Lapho ngibuza umngane wami waseCanada ukuthi aqagele ukuthi isikweletu sifike samalini sendodakazi yami 3-ubusuku hlala esibhedlela esikhulu saseBoston, wayeqonde phezulu. Akayona idumi. Uyazi ukuthi lubiza kangakanani uhlelo lwezempilo lwase-US. "$2000?" uthe.
โKuyahlekisa lokho,โ ngiphendula. "Zama futhi."
"$5000?" waqagela ngokungakholwa. Angikwazanga ukumenza alokhu eqagela. Bekungaba yisicefe ukulinda aze afike enanini elifanele, elingu-$71,000.
Umndeni wethu unenhlanhla yokuba nomshwalense wezempilo omuhle kanye nemali engenayo ehloniphekile, ngakho-ke ukulimala kwendodakazi yami akuzange kubangele umonakalo wezezimali njengoba iziqephu zezempilo zenza emindenini eminingi e-US (Ngo-2014, inkampani yezeluleko zezezimali, I-NerdWallet, ithole ukuthi izikweletu zezokwelapha ziyimbangela ehamba phambili yokuqothuka komuntu siqu e-US)
Ngisho nomshwalense omuhle, noma kunjalo, awukubandakanyi izinto ezithile ezingenangqondo ohlelweni lokunakekelwa kwezempilo lwase-US. Ngaphambi kokuba indodakazi yami iye esibhedlela saseBoston, yayenze uhambo oluthathu - kabili nge-ambulensi kanye kanye ngetekisi - eya egumbini lezimo eziphuthumayo esibhedlela sangakubo entshonalanga yeMassachusetts. Okokuqala nje, wayebhekene โnekhanda elibuhlungu kakhulu ekuphileni kwakhe.โ Bambuyisela esikoleni futhi bathi akathathe u-Advil futhi ayobona udokotela wakhe emtholampilo wezempilo wasenyuvesi. Ezinsukwini ezimbalwa kamuva, waba ndikindiki ohlangothini lwesobunxele futhi wagibela itekisi eya kwa-ER. Kulokhu bamthumela ekhaya neziyalezo zokuthi ayobonana nodokotela wezinzwa, futhi bamnika izinombolo zocingo zababili ababenemikhuba eduze. Omunye walaba dokotela wezinzwa wayenomyalezo โwokuphuma kuya kwaseminiโ unomphela emshinini. Okungenani yilokho okushiwo umlayezo njalo uma ngifona. Enye ikuthumele ngqo ku-labyrinth ye-voice mail, isiphetho sayo kwaba ukuthi uma uyisiguli esisha udinga ukubathumelela ngefeksi amadokhumenti ahlukene ayi-10 bese bekushayela ucingo ukuze wenze isikhathi.
Ngabe lolu hlelo lokunakekelwa kwezempilo kufanele lusebenze kanjani noma lukwazi ukuhambahamba kumuntu ojwayelekile?
Okwesithathu eya kwa-ER, washayela i-911 ngoba uhlangothi lwesobunxele lomzimba wakhe lwalubuthakathaka. Umphenduli wokuqala kwakuyibutho lombuso elangena ekamelweni lakhe elincane lacela ukusesha ubhaka wesoka lakhe. โNginuke ibhodwe ekheshini,โ esho ngokungafanele. Wabe esephoqa isoka lakhe ukuba liphume ekamelweni, limkhiphele into eyodwa ngaleso sikhathi.
Akufanele uvikele amaphoyisa ahlomile anolaka egumbini lakho lokulala lapho unesimo esiphuthumayo sezokwelapha, kodwa ngokuhlanganiswa kokuhlala uzolile nokuba mhlophe, indodakazi yami nesoka layo babekezelela/ basinda ibutho lombuso kwaze kwaba yilapho ama-EMTs. wafika. Ngakhuluma nabakwa-EMT ocingweni: โNgicela ungambuyiseli esibhedlela esifanayo. Sebemkhulule kabili ngaphandle kokumthwebula. Ngicela umyise kwesinye isibhedlela esihlomele kangcono ukumnakekela.โ
โUxolo,โ besho. โUkhombisa izimpawu zokushaywa unhlangothi. Kufunwa umthetho ukuthi simyise esibhedlela esiseduzane.โ
Esibhedlela, wanyakaziswa. Abahlengikazi nodokotela banqume ukuthi akashaywa unhlangothi base bethi akahlale phansi alinde. Lapho izimpawu zokuquleka ezixakile zibuya, wasukuma wabatshela. "Ingabe uhlushwa ukukhathazeka?" babuza. โZama ukungakhungatheki kangako.โ
Ngeseluleko sikadokotela wakhe oyinhloko, mina nozakwethu saphuthuma entshonalanga Massachusetts, samlanda kwa-ER lapho ababezophinde bamkhulule khona, samyisa esibhedlela esikhulu saseBoston, lapho bamthola khona ukuthi wopha. ebuchosheni bakhe futhi wamngenisa e-neuro ICU.
