Yintoni efana nokuba yiGastroenterologist? Fumana isandla sokuqala ukususela kuDkt Cohen
UDkt. Michael Cohen wayenomusa ngokwaneleyo ukwabelana ngebali lobomi bakhe kunye nohambo lobugcisa. Izenzo zikaDkt Cohen kwindawo yaseChicago, kwaye ilandelayo imbono yakhe ebomini njengegastroenterologist.
Ungene njani kumachiza, kwaye yintoni eyashukumisela ukuba ube ngugqirha?
Ndandizimisele ukuba ngugqirha ekubeni ndiseyingane encinane. Ndine-tumor (ndiyabonga kakhulu), ndasuswa ehlombe lam xa ndandineminyaka emihlanu.
Isikhathi sokuhlinzwa sasibaluleke kakhulu, kuba i-tumor yayisondele kwiplani yokukhula. Impazamo kwisigwebo ingaba nomthelela omkhulu ekukhuleni kwethambo. Ugqirha wamathambo ondikhathaleleyo wayeyindoda eyilumko kunye nomntu oyinyani, kwaye wayishiya ingqalelo enkulu kum. Ukubona indlela endibulela ngayo uMama noTata ngenxa yobungcali bakhe kwaye kwandichukumisa.
Wenze njani isigqibo malunga neGastroenterology njengokhethekileyo?
I-Gastroenterology yayingokwemvelo kum. Ndiyakholelwa ukuba udidi olulodwa ludla ukukhangela iintlobo ezithile zobuntu. Ndaqaphela ukuba iintlobo zobuntu kwi-GI zazixhomekeke kum zam: ngokubanzi zihlelwe kwakhona zifaniswe nezo zodwa ezithile. Oku kulandelayo kukuba i-GI iyinto edibanisa ngayo izakhono zokuqonda kunye nezakhono zobunono (endoscopy). Ndiyakuthanda ukusebenzisana ngezandla zam, kwaye ndide ndibe ngumsebenzi okhuni ngomthi ngosuku.
Ekugqibeleni, i-GI iquka zonke iintlobo zentsholongwane, ukusuka kwintsholongwane ukuya kwi-immune-immune ukuya kwi-neoplastic ukuya kwi-metabolic.
Ngoko ngoxa uhlolisise kwiziko linye lombutho, uvakalelwa kukuba usebenzise ngokugcwele konke uqeqesho lwakho lwezokwelapha.
Ndiyakuthanda ukubona izigulane ze-ofisi, kwaye ndiyakuthanda ukusebenza kwibhu lab endoscopy. Andiyicingi ukuba ndingathanda ukwenza enye okanye enye enye, ngoko ke i-GI ingumxube opheleleyo kum.
Ndixelele ngomsebenzi wakho.
Ndiye ndisebenza iminyaka eyi-18, yonke into efana nayo.
Kukho okwangoku oogqirha aba-9 kulo mkhuba, kungekudala baya kuba ngu-10. Sinobuchule obulodwa bodwa, oku kuthetha ukuba bonke oogqirha bethu baxhomekeke kwiZiswini zokuHlala kunye neNtsholongwane yentsholongwane. Ndingomnye wabanikazi abagqirha besibhozo. Ugqirha odibeneyo kwisenzo sethu ekugqibeleni uya kuba ngabanikazi kunye nabo.
Umsebenzi wethu uqeshe abantu abangama-45, kubandakanywa nabanikezeli benqanaba eliphakathi (abathathi-ncedisi bamayeza) kwimeko yethu. Sinamaofisi amathathu. I-ofisi yethu ephambili ineziko lokugcina i-endoscopy eligunyazisiweyo kunye nama-suites amabini, kunye ne-anesthesia epheleleyo. Ndingabasebenzi kwiibhedlele ezintathu zendawo kwindawo. Xa ndijoyine isenzo sam, ndingowesihlanu udokotela. Isiqhelo siye sakhula ngokuyinhloko ngegama lomlomo. Inkcubeko yesenzo sethu sinye yokuphatha izigulane ngobubele nokugqwesa. Ngombulelo, uye wasebenza kakuhle ngathi.
Yintoni umsebenzi oqhelekileyo onjengawe?
Umsebenzi wethu uyingqayizivele, ngethuba lokuba sithatha iveki ngeveki nganye, ngoko ke ukuba asikho ukufowuna kweveki, sisebenza ngeveki yomsebenzi weentsuku ezine. Abanye abantu bacinga ukuba singamantongomane, kuba ngokucacileyo siya kuzuza ngaphezulu xa sisebenza iintsuku ezintlanu ngeveki. Kodwa isenzo sethu sefilosofi kukuba sikulungele ukugcina umgangatho wobomi kunokugxotha yonke idola yokugqibela.
