Chii chakaita kuva Gastroenterologist? Tsvaga Bhuku rekutanga-kubva kuna Dr Cohen
Dr. Michael Cohen akanga ane mutsa akakwana kugovera imwe yenyaya yeupenyu hwake uye ruzivo rwendo. Dr. Cohen vanoita muChicago, uye inotevera maonero ake pamusoro pehupenyu se gastroenterologist.
Wakapinda sei mumishonga, uye chii chakakukurudzira kuva chiremba?
Ndakanga ndatsunga kuva chiremba kubvira ndichiri mwana muduku. Ndakanga ndiine chirwere (ndinotenda nechinotyisa), ndabviswa papfudzi rangu pandakanga ndiri nemashanu.
Nguva yekuvhiyiwa kwaive yakakosha, sezvo bundu racho rakanga riri pedyo neplate yekukura. Kukanganisa mukutonga kunogona kuchinja zvikuru pakukura kwemapfupa. Mumwe chiremba wemapfupa aindichengeta ini aiva murume akachenjera uye murume chaiye, uye akasiyira pfungwa huru kwandiri. Kuona kuonga kwandakaitwa naamai vangu nababa nokuda kwounyanzvi hwake kwakasiyawo pfungwa dzangu nguva dzose kwandiri.
Wakasarudza sei paGastroenterology sechinhu chinokosha?
Gastroenterology yakanga yakasikwa kwandiri. Ndinotenda kuti rimwe ruzivo rwese runowanzokwezva humwe hutano hwemhando. Ndakacherechedza kuti unhu huri muGI hwakanga huchienderana nehuwandu hwangu: kazhinji akaiswa shure achienzaniswa nezvimwe zviitiko. Yakazotevera ichokwadi kuti GI inyanzvi huru yekuziva nekuziva unyanzvi (endoscopy). Ndinoda kushanda nemaoko angu, uye ndakanga ndisingatsvaki nemapuranga mushure mezuva.
Pakupedzisira, GI inopindirana nemhando dzose dzehutachiona, kubva kune zvinotapukira kusvika kuzvirwere-immune kusvika kueoplastic kusvika kumagetsi.
Saka apo iwe unonyanya kuronga mune imwe nhengo yehurongwa, iwe uchiri kunzwa sokuti uri kutora zvakakwana zvose zvekurapa kwako kurapwa.
Ndinoda kuona vatariri vehofisi, uye ndinoda kushanda mubasa rekupedzisira. Handifungi kuti ndinoda kuita chimwe kana chimwe chete, saka GI iri mukana wakakwana kwandiri.
Ndiudzei pamusoro pekuita kwako.
Ndave ndichiita basa kwemakore gumi nemasere, zvose zvakafanana.
Kune ikozvino vanachiremba 9 mumutambo, munguva pfupi iri kutevera 10. Isu tiri imwe chete yemaitiro, izvo zvinoreva kuti vose vezvechiremba vedu vanonyanya kuGastrointestinal uye Liver Disorders. Ini ndiri mumwe wevanomwe vanachiremba vechirongwa. Chiremba anoshamwaridzana nemuitiro wedu achapedzisira ava vashandi pamwe chete.
Tsika yedu inoshandisa vanhu vanoda kusvika makumi mashanu, kusanganisira vatatu vari pakati pehutano (vatsigiri vezvechiremba kwatiri). Tine mahofisi matatu. Ihofisi yedu huru ine nzvimbo yekupedzisira yakagamuchirwa yakagadziriswa ine ma suites maviri, uye yakazara aneshesia maitiro. Ini ndiri kune vashandi pamatunhu matatu emunharaunda munzvimbo iyi. Pandakazobatanidza maitiro angu, ini ndaive chiremba wechishanu. Muitiro wacho wakakura zvikuru nemashoko emuromo. Tsika yemuitiro wedu ndeyekurapa varwere vane mutsa uye hwakanaka. Ndinofara, yakashanda zvakanaka kwatiri.
Chii chinowanzoitwa nebasa rakafanana newe pachako?
Tsika yedu yakasiyana, mupfungwa yokuti tinotora vhiki revhiki imwe neimwe, saka kana isu tisiri kuenderera mberi kwevhiki, tinoshanda kwevhiki yebasa revhiki. Vamwe vanhu vanofunga kuti tiri mutsva, sezvo zviri pachena kuti taizowana zvakawanda kana tikashanda mazuva mashanu pavhiki. Asi tsika yedu yekuziva ndeyokuti tinoda kunge tine humwe hupenyu hwehupenyu kupfuura kutsvaga dhora rose rekupedzisira.
