The Zitsanzo za Ndemanga Zaumwini ndizofunika kwambiri kuzipeza pa intaneti, nazi 15 Zitsanzo za Ndemanga Zaumwini mutha kutsitsa ndikupangitsa kuti ikhale yoyenera malinga ndi zomwe mukufuna.
Mawu aumwini ndi ofunikira pamapulogalamu osiyanasiyana, kuphatikiza kuvomerezedwa kukoleji, zofunsira ntchito, ndi zolemba zomaliza kusukulu. Amapereka zidziwitso za umunthu wa wopemphayo, zolinga zake, ndi zomwe angapereke ku bungwe kapena bungwe. Mawu amphamvu aumwini ayenera kukhala ndi cholinga chomveka, kuwunikira zochitika zapadera, ndikugwirizana ndi zofunikira za mwayi.
Kulemba chiganizo chogwira mtima kumafuna kukonzekera bwino ndi kuchitidwa, ndi zitsanzo zosiyana malinga ndi cholinga ndi omvera. Kusanthula zitsanzo za ziganizo zaumwini kumatha kuzindikira mitu ndi njira zomwe zimathandizira kuti apambane.
Komabe, zolakwika zomwe anthu ambiri amapewa kuzipewa ndi monga kukhala wamba kapena cliché, kuyang'ana kwambiri zomwe zachitika m'malo mwa kukula kwanu, komanso kunyalanyaza kuwerengera ndikusintha. Kupewa zolakwika izi kungathandize kwambiri kuti mawu anu akhale abwino.
Zitsanzo za Munthu #1
Ndinkachita chidwi kwambiri ndi sayansi kuyambira ndili kusekondale, kumene ndinachita bwino kwambiri pa fizikisi, chemistry, ndi masamu. Ndili wamkulu, ndinachita maphunziro a kabalalasi a chaka choyamba pa koleji ya m’deralo (kalasi yapamwamba yoteroyo inalibe kusukulu ya sekondale) ndipo ndinapeza A. Zinali zomveka kuti ndiyambe ntchito ya uinjiniya wamagetsi.
Nditayamba maphunziro anga a digiri yoyamba, ndinali ndi mwayi wodziwa maphunziro osiyanasiyana a uinjiniya, omwe onse ankakonda kulimbikitsa ndi kulimbitsa chidwi changa cha uinjiniya. Ndakhalanso ndi mwayi wophunzira maphunziro angapo a anthu ndipo akhala osangalatsa komanso owunikira, akundipatsa malingaliro atsopano ndi osiyana ponena za dziko limene tikukhalamo.
Pankhani ya uinjiniya, ndakhala ndi chidwi chapadera ndi luso laukadaulo wa laser ndipo ndakhala ndikuchita maphunziro omaliza a quantum electronics. Pakati pa ophunzira 25 kapena kuposerapo pamaphunzirowa, ndine ndekha amene ndimaliza maphunziro awo. Chidwi china changa ndi electromagnetics, ndipo chilimwe chatha, pamene ndinali wothandizira pa labu lodziwika bwino padziko lonse lapansi, ndinaphunzira za ntchito zake zambiri zothandiza, makamaka zokhudzana ndi microstrip ndi antenna design. Oyang’anira pa labu imeneyi anachita chidwi kwambiri ndi ntchito yanga moti anandipempha kuti ndibwerere ndikadzamaliza maphunziro anga. Zachidziwikire, zolinga zanga ndikamaliza maphunziro anga apano ndikupita ku maphunziro apamwamba kupita ku masters mu sayansi. Ndikapeza digiri ya masters, ndikukonzekera kuyamba ntchito yanga ya Ph.D. mu engineering yamagetsi. Pambuyo pake ndikufuna kugwira ntchito m'dera la kafukufuku ndi chitukuko cha makampani apadera. Ndi mu R & D pomwe ndikukhulupirira kuti nditha kuthandizira kwambiri, pogwiritsa ntchito malingaliro anga komanso luso langa monga wasayansi.
Ndikudziwa bwino za mbiri yabwino ya sukulu yanu, ndipo zokambirana zanga ndi angapo a alumni anu zandithandiza kukulitsa chidwi changa chopezekapo. Ndikudziwa kuti, kuwonjezera pa luso lanu labwino kwambiri, makompyuta anu ndi ena mwa abwino kwambiri m'boma. Ndikukhulupirira kuti mudzandipatsa mwayi wopitiliza maphunziro anga kusukulu yanu yabwino.
Zitsanzo za Munthu #2
Pokhala nditachita bwino m'maphunziro a zolemba (zolemba zapadziko lonse) monga undergraduate, ndikufuna kuti ndikhazikike kwambiri pa zolemba za Chingerezi ndi Chimereka.
Ndimakonda kwambiri mabuku azaka za zana la khumi ndi zisanu ndi zinayi, zolemba za amayi, ndakatulo za Anglo-Saxon, ndi zolemba zakale ndi zamtundu. Zolemba zanga zanga zakhala zikuphatikiza mitu iyi. Pa gawo lapakamwa la mayeso anga athunthu, ndidalemba mwapadera mabuku azaka za m'ma 1900 ndi azimayi. Ubale pakati pa "zapamwamba" ndi zolemba za anthu zidakhala mutu wankhani yanga yolemekeza, yomwe idawunikira momwe Toni Morrison amagwiritsira ntchito miyambo yakale, yamubaibulo, yachi Africa, ndi Afro-America mubuku lake. Ndikukonzekera kupititsa patsogolo nkhaniyi, ndikumalemba mabuku ena a Morrison mwinanso ndikukonzekera pepala loyenera kufalitsidwa.
M'maphunziro anga opita ku digiri ya udokotala, ndikuyembekeza kuyang'anitsitsa kugwirizana pakati pa mabuku apamwamba ndi a anthu. Chaka changa chaching'ono ndi maphunziro anga achinsinsi a chinenero cha Anglo-Saxon ndi zolemba zandipangitsa kulingalira funso loti pali kusiyana kotani pakati pa nthano, zolemba za anthu, ndi mabuku apamwamba. Ndikapita kusukulu kwanu, ndikufuna kuyambiranso maphunziro anga a ndakatulo za Anglo-Saxon, ndikuyang'ana kwambiri za chikhalidwe chake.
Kulemba ndakatulo kumakhudzanso kwambiri zolinga zanga za maphunziro ndi ukatswiri. Ndangoyamba kumene kutumizira magazini ang'onoang'ono ndikuchita bwino ndipo pang'onopang'ono ndikumanga zolemba zogwira ntchito kuti ndisonkhanitse. Mutu waukulu wa bukuli wadalira ndakatulo zochokera ku miyambo yakale, ya m'Baibulo, ndi miyambo ya anthu, komanso zochitika za tsiku ndi tsiku, kuti tikondweretse njira yopereka ndi kupha moyo, kaya zenizeni kapena zophiphiritsira. Ndakatulo zanga zimachokera ku maphunziro anga a maphunziro. Zambiri zomwe ndimawerenga komanso phunziroli zimapeza malo muzolemba zanga monga phunziro. Panthawi imodzimodziyo, ndimaphunzira luso lazolemba pochita nawo ntchito yolenga, kuyesa zida zomwe olemba ena adagwiritsa ntchito kale.
Pankhani ya ntchito, ndimadziona ndikuphunzitsa mabuku, kulemba kutsutsa, ndikupita kukonzanso kapena kusindikiza ndakatulo. Maphunziro a udokotala angakhale ofunika kwa ine m'njira zingapo. Choyamba, pulogalamu yanu yophunzitsira yophunzitsira ingandipatse chidziwitso chothandiza chomwe ndikufunitsitsa kukhala nacho. Kupitilira apo, kupeza Ph.D. m'mabuku a Chingerezi ndi Achimereka angapititse patsogolo zolinga zanga ziwiri za ntchito powonjezera luso langa, lovuta komanso lopanga, pogwira ntchito ndi chinenero. Potsirizira pake, komabe, ine ndikuwona Ph.D. monga mathero mwawokha, komanso mwala wopondapo katswiri; Ndimakonda kuphunzira zolemba pazake ndipo ndikufuna kupitiriza maphunziro anga pamlingo wofunidwa ndi Ph.D. pulogalamu.
Zitsanzo za Munthu #3
Pamene dzuwa linali kulowa, mvula inayamba kugwa. M’mphepete mwa msewu munali ma siren ndi nyale zoyaka pafupi ndi galimoto yakuda; unawonongedwa kotheratu. Ndinakomoka, ndili m'galimoto. EMS idandichotsa ndikunditengera kuchipatala.
Sikunali mpaka tsiku lotsatira pamene ndinadzuka ndikuyesera kudzikweza ndekha pabedi; ululu umene ndinaumva unandipangitsa kukuwa kuti, “Amayi!” Amayi anga anathamangira m'chipindamo, "Ashley, siya kuyendayenda, ungopangitsa kuti zikhale zowawa kwambiri" adatero. Maonekedwe a nkhope yanga sanasonyeze kanthu kena kalikonse koma osasoweka kanthu. "N'chiyani chinachitika, ndipo n'chifukwa chiyani pali gulaye pa ine?"
Ambulansi inanditengera ku chipatala ku tauni yakwathu, ndipo patapita maola ambiri anawuza amayi anga kuti masikelo anga ndi zoyezetsa zabwerera bwino, adandiyika gulaye, ndikunditumiza kunyumba ... ndisanadziwebe. Tsiku lotsatira, ndinapitanso ndi madokotala osiyanasiyana mumzinda wotsatira. Zinapezeka kuti kukula kwa kuvulala kwanga kunali koyipa kuposa momwe tidauzira, ndipo ndimayenera kuchitidwa opaleshoni nthawi yomweyo. Kuvutika ndi zovuta pambuyo pa ngoziyi kunali chopinga, koma chisamaliro chomwe ndinalandira panthawiyo komanso zaka zingapo zotsatira pamene ndikuchira chinandipangitsa kumvetsetsa kufunika kwa madokotala aluso ndi othandizira madokotala (PAs).
M'chaka chapitacho, ndakula ndikuphunzira zambiri kuposa momwe ndimaganizira kuti ndingathe kukhala wothandizira pachipatala cha Neuro-otology. Kugwira ntchito ngati wothandizira zachipatala kwa zaka ziwiri zapitazi kwakhala kopindulitsa pophunzira. Chimodzi mwazinthu zofunika kwambiri paudindo wanga ndikulongosola mwatsatanetsatane momwe wodwalayo alili / dandaulo lalikulu la ulendo wawo. Kuchita izi kwandilola kuti ndidziwe zambiri zamkati mwa khutu ndi vestibular system, komanso momwe zonsezi zimagwirira ntchito limodzi. Kupyolera mu ntchito yanga ndikutha kuthandiza odwala ndipo kumverera mobwezera ndi malingaliro odabwitsa. Patangopita nthawi pang'ono nditayamba kugwira ntchito ku chipatala, ndinapatsidwa udindo waukulu pophunzira momwe ndingamalizire njira ya Canalith Repositioning Maneuver pa odwala omwe ali ndi Benign Paroxysmal Positional Vertigo. Ndikagwiritsa ntchito bwino njirazo, zikuwonekeratu kuchokera m'malingaliro awo kuti ndimakhudza moyo watsiku ndi tsiku wa wodwala. Kumwetulira kwachisangalalo pankhope zawo nthawi yomweyo kumawalitsa tsiku langa lonse.
Khama lodzipereka, mthunzi, ndi chidziwitso chachipatala cha pambuyo pa yunivesite chinatsimikizira kuti palibe ntchito ina yomwe ndinkafuna kuposa. Kuchitira umboni gulu la dokotala ndi PA akugwirira ntchito limodzi ku Moffitt Cancer Center kunawonjezera chisangalalo changa cha udindowo. Ndidachita chidwi ndi mgwirizano wawo komanso ma PA kuti azigwira ntchito paokha nthawi imodzi. A PA adalankhula kwambiri za mwayi wophunzira ndikuchita ukadaulo wambiri. Kupyolera mu maphunziro anga onse ndi zochitika zanga zinandichitikira kuti chikondi changa cha mankhwala ndi chachikulu, kotero kuti sizingatheke kuti ndingoyang'ana mbali imodzi ya mankhwala. Kudziwa kuti ndili ndi mwayi wochita chilichonse mwapadera kumandikopa, ndipo kukhala ndi mwayi wochiza odwala ndikuwunika odwala m'malo moyimilira kumbuyo ndikuwonera kungandisangalatse.
