Umwe mubanyeshuri barangije Wright Centre bafite umwuga kumyaka
Dr. Dzielak akomeje ibikorwa bimaze imyaka myinshi akorera abaturage nkumuyobozi wa gahunda yo gushinga Geriatrics Fellowship
Mu minsi y’ishuri ry'ubuvuzi, Edward Dzielak '81, DO, yahuye n'ikibazo ubwo yageragezaga guhitamo intambwe ikurikira.
Umutima we washyizwe mu cyerekezo gitandukanye na buri kintu gishya kizunguruka. Yaravuze ati: “Igihe rero, igihe nari mu gihe cyo kubyara, natekerezaga ko nshobora kuba umuganga. “Igihe nari kuri rotation yo kubaga, nashakaga kuba umuganga.”
Amaherezo, ibyabaye byarahagobotse. Dr. Dzielak, icyo gihe wari mu mwaka wa nyuma muri kaminuza ya Philadelphia College of Osteopathic Medicine, yari azi ko nyuma gato yo kubona impamyabumenyi ye, yashakaga gusubira mu mujyi wa Carbondale mu majyaruguru y'uburasirazuba bwa Pennsylvania. Yize ibijyanye na gahunda yo gutura mu gihugu imbere y’ubuvuzi butangwa n’umuryango mushya udaharanira inyungu mu Ntara ya Lackawanna wari ufite icyicaro ku bilometero bike uvuye mu rugo rw’umuryango we.
Yiswe Porogaramu ya Scranton-Temple Residency Programme (nyuma yaje kwitwa Wright Centre for Graduate Medical Education Education). Nyuma yo kuganira n’ubuyobozi bwayo, Dr. Dzielak yemeje ko ariho hantu kuri we. Yabaye umwe mu baturage batandatu bari mu cyiciro cya kabiri cya gahunda, yatangiye imyitozo mu 1978.
“Nari nariboneye ibintu byiza cyane. Nize byinshi cyane. ”, Nk'uko Dr. Dzielak abivuga. “Kandi muri rusange, kuva icyo gihe nagiye muri gahunda yo gutura.”
Wright Centre hamwe nabiga bose kunyura mumiryango yayo mumyaka mirongo ine ishize bungukiwe na Dr. Dzielak gukomeza kuba hamwe nubujyanama bwumwuga. Yagize uruhare mu guhugura abaganga b’ibanze nkumuyobozi, umuhuzabikorwa, ndetse vuba aha, umuyobozi wa gahunda yubusabane bwa geriatrics.
Byongeye kandi, yafashije umubare utabarika w'abarwayi bo mu karere nk'umuganga w'ibitaro, umuganga wigenga, ndetse n'umuvugizi utajegajega kugira ngo iterambere ry'ubuvuzi ryiyongere. Abifashijwemo n'abayobozi ndetse na bagenzi be, nk'urugero, yagiye akora ubushakashatsi kuri gahunda zita ku buzima zivuye hirya no hino muri Leta zunze ubumwe za Amerika kandi abigana mu buvuzi bwa Greater Scranton, bigira ingaruka ku itangwa ry’ubuvuzi bwibanze, ubuvuzi bukomeye, na - cyane cyane - kwita ku bageze mu za bukuru.
Yakomeje agira ati: “Ed Dzielak yifuza ubuvuzi n'ubunyamwuga bwe bihuye n'ubumuntu bwe butangaje, nagize amahirwe yo guhamya imyaka irenga makumyabiri binyuze mu buryo bwe bushingiye ku barwayi bwo kwita ku barwayi n'imiryango ndetse no kuba yarabaye umwizerwa muri we no gushyigikira The Ibikorwa bya Wright Centre byigisha, "ibi bikaba byavuzwe na Linda Thomas-Hemak, MD, FACP, FAAP, perezida akaba n'umuyobozi mukuru w'ikigo cya Wright Centre gishinzwe ubuzima rusange n’ubuvuzi bw’ubuvuzi. Ati: "Ubuvugizi bwe bumaze igihe kinini, abikuye ku mutima mu izina ry'abantu bakuze batishoboye byongereye imbaraga mu iterambere no gutangiza Fellowship Geriatrics ndetse no kugira uruhare runini muri Fondasiyo ya Hartford ndetse n'Ikigo gishinzwe guteza imbere ubuzima 'Twubaka gahunda y’ubuzima bushingiye ku buzima.'”
