Sunday, March 11, 2012

"A constructive criticism is not a slap to the head. It's cold water to the face: instantly awakes you from your wrongdoing." --me

Thursday, March 8, 2012

dokter pedagang


the picture was taken from here

saya lupa siapa yang bilang tapi katanya menjadi dokter itu baik. menjadi pedagang juga baik. tapi menjadi dokter yang berdagang itu kurang baik (maksudnya di sini memanfaatkan profesinya--gelar dokternya--untuk mencari keuntungan sebanyak2nya).

the same goes out to a TS yang sejak awal bulan lalu meresepkan produk2 kesehatan MLM bagi pasien2nya. i repeat MERESEPKAN. ini terjadi pada klinik tempat saya bekerja yang pernah saya sebut memiliki beberapa kelebihan yang menarik hati.

i'd probably gonna bore you down with this post, but i gotta write this down.

saya tidak memiliki masalah jika ia menyarankan pasiennya untuk membeli produk suplemen kesehatan tertentu yang menurutnya perlu dikonsumsi si pasien, tapi meresepkannya?

saya merasa sangat janggal.

masalahnya: apakah produk2 ini memiliki EBM (evidence-based medicine) untuk membantu mengatasi gejala2 yang dialami pasien? saya tidak tahu. tapi saya kira tidak. saya tidak mendapat informasi tersebut dari situs perusahaan. yang ada di halaman informasi produk adalah deskripsi singkat produk, komposisi, manfaat, fungsi utama, petunjuk pemakaian, kemasan dan testimoni sejumlah pengguna produk tersebut. di halaman yang lain terdapat sertifikasi kesehatan beberapa produk dari Badan POM.

masalah selanjutnya: dengan meresepkannya berarti pasien mau tidak mau harus menebus obat yang diberikan, padahal suplemen kesehatan yang dijual melalui MLM biasanya cukup mahal sehingga semakin memberatkan pasien. nah, apakah produk tersebut cost effective? artinya kurang lebih apakah manfaat yang diperoleh pasien lebih besar dibandingkan uang yang harus dikeluarkan untuk menebus suplemen tersebut?

yang terakhir: tidak mungkin TS yang meresepkan tersebut bukan merupakan retailer/distributor dari perusahaan MLM tersebut. dengan meresepkannya maka produk yang dijualnya bisa laku dengan cepat, berbeda dengan retailer lain yang harus menjelaskan secara terperinci mengenai produk yang dijualnya. karena barang yang dijualnya cepat laku dan banyak laku maka target2 yang biasa dibebankan kepada retailer (yang dalam hal ini si TS tadi) bisa tercapai dengan mudah yang kemudian akan menghadiahi di retailer dengan bonus atau promosi dalam hirarki ke-MLM-an tersebut. artinya TS tersebut telah sedikit-banyak 'menjual' gelar dan profesinya untuk mendapatkan keuntungan, bonus dan hadiah. dan mengutip seorang TS yang lain jika ada seorang dokter yang melakukan hal itu, maka sebaiknya dia melepas saja jas dokternya dan berjalan dari rumah ke rumah menawarkan barang dagangannya.

dr. Lo Siaw Ging, seorang dokter di Kota Solo, Jawa Tengah selama puluhan tahun melayani puluhan pasien yang datang ke tempat praktik sekaligus rumah nya di Jalan Jagalan 27, Kelurahan Jebres, Kota Solo tanpa menetapkan tarif, bahkan sebagian besar pasiennya justru tidak pernah dimintai bayaran.

dikutip dari buku berjudul the Doctor-Catatan Hati Seorang Dokter yang ditulis sesama dokter, Triharnoto, Lo selalu ingat pesan ayahnya saat memutuskan belajar di sekolah kedokteran. ”Ayah saya berkali-kali mengatakan, kalau saya mau jadi dokter, ya jangan dagang. Kalau mau dagang, jangan jadi dokter. Makanya, siapa pun orang yang datang ke sini, miskin atau kaya, saya harus terbuka. Saya tidak pasang tarif,” kata Lo yang namanya masuk dalam buku Kitab Solo itu.

dua paragraf terakhir mengenai dr. Lo diambil dari sini.






Tuesday, March 6, 2012

the man with the dragon tattoo



there's this patient at my hospital. male. 42 years old. he's been treated for nearly one month for nonhemorrhagic stroke. he was previously treated at a hospital in cibinong but was transferred to my hospital due to the remote location from his family.

he has several tattoos all over his body. i figured that they were made at an exclusive tattoo parlor, not at some tattoo parlor on the street. they colours are sharp, the lines are clear. in short: his tattoos are beautiful. one of them is a dragon tattoo on his right chest. it caught my attention right the very first time. it has red eyes and claws and greenish body. the dragon covers most of this man's right chest.

he is not married. and so the huge difference between his room and other patients' is that it's mostly quiet. he has no visitors but his younger sister, and sometimes her husband and children. he has no girlfriend, i guess because there has been no woman--other than his sister--ever visited him. his friends? i don't know. probably he has none. or probably they're just too busy with their work. this is the perfect opposite of how communal indonesians are.

when he first came, his condition was quite bad. but since few weeks ago he started to improve. he remains afasia motorik though. a condition where a person cannot utter words but understand them which i strongly guess was affected by the hemorrhaging in his head. his limb are mostly flaccid, again due to the hemorrhaging in his head. he can swallow food better eventhough he can only eat porridge. other than that he is really getting better.

the guy has been sent home a day before my shift, because his condition has improved to a point where we, as doctors treating him, feel he only needs time to recover. and i mean a long long time. although he'll live, he still has to suffer from the paralysis most of his extremities. and so what he needs in this long recovery time is a continous love and support from his closest ones, something that i sense is hard to get. besides, of course, a nurse to help him take his daily needs and medicines.

note: only after he's been sent home that we sort of believe that his dragon tattoo was some kind of good luck charm. because during his hospitalization, the rooms in our hospital was almost full all the time--and made us overwhelmed every shift--and then right after he's gone the occupancy rate fell down to almost 50%.

well, i pray you a speed recovery wherever you are man with the dragon tattoo.

Sunday, March 4, 2012

Surat Seorang Suami


Cintamu padaku, Dien...
Berakar di sukma
Kembangnya mekar di hati
Rindangnya meneduhi jiwa

Cintaku padamu, Dien...
Tak sebatas ujung kaki
Tetapi tumbuh sepanjang masa
Dan selalu kusiram dengan doa

Cinta kita, Dien...
Seperti langit tak bertepi
Tak terbatas ruang dan waktu
Tak terucap dalam kata
Tetapi manis terasa
Ia akan selalu ada
Sampai akhir hayat


- Soepardjo Roestam -

Friday, March 2, 2012

on movie, change and good old days

*no comment on the picture*

last month i watched a 10-year old indonesian movie which was a blockbuster at that time. the movie was played for 2 days in celebrating its 10th anniversay.

it made me come to my senses then, how huge the world changes in just a decade.

a movie is a portrait of a certain society at a certain time. and so this movie captured the way teenagers in jakarta lived that day.

things were so different back then when cell phones and internet were luxuries. you have to call them at home. and when they're not home, it's almost impossible to reach them.

photoboxes were scattered everywhere. yeah, until the end of time teenagers will always be LABIL hahahaha......

musikalisasi puisi was a short-lived trend. but it sure was a big trend.

i didn't remember what they called back then, but the scenes where cinta is confused whether to choose Rangga or her friends, is now called GALAU :)

thank you Mira Lesmana and Riri Riza for making the good old days seem even worse.