Hutano hwehutano hwakashandura mukati memakumi mana emakore apfuura kana makumi mashanu apfuura zvichiratidza shanduko zvishoma nezvishoma mukuita kwekurapa kubva pakutarisirwa kwemurwere kuenda kune imwe yehurongwa, algorithms, uye nhungamiro-yakavakirwa maitiro. Zvinoita sezvine zvikonzero zvakasiyana-siyana zvinoparira, chiri pachena zvikuru chiri kusundidzirwa kwomuenzaniso wekambani wemishonga unoitwa nemasangano akasiyana-siyana epasi pose uye enyika ane zvido zvinorwisana. Zvinosuruvarisa, chikamu chikuru chayo chinotsigirwa navanachiremba vasingazivi uye vanotya vanozviisa pasi pegadziriro yemishonga, panzvimbo pekuita kwayo.
Nekuuya kweiyi yemazuva ano technocratic mushonga kwakauya iyo phobia yematare uye kuzvarwa kwemunda mutsva wemishonga - Defensive Medicine. Kunyange iyi isiri subspeciality yekuzivikanwa kupi nekupi, inoitwa muchikamu chakazara nevarapi vese vemazuva ano zvisinei nehunyanzvi hwavo. Kutyaira kudivi rerima iri kwaive uye kuri kuitika nekukurumidza kusingazivikanwe kune vazhinji vevanachiremba vakabatikana kushanda kwemaawa akawanda uye kutarisira mhuri uye mabasa ega.
Maitiro akashanduka nekufamba kwenguva semhedzisiro, ayo anoshandisa matekiniki ekutya kutungamira kuita sarudzo kwemurwere. Mhinduro yevarwere inoratidza kuti vanachiremba vanoita maitiro ekutya-kwakavakirwa ruzivo kugovera vachiraira kuitwa kwekurapa uko kana kukasaitwa, kunogona kukonzera njodzi. Vamwe vakapihwawo mazuva ekuti vararame kana zano ravo rikasatevedzerwa. Inyaya yekushanda netsoka yekumashure kwete yekumberi. Izvi zvinopesana nemhiko yeHippocratic uye nheyo dzekurapa dzinosimbisa pakuita sarudzo pamwe chete nachiremba achingova mufambisi wemhedzisiro. Kutya kuodzwa mwoyo uye kunogadzira mamiriro ekuvhiringidzika uye alarm. Mumamiriro ezvinhu aya, hazvigoni kutarisirwa kuti murwere aite chisarudzo chine musoro uye chakanaka maererano nehutano hwavo nenzira ine ruzivo. Pane sarudzo imwe chete yasara kwavari uye vachangobva kuudzwa kuti chii ichocho.
Kunyange zvazvo hwaro hwomushonga hwakavakirwa pakubvumirana kwakazara nezivo uye rusununguko rwokusarudza, chiremba wemazuva ano anova nechokwadi chokuti akaisa 'ruzivo' rwakakwana (kunyanya nokusaziva uye achisundwa nekutya kwavo) mumurwere zvokuti havazovi nechisarudzo. asi kuti vaite zvavakarairwa.
Ndakashanyirwa nguva pfupi yadarika neimwe mhuri yaingwarira vaccine ndokuuya kwandiri mushure mekupedza mwedzi yakawanda ndichiverenga mabhuku aiwanikwa kusanganisira anopesana nemazano ehutano hweveruzhinji. Zvisinei nekudzokorora kwangu izwi nezwi izvo zvinongedzo pane nyaya, ivo vaingoda mamwe majekiseni kubva muhurongwa hwese. Chikwangwani chemumugwagwa cheyero chaipenya 'chenjedzo usati waenderera' chakaramba chichindivheneka sokunge chichindinyevera nezvengozi dziri mberi. Sezvo aya akanga ari mamiriro ezvinhu aindivhiringidza, ndakashevedza sangano rangu redziviriro kuti rinditungamirire. Ndakaudzwa kuti pakupedzisira, zvinhu zviviri zvine basa muchirevo chechinyorwa chino – chii chinosarudzwa nemurwere mushure mehurukuro, uye chii chakanyorwa muzvinyorwa zvekubvunzana? Ini ndaive nemhinduro kune yekutanga uye seyechipiri, ndaifanira kuve nechokwadi chekuti mazwi angu (uye alfabheti yega yega) haina kuvimbisa sarudzo yavo uye inopindirana nemaitiro akajairika. Kunyangwe zvaiita sezvisinganzwisisike kuti ndaiva chiremba wemhuri ndichishandira murwere nemhuri yavo, ndaifanira kudzidza danho rinokosha rekuzvidzivirira mubasa rangu.
