Kuyini ukufana nokuba yiGastroenterologist? Thola Okwesibili isandla kusuka kuDkt. Cohen
UDkt. Michael Cohen wayenomusa ngokwanele wokuhlanganyela indaba yakhe yokuphila kanye nohambo lochwepheshe. Izindlela zikaDkt Cohen endaweni yaseChicago, futhi okulandelayo umbono wakhe ngokuphila njenge-gastroenterologist.
Ungene kanjani emithi, futhi yini eyashukumisela ukuba ube udokotela?
Ngangizimisele ukuba udokotela kusukela ngisemncane. Ngine-tumor (ngibonga kakhulu), ngisuswe ehlombe lami lapho ngineminyaka emihlanu.
Isikhathi sokuhlinzwa sasibalulekile, ngoba lesi sifo sasiseduze nesikhala sokukhula. Iphutha ekwahluleleni lingathinta kakhulu ukukhula kwethambo. Udokotela ohlinzayo wamazinyo owayenginakekela wayengumuntu ohlakaniphile nomuntu wangempela, futhi wangishiya umbono omkhulu. Ukubona ukuthi ubuqotho bami uMama nobaba babenomqondo obani futhi bungazange bube nombono ohlala njalo kimi.
Unqume kanjani nge-Gastroenterology njengokhethekile?
I-Gastroenterology yayingokwemvelo kimi. Ngikholelwa ukuthi okukhethekile okukhethekile kuheha ukuheha izinhlobo ezithile zobuntu. Ngabona ukuthi izinhlobo zobuntu ku-GI zazijwayele ukulingana nemayini: ngokuvamile ihlelwe emuva uma iqhathaniswa nezici ezithile. Okulandelayo kwakuyiqiniso lokuthi i-GI iyinhlanganisela enkulu yamakhono okuqonda kanye namakhono omsebenzi (endoscopy). Ngiyakuthanda ukusebenza ngezandla zami, futhi ngabe ngingu-woodworker osebenzayo emuva ngosuku.
Okokugcina, i-GI ihlanganisa zonke izinhlobo ze-pathology, kusukela ekutheleleni ekuziphatheni kwamagciwane kuya kwe-neoplastic kuya kwesisombululo.
Ngakho-ke ngenkathi usebenza ngokukhethekile ohlelweni lombuso, usazizwa sengathi usebenzise ngokugcwele konke ukuqeqeshwa kwakho kwezokwelapha.
Ngiyakuthanda ukubona iziguli zehhovisi, futhi ngithanda ukusebenza ebhokisini le-endoscopy. Angicabangi ukuthi ngingathanda ukwenza enye noma enye kuphela, ngakho-ke i-GI ingumxube ophelele kimi.
Ngitshele ngomkhuba wakho.
Ngiye ngenza umkhuba iminyaka engu-18, konke okusemthethweni.
Kukhona okwamanje odokotela abangu-9 kulo mkhuba, maduzane abe ngu-10. Singumkhuba owodwa wokukhethekile, okusho ukuthi bonke odokotela bethu bayazikhethela ngokusondelana kwezinsizwa kanye nezinkinga zesifo. Ngingomunye wabanikazi bodokotela abayisishiyagalombili bomkhuba. Udokotela ohlangene nomkhuba wethu uyogcina ekugcineni abe abambisene nabo.
Umkhuba wethu usebenzisa abantu abangaba ngu-45, kufaka phakathi abahlinzeki abathathu bezinga eliphakathi (abahlengikazi bezokwelapha). Sinamahhovisi amathathu. Ihhovisi lethu eliyinhloko linesikhungo se-endoscopy esivunyelwe ngokugcwele esinama-suites amabili, kanye nokukwazi okugcwele kwe-anesthesia. Ngingabasebenzi ezindaweni ezintathu ezibhedlela zomphakathi endaweni. Lapho ngijoyina umkhuba wami, ngangingudokotela wesihlanu. Umkhuba ukhule ngokuyinhloko ngezwi lomlomo. Isiko lomkhuba wethu ungenye yokuphatha iziguli ngomusa nangempumelelo. Ngokujabulisayo, sekusebenzele kahle.
Iyini i-worksweek evamile efana nawe?
Umkhuba wethu uhlukile, ngomqondo wokuthi sithatha isonto lonke isonto ngalinye, ngakho-ke uma singekho ucingo ngempelasonto, sisebenza ngeviki lomsebenzi wezinsuku ezine. Abanye abantu bacabanga ukuthi singamantongomane, ngoba ngokucacile sizokuthola okuningi uma sisebenza izinsuku ezinhlanu ngesonto. Kodwa ukuziphatha kwethu ifilosofi ukuthi singathanda ukugcina izinga elilodwa lokuphila kunokuxosha wonke amadola.