Pamene ndinali kulimbana ndi zopinga za ngozi yanga mosalekeza, chikhalidwe cha chikhalidwe cha anthu chinandikakamiza kugwira ntchito yanthawi zonse ndikuyesera kupeza maphunziro. Zotsatira za zovuta izi zidandipangitsa kuti ndikhale ndi magiredi osakwanira m'zaka zanga zatsopano komanso zachiwiri. Nditavomerezedwa ku Yunivesite ya South Florida ndidakwanitsa kukwaniritsa zofunikira zonse za PA ndikuwongolera kwakukulu kwamaphunziro anga ndikupanga chizoloŵezi chokwera mu GPA pomaliza maphunziro. Chifukwa cha kupambana kwanga, ndinazindikira kuti ndasunthira patsogolo kuchokera ku zomwe ndimaganiza kuti zidzandibwezera mmbuyo kwamuyaya; ngozi yanga tsopano ndi chilimbikitso chabe kwa zopinga mtsogolo.
Ndi ntchito ngati PA, ndikudziwa yankho langa lakuti "tsiku lanu linali bwanji" lidzakhala "kusintha moyo." Mu ntchito yanga ndili ndi mwayi wosintha miyoyo mofanana ndi PA yomwe ndimayesetsa kukhala, zomwe zimandiyendetsa. Ndatsimikiza mtima ndipo sindidzasiya maloto awa, cholinga, ndi cholinga cha moyo. Kupatula ziyeneretso zanga papepala, ndauzidwa kuti ndine wachifundo, waubwenzi, ndi mkazi wamphamvu. Zaka kuchokera lero, kudzera mukukula kwanga komanso luso langa monga PA, ndidzakhala chitsanzo kwa munthu yemwe ali ndi mikhalidwe komanso zolinga zamaluso zomwe ndili nazo lero. Ndinasankha PA chifukwa ndimakonda kugwira ntchito ngati timu. Kuthandiza ena kumandipangitsa kumva ngati ndili ndi cholinga, ndipo palibe ntchito ina yomwe ndingakonde kukhalamo. Kuloledwa ku pulogalamu yolemekezeka si chiyambi kapena mapeto ... ndi sitepe yotsatira ya ulendo wanga kuti ndikhale chithunzithunzi cha amene ndimasilira.
Zitsanzo za Munthu #4
Mnyamata wazaka zitatu ali ndi sinusitis yoopsa yomwe yachititsa kuti zikope za diso lake lakumanja zifufutike komanso kutentha thupi kwake kumakwera. Mayi ake ayamba kuda nkhawa chifukwa katswiri aliyense amene wapitako walephera kuthetsa vuto la mwana wawo. Patha masiku atatu ndipo ali pachipatala china kudikirira kuti awonenso katswiri wina. Mayiyo atakhala m’chipinda chodikirira, dokotala wodutsa akuona mwana wakeyo n’kumuuza kuti, “Ndikhoza kumuthandiza mnyamatayu.” Atamuyeza kwakanthawi, dokotala amauza mayiyo kuti mwana wake wamwamuna ali ndi kachilombo koyambitsa matenda. Mphuno ya mnyamatayo yatha ndipo amapatsidwa mankhwala ophera tizilombo toyambitsa matenda. Mayiyo akupuma mosangalala; Zizindikiro za mwana wake zimachepetsedwa.
Ndinali mwana wodwala m’nkhaniyi. Ichi ndi chimodzi mwa kukumbukira kwanga koyambirira; zinali kuyambira nthawi yomwe ndinkakhala ku Ukraine. Ndimadabwabe kuti matenda ophweka choterowo ananyalanyazidwa bwanji ndi madokotala angapo; mwina chinali chitsanzo cha maphunziro osakwanira azachipatala omwe adalandira pambuyo pa Cold War Ukraine. Chifukwa chomwe ndimakumbukirabe kukumanako ndikuwawa komanso kusapeza bwino chifukwa chotsitsidwa ndi sinus yanga. Ndidazindikira panthawi ya opaleshoniyo ndipo mayi anga adandiletsa pomwe adotolo amanditulutsa m'mphuno. Ndikukumbukira kuti kutaya kwa sinus kwanga kunali kowawa kwambiri moti ndinauza dokotala kuti, "Ndikadzakula ndidzakhala dokotala kuti ndikuchitireni izi!" Ndikakumbukira zimene zinandichitikirazi ndimadziuzabe kuti ndikufuna kugwira ntchito yachipatala, koma zolinga zanga sizilinso zobwezera.
Nditafufuza ntchito zosiyanasiyana zachipatala ndinazindikira kuti wothandizira dokotala ndiye wanga. Ndili ndi zifukwa zingapo zolimbikira ntchito ngati PA. Choyamba ntchito ya PA ili ndi tsogolo lowala; malinga ndi Bureau of Labor statistics ntchito kwa othandizira madokotala ikuyembekezeka kukula 38 peresenti kuchokera ku 2022 mpaka 2022. Kachiwiri kusinthasintha kwa PA ya ntchitoyi kumandisangalatsa; Ndikufuna kupanga mndandanda wazomwe zachitika komanso luso lopereka chithandizo chamankhwala. Chachitatu nditha kugwira ntchito modzipereka komanso mogwirizana ndi gulu lachipatala kuti ndizindikire ndikuchiritsa anthu. Chifukwa chachinayi komanso chofunika kwambiri n’chakuti nditha kulimbikitsa anthu mwachindunji. Kugwira ntchito zosamalira kunyumba ndakhala ndi anthu angapo akundiuza kuti amakonda ma PA kuposa asing'anga, chifukwa othandizira madotolo amatha kutenga nthawi yawo kuti azilankhulana bwino ndi odwala awo.
Ndikudziwa kuti kukhala dokotala wothandizira bwino pamaphunziro ndikofunikira kotero ndikufuna kutenga nthawi kuti ndifotokoze zosagwirizana zomwe ndalemba. M'chaka changa chatsopano ndi chaka chachiwiri maphunziro anga sanali abwino ndipo palibe chowiringula cha izo. M’zaka zanga ziwiri zoyambirira ku koleji ndinkadera nkhaŵa kwambiri za kucheza ndi anthu kuposa maphunziro. Ndinasankha kuthera nthaŵi yanga yambiri ndikupita kumapwando ndipo chifukwa cha zimenezo magiredi anga anavutika. Ngakhale ndinali ndi zosangalatsa zambiri ndinafika pozindikira kuti zosangalatsa sizidzakhala mpaka kalekale. Ndinadziwa kuti kuti ndikwaniritse cholinga changa chogwira ntchito yachipatala ndiyenera kusintha. Kuyambira ndili wamng’ono ndinaika sukulu kukhala chinthu chofunika kwambiri kwa ine ndipo magiredi anga anayenda bwino kwambiri. Maphunziro anga m'zaka ziwiri zachiwiri za ntchito yanga ya ku koleji ndi chithunzi cha ine monga wophunzira wotanganidwa. Ndidzapitiriza kuyesetsa kukwaniritsa cholinga changa chokhala dokotala wothandizira, chifukwa ndikuyembekezera nthawi yoyamba yomwe mayi wakuda abwera kuchipatala ndi mwana wake wodwala ndipo ndidzatha kunena kuti, "Ndingathe kuthandiza mnyamata uyu!"
Zitsanzo za Munthu #5
Ndinasinthiratu PS yanga. Kukonzekera uku kumamveka mwamphamvu kwambiri. Chonde ndidziwitseni zomwe mukuganiza. Zikomo.
"Masiku awiri ofunika kwambiri m'moyo mwanu ndi tsiku lomwe mudabadwa ndi tsiku lomwe mwapeza chifukwa chake". Mawu awa ochokera kwa Mark Twain amabwera m'maganizo pofotokoza chifukwa chake ndikufuna kukhala Dokotala Wothandizira. Ulendo wopita kukapeza “chifukwa chiyani” ungakhale wovuta, nthawi zina ukhoza kukakamiza munthu kukhazikika ndi kusiya ulendo wonse koma nthawi zina, nkhani za ambiri omwe ali ndi chikondi chenicheni pa zomwe amachita, zimafuna kudzikonda nthawi zonse. kulingalira, chikhulupiriro ndi kutsimikiza mtima kupitirizabe. Kumayambiriro kwa ntchito yanga ya maphunziro ndinalibe kukhwima kuti ndimvetse mfundo imeneyi, sindinali odzipereka ku maphunziro ndipo ndinalibe chilimbikitso chenicheni chodzipereka kwa icho. Ndinkadziwa kuti ndikufuna ntchito yachipatala koma nditafunsidwa mafunso ovuta chifukwa chake, ndimatha kupereka yankho lachidziwitso, "Chifukwa ndikufuna kuthandiza anthu". Chifukwa chimenecho sichinali chokwanira, ndinafunikira china chowonjezera, china chake chomwe chingandiyendetse kugwira ntchito usiku ndikupita kusukulu mwamsanga pambuyo pake, chinachake chimene chingandikakamize kuti ndiyambenso maphunziro ndikuchita digiri ya Masters. Kuti ndipeze izi "chifukwa" ndidakhala ngati mwana, ndikufunsa mafunso ambiri, ambiri amayamba chifukwa chake. N’chifukwa chiyani kunali kofunika kuti ndithandize anthu pogwiritsa ntchito mankhwala? Bwanji osaphunzitsa, dokotala kapena namwino? Bwanji osatero?
Kupyolera mu ulendo umene ndinauyamba zaka zinayi zapitazo, ndaphunzira kuti munthu “chifukwa chiyani” ndi malo amene zilakolako ndi luso lake zimakwaniritsa zosowa za dera lawo ndipo popeza ndakhala ndikukumana ndi zinthu zambiri zaumoyo, ndazindikira zomwe ndimakonda. chifukwa kulimbitsa thupi ndi thanzi ndiye maziko a "chifukwa" changa. Tsiku lomwe ndidapeza izi "chifukwa" lidabwera mobisa, kuchokera pamawu osavuta koma ozama omwe adasindikizidwa pakhoma langa lero. “Piritsi yodabwitsa” Dr. Robert Butler anafotokoza, yomwe ingateteze ndi kuchiza matenda ambiri koma chofunika kwambiri n’kutalikitsa utali ndi ubwino wa moyo. Mankhwalawa anali ochita masewera olimbitsa thupi ndipo monga momwe adanenera, "Ngati anganyamulidwe m'mapiritsi akanakhala mankhwala omwe amaperekedwa komanso opindulitsa kwambiri m'dziko lonselo". Kuchokera m'mawu awa "chifukwa" changa chinayamba kupangidwa, ndinayamba kudabwa zomwe zingachitike ku dongosolo lathu lachipatala ngati kupewa kugogomezedwa ndipo anthu adapatsidwa malangizo ndi njira zothandizira kuti asamangokhalira kuthetsa mavuto awo azaumoyo komanso kukhala ndi moyo wathanzi. Ndinadzifunsa zomwe ndingachite kuti ndikhale gawo la yankho, momwe ndingakhalire ndikuthandizira popereka chisamaliro chomwe chimaganizira zokopa zambiri ndi njira zambiri zochizira ndi kupewa matenda, komanso kulimbikitsa thanzi labwino komanso thanzi labwino.
Ndikusintha kwaposachedwa pazaumoyo ndidakhulupirira kuti njira yomwe ikugogomezera kupewa zitha kukhala zenizeni ndipo anthu ambiri atapatsidwa mwayi wopeza chithandizo chabwinoko adzafunika. Othandizira, m'malingaliro anga, omwe amamvetsetsa udindo wa zakudya, kulimbitsa thupi ndi kusintha kwa khalidwe pa thanzi. Othandizira omwe amamvetsetsa kuti njira zochizira kapena zochepetsera zomwe zimadikirira mpaka odwala adwala, nthawi zambiri zomwe sizingathe kukonzedwa asanalowemo, sizingakhalenso chizolowezi chokhazikika. Kuyambira kuphunzitsidwa ndi ophunzitsa ndi ophunzitsa zaumoyo m'zipatala, kugwira ntchito ndi anamwino ndi matekinoloje m'chipatala, kupita ku mthunzi wa PAs ndi Madokotala panthawi yozungulira kapena m'zipatala zosasamalidwa bwino, sindinangopeza zokumana nazo zamtengo wapatali koma ndatha kuwona ndendende zomwe. zimapangitsa ntchito iliyonse kukhala yabwino. Ntchito iliyonse imakhala ndi zinthu zomwe zimandisangalatsa koma m'mene ndimafufuza ndikugawa ntchito iliyonseyi, ndikudula zidutswa zomwe ndimapeza kuti luso langa lalikulu likukwaniritsa zomwe ndimakonda, ndinadzipeza ndili pakhomo pa ntchito ngati Dokotala Wothandizira.
