The Chirevo Chako Mienzaniso akakosha kuwana painternet, heano gumi nemashanu Chirevo Chako Mienzaniso unogona kudhawunirodha uye kuita kuti ikwane zvinoenderana nezvinodiwa zvako.
Matauriro emunhu akakosha kune akasiyana maapplication, anosanganisira kubvumidzwa kukoreji, kunyorera basa, uye vanopedza chikoro kutumira. Ivo vanopa manzwisisiro muhunhu hweanonyorera, zvinokurudzira, uye zvingangobatsira kusangano kana sangano. Chirevo chakasimba chemunhu chinofanirwa kuve nechinangwa chakajeka, kuratidza zviitiko zvakasiyana, uye kuenderana nezvinodiwa nemukana.
Kunyora chirevo chinogombedzera kunoda kunyatsoronga uye kuita, nemienzaniso inosiyana zvichienderana nechinangwa uye vateereri. Kuongorora mienzaniso yezvitaurwa zvemunhu kunogona kuona madingindira akajairwa uye mazano anobatsira mukubudirira kwayo.
Nekudaro, zvikanganiso zvakajairika zvekudzivisa zvinosanganisira kuve generic kana cliché, kutarisa zvakanyanya pane zvakabudirira pane kukura wega, uye kuregeredza kuverenga nekugadzirisa. Kudzivisa kukanganisa uku kunogona kuvandudza zvakanyanya kunaka kwekutaura kwako.
Chirevo Chako Mienzaniso #1
Kufarira kwandaiita zvesainzi kwakatangira kusekondari, kwandaiita shasha yefizikisi, kemisitiri, uye masvomhu. Pandakanga ndiri mukuru, ndakaita kosi yecalculus yegore rokutanga pane imwe koreji yomunzvimbomo (kirasi yakadaro yepamusoro-soro yakanga isingawaniki muchikoro chesekondari) uye ndakawana A. Zvaiita sezvine musoro kuti nditsvake basa reuinjiniya hwemagetsi.
Pandakatanga basa rangu redhigirii, ndakava nemukana wekuratidzwa kune yakazara yakazara makosi einjiniya, izvo zvese zvaida kusimbisa nekusimbisa kufarira kwangu kukuru muinjiniya. Ndakawanawo mukana wekudzidza zvidzidzo zvakawanda muvanhu uye zvave zvichinakidza uye zvinojekesa, zvichindipa maonero matsva uye akasiyana pamusoro penyika yatinogara.
Munzvimbo yeinjiniya, ndakakudziridza kufarira kwakanyanya mumunda welaser tekinoroji uye ndanga ndichitotora kosi yekupedza kudzidza muquantum electronics. Pakati pevadzidzi makumi maviri nevashanu kana kupfuura vari mukosi, ndini ndega undergraduate. Imwezve yandinofarira yangu ndeye electromagnetics, uye zhizha rapfuura, pandakanga ndiri mubatsiri wehunyanzvi pane inozivikanwa pasi rose lab yenzvimbo, ndakadzidza nezve akawanda anoshanda maapplication, kunyanya ane chekuita ne microstrip uye antenna dhizaini. Vatungamiri verabhoritari iyi vakafadzwa nebasa rangu zvekuti vakakumbira kuti ndidzoke kana ndapedza kudzidza. Hongu, zvirongwa zvangu mushure mekupedza zvidzidzo zvangu zvazvino ndezvekuenda ndakananga kubasa rekupedza kudzidza ndakananga kwatenzi wangu mune sainzi. Mushure mekunge ndawana dhigirii re master wangu, ndine chinangwa chekuzotanga basa paP.D yangu. mukugadzira magetsi. Gare gare ndinoda kushanda munzvimbo yekutsvaga nekusimudzira yeindasitiri yakazvimirira. Iri muR & D pandinotenda kuti ndinogona kupa mupiro wakakura, ndichishandisa dzidziso yangu uye hunyanzvi hwekuita sesaenzi.
Ndinoziva zvikuru mukurumbira wechikoro chenyu, uye hurukuro dzangu nevanoverengeka vealumni yenyu dzakabatsira kudzamisa kufarira kwangu kupinda. Ndinoziva kuti, mukuwedzera kune yako yakanakisa faculty, yako komputa zvivakwa zviri pakati pezvakanakisa mudunhu. Ndinovimba muchandipa rombo rekuenderera mberi nezvidzidzo zvangu pachikoro chenyu chakanaka.
Chirevo Chako Mienzaniso #2
Sezvo ndave nemukurumbira muzvidzidzo zvekunyora (mabhuku epasirese) senge undergraduate, ini zvino ndoda kuisa pfungwa pazvinyorwa zveChirungu neAmerica.
Ndinonyanya kufarira zvinyorwa zvemuzana remakore rechigumi nepfumbamwe, zvinyorwa zvevakadzi, nhetembo dzeAnglo-Saxon, uye ngano nezvinyorwa zvekare. Mapurojekiti angu ekunyora anosanganisira kumwe kusanganiswa kwezvidzidzo izvi. Pachikamu chemuromo chebvunzo dzangu dzakadzama, ndakanyanya mumanovhero ezana ramakore regumi nepfumbamwe nepamusoro pevakadzi. Hukama huripo pakati pe“pamusoro” nemabhuku echivanhu hwakava musoro wenyaya yangu yekukudza, iyo yakaongorora mashandisiro aToni Morrison echinyakare, ebhaibheri, emuAfrica, uye echivanhu cheAfro-America mubhuku rake. Ndinoronga kuenderera mberi nerondedzero iyi, ndichibata mamwe mabhuku aMorrison uye pamwe ndichigadzira pepa rakakodzera kudhindwa.
Muzvidzidzo zvangu kusvika kudhigirii rechiremba, ndinotarisira kuongorora zvakanyanya hukama pakati pezvinyorwa zvepamusoro uye zvechivanhu. Gore rangu rejuniya uye zvidzidzo zvangu zvepachivande zvemutauro weAnglo-Saxon uye zvinyorwa zvakaita kuti ndifunge nezvemubvunzo wekuti kupatsanurwa pakati pengano, mabhuku echivanhu, uye mabhuku epamusoro ari papi. Ndikaenda kuchikoro chenyu, ndinoda kutangazve zvidzidzo zvangu zvenhetembo dzeAnglo-Saxon, ndiine tarisiro kuzvinhu zvayo zvechivanhu.
Kunyora nhetembo zvakare kunotungamira muzvinangwa zvangu zvedzidzo nehunyanzvi. Ndichangotanga kutumira kumabhuku madiki nekubudirira uye zvishoma nezvishoma ndiri kugadzira chinyorwa chinoshanda chemuunganidzwa. Dingindira guru remuunganidzwa uyu rinotsamira panhetembo dzinobva mutsika dzechinyakare, dzebhaibheri, nedzechivanhu, pamwe nezviitiko zvemazuva ese, kuitira kupemberera nzira yekupa nekutora hupenyu, ingave chaiyo kana yekufananidzira. Nhetembo dzangu dzinotora uye dzinokanganisa zvidzidzo zvangu zvedzidzo. Zvizhinji zvezvandinoverenga uye kudzidza zvinowana nzvimbo mubasa rangu rekugadzira sechidzidzo. Panguva imwecheteyo, ndinodzidza unyanzvi hwezvinyorwa kuburikidza nekutora chikamu chekugadzira, kuedza zvishandiso zvakashandiswa nevamwe vanyori munguva yakapfuura.
Panyaya yebasa, ndinozviona ndichidzidzisa zvinyorwa, kunyora kutsoropodza, uye kupinda mukugadzirisa kana kutsikisa nhetembo. Zvidzidzo zvechiremba zvingave zvakakosha kwandiri nenzira dzakawanda. Kutanga, chirongwa chako chekudzidzisa mubatsiri wengarava chinondipa ruzivo runoshanda rwandinoshuvira kuwana. Uyezve, kuwana Ph.D. muzvinyorwa zveChirungu neAmerica zvaizofambisira mberi zvimwe zvibodzwa zvangu zviviri zvebasa nekuwedzera kune hunyanzvi hwangu, hwakakosha uye hwekugadzira, mukushanda nemutauro. Pakupedzisira, zvisinei, ndinoona Ph.D. semagumo pachayo, pamwe chete nenyanzvi yekutsika; Ndinofarira kudzidza mabhuku nekuda kwayo uye ndinoda kuenderera mberi nezvidzidzo zvangu padanho rinodiwa nePh.D. program.
Chirevo Chako Mienzaniso #3
Zuva parakanga rodoka mvura yakatanga kunaya. Padivi pemugwagwa paive nemasairini nemarambi aipenya pedyo nemotokari nhema; yakaparadzwa zvachose. Ndakafenda, ndakanamira mukati memotokari. EMS yakandiburitsa ndokunditakura kuenda neni kuchipatara.
Zvakatozosvika zuva rakatevera ndakazomuka ndokuedza kuzvisimudza kubva pamubhedha; marwadzo andakanzwa akandiparira kushevedzera kuti, “Amai!” Amai vangu vakamhanyira mumba, “Ashley, chirega kufamba-famba, unotowedzera kurwadza” vakadaro. Chiso changu chairatidza kuti hapana chaibuda kunze. "Chii chakaitika, uye nei pane chipfuramabwe pandiri?"
Amburenzi yakandiendesa kuchipatara muguta rekumusha kwedu, uye mushure memaawa apfuura vakaudza amai vangu kuti mascan nema test angu zvakadzoka zvakanaka, ndokundiisa chipfuramabwe, ndokundiendesa kumba … ndisati ndanyatsoziva. Zuva rakatevera, ndakava neshanyo dzokutevera muguta rakatevera pamusoro pavanachiremba vakasiyana chose chose. Zvakazoitika kuti kukura kwekukuvara kwangu kwakaipisisa kupfuura zvatakaudzwa, uye ndaifanira kuvhiyiwa nekukurumidza. Kutambura nezvinetso zvinotevera tsaona yaiva chipingamupinyi, asi kutarisirwa kwakagamuchirwa panguva iyoyo uye mumakore mashomanana akatevera panguva yekudzorera kwakaita kuti ndinzwisise kukosha kwevanachiremba vane unyanzvi uye vabatsiri vechiremba (PAs).
Mugore rapfuura, ndakakura uye ndakadzidza zvakatowanda kupfuura zvandaifunga kuti ndaigona munzvimbo yangu yazvino semubatsiri wekurapa muNeuro-otology specialty. Kushanda semubatsiri wezvekurapa kwemakore maviri apfuura kwave kuri mubairo wekudzidza. Chimwe chezvakakosha zvechinzvimbo changu kutora tsananguro yakadzama yemamiriro emurwere/chichemo chikuru chekushanya kwavo. Kuita izvi kwakanditendera kuti ndiwane ruzivo rwakakura pane yemukati nzeve uye vestibular system, uye nezve mabatiro avanoita vese vakabatana. Kuburikidza nebasa rangu ndinokwanisa kubatsira varwere uye kunzwa mukudzoka manzwiro anoshamisa. Nguva diki mushure mekunge ndatanga kushanda pakiriniki, ndakapihwa basa rakakura kuburikidza nekudzidza kupedzisa Canalith Repositioning Maneuver pavarwere vairwara neBenign Paroxysmal Positional Vertigo. Mushure mekubudirira kwekushandisa maitiro, zviri pachena kubva mumanzwiro avo kuti ini ndinoita zvakanaka pahupenyu hwezuva nezuva hwemurwere. Kunyemwerera kwemufaro pazviso zvavo kunobva kwajeka zuva rangu rose.
Kuedza kwekuzvipira, kuve nemumvuri, uye ruzivo rwezvekurapa kuyunivhesiti zvakasimbisa kuti pakanga pasina rimwe basa randaida kupfuura. Kupupurira boka rachiremba nePA vachishanda pamwe chete paMoffitt Cancer Center kwakasimudzira mufaro wangu wechinzvimbo. Ndakatorwa moyo nekudyidzana kwavo uye kugona kwePAs kushanda panguva imwe chete ndakazvimirira. Iyo PA yakataura zvakanyanya nezve mukana wekudzidza nekudzidzira akawanda hunyanzvi. Kuburikidza nekudzidza kwangu kwese uye ruzivo rwakaitika kwandiri kuti rudo rwangu rwemushonga rwakakura, zvekuti hazvingaite kuti ndingotarisa pane chimwe chikamu chemushonga. Kuziva kuti ndine sarudzo yekuziva chero hunyanzvi hunondinyengerera, uye kuva nemukana wekurapa nekuongorora varwere pane kumira kumashure ndichitarisa kunondipa mufaro mukuru.
