Happy eid

Hi People in the world!
Moslems especially..
Jini Suraya would like to say..
HAPPY EID
taqaballahu minna wa minkum
Wassalamua'alaikum
--genie surgeon--

Looking for the future

The next 4 days will be my 29th birthday
Only take a year to be 30 years old
How fast is a life walking through the time
What have I done during my almost 29 years in the living?
And what is the meaning of life itself?

Many people with many destiny
And what is my destiny in life?
Will be a surgeon..
Or will be anything else
That I never wonder what it is

I pray and ask the Only one mighty soul
That question is even harder to arrange
I rebuild every memory and wish upon this breath
That searching for it has led my puzzle of life
To be questioned in every corner of my brain

Dear God
So long, this time still I am looking for the future
What is it?
I just want to be like every body else
But it is then a proof
That I am someone else different
I know You know me better than I know about myself
I know you handle it with love and justice
With knowledge that is too high for my ability in measuring
So long, God
Will I have the future like everybody else?
Because during this indifference
I want to be the commoner

Dear God,
If it is about the persistence destiny
Give me your power
Just a little bit
To make me stronger in walking my path of the living
and in enriching my soul
With your biggest blessing
So I never cry again alone that I am indifference

Between me and the earthquake

Earthquake.
Jisshin.
Gempa.
Gampo.
Those are terms explaining the nature phenomenon that happen..still happening while I was typing this post and it is almost been two weeks, we the west sumatra's people experience it everyday, from the hardest to the mild one.
I was firstly known e.q. (earthquake) when I was 10 years old, the first day of my arrival in Padang after staying in Bogor for 7 years. I was visiting my aunt's family and having a conversation with them until something was moving under the ground and everything started to shake..
"What's this?" I asked my uncle
"That's okay. It is only an earthquake"
It is only an earthquake. And after my first meeting with the earthquake, I don't know how many earthquake came to my place, because it was coming almost every year.
It is only an earthquake, that before the biggest incidence of Indonesia at year 2004, I sometimes still standing in my room, still sleeping and not realizing that earthquake was coming. I was`made a joke, if the scale not more than 5 Richter scale, I will not wake up from my sleep.
But, it is not just an earthquake until the big tsunami in Aceh at year 2004. Every one in Indonesia is worrying about earthquake because of the tsunami.
At the year 2005, after the earthquake in Aceh, we the west Sumatran was having two weeks earthquake. If I have to depict the ground at the time, It was just like standing on the boat while you sail on the sea. The Scale was from 5 to almost 7 Richter. And you got a chronic headache because the instability of standing on the ground.
At the beginning of 2007, march, there were big earthquake in a day that happened 3 times. I was in the 3rd floor and seeing the ceiling of my operation teather was falling to the floor with my own eyes. I was then visiting Bukittinggi and seeing that the Sianok hill was really changing.
And at the beginning of the Ramadhan until this time, I again feel the weeks of earthquake. Also the first time experiencing the scale of more than 8 richter. I don't know when will it stopping, because everyday it comes to us. And about the tsunami, I hope I never face it during the rest of my life...
Though there is something coming to my mind. After 4 days of the earthquake of March, when I was on my way from Bandung to jakarta, I was seeing a cloud that imitate a tornado on the sky. I was shocked. Because I 've already known due to the Japanese earthquake scientist, this kind of cloud is the sign of an earthquake. So I made the photo of the cloud. though in my heart i was very worried and hope my family in jakarta were just fine if the real earthquake came. Then after a week, I saw the same photo of mine was in the Kartini's magazine and the kartini's journalist was written about future earthquake. And the famoust Indonesian shrink, Mama lauren was said at the magazine that earthquake would come to near Lampung in July.
There wasn't something happening in July.
But there was a big earthquake coming in September 2007 in Bengkulu.
Is it the sign of nature that reminding us?
Maybe..
Geologist said like this, Sumatra island is the most poor island in the world, because basically it is moving about 2 cm every year. It is not strange that earthquake coming to Sumatra every year. Like my uncle said.."It is only an earthquake.."
So, At the end, between me and the earthquake, there is a relationship that will not end up unless I am leaving for Sumatra..

Happy Ramadhan

To all my friends

HAPPY RAMADHAN
May Allah gives His blessing to all of us.
Ameen.