Ndikugwira ntchito pachipatala cha Florida, ndimakondwera ndi khama la gulu lomwe ndaphunzira kuti ndilofunika kwambiri popereka chisamaliro chabwino. Ndimakonda kwambiri kuyanjana kwanga ndi odwala ndikugwira ntchito m'madera omwe Chingerezi sichingakhale chinenero choyambirira koma chimakukakamizani kuti mupite kukaphunzira kukhala wosamalira bwino. Ndaphunzira ndendende pomwe "chifukwa" changa chiri. Zili mu ntchito yokhazikika pa khama lokhazikitsidwa ndi gululi, limayang'ana pa wodwalayo komanso kudalirana pakati pa dokotala ndi gulu lazaumoyo, osati pa inshuwaransi, kasamalidwe kapena mbali yazamankhwala. Ndi ntchito yomwe cholinga chake chimachokera ku kuwongolera ndi kukulitsa dongosolo lathu lazaumoyo, gawo lomwe limatha kuzindikira ndi kuchiza matenda komanso kuyembekezera kulimbikitsa thanzi kudzera mu maphunziro. Ndi ntchito yomwe ndingathe kukhala wophunzira wamoyo wonse, kumene kuyimirira sikungatheke, ndi zina zambiri zomwe ndingathe kuphunzira. Chofunika kwambiri ndi ntchito yomwe udindo wake m'dongosolo lachidziwitso laumoyo lomwe likupita patsogolo likukhazikitsidwa kuti likhale patsogolo pakupereka kwake, chinsinsi chophatikiza ubwino ndi mankhwala kuti athe kulimbana ndi matenda. Ulendo wofikira kumapetowu sunakhale wophweka koma ndili wokondwa chifukwa "chifukwa" changa tsopano ndi chosavuta komanso chodziwika bwino. Ndayikidwa padziko lapansi kuti nditumikire, kuphunzitsa ndi kulimbikitsa thanzi kudzera muzamankhwala ngati Dokotala Wothandizira. Mwachidule, "chifukwa" langa lakhala funso lomwe ndimakonda kwambiri.
Zitsanzo za Munthu #6
Chosankha chophweka chomwe ndinapanga chinali kusankha kusewera mpira ndili ndi zaka zisanu ndi ziwiri. Zaka khumi ndi zisanu pambuyo pake, nditamaliza zaka zinayi za Division I wophunzirira mpira, ndidapanga chisankho chovuta kwambiri pamoyo wanga. Podziwa kuti sindikasewera mu timu ya US Women's National Team, ndinayenera kutsata maloto ena. Chilimwe nditamaliza maphunziro anga aku koleji, ndinasintha kuchoka pamasewera a mpira kupita ku coaching, ndikuganizira njira yoti ndichite. Pa imodzi mwazochita zoyamba zomwe ndidaphunzitsa, ndidawona mtsikana wina atagwidwa muukonde ndikumenyetsa mutu wake pamtengo. Maganizo anga anandiuza kuti ndithamangire ndikuthandizira. Ndinalangiza kholo kuti liyimbire 9-1-1 ndikufufuza ngati mtsikanayo ali tcheru. Anali mkati ndikutuluka chikomokere kwa mphindi ziwiri asanandiyang'ane ndikundiuza dzina lake. Ndinalankhula naye kuti akhale maso mpaka azachipatala abwera kudzatenga udindo. Ngakhale pamene achipatala ankamuyeza, sanafune kuti ndichoke. Ndinamugwira dzanja mpaka inakwana nthawi yoti anyamulidwe. Panthawiyi, zinandionekeratu kuti kuthandiza ena ndi ntchito yanga.
Panthaŵi imodzimodziyo ndinayamba kuphunzitsa, ndinayamba kugwira ntchito mongodzipereka pa Los Angeles Harbor-UCLA Medical Center. Ndinaphimba madotolo akuchipinda chodzidzimutsa (ER), madokotala a mafupa, ndi asing'anga. Mwachibadwa, ntchito yanga yothamanga inandikokera ku Orthopaedics. Ndinkathera nthaŵi yanga yambiri ndikuyang’ana mmene madokotala, othandizira madotolo (PAs), anamwino, ndi amisiri amachitira ndi odwala. Mofanana ndi mpira, kugwira ntchito limodzi ndi gawo lalikulu la chisamaliro cha odwala. Ndinadabwa kuti ndondomekoyi inali yosalala bwanji kukonzekera wodwala wovulala mu ER. Sizinali chipwirikiti monga momwe ndimayembekezera. Malo olumikizirana adachenjeza gulu lopwetekedwa mtima kuti wodwala wamkazi wazaka 79 yemwe ali ndi vuto la mutu ali m'njira. Kuchoka pamenepo, gulu lopwetekedwa mtima linakonza chipinda cha wodwalayo. Wodwalayo atafika, zinali ngati kuonera sewero lokonzedwa bwino. Membala aliyense wa gulu ankadziwa udindo wake ndipo anaichita mopanda chilema ngakhale kuti anali wopanikizika kwambiri. Panthawiyi, ndinayamba kuthamangira ngati mmene ndinkachitira masewera a mpira ndipo ndinadziwa kuti ndiyenera kukayamba ntchito ya udokotala. Ngakhale kuti ndinaphunzitsidwa za maganizo oti ndidzakhale PA, maso anga anali ofunitsitsa kukhala dokotala. Choncho, ndinafunsira kusukulu ya udokotala.
Nditakanidwa kusukulu ya udokotala, ndinayambanso kukangana. Nditatha mthunzi wa PA ku Harbor-UCLA, ndidafufuza kuti ndikhale PA. Chomwe chidandiwonekera kwambiri chinali kusinthasintha kwa PA kuti azigwira ntchito zosiyanasiyana zamankhwala. Komanso, mu dipatimenti ya mafupa, ndinawona kuti a PAs anali ndi nthawi yochuluka yocheza ndi odwala akukambirana njira zothandizira kukonzanso komanso kupewa matenda pambuyo pa opaleshoni yawo. Mtundu uwu wa chisamaliro cha odwala unali motsatira zomwe ndimafuna kuchita. Chifukwa chake, chotsatira changa chinali kukhala Katswiri wazachipatala wa Emergency Medical (EMT) kuti ndikwaniritse zofunikira pantchito yanga yofunsira PA.
Kugwira ntchito ngati EMT kudakhala kwatanthauzo kuposa kungokhala chofunikira pasukulu ya PA. Kaya zodandaulazo zinali zachipatala kapena zopweteka, odwalawa anali kukumana nane pa tsiku loipitsitsa la moyo wawo. Wina wina amene tinamuitana anali wodwala wolankhula Chispanya yekhayo amene anadandaula ndi ululu wa bondo lakumanzere. Popeza kuti ndinali ndekha wolankhula Chisipanishi pamalopo, ndinamasulira kwa achipatala. Madokotala adatsimikiza kuti wodwalayo atha kutumizidwa ku chipatala cha 2, palibe chithandizo chamankhwala komanso palibe magetsi ndi ma siren ofunikira, chifukwa zimawoneka ngati zowawa zapabondo. Ndili m’njira yopita kuchipatala, ndinaona fungo loipa lochokera kwa wodwalayo. Mwadzidzidzi, wodwalayo sanayankhe choncho tinakweza zoyendera zathu ndikugwiritsa ntchito magetsi athu ndi ma siren kuti tifike mofulumira. Titafika wodwalayo anayamba kubwera. Namwino uja anatiyandikira ndipo anaonanso fungo loipalo. Namwinoyo anatiuza kuti tiike wodwalayo pakama nthawi yomweyo ndipo ananena kuti mwina wodwalayo ali ndi vuto la septic. Ndinaganiza, koma kuti? Pambuyo pake tsiku lomwelo, tinakawona wodwalayo ndipo tinapeza kuti anali atatsala pang'ono kudwala khansa ya m'mawere. Powonekera, adalephera kutchula mabala otseguka omwe adawakulunga bwino pamabere chifukwa silinali dandaulo lake lalikulu. Sanatchulenso ngati gawo la mbiri yake yachipatala. Bondo lake linali likupweteka chifukwa cha kufooka kwa mafupa kuchokera ku maselo a khansa omwe amafika ku mafupa ake. Kuyimba kumeneku sikumakhala kwa ine nthawi zonse chifukwa kumandipangitsa kuzindikira kuti ndikufuna kuti ndizitha kudziwa ndi kuchiza odwala. Monga PA, nditha kuchita zonsezi.
Zonse zomwe ndakumana nazo pamoyo wanga zandipangitsa kuzindikira kuti ndikufuna kukhala m'gulu lachipatala monga wothandizira dokotala. Kukhala wokhoza kuphunzira zambiri zachipatala, kuzindikira, ndi kuchiza zingandilole kuti ndibwere pagulu la chisamaliro cha odwala. Monga momwe ndimakonda chisamaliro chachipatala chisanachitike, ndakhala ndikufuna kuchita zambiri. Nditapatsidwa mwayi, monga PA, ndidzatenga zovuta za chisamaliro cha odwala kuchipatala ndikuyembekezera kutha kutsata odwala anga onse mpaka kumapeto kwa chisamaliro chawo.
Zitsanzo za Munthu #7
Wosewera mpira wachinyamata, wansangala, adabwera kuchipinda changa chophunzitsira akudandaula za ululu wamsana panthawi yomwe samasewera. Patapita milungu iwiri, anamwalira ndi khansa ya m’magazi. Zaka ziŵiri pambuyo pake mchimwene wake, yemwe kale anali katswiri woseŵera mpira m’boma, anapezeka ndi mtundu wina wa Leukemia. Anamenya nkhondo molimbika kwa chaka chimodzi, koma nayenso anamwalira ndi matenda omwe adapha mlongo wake wakhanda. Mtsikana wina wa m’chaka chake chachiwiri kusukulu ya sekondale anapempha malangizo kwanga chifukwa ankadera nkhawa za kaphuphu kakang’ono pamsana pake. Pambuyo pa masabata angapo akuyang'ana adabwereranso akudandaula za ululu wammbuyo pamodzi ndi kuwonjezeka kwa kukula kwa mphuno yoyambirira. Pozindikira kuti izi sizinali luso langa, ndinamutumiza kwa dokotala wake wa ana, yemwe adamuuza kuti awonane ndi dokotala wina. Pambuyo poyesedwa kwambiri adapezeka ndi Stage IV Hodgkin's Lymphoma. Pambuyo polimbana ndi imfa ya othamanga aŵiri achichepere, nkhaniyi inali yodabwitsa. Mwamwayi, m'chaka chotsatira ndi theka, mtsikanayo adalimbana ndi khansayo kuti amalize chaka chake chachikulu ndikudutsa siteji pomaliza maphunziro ake ndi anzake a m'kalasi. Ndinali wokondwa naye, koma ndinayamba kulingalira za kulephera kwanga monga mphunzitsi wa maseŵera othamanga. Zochitika zimenezi zinandilimbikitsanso kuganizira kwambiri za moyo wanga, ntchito yanga ndiponso zolinga zanga. Ndinadzimva kukhala wokakamizika kufufuza zosankha zanga. Nditatero, ndinatsimikiza mtima kukulitsa chidziŵitso changa ndi kuwonjezera luso langa lotumikira ena ndipo ndinasankha njira yolondola kaamba ka ine kukhala Wothandizira Dokotala.
Pa ntchito yanga monga mphunzitsi wa masewera othamanga, ndakhala ndi mwayi wogwira ntchito kumadera osiyanasiyana. Izi zikuphatikizapo chipatala chachipatala cha odwala, kugwira ntchito ndi odwala pambuyo pa opaleshoni; ofesi yothandizira mabanja ndi masewera olimbitsa thupi, kuwunika koyambirira; chipatala chothandizira odwala omwe ali kunja, ogwira ntchito ndi odwala rehab; ofesi ya dokotala wa opaleshoni ya mafupa, kuwonetsa maulendo a odwala ndi maopaleshoni; ndi mayunivesite ambiri ndi masukulu apamwamba, akugwira ntchito ndi zovulala zosiyanasiyana zamasewera. Zokumana nazo zanga m'malo osiyanasiyanawa zandiwonetsa kufunikira kwa madigiri onse azachipatala. Munda uliwonse uli ndi cholinga chake pakusamalidwa koyenera kwa wodwala. Monga mphunzitsi wa masewera othamanga ndidawona zovulala zingapo zomwe ndimatha kuzizindikira ndikudzichiritsa ndekha. Koma nthawi zonse ndizomwe ndimayenera kupita kwa dokotala wa timu yemwe ankandilemera, zomwe zimandipangitsa kumva kuti ndiyenera kuthandiza kwambiri. Monga wothandizira dokotala, ndimakhala ndi chidziwitso ndi luso lofunikira kuti ndizindikire komanso kupereka chithandizo chofunikira kwa odwala anga.
