Haske: Zaben 2022 • Gidaje da korar jama'a • # badakalar MSWelfare • Ruwan Jackson • Zubar da ciki • Kabilanci da wariyar launin fata • Aikin 'yan sanda • Shigar da kurkuku
JACKSON, Mississippi.Ba da daɗewa ba bayan zuwan majiyyaci, Dokta William Liniveaver ya isa cibiyar kuna."Sun tashi da jirgi mai saukar ungulu kuma mun sanya su a cikin rukunin kulawa mai zurfi," in ji shi."Da farko muna bi ta hanyoyin iska, mu duba tsarin zuciya, tabbatar da bututun yana wurin da ya dace."
Lineaweaver ya ba da labarin wani majiyyaci wanda ya kone kurmus a wata gobarar gida shekaru da yawa bayan Cibiyar Burn Joseph M. Still ta koma Jackson Merit Central Health a cikin 2013. Sun sami ƙonawa mai tsanani ga goshinsu, kirji da fuska.“Kumburin fuskarsu na kara tsananta.Jami’an kashe gobara sun iso, motar daukar marasa lafiya ta iso.Sun sanya rigar farko kuma sun sanya su don kare hanyoyin iska,” in ji shi a wata hira.
Masu ceto sun dauki wadanda suka jikkata kai tsaye zuwa JMS Burn Center, yanki na musamman na ƙonawa a cikin kusan mil 200 a kowace hanya ta Jackson.Abin da ke biyo baya shine baturi na ƙididdiga."(Mai haƙuri) yana da X-ray na kirji don neman ci gaba da lalacewar huhu da kuma bronchoscopy don bincika lalacewar hanyar iska," in ji shi a cikin wata hira na Dec. 12.
Farfadowa shine mataki na gaba na maido da zagayawa zuwa gabobin jiki masu mahimmanci don kiyaye aikin koda da huhu.Tawagar Lineweaver ta sami carbon monoxide a cikin jinin majiyyaci, kuma allurar cikin jijiya na taimaka wa jiki rehydrate.Yanke kaifi a wurin da aka ƙone yana taimakawa rage matsa lamba akan fata mai tauri da kuma dawo da kwararar jini zuwa gabobin tare da barazanar numfashi.Sai kuma catheter na fitsari: lafiyayyan fitsari shine ma'aunin kiyaye ruwa mai lafiya.
Ayyukan Lineweaver da tawagarsa a JMS Burn Center shine magance rikice-rikice na jiki a cikin yanayin rashin lafiya.Suna kula da matsa lamba da bugun jini da kuma wanke raunuka na marasa lafiya a shirye-shiryen lokaci mai tsawo da farfadowa na gaba.
Kasa da sa'o'i biyu sun wuce tsakanin lokacin da aka ji rauni da lokacin natsuwa na farko, lokacin da aka ɗaure wanda ya tsira da bandeji na rigakafi."A wannan lokacin," in ji Lineiweaver, "an gano sashin farko na maganin."
A yau, samun damar zuwa waccan matakin kulawa zai buƙaci mara lafiya iri ɗaya ya tashi daga Mississippi.
Fiye da shekaru goma, Dokta Liniveaver ya bi da shari'o'i kamar wanda ya bayyana a Cibiyar Joseph M. Still Burn a Merit Health Central, wani wuri mai zaman kansa wanda ya samo asali a Brandon, Mississippi kuma daga baya ya koma Jackson.Bayan Cibiyar Kiwon Lafiya ta Yanki na Delta ta rufe Cibiyar Tunawa da Ƙwararrun Ƙwararrun Mississippi a 2005, Cibiyar Ƙwararrun Ƙwararrun JMS ta zama zuciyar tsarin kula da ƙonawa a cikin 2008. Cibiyar tana karɓar masu ba da izini daga ko'ina cikin jihar don komai daga raunin da ya faru zuwa ga mummunan rauni ga dukan jiki. .
