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JACKSON, Mississippi.Atangofika wodwalayo, Dr. William Liniveaver anafika pamalo oyaka moto."Anawuluka ndi helikoputala ndipo tidawayika m'chipinda cha odwala mwakayakaya," adatero."Choyamba timadutsa munjira za mpweya, kuyang'ana dongosolo la mtima, onetsetsani kuti chubu lili pamalo oyenera."
Lineaweaver akufotokoza nkhani ya wodwala yemwe anawotchedwa mpaka imfa m'nyumba yamoto zaka zingapo pambuyo pa Joseph M. Still Burn Center atasamukira ku Jackson Merit Central Health ku 2013. Analandira kutentha kwakukulu kwa zida zawo, chifuwa ndi nkhope.“Kutupa kwawo kumaso kunali kukuipiraipira.Ozimitsa moto anafika, ambulansi inafika.Anagwiritsa ntchito zobvala zoyamba ndikuzilowetsa kuti ziteteze ndege, "adakumbukira poyankhulana.
Opulumutsawo adatengera ovulalawo kupita nawo ku JMS Burn Center, malo okhawo apadera omwe amawotcha mkati mwa mtunda wa makilomita pafupifupi 200 mbali iliyonse ya Jackson.Chotsatira ndi kuchuluka kwa mavoti."(Wodwalayo) anali ndi chifuwa cha X-ray kuti ayang'ane kuwonongeka kwa mapapo ndi bronchoscopy kuti ayang'ane kuwonongeka kwa mpweya," adatero mu kuyankhulana kwa Dec. 12.
Kutsitsimutsa ndi sitepe yotsatira yobwezeretsanso kuzungulira kwa ziwalo zofunika kuti zisungidwe ntchito ya impso ndi mapapo.Gulu la Lineweaver lidapeza mpweya wa carbon monoxide m'magazi a wodwalayo, ndipo jakisoni wolowa m'mitsempha amathandizira kubwezeretsanso thupi.Mabala akuthwa pamalo opserera amathandiza kuchepetsa kupanikizika kwa khungu lolimba komanso kubwezeretsa magazi ku miyendo ndi kuopseza kupuma.Ndiye catheter ya mkodzo: kukodza bwino ndi muyeso wa kusunga madzi otetezeka.
Ntchito ya Lineweaver ndi gulu lake ku JMS Burn Center ndikuthana ndi chipwirikiti cha thupi lomwe lili ndi vuto.Amasunga kupanikizika ndi kugunda ndi kuyeretsa mabala a odwala pokonzekera gawo lotsatira lachidziwitso ndi kuchira.
Pasanathe maola awiri kuchokera pamene anavulala ndi mphindi yoyamba ya bata, pamene wopulumukayo anamangidwa bandeji ndi bandeji ya maantibayotiki."Pakadali pano," adatero Lineiweaver, "gawo loyamba lamankhwala ladziwika."
Masiku ano, mwayi wopeza chisamaliro chimenecho ungafune kuti wodwala yemweyo awuluke kuchokera ku Mississippi.
Kwa zaka zoposa khumi, Dr. Liniveaver anachitira milandu monga momwe adafotokozera ku Joseph M. Still Burn Center ku Merit Health Central, malo apadera omwe poyamba anali ku Brandon, Mississippi ndipo kenako anasamukira ku Jackson.Delta Regional Medical Center itatseka Mississippi Firemen's Memorial Burn Center mu 2005, JMS Burn Center idakhala mtima wogunda wa Mississippi mu 2008. Malowa amalandila otumizidwa kuchokera kudera lonselo chifukwa cha chilichonse kuyambira kuvulala kwachiphamaso mpaka kuvulala koopsa kwa thupi lonse. .
