Okugqamayo: ulonyulo luka-2022 • Izindlu kunye nokugxothwa • #MSWelfare ihlazo • Jackson Water • Ukuqhomfa • Ubuhlanga kunye nobuhlanga • Umsebenzi wamapolisa • Ukuvalelwa
UJackson, eMississippi.Kungekudala emva kokufika kwesigulana, uGqr. William Liniveaver wafika kwiziko lokutsha.“Baye babhabha ngehelikopta kwaye sababeka kwigumbi labagula kakhulu,” utshilo."Okokuqala sihamba ngeendlela zomoya, sijonge inkqubo yentliziyo, siqinisekise ukuba ityhubhu ikwindawo efanelekileyo."
U-Lineaweaver ubalisa ibali lesigulana esatshiswa safa kumlilo wendlu iminyaka emininzi emva kokuba i-Joseph M. Still Burn Centre ifudukela e-Jackson Merit Central Health ngo-2013.“Ukudumba kobuso babo kwakusiya kusiba mbi.Kwafika abacimi-mlilo, kwafika i-ambulensi.Bafake iimpahla zokuqala zokunxiba kwaye bazifakela ukukhusela i-airways, ”ukhumbule kudliwanondlebe.
Abahlanguli emva koko bathatha abonzakeleyo ngqo kwi-JMS Burn Centre, iyunithi yokutshisa kuphela ekhethekileyo phakathi kweekhilomitha eziphantse zibe yi-200 kuyo nayiphi na indlela yaseJackson.Okulandelayo yibhetri yokulinganisa."(Isigulane) sine-X-ray yesifuba ukujonga umonakalo oqhubekayo wemiphunga kunye ne-bronchoscopy ukujonga umonakalo womoya," watsho ngodliwano-ndlebe lwe-12 kaDec.
Ukuvuselela linyathelo elilandelayo ekubuyiseleni ukujikeleza kumalungu abalulekileyo ukugcina ukusebenza kwezintso nemiphunga.Iqela le-Lineweaver lifumene i-carbon monoxide egazini lesigulana, kwaye inaliti ye-intravenous inceda ukubuyisela amanzi emzimbeni.Ukusikeka okubukhali kwindawo yokutsha kunceda ukuthomalalisa uxinzelelo kwisikhumba esiqinileyo kwaye kubuyisele ukuhamba kwegazi emilenzeni ngengozi yokuphefumla.Emva koko i-catheter yomchamo: ukuchama okunempilo ngumlinganiselo wokugcinwa kolwelo olukhuselekileyo.
Umsebenzi ka-Lineweaver kunye neqela lakhe kwi-JMS Burn Centre kukujongana nesiphithiphithi esibuthathaka somzimba kwimeko yokuphazamiseka.Bagcina uxinzelelo kunye ne-pulse kwaye bahlambulule amanxeba ezigulane ekulungiseleleni ixesha elide lokubuyisela kunye nesigaba sokubuyisela.
Ngaphantsi kweeyure ezimbini zadlula phakathi komzuzu wokwenzakala kunye nomzuzu wokuqala wokuzola, xa ixhoba lalibotshwa ngebhandeji lokubulala iintsholongwane.“Okwangoku,” utshilo u-Lineiweaver, “inxalenye yokuqala yonyango sele imisiwe.”
Namhlanje, ukufikelela kwelo nqanaba lokhathalelo kuya kufuna isigulana esifanayo ukuba sibhabhe siphume eMississippi.
Kwiminyaka engaphezu kweshumi, uGqr. Liniveaver waphatha amatyala afana nalawo awachaza kwi-Joseph M. Still Burn Centre kwi-Merit Health Central, indawo yangasese eyayiseBrandon, e-Mississippi kwaye kamva yafudukela eJackson.Emva kokuba i-Delta Regional Medical Centre ivale i-Mississippi Firemen's Memorial Burn Centre ngo-2005, i-JMS Burn Centre yaba yintliziyo ebethayo ye-Mississippi's burning care system ngo-2008. .
“Ebudeni bonyaka walo wokuqala wotyando,” wabhala u-Lineweaver kwinyanga ephelileyo kwinqaku lomhleli kwiJournal of the Mississippi Medical Association, “eli ziko linyange abaguli abangama-391 abatshise kakhulu.ukuya (yangaphambili JMS Burn Centre e Augusta, Georgia) 0.62%.Bekukho iimeko zabantwana ezili-1629.”
