like a doctor, then.

Timo Saloniemi
 
Why should he outrank Pollard? if she was the CMO before the jump what reason would Saru have to demote her?
 
So who was CMO before Culber died?

We have no idea.

In any case, Culber seems to be the CMO now, so the original must have been one of the members of the crew who was either KIA, or stayed behind on the Enterprise rather than make the jump into the future.
 
The original writer idea of "we don't need to show the department heads" was pretty inane to begin with. On a ship of thousands, like Picard's, this might make sense. On a ship with just 130-140 crew, we'd certainly see everybody sooner rather than later. And with the usual security-related adventures, it's natural that we follow the Chief Security Officer - but the show is also about this magnificent engineering that lets them fly everywhere and puts them in deep trouble, so omitting the CEO character is stupid, especially when the pecking order between engineers soon becomes a plot point.

Then again, this was Lorca's ship, not Picard's, and there was a plot reason for Lorca to run a confused ship. Him wanting to screw up the medical treatment of Stamets would call for him to put the wrong man on the job, which would indeed mean sidelining the CMO. We're just left wondering if the CMO post-Lorca was the lowly Pollard, then, even when we lack clear references to her holding that status.

Timo Saloniemi
 
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