"A cikin shekarar farko ta aiki," Lineweaver ya rubuta a watan da ya gabata a cikin wani edita a cikin Journal of the Mississippi Medical Association, "cibiyar ta kula da marasa lafiya 391 tare da ƙonawa mai tsanani.zuwa (tsohuwar Cibiyar Burin JMS a Augusta, Jojiya) 0.62%.An sami kararrakin yara 1629."
Amma a cikin inuwar cutar ta COVID-19 da haɓakar rarrabuwar kawuna na yanayin kiwon lafiya, Merit ta sanar a cikin Satumba 2022 cewa JMS za ta sha wahala iri ɗaya kamar cibiyar ƙonawa ta ƙarshe ta Mississippi a 2005. An rufe shi a cikin Oktoba 2022 kuma wanda ya riga ya kasance yanzu. tushen a Jojiya, inda suke karbar bakuncin da yawa daga cikin mafi munin lamuran da ba za a iya magance su da kyau a jiharsu ta asali ba.Mississippi ba ta da wani mahaluƙi kamar JMS.
Bayan rufe Cibiyar Burn ta JMS, Liniweaver ya sadu da wakilai daga Mississippi Free Press a Madison, gidan Mississippi ranar 12 ga Disamba, 2022 don yin tunani a kan ƙoƙarinsa na ƙirƙirar kulawar ƙonawa na dogon lokaci a Mississippi da abin da yake fatan zai faru na gaba. ..
Abu mafi mahimmanci, Lineweaver ya yi gargadin cewa ana tilasta wa jihar sake tunanin yadda za ta kula da mazaunanta da suka fi konewa.
"Tun lokacin da na koma nan a cikin 1999, sau biyu mun ba da aikin sirri damar ba da cikakken kulawar ƙonawa a Mississippi," in ji shi."Bayan ganin ya gaza gaba daya sau biyu, ina ganin alhakin ya kamata ya koma jihar."
Shugaban Asibitin Neshoba Lee McCall ya sami isassun matsala wajen gudanar da asibitin karkara a lokacin barkewar cutar.Ƙarshen ingantaccen kulawar ƙonawa a Mississippi wani nauyi ne kawai: sarƙoƙin samar da kayayyaki da aka shimfiɗa zuwa maƙasudi, ƙarancin ma'aikata na ƙasa, da raguwar cututtukan da suka wuce kima da mutuwar wannan shekaru goma.
"Wannan babban rashin jin daɗi ne," in ji McCall a wata hira da ya yi da 'yan jarida na Mississippi a ranar 7 ga Disamba game da rufe JMS."Abin takaici ne a halin yanzu jiharmu ba ta da wasu zabuka."
Ba a kowace rana ba ne babban asibitin gundumar Neshoba ke ganin majinyata da suka samu munanan kuna.Amma bayan an rufe cibiyar ƙonawa ta JMS, ƙonawa mai tsanani na nufin hanya mai wuyar samun kulawa ta musamman a wajen Mississippi.
"Da farko, muna son budewa a Augusta, Georgia," in ji McCall.“Sai kuma dole ne mu gano hanyar da za mu kai marasa lafiya a wurin.Idan zirga-zirgar ƙasa ta isa lafiya, hanya ce mai nisa don motar asibiti.Idan ba za mu iya kai su ƙasa ba, dole ne su tashi.nawa ne kudin wannan jirgi?Shin haka ne?Nauyin kudi a kan marasa lafiya yana da nauyi. "
Lineaweaver yana bayanin haɗarin ƙonawa da yawa."Kuna na iya zama wani abu daga ciwo mai raɗaɗi amma ƙananan ƙwayar cuta zuwa wani rauni wanda mutum ya rasa yawancin fatarsa ​​har abada," in ji shi."Yana lalata idanu da sauran gabobin, i, amma kuma yana haifar da amsawar girgiza jiki mai rikitarwa.Ba wai kawai ana jefa dukkanin axis na hormone damuwa cikin rudani ba, amma mutum ya rasa ruwa sakamakon raunin da ya samu."