I never thought

Hey guys!
Do you know the topic last year that I mentioned to you all about my position in team?
I was The First person ...hmm..first duty or..jaga 1 in our duty's term. Then when I came back from Bukittinggi I got position as Second Person or Jaga 2. Just in a 6 or 7 months, I got my Jaga 3's position. Wow! I thought I was moving too fast at the time..But here I am now, another shocking experience of my life in Surgery...I am the chief of the duty right now! I never thought about it...It is too quick for me (though when I was telling my complain to my chief of the chief resident and he replied that my senior AS, MD was starting as fast as me too).
I made some records for my new position.
I am the first woman (of course...)
I got this position because I passed my cognitive test (sigh...)
I was the youngest (in age and semester) who passed the cognitive test among the residents who have done the test, also just once test (How could I pass the test? It is still a mystery even for me, because I always think my biggest lack is my knowledge...)
I was the youngest to be the chief of duty (someday my junior will break this record...)
I am the first person of my class who get this level (I think it is because of the cognitive, because due to the skill, I am not the best. I always try to improve it.)
But most of those, many good things happen this year.
Alhamdullilah.
But this is also an examination from God to you.
And about this new position itself, I think this is a hard jod to do and there is a big responbility in it. Very big, that at the first time I was losing my appettite of reading comics...hehe..
Hope I can do this job smoothly.
Ganbarre Jini!

Yo, Finally!

I was sending Yhosse about adding me into his e-clinic...but then I realized that I have my own blog. It was very active when I was in Bukittinggi since I had a big need of speaking with someone else..Ok guys.. This is my new post of year 2007! Ganbarre!

It has been a Long time (Finally...it is continued)

I've just realized that my post for june was just one!
Absolutely different with may 2006.
What was happened in june?
First, it was about my paper to makassar. I always thought about it everytime..
2nd, I have many patients...
3rd, my colleagues and I were busy hanging' around..
4th, I came back to padang and was busy...again with the paper and duty day..
So the biggest problem was about my paper.
My paper was about a case of a female infant that had an atresia of her small bowel part. The type of atresia itself was the rarest one in the world (popular as christmas tree deformity). In international journals that use english as the languange, only 155 cases were found of this kind of atresia since 1961. It was very hard to look for the literatures, to start writing it down (because you were disturbed by the patient's problem in the ward...), but finally I was finished it....And I went to Makassar bringing my poster with theme : Christmas tree deformity. But of course there were many exciting topics in makassar since this was a big meeting of surgeons around indonesia, like face off in Surabaya (tough the name of operation itself is still being a controversy among Indonesian's surgeon, especially the plastic surgeons).
2nd..busy with patients...hmm..I think I shouldn't talk about it too much, because this is just the routine part of my life.
3rd...busy with friends! My colleagues were busy with playing the balak and watching the world cup! Since we lived in Bukittinggi and no legal SCTV's relay station, so we have to go to the cafe watching the world cup. The playmaker of the balak was my colleagues from UNPAD, Armia, MD. He was originally coming from Aceh, but grown up in Surabaya that makes him very fluent speaking javanese (tough he understands Aceh languange very good too, since he spent his PTT time in Pidie, Aceh). He was very happy playing the balak, because he never found this in Bandung..hehe..(I think someday if I visit him, I will bring the balak for the gift..hehe..). And this man was meeting right partners to play, my friend Ihsan,MD, Co assistant Adi and his police friend Ardi...
Because I have problem in writing down my paper and i love watching soccer too, so almost everynight we went to a small cafe, watching soccer game, playing balak and typing my paper!
A day before my leaving for bukittinggi, we play balak together until 3.00 in the morning...wow!very tired that I also had an operation from 9.00 to 4.00 in the afternoon at the next day! So when I was coming back to Padang at the night, about 1/3 part of my way to padang, I was asked my parents to change driving, because I was very tired...
At the next day I came back to my beloved hospital in padang, RS Dr.M.Djamil..
Finally I close my Bukittinggi experiences!
Bye-bye Bukittinggi!
See you someday!

Oops...