Lineweaver analemba kuti: “M’chaka chake choyamba cha opareshoni, mwezi watha m’nkhani ya mkonzi mu Journal of the Mississippi Medical Association, “malowo anathandiza odwala 391 amene anapsa kwambiri.ku (kale JMS Burn Center ku Augusta, Georgia) 0.62%.Panali milandu ya ana 1629. ”
Koma mumthunzi wa mliri wa COVID-19 komanso kugawika kwake kofulumira kwa malo azachipatala, Merit adalengeza mu Seputembara 2022 kuti JMS ikumana ndi zomwe zimachitikira malo omaliza odzipereka a Mississippi mu 2005. ku Georgia, komwe amakhala ndi milandu yambiri yovuta kwambiri yomwe ikanathandizidwa bwino kwawo.Mississippi ilibe gulu lina ngati JMS.
Kutsatira kutsekedwa kwa JMS Burn Center, Liniweaver adakumana ndi nthumwi zochokera ku Mississippi Free Press kunyumba yake ya Madison, Mississippi pa Disembala 12, 2022 kuti aganizire zoyesayesa zake zopanga chisamaliro chanthawi yayitali ku Mississippi ndi zomwe akuyembekeza kuti zichitika pambuyo pake. ..
Chofunika kwambiri, Lineweaver anachenjeza kuti boma likukakamizika kuganiziranso momwe lingasamalire anthu omwe atenthedwa kwambiri.
Iye anati: “Kuyambira pamene ndinasamukira kuno mu 1999, takhala tikupereka kaŵirikaŵiri mwayi wopereka chithandizo chamseri ku Mississippi."Nditaona kuti zalephera kawiri, ndikuganiza kuti udindowo ubwerere ku boma."
Mkulu wa chipatala cha Neshoba County a Lee McCall ali ndi vuto lokwanira kuyendetsa chipatala chakumidzi panthawi ya mliri.Mapeto a chisamaliro chodalirika chowotcha ku Mississippi ndi cholemetsa chinanso: maunyolo operekera zinthu afika pachimake, kuchepa kwa ogwira ntchito mdziko, komanso kuchepa kwa matenda ochulukirapo ndi imfa zaka khumi izi zabweretsa.
"Ndizovuta kwambiri," McCall adavomereza poyankhulana ndi Mississippi Free Press pa Dec. 7 za kutsekedwa kwa JMS."Ndizokhumudwitsa kuti dziko lathu lilibe njira zina."
Sikuti tsiku lililonse chipatala chachikulu cha Neshoba County chimawona odwala opsa kwambiri.Koma malo oyaka moto a JMS atatsekedwa, kupsa koopsa kunatanthauza njira yovuta yopezera chisamaliro chapadera kwinakwake kunja kwa Mississippi.
"Choyamba, tikufuna kutsegula ku Augusta, Georgia," adatero McCall.“Kenako tiyenera kupeza njira yopezera odwala kumeneko.Ngati mayendedwe apansi ndi otetezeka mokwanira, ndi mtunda wautali kwa ambulansi.Ngati sitingathe kuwadutsitsa pansi, ayenera kuwuluka.ndegeyi ndi ndalama zingati?Ndi choncho?Mavuto azachuma amene odwala ali nawo ndi aakulu.”
Lineaweaver amafotokoza zoopsa zambiri zowotcha.Iye anati: “Kupsa ndi moto kungakhale chilichonse kuyambira chithuza chowawa koma chaching'ono kwambiri mpaka kuvulala kumene khungu lake limatulutsa kotheratu."Zimawononga maso ndi ziwalo zina, inde, komanso zimapangitsa kuti munthu asamachite mantha kwambiri.Sikuti timadzi tambiri tomwe timakhala tikuvutika maganizo timasokonezeka, koma munthuyo amataya madzimadzi chifukwa chovulala. "
Lineaweaver ikuwonetsa zovuta za kukonzanso ndi kukonzanso komwe kumafunikira kuti odwala otenthedwa kwambiri akhale amoyo.“Madzimadziwa amafunika kusinthidwa.Simasokoneza kwambiri ntchito ya mapapu chifukwa imawononga impso, "adatero."Kupsa kumatha kuphatikizira kutulutsa utsi kapena malawi, zomwe zimatha kuwononga mwachindunji mapapo."