Kodwa ethunzini lobhubhani we-COVID-19 kunye nokuqhekeka kwayo okukhawulezileyo kokusingqongileyo kwezempilo, iMerit yabhengeza ngoSeptemba ka-2022 ukuba i-JMS izakufumana ubunzima obufanayo neziko lokugqibela elizinikeleyo lokutshisa iMississippi ngo-2005. Yavalwa ngo-Okthobha ka-2022 kwaye umanduleli wayo ngoku. ezinze eGeorgia, apho babamba awona matyala anzima ebenokuthi aphathwe kakuhle kwilizwe labo.I-Mississippi ayinayo enye into efana ne-JMS.
Emva kokuvalwa kwe-JMS Burn Centre, uLiniweaver wadibana nabameli abavela kwi-Mississippi Free Press kwikhaya lakhe laseMadison, eMississippi nge-12 kaDisemba, 2022 ukuze acinge ngemigudu yakhe yokudala ukhathalelo lwexesha elide e-Mississippi kunye noko anethemba lokuba kuya kwenzeka ngokulandelayo. ..
Okona kubaluleke kakhulu, u-Lineweaver ulumkise ukuba urhulumente unyanzelwa ukuba acinge kwakhona ukuba angabakhathalela abona bahlali batshiswe ngokuqatha.
“Ukususela oko ndafudukela apha ngowe-1999, siye sanika ithuba lokuziqhelanisa nabantu babucala kabini ithuba lokubonelela ngononophelo lwexesha elizeleyo eMississippi,” utshilo."Ndiyibonile ukuba isilele ngokupheleleyo kabini, ndicinga ukuba uxanduva kufuneka lubuyele kurhulumente."
Ingqonyela yeSibhedlele saseNeshoba u-Lee McCall unengxaki eyaneleyo yokuqhuba isibhedlele sasemaphandleni ngexesha lobhubhani.Ukuphela kokhathalelo oluthembekileyo lokutshisa eMississippi ngomnye umthwalo: amakhonkco okubonelela anwenwele ukuya kuthi ga kwinqanaba lokuqhawuka, ukusilela kwabasebenzi belizwe, kunye nokuncipha kwaso sonke isifo esigqithisileyo kunye nokufa kule minyaka ilishumi iziswe.
"Kuyingxaki enkulu," uMcCall wavuma kudliwano-ndlebe kunye ne-Mississippi Free Press ngo-Dec. 7 malunga nokuvalwa kwe-JMS."Kuyadanisa ukuba ilizwe lethu ngoku alinazo ezinye iindlela."
Ayiyiyo yonke imihla iSibhedlele Jikelele saseNeshoba County sibona izigulana ezitshe kakhulu.Kodwa emva kokuba iziko lokutshisa i-JMS livaliwe, ukutshisa okukhulu kwakuthetha inkqubo enzima yokufumana ukhathalelo olukhethekileyo kwindawo ethile ngaphandle kwe-Mississippi.
"Okokuqala, sifuna ukuvula e-Augusta, eGeorgia," kusho uMcCall.“Emva koko kufuneka sijonge indlela yokufumana izigulana apho.Ukuba isithuthi esiphantsi komhlaba sikhuselekile ngokwaneleyo, yindlela ende ye-ambulensi.Ukuba asikwazi ukubahambisa emhlabeni, kuya kufuneka babhabhe.ixabisa malini le nqwelomoya?Ngaba kunjalo?Umthwalo wemali kwizigulana unzima.”
I-Lineaweaver ichaza uluhlu olubanzi lweengozi zokutsha.“Ukutsha kunokuba yiyo nayiphi na into ukusuka kwidyunguza elibuhlungu kodwa lincinci ukuya kwingozi apho umntu aphulukane nolusu lwakhe ngokusisigxina,” utshilo.“Iyonakalisa amehlo namanye amalungu, ewe, kodwa ikwabangela ukusabela okuntsonkothileyo ngokwasemzimbeni.Ayipheleli nje ekubeni yonke i-axis yehomoni yoxinzelelo iphoswe kwisiphithiphithi, kodwa umntu uphulukana nolwelo ngenxa yokwenzakala. ”
I-Lineaweaver ibonisa ulungelelwaniso oluntsonkothileyo lokulungiswa nokubuyiselwa okufunekayo ukugcina izigulane ezitshiswe kakhulu ziphila.“Olu lwelo kufuneka lutshintshwe.Ayenzi nzima kangako umsebenzi wemiphunga njengoko iyonakalisa izintso, ”utshilo."Ukutshisa kunokubandakanya ukuphefumla umsi okanye amadangatye, okunokubangela umonakalo othe ngqo wemiphunga."