My new section after the bukittinggi section is Urology, a part of Surgery Science which is about urinary tract. I have a patient who is going on for chemotherapy now. My senior told me to control the fluid balance of the patient. So I waited at home and cameback to hospital at 20.30, bcoz the nurse' shift hour will be ended at 21.00 for the sake of making a clear order to night's nurse.
After checking and making the new order to the night's nurse, I decided to go back home. So I walked to the parking park and looked for my car. A little bit worried since I have a bad memory of my car position.(I always have this problem. I am a forgetful person that after getting back from Bukittinggi, I was forgotten my home's phone number...hehe).
Finally I found my car!
So I opened the door and started the car, But too bad!
The steer was locked and I was getting frustated to open the lock.
I decided to play the music in order making myself relax.
And....My tape was gone!
And there was something wrong about the car...there were cutter and strange buttons...
Oh my God! I said to myself at that time.
A thief has stolen the tape. So I decided to go out and walked to the hospital's employee or security.
After 25 metres....There was a phenomenon that made me want to scream!!
My car was stood exactly in front of the emergency building!
SO WHOSE CAR THAT I WAS OPENED JUST NOW???!!!
AND HOW COULD I FORGOT THE PARKING POSITION THAT I WAS MADE???!!!
So I walked to the 2nd car (This was really my car), opened it, the tape was not lost and started it, drove back home...
Oops!
And I was laughing out loud!
Again I became a forgetful person!

* The car above is my father's car. My car was re-painted, so I can't use it for 2 weeks.
* This story shouldn't happen if I know the police number. But again, my lack of memory's ability is VERY GOOD, even my home phone's number could be forgottten!
* My biggest worried about the lost of the tape was about my SOUL ASYLUM's cassette.
It was a gift of my sister that I love the song much (MISERY), also I was worried if the cassette is not sold anymore at the shop.

It has been a Long Time

When did the last time I wrote for my blog?
May 25th 2006.
Today June 13th.
19 days!
I was very busy..
I was panic..
And seriously being affraid because I haven't finished my writing for MABI (Musyawarah Ahli Bedah Indonesia) in Makassar, July 3th-8th 2006..
MJ, MD had come back to Bandung. Actually he visited his wife in Solo, because of the earthquake in Jogja.
And come...Mr.Armia Indra, the Acehman who seriously like playing the Balak! (popular as Batu playing)
He is very hunger of playing this game that only in Warung Aceh he can play this game.
Nobody in Bandung like playing this game..hehe..
And now he plays this game every night..
(to be continued)

Two Weeks More

I've just realized two things that is important. I never go back to padang for almost 4 weeks and my duty here will be finished 2 weeks again. I begin to like Bukittinggi though I miss the life in Padang. 3 days ago my friend alwin was visited his wife (The Resident of Dermatology Departement) who is having duty for 3 months in Bukittinggi. There are so many things happened, bad, good, sad, happy things. But I hope with this duty in Bukittinggi I can gain many experiences that useful for my education...Ganbarre!

PS : Mungkin gara-gara whinning di blog kebanyakkan pasien (I love monday & the patient inviter), 2 minggu ini justru pasien jarang..hehe. Jadinya bosen n' bawaannya pengen jalan terus (Ga tau juga mo ngobrol apa lagi di blog..) Paling asyik jalan kaki malem bareng temen2. Banyak lampu kota dan ga panas. Untung temen2 gue (david, dokter jaga triage n' bang jadid, residen ortopedi) juga suka dibawa jalan malem. Padahal ujung2nya cuma ngobrol di warung2 tenda..(gara2 kemaleman ga ada yg buka lagi..).

Night Walking

This week there are new Co-assistants or the students who have their senior clerkship in Surgery department. My consultants said that my task is giving them a tutorial. So during this week (They came at Wednesday completely), every night I try to teach them about the basic surgery, especially about the trauma's science itself. Basically I teach them the ATLS (Advanced Trauma Life Support), what should they do if they get a trauma patient. Also how to treat the patient, in emergency room or in the ward...
Last night, after having a night walking with MJ, MD and DV, MD, I was slept at 3 AM and wake up at 6 AM this morning. Then at the afternoon I have an operation until 6 PM. I checked my patient in the ward at 7.00 PM and gave them a teaching about surgery again at 8.00 PM until 10.00 PM. And my eyes still feel hard... to close! One of my bad habit is sometimes I feel imsonia. So I took them to walk along the Chinese town, The Big Clock (or Jam Gadang), drink "Skoteng" together and play internet..And..until this 12.15 AM I still feel unsleepy (though actually I never had any rest for today from 6 PM). I think the main cause of this problem is I haven't any patient for today in Emergency Room (that usually I always busy with the patients)
Hmm, I think I have to come back to the hospital. I am maybe "strong", but those co-assistants need sleep..hehe..