Kuwotcha kungapha munthu m’njira zambirimbiri."Mitundu ina yoyaka ikhoza kukhala ndi zotsatira za mankhwala," Lineweaver anapitiriza.“Mwachitsanzo, asidi wa hydrofluoric amawononga kwambiri minyewa.Mpweya wa carbon monoxide wotuluka m’moto ukhoza kukhala wakupha kwambiri ngati sudziwika pamalo amene wapsa.”
Ntchito ya gulu la McCall ku Neshoba sikupereka chithandizo chotsimikizika kwa odwala omwe akupsa kwambiri, koma kuwalumikiza munthawi yake ndi gulu la madotolo ndi maopaleshoni ngati Lineaweaver kuti awapulumutse.
Kwa malo oyaka moto amakono, iyi ndi ntchito yosavuta.Tsopano, njirayi imabwera ndi kuchedwa ndi zovuta zonse zomwe malo ena azachipatala a Mississippi amakumana nawo.Zotsatira zake zingakhale zoopsa.
"Kuchedwa kotalikirapo pakati pa kuvulala, kuwonekera pamalo owopsa, ndikusunthira kumalo omaliza oyaka moto ..." adatero Lineweaver, mawu ake akukhala chete."Kuchedwa uku kungakhale kovuta."
“Ngati pakufunika opaleshoni yapadera, monga kudula chilonda chamoto kuti magazi aziyenda bwino, kodi angachite pomwepo?Ngati uyu ndi mwana wapsya kwambiri, kodi dipatimenti yowona za ngozi zakuderako ikudziwa momwe angatsekere chikhodzodzo?Kodi zamadzimadzi zimayendetsedwa bwino?Pakukonzekera kusamutsa, zinthu zambiri zitha kutsalira m'mbuyo. ”
Pakadali pano, pafupifupi odwala 500 omwe amapita ku JMS kuti akalandire chithandizo chapadera pakuwotcha akutumizidwa kudzera mumayendedwe olemedwa ndi boma, ndipo odwala ambiri omwe akudwala kwambiri akutumizidwa kunja kuti akalandire chithandizo chamankhwala, a Liniveaver adatero.
Lineaweaver adanena kuti kutha kwadzidzidzi kwa ntchito za JMS Burn Center chifukwa cha imfa yadzidzidzi ya Dr. Fred Mullins, mkulu wa zachipatala wa JMS Augusta yoyambirira, malo a Georgia.Kuyambira pomwe Mullins adamwalira mu 2020 ali ndi zaka 54, Lineweaver adalemba kuti, "Mchitidwewu wapitilira kusintha kwa utsogoleri ndipo malo ambiri atseka kapena sakulumikizidwanso ndi netiweki."mabungwe aboma.
Koma Lineaweaver akuti Mississippi kusowa kwa malo opangira ntchito zonse ndizovuta zam'mbuyo - mwayi wosowa wokhazikitsa malo odzipereka odzipereka ku University of Mississippi Medical Center.
Mu 2006, pambuyo pa kutsekedwa kwa chikumbutso cha ozimitsa moto, Lineweaver adachita nawo ntchito yokonzanso microsurgical ku University of Mississippi Medical Center ku Jackson.Ku Mississippi, monganso pano, kulibe malo apadera apadera ochizira matenda ovuta, owopsa.Lineaweaver adati panthawiyo ankaganiza kuti chipatala chapamwamba chofufuza zaboma komanso malo ovulala omwe ali ndi vuto limodzi ndiye njira yodziwikiratu."Ndikuwona malo oyaka moto ngati chowonjezera cha malo ovutawa, pogwiritsa ntchito mfundo zambiri zogwirira ntchito komanso zogwira mtima," adatero.
Lineaweaver adayamba kupanga mapulani a malo oyaka moto aboma, zomwe adaziwona kukhala zosapeweka panthawiyo.Dongosolo lodziwika bwino la chithandizo choyaka moto limaphatikizapo osati chisamaliro chadzidzidzi, komanso opaleshoni yapamwamba ya pulasitiki kuti athetse kuwonongeka komwe kungayambitse.