Ngeveki yomsebenzi oqhelekileyo, sinokuchitha iintsuku ezimbini eofisini, kwaye iintsuku ezimbini ezisekelwe kwenye yezibhedlele. Umhla we-ofisi oqhelekileyo wawuquka iinkqubo kusasa, kunye nezigulane ze-ofisi emva kwemini. Senza malunga neendlela ezi-7-8 kwiseshoni yosuku lwesigamu. Umhla wesiqingatha wesikhundla eofisi kuthetha ukubona izigulane ezingama-10-12. Usuku lwebhedlele oluqhelekileyo luya kuquka ukwenza malunga nama-endoscopies angama-5, i-1-2 endoscopies yezigulane, ubona izigulane eziyi-10-12 kumarha, kunye no-3-5 ukuthetha ngokutsha. Uyabona ukuba kutheni silungele usuku oluveki nganye!
Yintoni oyithandayo kakhulu malunga nomsebenzi wakho?
Izigulane zikhulu. Ngexesha loko ufumana umntu okhwele okanye ohlaselayo, ndingathi i-99% yinto yolonwabo ukusebenzisana nayo, kwaye yenza yonke imisebenzi nzima.
Enye yezinto endicinga ukuba zizodwa malunga ne-GI yinyaniso yokuba senza iindawo ezibalulekileyo ekutholeni abantu ukuba bahlolwe umhlaza wekoloni. Kule minyaka, ndibone ukuphucuka okukhulu kuloo ndawo, inxalenye enkulu ngenxa yomsebenzi ongenamandla wemimandla yesisu esisetyenzisiweyo, njenge-American College of Gastroenterology. Ziye zachaphazela iCongress ukuba ixhase umhlaza wekolon ukuhlolwa ngonyango yi-Medicare, eyenze impembelelo enkulu. Ukuba yinxalenye yomgudu wokunciphisa izinga lokufa komdlali wokubulala umhlaza wesi-2 eMelika uyavuyisa kakhulu. Ekugqibeleni, i-GI inikeza ithuba lokwenza umehluko obonakalayo, njengokunceda ukulawula isilonda esiphuphuma ngokugqithiseleyo, nokunika isigulane isenzo esikhulu, umzekelo.
Ngokombono wakho, yintoni imiba enzima kunzima okanye eyinselele kumsebenzi wakho njengegastroenterologist?
Ndiyicinga ukuba umbandela onzima kakhulu olwabelwana ngazo zonke iindawo ezizodwa zonyango: uxinzelelo oluqhubekayo ngabathengi abathathu abafana ne-Medicare kunye nenkampani zomshuwalense yabucala ukunciphisa ukubuyisela imali, nokwandisa iphepha kunye nomgaqo. Ukuqhubeka nokuphuhliswa kwintsha kunye nokuzama ukuhlala kumgca wokuzodwa kwakho kunzima, kodwa inxalenye yenkqubo.
Yiyiphi ingcebiso onokuyinika umntu ocingela umsebenzi njengomgqirha, ngakumbi kwi-gastroenterology?
Ingumsebenzi omkhulu, kunye nazo zonke iingcinezelo oogqirha abajamelene nazo namhlanje. Qinisekisa ukuba uyazi ukuba ungena ntoni. Ukuzibophezela okukhulu, ngoko kufuneka uqiniseke ukuba ungaphakathi kuzo ngezizathu ezifanelekileyo. Yenza "ukuthungca" ukuze ubone ukuba "usuku lobomi" lufana njani.
Kufuneka ujabule usebenze nabantu, kuba uya kusebenzisana nezigulane ezininzi, oogqirha ababhekiselayo, ezinye iingcali kunye nabasebenzi. Kufuneka ukhululeke usebenze ngokukhawuleza.
Ucinga ukuba intsimi ye-gastroenterology iya kutshintshwa kwiminyaka eyi-10 ezayo, kwaye oko kuya kuthinta njani i-GIs?
Ukuhlolwa komhlaza weColon kunokutshintsha ukusuka kwimilinganiselo yangoku ye-colonoscopy kwizifundo zokucinga ezifana ne "colonoscopy", iimvavanyo zegazi, okanye iimvavanyo zesigxina. Iinkqubo zokugonywa kwe-Endoscopic zingaphinda zithathe iindawo ezininzi eziqhelekileyo zonyango eziqhutywayo namhlanje. I-Gastroenterologists iya kufuneka iguquke ngokwaneleyo ukulungelelanisa.