* Photo above is Jam Gadang (Big Clock) at the night
* This is the situation of the emergency room when it was empty..

Long Week End 2nd Part

Last week, there was no operation at Saturday, though I waited for it for the whole day. The day after it, I talk to the nurses, that I can't go to Padang since my Consultant asks me to stay here for the week end, but I really want to go for a while. I feel crazy just stay in the hospital for 24 hours in a day. Then the nurses said to me, why don't you go a while. If there's a patient, we will call you. Of course this is not the first time I went outside the hospital. Sometimes I left it for the internet cafe, market..but this time I want to go a little bit far, outside bukittinggi !(For the sake of keeping my promise to rizki my friend, asking his senior go around) So it's kind of gambling. If there's a call I have to go back wherever my position is. I asked MJ, MD if he can go or not ("Have you gone to Pagaruyung palace? Wanna go?"). Then he said, I have no operation. So I made a plan that my times is just 5 hours to go to Batusangkar and to get back to Bukittinggi. This target came from my senior SY, MD's experience that he was taken the resident Orthopaedics of Padjadjaran University to Batusangkar previously and spent times for 5 hours.
This was a gambling and we want to try it.
Firstly I drove slowly, because I almost forgot the way to go it. I was affraid of taking the wrong way. So our journey to Batusangkar took times for 1,5 hours driving. Then we arrived at the Pagaruyung palace and took some photos there. Then we went to "Batu angkek-angkek" (The Lifting Stone) that famous for this believe, If you can lift the heavy stone smoothly, your wish will come true..And MJ, MD was tried it and..fail!Hehe..
Then on our way of coming back home, MJ, MD got a phone call of the hospital. There were two patients of Closed fractures. MJ, MD gave the instructions through phone of kind of examination, initial treatment and of course promised to get back earlier.
I spent 30 minutes driving from Batusangkar to Padang Panjang, where we ate at the famous satay in it (Mak Syukur Satay, where SBY had also eaten there). Spent 15 minutes there and then drove to Bukittinggi and spent times for 15 minutes. So I spent totally 45 minutes of driving from Batusangkar to Bukittinggi.
Thank God, when we arrived, they have just finished the whole examinations like X-Rays and Blood examinations.
So the conclusion was..we won this gambling.
And those are some photos from Batusangkar.

Photos are :

1. Rangkiang (The house of keeping rice from the front side)

2. The Pagaruyung Palace from the Right Side

3. The situation inside the palace at 1st floor

4. The Lifting Stone

5. The Garden of Pagaruyung palace from the 2nd floor

6. The front side of Pagaruyung Palace with MJ ,MD stood in fron of it

When We Were Crazy

I was having two operations. Then When I was cameback from the operation theater at 11 PM, I met my friends MJ, MD and DV, MD (triage doctor in the emergency room). We talked much and laughed together. After an hour, MJ, MD talked about going outside the hospital. Then three of us were going outside. I talked about how about visiting the internet cafe because I haven't visited it for five days. Then after ate at one of the warung tenda along the chinese town (that near our hospital, that also famous for its cafes and the night life), the internet cafe was still open! (actually almost close). DV, MD talked to the person who owns the cafe that we want to play in it. The computers then were activated again..
And here I am !
Typing this one..