Udindo wanga monga mphunzitsi wa maseŵera a kusekondale umandilola kudziŵana ndi othamanga onse, komabe, kuti ndikhale wogwira mtima kwambiri ndimakhala nawo m’chitaganya cha sukulu ndi kuyesetsa kuphunzira zambiri za anthu amene ndimagwira nawo ntchito. Kwa zaka zitatu zapitazi ndakhala mphunzitsi wolowa m’malo mwa sukulu ya sekondale yaing’ono ndi ya sekondale. Ndadziperekanso pazochitika zambiri zomwe sukuluyi imapereka kwa ophunzira kuphatikizapo kuvina kusukulu, pulogalamu yoletsa mowa yomwe imatchedwa Every 15 Minutes, ndi retreat yapachaka ya junior ndi senior retreat yomwe imakhala ndi mgwirizano weniweni kwa onse omwe akutenga nawo mbali. Kupanga maubwenzi abwino ndi ophunzira kumakulitsa luso langa potsegula njira zoyankhulirana ndikukulitsa chidaliro. Ndichikhulupiriro changa cholimba kuti wodwala amangolankhula momasuka za cholakwa chomwe amadziona yekha kuphatikizapo kuvulazidwa ndi munthu yemwe akumva bwino. Ndikufuna moona mtima kukhala munthu ameneyo kwa othamanga anga tsopano, ndi odwala anga m'tsogolomu.
Kuvulala kosiyanasiyana, matenda, ndi matenda omwe ndakumana nawo monga mphunzitsi wamasewera andipatsa zokumana nazo zosiyanasiyana zosangalatsa. Ndawonapo zatsoka komanso chigonjetso ndi othamanga ndi makochi anga, mkati ndi kunja kwa bwalo kapena bwalo. Kuvulala kochuluka kwakhala kosafunikira kwa nthawi yayitali, ngakhale kwa iwo omwe akukumana ndi ululu panthawiyi. Amadziwa kuti achiritsa ndikupita patsogolo pamasewera awo ndikupitiliza ulendo wawo m'moyo. Kumenyera nkhondo ndikupambana mpikisano waboma kuli bwino komanso kwabwino, koma pali zodetsa nkhawa kwambiri m'moyo uno womwe tikukhala. Ndaonapo miyoyo ya achichepere ikuphedwa, ndi awo amene analimbana mosalekeza kugonjetsa zopinga zonse, ndipo ndi anthu ameneŵa amene asintha mmene ndimaonera mankhwala, mmene ndimadzionera ndekha, ndi mmene ndimaonera tsogolo langa m’zamankhwala. Anthu awa alemeretsa moyo wanga ndipo agwira mtima ndi malingaliro anga, zomwe zimandilimbikitsa kukankhira patsogolo. "Pitiliranibe. Pitirizani kumenyana. Pitirizani kulimbana.” Liwu lamphamvu la mphunzitsi wathu wa basketball wokhala ndi Cystic Fibrosis wapamwamba wakhala wondilimbikitsa kwambiri. Anauzidwa kuti adzakhala ndi moyo waufupi komanso wosakhutiritsa, koma sanagonje pa matenda ake. Anapanga moyo wake monga momwe ankafunira, kugonjetsa zopinga zambiri ndi kukwaniritsa maloto ake. Kumuona akumenyera nkhondo tsiku lililonse la moyo wake kwandilimbikitsa kwambiri. Ndikudziwa kuti ndi nthawi yanga yomenyera zomwe ndikufuna ndikupitabe patsogolo.
Zitsanzo za Munthu #8
Ndingayamikire ngati wina angandiuze ngati ndikumenya mfundo zolondola m'nkhani yanga!
Chitseko chinatseguka ndikumenyetsa khoma loyandikana nalo. Mchipindacho munali mdima ndipo zomwe ndimatha kudziwa zinali ziwerengero komanso phokoso la macheza komanso kulira kwa ana. Maso anga atayamba kuzolowerana ndi kusiyana kwa mdima wa kunja kwa dzuŵa, ndinapita kukauntala. "Lowani," lidatero liwu ndipo ndidayang'ana pansi ndikuwona pini yotafunidwa ndi mulu wa mapepala ong'ambika, pomwe ndidalembapo dzina langa ndi tsiku lobadwa. Mawuwo anatulukanso “khalani ndi mpando; tidzakuyimbirani tikakonzeka.” Ndinatembenuka kuti ndione chipinda, chosaposa zipinda ziwiri zogona, zodzaza ndi atsikana ndi ana amisinkhu yosiyanasiyana. Ndinakhala pampando ndikudikirira nthawi yanga kuti ndikaonekere ku dipatimenti yanga yazaumoyo.
Monga wachinyamata wopanda inshuwaransi yazaumoyo, ndawonapo kufunikira kwa othandizira omwe angapereke chithandizo chamankhwala. Zomwe ndinakumana nazo ku dipatimenti ya zaumoyo m'deralo zinandichititsa mantha kupita, sindimadziwa ngati ndidzaonananso ndi wothandizira yemweyo. Mofanana ndi anthu ena ambiri amene ndinali ndi vuto langali, ndinangosiya kupita. Pambuyo pa zochitika izi, ndinadziwa kuti ndikufuna kukhala wokhazikika kwa ovutika komanso olemedwa ndichuma.
Ndinayamba ntchito yanga yazachipatala monga katswiri wa zachipatala. Ntchito imeneyi ndi imene inalimbitsa chidwi changa pa sayansi ya zamankhwala. Zinalinso kuwonekera komweku komwe kunandiwonetsa kuti opereka chithandizo chamankhwala amathandizira kwambiri pazaumoyo. Komabe, sizinali mpaka pamene ndinayamba kugwira ntchito yolembetsa ku Dipatimenti ya Zadzidzidzi ya chipatala cha kwathu komwe ndinatha kuona kufunika kwake; odwala omwe akhala kwa maola ambiri kuti awonedwe ndi malungo ndi mutu chifukwa alibe njira ina iliyonse yothandizira zaumoyo.
Malingaliro awa adandikakamiza kuti ndipitirize zamankhwala. Nditasamukira kunyumba kuti ndikagwire ntchito imeneyi, ndinakwera kuchoka kwa mlembi wa unit kupita kwa katswiri wosamalira odwala kumene ndinali ndi zokumana nazo zoyamba za odwala. Ndikukumbukira chochitika china pamene ndinali kuthandiza wodwala ku bafa, anayamba kutuluka thukuta ndi kudandaula chifukwa cha kusaona bwino. Nthawi yomweyo ndinaitana wina kuti alowe kuti ndimuyeze shuga m'magazi ake; anali 37 mg/Dl. Ndi namwino yemwe anali pambali panga, tinawafikitsa Mayi Kay pabedi bwinobwino ndipo tinayamba kuwagwiritsa ntchito m’mitsempha ya glucose. Ndinali wokondwa komanso wonyada chifukwa chozindikira zizindikirozo ndikutha kuchitapo kanthu popanda kukayikira. Ndi nthawi ngati iyi yomwe ndimazindikira kuti zilakolako zanga sizongochiritsa odwala, komanso kuzindikira matenda.
Nditagwira ntchito limodzi ndi madokotala ambiri kwa zaka pafupifupi 10, palibe amene anandithandiza kwambiri ngati Mike, yemwe ndi dokotala wothandiza pa opaleshoni ya mtima. Ndamuwona akutenga nthawi yowonjezereka kuti apite kumankhwala aliwonse omwe wodwala anali nawo osati kuti atsimikizire kuti palibe kuyanjana kwa mankhwala koma kufotokoza ndi kulemba ntchito za aliyense akabwerera kunyumba. Pamene wodwala uyu akufunikira kuwonjezeredwa, mmalo mopempha "piritsi laling'ono la buluu," adzapempha molimba mtima mankhwala awo a kuthamanga kwa magazi. Kumvetsetsa mavutowa ndikutenga nthawi kuti muwathetse kupyolera mu maphunziro a odwala ndi chithandizo kungathandize kwambiri kuti anthu a m'madera mwathu akhale ndi moyo wabwino. Ma PA amathandizira kuchita lingaliro ili lamankhwala odzitetezera pa chisamaliro cha episodic ngati gulu.
Dongosolo lothandizira gulu ndilofunika kwambiri kwa ine. Ndinaphunzira kufunika kokhala ndi chithandizo cholimba pamene ndinali kuvutika pambuyo pa imfa ya msuweni wanga. Ululu wa kutaya bwenzi langa lapamtima, ndi kukhumudwa kwaumwini komwe ndinamva nditalephera semesita ziwiri, zinandipangitsa kukhala kovuta kwa ine kupitiriza ntchito yanga molimba mtima. Komabe, ndi chichirikizo ndi chidaliro cha anzanga, mofanana ndi PA m’zochita zawo, ndinatha kukankhira patsogolo ndi kugonjetsa mayesero ameneŵa. Ndinaphunzitsidwa kusamalira kupsinjika ndi kutsimikiza mtima kudzera muzovuta izi ndipo zidzandithandiza pamene ndikuyesetsa ntchito yovutayi komanso yosinthika ngati PA.
Ndi maphunziro anga aukatswiri azachipatala, ndimamvetsetsa bwino komanso ndimayamikira ntchito za aliyense pazachipatala. Timachokera ku zochitika zingapo ndi zochitika zomwe zimatilola kuti tigwirizane pamodzi ndipo pamapeto pake timapereka chisamaliro chabwino cha odwala. Ndili ndi chidaliro pakutha kwanga kumasulira luso langa m'maphunziro anga komanso zomwe ndimachita m'tsogolo ndikukhala PA wopambana. Ndilinso ndi chidaliro pakutha kwanga kulumikizana ndikuthandizira kutseka kusiyana pakati pa chithandizo chamankhwala chomwe chilipo ngati wothandizira wamkulu.
Zitsanzo za Munthu #9
"Chifuwa changa chikupweteka." Aliyense wa zamankhwala akudziwa kuti ichi ndi mawu osaneneka. Mary anali wodwala yemwe tinkapitako ndi kuchokera ku dialysis katatu pa sabata. Ali wamng'ono wa 88, maganizo ake anayamba kupita ndipo mbiri yake ya CVA inamupangitsa kuti azidwala matenda a hemiplegic, amadalira ife pa zoyendera. Mary ankatiyang’anitsitsa n’kupitiriza kukambirana ndi malemu mwamuna wake, n’kumaumirira kuti akumwetsedwa mvula ali m’galimoto ya ambulansi, n’kutinyengerera kuti tichite zinthu zimene sitingaganizire kwa wodwala wina, mwachitsanzo, kusintha mapilo nthawi zambiri mopanda nzeru, n’kumugwira. mkono wotsimphina mumlengalenga kwa mphindi yonse ya 40, ndikusiyirani PCR yodzaza. Koma, anali Maria, ndipo Mary anali ndi malo apadera m'mitima yathu chifukwa chofuna kumukondweretsa ngakhale pang'ono - osapambana, ndingawonjezere. Mary anadandaula pa chilichonse, koma palibe nthawi yomweyo. Choncho, Lachinayi masanawa pamene ananena mosabisa kuti anali ndi ululu pachifuwa, chinakweza mbendera zofiira. Ndi wophunzira m'bwalo, gulu la amuna atatu adasankha kuthamangitsa wodwalayo ku ER mailosi atatu pamsewu, akutuluka, m'malo modikirira ALS. Ndinathamangira kuyitana, mwachibadwa, anali Mary, ndipo anali wodwala wanga. Vitals okhazikika, wodwala amakana kupuma movutikira ndi zizindikiro zina zilizonse. Paulendo wa mphindi ziwiri ndidayitana lipoti pakulira kwa ma siren, "mbiri ya CVA ndi ... CVA. Mary ndiyang'ane ine. Kuwonjezeka kwa nkhope kugwa; stoke alert, ndikulowa tsopano. Mary nthawi zonse nkhope yake ikugwa, kugwa, ndi kufooka kumbali yakumanzere, koma zinali zoipitsitsa. Ndakhala ndikuyenda naye mlungu uliwonse kwa miyezi isanu ndi umodzi, koma ulendo uno ndinakhala kumanja kwake. Tinapita naye ku CT, ndipo sindinamuonepo. Mary anali wodwala wanga, ndipo aliyense ankadziwa.
Timamva kuti "moyo ndi waufupi kwambiri" nthawi zonse, koma ndi anthu angati omwe akhalapo pambuyo poti mayi wosweka mtima atagubuduza mwana wake wa miyezi inayi, ndipo mumagwira ntchito ngati mwana wanuyo, podziwa kuti wakhala nthawi yayitali. . Monga wothandizira zaumoyo, muli ndi odwala omwe amapangitsa kuti zonse zikhale zoyenera; Izi zikukukumbutsani chifukwa chake mumabwereranso ku MVAs, kudula ziwalo, kupitirira malire, zaka zitatu ndi mbedza m'maso mwake, wazaka 2 pansi pa masitepe, wodwala Alzheimer's yemwe samamvetsa chifukwa chake amangiriridwa pa machira. , 302 amene amakoka mfuti, wodwala khansa ya kapamba amene amasanza magazi pa inu pamene muli pansi pa masitepe ndipo palibe chimene mungachite mpaka mutatsika masitepe ena awiri. Ambulansi yanga ndi ofesi yanga. EMS yandipatsa zambiri, chiyembekezo komanso zokhumudwitsa kuposa zomwe ndikanapempha ngati undergraduate. Palibe chimene changowonjezera chikhumbo changa cha kupita patsogolo m’zachipatala.