Lineaweaver yana kwatanta ma'auni mai rikitarwa na gyare-gyare da maidowa da ake buƙata don kiyaye majinyata da suka kone da rai.“Wannan ruwan yana buƙatar maye gurbinsa.Ba ya dagula aikin huhu kamar yadda yake cutar da koda,” inji shi."Konewa na iya haɗawa da shakar hayaki ko harshen wuta, wanda zai iya haifar da lalacewar huhu kai tsaye."
Rikice-rikicen konewa na iya kashe mutum ta hanyoyi da yawa.Lineweaver ya ci gaba da cewa "Wasu nau'ikan kuna na iya samun sakamakon sinadarai."“Misali, hydrofluoric acid yana da illa ga jijiyoyi.Carbon monoxide daga konewa na iya zama mai mutuƙar mutuwa idan ba a gane shi a wurin da aka ƙone ba.”
Matsayin tawagar McCall a Neshoba ba shine bayar da cikakkiyar kulawa ga marasa lafiya da ke fama da ƙonawa mai tsanani ba, amma don haɗa su cikin lokaci tare da ƙungiyar kwararrun likitoci da likitoci kamar Lineaweaver don ceton su.
Don cibiyar ƙonawa ta zamani wacce take a tsakiya, wannan aiki ne mai sauƙi.Yanzu, wannan tsari ya zo tare da duk jinkiri da rikice-rikicen da sauran mahallin likitanci na Mississippi ke fuskanta.Sakamakon zai iya zama mai tsanani.
"Yawancin jinkiri tsakanin raunin da ya faru, nunawa a babban wurin gaggawa, da kuma motsawa zuwa wurin ƙonawa na ƙarshe ..." in ji Lineweaver, muryarsa ta yi shuru."Wannan jinkiri na iya zama matsala."
“Idan ana buƙatar tiyata ta musamman, kamar yanke tabon ƙonawa don ci gaba da zagayawa, za a iya yin ta nan take?Idan wannan yaro ne mai tsananin kuna, shin ma'aikatar gaggawa ta gida ta san yadda ake catheterize mafitsara?ana sarrafa ruwa yadda ya kamata?A cikin tsarin tsarin canja wuri, abubuwa da yawa na iya faɗuwa a bayan jadawalin. "
A halin yanzu, kusan majinyata 500 da za su je JMS don kula da ƙonawa na musamman a halin yanzu ana jigilar su ta tsarin sufurin da ya yi yawa a jihar, inda aka tura da yawa daga cikin majinyata masu tsanani zuwa jihar don kula da su ta ƙarshe, in ji Liniveaver.
Lineaweaver ya danganta dakatarwar ba zato ba tsammani na sabis na Cibiyar Burn JMS da mutuwar Dr. Fred Mullins, darektan likita na asalin JMS Augusta, Jojiya.Tun da Mullins ya mutu a cikin 2020 yana da shekaru 54, Lineweaver ya rubuta, "Al'adar ta ci gaba da ci gaba ta hanyar sauye-sauyen jagoranci da yawa kuma yawancin cibiyoyin sun rufe ko kuma ba a haɗa su da hanyar sadarwa."hukumomin jiha.
Amma Lineaweaver ya danganta rashin cikakkun cibiyoyin ƙonawa na Mississippi zuwa koma baya-damar da aka rasa don kafa ƙungiyar ƙonawa ta musamman a Cibiyar Kiwon Lafiya ta Jami'ar Mississippi.
A cikin 2006, bayan rufe abin tunawa da masu kashe gobara, Lineweaver ya shiga cikin aikin sake gina microsurgical a Jami'ar Mississippi Medical Center a Jackson.A Mississippi, kamar yadda a yanzu, babu isassun wurare na musamman don kula da hadaddun, kuna masu barazanar rayuwa.Lineaweaver ya ce ya yi tunanin a lokacin cewa babban asibitin bincike na gwamnati da kuma cibiyar rauni-mataki-daya kawai wata hanya ce ta zahiri."Ina tsammanin cibiyar ƙonawa a matsayin fadada wannan hadadden cibiyar rauni, ta yin amfani da yawancin ka'idodin aiki da inganci," in ji shi.