Cishe ngemva kwesonto ekhululiwe, umlingani wami wawa elolini emsebenzini futhi waphuka ugebhezi lwakhe, futhi sase sibuyele esikhungweni se-neuro-ICU esibhedlela esifanayo. Lona bekuyiComputer's Worker. ukucela, ngakho zonke izindleko zakhe zizokhava, kodwa ngaphansi komthetho waseMassachusetts, wayekhokhelwa kuphela ngama-60% omholo wakhe ngenkathi engasebenzi. Indawo yami yokusebenza inephakethe lezinzuzo eziningi ngokwezindinganiso eziningi, kodwa kwadingeka ngithathe isikhathi seholide ukuze ngimnakekele. Lapho lokho sekuphelile, ngangingathatha ilivu engakhokhelwa (ngaphansi kwe- Umthetho Wekhefu Lokwelashwa Lomndeni).
Kubantu bakwamanye amazwe athuthukile, lokhu kungase kuzwakale njengokuhlanya, kodwa e-US, lokhu kubeka umndeni wethu esicongweni ngokwenethiwekhi yokuphepha komphakathi. Izisebenzi eziningi zinezivikelo ezimbalwa kunezethu. Ikota eyodwa yabasebenzi base-US akasitholi isikhathi seholide esikhokhelwayo. Cishe U-40% wabasebenzi bomkhakha ozimele awuholi ngesikhathi sokugula. Futhi kuphela Ama-41% afanelekile ukuthola ikhefu ngaphansi kwe-FMLA.
Ngakho-ke, nakhu - ilungu lomndeni elilodwa elisanda kuphuma esibhedlela futhi elilulama ekhaya, kanti elinye ilungu lomndeni libhekene nobuhlungu obukhulu kanye nokwelulama kwezinyanga ezimbalwa. Ungase ucabange, ngemisebenzi yethu yobungcweti, ekhokhelwayo, umshwalense wethu wezempilo omuhle, kanye nezinzuzo zethu, sizokwazi ukugxila ekwelapheni. Kodwa, cha. Konke bekuyimpi.
Bangikhulula umlingani wami esibhedlela ngemva kwezinsuku ezimbili nakuba ubuhlungu bakhe babusenzima kakhulu. โShayela into yokuqala kusasa ekuseni,โ basho, โfuthi uthole isikhathi emtholampilo wezinhlungu.โ
Kuzwakala kuwumqondo omuhle, kodwa bekungekho ngokoqobo isikhathi sokubonana emtholampilo wezinhlungu amasonto ayi-6. Ngingumhleli oqeqeshiwe onomlomo omkhulu nomuzwa wokufaneleka womuntu omhlophe wezinga eliphakathi, futhi ngichithe amahora amaningi ocingweni ngilusebenza macala onke, futhi angikwazanga ukuthola isikhathi esisodwa emtholampilo wezinhlungu noma yikuphi e-Boston. indawo yemetropolitan. Ngakho lapho ubuhlungu bakhe bungenakubekezelelwa, sabuyela ku-ER, okwakudingeka sikwenze izikhathi ezimbili ezengeziwe.
Isikhathi ngasinye ngangithi, โBheka, akulona nje ikhanda lakhe elibuhlungu. Wabuye wafinya iqolo ngesikhathi sokuwa. Ngakho usezinhlungwini ezimbili ezinzima kakhulu.โ Ngaso sonke isikhathi lapho ngiveza lokhu kukhathazeka, babethi, โSigxile ekhanda lakhe kuphela njengamanje.โ
Kulungile, ngiyakuzwa. Ikhanda lakhe libekwe phezulu kumitha yokukhathazeka kunokulimala emuva kwezicubu ezithambile, kodwa ubuhlungu bubuhlungu, futhi lapho ukubo izikhathi ezimbili, futhi usesibhedlela sama-chrissakes, nochwepheshe bezokwelapha kuzo zonke izinhlangothi, kungani ungamniki impumuzo ngokulimala endaweni yesibili?
Kungani? Hhayi-ke, ngoba nje kukhulu ukukubuza. Uchwepheshe ophethe ukunakekelwa kwakhe kwakungudokotela ohlinza izinzwa, owake washo kimina kancane kancane, โNeuro,โ washo ngokucophelela. "Lokho kusho ingqondo."
โYebo,โ ngangifuna ukuphendula, โFuthi lona ngumuntu.โ
Kepha uhlelo lokunakekelwa kwezempilo lwase-US alumiselwe ngempela ukubhekana nabantu. Iklanyelwe ukwenza inzuzo. Njengoba ukunakekelwa okwengeziwe kuyinto kubhekiswe kochwepheshe futhi njengoba izinqubo ezinenzuzo ukuthatha indawo yokuqala ngaphezu kokuqokwa kweziguli ezinezimo ezingalapheki, odokotela nezibhedlela enze inzuzo enkulu kuyilapho iziguli zihlupheka ngenxa yokuntula ukunakekelwa.
Futhi inethi yethu yokuphepha komphakathi ayihloselwe ngempela ukusigcina siphephile. Iklanyelwe ukusigcina sinesiyalo futhi sisonqenqemeni - sibonga imvuthu futhi sikhululekile ukuthi singakhokhi.
I-ZNetwork ixhaswa kuphela ngokuphana kwabafundi bayo.
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