Pane imwe nguva vhiki yebasa, tinogona kupedza mazuva maviri muhofisi, uye mazuva maviri tiri pane imwe yezvipatara. Rimwe zuva rehofisi rinogona kusanganisira nzira dzekumangwanani, uye vashandi vehofisi masikati. Isu tinoita maitirwo 7-8 musangano rehafu yezuva. Chimwe chidimbu chemazuva muhofisi zvinoreva kuona pamusoro pevatendi 10-12. Zuva rechipatara zuva raizobatanidza kuita zvinenge zvishanu zvepatient endoscopies, 1-2 inpatient endoscopies, achiona vatendi 10-12 pamativi ose, uye 3-5 nhaurirano itsva. Iwe unogona kuona kuti nei takagadzirira zuva rega revhiki imwe neimwe!
Chii chaunonyanya kufarira nezvebasa rako?
Varwere vakanaka. Nepo iwe pane dzimwe nguva uwana mumwe munhu anokanganisa kana achinetsa, ndingati 99% anofadzwa kushanda nawo, uye kuita kuti basa rakaoma rive rakakodzera.
Chimwe chezvinhu zvandinofunga zvakakosha pamusoro peGI ndechokuti tiri kuisa maitiro makuru mukuita kuti vanhu vaongororwe nekenza yekoloni. Mumakore ose aya, ndakaona kuwedzera kukuru munharaunda iyo, muchikamu chikuru nekuda kwebasa risina basa remakumbo ezvemimba zvinomiririra ushamwari hwedu, hwakadai seAmerican College of Gastroenterology. Vakakonzera Congress kuti vatsigire chirwere chekoloni kuongororwa neMurengeti, iyo yakagadzirisa zvikuru. Kuva chikamu chekuedza kuderedza chiyero chekufa kwechipiri chekuuraya kenza muAmerica kunofadza chaizvo. Pakupedzisira, GI inopa mukana wekuita misiyano chaiyo, yakadai sekubatsira kudzora chironda chekubuda ropa, nekudzivirira murwere kuita basa guru, somuenzaniso.
Mune maonero ako, ndezvipi zvakanyanya zvakaoma kana zvinetso zvebasa rako se gastroenterologist?
Ndinofunga kuti chinhu chinonyanya kuoma ndechimwe chakagoverwa muzvinhu zvose zvezvemishonga: inogara ichimanikidzwa nevanotenga mari yevatatu seMedare uye makambani ehurumende yveshuwarisi kuderedza kubhadharwa, uye kuwedzera mapepa uye mutemo. Kuramba uchiita zvinhu zvitsva uye kuedza kuramba uri pamucheto wekupisa kwako kunewo dambudziko, asi chikamu chepurogiramu.
Ndeapi mazano aungapa kune mumwe munhu achifunga nezvebasa sachiremba, kunyanya mu gastroenterology?
Icho basa guru, kunyange nezvose zvinodzvinyirirwa navanachiremba nhasi. Ingoita kuti uone kuti unoziva chii chauri kupinda. Izvo kuzvipira kukuru, saka unofanirwa kuva nechokwadi kuti uri mairi nokuda kwezvikonzero zvakanaka. Ita imwe "mumvuri" kuitira kuti uone kuti chii chinowanzo "zuva muhupenyu" chaizvoizvo.
Iwe unofanirwa kufara kushanda nevanhu, nokuti iwe uchange uchitaurirana nevarwere vazhinji, vachitaura vanachiremba, dzimwe nyanzvi, uye vashandi. Iwe unofanirwa kuva wakasununguka kushanda panguva yakakurumidza.
Iwe unofunga sei kuti munda wegastroenterology uchange uchinetseka pamusoro pemakore gumi anotevera, uye izvi zvichaita sei maGIs?
Kuchengetedza kenza yemaroni kunogona kuchinja kubva kuhutano hwemakolonoscopy iye zvino kune zvidzidzo zvekufungidzira zvakadai se "virtual colonoscopy", maitiro ekuberekwa kweropa, kana kunyange kugadzirisa zviratidzo. Endoscopic kurapwa kunogonawo kutora nzvimbo dzakawanda dzinowanzoitwa kuvhiyiwa maitiro anoitwa nhasi. Gastroenterologists inoda kushanduka zvakakwana kugadzirisa.