“Mpikisanowu ndi ndewu ya mkango. Choncho chibwano mmwamba, bwezerani mapewa anu mmbuyo, yendani monyadira, gwedezani pang'ono. Osanyambita mabala ako. Zikondweretseni. Zipsera zomwe muli nazo ndi chizindikiro cha mpikisano. Inu muli mu nkhondo ya mkango. Chifukwa chakuti sunapambane, sizikutanthauza kuti sudziwa kubangula.” Maola osawerengeka akuzengereza kuwonera zolakwika zachipatala za Grey's Anatomy, zowoneka bwino mu House MD, komanso chisangalalo cha ER, sizinandipatse chiyembekezo. Ndikukhulupirira kuti wina awona kupyola GPA yanga yapakati komanso zolemba zamaphunziro apamwamba, ndikundipatsa mwayi wachiwiri womwe ndikudziwa kuti ndiyenera. Ndinatsimikizira kuthekera kwanga ndi chilimbikitso kusukulu yasekondale komanso zaka zanga ziwiri zomaliza za koleji pomwe ndimaganiziranso zolinga zanga ndi dongosolo langa. Ndine wokonzeka, wokonzeka, komanso wokonzeka kuchita chilichonse chomwe ndingafune kuti ndikwaniritse cholinga changa chopereka chisamaliro chapamwamba kwambiri chomwe ndingathe. Ngati simunakonzekere nthawi ino kuti mundikhulupirire, ndichita chilichonse chomwe chingachitike kuti ndifike pamenepo, kaya ndibwereze makalasi, kapena kuyikanso $40,000 ina pamaphunziro anga kuti ndipambane mu pulogalamu ya post-baccalaureate. Pambuyo pa zaka zambiri ndikuchita nawo ntchito zachipatala, pomalizira pake ndapeza imene ndikufuna, ndipo chikhumbo changa chokhala ndi moyo ndi kuphunzira sichinakhale champhamvu.
Zitsanzo za Munthu #10
Ndakonzanso nkhani yanga ndipo ndikufuna kuti buku lachiwiri liganizidwe ngati n'kotheka. Ndine pafupifupi zilembo 150 kupitirira malire ndipo sindikudziwa kuti ndidule chiyani kapena kuti. Ndikugwiranso ntchito popereka uthenga wa chifukwa chomwe ndikufuna kukhala PA ndi zomwe ndingapereke zomwe ndizopadera. Thandizo lililonse limayamikiridwa kwambiri!
Ndaphunzira maphunziro ambiri ofunikira ndikuyika mthunzi wothandizirana ndi dokotala mchipinda chadzidzidzi m'chilimwe chino: nthawi zonse muzitsuka mano anu, lankhulani ndi antchito ena a ER kuti mugwire ntchito bwino monga gulu, osalankhula za "chete" tsiku. ndi, ndi kuti bulangete ofunda ndi kumwetulira kupita kutali chisamaliro odwala. Chofunika kwambiri, ndinaphunzira momwe ndimakondera kubwera kuchipatala tsiku lililonse, ndikukondwera kucheza ndi odwala osiyanasiyana komanso kukhala ndi zotsatira zabwino, ngakhale zazing'ono bwanji, pazochitika zawo zachipatala. Kukhala m'malo opwetekedwa mtima a Level II kunandipatsa mwayi wokulitsa nzeru zanga za chisamaliro cha odwala, komanso kupititsa patsogolo chikhumbo changa chofuna kuchita ntchito ngati PA m'munda uno. Kudzoza kwanga kwakukulu kuti ndikhale PA, komabe, kudayamba bwino ndisanagone m'chipatala koma kuchokera kufupi ndi kwathu.
Inali chilimwe chisanafike chaka changa chomaliza ku Miami pamene ndinalandira malemba kuchokera kwa abambo anga. Anali kudwala kwa milungu ingapo ndipo pomalizira pake anapita ku chipatala kukagwira ntchito yachizoloŵezi yoika magazi. Maulendo a dokotala anali osowa kwa iye, popeza ndi dokotala wa ER ndipo amawoneka kuti sadwala konse. Zotsatira zitabwera, adamulola nthawi yomweyo ku Cleveland Clinic Main Campus. Anandiuza kuti ali bwino ndipo ndisadandaule, nthawi yonseyi ndikuseka za kupeza chipinda chokhala ndi masewera a Amwenye, kotero ndidamukhulupirira. M'mawa wotsatira mayesero ake anali atabwerera - anali ndi acute lymphoblastic leukemia. Masiku ake makumi atatu oyambirira a mankhwala amphamvu kwambiri a chemotherapy anafupikitsidwa pamene adadwala matenda ndikukula m'thupi lonse. Anakhala m'chipatala cha ICU kwa miyezi iwiri, panthawiyi adalowa ndikutuluka chikomokere ndipo, monga adanenera, "kukacheza ndi katswiri aliyense kupatula matenda achikazi." Atatsitsimuka pambuyo pa milungu iwiri ya dialysis, anali wofooka kwambiri moti sakanatha kukhala tsonga osathandizidwa kotero kuti anakhala miyezi iwiri kumalo ochiritsira odwala asanamuloledwe kubwera kunyumba Madzulo a Khrisimasi.
Inali mphatso yabwino kwambiri imene mtsikana angapemphe, koma osati popanda mavuto. Anali akadali wofooka kwambiri komanso woyenda pa njinga ya olumala. Ankayenera kumwa mapiritsi odzaza manja kangapo patsiku, ndipo ankafunika kuyezedwa shuga wake asanadye chakudya chilichonse chifukwa cha ma steroids. Nyumbayo inkafunika kuchapa nthawi zonse kuchokera pamwamba mpaka pansi chifukwa cha kuchepa kwa ma neutrophil. Ndili wamng’ono ndipo mayi anga anagwidwa ndi sitiroko kawiri, bambo anga ndi amene ankachititsa kuti banja lathu likhale logwirizana. Dziko lathuli lidakhala ngati lotopetsa. Ndinaphunzira kumubaya zala zala ndi jakisoni wa insulin mofatsa, kuti asaphwanye khungu lake lopyapyala ngati pepala. Ndinamuphunzitsa momwe angayankhire mzere wake wa PICC utatsekeka (chinyengo chomwe ndinaphunzira kuchokera ku zomwe ndinakumana nazo ndi maantibayotiki a IV kuti athe kuchiza osteomyelitis chaka chatha). Pamene anayamba kuyenda, ndinaphunzira kutsekereza mawondo ake ndi manja anga kuti asagwere patsogolo kwambiri atataya mphamvu zake zambiri zodziwikiratu ndi kuyendetsa galimoto chifukwa cha peripheral neuropathy.
Ndinali ndi chisankho chovuta: kubwerera kusukulu ndikupitiriza maphunziro anga, kapena kukhala kunyumba ndikuthandizira amayi anga. Ndinakhala ku Cleveland kwa nthaŵi yaitali mmene ndikanathera, koma m’kupita kwa nthaŵi ndinabwerera kusukulu kutatsala tsiku limodzi kuti semesita ya masika iyambe. Ndinapitirizabe kubwera kunyumba nthaŵi zonse mmene ndikanathera. Ndondomeko yathu sinali yokha yomwe idasintha - chifukwa bambo anga sankatha kugwira ntchito, moyo wathu unasintha kwambiri chifukwa cha mavuto azachuma omwe amalipira kuchipatala. Tsopano tinalingalira zofikira mosavuta kulikonse kumene tinkapita kutsimikizira kuti kunali kosungika panjinga yake ya olumala. Tsiku lina usiku, mayi anga anandiuza kuti sanakhalepo ndi bambo anga m’banja lawo lonse. Khansara si nkhondo yakuthupi yokha, koma nkhondo zambirimbiri zomwe zimatsagana ndi matendawa. Kuima molimba ndi banja langa pazovuta zonsezi kwandithandiza kukhala ndi malingaliro omveka bwino komanso apadera pazovuta zomwe nkhani zaumoyo zimabweretsa kwa odwala ndi mabanja awo.
Bambo anga adabwereranso kuntchito ku ER, ndipo akupitiriza kupereka moni kwa odwala ndikumwetulira, ndikuthokoza kuti ali ndi moyo komanso wathanzi kuti azitha kuchita zamankhwala. Ngakhale bambo anga asanadwale, inenso ndinkakonda kwambiri mankhwala. Kuyambira ndili wamng’ono, ndinkafunsa dziko londizungulira ndili ndi ludzu lofuna mayankho omwe sankatha. Pamene ndinkaphunzira kachitidwe ka thupi mu kaumbidwe ka thupi ndi kapangidwe ka thupi, ndinaona matenda ndi kuvulala monga chithunzithunzi choyembekezera kuthetsedwa. Ndikamasamalira abambo anga, adandiuza kuti ndiyenera kuyang'ana kusukulu ya PA. Anati "ngati mumakonda mankhwala ndipo mukufunadi kucheza ndi odwala, khalani Dokotala Wothandizira." Munthawi yanga yoyang'ana mu dipatimenti yazadzidzidzi, ndapeza izi kukhala zoona. Pomwe madotolo amayimba foni kuchokera kwa akatswiri ndikulemba zolemba zazitali, ma PA ali mchipindamo ndi odwala, akuwunikanso zizindikiro kapena zilonda zapakhosi kwinaku akudziwitsa wodwalayo komanso modekha kuti achepetse kupsinjika. Zotsatira zabwino pazochitika za chisamaliro cha odwala ndizowoneka bwino. Ndikufuna kugwiritsa ntchito chifundo ndi kumvetsetsa komwe ndidapeza panthawi yomwe banja langa lidakumana ndi zovuta komanso zomwe ndakhala ndikuchita pochita mthunzi m'chipinda chodzidzimutsa ndicholinga chothandizira chithandizo chamankhwala cha munthu wina.
Zitsanzo za Munthu #11
"Kaya mukudziwa kapena ayi, muli ndi mphamvu yokhudza miyoyo ya aliyense amene mumakumana naye ndikupanga tsiku lawo kukhala labwinoko pang'ono." Nthaŵi ina ndinamva munthu wina wokhalamo wotchedwa Mary akutonthoza mnzake amene anali kudziona kukhala wopanda pake ndi kachidutswa kakang’ono kameneka. Mary anali atakhala ku Lutheran Home pafupifupi zaka zisanu. Anali ndi kumwetulira kwachikondi komwe kunafalikira pankhope pake ndipo kumawoneka ngati akunena nkhani. Uku kunali kumwetulira komwe kunandikumbutsa kumwetulira kokoma mtima kwa agogo anga. Ndimakumbukira kuti ndinaganiza kuti mayiyu anandidabwitsadi ndipo ankaoneka kuti ali ndi luso lachilendo lotonthoza ena. Mary anali mkazi wosadzikonda, wachifundo ndipo ndinkasirira kwambiri. Tsiku lina ndinamva kuti Mary anagwa pamene ankafuna kusamuka m’bafa ndipo anavulala pamkono ndi kumenya mutu. Chochitika ichi, chotsatiridwa ndi zovuta zambiri zaumoyo, zimawoneka ngati chiyambi cha kufooka kwake komanso kuthekera kwake. Mary adagonekedwa pabedi, pang'onopang'ono adayamba kutaya chidwi chake ndipo adayamba kumva kuwawa. Kwa miyezi ingapo yotsatira, ndinasangalala pamene ndinapatsidwa ntchito yosamalira Mary chifukwa mawu amene ndinaona anakwaniritsidwadi. Mary sanali kusamalidwa bwino nthaŵi zonse ndipo analibe alendo odzamuona m’masiku ake omalizira. Nthaŵi zambiri ndinkayesa kupitako kuti ndimutonthoze, kukhala naye panthaŵi yanga yopuma kapena kunyoza Mary pamene anakana chakudya kuti adyeko pang’ono. Pamapeto pake, zinthu zing'onozing'ono monga kumugwira, kukhala ndi iye ndi kulankhula naye mosakayikira zinapangitsa kuti tsiku lake likhale labwinoko pang'ono. Mary adandiphunzitsa kukhala wodekha, ulemu komanso wachifundo kwa munthu aliyense yemwe ndimakumana naye ndipo ndawonadi kusintha komwe njira iyi imapereka pakuchiritsa. Ndikukhulupirira kuti njira iyi ndiyofunikira kuti mukhale dokotala wothandizira.
Ndinaphunzira koyamba za ntchito ya Dokotala pamene ndinayamba kugwira ntchito pa University of Massachusetts Memorial Hospital, ndipo chitsanzocho chinakhudza kwambiri moyo wanga. Ndine wokonda kwambiri kupanga ubale, kukhala ndi nthawi yabwino ndi anthu, komanso kusinthika kukhala wophunzira moyo wonse. Ndimakonda lingaliro la kuchepa kwa katundu pa PA chifukwa amalola kuyang'ana ndi kukulitsa mphamvu zawo. Ndikudziwa mumtima mwanga kuti ntchito imeneyi ndi yomwe ndimayenera kuchita. Inde ndine wolimbikira, wofuna kutchuka komanso wosewera mu timu, koma chomwe chimandipangitsa kuti ndikhale woyenerera kuchita digiri yaukadaulo ngati wothandizira dokotala ndi umunthu wanga komanso kukoma mtima komwe ndaphunzira kudzera muzokumana nazo zanga. Kwa ine, wothandizira dokotala amatumikira odwala ake, dokotala wake ndi dera lake mwaulemu ndi mwachifundo.
