Kodi Ndi Chiyani Kukhala Gastroenterologist? Pezani Chithandizo Choyamba kuchokera kwa Dr. Cohen
Dr. Michael Cohen anali wokoma mtima kugawira ena mwa mbiri ya moyo wake ndi ulendo wake wapadera. Dr Cohen amachita mu chigawo cha Chicago, ndipo zotsatira zake ndizowona momwe moyo ulili ndi gastroenterologist.
Munalowa bwanji kuchipatala, ndipo n'chiyani chinakulimbikitsani kukhala dokotala?
Ndinatsimikiza kukhala dokotala kuyambira ndili mwana. Ndinali ndi chotupa (ndikuyamikira kwambiri), ndinachotsedwa paphewa langa ndili ndi zaka zisanu.
Nthawi yoti opaleshoniyi ichitike inali yovuta, chifukwa chotupacho chinali pafupi ndi mbale yakukula. Kulakwitsa mu chiweruzo kungakhudze kwambiri kukula kwa fupa. Dokotala wa opaleshoni wamagulu amene ankandisamalira ine anali munthu wanzeru ndi njonda weniweni, ndipo anandisiya kwambiri. Kuona mmene amayi anga ankayendera pa luso lake kunandikumbutsanso kwambiri.
Kodi munaganiza bwanji pa Gastroenterology ngati wapadera?
Gastroenterology inali yachilengedwe kwa ine. Ndikukhulupirira kuti zapadera zonse zimakonda kukopa mtundu wina wa umunthu. Ndinazindikira kuti umunthu wa mtundu wa GI unkagwirizana ndi wanga: kawirikawiri umabwereranso poyerekeza ndi zina zapadera. Chotsatira chinali chakuti GI ndikulumikizana kwakukulu kwa luso la kulingalira ndi luso laumwini (endoscopy). Ndimakonda kugwira ntchito ndi manja anga, ndipo ndinali wolimbika kwambiri pamtunda.
Potsirizira pake, GI ikuphatikiza mitundu yonse ya matenda, kuchokera ku matenda opatsirana pogwiritsa ntchito mankhwala osokoneza bongo.
Kotero pamene inu mumagwiritsa ntchito chiwalo chimodzi, mumamverera ngati mukugwiritsa ntchito bwino maphunziro anu onse azachipatala.
Ndimakonda kuwona odwala ofesi, ndipo ndimakonda kugwira ntchito mu labata yopuma. Ine sindikuganiza kuti ndikanafuna kuchita chimodzi kapena chimzake, kotero GI ndi mndandanda wangwiro kwa ine.
Ndiuzeni za ntchito yanu.
Ndakhala ndikuchita ntchito kwa zaka 18, ndikuchita zomwezo.
Pakalipano pali madokotala 9 omwe akuchita, posachedwa kuti akhale 10. Tili ndizochita zamtundu umodzi, kutanthauza kuti madokotala athu onse amadziwika bwino m'maganizo a m'mimba komanso matenda a chiwindi. Ndine mmodzi mwa anthu asanu ndi atatu omwe ali dokotala. Dokotala akuyanjanitsa ndi chizoloŵezi chathu adzakhala potsiriza kukhala eni eni eni.
Mchitidwe wathu umagwiritsa ntchito anthu pafupifupi 45, kuphatikizapo atatu omwe amapereka masewerawa (othandizira madokotala athu). Tili ndi maudindo atatu. Ofesi yathu yayikulu ili ndi malo osungirako malo osungirako malo osungirako zinthu omwe ali ndi ma suites awiri, ndi zowonjezereka zowonongeka. Ndili ogwira ntchito kuzipatala zitatu za m'derali. Pamene ndinalowa m'zochita zanga, ndinali dokotala wachisanu. Chizolowezichi chakula makamaka kudzera m'mawu. Chikhalidwe cha ntchito yathu ndi chimodzi mwa kuchiza odwala mwachisomo ndi bwino. Mwamwayi, zakhala zikuyendera bwino ife.
Kodi ntchito yowonjezera ikufanana ndi yani?
Mchitidwe wathu ndi wapadera, mwakuti timatenga sabata iliyonse sabata iliyonse, kotero ngati sitikuitanira sabata, timagwira ntchito sabata lachinayi. Anthu ena amaganiza kuti ndife mtedza, popeza kuti titha kupeza zambiri ngati tagwira ntchito masiku asanu pa sabata. Koma kachitidwe kathu kafilosofi ndikuti ife tikanakonda kusunga khalidwe lina lamoyo kuposa kuthamangitsa dola iliyonse yotsiriza.