Ndichiri kurwisana nezvimhingamipinyi zvetsaona yangu, mamiriro ezvemagariro evanhu akamanikidza pandiri basa renguva yakazara ndichiedza kuwana dzidzo. Mhedzisiro yekuomerwa uku kwakatungamira kumagiredhi akaderera mumakore angu ekutanga uye sophomore makore. Pandakangogamuchirwa paYunivhesiti yeSouth Florida ndakabudirira kupedzisa zvese zvinodiwa zvePA nekuvandudza kwakakura muzvidzidzo zvangu ndichigadzira chimiro chepamusoro muGPA kuburikidza nekupedza kudzidza. Somugumisiro wekubudirira kwangu, ndakaona kuti ndakanga ndafambira mberi kubva pane zvandaifunga kuti zvaizondidzosa zvachose; tsaona yangu ikozvino yangova motivator yezvipingamupinyi zveramangwana.
Nebasa sePA, ndinoziva mhinduro yangu yekuti "zuva rako raive sei" richagara riri, "hupenyu huchichinja." Mubasa rangu ndine rombo rakanaka rekushandura hupenyu nenzira dzakafanana nePA yandinoyedza kuva, zvinova zvinondisunda. Ndakatsunga uye handifi ndakasiya chiroto ichi, chinangwa, uye chinangwa chehupenyu. Kunze kwezvikwaniriso zvangu papepa, ndakaudzwa kuti ndiri mukadzi ane tsitsi, ane ushamwari, uye akasimba. Makore kubva nhasi, kuburikidza nekukura kwangu uye ruzivo sePA, ndichashanduka kuva muenzaniso kune mumwe munhu ane hunhu uye zvinangwa zvehunyanzvi sezvandinazvo nhasi. Ndakasarudza PA nekuti ndinoda kushanda seboka. Kubatsira vamwe kunoita kuti ndinzwe sekunge ndine chinangwa, uye hapana rimwe basa randingada kuva mariri. wandinoyemura.
Chirevo Chako Mienzaniso #4
Mukomana ane makore matatu okukura ane sinusitis yakakomba iyo yakonzera kuti ziso reziso rake rekurudyi rizvimbe uye fivha yake ikwire. Amai vake vava kunetseka nekuti chero nyanzvi yavakashanyira vatadza kudzikisa zviratidzo zvemwana wavo. Kwave nemazuva matatu ari kune chimwe chipatara akamirira kuona mumwezve nyanzvi. Amai vacho pavakanga vakagara muimba yokumirira mumwe chiremba anopfuura anocherechedza mwanakomana wavo obva ati kwavari, “Ndinogona kubatsira mukomana uyu.” Mushure mekuongorora kwenguva pfupi, chiremba anoudza amai kuti mwanakomana wavo ane sinus ine utachiona. Sinus yemukomana inopera uye anopiwa mishonga inorwisa utachiona. Amai vanotura befu; zviratidzo zvemwanakomana wake zvinopedzisira zvaderedzwa.
Ndini ndaiva mwana airwara munyaya iyoyo. Ndiyo imwe yendangariro dzangu dzapakuvamba; yakabva panguva yandaigara muUkraine. Ndichiri kushamisika kuti kuongorora kwakapfava kwakadaro kwakafuratirwa sei navanachiremba vanoverengeka; pamwe wanga uri muenzaniso wekusakwana kudzidziswa kwevashandi vehutano vakagashirwa mushure meCold War Ukraine. Chikonzero ndichiri kurangarira kusangana ikoko marwadzo uye kusagadzikana kwekudonhedzwa sinus yangu. Ndakanga ndichiziva panguva yekuvhiyiwa uye amai vangu vakafanirwa kundidzora apo chiremba aipedza sinus yangu. Ndinoyeuka kuti kudonhedza sinus yangu kwairwadza zvokuti ndakaudza chiremba kuti, “Kana ndakura ndichava chiremba kuitira kuti ndikuitirei izvi!” Pandinofunga nezvechiitiko ichocho ndinoramba ndichizviudza kuti ndingada kushanda mune zvoutano, asi vavariro dzangu hadzisisiri dzokutsiva.
Mushure mekuongorora mabasa ehutano akasiyana ndakaona kuti mubatsiri wachiremba ndiye wangu. Ndine zvikonzero zvakati kuti zvekutsvaga basa sePA. Chekutanga basa rePA rine ramangwana rakajeka; maererano neBureau of Labor statistics basa revashandi vechiremba rinofungidzirwa kukura 38 muzana kubva 2022 kusvika 2022. Chechipiri kushanduka kwePA yebasa iri kufadza kwandiri; Ndinoda kuvaka eclectic repertoire yezviitiko uye hunyanzvi kana zvasvika pakuunza kurapwa. Chechitatu ndaizokwanisa kushanda ndakazvimirira uye nekubatana nechikwata chezvehutano kuongorora nekurapa vanhu. Chikonzero chechina uye chinonyanya kukosha ndechekuti ndaizokwanisa kupesvedzera vanhu nenzira yakanaka. Kushandira masevhisi ekuchengeta kumba ndakave nevanhu vakati wandei vandiudza kuti vanosarudza maPA pane varapi, nekuti vabatsiri vechiremba vanokwanisa kutora nguva yavo kuti vataure nevarwere vavo.
Ndinoziva kuti kuva chiremba mubatsiri wepamusoro padzidzo zvakakosha saka ndinoda kutora nguva yekutsanangura mutsauko uri muzvinyorwa zvangu. Munguva yangu nyowani uye sophomore gore mamakisi angu akange asina kunaka uye hapana chikonzero cheizvozvo. Mumakore angu maviri ekutanga ekoreji ndainyanya kunetseka nekushamwaridzana kupfuura zvandaive nedzidzo. Ndakasarudza kupedza yakawanda yenguva yangu ndichienda kumapati uye nemhaka yacho mamakisi angu akatambura. Nyangwe zvazvo ndaive nemufaro wakawanda ndakazoona kuti mafaro haaizogara nekusingaperi. Ndaiziva kuti kuzadzisa chishuwo changu chekushanda mune zveutano ndaifanira kuchinja nzira dzangu. Kutanga negore rangu rejunior ndakaita chikoro chekutanga uye mamakisi angu akawedzera zvakanyanya. mamakisi angu mumakore maviri echipiri ebasa rangu rekukoreji chiratidzo changu semudzidzi akabatikana. Ndicharamba ndichiedza kuzadzisa chinangwa changu chekuva mubatsiri wachiremba, nekuti ndinotarisira nguva yekutanga amai vari kunetseka kuuya kuchipatara nemwana wavo anorwara uye ndichakwanisa kuti, "Ndinogona kubatsira mukomana uyu!"
Chirevo Chako Mienzaniso #5
Yakanyatsogadzirisa zvakare PS yangu. Ichi chinyorwa chinonzwa chakasimba zvakanyanya. Ndapota ndizivise zvaunofunga. Ndatenda.
"Mazuva maviri akakosha muhupenyu hwako izuva raunozvarwa uye zuva raunoona kuti sei". Ichi chinyorwa kubva kuna Mark Twain chinouya mupfungwa kana ndichitsanangura chikonzero nei ndichishuvira kuva Chiremba Mubatsiri. Rwendo rwekutsvaga nyanzvi “nei” runogona kuva rwakaoma, dzimwe nguva runogona kumanikidza munhu kugadzikana uye kurega parwendo zvachose asi mune zvimwe zviitiko, zviitiko zvevazhinji vane rudo rwechokwadi mune zvavanoita, zvinoda kugara wega- kufungisisa, kutenda uye kusatsunga kuenderera mberi. Ndichiri kutanga basa rangu redzidzo ndakanga ndisina kukura kwekunzwisisa pfungwa iyi, ndakanga ndisina kuzvipira kumuitiro wekudzidza uye ndakanga ndisina kurudziro yemukati yekuzvipira kwairi. Ndaiziva kuti ndaida basa rekurapa asi pandakabvunzwa mibvunzo yakaoma yekuti sei, ndaigona kungopa mhinduro yegeneric, "Nekuti ndinoda kubatsira vanhu". Chikonzero ichocho chakanga chisina kukwana, ndaida chimwe chinhu, chimwe chinhu chaigona kundiendesa kubasa mashifiti eusiku uye kuenda kuchikoro nokukurumidza pashure, chimwe chinhu chaigona kundisundidzira kutorazve makosi uye kutevera dhigirii reMasters. Kuti ndiwane izvi "nei" ndakave semwana, ndichibvunza mibvunzo yakawanda, mizhinji yacho ichitanga nekuti nei. Sei zvakanga zvakakosha kuti ndibatsire vanhu nemishonga? Wadii kuva mudzidzisi, chiremba kana mukoti? Sei pasina chimwe chinhu?
Kuburikidza nerwendo urwu rwandakatanga makore mana apfuura, ndakadzidza kuti munhu “nei” iri nzvimbo iyo zvishuwo zvemunhu uye hunyanzvi zvinosangana nezvinodiwa munharaunda yavo uye sezvo ndave ndaratidzwa kune zvakawanda zvehutano, ndakawana chido changu. nokuti kugwinya uye utano ndiyo nheyo yangu "nei". Zuva randakawana izvi "nei" rakauya zvinyoro-nyoro, kubva kune yakapusa asi yakadzama chinyorwa chekucheka icho chinoramba chakaiswa pamadziro angu nhasi. “Piritsi inoshamisa” Dr. Robert Butler vakatsanangura, vaigona kudzivirira nekurapa zvirwere zvakawanda asi zvinotokosha zvikuru kurebesa urefu uye kunaka kwoupenyu. Mushonga uyu waive wekurovedza muviri uye sekufungidzira kwaakaita, "Dai waigona kuiswa mupiritsi waizova mushonga wakanyanya kutaurwa uye unobatsira munyika". Kubva pamashoko aya "nei" yangu yakatanga kuumbwa, ndakatanga kushamisika kuti chii chingaitika kuhutano hwedu hwehutano kana kudzivirira kwakasimbiswa uye vanhu vakapiwa mazano uye kupindira kunodiwa kuti vasangogadzirisa nyaya dzehutano asi kuti vararame hupenyu hwakanaka. Ndakanetseka kuti chii chandaigona kuita kuti ndive chikamu chemhinduro, kuti ndaigona sei kuita basa mukuunza kutarisirwa kwaifunga nezvemaitiro akawanda uye nzira dzakawanda dzekurapa nekudzivirira zvirwere, uye ndichikurudzira hutano hwakakwana uye kugara zvakanaka.
Nekuvandudzwa kwazvino kuhutano hwehutano ndakatenda kuti hurongwa hunosimbisa kudzivirira hunogona kuve hwechokwadi uye nevanhu vazhinji vanopihwa mukana wazviri nani mupi anozodiwa. Vanopa, mumaonero angu, vanonzwisisa basa rekudya, kusimba uye kugadzirisa maitiro pahutano. Vanopa vanonzwisisa kuti nzira dzekurapa kana dzepalliative dzinomirira kusvika varwere varwara, muzviitiko zvakawanda zvisingagadzirisiki vasati vapinda mukati, haichave yakajairika tsika. Kubva pakupinda nevarairidzi uye varairidzi vehutano munzvimbo dzehutano, kushanda nevakoti uye tekinoroji muchipatara, kusvika kumimvuri maPAs naVarapi panguva yekutenderera kana mumakiriniki asina kuchengetedzwa, handina kungowana zviitiko zvakakosha asi ndakakwanisa kuona chaizvo izvo. inoita kuti basa rimwe nerimwe rikure. Basa rega rega rine zvinhu zvinondifadza asi pandakatsvaga uye nekutsemura rimwe nerimwe remabasa aya, ndichidzura zvidimbu kwandinowana hunyanzvi hwangu hukuru huchisangana nezvandinoda, ndakazviwana ndiri pamusuwo webasa reMubatsiri weChiremba.