Pali nthawi zosawerengeka zomwe ndidakumana nazo posamalira odwala zomwe zandilimbikitsa kusankha ntchito yanga. Pokumbukira Mary, komanso wodwala aliyense yemwe wakhudza moyo wanga watsiku ndi tsiku ndapeza chidwi changa ndi umunthu uwu. Nthawi zonse ndimatenga nthawi kuti ndikhale ndi odwala anga, kumvetsetsa malingaliro awo, kupanga mgwirizano ndi iwo ndikuwapatsa chisamaliro chabwino kwambiri chomwe ndingathe kupereka. Ndakhala ndikusamalira odwala mwachindunji m'malo osiyanasiyana kwa zaka 3 ndikupeza chisangalalo chachikulu tsiku lililonse ndikapita kuntchito. Kukhala wokhoza kusonkhezera moyo wa tsiku ndi tsiku wa munthu ndi dalitso ndipo kumandipatsa mtendere wamumtima. Palibe mphotho yayikulu m'moyo kuposa kugawana chikondi chanu ndi chifundo chanu ndi dziko lapansi kuti moyo wa wina aliyense ukhale wabwinoko pang'ono.
Zitsanzo za Munthu #12
Ulendo wanga wopita kusukulu ya Physician Assistant inayamba zaka zitatu zapitazo pamene moyo wanga unali wovuta kwambiri. Ndinali paubwenzi wosakhutiritsa, mu ntchito yomwe inandipangitsa kukhala womvetsa chisoni kotheratu, ndipo ndinali kudwala mutu tsiku ndi tsiku chifukwa cha kupsinjika maganizo pakuchita ndi nkhani zimenezi. Ndinadziwa kuti sindinali pamene ndinayenera kukhala m’moyo.
Ndinadzimasula ku ubale wanga wosakhutiritsa. Nthawiyo mwina sinali yangwiro, popeza ndinathetsa chibwenzi miyezi iwiri chikwati chathu chisanachitike, koma ndikudziwa kuti ndinadzipulumutsa zaka zachisoni. Patatha miyezi inayi nditamaliza chinkhoswe, ndinachotsedwa ntchito. Atangochotsedwa ntchito, ndinayamba kukomoka chifukwa cha mankhwala amutu omwe ndinkamwa tsiku lililonse ndisanandichotse. Zimenezi zinanditsimikizira kuti ndinafunika kusintha ntchito.
Sindinasowepo mtima wofuna kutchuka, koma zomwe ndakumana nazo posachedwa zinandipatsa kaye kaye komwe ndiyenera kupita. Tsiku lina mlangizi wodalirika anandifunsa ngati ndinaganizapo zokhala dokotala kapena wothandizira dokotala. Poyamba, ndinakana lingalirolo chifukwa sindinkadziwa kuti ndiyenera kubwerera kusukulu kokha, koma ndiyenera kuchita maphunziro ovuta monga chemistry. Lingaliro lophunzira maphunziro a chemistry ndi masamu linandichititsa mantha. Kuopa kulephera kwachuma komanso maphunziro kunandipangitsa kulingalira zomwe ndimafunikira komanso zomwe ndimafuna. Nditafufuza ndikuyerekeza madokotala, namwino ogwira ntchito ndi othandizira adotolo, ndidamva chidwi chenicheni pamunda wa PA. Kutalika kwa nthawi kusukulu, mtengo wamaphunziro, kuchuluka kwa kudziyimira pawokha, komanso kuthekera kofufuza zapaderazi ndi zifukwa zingapo zomwe kukhala PA kumakhala kosangalatsa. Kwa nthawi ndithu, ndinkapewa kusankha zochita chifukwa choopa kuchita zolakwika. Ndinalimbana makamaka podziwa kuti ngati ndinabwerera kusukulu, ine ndiyenera kutenga makalasi kuti ndinatenga maphunziro a digiri yoyamba pa zaka khumi ndi ziwiri zapitazo. Komabe, kukayikakayika chifukwa cha mantha kunali kundilanda nthawi ndikulowetsa m'maganizo mwanga zomwe mwina sizingachitike.
Pofuna kutsutsa mantha anga, ndinaganiza zodzipereka ndi malo ozimitsa moto ndi opulumutsira kuti ndipeze chiphaso changa cha EMT-B. Kuonjezera apo, ndinayamba maphunziro omwe ndimaganiza kuti ndizovuta nawo. M’pake kuti ndinaganiza kuti, ngati ndikanakonda kukhala m’chipatala chofulumira chonchi ndikupitirizabe kupeza chisonkhezero chochita nawo makalasi ovuta kwambiri a ntchito yanga ya ku koleji, ndingatsimikiziridwe kuti ndinali panjira yoyenera.
Kubwerera kusukulu kunali kovuta. Ndinayenera kuchoka ku chemistry ya koleji semester yanga yoyamba popeza ndinali wotanganidwa ndi kusintha. Ndinali wa dzimbiri ndipo ndinafunika kumasuka mu semester kuti ndizitha kuchita zizolowezi zomwe zimandipangitsa kukhala wophunzira wamkulu. Nditapeza phazi langa, ndinalembetsanso ku koleji ya chemistry, ndipo ndinasangalala nayo. Ndinkaona ngati maganizo anga akukula ndipo ndinkaphunzira zinthu zimene poyamba ndinkaganiza kuti sindingathe kuziphunzira mosavuta. Chidaliro changa chinakula, ndipo ndinadzifunsa kuti kodi nkhaŵa yanga yonseyo ndi chiyani?
Kupeza chiphaso changa cha EMT-Basic, kudzipereka, ndi kubwerera kusukulu kuti ndikagonjetse makalasi anga omwe ndizovuta kwambiri mpaka pano chakhala chimodzi mwazosankha zopindulitsa kwambiri pamoyo wanga. Kukhala EMT-B kwandilola kuti ndiphunzire chithandizo chamankhwala chofunikira monga kuyesa odwala ndi mbiri yakale, kumvetsetsa malingaliro a anatomy ndi physiology, komanso kulankhulana ndi odwala. Gawo la EMS landipangitsa kukhala womasuka komanso wololera, kundilola kuchitira anthu osiyanasiyana pazachuma, maphunziro, ndi mafuko. Ndawona mbali yaumunthu ya anthu omwe sindikanatero.
Tsopano ndili ndi chithunzi chomveka bwino cha zomwe ndikufuna, ndikuyendetsedwa ndikudziwa zomwe ndikufuna kukwaniritsa. Ndakula mwaukadaulo komanso panokha pomwe ndikupereka chisamaliro chachifundo kwa ena ndikudzikakamiza kumlingo womwe sindinkaganiza kuti ndingathe. Kuonjezera apo, kuyambira kubwerera kusukulu ndikuzindikira kuti ndimakonda kulimbana ndi mantha anga ndipo ndimakhala bwino ndikudzitsutsa ndekha ndikuphunzira zinthu zatsopano kusiyana ndi pamene ndinali wachinyamata ndi zaka makumi awiri. Ndili wofunitsitsa kupititsa patsogolo chikhumbo chimenechi, ndikuyesetsa kuti moyo wanga ulemeretse ndi mavuto amene ntchito ya wothandizila wa udokotala ingabweretse.
Zitsanzo za Munthu #13
Chikumbukiro changa champhamvu cha “abuelita” wanga chimaphatikizapo iye, misozi, kusimba za kukana kwa atate ake kumlola kuphunzira udokotala chifukwa chakuti anali mkazi. Mwina nkhaniyi ikhalabe yomveka bwino chifukwa cha kubwerezabwereza kwa dementia, koma ndikukayikira kuti chinali kuyankha kwanga m'malingaliro chifukwa cholakalaka kuitana kwamphamvu ngati kwake. Kumene timagawana chikondi chofanana cha mawu ophatikizika ndi zolemba, sindinamvepo kuti udokotala ndiye ntchito yoyenera kwa ine- ngakhale amaumirira agogo ake. Lero ndili ndi chikhulupiriro kuti Physician Assistant (PA) ndiye yankho la funso lomwe ndakhala ndikudzifunsa kwa nthawi yayitali tsopano. Kodi moyo wanga ndidzaupereka ku chiyani? Monga wophunzira yemwe ankangokhalira kukangana pakati pa ntchito ya zamankhwala ndi chitukuko cha mayiko, sizinadziwike kuti ndi njira iti yomwe ikugwirizana ndi khalidwe langa komanso zolinga zanga za ntchito. Kutsatira zilakolako zanga kunandipangitsa kupeza ntchito ya PA. Ndizophatikiza zonse zomwe ndimakonda: biology, maphunziro azaumoyo ndi ntchito zaboma.
Chidwi changa ndi thupi la munthu chinandifikitsa ku maphunziro apamwamba a Physiology ndi Neuroscience pa yunivesite ya California, San Diego (UCSD). Maphunzirowa adandilimbikitsa komanso kunditsutsa chifukwa amaphatikiza chidwi changa ndi biology komanso chidwi chofuna kuthetsa mavuto. Maphunziro a Biochemistry anali ovuta kwambiri kuposa ena. Nthawi yomweyo ndinayambiranso maphunzirowo ndikuphunzira phunziro lofunika- kuti kukula kwaumwini kumabwera chifukwa cha zovuta. Ndili ndi phunziro ili m'maganizo ndidaganiza zolowa m'moyo womaliza maphunziro kupyola vuto lovuta kwambiri lomwe ndingalingalire- kudzipereka kwa zaka ziwiri m'dziko lachitatu.
Pofuna kutsata chidwi changa pazaumoyo komanso chitukuko cha mayiko ndidalowa nawo bungwe la Peace Corps. Komanso izi zinandilola kugwira ntchito ku bungwe lomwe nzeru zake ndikanakhulupirira. Bungwe la Peace Corps limayesetsa kusintha moyo wa anthu enieni. M'miyezi ingapo ndikukhala kumidzi ku Ecuador, ndidazindikira ndipo ndidalimbikitsidwa ndi zomwe akatswiri azachipatala adachita.
Pofunitsitsa kujowina nawo ndinalumphira pamwaŵi wokathandizana ndi chipatala chakumidzi. Zina mwa maudindo anga ndi kulemba mbiri ya odwala ndi zizindikiro zofunika, kupereka thandizo kwa dokotala wachikazi komanso kukonza pulogalamu yophunzitsa anthu zaumoyo. Ndidakondwera kwambiri ndi kafukufuku, luso komanso kuthetsa mavuto zomwe zidatenga kuti ndikhazikitse ndikukhazikitsa maphunziro azaumoyo omwe angafikire anthu omwe ndikuyesera kuwathandiza. Kaya ndikuyang'anira zokambirana, kufunsira kuchipatala, kapena kuchezera kunyumba, ndidachita bwino pocheza ndi anthu ochokera kumadera osiyanasiyana. Ndinapeza kuti chinthu chimodzi ndi chilengedwe chonse; aliyense amafuna kumva kumva. Katswiri wabwino amafunikira choyamba kukhala womvetsera wabwino. Ndinaonanso kuti kusadziŵa kwanga zachipatala nthaŵi zina kumandichititsa kudzimva wopanda chochita monga pamene ndinali kulephera kuthandiza mayi amene anandifikira titamaliza maphunziro a zakulera. Tinali kutali ndi anthu ammudzi kwa maola angapo. Anali ndi magazi osalekeza kumaliseche kuyambira pamene anabala miyezi itatu yapitayo. Zinandidabwitsa kuti palibe chomwe ndingachite popanda digiri ya udokotala. Zochitika zimenezi, ndi zina zotero, zinandilimbikitsa kupititsa patsogolo maphunziro anga kuti ndikhale dokotala.
Chiyambireni kubwerera ku Peace Corps ndidachita chidwi ndi ntchito ya PA. Ndinamaliza zofunikira zotsalira ndi zizindikiro zapamwamba, ndinatenga maphunziro a EMT othamanga ku UCLA, ndinadzipereka m'chipinda chodzidzimutsa (ER) ndikuphimba ma PA angapo. PA Mmodzi, Jeremy, wakhala chitsanzo chabwino kwambiri. Amasunga maubwenzi olimba, odalirika ndi odwala. Iye ndi wodziwa kwambiri, wosafulumira, komanso wokonda munthu pamene amakwaniritsa zosowa za odwala. Ndizosadabwitsa kuti amamupempha kuti akhale dokotala wawo wamkulu ndipo ndikuyembekeza kuti ndidzachitanso luso lomwelo tsiku lina. Zonse zomwe ndakumana nazo pamthunzi zinatsimikiziranso zolinga zanga za ntchito zomwe zimagwirizana kwambiri ndi za PA, komwe ndimatha kuyang'ana kwambiri chisamaliro ndi chithandizo cha odwala anga, popanda udindo wowonjezera wokhala ndi bizinesi yangayanga.