“Tiyeni tiyambe ndi chenicheni chakuti ndinali wolakwa kotheratu,” iye akuvomereza motero.- Ndinaganiza kuti UMMC iyenera kuchita.Ndiye vuto langa linali loti ndikusonyezeni mmene mungachitire.”
Dongosolo la Lineaweaver likadakhala lokwera mtengo pazowonjezera zantchito zoperekedwa ndi UMMC wokulirapo wa Jackson, koma nyumba yamalamulo yaku Mississippi yalola kuthandiza, adatero.
Mu 2006, Rep. Steve Holland, yemwe tsopano ndi Democrat wopuma pantchito kuchokera ku Tupelo, adayambitsa Bill 908 ku Nyumba ya Oyimilira makamaka kuti akhazikitse malo oyaka moto ku UMMC ndikuwonetsetsa kuti ntchito yowotcha yachipatala ikupitirizabe.Kupereka ndalama zochulukirapo.
"Kuphatikiza pa ndalama zilizonse zoperekedwa ku Medical Center kuchokera ku Mississippi Burns Fund, Nyumba Yamalamulo idzapereka ndalama zosachepera $ 10 miliyoni ($10,000,000.00) pachaka ku University of Mississippi Medical Center kuti igwire ntchito ya Mississippi Burns Center."imati mu chikalatacho.Bill akuwerenga.
Zolemba zamalamulo zikuwonetsa chiwonjezeko chodziwika bwino chothandizira likulu ku Mississippi House of Representatives popeza ndalama zake zofunikira zidaperekedwa ndi ambiri mwa atatu mwa asanu mu Nyumba ya Oyimilira.Komabe, lamuloli linakanidwa ndi makomiti a Senate ndipo pamapeto pake linafa pa kalendala.
Koma Lineaweaver adatsutsa kuti uyu sanali wovutitsidwa ndi misonkhano yodzaza ndi anthu kapena apampando a makomiti osakhudzidwa.“Kutsegula malo oyaka moto kudzera mu (UMMC) kungafune ndalama zisanu ndi zitatu (pachaka).Momwe ndikumvera, yunivesite idati ayi, "adatero Lineweaver.
M'nkhani yomwe sinasindikizidwe mu 2006, adaganiza zophatikiza machitidwe ake apano opangira opaleshoni yokonzanso ndi pulasitiki ndi malo apadera oyaka.Cholinga chake chinali kupanga chipatala chokwanira chomwe chingatenge odwala kuchokera pamene akuwotcha kwambiri ndikupereka chithandizo panthawi yokonzanso thupi ndi kukonzanso zodzoladzola.
Koma Lineaweaver adasiya nkhaniyo asanaisindikize ndikusindikiza kalata patatha zaka zitatu mu Journal of the Mississippi Medical Association ya Epulo 2009 yofotokoza za kukakamizidwa kwa Wachiwiri kwa Chancellor Dan Jones.
"Kusindikizidwa kwa mkonziwu kungasokoneze kukhulupilika kwa malingaliro omwe ndimawafotokozera m'malo mwa chipatala ndi dziko," Lineweaver analemba mu 2009, akutchula imelo ya April 27, 2006 yomwe adanena kuti Jones adagwidwa ndi imelo."Izi zikusemphana ndi malangizo a komitiyi, omwe akuphatikizapo bwanamkubwa ndi mtsogoleri wa zaumoyo wa boma," adatero, pogwira mawu a Jones.
Poyankhulana Lachisanu, Jan. 6, Dan Jones sanagwirizane ndi khalidwe la Lineaweaver la momwe adayankhira ku khama la 2006 lothandizira malo oyaka moto.Jones adanena kuti adakumbukira kuganiza panthawiyo kuti UMMC "ndi bungwe labwino kwambiri kuti likhale ndi udindo wosamalira moto", koma sakanatha kupeza "kudzipereka kosatha" kuchokera ku Nyumba Yamalamulo kuti apereke ndalama chaka chilichonse.