Ndichishanda paFlorida Hospital, ndinofarira kuedza-kwechikwata kwandakadzidza kwakakosha mukupa rubatsiro rwemhando yepamusoro. Ndinonyatsonakidzwa nekudyidzana kwangu nevarwere uye kushanda munharaunda umo Chirungu chingave chisiri mutauro wekutanga asi zvinokumanikidza kuti uende kunze uye udzidze kuve muchengeti ari nani. Ndakadzidza kuti “nei” rangu riri papi. Iri mubasa rakanangana nekuedza uku kwechikwata, rinotarisa kumurwere uye kuvimbana pakati pachiremba neboka rehutano, kwete painishuwarenzi, manejimendi kana kudivi rebhizinesi remushonga. Iro ibasa rine chinangwa chinobva mukuvandudza nekuwedzera hurongwa hwekuchengetedza hutano hwedu, munda une kugona kwete kungoongorora nekurapa zvirwere asiwo netarisiro yekusimudzira hutano kuburikidza nedzidzo. Ibasa randinogona kuva mudzidzi weupenyu hwose, uko kumira kusingatomboitike, nehunyanzvi hwakawanda hwandinogona kudzidza. Chinonyanya kukosha ibasa rine basa iro mune ino inoshanduka yehutano system yakamisikidzwa kuti ive pamberi mukuunza kwayo, kiyi yekubatanidza zvese hutano uye mushonga kurwisa nekudzivirira zvirwere. Rwendo rwekupedzisa uku rwanga rwusiri nyore asi ndinotenda nekuti “sei” rangu rave nyore uye harina kukanganisa. Ndakaiswa pasi pano kuti ndishumire, kudzidzisa uye kusimudzira hutano kuburikidza nemushonga saChiremba Mubatsiri. Mukupfupisa, wangu "nei" wave mubvunzo wangu wandinoda.
Chirevo Chako Mienzaniso #6
Sarudzo yakareruka yandakamboita kwaiva kusarudza kutamba nhabvu pandaiva nemakore manomwe. Makore gumi nemashanu gare gare, mushure mekunge ndapedza makore mana eChikamu I chechikoro chenhabvu, ndakaita sarudzo yakaoma zvikuru kusvika parizvino muhupenyu hwangu. Ndichiziva kuti ndakanga ndisiri kuzotambira Chikwata cheNyika cheU.S. Zhizha ndapedza kudzidza kukoreji, ndakachinja kubva kutamba nhabvu kuenda kukudzidzisa, ndichitsvaga nzira yebasa rekuita. Pane imwe yetsika dzandakatanga kudzidzisa, ndakaona mumwe musikana achibatwa mumambure ndokurovera musoro wake padanda. Pfungwa dzangu dzakandiudza kuti ndimhanye ndibatsire. Ndakaudza mumwe mubereki kuti afonere 9-1-1 ini ndichitarisa kuti musikana akasvinura here. Akaita maminitsi angangosvika maviri achipinda nekubuda mundangariro asati akwanisa kunditarisa ndokundiudza zita rake. Ndakataura naye kuti asvinure kusvika vabatsiri vauya kuzotora basa. Kunyange apo varapi vaimuongorora, akanga asingadi kuti ndiende. Ndakamubata ruoko kusvika nguva yekuti atakurwe yakwana. Panguva iyoyo, zvakava pachena kwandiri kuti kubatsira vamwe ndiko kwaiva kudana kwangu.
Panguva imwe cheteyo yandakatanga kudzidzisa, ndakatanga kuzvipira paLos Angeles Harbour-UCLA Medical Center. Ndakafukidza kamuri rekukurumidzira (ER) vanachiremba, vanachiremba vemapfupa, nevarapi vese. Sezvingatarisirwa, basa rangu rokumhanya rakandikwevera kune veOrthopedics. Ndakapedza yakawanda yenguva yangu ndichiona kuti vanachiremba, vabatsiri vechiremba (PAs), vanamukoti, uye nyanzvi dzaibata sei varwere. Zvakafanana nebhora, kushanda pamwe chete chinhu chakakosha chekuchengetedza varwere. Ndakashamiswa nemafambiro aiita maitiro ekugadzirira murwere wekushungurudzika muER. Kwakanga kusina nyonganyonga sezvandaitarisira. Nzvimbo yekukurukurirana yakazivisa boka rekushungurudzika kuti murwere wechikadzi ane makore makumi manomwe nemapfumbamwe ane kukuvara kwemusoro aive munzira. Kubva ipapo, boka rekushungurudzika rakagadzirira imba yemurwere. Pakasvika murwere, zvakanga zvakaita sekuona mutambo wakanyatsorongeka. Wese mutezo wechikwata aiziva basa rake uye akariita zvisina mhosva kunyangwe nemamiriro epamusoro-soro. Panguva iyoyo, ndakanzwa kumhanya sezvandaiita pamitambo yenhabvu uye ndikaziva kuti ndaifanira kuita basa rekurapa. Kunyange zvazvo ndakanga ndapinzwa nepfungwa yokuva PA, maziso angu akanga akatsunga kuva chiremba. Saka, ndakanyorera chikoro chekurapa.
Pashure pokunge ndarambwa kuchikoro chezvokurapa, ndakaitirana nharo pamusoro pokunyorerazve. Mushure memumvuri wePAs paHarbour-UCLA, ndakaita tsvakiridzo yekuve PA. Chakanyanya kundishamisa kwaive kuchinjika kwePA kushanda muhunyanzvi hwekurapa hwakasiyana. Zvakare, mudhipatimendi remapfupa, ndakaona kuti maPA aive nenguva yakawanda yekupedza nevarwere vachikurukura nzira dzekugadzirisa uye kudzivirira hutachiona mushure mekuvhiyiwa kwavo. Rudzi urwu rwekutarisira varwere rwakanga rwakanyanya mumitsetse yezvandaida kuita. Saka, nhanho yangu yaitevera yaive yekuve Emergency Medical Technician (EMT) kuzadzisa chinodiwa chechiitiko chebasa pane yangu PA application.
Kushanda seEMT kwakave kunoreva zvakanyanya pane kungova chinhu chinodiwa pachikoro chePA. Zvingave zvichemo zvaive zvekurapa kana kushungurudza, varwere ava vaisangana neni pazuva rakaipisisa rehupenyu hwavo. Imwe nhare yatakaita akanga ari murwere aitaura chiSpanish bedzi ainyunyuta pamusoro pokurwadziwa kwebvi rokuruboshwe. Sezvo ndaiva ini ndoga mutauri wechiSpanish aivapo, ndakaturikira vabatsiri. Vanachiremba vakagumisa kuti murwere aigona kutakurwa kuchipatara kodhi 2, hapana paramedic yekutevera uye hapana mwenje uye siren zvinodiwa, sezvo yairatidzika kunge inzvimbo yekurwadziwa kwemabvi. Ndiri munzira kuenda kuchipatara, ndakaona kunhuwa kwaibva kumurwere. Pakarepo, murwere akabva atadza kupindura saka takasimudzira kutakura uye kushandisa marambi edu nemasiren kuti tisvike ikoko nekukurumidza. Tichisvika murwere akatanga kuuya. Mukoti wechitatu akauya patiri ndokuonawo kunhuwa kwacho. Mukoti akati tiise murwere mumubhedha pakarepo uye akati murwere anogona kunge ari septic. Ndakafunga, asi kupi? Gare gare zuva iroro, takatarisa murwere uye takaona kuti akanga ava pedyo zvikuru negomarara rezamu. Pachiitiko ichi, akatadza kutaura nezvemaronda akazaruka aakanyatsoputira pamazamu ake nekuti kwaisava kunyunyuta kwake kukuru. Iyewo haana kuzvitaura sechikamu chenhoroondo yake yekurapa yakakodzera. Ibvi rake rakanga richirwadza nekuda kweosteoporosis kubva kumaseru egomarara achikwira kumapfupa ake. Kufona uku kwaigara kwakandibata nekuti kwakaita kuti ndione kuti ndinoda kukwanisa kuongorora nekurapa varwere. SePA, ndaizokwanisa kuzviita zvese.
Zvose zvakaitika muupenyu hwangu zvakanditungamirira kuti ndione kuti ndinoda kuva chikamu cheboka rezvokurapa somubatsiri wachiremba. Kukwanisa kudzidza hunyanzvi hwekurapa hwakawanda, kuongorora, uye kurapwa kwaizonditendera kuti ndiuye nedenderedzwa rakazara mukutarisira varwere. Sekuda kwandinoita pre-hospital care, ndagara ndichida kuita zvakawanda. Kupiwa mukana, sePA, ndichatora matambudziko ekuchengetwa kwevarwere munzvimbo yechipatara uye ndinotarisira kukwanisa kutevera nevarwere vangu vose kusvika pakuguma kwekutarisira kwavo.
Chirevo Chako Mienzaniso #7
Mumwe mutambi wevolleyball wechidiki, aifara akauya muimba yangu yekudzidzira achinyunyuta nemarwadzo emusana panguva yake yekusapedza mwaka. Mavhiki maviri gare gare, akafa neLeukemia. Makore maviri gare gare mukoma wake, aimbove shasha yenhabvu yehurumende, akaonekwa kuti aiva nerudzi rwakasiyana rweLeukemia. Akarwa zvakasimba kwegore, asi iyewo akabatwa nechirwere chimwe chetecho chakauraya hanzvadzi yake yakanga iri mucheche. Mumwe musikana aiva mugore rake rechipiri pachikoro chesekondari akatsvaka zano rangu nokuti ainetseka nekapundu kumusana kwake. Mushure memavhiki mashomanana ekucherechedza akadzoka achinyunyuta nezvemarwadzo ekudzokera shure pamwe nekuwedzera kwehukuru hwekutanga bump. Nekuona kuti izvi zvaipfuura hunyanzvi hwangu, ndakamuendesa kuna chiremba wevana, uyo akabva akurudzira kuti anoona mumwe chiremba. Kutevera kuongororwa kwakawanda akaonekwa aine Stage IV Hodgkin's Lymphoma. Pashure penguva pfupi yapfuura kutarisana nokurasikirwa kwevatambi vaduku vaviri, mashoko aya akanga achikatyamadza. Sezvineiwo, mugore rakatevera nehafu, mukadzi wechidiki uyu akarwa uye akakunda gomarara panguva yekupedza gore rake repamusoro uye akafamba achipfuura pachikuva pakupedza kudzidza nevaanodzidza navo. Ndakamufarira, asi ndakatanga kufunga nezvokugumira kwechinzvimbo changu somurairidzi wemitambo. Zviitiko izvi zvakaitawo kuti ndiongorore upenyu hwangu, basa rangu, uye zvinangwa zvangu. Ndakanzwa ndichida kuongorora zvandaisarudza. Mushure mekuita kudaro, ndakatsunga kuwedzera ruzivo rwangu uye kuwedzera kugona kwangu kushumira vamwe uye ndakasarudza nzira yakarurama kwandiri yaiva yekuve Mubatsiri waChiremba.
Mukati mebasa rangu kusvikira zvino somurairidzi wemitambo, ndakava neropafadzo yokushanda kunzvimbo dzakasiana-siana. Izvi zvinosanganisira acute care in-patient hospital, kushanda nevarwere vanenge vavhiyiwa; hofisi yemhuri yekudzidzira uye yemitambo yemishonga, ichiita kuongororwa kwekutanga; kiriniki yekurapa kunze, kushanda nevarwere ve rehab; hofisi yechiremba wemapfupa, mumvuri kushanya kwevarwere uye kuvhiyiwa; uye mayunivhesiti mazhinji uye zvikoro zvepamusoro, achishanda neakasiyana kukuvara kwemitambo. Zviitiko zvangu munzvimbo idzi dzakasiyana-siyana zvakandiratidza kudiwa kwemadhigirii ese evashandi vekurapa. Munda wega wega une chinangwa chayo mukutarisira kwakakodzera kwemurwere. Semurairidzi wezvemitambo ndakaona kukuvara kwakasiyana-siyana kwandaigona kuongorora nekuzvirapa. Asi zvagara zviri izvo zvandaifanira kutaurira chiremba wechikwata aindiremera, zvichiita kuti ndinzwe kuti ndaifanira kukwanisa kubatsira zvakanyanya. Semubatsiri wachiremba, ndaizova neruzivo nounyanzvi hunodiwa kuti ndiongorore uye ndipe tarisiro inodiwa kuvarwere vangu.
