Spotlight: 2022 sarudzo • Dzimba nekudzingwa • #MSWelfare scandal • Jackson Water • Kubvisa pamuviri • Rudzi nerusarura • Basa rechipurisa • Kuvharirwa
Jackson, Mississippi.Nguva pfupi mushure mekunge murwere asvika, Dr. William Liniveaver vakasvika panzvimbo yekupisa."Vakapinda nechikopokopo uye takavaisa munzvimbo dzinochengetwa varwere zvakanyanya," akadaro."Chekutanga tinoenda nemunzira dzemhepo, tarisa hurongwa hwemoyo, ita shuwa kuti chubhu iri panzvimbo chaiyo."
Lineaweaver inotaura nyaya yemurwere akapiswa kusvika afa muimba yemoto makore akawanda mushure mokunge Joseph M. Still Burn Center atamira kuJackson Merit Central Health muna 2013. Vakagamuchira kutsva kwakanyanya pamaoko avo, chifuva uye chiso.“Kuzvimba kwavo kwechiso kwaiwedzera.Vanodzima moto vakasvika, ambulance yakasvika.Vakaisa mapfekero ekutanga uye vakaaisa kuti vadzivirire mhepo, "akayeuka mubvunzurudzo.
Vanonunura vakabva vatora vakakuvara vakananga kuJMS Burn Center, iyo chete nyanzvi yekupisa unit mukati memakiromita angangoita mazana maviri munzira ipi neipi yeJackson.Izvo zvinotevera bhatiri rezviyero."(Murwere) aiva nebhokisi X-ray kuti atarise kuparara kwemapapu kunofambira mberi uye bronchoscopy kutarisa kukanganisa kwemhepo," akadaro mubvunzurudzo yaDecember 12.
Resuscitation inhanho inotevera mukudzorera kutenderera kunhengo dzakakosha kuchengetedza itsvo nemapapu kushanda.Chikwata cheLineweaver chakawana kabhoni monoxide muropa remurwere, uye jekiseni remutsinga rinobatsira kudzorera mvura mumuviri.Kuchekwa kwakapinza panzvimbo yekutsva kunobatsira kubvisa kudzvanywa paganda rakaoma uye kudzoreredza kuyerera kweropa kumakumbo nekutyisidzira kwekufema.Zvadaro weti catheter: weti ine utano chiyero chekuchengetedza mvura yakachengeteka.
Basa reLineweaver nechikwata chake paJMS Burn Center nderekutarisana nekusagadzikana kwemuviri uri muhutano.Vanochengetedza kudzvinyirirwa uye kuputika uye kuchenesa maronda evarwere mukugadzirira iyo inotevera kupora uye kupora chikamu.
Pasati papera maawa maviri pakati penguva yekukuvara uye nguva yekutanga yekudzikama, apo mupukunyuki akasungwa nebhandeji remishonga inorwisa mabhakitiriya."Panguva ino," Lineiweaver akadaro, "chikamu chekutanga chekurapa chakatemwa."
Nhasi, kuwana kune iyo nhanho yekutarisira kunoda kuti murwere mumwe chete abhururuke kubva kuMississippi.
Kwemakore anopfuura gumi, Dr. Liniveaver akabata nyaya dzakadai seyaakatsanangura paJoseph M. Still Burn Center paMerit Health Central, nzvimbo yega yega yakatanga kuBrandon, Mississippi uye gare gare yakatamira kuJackson.Mushure mekunge Delta Regional Medical Center yavhara Mississippi Firemen's Memorial Burn Center muna 2005, JMS Burn Center yakava mwoyo unorova weMisissippi's burn care system muna 2008. Nzvimbo yacho inogamuchira zvinyorwa kubva kumativi ose enyika kune zvose kubva pakukuvadzwa kwepamusoro kusvika kukukuvara kunouraya kumuviri wose. .