PS : There are so many topics I want to talk. But I promise to my friend that I come here just for checking the email..
* DV, MD is at the left side of the photo and MJ, MD is playing the computer

Long Week End

Again, I spend my week end in Bukittinggi.
This time I get a special request from one of my consultant to stay in Bukittinggi because He has to go to Pekanbaru. Friday and Saturday, also for this Sunday is his consultation day.
This led my father and my mother to visit me in Bukittinggi today.
Actually yesterday I was having a plan with my orthopaedics' colleague, MJ, MD to visit The Pagaruyung Palace in Batusangkar, but there is also another reason that makes me staying in hospital. There is a patient that has to be observed before an operation. So I have to be ready for an operation for along the day.
Yesterday I was talking many things with MJ, MD (who also has the same hobby with me, visiting the internet cafe. Maybe he has a chatting with his wife that lives in Solo right now). We were talking about our surgery's life. The life of The resident in Bandung, in Padang, the cases we have gotten during the education also about the daily life of the resident of surgery. We came to the same conclusion that our life is different than others. Less sleeping, working and spending time for the patients, or in short, we have no special or regular time like other workers. We work for 24 hours... I think our life is a miracle, he said. I talked to my friends from different field of job and they said, how could you live like in that way? But, this is our life, no matter how hard it is, the important thing is you are enjoying it.
When I was in my senior clerkship, I asked the Resident of Surgery, ID, MD (Now he is our Chief of The Chief) about the Surgery. He said, you have to be ready to leave your family. When I wanted to undertake this education, I said to my wife, from this time you have to struggle alone, because I'll be busy with the education. And I also talked to big family that I'll be busy that maybe makes me rarely contacts with the big family. Then, he continued, one day my son was getting sick, I was really busy, then I talked to my wife, took him to the doctor..
I saw and live with the surgery's life right now. I know that my senior words' years ago is not as true as he talked. His relationship with his wife, his sons are still close enough.
Again, this is our life.
The bitter thing about surgery is : " Surgery is number one and the family is the second"
Many doctors will think twice before seriously choosing Surgery.
There are also other doctors that have not regular schedule like Obstetrician and Gynecologist and the Anesthetian.
You maybe think what's the reason I always talk about my life.
I just other people outside there know, never give up to the hardest thing you have in your life. Life is about struggling the game that God has created before. Each person is different to each other and that is why we have to contact to each other. If this is the soccer game, you have your own position in the field...
And this is where I have to stay. In this long week end I stay in a place called as the hospital. Spending my valuable breath for the duty day..

*My mother was just called me that she has arrived in Bukittinggi. So, I have to finish this and comeback to the hospital... See ya!

Massage and Alternative Medicine

I got this strange case.
When I was having an appendectomy, the time when I was opened the peritoneum, there was a bleeding from the inside of the abdomen..
I asked my assistants, did I cut something?
Both of my assistants said, No.
So I was explored the abdomen, not just for finding the appendix vermiformis but also to find the source of the bleeding.
I found both of them.
And the bleeding came from a little spread of the serosa part of the colon.
The appendix vermiformis was not perforated as I and my consultant were thought before (Since the leucocyte level was 18900/mm3 / very high..).
So after the operation I asked the patient, a-9 year-old boy.
Did you have a massage on your abdomen?
He answered Yes, ...... (*not proper to mention his name) did it. Because I felt pain on it.
So, I called her mother and asked again the same question.
His mother told me that the kid felt pain at the lower right part of the abdomen after playing soccer, so she thought It was a trauma then she brought her child to have a massage..(actually the pain was caused by the process of appendicitis)
Then I got another patient who had a blunt trauma after a motor-cycle accident. He felt pain at the upper left part of the abdomen. He was having a massage 3 times at the part he felt the pain. After three days his condition was getting worst and his brother took him to the hospital. I made a Von-Slanny test to him also checked his abdomen tenderness. I suspected there was a massive bleeding was caused by the rupture of intra abdominal organ. When we opened his abdomen, there was a rupture of the spleen and we did a spleenectomy on this patient.
Again, the common people treated pain on their abdomen by having massage.
This is the last example. When I was having my senior-clerckship in Obsteric and Gynecology Dept. there was a case of the death of fetus. The mother of this fetus was having a massage during her pregnancy. The residents said, it is common thing in Countries or Kampungs that people like to massage the abdomen during pregnancy...
This mother and other mothers from the kampungs were never realized or known that massage would give a trauma of vessels that could be the cause of fetal-death during pregnancy.
I was visited the Internal medicine's Ward because I was gotten a consultation from there. I was asked the nurses there to have a USG and thorax photo for this Mammae Carcinoma's patient to determine her Cancer stage. But then I got this news that the patient was dead last night. So I told the nurses, she was in the terminal stage. This patient was refused an operation 2 years ago and tried to have an alternative medicine..that never cured her..
There are many of cases of patients that refused to have a surgical treatment,then tried an alternative medicine. They came again to surgeon with terminal stage that made us can't cure their disease with our best efforts. Some were getting better by handicap (usually fracture's cases), some were died.
My Oncology consultant said, there are good news in the magazines of people that getting better by alternative medicine and other people that thought they have same disease, decided to try. It seemed that alternative medicine was succeded and modern medicine treatment did nothing. But there wasn't any record that people came to doctor after having a terminal stage after trying so many alternative medicines (That actually their number is bigger than the succesful ones..)
I don't refuse the alternative medicine, because there are so many misteries of the health itself.
I agree with China' s people who combine their ancestry knowledge with modern medicine.
But something that come to my brain is (from my surgery's background) :
Why people was really scared with the operation?
Why this can be happened?
If someone out there can answer this question..