Pomwe Peace Corps idayatsa chidwi changa chofuna ntchito yazamankhwala komanso mthunzi m'mabanja adatsegula maso anga pantchito ya PA, kugwira ntchito ngati katswiri wachipinda chodzidzimutsa (ER Tech) kwalimbitsa chikhumbo changa chofuna kukhala PA. Kuphatikiza pa ntchito zanga za ER Tech ndine wotanthauzira wovomerezeka wachi Spanish. Tsiku lililonse ndimakhala ndi mwayi wogwira ntchito limodzi ndi antchito ambiri a PA, madotolo ndi anamwino. Nthawi zambiri ndimatanthauzira wodwala yemweyo paulendo wawo wonse. Kupyolera mu zokambiranazi ndakhala ndikuyamikira kwambiri ma PA. Monga momwe amachitira odwala omwe ali ndi vuto lochepa amatha kuthera nthawi yochuluka pa maphunziro a odwala. Gawo lofunika kwambiri la ntchito yanga ndikuwonetsetsa kuti odwala amalandira chithandizo chamankhwala chabwino mosasamala kanthu za chilankhulo kapena maphunziro awo. Phindu losayembekezereka labwera kuchokera kwa madokotala, PAs ndi anamwino pozindikira chidwi changa cha kuphunzira ndi kugawana nzeru zawo zachipatala kuti andithandize kuzindikira maloto anga oti tsiku lina ndidzakhala PA.
Mutu wothandiza odwala omwe sanagwiritsidwe ntchito bwino pazachipatala wakhala ukukula m'moyo wanga wamkulu. Mosakayikira ndikuitana kwanga kuti ndipitirize ntchito yosangalatsayi monga PA m'chipatala cha pulayimale. Ndili ndi chidaliro kuti ndipambana mu pulogalamu yanu chifukwa chodzipereka kwanga kumaliza zonse zomwe ndikuyamba komanso ndikufuna kuphunzira. Ndine wosankhidwa mwapadera chifukwa cha malingaliro anga azikhalidwe zosiyanasiyana, zaka zambiri ndikusamalira odwala azilankhulo ziwiri komanso kudzipereka ku ntchito ya udokotala. Ndikamaliza sukulu ya Physician Assistant ndidzakhala woyamba m'badwo wanga wa azisuwani 36 kulandira maphunziro omaliza. Abuelita wanga akanakhala wodzala ndi kunyada.
Zitsanzo za Munthu #14
Dothi. Kuphimba mapindikira a khutu langa, kutsekeka kwa mphuno zanga, ndi kumamatira pakhungu langa lotentha kwambiri, lamchere; limapezeka ndi mpweya uliwonse. Dzuwa la ku Mexico limamenya kutentha pamapewa anga otenthedwa ndi dzuwa. Mnyamata wina wolankhula Chisipanishi amandikokera m’dothi kuti ndikhale mopingasana pamene akundiphunzitsa maseŵero amphamvu akumenya manja. Ndikuwona mwendo wake wapindika movutikira ngati akubwezera malo ofooka pamwana wake. Nditasuzumira pachifuwa chake, ndikuwona bampu yodzaza ndi mafinya ngati dola yasiliva. Iye amachokapo. N’chifukwa chiyani ayenera kukhulupirira munthu wongodzipereka womanga nyumba ku Mexico? Ndilibe mphamvu yothandiza mnyamata wamng’ono ameneyu, wopanda mphamvu zomuchiritsa. Ndikumva kuti ndilibe chochita.
Ayisi. Kusungunuka ndi kulowa m'magulovu aubweya, kutsekereza zala zanga zozizira. Mphepoyo imadutsa m'masaya anga, imagwera m'ming'alu ya jekete yanga ndi mpango. Ndili ku Detroit. Bambo yemwe ali ndi dzanja lopanda kanthu, lokwinyika amandigwira mkono ndikumwetulira kosalala. Ndi msilikali wakale yemwe amamva kuti ali kunyumba mumdima wakuda uwu, konkire mu mzinda wa Detroit kuposa chipatala chilichonse. Amapinda kundiwonetsa mapazi ake otupa ndi tiana tofiira tikuthamangira kumapiko ake. N’chifukwa chiyani amandikhulupirira? Ndine wodzipereka kukhitchini yophikira supu, ndilibe mphamvu zomuchiritsa. Ndikumva kuti ndilibe chochita.
M'malovu. Nditamamatira ndi kuthamangira kunsonga kwa tsamba lalikulu la kumalo otentha, ndikugwera pa mkono wanga kudzera pawindo la dzimbiri lachitsulo. Nyanga kulira. Mabelu amavina. Kufuula kuti ndimvetsere. Mkati mwa chinyontho, kutentha, anthu akuyenda mbali zonse pamwamba pa kapeti ya zinyalala yomwe ili m’misewu. Ndikukhala m'basi yodzaza ndi anthu kunja kwa Delhi, India. Mnyamata wopemphapempha amadzikoka kukwera pamasitepe achitsulo a basi. Chigongono chimodzi kutsogolo chinzake, amakwawa pang'onopang'ono mmwamba. Amayesa kudzikoka m'miyendo yanga, magazi owuma ndi dothi zikumangirira mutu wake, ntchentche zikugwedeza makutu ake, zitsa za ntchafu zikulendewera m'mphepete mwa mpando. Ngakhale kuti sindiyenera kutero, ndimamuthandiza kugwada pachifuwa changa kufika pampando pafupi ndi ine, misozi ikutsika pankhope panga. Ndalama sizidzamuthandiza. Ndalama zimangomulimbikitsa kukopa ndalama zochepa kuchokera kwa alendo omwe amabwera. Ndikukhulupirira kuti sakhulupirira aliyense ngakhale amadzinamizira kuti akufuna kunditenga, chifukwa amandiwona ngati chandamale m'malo mongodzipereka modzipereka kulikonse komwe ndikufunika manja paulendo wanga. Ndilibe mphamvu zomuchiritsa. Ndikumva kuti ndilibe chochita.
Zonse zitatu mwazochitikazi ndi chithunzithunzi chabe cha nthawi zomwe ndakhala ndikusowa chochita. Kusowa chochita kunayamba ndili mwana ndi mlongo wamkulu, akuchokera kubanja la amayi osakwatiwa opanda inshuwaransi yazaumoyo, opanda digiri ya koleji komanso ngolo yopanda kanthu yomwe ili pamzere pa sitolo yogulitsira; kusowa thandizo kwatha chifukwa ndakwera pamwamba pa zomwe sindikanayembekezera, kubwerera ku koleji nditakumana ndi ntchito zongodzipereka kwanuko, kudera lonse la US ndi padziko lonse lapansi.
Ndakhala ndi mwayi wogwira ntchito ndikudzipereka m'nyumba zosungira ana amasiye ndi zipatala zachipatala zapafupi zomwe zimathandiza anthu osauka m'mayiko ambiri. Ndinalawako mmene zimakhalira kuchiza zilonda, kuthandiza kunyamula anthu ovulala, kukhala motonthoza pafupi ndi bedi la mayi wa chifuwa chachikulu cha TB chosagonjetsedwa pamene ankapuma komaliza. Ndakhala ndikugwira ntchito limodzi ndi akatswiri ambiri azaumoyo m'njira, koma othandizira adotolo adandiwonekera. Anali osinthasintha komanso achifundo, akumathera nthawi yawo yambiri ndi odwala. Ambiri ndinazolowera chilichonse chatsopano ndi bwino anasintha pakati zapaderazi m'munda. Kukumana kulikonse ndi wodwala kapena dokotala wothandizira kwawonjezera chikhumbo changa komanso kutentha kwanga kuti ndidziwe zambiri komanso luso, zomwe zimandipangitsa kuti ndilembetsenso ku koleji.
Zolemba zanga pakati pa wachinyamata wachinyamata ndi wamkulu woyendetsedwa zidandiphunzitsa mfundo zosasinthika monga nsembe, zowawa, kugwira ntchito molimbika, kuyamikira, chifundo, kukhulupirika ndi kutsimikiza mtima. Ndinakulitsa zilakolako zanga ndipo ndinazindikira mphamvu zanga ndi zofooka zanga. Zaka zisanu ndi chimodzi nditachoka ku koleji komanso zaka zinayi nditabwerako, tsopano ndine woyamba maphunziro a koleji m'banja langa, ndagwira ntchito ngati seva yodyeramo kutengera maphunziro ndi malangizo. Nthawi iliyonse yopuma pakati pa semesita ndikupitiriza ntchito yanga yodzifunira kwanuko, ku Thailand, ndi ku Haiti. M'chaka chomwe chikubwerachi, ndapeza udindo monga katswiri wa zachipatala ndipo ndidzamaliza maphunziro a Pre-PA kudzera ku Gapmedic ku Tanzania kumapeto kwa masika kuti ndipitirize kukonzekera Pulogalamu Yothandizira Dokotala.
Pokumbukira kulumikizana kwamunthu kulikonse komwe ndidapanga paulendo wanga, popeza onse ndidakhala membala wa ma wells komanso adatumikira osowa, ndipitiliza mayendedwe anga ndi chikhumbo changa chopita kwa Dokotala Wothandizira Maphunziro ndikuyembekeza kuti nditha kupitiliza kukhala wopanda thandizo.
Zitsanzo za Munthu #15
Ndikayang'ana m'mbuyo zaka zingapo zapitazi za moyo wanga, sindinadziwonere ndekha ndikulingalira ntchito yachiwiri. Komabe, zinthu zingapo zosangalatsa ndiponso zokhutiritsa zimene ndakhala nazo m’zaka zingapo zapitazi zandichititsa kusankha kuchita udokotala wa mano monga ntchito.
Tsogolo mu gawo lazaumoyo linali chisankho chachilengedwe kwa ine, kuchokera ku banja la ogwira ntchito yazaumoyo. Ndinalinso ndi luso la biology kuyambira ndili kusukulu ndipo chidwi changa pazachipatala chinandipeza ndikusankha ntchito yachipatala ya homeopathic. Ndayesetsa kwambiri kuti ndikhale pakati pa 10% apamwamba a kalasiyi ndipo chidwi changa komanso chidwi changa pathupi la munthu ndi matenda omwe amakhudza iwo chakula modumphadumpha m'zaka zanga za maphunziro azachipatala a homeopathic.
Chilimbikitso kumbuyo kwanga, kuti ndikhale katswiri wazachipatala chinali kuvutitsidwa ndikuwona zowawa zomwe adakumana nazo Agogo anga omwe anali wodwala khansa ya m'mapapo (mesothelioma). Popeza tinali kukhala m’dera lakumidzi ku India, Atate wanga Anayenda kwa maola oposa aŵiri kuti akalandire chithandizo chamankhwala. Kupuma pang'ono chifukwa cha pleural effusion, kupweteka pachifuwa ndi zowawa pambuyo pa chemotherapy, zovuta zonsezi zomwe adakumana nazo zidandilimbikitsa kukhala katswiri wazachipatala m'tsogolomu.
Kuphatikiza apo, kukoma mtima ndi chisamaliro chomwe Madokotala, ndi akatswiri ena azachipatala adamuwonetsa, zidamupangitsa kuthana ndi zovutazo, zidandilimbikitsa nthawi zonse kuti ndipitirize kukhala wokonda kwambiri ntchito yanga yazaumoyo ngakhale ndikukumana ndi zovuta zonse panjirayi. Panalibe chilichonse chomwe mankhwalawa angachite kumapeto kwa zaka zake za m'ma 80, pokhapokha atamuthandiza komanso nthawi yosangalatsa m'masiku ake otsala. Ndimakumbukirabe Sing’angayo ndi wom’thandizira wake amene nthaŵi zonse ankamuyendera ndi kulangiza kukhala wolimba mtima ndi wokonzeka kulimbana ndi chilichonse. Iye ankakhulupirira gulu lake losamalira anthu .Mawu awo anapangitsa mphindi yake yomaliza ya imfa kukhala yamtendere. Kuyambira tsiku limenelo, ndinalibenso maganizo ena oti ndidzakhala bwanji m’tsogolo.