“Mukati megore rayo rokutanga rokushanda,” Lineweaver akanyora mwedzi wapera muchinyorwa chinonyorwa muJournal of the Mississippi Medical Association, “muzinda wacho wakarapa varwere 391 vakanga vakatsva zvikuru.kusvika (yaimbova JMS Burn Center muAugusta, Georgia) 0.62%.Paive nenyaya dzevana 1629. "
Asi mumumvuri weCCIDID-19 denda uye kukurumidza kupatsanuka kwenharaunda yehutano, Merit yakazivisa munaGunyana 2022 kuti JMS yaizosangana nedambudziko rakafanana nerekupedzisira rakatsaurirwa nzvimbo yekutsva yeMississippi muna 2005. Yakavhara muna Gumiguru 2022 uye yakatangira pari zvino. yakavakirwa muGeorgia, kwavanotambira nyaya dzakaomarara dzaizorapwa zvakanaka munyika yavo.Mississippi haina chimwe chimiro seJMS.
Zvichitevera kuvharwa kweJMS Burn Center, Liniweaver akasangana nevamiriri kubva kuMississippi Free Press kumba kwake kuMadison, Mississippi muna Zvita 12, 2022 kuti vafunge nezvekuedza kwake kugadzira kutsva kwekupisa kuMississippi uye zvaanotarisira kuti zvichaitika zvinotevera. ..
Kunyanya kukosha, Lineweaver akayambira kuti nyika iri kumanikidzwa kufunga patsva nzira yekuchengeta vagari vayo vakapiswa zvakanyanya.
“Kubva pandakatamira kuno muna 1999, takapa kaviri muitiro wapachivande mukana wokugovera tarisiro yenguva yakazara yokutsva muMississippi,” akadaro."Ndaona ichikundikana kaviri, ndinofunga kuti mutoro unofanirwa kudzokera kuhurumende."
Neshoba County Hospital CEO Lee McCall anga aine dambudziko rakakwana rekumhanyisa chipatara chekumaruwa panguva yedenda.Kupera kwekuchengetedza kwakavimbika kwekutsva muMississippi ungori mumwe mutoro: cheni dzekugovera dzakatambanudzwa kusvika pakupwanyika, kushomeka kwevashandi venyika, uye kupera kwechirwere chakawandisa nerufu zvaunzwa nemakore gumi aya.
"Iko kukanganisa kukuru," McCall akabvuma mubvunzurudzo neMississippi Free Press musi wa7 Zvita pamusoro pekuvharwa kweJMS."Zvinoshungurudza kuti nyika yedu parizvino haina dzimwe sarudzo."
Haasi mazuva ese Neshoba County General Hospital inoona varwere vakatsva zvakanyanya.Asi mushure mekunge nzvimbo yekupisa yeJMS yavharwa, kutsva kwakanyanya kwaireva nzira yakaoma yekuwana rubatsiro kune imwe nzvimbo kunze kweMississippi.
"Chekutanga pane zvese, tinoda kuvhura muAugusta, Georgia," McCall akadaro.“Ipapo tinofanira kutsvaga nzira dzekuti varwere vaende ikoko.Kana zvifambiso zvepasi zvakachengeteka zvakakwana, inzira refu kune amburenzi.Kana tikatadza kuapfuudza pasi, anotofanira kubhururuka.ndege iyi inoita marii?Ndizvo here?Mutoro wemari pavarwere unorema.”
Lineaweaver inotsanangura huwandu hwakawanda hwenjodzi dzekupisa."Kupisa kunogona kuva chero chinhu kubva pakuputika kunorwadza asi kudiki kusvika pakukuvara uko munhu anorasikirwa zvachose neganda rake," akadaro.“Inokuvadza maziso nedzimwe nhengo dzemuviri, hongu, asi inokonzeresa kuvhunduka kwakanyanya kwemuviri.Haisi chete iyo yese stress hormone axis inokandwa mukusagadzikana, asi munhu anorasikirwa nemvura nekuda kwekukuvara. "
Lineaweaver inoratidzira chiyero chakaoma chekugadzirisa uye kudzoreredza kunodiwa kuchengetedza varwere vakapiswa zvakanyanya vari vapenyu.“Ichi mvura chinoda kugadziriswa.Izvo hazvinyanyi kuomesa basa remapapu sezvo zvichikuvadza itsvo, ”akadaro."Kupisa kunogona kusanganisira kufemerwa nehutsi kana marimi emoto, izvo zvinogona kukonzera kukuvadzwa kwemapapu."