Iingxaki zokutsha zinokumbulala ngeendlela ezininzi."Iintlobo ezithile zokutsha zinokuba nemiphumo yekhemikhali," waqhubeka u-Lineweaver.Ngokomzekelo, i-hydrofluoric acid iyingozi kakhulu kwimithambo-luvo.Ikharbhon monoxide ekutshisweni inokubulala kakhulu ukuba ayibonwa kwindawo etshileyo.”
Indima yeqela likaMcCall eNeshoba ayikokubonelela ngononophelo oluqinisekileyo kwizigulana ezinokutsha ngokumandundu, kodwa kukubadibanisa kwangethuba neqela loogqirha abaziingcali kunye nooGqirha abanjengoLineaweaver ukuze babasindise.
Kwiziko lokutshisa langoku eliphakathi, lo ngumsebenzi olula.Ngoku, le nkqubo iza nalo lonke ulibaziseko kunye neengxaki ezijongene nazo zonke iindawo zonyango zaseMississippi.Imiphumo inokuba mibi.
“Okukhona ulibaziseko phakathi kokwenzakala, ukuvela kwindawo engxamisekileyo, kunye nokufudukela kwindawo yokugqibela yokutshisa…” utshilo u-Lineweaver, ilizwi lakhe liya lizola.Oku kulibaziseka kunokuba yingxaki.
“Ukuba kufuneka kwenziwe utyando olukhethekileyo, olufana nokusika inxeba elitshileyo ukuze kugcinwe ukuhamba kwegazi, ngaba lunokwenziwa ngoko nangoko?Ukuba lo ngumntwana otshise kakhulu, ngaba isebe lendawo likaxakeka liyayazi indlela yokufaka i-catheterize isinyi?ngaba ulwelo lulawulwa kakuhle?Kwinkqubo yokucwangcisa, izinto ezininzi zinokusilela emva kweshedyuli. ”
Okwangoku, malunga nezigulane ezingama-500 eziya kwi-JMS kukhathalelo olukhethekileyo lokutshisa ngoku zithuthwa ngenkqubo yezothutho enzima karhulumente, uninzi lwezigulana ezinobuzaza zithunyelwa ngaphandle kwelizwe ukuze zikhathalelwe i-terminal, utshilo uLiniveaver.
U-Lineaweaver uchaze ukupheliswa ngokukhawuleza kweenkonzo ze-JMS Burn Centre ekufeni okungalindelekanga kukaDkt. Fred Mullins, umlawuli wezonyango we-original JMS Augusta, indawo yaseGeorgia.Ukusukela oko u-Mullins wasweleka ngo-2020 eneminyaka engama-54 ubudala, u-Lineweaver wabhala, "Umkhuba uqhubekile notshintsho oluninzi lobunkokeli kwaye uninzi lweendawo zivaliwe okanye azisaqhagamshelwa kwinethiwekhi."amaqumrhu karhulumente.
Kodwa i-Lineaweaver ibonakalisa ukungabikho kuka-Mississippi kwamaziko okutshisa inkonzo epheleleyo kwi-backback yangaphambili-ithuba elilahlekileyo lokuseka iyunithi yokutshisa ezinikeleyo kwiYunivesithi yaseMississippi Medical Centre.
Ngo-2006, emva kokuvalwa kwesikhumbuzo sabacimi-mlilo, u-Lineweaver uthathe inxaxheba kwi-reconstructive microsurgical practice kwi-University of Mississippi Medical Centre e-Jackson.E-Mississippi, njengangoku, akukho zixhobo zaneleyo zokunyanga imitshiso entsonkothileyo, ebeka ubomi esichengeni.U-Lineaweaver uthe wayecinga ngelo xesha ukuba isibhedlele sophando sikarhulumente esikwinqanaba elinye kuphela yayiyenye indlela ecacileyo."Ndibona iziko lokutshisa njengokwandiswa kweli ziko lamanxeba anzima, usebenzisa imigaqo emininzi yokusebenza kunye nokusebenza kakuhle," watsho.
U-Lineaweaver waqala ukwenza izicwangciso zeziko likarhulumente lokutshisa, awayecinga ukuba yinto engenakuthintelwa ngelo xesha.Isicwangciso esibanzi sonyango lokutshisa ngokwenene asibandakanyi ukhathalelo olungxamisekileyo kuphela, kodwa kunye notyando oluphezulu lweplastiki ukulungisa umonakalo onzima onokuthi ubangele.