Mnzanga yemwe ankagwira ntchito yokonza mapulogalamu a mapulogalamu, anali atakonza zoti asamukire ku United States kuti akapitirize maphunziro awo ku Java. Nditamuuza za chidwi changa pa zachipatala, nthawi yomweyo anandilimbikitsa kuti ndilembetse kusukulu ya PA titangofika ku America. Kupatula apo, America inali dziko la mwayi- malo omwe mungakhazikike kuti mukwaniritse maloto aliwonse omwe mungakhale nawo mu mtima mwanu. Pamene mwamuna wanga akuphunzitsidwa, anandiuza kuti anali ndi antchito anzake angapo amene anali mainjiniya kapena maloya, amene anakwanitsa kupanga udokotala ntchito yawo yachiŵiri. Ndili wokondwa ndi chilimbikitso chake komanso kusangalala ndi chiyembekezo chodzakhala PA, ndidakonzekera kumaliza zofunikira kusukulu ya PA ndi 4.0 GPA. Ndinaphunzira mofulumira kugwiritsa ntchito nthawi yanga moyenera pakati pa kusamalira ana anga ndi kuphunzira ntchito yanga ya maphunziro.
Kusinthasintha kwanga m'chipatala chachipatala m'chaka chathu chomaliza cha sukulu ya homeopathic kunandikhudzanso kwambiri. Kupsyinjika kwa moyo ndi zizolowezi zoipa zimayambitsa matenda ambiri masiku ano. Ndinapeza kuti ngakhale kuti madokotala ambiri amachita ntchito yabwino kwambiri yopereka uphungu kwa odwala mankhwala oti amwe, iwo amathera nthaŵi yochepa ponena za zizoloŵezi za moyo wabwino. Chiyembekezo chochiza wodwala yense m’malo mwa kudandaula kwake kokha chinali, kwa ine, njira yopitiramo.
Ndimakonda kwambiri kukhala wothandizira dokotala pantchito ya Internal Medicine. Wothandizira adotolo, kwa ine, ali ngati wapolisi wofufuza, yemwe amasonkhanitsa zonse zomwe amapeza ndikufika pakuzindikira koyenera. Popeza ndi yotakata kwambiri, ndipo popeza madera ake apadera amapangidwa bwino kwambiri, ndikukhulupirira kuti Internal Medicine ndiyovuta kwambiri pazapadera zonse.
Charisma ndi khalidwe lovuta kuliphunzira koma kuyambira ndili mwana, ndakhala ndikuyesa kuti ndipeze chidwi, ulemu ndi kukhulupirira kwa ena mwa kumwetulira kwabwino. Kukhala wosewera mpira wabwino, luso loyankhulana bwino, chidwi changa komanso kudzipereka kwanga kunandithandiza kupereka chisamaliro chabwino kwa odwala anga. Mphotho zomwe zimabwera chifukwa chowongolera moyo wa odwala zandilimbikitsa kukhala katswiri wazachipatala wotsogola komanso wopambana ndipo ndikutsimikizira kuti izi zindiwonjezeranso pa Pulogalamu yanga Yothandizira Dokotala.
Ndi zokumana nazo zonsezi pazachipatala komanso chikhumbo changa chachikulu chofuna kupitiliza kukhala katswiri wazachipatala, ndikhulupilira, makamaka, Wothandizira Sing'anga angakhale wofanana bwino. Kuleza mtima ndi kulimbikira ndi mapasa ofunikira pantchito yazaumoyo ndipo ndikuyembekeza kuti ndakwaniritsa izi panthawi yomwe ndakhala ndikuchipatala. Kupyolera muzochitika zanga zachipatala, ndakula osati monga katswiri wa zaumoyo, komanso munthu payekha. Ndakhala womvetsera wabwino, mnzanga wodzidalira, komanso wogwira ntchito bwino kwa odwala ndi gulu lazaumoyo zomwe ndizofunikira kwa Dokotala Wothandizira. Kutsimikiza, kulimbikira komanso kugwira ntchito molimbika zandiphunzitsa momwe ndingapambanire moyo wanga wonse. Pamodzi ndi chikhumbo changa cha mankhwala ndi kuchiritsa anthu, chikhumbo changa chopereka chisamaliro chabwino kwa anthu omwe sali otetezedwa, zomwe ndakumana nazo pamoyo wanga zasintha makhalidwe anga ndi zikhulupiliro zanga kukhala munthu yemwe ndili lero zomwe zandilimbikitsa kukhala Wothandizira Dokotala wopambana komanso wopambana mtsogolomu.
Ndimakopeka kwambiri ndi ntchito yokhala Dokotala Wothandizira. Ndikufuna kuthandiza anthu ambiri momwe ndingathere. Ntchito zachipatala sizovuta mwanjira iliyonse; kuyambira pakuphunzira mwamphamvu mpaka kukhudzidwa mtima kwa wodwala. Ndikudziwa kuti ndakonzekera, ndipo ndidzakhala ndi zida zambiri ndikakhala Wothandizira Dokotala. Ndimakhulupirira kuti 'tsogolo liyenera kuwonedwa ngati lowala komanso lokhala ndi chiyembekezo. Nthawi zonse ndimakhulupirira malingaliro abwino. Mphamvu ya Kuganiza Bwino, ndimakonda zabwino pamoyo wanga watsiku ndi tsiku. Ndikufuna kukhala Wothandizira Udokotala kuti ndipereke chithandizo chabwino kwambiri kwa odwala anga. Ndi zokumana nazo zanga zonse mkati ndi kunja kwa United States, ndikukhulupirira mwamphamvu kuti ndipanga Wothandizira Sing'anga wamkulu.
Nditakhala ndikuphunzira ku Middle East (Dubai ndi Abudhabi), India ndipo tsopano ku United States, ndimatha kulankhula Chimalayalam, Chihindi ndi Chingerezi ndipo ndikukhulupirira kuti ndikhoza kulemeretsa kusiyana kwa chikhalidwe cha kalasi. Kuti mukhale Wothandizira Sing'anga, pamafunika kulimbikira kwa moyo wonse, kulimbikira, kuleza mtima, kudzipereka komanso koposa zonse, mtima wabwino. Ndimakhulupirira kuti maphunziro anga a homeopathic mankhwala amandipatsa malingaliro apadera komanso osiyana pa chisamaliro cha odwala, kuti ndikaphatikizana ndi maphunziro anga monga Udokotala Wothandizira ukhoza kukhala wofunika kwambiri popereka chisamaliro chabwino kwambiri cha odwala. Ndikuyembekeza kuti sindidzachiritsa odwala anga okha, komanso mizimu yovulala ya achibale awo.
Ndikuyembekezera gawo lotsatira la moyo wanga waukatswiri ndi chidwi chachikulu. Zikomo chifukwa choganizira.
Zitsanzo za Munthu #16
Ndikufuna mayankho ku nkhani yanga! Ndili ndi zilembo zoposa 4500, kotero ndili ndi kachipinda kakang'ono kosinthira
Kuchokera kwa mlongo wamkulu yemwe amasamalira abale ang'onoang'ono asanu ndi awiri kupita kwa wothandizira opaleshoni, moyo wanga wakhala wodzaza ndi zochitika zapadera zomwe zandipanga kukhala wothandizira zaumoyo yemwe ndili lero. Sindinaganizepo kuti ndingapititse patsogolo maphunziro anga kupitirira digiri ya baccalaureate, pambuyo pake, maphunziro anga apamwamba amayenera kundikonzekeretsa ntchito yosapeŵeka monga mkazi wokhala pakhomo ndi amayi. Komabe, kugwira ntchito ngati wachipatala ndikupeza digiri ya Emergency Health Sciences kwadzutsa chilakolako chamankhwala chomwe chimandipititsa patsogolo. Pamene ndikugwira ntchito pa ambulansi nthawi zonse ndimavutika ndi chikhumbo changa chochitira zambiri odwala anga. Chikhumbo chosakhutira ichi chokulitsa chidziwitso changa kuti ndithandize odwala ndi ovulala bwino chimapereka chilimbikitso changa chokhala dokotala wothandizira.
Monga wamkulu wachiwiri m'banja la ana asanu ndi anayi, wophunzitsidwa kunyumba m'kagulu kakang'ono kachipembedzo, ulendo wanga wamaphunziro sunali wachilendo. Makolo anga anandiphunzitsa kukhala wophunzira wodziimira payekha komanso mphunzitsi kwa abale anga. Ngakhale kuti makolo anga ankatsindika kwambiri za maphunziro okhwima, nthawi yanga ndili mwana inali yogawa ntchito za kusukulu komanso kusamalira azing’ono anga. Ndimakumbukira momvetsa chisoni nditakhala patebulo la kukhitchini ndikudziphunzitsa zamoyo mpaka madzulo, ndili wotopa nditagwira ntchito yosamalira ana azibale anga. Ndinayesa kuphunzira kale, koma amayi anali otanganidwa, kundisiya ndi nthawi yochepa yopita kusukulu mpaka ana atawagoneka pabedi. Pamene ndinali kuvutika kuti ndikhalebe maso, maganizo oti ndigwire ntchito ya udokotala ankaoneka ngati maloto chabe. Sindinadziwe, masiku amenewo ndimaphunzira makhadi ndikuphika chakudya chamadzulo ndikupukuta mphuno zazing'ono zidandiphunzitsa maluso ofunikira pakuwongolera nthawi, udindo, komanso chifundo. Maluso amenewa atsimikizira kukhala chinsinsi cha kupambana pa maphunziro anga onse ndi ntchito yanga monga paramedic.
Nditamaliza satifiketi yanga ya EMT-Basic kusukulu yasekondale, ndidadziwa kuti tsogolo langa lidali pazachipatala. Pofuna kutsatira lamulo la makolo anga loti ndiyambe maphunziro amene ankaona kuti “oyenera” kwa mkazi, ndinayamba kuchita digiri ya unamwino. Mu semesita yoyamba ya chaka changa chomaliza, banja langa linakumana ndi zovuta zachuma ndipo ndinayenera kupanga ndondomeko yosunga zobwezeretsera. Ndikumva kulemedwa kwa udindo wochepetsera mavuto azachuma pabanja langa, ndinagwiritsa ntchito ngongole ndi mayeso kuyesa maphunziro anga otsala ndikulowa nawo pulogalamu yazachipatala yofulumira.
Kukhala wothandizira chithandizo chamankhwala kwatsimikizira kukhala chosankha champhamvu kwambiri pamoyo wanga mpaka pano. Monga wamng'ono kwambiri woyang'anira zachipatala pa kampani yanga, ndinamvanso kuti ndili ndi udindo waukulu pamene ndinkatambasula luso langa la utsogoleri kumagulu atsopano. Sikuti woyang'anira wamkulu yekha ndi amene ali ndi udindo wosankha chisamaliro cha odwala, mnzanga wa EMT komanso oyankha koyamba amderalo amayang'ana kwa ine kuti anditsogolere komanso kasamalidwe ka zochitika. Luso limene ndinapeza posamalira banja langa landitumikira bwino, popeza posachedwapa anandikwezera ntchito kukhala woyang’anira maphunziro a m’munda. Ntchito yanga sinangondilola kusiya zovuta za m'banja zomwe zinkalepheretsa ntchito ya udokotala, koma yandiphunzitsa cholinga chenicheni cha chithandizo chamankhwala. Mankhwala angozi si ntchito chabe; ndi mwayi wokhudza miyoyo ya ena panthawi ya zowawa ndi zowawa. Kupsinjika kwakuthupi, m'maganizo, ndi m'malingaliro komwe ndimakhala wachipatala kumandikankhira pamlingo wovuta kwambiri komwe ndimakakamizika kugonjetsa zopinga izi kapena kulephera odwala anga. Poyang'anizana ndi chipwirikiti ndi zochitika za moyo ndi imfa ndiyenera kusamala nthawi yanga yonse ndi mphamvu zamaganizo kuti ndipereke chisamaliro chachangu, cholondola, komanso chachifundo kwa odwala anga. Zovutazi zandilimbitsa mtima, koma koposa zonse zandipangitsa kukhala munthu wamphamvu komanso wachifundo.
Kulankhulana ndi anthu amisinkhu yonse komanso amitundu yonse kwapangitsa kuti maphunziro anga akhale amoyo ndipo kumakulitsa chikhumbo changa chofuna kupitiriza maphunziro anga monga dokotala wothandizira. Matenda salinso mndandanda wa njira zodziwira matenda m'buku; amatenga nkhope ndi mayina okhala ndi zovuta zowoneka ndi zizindikiro. Zochitika izi zatsegula maso anga ku mlingo wa kuzunzika kokakamizika kukana. Ndiyenera kukhala wochulukirapo komanso kudziwa zambiri kuti ndichite zambiri. Pogwira ntchito ndi odwalawa, ndimadzimva kuti ndine woletsedwa ndi chidziwitso changa ndi luso langa. Nthawi ina ndimaganiza kuti kupeza digiri yanga yachipatala chadzidzidzi kundithandiza kuswa zoletsa izi, koma zosiyana zachitika. Ndikamaphunzira zambiri m'pamenenso ndimazindikira kukula kwa maphunziro a zachipatala, ndipo changu changa chofuna kupitiriza maphunziro anga chimakula. Kukhala wothandizira dokotala ndi mwayi wanga woti ndisiye zoletsa izi ndikupitirizabe m'moyo wodzipereka kuphunzira ndi kuthandiza odwala ndi ovulala.