The Patient Inviter

The nurses at the ward always said this words to me..
Dr. JINI 's patients is many in number..
(Hmm, they named two of my seniors who also have many patients)
Then the nurses in Emergency said, you always have patients! YOU ARE THE PATIENT INVITER..

Hehehe...

In Padang I got that name also.

When I was having my duty day for every two days, I almost never slept for 32 hours and of course in a duty day you were very buussyy..Walking around the emergency. Only a few time you had your seat..(That the thing that made my leg muscles became hard rapidly).
Then When I was entered the team and had the duty day for every four days, having juniors And my position was changed from person who made the preparation of patients in Emergency to Second assistant in an Operation. So if I finished my operation, I went out and checked the situation in Triage.

Then there was this phenomenone.

There no patients. But then came patients..
It was always be happened.
And then the nurses started to say these words to me.
EVERYTIME YOU SHOWED UP IN TRIAGE, THE PATIENTS THEN CAME. BUT WHEN YOU WENT AWAY TO THE OPERATION THEATRE, THE PATIENTS WERE STOPPED COMING...you are the patient inviter!

So everytime I showed up in triage then the nurses, my juniors would begin saying.."don't come here!" My senior also noticed this phenomenone, so every time I sat in Triage, he then asked me to go to outside the triage. He said, you have good luck of many patients! Never sit in triage!
The nurses in the operation theatre also said this word to me..
"C'mon Jini. Just sit here. If you sit in the triage, we will have many operations.."

I don't want to believe this phenomenone. And it was not always true..BUT MOST OF IT, was true!
God!

I Love Monday

The first idea came to my brain on Monday morning was...I LOVE MONDAY!
I always love Monday in Bukittinggi. Because On Tuesday there is Duty Report, Parade of Patients, Wednesday and Thursday for Operation, Friday..again duty report and Parade.Hmm, Saturday, I don't know, I always hate Saturday. Maybe because I work hard for five days and feel tired at the sixth day. I always lose my creative ideas on Saturday. So I will take a nap on Sunday and Here it comes Monday...I have no big works to do! I love Monday!
But, at this monday..was really a big day.
I visited, made reports of my patients, made and answered consultations..and I was finished whole of them at 11.57 AM. So I asked the nurse, is there something left? No, You have finished whole of them. I was very happy. I wanted to go to Pasar Atas and Looked for some comics. But at the 12.30 PM, there was a call from Hospital..
DOC, YOU HAVE TWO PATIENTS. SUSPICIOUS OF ACUTE APPENDICITIS AND INCARCERETE HERNIA.
God!
I was busy on my weekend. I spent my holiday with working. And again..patients!
(Be patient Jini, your duty day is 7X24 hours in a week...)
So, I came back to the hospital. Checked the patients..and came again two patients ILEUS OBSTRUCTIVE and UMBILICAL HERNIA SUSPICIOUS INCARCERETE..(Totally four patients). I was finished making reports, consultations, preparing for operation at 6.00 PM.
I came back to my room and prepared myself for the operation. Ate my dinner and took a bath. Then I went to the operation theatre and came back from this place at 12.00 AM with report from Emergency room...DOC YOU HAVE THREE CONSULTATIONS...Oh GOD!
I Finished checked and made reports at 1.00 AM. I slept and wake up with feeling of worried.
MY NEW PATIENTS IN THE WARDS. I HAVEN'T MADE MY REPORTS FOR THEM.
I finished writing very quickly....
And when I was having my parade..AGAIN!
DOC, YOU HAVE TWO CONSULTATIONS FROM EMERGENCY..
I checked them and made the report. Prepared them for operations..
Then When I was consulted them to my consultant..the answers was...HMM, I think they have to be observed first..
God! Finally I can go out from my this busy life.
I don't hate any situation if I have to be busy. I always feel happy if there is an operation.
But this time..I am just a human who needs a spare time. Please give me a chance to spend this little times just for myself...
HEHE...
(Finally, I visit the Internet cafe and type for my blog)