Nzvimbo yangu somurairidzi wechikoro chesekondari inondibvumira kujairana nevatambi vose, zvisinei, kuti ndive anobudirira zvikuru ndinobatanidzwa munzanga yechikoro ndokuvavarira kudzidza zvakawanda pamusoro pavanhu vandinoshanda navo. Kwemakore matatu apfuura ndanga ndiri mutevedzeri wemudzidzisi wejunior and senior high school. Ndakazvipirawo kuita mabasa mazhinji anopihwa nechikoro kuvadzidzi anosanganisira madhanzi echikoro, chirongwa chenharaunda chekudzivirira doro chinonzi Every 15 Minutes, uye epagore junior and senior retreat iyo inosanganisira kubatana kwechokwadi kune vese vatori vechikamu. Kuumba hukama hune chinangwa nevadzidzi kunosimudzira kushanda kwangu nekuvhura nzira dzekutaurirana uye kuvaka kuvimbana. Ndiko kutenda kwangu kwakasimba kuti murwere anongotaura pachena pamusoro pechikanganiso chaanozviona chinosanganisira kukuvadzwa nemumwe munhu waanonzwa akasununguka. Ndinoda nemwoyo wose kuva munhu iyeye kuvatambi vangu zvino, uye nevarwere vangu mune ramangwana.
Kukuvara kwakasiyana-siyana, zvirwere, uye zvirwere zvandakasangana nazvo somurairidzi wemitambo zvakandipa zviitiko zvakasiyana-siyana zvinoshamisa. Ndakaona nhamo nekukunda nevatambi vangu nevarairidzi, pandiri nekubuda munhandare kana mudare. Kukuvara kwakawanda kwave kusingakoshi mukufamba kwenguva, kunyangwe kune avo vari kurwadziwa panguva iyoyo. Vanoziva kuti vachapora nekufambira mberi mumutambo wavo uye voenderera mberi nerwendo rwavo muhupenyu. Kurwira uye kuhwina makwikwi ehurumende zvese zvakanaka uye zvakanaka, asi pane zvinonyanya kukosha zvakanyanya muhupenyu hwatinorarama. Ndakaona hupenyu hwevadiki huchitorwa, uye avo vakarwisa vasinganeti kukurira zvipingamupinyi zvese, uye vanhu ava ndivo vakachinja maonero andinoita mushonga, maonero andinoita ini, uye maonero andinoita ramangwana rangu munyika yezvokurapa. Vanhu ava vakapfumisa hupenyu hwangu uye vakabata mwoyo nepfungwa dzangu, vachindikurudzira kusundira mberi. "Ramba uchienda. Ramba uchirwa. Ramba uchirwa.” Dingindira rine simba remurairidzi wedu webasketball anogara neCystic Fibrosis yave iri huru huru kwandiri. Akaudzwa kuti aizorarama upenyu hupfupi zvikuru uye husingagutsi, asi haana kumbobvuma kuongororwa kwake. Akaita kuti upenyu hwake huve sezvaaida, achikunda zvipingamupinyi zvakawanda uye kurarama maererano nezvaairota. Kumuona achirwira zuva rega rega reupenyu hwake kwakandikurudzira zvikuru. Ndinoziva kuti inguva yangu yekurwira zvandinoda uye kuramba ndichienda kumberi.
Chirevo Chako Mienzaniso #8
Ndingazotenda chaizvo kana mumwe munhu akandiudza kana ndiri kurova chero mapoinzi akakodzera muchinyorwa changu!
Gonhi rakavhurwa richibva rarovera kumadziro aive pedyo. Mumba maive muine rima uye chandakangokwanisa kuona aive mafigure neruzha rwekutaura nevana vachichema. Maziso angu paakanga ajaira kusiyana nerima kubva kuzuva raipisa kunze, ndakabva ndapinda munzira ndakananga pakaunda. "Sign in," rakadaro izwi ndichibva ndatarisa pasi ndikaona pini yakatsengwa nemurwi wemapepa akatsemuka, paari ndakanyora zita rangu nezuva rekuzvarwa. Izwi rakabuda zvakare “ivai nechigaro; tichakufonera kana tagadzirira. Ndakacheuka kuti ndione kamuri, rakanga risingadarike imba yokurara miviri, yakanga yakazara vakadzi vaduku nevana vemazera akasiyana-siyana. Ndakagara ndokumirira nguva yangu yekuti ndionekwe kubazi rezveutano rekwangu.
Semunhu achiri kuyaruka asina inishuwarenzi yehutano, ndaona pekutanga-ruoko kudiwa kwevanopa vanogona kupa hutano huripo. Zvakaitika kwandiri kudhipatimendi rezvoutano romunzvimbomo zvakaita kuti nditye kuenda, ndisingambozivi kana ndaizoona mupi mumwe cheteyo zvakare. Kufanana nevamwe vakawanda vaiva mumamiriro angu ezvinhu, ndakangorega kuenda. Mushure mezviitiko izvi, ndakaziva kuti ndaida kuva kugadzikana kwevarombo uye vane mitoro yemari.
Ndakatanga basa rangu mune zveutano senyanzvi wepamishonga. Rakanga riri basa iri rakasimbisa fariro dzangu musayenzi yemishonga. Kwaivewo kufumurwa uku kwakandiratidza kuti vanopa rubatsiro rwekutanga vanoita basa rakakura muhurongwa hwehutano. Zvisinei, pakanga pasati pari kutozosvikira ndatanga kushanda mukunyoreswa nokuda kweDhipatimendi Rechimbichimbi rechipatara changu chomunzvimbomo pandakakwanisa kuona kuti basa iri rinokosha sei; varwere vanogara kwemaawa kuti vaonekwe nekuda kwefivha nemusoro nekuti havana imwe sarudzo yehutano.
Zvandakaona izvi zvakandisundidzira kuenderera mberi nekurapa. Mushure mekuenda kumusha kuti ndiite basa iri, ndakakwira nzira yangu kubva kune munyori weyuniti kuenda kune nyanzvi yekuchengeta varwere kwandakava neruzivo rwangu rwekutanga nevarwere. Ndinoyeuka chimwe chiitiko apo pandakanga ndichibetsera murwere kuenda kuchimbuzi, akatanga kudikitira nokunyunyuta nokuda kwokusaona zvakanaka. Ndakabva ndangodaidza munhu kuti apinde kuti ndimutarise kuti shuga yake yakamira sei; yaiva 37 mg/Dl. Nurse aiva padivi pangu takasvika mai Kay zvakanaka pamubhedha ndokutanga kuvarapa neglucose. Ndakafara zvikuru uye ndichizvikudza nokuda kwekuziva zviratidzo uye kukwanisa kuita pasina kuzeza. Inguva dzakaita seino pandinoziva kuti zvishuwo zvangu hazvisi zvekurapa varwere chete, asiwo kuongorora zvirwere.
Pashure pokunge ndashanda pamwe chete nevarapi vakawanda vezvoutano kwemakore anoda kusvika gumi, hapana akandishamisa saMike, mubatsiri wachiremba pachikamu chokuvhiya mwoyo. Ndakamuona achitora nguva yakawedzerwa yekupfuura nemushonga wese waive nemurwere kwete chete kuti ave nechokwadi chekuti hapana kusangana kwezvinodhaka asi kutsanangura nekunyora pasi mashandisirwo emumwe neumwe kana vadzokera kumba. Kana murwere uyu achida kuzadzwa, panzvimbo yekukumbira "piritsi rebhuruu," vanokumbira nechivimbo mishonga yavo yeBP. Kunzwisisa matambudziko aya uye kutora nguva yekuagadzirisa kuburikidza nedzidzo yevarwere uye kutsigirwa kunogona kuvandudza zvakanyanya hupenyu hweavo vari munharaunda medu. MaPA anobatsira kuita iyi pfungwa yekudzivirira mushonga pamusoro pe episodic care sechikwata.
A team-based care system yakakosha kwandiri. Ndakadzidza kukosha kwesimba rekutsigira network ndichinetsekana mushure mekufa kwemuzukuru wangu. Marwadzo ekurasikirwa neshamwari yangu yepamwoyo, uye kuodzwa mwoyo kwandakanzwa mushure mekukundikana semesita mbiri, kwakaita kuti zvindiomere kupfuurira munzira yangu yebasa nechivimbo. Nekudaro, nerutsigiro nekuvimbwa kwevezera rangu, senge PA mukuita kwavo, ndakakwanisa kusundira mberi nekukunda iyi miedzo. Ndakadzidziswa kushushikana-kutonga uye kutsunga kuburikidza nematambudziko aya uye ivo vanozondibatsira pandinenge ndichiedza basa iri rakaoma uye riri kubuda sePA.
Nekudzidziswa kwangu kwehunyanzvi mune zvekurapa, ndine nzwisiso yakanaka uye ndinokoshesa mabasa emunhu wese mune zvehutano. Isu tinobva kwakasiyana kwakasiyana uye zviitiko zvinotitendera kuti tibatanidze pamwechete uye pakupedzisira kupa hutano huri nani hwevarwere. Ndine chivimbo mukugona kwangu kushandura hunyanzvi hwangu muzvidzidzo zvangu pamwe nekuita zveramangwana uye kuva PA inobudirira. Ini zvakare ndine chivimbo mukukwanisa kwangu kurondedzera uye kubatsira kuvhara mukaha wehutano huripo semutarisiri wekutanga.
Chirevo Chako Mienzaniso #9
"Chifuva changu chiri kurwadza." Chero ani ari munharaunda yezvokurapa anoziva ichi chirevo chisingagoni kungobviswa. Mary aive murwere wataiunza uye kubva kudialysis katatu pasvondo. Pazera rechidiki re88, pfungwa dzake dzakatanga kuenda uye nhoroondo yake yeCVA yakamupa hemiplegic, achivimba nesu pakutakura. Mary aititarisisa oenderera mberi nekurukurirano nemurume wake mushakabvu, achisimbirira kuti ari kunayiswa mvura ari muamburenzi, otinyengedza kuita zvinhu zvataisazombofunga nezvemumwe murwere, kureva kugadzirisa piro nguva dzisinganzwisisiki, uye kumubata. ruoko rwakaremara mumhepo kwese kwese kwe40 maminetsi ekufambisa, achikusiya pasi PCR yakazara. Asi, akanga ari Maria, naMaria vakanga vane nzvimbo inokosha mumwoyo yedu nokuda kwechishuvo chose chokumufadza kunyange napaduku pose- kusambobudirira, ndingawedzera. Mary akanyunyuta pamusoro pezvose, asi hapana chinhu panguva imwe chete. Saka, masikati emusi weChina paakataura zvisina tsarukano kuti airwadziwa muchipfuva, zvakasimudza mireza mitsvuku. Nemudzidzi ari muchikepe, vashandi vevarume vatatu vakasarudza kumhanyisa murwere kuenda kuER mamaira matatu kukwidza mugwagwa, kubuda, pane kumirira ALS. Ndakamhanya kufona, zveshuwa, aive Mary, uye aive murwere wangu. Vitals yakagadzikana, murwere anoramba kufema kunetseka uye chero zvimwe zviratidzo. Panguva yekufambisa kwemaminiti maviri ndakadaidza mushumo pamusoro pekuchema kwemasairini, "nhoroondo yeCVA uye ... CVA. Mary nditarise. Kuwedzera kurembera kwechiso; stoke alert, pindai ikozvino." Mary aigara aine chiso chakarembera, kutsvedza, uye kushaya simba kwedivi rekuruboshwe, asi zvaive zvakanyanya. Ndakamutora vhiki yoga yoga kwemwedzi mitanhatu, asi panguva ino ndakanga ndakagara kudivi rake rorudyi. Takamutora takananga kuCT, uye handisati ndambomuona. Mary aiva murwere wangu, uye munhu wose aizviziva.
Isu tinonzwa kuti "hupenyu hupfupi" nguva dzese, asi vangani vanhu vanga varipo mushure mekunge amai vakarwadziwa moyo vakakunguruka pamwana wavo ane mwedzi mina, iwe unoshanda mwana iyeye sewako, uchiziva kuti agara nguva refu. . Semupi wehutano hwehutano, une avo varwere vanoita kuti zvive zvakakosha; Izvi zvinokuyeuchidza kuti nei uchiramba uchidzokera kune MVAs, kudimburwa, overdose, makore matatu ane hove muziso rake, 2 wemakore ekudzika pasi pematanho, murwere weAlzheimer asinganzwisisi kuti sei vari kusungirirwa pamubhedha. , 302 uyo anokweva pfuti, pancreatic cancer murwere anorutsa ropa pauri iwe uri pazasi pemasitepisi uye hapana chaungaita nezvazvo kusvikira wadzika mamwe masitepisi maviri. Ambulance yangu ndiyo hofisi yangu. EMS yakandipa ruzivo rwakawanda, tariro uye kuodzwa mwoyo kupfuura zvandaigona kunge ndambokumbira se undergraduate. Hapana chayakaita kunze kwokuwedzera chido changu chokufambira mberi mune zvokurapa.