Matambudziko ekutsva anogona kuuraya munhu nenzira dzisingaverengeki."Mamwe marudzi ekutsva anogona kuve nemhedzisiro yemakemikari," Lineweaver akaenderera mberi.“Somuenzaniso, hydrofluoric acid inokuvadza zvikuru tsinga.Carbon monoxide kubva pakutsva inogona kuuraya zvakanyanya kana isingazivikanwe panzvimbo yakatsva. "
Basa rechikwata cheMcCall kuNeshoba harisi rekupa rubatsiro rwechokwadi kuvarwere vakatsva zvakanyanya, asi kuvabatanidza nekufamba kwenguva nechikwata chavana chiremba vane mazvikokota nevanovhiya vakaita saLineaweaver kuti vaponeswe.
Kunzvimbo yepakati pemazuva ano yekupisa, iri ibasa riri nyore.Ikozvino, maitiro aya anouya nekunonoka uye nekunetsekana kwasara kwese kweMisissippi's chaotic medical environment yakatarisana nayo.Migumisiro yacho inogona kuva yakakomba.
"Kunonoka pakati pekukuvadzwa, kuratidza panzvimbo huru yekukurumidzira, uye kuenda kunzvimbo yekupedzisira yekutsva ..." Lineweaver akadaro, izwi rake richidzikama."Kunonoka uku kunogona kunetsa."
“Kana pachidiwa kuvhiyiwa kwakadai sekucheka vanga rekutsva kuti rirambe richitenderera, zvinogona kuitwa ipapo ipapo here?Kana uyu ari mwana ane kutsva zvakanyanya, dhipatimendi renzvimbo ye emergency rinoziva nzira yekuisa catheterize dundira?mvura inodzorwa zvakanaka here?Mukugadzirisa kuronga kwekutamisa, zvinhu zvakawanda zvinogona kusara kumashure. ”
Parizvino, varwere vangangosvika mazana mashanu vaizoenda kuJMS kunorapwa zvakanyanya vari kutakurwa kuburikidza nehurongwa hwekufambisa hwehurumende, nevarwere vazhinji vakanyanya kuendeswa kunze kwenyika kunorapwa, Liniveaver akadaro.
Lineaweaver akati kumiswa kwakangoerekana kwaitwa mabasa eJMS Burn Center nekufa kusingatarisirwi kwaDr. Fred Mullins, mutungamiriri wezvokurapa wepakutanga JMS Augusta, Georgia saiti.Kubva Mullins akashaya muna 2020 aine makore makumi mashanu nemana, Lineweaver akanyora kuti, "Tsika yakaramba ichienderera mberi nekuchinja kwakawanda kwehutungamiriri uye nzvimbo zhinji dzakavhara kana kuti hadzichabatike kune network."nyika miviri.
Asi Lineaweaver anoti kushaikwa kweMisissippi kwesevhisi yakazara-sevhisi yekupisa kune yakapfuura kumashure-mukana wakarasika wekugadzira yakazvitsaurira kupisa unit paYunivhesiti yeMississippi Medical Center.
Muna 2006, mushure mekuvharwa kwechirangaridzo chevanodzima moto, Lineweaver akatora chikamu mune inovakazve microsurgical tsika paYunivhesiti yeMississippi Medical Center muJackson.MuMississippi, sezvazvino, hakuna nzvimbo dzakakwana dzakakwana dzekurapa kwekupisa kwakaoma, nehupenyu.Lineaweaver akati aifunga panguva iyoyo kuti chipatara chepamusoro chehurumende chekutsvagisa uye chete nhanho-imwe nzvimbo yekushungurudza yaive imwe nzira iri pachena."Ini ndinofungidzira nzvimbo yekupisa sekuwedzera kwenzvimbo iyi yakaoma yemaronda, ndichishandisa akawanda emisimboti yekushanda nekubudirira," akadaro.