Ngesonto elijwayelekile lomsebenzi, singase sichithe izinsuku ezimbili ehhovisi, futhi izinsuku ezimbili sisuselwe kwesinye sezibhedlela. Usuku lwehhovisi olujwayelekile luzofaka izinqubo ekuseni, neziguli zehhovisi ntambama. Senza izinqubo ezi-7-8 ngosuku lwesigamu sezinsuku. Usuku oluyingxenye yesigamu ehhovisi kusho ukubona iziguli ezingaba ngu-10-12. Usuku lwesibhedlela esiphakathi luzohlanganisa ukwenza cishe ama-endoscopies angu-5 wokuphulukisa iziguli, ama-endoscopies angu-1-2 wokugula, ebona iziguli ezingu-10-12 ezinkundleni, kanye no-3-5 ukubonisana okusha. Ungabona ukuthi kungani silulungele usuku olulodwa isonto ngalinye!
Yini oyithandayo kakhulu mayelana nomsebenzi wakho?
Iziguli zinkulu. Ngenkathi uthola umuntu othile okhwabanayo noma ohlukumezayo, ngingathi 99% uyinjabulo yokusebenza, futhi wenze wonke umsebenzi onzima uzuze.
Enye yezinto engizicabangela ukuthi zikhethekile mayelana ne-GI yiqiniso lokuthi senza ukungena okukhulu ekutholeni abantu ukuba bahlolwe umdlavuza wekoloni. Kule minyaka, ngibone ukuthuthuka okukhulu kule ndawo, ikakhulukazi ngenxa yomsebenzi ongenamandla wemiphakathi yabamathumbu emele ukukhethekile kwethu, njenge-American College of Gastroenterology. Bathintele iCongress ukusekela ukuhlolwa komdlavuza we-colon yi-Medicare, okwenze umthelela omkhulu. Ukuba yingxenye yomzamo wokunciphisa izinga lokufa kombulali wesibeletho senombolo 2 eMelika kuyathokozisa kakhulu. Okokugcina, i-GI inikeza ithuba lokwenza umehluko obonakalayo, njengokusiza ukulawula isilonda esiphuza kakhulu, nokuvimba isiguli ukusebenza okukhulu, isibonelo.
Ngombono wakho, yiziphi izici ezinzima kakhulu noma eziyinselele zomsebenzi wakho njenge-gastroenterologist?
Ngicabanga ukuthi isici esinzima kunayo yonke esabelwe kuzo zonke izici zemithi: ukucindezelwa okuqhubekayo ngabakhokhi bentela njengama-Medicare nezinkampani zomshuwalense ezizimele ukunciphisa ukubuyisela imali, nokwandisa iphepha nemithetho. Ukuqhubeka nokuthuthukiswa okusha nokuzama ukuhlala emaphethelweni okukhethekile kwakho kuyinselele, kodwa kuyingxenye yohlelo.
Yisiphi iseluleko ongayinikeza omunye umuntu ukuba acabange umsebenzi wakhe njengodokotela, ikakhulukazi ku-gastroenterology?
Kuyinto umsebenzi omkhulu, ngisho nazo zonke izingcindezi odokotela ababhekana nazo namuhla. Vele uqiniseke ukuthi uyazi ukuthi ungena kanjani. Kuyinto ukuzibophezela okukhulu, ngakho kufanele uqiniseke ukuthi ungaphakathi kuyo ngezizathu ezifanele. Yenza ezinye "ukuthungatha" ukuze ubone ukuthi "usuku oluthile ekuphileni" luyathanda ngempela.
Kumelwe ujabulele ukusebenza nabantu, ngoba uzoxhumana neziguli eziningi, ubheke odokotela, abanye ochwepheshe, nabasebenzi. Kufanele ube ukhululekile ukusebenza ngesantya esisheshayo.
Ucabanga ukuthi insimu ye-gastroenterology iyashintsha kanjani eminyakeni eyi-10 elandelayo, futhi lokho kuyoba nomthelela kanjani kumaGIs?
Ukuhlolwa komdlavuza we-Colon kungashintsha kusukela kumgangatho wamanje we-colonoscopy kuya kwizifundo ze-imaging ezifana "ne-colonoscopy ebonakalayo", ukuhlolwa kwegazi, noma ukuhlolwa kwegazi. Izinqubo zokuhlinzwa ze-Endoscopic zingase zithathele izinqubo eziningi ezijwayelekile zokuhlinzwa ezijwayelekile namuhla. I-Gastroenterologists izodinga ukuguquguquka ngokwanele ukuvumelanisa.