* I got a SMS from my friend Rizki in Bandung. He asked me to accompany his senior MJ, MD to walk around Bukittinggi. And I talked to MJ, MD, How about if we visit Batusangkar or Maninjau lake? Then he answered, Yes I'd like to. But in the end both of us, were having this feeling of worried..A phone call from Emergency! MJ, MD said..You know I just wonder, we were in our way then come this phone call..CONSULTATION FROM EMERGENCY..and we have to come back..Both of us were laughed. (Actually we don't have any spare times..Duty, duty, duty..my breath is the duty day..)

The First Time (2nd part)

Last Sunday,When I wanted to spent my whole day with typing for my blog and walking around Bukittinggi, I got a call from my colleague from Obstetric and Gynecology Department. It was a consultation on operation table to my department. I was going back to the hospital and seeing what happened to the patient. At the end we decided to send this patient to Padang since there are Digestive Surgeons there.
Again, I got this cliche question.
It was the consultant of Obstetric Department gave me the question.
And my answer was..I am the Resident of Surgery Department.
And He said..Hey this is the first time. I thought it was forbidden for woman to be the resident of Surgery. Like it used to be happened in our department.
My consultant answered this question ..Yes, Jini is the first one in Andalas University. But actually in Indonesia there are several of woman surgeons.
And the Consultant of Obstetric Dept. said..It was forbidden in 70s and 80s for woman taking 4 majors of Medical, Surgery, Obstetric and Gynecology, Pediatrics and Internal Medicine..
When he talked about this one, I just remembered to the story of Dr. Chaula Sukasah, Sp.BP. She is a Plastic Surgeon and the first woman in Indonesia who took Surgery. The pioneer.
Her father was the chairman of IKABI (Association of Indonesian Surgeon). Firstly when she said she wanted to be a surgeon, his father was not permitted her. There was this regulation, Surgery was prohibited for women. But then, his father colleagues persuaded his father and then Dr. Chaula became he first woman resident of Surgery.
And when I was came back, again this question was given to me.
They again asked how many people of woman resident in Padang. I said two. Me and my junior, TL, MD.
And they said why there are less of woman take Surgery?
And my answer was, because Surgery is the hardest one. Even man will think twice before taking it.
Don't you feel scared when you want to start an operation?
I answered with this sentences, I disagree if it is said woman is weak. We, women get menstruation every month. We see blood every month. Why we should be scared of seeing blood? If there are women who feel scared seeing blood, I think there are something wrong to her education. She was taught to be a coward. Why we have to be taught to be a coward? And why men have to be the brave ones?
And the women who offered me those questions were agreed with my statement.
You know, in my opinion, if you talk about power, of course man will be the winner. But if you talk about others than power, woman is the same with man. Both are human. God's creation.

Weekend in Bukittinggi (2nd Part)