"Vuto la malo oyaka moto kapena chithandizo choyaka moto ndikuti odwala ambiri omwe amafunikira chithandizo alibe inshuwaransi, kotero kumanga kapena kukonzanso malo sikophweka ngati thandizo la nthawi imodzi," adatero Jones.Pulofesa Wolemekezeka wa Zamankhwala ku UMMC ndi Honorary Dean wa Faculty of Medicine.
Mawu a HB 908 operekedwa ndi Nyumba ya Oyimilira momveka bwino akuphatikizapo $ 10 miliyoni pachaka kwa UMMC, kudzipereka kuti apitirize kupereka ndalama zothandizira kukhazikitsa ndi kukonza malo oyaka moto.Koma Jones adati komiti ya Senate yomwe pamapeto pake idagonjetsa biliyo idamudziwitsa kuti kubweza ndalama sikunali kofunikira.
"Bili yomwe idapangidwa poyambirira komanso bilu yomwe idakambidwa kuti itheke nthawi zonse imakhala yosiyana," adatero Jones."Pamene makomiti amakumana pa biluyo, pali chizindikiro chodziwikiratu kuti chilankhulo chobwerezabwereza sichipitilira."
Jones adanena kuti nyumba yamalamulo pamapeto pake idzapereka ndalama zothandizira nthawi imodzi, zomwe iye ndi antchito ena a UMMC amakhulupirira kuti sizokwanira kulipira ndalama zapachaka.
"Zinthu ndi zosiyana lero chifukwa cha thumba la kuvulala - makamaka kuphimba ngozi za galimoto ndi zina zotero - ndalama zochokera ku thumba lachiwonongeko tsopano zingagwiritsidwe ntchito kusamalira odwala oyaka moto, kotero ine mwachiwonekere sindingathe kudziwa momwe ndalama zidzakhalire lero.Koma mu 2006 ndi 2007, sitinathe kupeza ndalama kuchokera ku Trauma Fund, "adatero Jones.Amanena za Mississippi Trauma Care System, yomwe idakhazikitsidwa mu 1998 ndipo pambuyo pake idafuna kuti zipatala zitenge nawo mbali kapena kulipira kuti asatenge nawo gawo kuyambira 2008.
Jones anakana kuyankhapo pa zomwe adachita kale ndi Lineaweaver, koma adatsindika chikhumbo chake chokhazikitsa malo oyaka moto ku UMMC.
"Tikufunadi kuti bungwe lathu likhale ndi malo oyaka moto.Tikufuna kutero, "adatero."Ndidauza aphungu a Nyumba Yamalamulo kuti tikufuna kupereka chithandizochi, koma sitingachite izi ngati sitidzipereka kuti tizipereka ndalama nthawi zonse."
Pa Disembala 30, 2022, kuyankhulana kwa Free Press ku Mississippi, Rep. Holland adagwirizana ndi Lineaweaver kuti UMMC idayika chala chabungwe lawo pamasikelo kuti ndalama zogulira ndalama zisadutse.Koma anamva chisoni ndi maganizo ake okayikira.
"Ndikukuuzani chifukwa chimodzi (HB 908) sichinadutse - ndipo ndikumvetsa kuti popeza ndinayendetsa bajeti yawo kwa zaka 18 - UMMC inkachita mantha.Adati, "Bola Steve Holland ali pafupi, timadziwa kuti tipeza ndalama, koma chimachitika ndi chiyani tsiku lomwe achoka?"
Holland adati chiyembekezo chochotsa chilimbikitso chowongolera ndikuyika mtengo wonse wogwirira ntchito kumayunivesite aboma kumapangitsa kuti chisankhochi chikhale chowopsa pazachuma."Pamafunika zida zambiri kuti amange malo oyaka," wachiwiri wakaleyo anatero mosabisa.“Ino si malo oyembekezera.Ndilothina kwambiri pankhani ya zida komanso zipatala zapadera. ”
Nthawi yotumiza: Mar-06-2023