Muri 2019, yasabye Dr. Dzielak kuva mu cyahoze ari ikiruhuko cy'izabukuru kugira ngo abe umuyobozi wa gahunda yo gushinga ikigo cya Wright Centre for Graduate Medical Education's Geriatrics Fellowship. Yemeye uruhare n'imbogamizi zo kongera gukarishya ubuhanga bwe. Afite imyaka 68, yakoze ikizamini cyamasaha 10 asabwa kugirango akomeze icyemezo cyubuyobozi mubuvuzi bukuru, atsinda amanota 90 % .
Ubuyobozi bwe bwatumye umurongo wa serivise ya geriatrics ya Wright Centre watangijwe kumugaragaro ufatanije na gahunda yubusabane muri Nyakanga 2020, gukura no kwerekana agaciro kayo mubaturage vuba.
Dr. Dzielak yifashishije umuyoboro we w’igihugu w’inzobere, benshi muri bo bakaba baziranye ku giti cyabo, kugira ngo bamenye kandi bashyire mu bikorwa ibitekerezo byiza bishya mu bijyanye n’ubuvuzi. Urugero, Wright Centre, yahise ifata ingamba mubikorwa byubuvuzi bwibanze kugirango igenwe nkimwe mu kigo gishinzwe guteza imbere ubuzima bw’ubuzima-bushimishije.
Wright Centre yanashyizeho gahunda yo kwita kuri Alzheimer's na Dementia Care ikoresha urugero rwatsindiye ibihembo rwakozwe muri UCLA. Muri icyo gihe, ikigo cya Wright cyari gahunda ya munani y’ubuzima mu gihugu yemeye iyo gahunda ku mugaragaro.
Kuri Dr. Dzielak wujuje imyaka 71 uyu mwaka, kuguma ku isonga mu buvuzi ni imbaraga yakurikiranye kuva akiri muto muri uyu mwuga.
Agira ati: “Umugore wanjye yakundaga kunsetsa ko ngeze mu rugo nyuma y'akazi, nashakishije Ikinyamakuru cyanjye cy’ubuvuzi cya New England mbere yuko musoma.” “Nari naratwawe n'ubuvuzi. Kandi nakomeje gutya mu buzima bwanjye bwose. ”
Umugabo wo mu muryango
Umukuru mu bana batatu, Dr. Dzielak yakuriye mu maso ya nyina Theresa (Mancuso) Dzielak, ukomoka mu Butaliyani, se Edward Dzielak, ukomoka mu Gipolonye, na bene wabo benshi babaga mu gace ka Mid Valley mu gace ka Lackawanna.
Se yikorera ku giti cye, akora ubucuruzi bw'imodoka Dr. Dzielak rimwe na rimwe yafashaga. Yamaze icyi mu kazu k'umuryango se yubatse hafi y'umudugudu wa Orson mu Ntara ya Wayne. Ababyeyi be bamwandikishije mu ishuri ryisumbuye rya Mutagatifu Rose. Yahuye n'umukunzi we w’ishuri ryisumbuye, Mary, mu 1970, barashyingiranwa nyuma yimyaka itanu. Aba bombi bazakomeza kuba inzobere mu buvuzi, barere abana babiri (Emily na Tim), kandi bateze imbere imibereho myiza y’abaturage binyuze mu buzima bwabo ndetse n’ubucuruzi.
Nta muntu wo mu muryango wa hafi wa Dr. Dzielak wari ufite ubuvuzi, ndetse n'ababyeyi be ntibigeze bamusunikira kuba umuganga. Ariko yize muri kaminuza ya Scranton, arangiza icyiciro cya mbere cya kaminuza mu buvuzi. Muri Philadelphia, Dr. Dzielak na Mary Dzielak, hanyuma biga kuba umuforomo wanditswe, buri wese yibanze cyane ku gukora neza mu mashuri yabo.
Igihe yinjiraga mu kigo cy’ubuvuzi bw’imbere muri Scranton, Dr. Dzielak yari ashonje kwiga. Abanyeshuri bigana barimo Charles Deck, MD, ubu wimenyereza umwuga mu kigo cyitwa Wright Centre for Community Health Scranton Practice, na Michele Hazzouri, MD, umugore wa mbere witabiriye gahunda yo gutura kwa Scranton-Temple ndetse akaba amaze igihe kinini akora muri Scranton.
Aba baturage babonye abarwayi ku ivuriro ry’indwara ryari ryarashinzwe mu cyiswe “inzu yera,” inyubako iri hafi y'ibitaro by'Impuhwe, ubu ni ibitaro by'ubuzima rusange bya Commonwealth byo mu karere ka Scranton.