I slept for about 2 hours after surfing and typing for my blog in the internet cafe. I was wake up at the maghrib time (An adzan wake me up. My hospital, especially my room, is very close to a mosque). Then someone was knocked on my door..."Doc, there's a patient waiting for you in the emergency room". So I went to the first floor and saw the patient. It was a 8-year-old girl with soft tissue loss. Fortunately she had fasted about 6 hours, so it was easier for us to operate her (for the sake of anesthetion). The problem of this operation was the loss of her skin on the tibial bone. The bone must be covered by skin or other soft tissue so we can keep them from necrosis. Also for the tendon, while in the other hand some part of her muscles must be cut down since it was necrosis. A the end we (I and MJ,MD) were succesful in covering her tendon and bone with the muscles. MJ,MD who is the resident of orthopaedics told me this girl will have a second look operation or more than that. Other thing must be done is the skin graft to cover her muscles. But of course we weren't do the skin graft last night. Only for debridement.
I came back to my room at 00.30 AM and read my animonster. I was bought them two weeks ago, some had been reading already, some were not yet. One of this magazine was discussed about "Haikara san ga tooru" or in Indonesian the tittle of this manga is "Miss Modern."Miss Modern was my first manga to be collected. I got volume 1-4 from my friends as my 14th birthday present. From that time I was started collecting mangas. Until this time, after almost 14 years, I am still collecting comics. Right now I am collecting Black Jack a comics about japanese doctor, DETECTIVE School Q-Class, Ruler of the Land,Vagabond(A Mushashi story in Comics' version)...There is an opinion that adult is not proper anymore to collect comics, watch cartoon movie..Like I am doing right now. One of my favorite TV show is Spongebob Squarepants. In Padang I watch this film almost everyday at 6.00 o'clock in the morning.
It is not false, but in Japan is a common thing adults collect comics too. Even there are porn's comics which is called as hentai manga (People in Bandung was started producing hentai in Indonesian version, by local comic writer). But there are also some comics that are not "hentai" but the story is about adult's life. In Indonesia "Level Comics" was the company which start publicating this kind of comics (for adult). One of them is Vagabond. It is an interesting story, especially if you have read Musashi.
I think I have to inform this since maybe some of you don't understand about comics..
How about you?
Are mangas interesting for you?
If, yes, you are also an OTAKU like me.
Ganbatte ne!

Week end in Bukittinggi (So Sleepy)

I was spent my first week in Bukittinggi by getting sleep. I was very tired because had less sleep during a week and had an opertion at he saturday from morning to afternoon. Then I had to control my patient in the ICU. At the Sunday, The triage doctor was called me at 3.30 AM, because there was an emergency patient. The second week, again I was busy and at the weekend I came back to Padang. Again my sleeping quality was not good enough, because in Padang I slept at 1.30 AM. When I came back to Bukittinggi, I had to drink a cup of coffee because I felt a little bit sleepy. And at the third week I always sleep at 1.00 AM or 2.00 AM everyday. last Night I was slept at 3.30 AM. Very Tired!
That's why when my father called me if I came back to Padang or not, I was telling him that I would spent my week end in Bukittinggi that gave my mother an idea to visit me at the Sunday.
Next week I will not going back to Padang again, because my consultant was asking me to stay since he has to go to PekanBaru at the weekend.
One thing that I miss is..GRAMEDIA!!
(I have to buy some mangas..hehe)
Talking about sleepy feeling, I remember to my first month in Surgery department. In the first month my duty day is everyday for 24 hours. I slept only 3-4 hours in a day. Sometimes 2 hours or not at all. The longest sleep I had at the time was 6 hours. It was on Sunday morning and I hadn't any patients. Of course I was very busy, because I was the most junior. The time I started to get sleep not because I felt sleepy (I felt it all of the time) but because I couldn't hear or focus my eyes to an object. In my spare times (if there weren't any patients and no duty from my seniors), I used it to get sleeping. Usually I slept on the table with my head on the book. Because I was very tired and sleepy, this kind of sleeping is a joy thing for me at that time. And at the second month until the sixth month, my duty day is every two days. I felt my life was a little bit normal...hehe..But still we felt sleepy because at the duty day you work all the day and the chance of sleeping before you had your duty day again is only in a day.
In Padang the duty day now is every three days for the second semester above (the member of a team). The most junior's duty day is every 2 days (And they aren't counted as a team member). And a team means you have to do the patients until they are placed in the ward. So the duty day will be prolonged sometimes until 2 days. You can imagine how luxurious is sleeping for us.. That's why, if we feel sleepy, sometimes we sleep about 10-15 minutes and since we are very tired, this less sleep gives us a very good feeling of freshness. I felt the same too. If I was very tired and waiting my patient for his coming back for taking the medicines or before starting an operation, I used it for a little bit sleeping. And usually it was worked! I felt some freshness after taking a nap..

* I'd like to apologize my Colleagues for being the models. These photos have no any bad tendencies. Only to show the public how luxurious is sleeping for the residents of surgery. I myself also the person who does the same thing too.. If there's any objection, I'll delete this publication.