Kurapwa kwese kwese (kusanganisira nzira) kune njodzi uye pane njodzi, panofanira kuve nesarudzo. Varapi nhasi vanodzidzira hunyanzvi hwekuzvidzivirira (sekufanana nenyanzvi yehondo), vakabata zviso zvakatwasuka, vachinzvenga kutarisana nemeso uye maonero echokwadi, uye kukanganisa basa. Kutya kutaura chimwe chinhu chichaisa njodzi yekukwidzwa kumatare uye zvichida kusagamuchirwa nevezera ravo padare redzimhosva kunorema zvikuru panguva yekutaurirana. Kusiya nhungamiro chitadzo chisingafungidzike chinotakura zvinokonzeresa zvakakura uye mutoro unorema wemutengo. Kutya uku kunoparidzirwawo nehuchenjeri hook-up yemasangano ekudzivirira ekurapa uye masangano ekudzidzisa zvekurapa nemasangano anodzora. 'Kushanda pamwe chete' kunovimbisa kuteererwa kubva kuna chiremba ane mhosva kuburikidza nemaitiro akarerekera uye asina kunaka anogona kuenderera kwemakore. Pasina panikiro, izvi zvinosiya chiremba achinetseka mupfungwa uye aine mavanga, asina mari uye arasikirwa nemukurumbira uye pakupedzisira kuzvivimba. Hazvishamisi kuti vanachiremba vanovimbisa kutevedzera sevana vepuraimari, kwete kupokana nedzidziso.
Munguva pfupi yapfuura, ndakabatwa nechamupupuri chiri pamusoro uye ndakakandwa kubva kubhodhi rekurapa kuenda kusangano rangu rekudzivirira uye ndakazobvuma kukundwa. Zvakasvika pakutyorwa kwemutemo kunyange zvazvo ndaitarisira murwere wangu uye ndaimuchengeta akachengeteka nguva yose iyi. Handina kuombererwa nokuda kwezvakanaka zvandakaita asi chokwadi ndakapedza 'nguva' ndichipfidza zvivi zvangu. Kushungurudzika kubva muchiitiko ichi kwakagara kwenguva yakareba uye kwakagadzira mandiri kutya kwekusavhiringidza nehurongwa, hurumende isina tsitsi iyo yakarasikirwa nemweya wayo. Kana ndangorumwa, ndichagara ndichinyara kaviri.
Sezvazviri kuvarwere, kutya kunosvibisa kugadziridzwa kwemashoko uye kutonga kwakanaka kwachiremba uye nguva dzose kunobereka kutevedzera kunomanikidzwa. Murapi akaodzwa mwoyo uye ane makona (anotya nevese bhodhi rekurapa uye nemurwere wavo) pasina mubvunzo injodzi huru kune veruzhinji. Kana zvakadaro, vanoshandirwa zvakanyanya nekudzika kubva pamabasa avo ekurapa kuti vadzivirire varwere vavo uye neveruzhinji uye chekupedzisira asi chisiri chidiki, nekuda kwekuchengeteka kwavo. Izvi tinozviita kumabasa ese akaita sechipurisa nevemutemo, dzidzo nezvimwe kana pazivikanwa kuti pane ngozi kune veruzhinji. Hutano hunofanirwa kunge huri pamusoro peiyo runyorwa uye inofanirwa kukoshesa zvakanyanya.
Kujeka uye kubuda pachena ndiwo mabhiriji maviri anofambirwa nemurwere kuti aite sarudzo dzine ruzivo maererano nezvido zvavo zvehutano. Muhutano, kutora nzira yekurapa yakafara kana kuita sarudzo kuchengetedza nharaunda yakakura chinhu chisingawanzoitika uye chinosiyana nemaitiro akajairwa. Maitiro akadai anongoshandiswa nekuchenjerera kukuru tichifunga nezvesarudzo nemamiriro ezvinhu emunhu, mamiriro ekurapa, uye dzimwe nhoroondo dzakakosha senge genetics nemhuri. Kuzvisarudzira kwakakosha uye hakugone kutaurirana.
Izvi zvinokonzerwa nemisimboti yenguva yekare yekuzvimirira kwemuviri, kuzvitonga, uye rusununguko rwekusarudza kune vanhu. Sarudzo dzine chekuita neutano dzinofanira kugara dzichiitwa pamwe chete nemurapi uye dzinofanirwa kunge dzisina kumanikidzwa, kutyisidzira, kutya kutsiva, uye kwekupedzisira asi kusingambo diki kwakavakirwa pakusarerekera kweruzivo ruzivo. Nezvese zvakaitika mukati memakore matatu apfuura, chiremba wemazuva ano we3st-century anogona kudzidzira akasununguka munzanga yegutsaruzhinji pasina hutsinye hwehutongi hunovaremera here? Nemamwe mashoko, mubvunzo unofanira kubvunzwa ndewokuti 'Ko chiremba nhasi angava chiremba here?' Zvinosuwisa kuti mutongo uyu hautaurike uye unofanira kutangwa neveruzhinji. Ndinoti 'Varapi ngavave vanachiremba.'
Chinyorwa ichi chinoratidza nyaya yakaburitswa pano neSpectator Australia.