“Makwikwi aya ndeeshumba. Saka chin up, dzorera mapendekete ako kumashure, famba uchidada, fambisa zvishoma. Usananzva maronda ako. Zvipembererei. Mavanga aunobata chiratidzo chemukwikwidzi. Uri muhondo yeshumba. Kungoti hauna kuhwina hazvirevi kuti hauzivi kudzvova.” Maawa asingaverengeki ekuverengera kuona kusarongeka kwekurapa kweGrey's Anatomy, zvinoyevedza zvinoonekwa muImba MD, uye kunakidzwa kweER, hazvina, kana pasina chimwe chinhu, chakandipa tariro. Ndinovimba kuti mumwe munhu achaona kupfuura mediocre yangu GPA uye undergraduate chinyorwa, uye andipe mukana wechipiri wandinoziva kuti ndinokodzera. Ndakaratidza kugona kwangu uye kurudziro yangu muchikoro chesekondari uye makore angu maviri ekupedzisira ekoreji pandakatarisazve zvinangwa zvangu uye chirongwa. Ndakagadzirira, ndakagadzirira, uye ndinoda kuita chero zvingatora kuti ndisvike chishuvo changu chekupa rubatsiro rwemhando yepamusoro rwandinokwanisa. Kana usati wagadzirira panguva ino kuisa kutenda mandiri, ndichaita chero zvingatora kuti ndisvike ipapo, kungave kuri kutorazve makirasi, kana kuisa imwe $40,000 mudzidzo yangu kuti ndibudirire muchirongwa chemashure-baccalaureate. Pashure pemakore akawanda ekuita mabasa ezvokurapa, pakupedzisira ndawana wandinoda, uye chishuvo changu chokurarama nokudzidza hachina kumbosimba.
Chirevo Chako Mienzaniso #10
Kubva ipapo ndagadziridza chinyorwa changu uye ndingade kuti kopi yechipiri itariswe kana zvichibvira. Ndine mavara anosvika zana nemakumi mashanu pamusoro pemuganhu uye handina chokwadi chekucheka kana kupi. Ini zvakare ndiri kushanda pakuendesa meseji yekuti nei ndichida kuve PA uye zvandinogona kupa izvo zvakasiyana. Chero rubatsiro runoongwa zvikuru!
Ndakadzidza zvidzidzo zvakawanda zvakakosha panguva yemumvuri mubatsiri wechiremba mukamuri yekukurumidzira zhizha rino: gara uchinatsa makona ako, taurirana nevamwe vashandi veER kuti vashande zvinobudirira seboka, usambotaura nezve "kunyarara" pazuva. iri, uye kuti gumbeze rinodziya uye kunyemwerera zvinoenda kure mukutarisira murwere. Chinonyanya kukosha, ndakadzidza kuti ndinoda sei kuuya kuchipatara zuva rega rega, ndichifarira kutaurirana nevarwere vakasiyana-siyana uye kuva nemigumisiro yakanaka, pasinei nokuti iduku sei, muhutano hwavo hwehutano. Kuva mumumvuri wepalevel II trauma centre kwakandipa mikana yekukudziridza huzivi hwangu pachedu nezve kuchengetwa kwevarwere, pamwe nekufambisira mberi chishuwo changu chekutsvaga basa sePA mundima iyi. Kurudziro yangu huru yekuve PA, zvisinei, yakatanga zvakanaka ndisati ndambozorora muchipatara asi kubva kune chimwe chinhu chiri padyo nekumba.
Yaive chirimo gore rangu rekupedzisira kuMiami pandakawana text kubva kuna baba vangu. Akanga arwara kwemavhiki mashoma uye pakupedzisira akaenda kuchipatara nokuda kwebasa reropa renguva dzose. Kushanya kwaDoctor kwaimbove kushoma kwaari, sezvo ari chiremba weER uye aiita seasingarware. Pakapinda maresults, vakabva vamuendesa kuCleveland Clinic Main Campus. Akandiudza kuti aive akanaka uye kuti ndisazvinetse, nguva yese iyi tichiseka nezvekuwana imba ine mutambo wemaIndia, saka ndakamutenda. Mangwanani akatevera bvunzo dzake dzakadzoka - aive neacute lymphoblastic leukemia. Mazuva ake ekutanga makumi matatu ekuita chemotherapy yakanyanya akapfupikiswa paakawana hutachiona uye akawedzera mukutadza kwenhengo zvachose. Akange ari muICU kwemwedzi ingangoita miviri, panguva iyo akanyura achipinda nekubuda mukoma uye, sekureva kwaakaita, "kushanyirwa nanyanzvi wese kunze kwegynecology." Paakazopengenuka mushure memavhiki maviri edialysis, akange asina simba zvekuti akange asisagone kugara pasi asingabatsirwe saka akapedza imwe mwedzi miviri ari panzvimbo inochengeterwa varwere vasati vazobvumidzwa kudzoka kumba manheru eKisimusi.
Chakanga chiri chipo chakanakisisa chaigona kukumbirwa nemusikana, asi kwete pasina matambudziko acho. Akanga achiri kupera simba uye achifamba newiricheya. Aifanira kunwa mapiritsi akawanda kakawanda pazuva, uye aida kuti shuga yake yeropa iongororwe vasati vadya kwega kwega nekuda kwemasteroid. Imba yacho yaifanira kugara ichikweshwa kubva kumusoro kusvika kuzasi nekuda kwekuderera kwayo neutrophil count. Pandaiva muduku uye amai vangu vakarohwa nesitiroko kaviri, baba vangu ndivo vakanga vaita kuti mhuri yedu irambe iri pamwe chete. Nyika yedu yakatsvuka yainzwa kunge nhamo. Ndakadzidza kuita minwe uye majekiseni e insulin zvinyoronyoro, kuitira kuti asapwanya ganda rake rakatetepa-pepa. Ndakamudzidzisa nzira yekutsvaira mutsara wake wePICC pawakavharika (chinongedzo chandakadzidza kubva pane yangu ruzivo neIV inorwisa mabhakitiriya kurapa osteomyelitis gore rakapfuura). Paakatanga kufamba, ndakadzidza kuvharidzira mabvi ake nemaoko angu kuti asadonhe zvakanyanya mberi mushure mekunge arasikirwa nehukuru hwake hwekuziva uye kutonga kwemota kubva kuperipheral neuropathy.
Ndakanga ndine sarudzo yakaoma yekuita: kudzokera kuchikoro uye kuenderera mberi nekuita degree rangu, kana kugara kumba ndichibatsira amai vangu. Ndakagara muCleveland kwenguva yakareba sezvandaigona, asi pakupedzisira ndakadzokera kuchikoro zuva risati rasvika semester yechirimo. Ndakaramba ndichiuya kumba kakawanda sezvandaigona. Chirongwa chedu handicho chega chakachinja – nekuti baba vangu vakanga vasingakwanise kushanda, mararamiro edu akachinja zvikuru nekuda kwekunetsa kwemari kubva kuzvikwereti zvechipatara. Takafunga zvino nyore kupinda kwose kwataifamba kuti tive nechokwadi chokuti kwakanga kusina ngozi pawiricheya yake. Humwe usiku, amai vangu vakataura pachena kuti vakanga vasina kumbopedza nguva yakawanda kudaro nababa vangu mumuchato wavo wose. Kenza haisi kurwa kwemuviri chete asi zviuru zvehondo dzinoperekedza kuongororwa. Kumira ndakasimba nemhuri yangu kuburikidza nezvipingamupinyi zvose izvi zvakandibatsira kukudziridza maonero akazara uye akasiyana pamusoro pezvinetso zvinounzwa nenyaya dzehutano kuvarwere nemhuri dzavo.
Baba vangu vakadzoka kuzoshanda muER, uye vanoramba vachikwazisa varwere vachinyemwerera, vachitenda kuva vapenyu uye vane hutano hwakakwana hwekudzidzira mushonga. Baba vangu vasati vatanga kurwara, iniwo ndaifarira mushonga. Kubva ndichiri mudiki, ndakabvunza nyika yakandipoteredza ndine nyota yemhinduro isina kumbopera. Sezvandaidzidza masystems emuviri mune anatomy uye physiology, ndakatarisa kurwara nekukuvara sepikicha yakamirira kugadziriswa. Pandakanga ndichichengeta baba vangu, vakandiudza kuti ndinofanira kutarisa pachikoro chePA. Akati "kana iwe uchida mushonga uye uchida chaizvo kupedza nguva nevarwere, iva Chiremba Mubatsiri." Munguva yangu yemumvuri muDhipatimendi reEmergency, ndakaona ichi chiri chokwadi. Nepo vanachiremba vachitambira runhare kubva kunyanzvi uye machati akareba, maPA ari mukamuri ine varwere, vachiita ongororo yezviratidzo kana kucheka maronda nguva dzese vachichengeta murwere achiziviswa uye akadzikama kuti awedzere kushushikana. Mhedzisiro yakanaka pane chiitiko chekuchengeta murwere inonzwisisika. Ndinoda kushandisa tsitsi nekunzwisisa kumwe chete kwandakawana panguva yezviitiko zvemhuri yangu uye nekubva mumumvuri muimba yekukurumidzira kuitira kuti ndivandudze ruzivo rwehutano hwemumwe munhu.
Chirevo Chako Mienzaniso #11
"Kunyangwe uchizviziva kana kusazviziva, une simba rekubata hupenyu hwemunhu wese waunosangana naye uye kuita kuti zuva ravo rive nani zvishoma." Ndakambonzwa mumwe mugari anonzi Mary achinyaradza mumwe wake uyo akanga asingachabatsiri nezano diki iri. Mary akanga agara paLutheran Home kweanenge makore mashanu. Aiva nenyemwerero yaipisa tsitsi yainge yazara kumeso kwake achiita seaitaura nyaya. Yaive nyemwerero yakandifungisa kunyemwerera kwaiita mbuya vangu. Ndinoyeuka ndichifunga kuti mukadzi uyu akandishamisa zvechokwadi uye aiita seane mano anoshamisa okunyaradza vamwe. Mary akanga ari mukadzi asina udyire, ane tsitsi wandaiyemura zvikuru. Rimwe zuva ndakaziva kuti Mary akanga adonha paaiedza kuchinjika mushower uye akanga akuvara ruoko uye akanga arovera musoro wake. Chiitiko ichi, chakateverwa nedzimwe nyaya dzehutano, chaiita sekutanga kuderera kwake uye kugona kwake. Mary akaiswa pabed rest, zvishoma nezvishoma akatanga kushaya appetite ndokutanga kurwadziwa. Mwedzi mishomanana yakatevera, ndakafara pandakanzi nditarisire Mary nokuti mashoko andakanga ndaona akaitika zvechokwadi. Mary aisatarisirwa zvakanaka nguva dzose uye akanga asina vaenzi vemhuri mumazuva ake okupedzisira. Nguva zhinji ndaiedza kudongorera kuti ndive nechokwadi chokunyaradzwa kwake, kugara naye munguva yangu yokusununguka kana kuti kuzvidza Mary apo akanga aramba zvokudya kuti awane kuti adye zvakati wandei. Pakupedzisira, zvinhu zviduku zvakadai sokumubata zvaiva nazvo, kuvapo nokuda kwake uye kutaura naye pasina mubvunzo zvakaita kuti zuva rake rive nani zvishoma. Mary akandidzidzisa kuva nemoyo murefu, ruremekedzo uye tsitsi kumunhu wese wandinosangana naye uye ndakanyatsoona kuvandudzwa kunopihwa nzira iyi mukurapa. Ndinotenda kuti nzira iyi yakakosha pakuva mubatsiri wechiremba anoshamisa.