Uyavuma: “Masiqale ngesibakala sokuba ndandingachananga ngokupheleleyo.- Ndacinga ukuba UMMC kufuneka ayenze.Ekuphela kwento endiyixhalabeleyo yayikukukubonisa indlela yokwenza oko.”
Isicwangciso se-Lineaweaver besiya kuba sisongezo esibiza kakhulu kwi-suite yeenkonzo ezibonelelwa nguJackson's UMMC, kodwa indlu yowiso-mthetho yaseMississippi izimisele ukunceda, utshilo.
Kwi-2006, u-Rep. Steve Holland, ngoku uMdemokhrasi osemhlala phantsi waseTupelo, wazisa iBhili ye-908 kwiNdlu yabaBameli ngokukodwa ukuseka iziko lokutshisa kwi-UMMC kunye nokuqinisekisa ukusebenza okuqhubekayo kweyunithi yokutshisa yeziko lezonyango.Inkxaso-mali eninzi.
“Ukongezelela kuyo nayiphi na imali eyabelwe iZiko lezoNyango evela kwiMississippi Burns Fund, iNdlu yoWiso-mthetho iya kwabela ubuncinane ishumi lezigidi zeerandi ($10,000,000.00) ngonyaka kwiZiko lezoNyango leYunivesithi yaseMississippi ukuze kuqhutywe iMississippi Burns Centre.”utsho kuxwebhu.UBill uyafunda.
Iirekhodi zowiso-mthetho zibonisa ukwanda okuphawulekayo kwinkxaso kwiziko kwiNdlu yaBameli baseMississippi njengoko i-bill yayo yengeniso eyimfuneko yapasiswa sisininzi sesithathu-esihlanu kwiNdlu yabaMeli.Nangona kunjalo, umthetho oyilwayo waliwa ziikomiti zeSenethi kwaye ekugqibeleni wasweleka kwikhalenda.
Kodwa u-Lineaweaver waxoxa ngelithi eli yayingeloxhoba nje leentlanganiso ezixineneyo okanye oosihlalo beekomiti abangamkhathalelanga.“Ukuvula iziko lokutshisa iziko ngokusebenzisa (UMMC) kuya kufuna amanani asibhozo (ngonyaka) inkxaso-mali.Ngokokuqonda kwam, iyunivesithi ithe hayi,” utshilo u-Lineweaver.
Kuhlelo olungapapashwanga lwe-2006, ucebise ukudibanisa isenzo sakhe sangoku sokwenza utyando lweplastiki kunye neziko elikhethekileyo lokutshisa.Isiphakamiso sakhe yayikukudala iziko lonyango elibanzi elinokuthi lithathe izigulane ukusuka kumzuzu wokutshisa kakhulu kunye nokubonelela ngoncedo ngexesha lokuvuselela umzimba kunye nokuvuselelwa kwezithambiso.
Kodwa u-Lineaweaver walirhoxisa i-editorial ngaphambi kokuba alipapashe kwaye wapapasha ileta kwiminyaka emithathu kamva kwi-Journal ka-Epreli ka-2009 yeJenali ye-Mississippi Medical Association echaza uxinzelelo olwaluvela kwiSekela Chancellor uDan Jones.
"Ukupapashwa kolu mhleli kunokunciphisa ukuthembeka kweembono endizivakalisayo egameni leziko lezonyango kunye nelizwe," u-Lineweaver wabhala kwi-2009, ekhankanya i-imeyile ye-27 ka-Aprili ye-2006 apho wathi uJones ucatshulwe kwi-imeyile ye-imeyile."Oku kuchasene neengcebiso zekomiti, ezibandakanya irhuluneli kunye neentloko zegosa lezempilo likarhulumente," waqhubeka, ecaphuna uJones.
Kudliwano-ndlebe ngoLwesihlanu, uJanuwari 6, uDan Jones akazange avumelane ne-Lineaweaver's characterization yendlela aphendule ngayo kwi-2006 inzame yokuxhasa ngemali amaziko okutshisa.UJones uthe ukhumbula ukucinga ngelo xesha ukuba i-UMMC "yayiyintlangano engcono kakhulu yokuthatha uxanduva lokunyamekela ngokutshisa", kodwa akazange akwazi ukufumana "ukuzibophezela okusisigxina" kwiNdlu yoWiso-mthetho ukuyixhasa rhoqo ngonyaka.
