Benchak the Nightstalker
Contributor, RPG Superstar 2010 Top 8
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Basically, when a normal alchemist makes an infusion, that extract slot is taken up by that infusion until the extract gets used. This can cause you problems if your extracts get stolen, or the party gets separated, or whathaveyou.
Frex, if you make an infused extract of cure light wounds for your friend Bill, and Bill decides to move to Florida, you're SOL. Bill can put that extract you gave him up on a shelf, and so long as he never drinks it, you lose that extract/spell slot.
The chirurgeon, on the other hand, can choose to ruin Bill's cure light wounds extract--rendering it inert--and get his extract slot back when he prepares his extracts. He can give out extracts of cure spells without having to worry about his party members getting kidnapped, lost, or falling into bottomless pits.
Make sense?