Ndakatanga kudzidza nezvebasa raChiremba Mubatsiri pandakatanga kushanda paUniversity yeMassachusetts Memorial Hospital, uye modhi yacho yakapindirana zvakasimba nekurudziro yehupenyu hwangu. Ini ndinoda nezvekuvaka hukama, nguva yakanaka nevanhu, uye kuchinjika kuva mudzidzi wehupenyu hwese. Ini ndinoda zano remutoro wakaderedzwa paPA's nekuti inobvumira kutarisa uye kusimudzira kwesimba ravo. Ndinoziva mukatikati mangu kuti basa iri ndiro randiri kuda kuita. Hongu ndiri kushanda nesimba, ndine chishuwo uye mutambi wechikwata, asi chinoita kuti ndinyatsokodzera kuita dhigirii reunyanzvi semubatsiri wachiremba hunhu hwangu netsitsi dzandakadzidza kuburikidza nezvakaitika kwandiri. Kwandiri, mubatsiri wachiremba anoshandira varwere vake, chiremba wake nenharaunda yake neruremekedzo netsitsi.
Pane huwandu husingayerike hwenguva dzandakasangana nadzo mukutarisira murwere izvo zvakakurudzira sarudzo yangu yebasa. Mukurangarira Mary, uye nemurwere wese akabata ega hupenyu hwangu hwemazuva ese ndakawana shungu dzangu nerudzi urwu. Ndinogara ndichitora nguva yekuve nevarwere vangu, kunzwisisa maonero avo, kuumba hukama navo uye kuvapa hutano hwakanaka hwandinogona kupa. Ndave ndichibatanidzwa mukutarisira murwere kwakananga mumamiriro akasiyana-siyana kwemakore 3 uye ndinowana mufaro mukuru zuva rega rega randinoenda kubasa. Kukwanisa kupesvedzera upenyu hwomunhu hwezuva nezuva chikomborero uye kunondipa rugare rwomumwoyo. Hakuna mubairo mukuru muhupenyu unopfuura kugovera rudo rwako netsitsi nenyika kuita kuti hupenyu hweumwe neumwe huve nani zvishoma.
Chirevo Chako Mienzaniso #12
Rwendo rwangu rwekuenda kuchikoro cheMubatsiri waChiremba rwakatanga makore matatu apfuura apo hupenyu hwangu hwakanga hwakaoma. Ndakanga ndiri muukama husingagutsi, mubasa rakandishungurudza chose, uye ndairwara nemusoro zuva nezuva nestress yekubata nenyaya idzi. Ndaiziva kuti ndakanga ndisiri kwandaifanira kunge ndiri muupenyu.
Ndakazvisunungura paukama hwangu husingagutsi. Nguva yacho ingave isina kukwana, sezvo ndakagumisa hukama mwedzi miviri tisati tachata, asi ndinoziva kuti ndakazvichengetedza makore ekushungurudzika. Mwedzi mina ndapedza kuroorana, ndakadzingwa basa. Ndichangomiswa basa, ndakabatwa nepfari nekuda kwemushonga wemusoro wandaigara ndichinwa zuva nezuva ndisati ndamiswa. Izvi zvakandisimbisa kuti ndaida kuchinja basa.
Handina kumbobvira ndarasikirwa nechishuvo, asi zvakaitika kwandiri munguva pfupi yapfuura zvakandipa kumbomira kuti ndiende kupi. Rimwe zuva mupi wemazano aivimbwa naye akandibvunza kana ndakanga ndambofunga nezvokuva chiremba kana mubatsiri wachiremba. Pakutanga, ndakaramba pfungwa iyi nokuti ndaiziva kuti ndaizodzokera kuchikoro chete, ndaifanira kuita zvidzidzo zvakaoma zvakadai semakemikari. Pfungwa yekutora makirasi ane chekuita nekemisitiri nemasvomhu yakandityisa. Kutya kukundikana kwemari nedzidzo kwakaita kuti ndifunge zvandaida nezvandaida. Mushure mekutsvagisa nekuenzanisa varapi, vanamukoti varapi uye vabatsiri vechiremba, ndakanzwa kufarira kwechokwadi chikamu chePA. Hurefu hwenguva muchikoro, mutengo wechikoro, mwero wekuzvimiririra, uye kugona kuongorora hunyanzvi zvikonzero zvishoma nei kuve PA kuchinakidza. Kwenguva yakati, ndakarega kuita chisarudzo ndichitya kuita chakaipa. Ndakanyanya kunetseka nekuziva kuti kana ndikadzokera kuchikoro, ndaizofanira kutora zvidzidzo zvandakatora sechikoro chechikoro chepamusoro makore gumi nemaviri apfuura. Zvisineyi, kusaita sarudzo nekuda kwekutya kwaive kunditorera nguva yangu uye kupinza mandiri pfungwa dzinoremadza dzezvingangoitika.
Mukuda kupikisa kutya kwangu, ndakafunga kuzvipira nechiteshi chemoto nekununura kuti nditore chitupa changu cheEMT-B. Uyezve, ndakatanga kuita zvidzidzo zvandaifunga kuti ndaizonetseka nazvo. Zvine musoro, ndakafunga kuti, dai ndaigona kuda kuva munzvimbo ino inokurumidza yehutano hwehutano uye kuramba ndichiwana kurudziro yekuita mamwe emakirasi akaoma kwazvo ebasa rangu rekukoreji, ndaizovimbiswa kuti ndiri munzira kwayo.
Kudzokera kuchikoro kwakanga kusiri nyore. Ndakatozobva kukoreji chemistry semester yangu yekutanga sezvo ndakanga ndaremerwa nekuchinja. Ndakanga ndiine ngura uye ndaifanira kurerutsira mumesita kuti ndigone kudzidzira tsika dzinoita kuti ndive mudzidzi mukuru. Pandakangowana tsoka yangu, ndakanyoresa kukoreji chemistry zvakare, uye ndakaifarira chaizvo. Ndakanzwa sokunge pfungwa dzangu dziri kuwedzera uye ndaidzidza zvinhu zvandaimbofunga kuti handigoni kudzidza zviri nyore. Chivimbo changu chakawedzera, uye ndakashamisika kuti kutya uye kunetseka kwangu kwaiva nezvei.
Kuwana yangu EMT-Basic certification, kuzvipira, uye kudzokera kuchikoro kuti ndikunde makirasi angu anonyanya kudiwa kusvika nhasi chave chimwe chezvisarudzo zvinopa mubayiro muhupenyu hwangu. Kuve EMT-B kwanditendera kuti ndidzidze hutano hwakakosha sekuita ongororo dzevarwere uye nhoroondo, kunzwisisa anatomy uye physiology pfungwa, uye kutaurirana nevarwere. Munda weEMS waita kuti ndive nepfungwa dzakavhurika uye kushivirira, zvichindibvumira kubata vanhu veese akasiyana mamiriro ehupfumi, mazinga edzidzo, uye madzinza. Ndakaona rutivi rwevanhu rwevanhu vandingadai ndisina.
Ini zvino ndine mufananidzo wakajeka wezvandinoda, ndinotyairwa uye ndinoziva zvandinoda kuzadzisa. Ndakakura muhunyanzvi uye pachangu ndichipa rubatsiro rwetsitsi kune vamwe uye ndichizvimanikidza kusvika kumwero wandaisafunga kuti ungaite. Pamusoro pezvo, kubva pandakadzokera kuchikoro ndinoona kuti ndinonakidzwa nekutarisana nekutya kwangu uye ndiri nani pakuzvipikisa uye kudzidza zvinhu zvitsva pane pandakanga ndiri mumakore ekuyaruka nemakumi maviri. Ndinoshuva kuendesa chishuwo ichi kune imwe nhanho, ndichiedza kugara ndichipfumisa hupenyu hwangu nematambudziko anogona kuunza chete basa remubatsiri wachiremba.
Chirevo Chako Mienzaniso #13
Murangariro wangu wakasimba zvikurusa wa“abuelita” wangu unobatanidza iye, mumisodzi, kurondedzera kuramba kwamadzibaba ake kumubvumira kufunda zvokurapa nemhaka yokuti akanga ari mukadzi. Pamwe nyaya iyi inoramba iri pachena nekuda kwekudzokorora kwake kwedementia, asi ndinofungidzira kuti yaive mhinduro yangu yemanzwiro ekushuva kudanwa kwakasimba sekwake. Kwatakagovana rudo rumwechete rwemapikicha nemabhuku, handina kumbobvira ndanzwa chiremba raive basa rakandikodzera- kunyangwe nekusimbirira kwaambuya. Nhasi ndine chivimbo chekuti Physician Assistant (PA) ndiyo mhinduro yemubvunzo wandanga ndichizvibvunza kwenguva refu. Chii chandichapira hupenyu hwangu? Semudzidzi aifamba-famba pakati pebasa remushonga uye budiriro yepasirese hazvina kujeka kuti ndeipi nzira inonyatsoenderana nehunhu hwangu uye zvinangwa zvebasa. Kutevera zvido zvangu zvakaita kuti ndiwane basa rePA. Iko kusanganiswa kwezvose zvandinofarira: biology, dzidzo yehutano uye basa rehurumende.
Kufarira kwangu muviri wemunhu kwakaita kuti ndiite hukuru hwePhysiology neNeuroscience paUniversity of California, San Diego (UCSD). Iyi kosi yekudzidza yakandikurudzira nekundinetsa sezvo yaibatanidza kufarira kwangu biology uye shungu dzekugadzirisa matambudziko. Kosi yeBiochemistry yakapa dambudziko kupfuura mamwe. Ndakabva ndatora zvakare kosi ndichidzidza chidzidzo chakakosha- kuti kukura kwemunhu kunobva mumatambudziko. Nechidzidzo ichi mupfungwa ndakafunga kupinda muhupenyu hwekupedza dhigirii kuburikidza nedambudziko rakaoma randingafungidzira- kuzvipira kwemakore maviri munyika yechitatu yenyika.
Mukuedza kutsvaga kufarira kwangu mune zvese hutano uye budiriro yepasi rose ndakabatana nePeace Corps. Uyezve izvi zvakandibvumira kushandira sangano rine uzivi hwandaigona kutenda mariri. The Peace Corps inoedza kuita mutsauko chaiwo muupenyu hwevanhu chaivo. Mukati memwedzi yekugara kumaruwa eEcuador ndakacherechedza uye ndakafemerwa nekubatika nekukasira kunoitwa nenyanzvi dzekurapa.
Neshungu dzekuda kubatana navo ndakabva ndawana mukana wekushanda nekiriniki yekumaruwa. Mamwe emabasa angu aisanganisira kutora nhoroondo dzevarwere nezviratidzo zvakakosha, kupa maoko parubatsiro kuna chiremba wevakadzi uye kugadzira chirongwa chedzidzo yehutano munharaunda. Ndakafarira chose tsvakiridzo, hunyanzvi uye kugadzirisa matambudziko kwaidiwa kukudziridza nekuita dzidzo yehutano yaizonyatsosvika kuvanhu vandaiedza kubatsira. Kungave kufambisa misangano, kubvunzana mukiriniki, kana mukushanya kumba, ndaibudirira mukudyidzana kwevarwere nevanhu vanobva kwakasiyana kwakasiyana. Ndakaona kuti chinhu chimwe chete chiri pasi rose; munhu wese anoda kunzwa kunzwa. Mudzidzisi akanaka kutanga anofanira kuva muteereri akanaka. Ndakaonawo kuti kushaya ruzivo rwezvekurapa kwandaiita dzimwe nguva kwaindisiya ndichinzwa ndisina rubatsiro sezvandakanga ndisingakwanisi kubatsira mumwe mukadzi akauya kwandiri mushure memusangano wekuronga mhuri. Takanga tiri munharaunda maawa kure nekurapa. Akaramba achibuda ropa kubva pakusununguka mwedzi mitatu yapfuura. Zvakandibaya mwoyo kuti hapana zvandaikwanisa kuita ndisina dhigirii rekurapa. Chiitiko ichi, nezvimwe zvakadaro, zvakandikurudzira kuti ndiwedzere dzidzo yangu kuti ndive chiremba.
Kubva pandakadzoka kubva kuRunyararo Corps ndakashingairira kuita basa rePA. Ndakapedza zvakasara zveprequisites zvine mamakisi epamusoro, ndakatora yakakurumidza EMT kosi kuUCLA, ndakazvipira mukamuri yekukurumidzira (ER) uye ndakavhara akati wandei maPA. Mumwe PA, Jeremy, anga ari muenzaniso unobatsira chaizvo. Anochengetedza hukama hwakasimba, hwekuvimba nevarwere. Ane ruzivo rwakanyanya, haakurumidze, uye ane munhu sezvaanoita zvinodiwa nemurwere. Hazvishamisi kuti vanomukumbira semurapi wavo wekutanga uye ndinovimba kudzidzira nehunyanzvi humwe rimwe zuva. Zvese zviitiko zvangu zvemumvuri zvakasimbisa zvinangwa zvebasa rangu zvakanyanya kuenderana neizvo zvePA, kwandinogona kutarisa nezvekuchengetwa uye kurapwa kwevarwere vangu, pasina basa rakawedzerwa rekuve bhizinesi rangu.