"Ingxaki ngeziko lokutshisa okanye ukutshisa unyango kukuba izigulane ezininzi ezifuna unyango azikho i-inshorensi, ngoko ke ukwakha okanye ukulungiswa kwendawo akulula njengesibonelelo sexesha elilodwa," kusho uJones.Unjingalwazi ohloniphekileyo wezoNyango kwi-UMMC kunye neDean ehloniphekileyo ye-Faculty of Medicine.
Umbhalo we-HB 908 ogqithiswe yiNdlu yaBameli ngokucacileyo ubandakanya i-10 yezigidi zesabelo sonyaka kwi-UMMC, isibophelelo sokuqhubeka nokuxhasa ngemali ukusekwa nokugcinwa kweziko lokutshisa.Kodwa uJones uthe ikomiti yeSenethi ethe ekugqibeleni yaloyisa umthetho oyilwayo yamazi ukuba ukubuyiselwa imali akusengxakini.
“Umthetho oyilwayo owawuyilwa kwasekuqaleni kunye nomthetho oyilwayo owaxoxwayo ukuze ugqitywe usoloko uzizinto ezahlukileyo,” utshilo uJones.“Njengokuba iikomiti zidibana ngalo mthetho uyilwayo, kukho uphawu olucacileyo lokuba ulwimi oluphindaphindwayo alusayi kuqhubeka.”
UJones uthe indlu yowiso-mthetho ekugqibeleni iya kuphakamisa ulwabiwo-mali lwexesha elinye, yena kunye nabanye abasebenzi be-UMMC bakholelwa ukuba akwanelanga ukuhlawula iindleko zonyaka.
"Izinto zihluke namhlanje ngenxa yengxowa-mali yokulimala - ngokusisiseko igubungela iingozi zemoto kunye nokunye - imali evela kwingxowa-mali yokulimala ngoku ingasetyenziselwa ukunyamekela izigulane ezitshayo, ngoko ke ngokucacileyo andinakukwazi ukuba imeko yemali iya kuba yintoni namhlanje.Kodwa ngo-2006 no-2007, asikwazanga ukufumana inkxaso-mali kwiTrauma Fund,” utshilo uJones.Wayebhekiselele kwi-Mississippi Trauma Care System, eyamiselwa ngo-1998 kwaye kamva yafuna izibhedlele ukuba zithathe inxaxheba okanye zihlawule ukuba zingathathi nxaxheba ukususela ngo-2008.
UJones wenqabile ukuphawula malunga nokusebenzisana kwakhe kwangaphambili kunye noLineaweaver, kodwa wagxininisa umnqweno wakhe wokuseka iziko lokutshisa kwi-UMMC.
“Sifuna ngokwenene iziko lethu libe neziko lokutsha.Sifuna ukuyenza,” utshilo.“Ndiwaxelele amalungu eNdlu yoWiso-mthetho ukuba sifuna ukunika olu ncedo, kodwa asinakuyenza le nto ukuba asizibopheleleli ekunikezeni inkxaso yemali rhoqo.”
NgoDisemba 30, 2022, udliwano-ndlebe lwe-Mississippi Free Press, u-Rep. Holland wavumelana no-Lineaweaver ukuba i-UMMC ibeke umnwe we-arhente yabo esikalini ukuthintela i-bill ye-appropriations ukuba idlule.Kodwa wavelana nendlela awayeqiqa ngayo.
“Ndingakuxelela isizathu esinye (i-HB 908) esingaphumelelanga – kwaye ndiyaqonda ukuba oko ndalawula uhlahlo lwabiwo-mali lwabo iminyaka eli-18 – UMMC wayeyoyika.Bathe, "Lo gama nje uSteve Holland ekhona, besisazi ukuba siza kufumana inkxaso-mali, kodwa kwenzeka ntoni xa ehamba?"
U-Holland uthe ithemba lokususa inkuthazo yokulawula kunye nokubeka iindleko ezipheleleyo zokusebenza kwiiyunivesithi zoluntu zenza ukhetho lube ngumngcipheko wemali.“Kuthatha iziseko zophuhliso ezininzi ukwakha iziko lokutshisa,” watsho ngokuphandle owayesakuba ngusekela.“Le asiyowadi yababelekayo.Ixinene kakhulu ngokwezixhobo kunye namaziko onyango akhethekileyo. ”