Ibitaro bya Mercy na Moses Taylor byashyigikiye gutura kandi bitanga andi mahugurwa. Abaganga bo mu gace ka Scranton bitanze kugirango babe abarimu. Ubundi buhanga bwatanzwe no gusura abarimu bo mu Ishuri Rikuru ry’Ubuvuzi rya Kaminuza ya Temple ndetse n’abaturage bahanahana ubumenyi.
'Birashobora kumvikana. Ariko kumenya kuvugana n'abantu bakuru bakubaha - no kwiga kubaza ikibazo, 'Ni iki kigufitiye akamaro cyane ku buzima bwawe uyu munsi?' - mu byukuri ni urufunguzo rw'ibihe. ”
Edward Dzielak '81, KORA
Dr. Dzielak agira ati: “Nk'abaturage, bake muri twe bahanganye buri gihe. “Byari bishimishije. Twasunitse rwose. ”
Yarangije mu 1981, agamije kwibira mu bikorwa byihariye mu mujyi yavukiyemo mu bilometero bike ugana mu majyaruguru. Ariko yahise ashakishwa n’umushinga washinze amazina witwa Robert Wright, MD, kugira ngo yinjire mu muryango udaharanira inyungu ku yindi ntego.
“Dr. Wright yabajije niba nzayobora ibikorwa bya gahunda yo gutura mu bitaro bya Moses Taylor, ”Dr. Dzielak. Yarabyemeye, kandi kuba yarifatanije n'ibitaro, akora akazi yakundaga bidasubirwaho, bizamara imyaka 36 iri imbere.
Umwarimu, umuyobozi wizewe
Dr. Dzielak agira ati: “Igihe kinini mu kazi kanjye ka mbere namaraga nigisha abaturage mu ivuriro ryabo ryo hanze, kandi igihe bari mu bitaro, nari umwe mu bayobozi babo.” Ati: “Niswe umuhuzabikorwa wa Moses Taylor, kandi bari bafite umuhuzabikorwa mu bitaro by'Impuhwe.”
Mu nshingano ze harimo kugenzura ibizunguruka mu bitaro bya Moses Taylor, gutanga ishami ryita ku barwayi (ICU) na raporo z’ibitaro bya mu gitondo, no kuyobora gahunda ikomeye. Yatangiye kandi ayobora club yubuvuzi ishingiye kubimenyetso.
Mu myaka mike, Dr. Dzielak yari amaze kuba inshuro eshatu zemewe mubuvuzi bwimbere, ubuvuzi bukomeye, nubuvuzi bukuru. Yatangiye gushishikarira ubuvuzi bwa siporo, nabwo, abikesheje uruhare rwe bwite muri triathlon.
Abaganga batuye mu kigo cya Wright bungukiwe n’amahugurwa ya Dr. Dzielak kandi bagaragaje ko bashimira mu bihe by’abanyeshuri barangije amashuri bamuhitamo guhabwa igihembo cy’umwaka cyo kwigisha. Yabaye inshuro eshanu yahawe icyubahiro. Yatowe kandi kabiri, mu 1989 na 2021, nk'uwahawe igihembo cya Dr. Charles R. Bost, gihabwa umuyobozi w’umuganda ugaragaza cyane imbaraga, ubuyobozi, ndetse anashyigikira ubutumwa bwa Wright Center.
Igihe yari mu kiruhuko cy'izabukuru avuye mu bitaro bya Moses Taylor mu 2017, Dr. Dzielak yari amaze gukusanya urutonde rurerure rw'ibyagezweho: Yatangije gahunda ya mbere y’ibitaro muri ako karere ndetse na komite ya mbere y’imyitwarire y’ubuvuzi muri ako karere. Yakoraga igihe kirekire nk'umuyobozi wa ICU kandi yari agikora kugeza igihe yeguye mu kiruhuko cy'izabukuru nk'umuyobozi w’ibitaro by’ubuvuzi, umwanya yari yarafashe mu 1998. Mu bihe bitandukanye, yari yaranabaye umuyobozi ku kibaho cy’ikigo cya Wright Center n'ibitaro bya Moses Taylor.