Nepo Peace Corps yakabatidza chishuwo changu chebasa rekurapa uye mumvuri mumhuri yakavhura maziso angu kune basa rePA, kushanda senyanzvi yemukamuri yekukurumidzira (ER Tech) yakasimbisa chishuwo changu chekuva PA. Pamusoro pemabasa angu eER Tech ndiri muturikiri wechiSpanish ane chiremera. Zuva rega rega ndine rombo rakanaka rekushanda padhuze nevashandi vakuru vePAs, vanachiremba uye vanamukoti. Nguva zhinji ndinoturikira murwere mumwechete mukushanya kwavo kwese. Kuburikidza nekudyidzana uku ndakakudziridza kutenda kukuru kune maPA. Sezvo ivo vachiwanzo kurapa varwere vasina kusimba vanogona kupedza nguva yakawanda padzidzo yemurwere. Chinhu chinonyanya kukosha chebasa rangu kuona kuti varwere vanowana kurapwa kwemhando yepamusoro zvisinei nemutauro wavo kana dzidzo. Rubatsiro rwandisingatarisire rwakabva kuna vanachiremba, ma PAs nemanesi vachiona kushingairira kwangu kudzidza uye kugovera ruzivo rwavo rwezvekurapa kuti vandibatsire kuzadzisa chishuwo changu chekuva PA.
Dingindira rekubatsira vasina kuchengetwa mukurapa rakagadzirwa mukati mehupenyu hwangu hwevakuru. Zviri pachena kuti kudanwa kwangu kuenderera mberi nebasa iri rinofadza sePA mukutarisira kwepuraimari. Ndine chivimbo chekuti ndichabudirira muchirongwa chenyu nekuda kwekuzvipira kwangu kupedzisa zvese zvandinotanga uye zvandinoshuvira kudzidza. Ini ndiri mumiriri akasarudzika nekuda kwemaonero angu etsika dzakasiyana-siyana, makore eruzivo mukuchengeta varwere nemitauro miviri uye kuzvipira kubasa remubatsiri wechiremba. Kana ndapedza chikoro cheChiremba Mubatsiri ndichave wekutanga muchizvarwa changu chevazukuru makumi matatu nevatanhatu kuwana dzidzo yekupedza kudzidza. Abuelita wangu anenge akazara manyawi.
Chirevo Chako Mienzaniso #14
Tsvina. Kunamira pabeche renzeve yangu, mupendero wemhino dzangu, uye kunamira paganda rangu rakanyanya kupisa, rine munyu; chiripo nekufema kwese kwemweya. Zuva rekuMexico rinorova kupisa pamapendekete angu akapiswa nezuva. Mumwe mukomana anotaura chiSpanish anondidhonzera muvhu kuti ndigare ndakaturikidzana iye achindidzidzisa mutambo une mutinhimira wekurova maoko. Ndinoona gumbo rake rakatenderedzwa zvisingaite sekunge ari kutsiva nzvimbo isina simba pamhuru yake. Ndichidongorera pamakumbo ake, ndinoona bundu rakazara urwa nedhora resirivha. Anonyara. Nei achifanira kuvimba nemuzvipiri wechechi ari kuvaka dzimba muMexico? Handina simba rekubatsira mukomana wechidiki uyu, handina simba rekumuporesa. Ndinonzwa kushaya zvekuita.
Ice. Kunyungudika nekunyunguduka mumagirovhosi eshinda, kuvharira zvigunwe zvangu zviri kutonhora. Mhepo inomhanya nematama angu, inotsvedza mumitsero yebhachi rangu nesikavha. Ndiri kuDetroit. Murume ane ruoko rwakashama, rwakaunyana anondibata ruoko rwangu achinyemwerera. Iye murwi anonzwa zvakanyanya kumba murima iri, kona yekongiri mudhorobha reDetroit kupfuura chero chipatara. Anokotama kundiratidza tsoka dzake dzakazvimba nevana vatsvuku vachimhanyidzana nemashino ake. Sei achivimba neni? Ndinongova munhu anozvipira pakubika soup, handina simba rekumuporesa. Ndinonzwa kushaya zvekuita.
Twumadonhwe. Ndichibatirira nekumhanya ndichidzika nepamusoro peshizha guru remunzvimbo dzinopisa, ndichirovera paruoko rwangu nepafafitera resimbi rine ngura. Nyanga honhi. Mabhero anotamba. Touts mhere mhere kuti nditariswe. Mukati mekunyorova, kupisa kwomunzvimbo dzinopisa, vanhu vanofamba vachienda kwose kwose pamusoro pekapeti yemarara iri mumigwagwa. Ndakagara mubhazi rakatsvikinyidzana riri kunze kweDelhi, India. Mumwe mupemhi wechidiki anozvikweva achikwira masitepisi esimbi ebhazi. Gokora rimwe riri pamberi perimwe, anokambaira zvishoma nezvishoma achikwidza nemukoto. Anoedza kuzvidhonzera mumakumbo angu, ropa rakaoma uye tsvina zvichinamatira musoro wake, nhunzi dzichiputira nzeve dzake, zvidya zvechidya zvakarembera kubva kumucheto kwechigaro. Kunyange zvazvo ndisingafaniri kudaro, ndinomubatsira pamakumbo angu kuti agare padivi pangu, misodzi ichiyerera. Mari haizomubatsiri. Mari yaingomukurudzira kunyengetedza mari shoma kubva kune anotevera mushanyi anouya. Ndine chokwadi chekuti hapana waanovimba naye kunyangwe achinyepedzera kundipfimba, nekuti anondiona sechipfuro kwete semubhegi anozvipira chero kumwe kudiwa kwemaoko pakufamba kwangu. Handina simba rokumuporesa. Ndinonzwa kushaya zvekuita.
Zvese zvitatu zvezviitiko izvi angori mapikicha enguva dzandakanzwa ndisina simba. Kushaya zvokuita kwakatanga ari mwana uye hanzvadzi yakura, achibva kumhuri yaamai vasina murume asina inishuwarenzi yeutano, asina madhigirii ekukoreji uye chingoro chisina chinhu chiri mumutsetse pachitoro chegirosari cheko; kushaya simba kwapera sezvo ndakwira pamusoro pezvisingafungidzirwe, kudzokera kukoreji mushure mezviitiko zvebasa rekuzvipira munharaunda, mhiri kweUS nepasirese.
Ndakava nemukana wekushanda uye kuzvipira mumisha inochengeterwa nherera nemakiriniki ekurapa emuno achibatsira vanotambura munyika dzakawanda. Ndakambonzwa kuravira kuti zvakaita sei kurapa maronda, kubatsira kutakura vakakuvara, kugara zvakanaka pamubhedha wemukadzi ane chirwere chetibhii chisingarapiki paakafema kekupedzisira. Ndakashanda pamwe chete nenyanzvi dzoutano dzakawanda munzira, asi vabatsiri vachiremba vakandisimukira. Vaichinja-chinja uye vaine tsitsi, vachipedza yakawanda yenguva yavo nevarwere. Yakawanda yakagadziridzwa kune yega yega mamiriro matsva uye zvakanaka kuchinjika pakati pehunyanzvi mumunda. Kwese kusangana nemurwere kana mubatsiri wachiremba kwawedzera chishuvo changu nefivha yekuwedzera ruzivo uye hunyanzvi, zvichinditungamira kuti ndinyore zvakare kukoreji.
Kutyora kwangu kwechinyorwa pakati pepwere asati akura uye mukuru anotyairwa akandidzidzisa pfungwa dzisingachinjiki dzakadai sechibayiro, kurwadziwa, kushanda nesimba, kuonga, tsitsi, kuvimbika uye kutsunga. Ndakachengeta zvishuwo zvangu uye ndikaziva zvandaigona uye kusasimba kwangu. Makore matanhatu mushure mekubva kukoreji uye makore mana ndadzoka, ini ndave wekutanga kukoreji akapedza kudzidza mumhuri yangu, ndashanda nzira yangu seresitorendi server zvichienderana nedzidzo yedzidzo uye matipi. Pakuzorora kwega kwega pakati pemasemesita ndinoenderera mberi nebasa rangu rekuzvipira munharaunda, muThailand, uye muHaiti. Mugore rinouya, ndakawana chinzvimbo semugadziri wekamuri rekukurumidzira uye ndichapedzisa Pre-PA internship kuburikidza neGapmedic muTanzania muchirimo kuti ndienderere mberi nekugadzirira Chirongwa cheChiremba Mubatsiri.
Mukurangarira kwese kwekubatana kwevanhu kwandakaita parwendo rwangu, ndakave nhengo yematsime sekushandira vasina rombo, ndichaenderera mberi nekutyaira kwangu uye chishuwo chakanangana naChiremba Mubatsiri Zvidzidzo ndichitarisira kuti ndinogona kuramba ndisisabatsiri.
Chirevo Chako Mienzaniso #15
Pandinotarira shure mumakore anoverengeka apfuura oupenyu hwangu, handina kutongozviona ndimene ndichifunga nezvebasa rechipiri. Zvisinei, zviitiko zvakawanda zvinofadza uye zvinogutsa zvandakava nazvo mumakore mashoma apfuura zvakaita kuti ndisarudze kuita basa rokurapa mazino.
Ramangwana mundima yehutano hwakanga huri sarudzo kwandiri, kubva kumhuri yevashandi vehutano. Iniwo ndaiva neruzivo rwebiology kubva kumazuva angu ekuchikoro uye kufarira kwangu mushonga wakazara kwakandiwana ndichisarudza basa rekurapa homeopathic. Ndakaedza zvakaoma kuti ndizvichengete ndiri pakati pepamusoro gumi muzana yekirasi uye kuda kuziva kwangu uye kufarira muviri wemunhu uye zvirwere zvinoukanganisa zvakakura nekusvetuka uye miganhu mukati memakore angu ekudzidziswa kwekurapa homeopathic.
Kurudziro kumashure kwangu, kuve nyanzvi yezvehutano kwaive kubatwa nekuona kutambudzika kwakatarisana naBaba vangu Sekuru vaive murwere wegomarara remapapu (mesothelioma). Sezvo taigara kumaruwa kuIndia, Baba vangu Sekuru vaifanira kufamba kwemaawa anopfuura maviri kuti vanorapwa. Kupfupika kwekufema nekuda kwekuputika kwepleural, kurwadziwa muchipfuva uye kutambura mushure mekurapa chemotherapy, zvese izvi zvinoshungurudza zvakaoma zvaakatambura zvakandikurudzira kuti ndive nyanzvi yehutano mune ramangwana.
Zvakare mutsa uye nehanya neVanachiremba, uye vamwe vashandi vehutano vakaratidza kwaari, zvakamuita kuti akunde kutambudzika, zvakagara zvichindikurudzira kuti ndirambe ndichifarira basa rangu rehutano kunyangwe matambudziko ese munzira iyi. Pakanga pasina chinhu chinogona kuitwa nemushonga mukupera kwe80s, kunze kwekunge uchimupa rutsigiro uye nguva yekufara mumazuva ake asara. Ndichiri kurangarira Chiremba nomubetseri wake avo vaigara vachimushanyira ndokupa zano rokuva noushingi uye vakagadzirira kutarisana nechinhu chiri chose. Aivimba neboka rake rokutarisira .Mashoko avo akaita kuti nguva dzake dzokupedzisira dzokufa dzive dzine runyararo. Kubva zuva iroro zvichienda mberi, ndakanga ndisisina imwe pfungwa yokuti ndaizovei mune ramangwana.
Mudiwa wangu, injiniya wemapurogiramu epurogiramu, akanga aronga kutamira kuUnited States kuti aenderere mberi nokudzidziswa muJava. Pandakamuudza nezvokufarira kwangu zvokurapa, akabva andikurudzira kuti ndinyorere kuchikoro chePA kana tasvika kuAmerica. Mushure mezvose, America yaive nyika yemukana- inzvimbo yawaigona kuenda kuzadzisa chero zviroto zvaungave nazvo mumoyo mako. Mukati mekudzidziswa kwomurume wangu, akandiudza kuti aiva nevashandi biyake vakati kuti vaiva mainjiniya kana kuti magweta, avo vakabudirira kuita zvokurapa basa ravo rechipiri. Ndichifadzwa nekurudziro yake uye nekufadzwa nezve tarisiro yekuva PA, ndakaronga kupedzisa zvinodiwa kuchikoro chePA ne4.0 GPA. Ndakadzidza nekukurumidza kubata nguva yangu zvakanaka pakati pekuchengeta vana vangu nekudzidzira basa rangu rekosi.