Lineaweaver akatanga kuita hurongwa hwenzvimbo yekupisa yehurumende, iyo yaakaona isingadzivisiki panguva iyoyo.Chirongwa chekurapa chakakwana chekurapa hachisanganisi chete kutarisirwa kwekukurumidzira, asiwo kuvhiyiwa kwepurasitiki kwepamusoro kugadzirisa kukuvara kwakaoma kunogona kukonzera kutsva.
“Ngatitange neidi rokuti ndakanga ndisina kururama chose chose,” anobvuma kudaro.- Ndakafunga kuti UMMC inofanira kuzviita.Saka chaindinetsa ndechekuti ndikuratidzei maitirwo azvo.”
Chirongwa cheLineaweaver chingave chiri chekuwedzera chinodhura kune sutu yemasevhisi anopihwa naJackson's inokura UMMC, asi dare reparamende reMississippi rave kuda kubatsira, akadaro.
Muna 2006, Rep. Steve Holland, iye zvino ari Democrat akarega kubva kuTupelo, akaunza Bill 908 muImba yeVamiririri zvakananga kuti atange nzvimbo yekupisa paUMMC uye ave nechokwadi chekuenderera mberi kwekushanda kwenzvimbo yezvokurapa yekupisa unit.Mari yakawanda inopa.
"Pamusoro pemari ipi neipi inopihwa kuMedicine Center kubva kuMississippi Burns Fund, Dare reMitemo richapa mari inosvika mamiriyoni gumi emadhora ($10,000,000.00) pagore kuYunivhesiti yeMississippi Medical Center yekushanda kweMississippi Burns Center."anodaro mugwaro.Bill ari kuverenga.
Zvinyorwa zvemitemo zvinoratidza kuwedzera kunoshamisa kwerutsigiro rwepakati muMississippi House of Representatives sezvo bhiri rayo remari raidiwa rakapasiswa nevatatu-vashanu vazhinji muImba yeVamiriri.Zvakadaro, bhiri iri rakarambwa nemakomiti eSeneti ndokuzofa pakarenda.
Asi Lineaweaver akapokana kuti uyu anga asiri kungobatwa nemisangano yakawandisa kana masachigaro emakomiti asingafarire.“Kuvhura nzvimbo yekupisa ne(UMMC) kunoda mari yenhamba sere (pagore).Sekunzwisisa kwangu, yunivhesiti yakati kwete, ”akadaro Lineweaver.
Mune isina kuburitswa 2006 edhita, akafunga kubatanidza tsika yake yazvino yekuvakazve uye kuvhiyiwa kwepurasitiki nenzvimbo yekupisa.Chikumbiro chake chaive chekugadzira nzvimbo yekurapa yakazara iyo inogona kutora varwere kubva panguva yekutsva zvakanyanya uye kupa rubatsiro panguva yekudzoreredzwa kwemuviri uye zvizorwa patsva.
Asi Lineaweaver akabvisa chinyorwa ichi asati aiburitsa uye akaburitsa tsamba makore matatu gare gare mumagazini yaApril 2009 yeJournal yeMississippi Medical Association inotsanangura kumanikidzwa kubva panguva iyoyo Vice Chancellor Dan Jones.
"Kudhindwa kwechinyorwa ichi kunogona kukanganisa kutendeseka kwemaonero andinotaura ndakamiririra nzvimbo yekurapa nenyika," Lineweaver akanyora muna 2009, achitaura nezve email yaApril 27, 2006 paakati Jones akatorwa kubva kune email."Izvi zvinopesana nemazano ekomiti, iyo inosanganisira gavhuna uye inotungamira mukuru wehutano wehurumende," akaenderera mberi, achitaura naJones.
Mubvunzurudzo neChishanu, Ndira 6, Dan Jones haana kubvumirana nehunhu hwaLineaweaver hwemabatiro aakaita kuedza kwa2006 kutsvaga mari kunzvimbo dzekupisa.Jones akati akayeuka achifunga panguva iyo UMMC "yakanga iri sangano rakanakisisa kutora mutoro wekupisa kutarisira", asi haana kukwanisa kuwana "kuzvipira kwechigarire" kubva kuBumbiro reMitemo kuti riwane mari gore negore.