Agira ati: “Nsubije amaso inyuma, ntabwo nahindura na kimwe muri byo.” “Abantu bari bakomeye. Nagize ibihe byiza aho. ”
Yihutira gushimira abantu bose bamufashaga mu rugendo, asoma amazina, urugero, umuforomo Patty Rusinko, ndetse n’umufarumasiye mu bitaro, ushinzwe isomero ry’ubuvuzi, abaganga bagenzi be, n’abandi benshi. Agira ati: “Kandi ibyinshi mu byo nagezeho byashobojwe na Dr. Wright kuba yaranyizeye ko nzakora ibintu nakoreye Moses Taylor ndetse n'ubuyobozi bw'ibitaro ndetse n'ubuyobozi.”
Dr. Dzielak yashimishijwe cyane no kujya mu nama z’igihugu z’abanyamerika b’abaganga bo muri Amerika, Sosiyete y'Abanyamerika Geriatrics, n’indi miryango yabigize umwuga, azana mu rugo gahunda z’ubuvuzi zigezweho n’uburyo bukomeye.
Ibyo byatumye ibitaro bya Moses Taylor bimaze igihe kirekire bikora gahunda yubuzima bwibitaro byabasaza (HELP). HELP yakozwe na Sharon Inouye, MD, yahoze muri kaminuza ya Yale, ubu akaba umwarimu mu ishuri ry’ubuvuzi rya Harvard, HELP yishingikiriza ku bakozi b’ibitaro ndetse n’abakorerabushake bahuguwe kugira ngo bamenye kandi bafashe abarwayi bashobora kuba bafite ibyago byinshi byo kwandura delirium. Dr. Dzielak abisobanura agira ati: “Niba wirinze delirium, urinda kugwa, ukirinda ingorane, kandi umurwayi afite igihe gito cyo kumara.” Yakoranye kandi itsinda mu bitaro bya Moses Taylor kugira ngo atangire gahunda izwi uyu munsi yitwa Abaforomo Gutezimbere Kwita ku Basaza b'Ubuzima (NICHE), byateguwe na kaminuza ya New York College of Nursing. Intego yacyo ni ukureba niba abarwayi 65 n'abayirengeje bahabwa ubuvuzi bwitondewe, bwintangarugero.
Umuganga mukuru
Uyu munsi, Dr. Dzielak ni umwe mu bagize itsinda ry’abashinzwe kwita ku bumenyi bw’ibihe bya Wright Centre. Abona abarwayi buri wa gatatu kugirango babone inama, yakira kohereza kubibazo bikomeye cyane bivuye kubaganga bo muri Centre ya Wright no mubaturage.
Kuri we, gufata abantu bakuru ntabwo ari umuhamagaro nk '“amahirwe.” Nubwiyongere busanzwe bwumwuga we wibiza mubuvuzi bwimbere nubuvuzi bukomeye, aho abarwayi benshi bari mumyaka 60 no hejuru yayo. Agira ati: “Nahoraga nishimira kwita ku bantu bakuru mu myitozo yanjye. Ati: “Hariho ubwubahane butera imbere. Nakundaga abarwayi banje. ”
Iyo usubije amaso inyuma, abakuze bameze nkurudodo - wenda umugozi wa feza - uhuza ibice byumwuga wa Dr. Dzielak. Ubwitange bwe mu kwita ku bantu bakuze bugaragara mu gihe cye cyose, uhereye ku mbaraga yakoresheje mu bitaro bya Moses Taylor gutangiza ishami ry’abasaza ryita ku barwayi ndetse na gahunda isuzumisha abantu bakuru, kugeza igihe yari umuyobozi mukuru w’ishami ry’imyororokere rya Wright Centre, kugeza ku bufatanye bwe. umushinga hamwe na UCLA hamwe na RAND Corp. yiswe, "Kongera guhindura imyitozo yo mu biro byita ku bageze mu za bukuru."
Kandi biragaragara ubu muburyo atoza bagenzi ba Geriatrics ya Wright Centre atari mubibazo byubuvuzi gusa ahubwo no mubuhanga bwo kuvugana nabarwayi bakuze kugirango bumve neza amateka yabo kandi babungabunge icyubahiro cyabo.
Dr. Dzielak avuga ati: “Birashobora kumvikana ko byoroshye. “Ariko kumenya kuvugana n'abantu bakuru bakubaha - no kwiga kubaza ikibazo, 'Ni iki kigufitiye akamaro cyane ku buzima bwawe muri iki gihe?' - mu byukuri ni urufunguzo rw'ibihe. ”
Kumakuru yerekeye gahunda yubusabane bwa Geriatrics muri Wright Centre for Graduate Medical Education, sura TheWrightCenter.org .