Lineaweaver ya fara tsara shirye-shiryen cibiyar ƙonawa na gwamnati, wanda ya ɗauka cewa ba makawa a lokacin.Babban tsarin kula da kunar gaske ya haɗa da ba kawai kulawar gaggawa ba, har ma da aikin tiyata na filastik na gaba don magance hadadden lalacewar da ƙonewa zai iya haifarwa.
“Bari mu fara da gaskiyar cewa na yi kuskure sosai,” in ji shi.- Na dauka cewa ya kamata UMMC ta yi.Don haka abin da ya dame ni shi ne in nuna muku yadda za ku yi.”
Shirin Lineaweaver zai kasance ƙari mai tsada ga rukunin ayyukan da UMMC ta Jackson ke bayarwa, amma majalisar dokokin Mississippi a shirye take ta taimaka, in ji shi.
A shekara ta 2006, dan majalisa Steve Holland, wanda yanzu dan jam'iyyar Democrat ne daga Tupelo, ya gabatar da kudirin doka na 908 a majalisar wakilai musamman don kafa cibiyar konewa a UMMC da kuma tabbatar da ci gaba da gudanar da aikin sashen konewar cibiyar kiwon lafiya.Babban tayin tallafi.
"Bugu da ƙari ga duk wani kuɗin da aka ware wa Cibiyar Kiwon Lafiya daga Asusun Konewar Mississippi, Majalisa za ta ware akalla dala miliyan goma ($ 10,000,000.00) a kowace shekara ga Cibiyar Kiwon Lafiya ta Jami'ar Mississippi don gudanar da Cibiyar Burns ta Mississippi."in ji a cikin takardar.Bill yana karatu.
Bayanan dokoki sun nuna gagarumin karuwar goyon bayan cibiyar a majalisar wakilai ta Mississippi yayin da kudurin kudaden shigar da ya dace ya samu da rinjayen kashi uku cikin biyar na majalisar wakilai.Sai dai kwamitocin majalisar dattijai sun ki amincewa da kudirin kuma ya mutu a kalandar.
Sai dai Lineaweaver ya bayar da hujjar cewa wannan ba wai kawai abin da ya shafi cunkoson tarurruka ko kujerun kwamitocin da ba su da sha'awa."Don buɗe cibiyar ƙonawa ta hanyar (UMMC) na buƙatar kudade takwas (shekara-shekara).Kamar yadda na fahimta, jami’ar ta ce a’a,” in ji Lineweaver.
A cikin edita na 2006 da ba a buga ba, ya ba da shawarar haɗa ayyukansa na yanzu na sake ginawa da tiyatar filastik tare da cibiyar ƙonawa ta musamman.Shawarwarin nasa shine ƙirƙirar cibiyar kulawa mai mahimmanci wanda zai iya ɗaukar marasa lafiya daga lokacin da aka yi zafi mai tsanani da kuma ba da taimako a lokacin gyaran jiki da gyaran fuska.
Amma Lineaweaver ya janye editan kafin buga shi kuma ya buga wasiƙar bayan shekaru uku a cikin Afrilu 2009 fitowar Journal of the Mississippi Medical Association yana ba da cikakken bayani game da matsin lamba daga Mataimakin Shugaban Jami'ar Dan Jones.
"Buga wannan editan na iya lalata amincin ra'ayoyin da na bayyana a madadin cibiyar kiwon lafiya da kuma kasar," Lineweaver ya rubuta a cikin 2009, yana ambaton imel na Afrilu 27, 2006 wanda ya ce an nakalto Jones daga saƙon imel."Wannan ya saba wa shawarar kwamitin, wanda ya hada da gwamna da kuma shugabannin jami'an kiwon lafiya na jihar," in ji Jones.