Kutenderera kwangu mukiriniki yakazara mugore redu rekupedzisira rechikoro chehomeopathic kwakandikurudzirawo zvakanyanya. Kushungurudzika kwehupenyu uye maitiro asina kunaka anokonzera zvirwere zvakawanda zvemazuva ano. Ndakaona kuti kunyange zvazvo vanachiremba vakawanda vachiita basa rakanakisisa rokupa varwere zano pamusoro pemishonga yavanofanira kunwa, vanopedza nguva shoma vachitaura nezvemaitiro ehupenyu ane utano. Tarisiro yokurapa murwere wose zvake pane kunyunyuta kwake oga yakanga iri, kwandiri, nzira yokuenda nayo.
Ini ndinonyanya kufarira kuve mubatsiri wechiremba mumunda weInternal Medicine. Mubatsiri wachiremba, kwandiri, akafanana nemutikitivha, anounganidza zvese zvinongedzo uye anosvika pakuongororwa zvine musoro. Sezvo yakakura kudaro, uye sezvo madiki-ayo akagadzirwa zvakanaka, ndinotenda kuti Mushonga Wemukati ndiwo unonetsa pane ese hunyanzvi.
Charisma hunhu hwakaoma kudzidza asi kubva paudiki hwangu, ndakadzidzira kuwana nekukurumidza kutariswa, kuremekedzwa uye kuvimba nevamwe nekunyemwerera kwakanaka. Kuve mutambi wechikwata akanaka, hunyanzvi hwekutaurirana, shungu dzangu uye kuzvipira kwangu zvakandibatsira kupa hutano hwakanaka kuvarwere vangu. Mibairo inobva mukuvandudza mararamiro evarwere akandikurudzira kuti ndive nyanzvi yezvehutano ine simba uye inobudirira uye ndinovimbisa kuti izvi zvichawedzera kuChirongwa changu chekubatsira Chiremba zvakare.
Nezviitiko zvese izvi mumunda wekurapa uye chishuwo changu chikuru chekuenderera mberi senyanzvi yezvehutano, ndinovimba, kunyanya, Chiremba Mubatsiri angave akakwana. Mwoyo murefu uye kushingirira mapatya akakosha anodiwa mubasa rehutano uye ndinovimba ndakazviwana panguva yeruzivo rwangu rwekiriniki. Kuburikidza nezviitiko zvangu zvehutano, ndakakura kwete senyanzvi yezvehutano chete, asiwo semunhu. Ndava muteereri mukuru, mudiwa anozvitsigira, uye mushandi akanaka kune varwere uye timu yehutano izvo zvakakosha hunhu hweMubatsiri weChiremba. Kutsunga, kutsungirira uye kushanda nesimba zvakandidzidzisa kuti ndingabudirira sei muupenyu hwose. Pamwe chete nechishuwo changu chemishonga uye kuporesa vanhu, chishuwo changu chekupa hutano hwakanaka kunharaunda dzisina kuchengetedzwa, zviitiko zvangu zvehupenyu zvakaumba hunhu hwangu nekutenda kuve munhu wandiri nhasi izvo zvakandikurudzira kuti ndive ane pesvedzero uye akabudirira Chiremba Mubatsiri mune ramangwana.
Ini ndinokwezvwa zvakanyanya nebasa rekuve Physician Assistant. Ndinoda kubatsira vanhu vakawanda sezvandinogona. Munda wezvokurapa hausi nyore munzira ipi neipi; kubva pakudzidza nesimba kusvika pakubatanidzwa mupfungwa kumurwere. Ndinoziva kuti ndakagadzirira, uye ndichave ndakashongedzerwa zvakanyanya kamwe chete seChiremba Mubatsiri. Ndinotenda kuti 'Ramangwana rinofanira kugara richionekwa rakajeka uye rine tariro. Ndinogara ndichitenda mukufunga kwakanaka. Simba reKufunga Kwakanaka, ini ndinosarudza izvo zvakanaka muhupenyu hwangu hwega uye hwemazuva ese. Ini ndoda kuve Mubatsiri weChiremba kuti ndipe hutano hwakanaka kune varwere vangu. Nezviitiko zvangu zvese mukati nekunze kweUnited States, ndinotenda zvakasimba kuti ndichaita Mukuru Chiremba Mubatsiri.
Sezvo ndakagara nekudzidza kuMiddle East (Dubai neAbudhabi), India uye ikozvino muUnited States, ndinogona kutaura Malayalam, Hindi neChirungu uye ndinotenda kuti ndinogona kupfumisa kusiyana kwetsika dzekirasi. Kuti uve Mubatsiri waChiremba, zvinoda hupenyu hwese kushanda nesimba, kushingirira, moyo murefu, kuzvipira uye pamusoro pezvose, iyo chaiyo mhando yehunhu hwakanaka. Ndinotenda kuti kudzidziswa kwangu mukurapa kwehomeopathic kunondipa maonero akasiyana uye akasiyana pamusoro pekutarisirwa kwevarwere, zvekuti kana zvabatanidzwa nekudzidziswa kwangu saChiremba Mubatsiri zvinogona kukosha mukuunza kutarisirwa kwevarwere kwakanakisa. Ndinotarisira kwete kurapa varwere vangu chete, asiwo mweya yakakuvara yemhuri yavo.
Ndinotarisira chikamu chinotevera muhupenyu hwangu hwehunyanzvi nechido chikuru. Ndinokutendai nekufunga kwenyu.
Chirevo Chako Mienzaniso #16
Ini ndinoda mhinduro pane yangu chinyorwa! Ini ndinongopfuura 4500 mavara, saka ndine kakamuri kekugadzirisa
Kubva kuhanzvadzi yechikuru inochengeta vana vadiki vanomwe kuenda kune anotungamira paramedic, hupenyu hwangu hwanga huzere nezviitiko zvakasiyana izvo zvakandiumba kuva mupi wehutano wandiri nhasi. Handina kumbofunga kuti ndaizotsvaga kuenderera mberi nedzidzo yangu kupfuura mwero webaccalaureate, mushure mezvose, dzidzo yangu yepamusoro yaifanirwa kundigadzirira basa risingadzivisike semudzimai wekugara pamba uye amai. Nekudaro, kushanda separamedic uye kuwana dhigirii Emergency Health Sayenzi kwamutsa chido chemushonga chinondiendesa mberi. Pandinoshanda paamburenzi ndinogara ndichitambudzwa nechishuvo changu chekuita zvakawanda kune varwere vangu. Ichi chishuwo chisingagutsikane chekuwedzera ruzivo rwangu kuitira kuti ndibatsire vanorwara nekukuvara zvinopa chikonzero changu chekuve mubatsiri wechiremba.
Semukuru wechipiri mumhuri yevana vapfumbamwe, akadzidzira kumba mune diki tsika yechitendero, rwendo rwangu rwedzidzo rwakanga rwusiri rwenguva dzose. Vabereki vangu vakandidzidzisa kuva mudzidzi akazvimirira uye mudzidzisi kuvanin’ina vangu. Kunyange zvazvo vabereki vangu vaisimbisa zvidzidzo zvakasimba, nguva yangu somwana yakanga yakakamurwa kudzikamisa basa rechikoro nokutarisira vanun’una vangu. Ndinoyeuka ndakagara patafura yokubikira ndichizvidzidzisa biology kusvika manheru, ndaneta pashure pokuswera ndichichengeta vana vamai vangu. Ndakamboedza kudzidza, asi amai vakanga vakabatikana, vachindisiya ndisina nguva yokuenda kuchikoro kusvikira vana vaiswa mumagumbeze. Pandainetseka kuti ndirambe ndakasvinura pfungwa yebasa rekurapa yakaita sehope. Handina kuziva, mazuva iwayo andaipedza ndichidzidza makadhi e index ndichibika kudya kwemanheru nekupukuta mhino duku akandidzidzisa unyanzvi hunokosha mukugadzirisa nguva, mutoro, uye tsitsi. Unyanzvi uhwu hwakaratidza kuve kiyi yekubudirira mune zvese dzidzo yangu uye basa repamedic.
Mushure mekunge ndapedza chitupa changu cheEMT-Basic muchikoro chesekondari, ndakaziva kuti ramangwana rangu raive munharaunda yekurapa. Mukuedza kutevera chinodikanwa chevabereki vangu chokupinda kosi yefundo inonzi “yakafanira” kumukadzi, ndakavamba kuita dhigirii muukoti. Mukati memesita yekutanga yegore rangu rekutanga, mhuri yangu yakawira munguva dzakaoma dzemari uye ndaifanira kugadzira chirongwa chekuchengetedza. Ndichinzwa kuremerwa kwemutoro wekurerutsa dambudziko remari pamhuri yangu, ndakashandisa chikwereti nebvunzo kuti ndiedze kubva pane yangu yakasara yedzidzo yedzidzo uye ndakapinda muchirongwa chinomhanya-mhanya cheparamedic.
Kuve paramedic kwaratidza kuve sarudzo inogadzirisa zvakanyanya muhupenyu hwangu kusvika zvino. Semudiki aitungamirira paramedic pakambani yangu, ndakanzwa zvakare kuremerwa nebasa apo ndaitambanudza hunyanzvi hwangu hwehutungamiriri kusvika kumatanho matsva. Haisi chete iyo in-charge paramedic inotarisira sarudzo dzekutarisira varwere, shamwari yangu yeEMT uye vekutanga vanopindura vanotarisa kwandiri kuti vawane nhungamiro uye manejimendi echiitiko. Unyanzvi hwandakawana pakutarisira mhuri yangu hwakandibetsera zvikuru, sezvo nguva pfupi yapfuura ndakakwidziridzwa kuva mupurisa webasa romumunda. Basa rangu harina kungondibvumira chete kuti ndisununguke kubva pazvipingamupinyi zvemhuri izvo zvaitadzisa basa rekurapa, rakandidzidzisa chinangwa chechokwadi chehutano. Mushonga wekukurumidzira harisi basa chete; mukana wekubata hupenyu hwevamwe munguva dzemarwadzo nekutambura. Kushushikana kwemuviri, pfungwa, uye manzwiro ekuve mubatsiri anondisundidzira kusvika padanho rakakosha pandinomanikidzwa kukunda zvipingamupinyi izvi kana kukundikana varwere vangu. Takatarisana nemhirizhonga uye hupenyu nerufu mamiriro ndinofanira kurongedza nguva yangu yese manejimendi uye masimba epfungwa kuti ndipe nekukurumidza, kwakaringana, uye kunzwira tsitsi kuvarwere vangu. Matambudziko aya akarodza njere dzangu, asi chakanyanya kukosha aita kuti ndive munhu akasimba uye ane tsitsi.
Kudyidzana nevanhu vemazera ese nemafambiro ehupenyu kwakonzera kuti zvidzidzo zvangu zvive zvipenyu uye zvinokuchidzira chishuwo changu chekuenderera mberi nedzidzo yangu semubatsiri wachiremba. Zvirwere hazvisisiri rondedzero yekuongorora kwekuongorora mubhuku; vanotora zviso nemazita ane matambudziko anobatika nezviratidzo. Zviitiko izvi zvakavhura maziso angu padanho rekutambudzika rinomanikidza kuti ndirase. Ndinofanira kuwedzera uye kuziva zvakawanda kuti ndiite zvakawanda. Kushanda nevarwere ava, ndinonzwa kudziviswa neruzivo rwangu uye hunyanzvi. Ndakambofunga kuti kuwana dhigirii rangu mukurapa kwekukurumidzira kwaizoshanda kutyora zvirambidzo izvi, asi zvakapesana zvaitika. Pandinowedzera kudzidza ndipo pandinoona kukura kwakaita kudzidza nezvekurapa, uye shungu dzangu dzekuenderera mberi nedzidzo dzinokura. Kuve mubatsiri wachiremba mukana wangu wekutyora zvirambidzo izvi uye kuenderera mberi nehupenyu hwakazvipira kudzidza nekushandira vanorwara nekukuvara.