"Dambudziko rine nzvimbo yekupisa kana kupisa kurapwa ndeyekuti vazhinji vevarwere vanoda kurapwa havana inshuwarisi, saka kuvaka kana kugadzirisa nzvimbo haisi nyore sekupa nguva imwe chete," akadaro Jones.Honorary Purofesa weMishonga kuUMMC uye Honorary Dean weFaculty of Medicine.
HB 908 chinyorwa chakapfuudzwa neImba yeVamiririri zvakajeka chinosanganisira $ 10 mamiriyoni egore negore kugoverwa kuUMMC, kuzvipira kuenderera mberi nekubhadhara mari yekugadzwa nekuchengetedza nzvimbo yekupisa.Asi VaJones vakati komiti yedare reSeneti yakakunda bhiri iri yaita kuti vazive kuti kudzosera mari kwacho hakuna mubvunzo.
"Bhiri rakatanga kunyorwa uye bhiri rakakurukurwa kuti rigone kupasa zvinhu zvakasiyana," akadaro Jones.“Sezvo makomiti ari kusangana pabhiri iri, pane mucherechedzo wakajeka wekuti mutauro wakadzokororwa hauenderere mberi.
Jones akati dare reparamende rinozopedzisira rakurudzira mari yenguva imwe chete, iyo iye nevamwe vashandi veUMMC vanotenda kuti haina kukwana kubhadhara mari yegore negore.
“Zvinhu zvasiyana nhasi nekuda kwehomwe yekukuvara – inongovhara tsaona dzemotokari zvichingodaro – mari inobva kuhomwe yekukuvara yave kukwanisa kushandiswa kuchengeta varwere vakatsva, saka zviri pachena kuti handizive kuti mamiriro emari achamira sei nhasi.Asi muna 2006 na2007, hatina kukwanisa kuwana mari kubva kuTrauma Fund,” akadaro Jones.Aitaura nezve Mississippi Trauma Care System, iyo yakadzikwa muna 1998 uye yakazoda kuti zvipatara zvitore chikamu kana kubhadhara kuti zvisatora chikamu kutanga muna 2008.
Jones akaramba kutaura nezvekudyidzana kwake kwakapfuura naLineaweaver, asi akasimbisa chishuwo chake chekumisa nzvimbo yekupisa paUMMC.
“Tinoda chaizvo kuti sangano redu rive nenzvimbo yekupisa.Tinoda kuzviita,” akadaro.“Ndakaudza nhengo dzedare reLegislative Assembly kuti tinoda kupa rubatsiro urwu, asi hatingakwanise kuita izvi kana tisina kuzvipira kugara tichipa rubatsiro rwemari.”
Mubvunzurudzo yaZvita 30, 2022, Mississippi Yemahara Press, Rep. Holland vakabvumirana naLineaweaver kuti UMMC yakanga yaisa chigunwe chesangano ravo pachikero kudzivirira bhiri rezvipo kuti ripfuure.Asi akanzwira tsitsi nokufunga kwake kwokusava nechokwadi.
“Ndinogona kukuudza chikonzero chimwe chete (HB 908) chisina kupfuura – uye ndinonzwisisa kuti sezvo ndakabata bhajeti ravo kwemakore gumi nemasere – UMMC yaitya nazvo.Ivo vakati, "Chero Steve Holland aripo, taiziva kuti taizowana mari, asi chii chinoitika musi waanoenda?"
Holland akati tarisiro yekubvisa kurudziro yemitemo uye kuisa mutengo wakazara wekushanda kumayunivhesiti eruzhinji inoita kuti sarudzo ive ine njodzi yezvemari."Zvinotora zvivakwa zvakawanda kuvaka nzvimbo yekupisa," aimbova mutevedzeri akadaro.“Ino harisi imba yekuzvara.Yakanyanya kuoma maererano nemidziyo uye zvivakwa zvekurapa zvine hunyanzvi. "