Pa sabata yeniyeni ya ntchito, tikhoza kukhala masiku awiri muofesi, ndipo masiku awiri tikukhala pa chipatala chimodzi. Maofesi a tsiku lomwelo angaphatikizepo njira zam'mawa, ndi odwala maofesi madzulo. Timachita ndondomeko 7-8 mu gawo la magawo asanu. Tsiku limodzi la theka muofesi limatanthauza kuona pafupifupi 10-12 odwala. Tsiku lililonse lachipatala limaphatikizapo kupanga mapiri asanu ndi awiri odwala matenda odwala matenda opatsirana m'mimba, 1-2 odwala matenda odwala matenda odwala matenda odwala matenda opatsirana, poona odwala 10-12 akuzungulira, ndi ma 3-5 atsopano. Mutha kuona chifukwa chake takhala okonzekera tsiku limodzi sabata iliyonse!
Kodi mumakonda kwambiri ntchito yanu?
Odwala ndi abwino. Pamene nthawi zina mumapeza munthu wochita zamwano kapena wozunza, ndinganene kuti 99% ndi okondwa kugwira nawo ntchito, ndikupanga ntchito yonse mwakhama.
Chimodzi mwa zinthu zomwe ndikuganiza kuti ndizofunikira pa GI ndikuti tikupanga kwambiri kuti tiwonekere kuti tizilombo toyambitsa khansa. Kwa zaka zambiri, ndawona kusintha kwakukulu m'deralo, makamaka chifukwa cha ntchito yopanda ntchito ya m'mimba m'mimba yomwe imayimira zapadera zathu, monga American College of Gastroenterology. Atsogoleredwa ndi Congress kuti athandizidwe ndi khansa ya colon ndi Medicare, zomwe zakhudza kwambiri. Kukhala gawo la kuyesa kuchepetsa chiŵerengero cha imfa cha wakupha khansa ya nambala 2 ku America kumakondweretsa kwambiri. Pomalizira pake, GI amapereka mpata wosiyana kwambiri, monga kuthandizira kuthetsa zilonda zamadzimadzi, ndikupatsira wodwalayo ntchito yaikulu, mwachitsanzo.
Mukuganiza kwanu, ndi zinthu ziti zovuta kapena zovuta pa ntchito yanu monga gastroenterologist?
Ndikuganiza kuti chinthu chovuta kwambiri ndi chomwe chimagwiritsidwa ntchito pazipatala zonse zapadera: kulimbikitsidwa kwapadera kwa omwe amapereka ndalama monga Medicare ndi makampani a inshuwalansi okhaokha kuchepetsa kubwezera, ndikuwonjezera mapepala ndi malamulo. Kulimbana ndi zochitika zatsopano ndikuyesera kukhalabe pampando wanu wapadera ndizovuta, koma ndi gawo la pulogalamuyi.
Kodi ndi uphungu wanji umene mungapatse wina woganizira ntchito ngati dokotala, makamaka mu gastroenterology?
Ndi ntchito yabwino, ngakhale ndi zovuta zonse zomwe madokotala akukumana lero. Onetsetsani kuti mukudziwa zomwe mukulowa. Ndi kudzipereka kwakukulu, kotero muyenera kutsimikiza kuti muli momwemo chifukwa cha zifukwa zabwino. Khalani "mthunzi" kotero kuti muwone chomwe "tsiku mumoyo" weniyeni umakhala weniweni.
Muyenera kusangalala kugwira ntchito ndi anthu, chifukwa mudzakambirana ndi odwala ambiri, kutchula madokotala, akatswiri ena, ndi ogwira ntchito. Muyenera kukhala omasuka kugwira ntchito mwamsanga.
Kodi mukuganiza bwanji kuti munda wa gastroenterology udzasintha pa zaka khumi zotsatira, ndipo izi zidzakhudza bwanji ma GIs?
Kuwonetsa kansa ya Colon kungasunthike kuchokera muyezo wamakono wa colonoscopy ku maphunziro a kujambula monga "pafupifupi colonoscopy", kuyesera magazi, kapena kuyesedwa. Mapulogalamu opanga opaleshoni amatha kusintha m'malo ambiri opaleshoni omwe amachitika masiku ano. Gastroenterologists adzafunika kukhala osinthasintha kuti athe kusintha.