A cikin wata hira Jumma'a, Janairu 6, Dan Jones bai yarda da halin Lineaweaver na yadda ya amsa wani ƙoƙari na 2006 don tallafawa cibiyoyin ƙonawa.Jones ya ce ya tuna da tunani a lokacin cewa UMMC "ita ce mafi kyawun kungiya don daukar nauyin kula da ƙonawa", amma ba zai iya samun "kwarewa na dindindin" daga Majalisar Dokoki don ba da kuɗi a kowace shekara.
"Matsalar cibiyar ƙonawa ko maganin ƙonawa ita ce yawancin marasa lafiya da ke buƙatar magani ba su da inshora, don haka ginawa ko gyara kayan aiki ba shi da sauƙi kamar kyautar lokaci ɗaya," in ji Jones.Babban Farfesa na likitanci a UMMC da Darakta mai girma na Faculty of Medicine.
Rubutun HB 908 da Majalisar Wakilai ta amince da shi karara ya hada da ware dala miliyan 10 ga UMMC a duk shekara, alkawarin ci gaba da bayar da kudade wajen kafa da kula da cibiyar konewa.Sai dai Jones ya ce kwamitin majalisar dattijai wanda a karshe ya kayar da kudirin ya sanar da shi cewa mayar da kudade ba shi da matsala.
"Kudirin da aka tsara da farko da kuma lissafin da aka tattauna don yiwuwar wucewa koyaushe abubuwa ne daban-daban," in ji Jones."Yayin da kwamitocin suka hadu a kan kudirin, akwai alamar karara cewa ba za a ci gaba da maimaita maganganun ba."
Jones ya ce a karshe majalisar za ta gabatar da kasafin kudi na lokaci daya, wanda shi da sauran ma’aikatan UMMC ke ganin bai isa ya biya kudaden shekara-shekara ba.
“Abubuwa sun bambanta a yau saboda asusun raunin da ya shafi haɗarin mota da sauransu - kuɗin da ake samu daga asusun rauni a yanzu ana iya amfani da su don kula da masu fama da konewa, don haka a fili ba zan iya sanin yadda yanayin kuɗi zai kasance a yau ba.Amma a cikin 2006 da 2007, ba mu sami damar samun tallafi daga Asusun Taimako ba, ”in ji Jones.Yana magana ne ga Tsarin Kula da Lafiya na Mississippi, wanda aka kafa a cikin 1998 kuma daga baya ya buƙaci asibitoci su shiga ko kuma su biya don kar su shiga cikin 2008.
Jones ya ƙi yin sharhi game da hulɗar da ya yi a baya tare da Lineaweaver, amma ya jaddada sha'awarsa na kafa cibiyar konewa a UMMC.
“Muna son cibiyarmu ta sami cibiyar konewa.Muna son yin hakan,” in ji shi."Na shaida wa 'yan majalisar cewa muna son bayar da wannan tallafin, amma ba za mu iya yin hakan ba idan ba mu dage da bayar da tallafin kudi akai-akai."
A cikin wata Disamba 30, 2022, Mississipi Free Press hira, Wakilin Holland ya yarda da Lineaweaver cewa UMMC ta sanya yatsa na hukumar a kan sikeli don hana lissafin kasafi daga wucewa.Amma ya tausayawa tunaninsa na shakku.
"Zan iya gaya muku wani dalili (HB 908) bai wuce ba - kuma na fahimci cewa tun da na gudanar da kasafin su na shekaru 18 - UMMC ta ji tsoro.Sun ce, "Muddin Steve Holland yana kusa, mun san cewa za mu sami kudade, amma me zai faru ranar da ya tafi?"
Holland ya ce begen cire kwarin gwiwar doka da kuma sanya cikakken farashin ayyuka a jami'o'in jama'a ya sa zabin ya zama mai hadarin kudi."Yana buƙatar kayan more rayuwa da yawa don gina cibiyar konewa," in ji tsohon mataimakin a gaskiya.“Wannan ba dakin haihuwa bane.Yana da yawa ta fuskar kayan aiki da wuraren kiwon lafiya na musamman.”