Friday, September 13, 2013

Week 2 - Internship

Bismillahirrahmanirrahim

Ini sudah minggu kedua program dokter iship yang kujalani. Di minggu pertama, semua terasa berat. Ya, walaupun dapat di kota yang hanya berjarak 1/2 jam, masih aja terasa berat. Biasa, jet lag. Apalagi jadwal jaga kadang di jam sore-malam, yang bikin waktu ketemu keluarga kurang. Jadi ngerasa kangen mulu. Tapi alhamdulillah sekarang udah mulai enjoy.

Meski begitu, jaga IGD termasuk bukan hobiku. Makanya sekarang masih belajar menyesuaikan respon time bla bla bla. Otak lemot begini emang cocoknya ga di garda terdepan RS itu. Hehe. Tapi alhamdulillah perawatnya baik-baik, dr nya juga baik-baik. Bahkan gizi kami terjamin karena dapat jatah dari RS, termasuk perawat dan DU juga lho. Jarang yang begini, hehe. Jadi, semua harus disyukuri yaa.

Tuesday, August 13, 2013

Internship

Bismillahirrahmanirrahim...

Sudah lama nggak nulis di sini. Kabar terbaru adalah, tanggal 20 ini harus cus ke Smg untuk pembekalan Insternship. Ya, mulai September aku baru mulai internship. Di mana? Hanya 1 jam dari rumah, hamdallah. Memang rotasi sekarang sedang kosong daerah sana, jadi kami yang mengisi. Shake the hospital? No, yang jelas aku berharap yang terbaik. Teman baik, lingkungan baik, cukup.

pic from here

Pick Your Specialty

My favorite part of my job is teaching. There, I’ve said it. Yeah, it’s cool picking apart diseases and mix-n-matching treatment regimens for the optimal balance of cure and side effect. I love hand-holding people through concepts that are far beyond their educational level and helping patients and families make impossible decisions with uncertain data.

But give me a new third-year medical student who’s been dropped in the middle of the hospital for her First Real Rotation Ever, and I am just in heaven. I love teaching med students.

One of the things I love the most is helping them figure out what flavor of doctor they want to be. Third year is all about sampling it all, and experiencing what actually happens in the various medical specialties. You rotate through Surgery. You rotate through Internal Medicine. You rotate through Family Practice. You rotate through Anaesthesia. You rotate through Psychiatry. In fourth year, you’re supposed to be narrowing it down to your most likely options for residency.

It’s a tough process, full of uncertainty and soul-searching and fears about locking into the wrong option.

It can be overwhelming. The choices are practically endless. And there’s not all that much guidance out there to tell you how to narrow down your options for the best possible outcome for YOU.

So here are a few things I tell my students to keep in mind when they’re doing their rotations, and so far they seem to think it’s helpful.

1) The best choice of medical specialty will be something you enjoy AND something you are good at. Most people drop out the second condition. But think hard about this: If you pick something you enjoy but that you are no good at, it will be a disservice to your patients. If you pick something you’re good at but that you don’t enjoy, it will be a disservice to you. Look for something that will satisfy BOTH conditions, and you’ll be set.

2) Pay attention to what you DON’T want to do.
If you hate Pediatrics or you couldn’t stand General Surgery, THAT’S A GOOD THING! Negative experiences provide you with good, solid information about the kinds of work you want to avoid, and why. It’s especially helpful if you’re overwhelmed with the typical too-many-options brainfreeze. Discarding the rotations you hate will cut out some of the noise from the data, and then it may be easier to see your eventual specialty stand out from the fewer options that are left.

3) It’s okay to take lifestyle into account.
As a matter of fact, you should. You want nights and weekends to yourself? Go into Dermatology. You want a lot of money? Look at some of the surgical sub-specialties like Plastics. You’re all right with staying at work late to stabilize a patient? Think about something like Internal Medicine. Want shift work with solid start and finish times? How about Emergency Medicine? Take your personal preferences into account when picking what to do, because if you pick a lifestyle that won’t work for you, you’ll burn out.

4) Confusion is a GOOD thing, even if it’s getting close to the time where you have to commit yourself to an option!
How can I possibly say that? What if the deadline for applications is right around the corner, and you STILL don’t know what you’re going to pick? Think about it this way. If you hated OB/GYN, that’s not going to be an uncertain thing; you will feel no confusion about it. Confusion means you have a bunch of options to pick from, and YOU THINK THEY’RE EQUALLY GOOD. That takes the pressure off, because no matter which one you pick, you’ll be satisfied with the result. (Unless you didn’t like any of them at all, in which case you may have a considerable amount of soul-searching left to do.) Don’t get scared if you’re still confused; you’ll land on your feet somewhere, and someday you’ll look back and realize that you made the right choice. No matter which one you pick.

5) Pick for yourself.
I don’t care if your father wants you to be an orthopedic surgeon. I don’t care if your mother has been grooming you your entire life to take over her Neurology practice. This is your life and you have to be satisfied with your job.

6) Pick for your community.
As a doctor you have a responsibility to serve society. Pick something that’s needed, something that will contribute a valuable service to the community you live in.

7) Pick for the future. Specialties are not static.
While you’re always going to need generalists, it’s important to realize that there are a lot of forces pushing and pulling at the medical specialties. Some specialties have only a limited pool of patients, but a lot of doctors who want to go into that field. You may graduate med school to find that your chosen specialty has a LOT of competition, both for residency positions and eventually even for patients. Family Practice doctors are in trouble these days due to the pressures of reimbursement patterns and the advent of physicians’ assistants and nurse practitioners who can provide similar services but aren’t paid as much. As the space program shuts down, Aerospace Medicine is probably going to focus more and more on airline pilots and suchlike. It’s important to recognize where your chosen specialty fits into the grand pattern of things. It’s important to look to the future. So keep your eyes and ears open. Read the news and keep up on health policy trends. Listen to what people say about their doctors. Watch how different kinds of doctors are portrayed on TV and in movies. Use every resource at your disposal to try and predict what will happen five, ten, or twenty years from now. Plan ahead; this will be your specialty for life. And it’s easier to roll with the punches if you know what direction they’re coming from.

8) When in doubt, leave your options as open as possible.
What if the application deadline is RIGHT NOW, and you still have no clue what you want to do? PANIC! PANIC! No, actually…please don’t. Okay, it’s a tough place to be. At this point, you’re going to want to pick something that gives you the most flexibility. Internal Medicine and General Surgery can be good options. They both have tons of sub-specialties that you can sample throughout residency, and either one of them will allow you to fine-tune a career for yourself out of the available options.

Well, that’s what I have. Any other medical people want to throw in a few pearls of wisdom? How did you choose your specialty? Students, what’s the best advice you’ve heard about this? Help us out in the comments section!

THAT's ALL FROM HERE

Monday, July 8, 2013

Sumpah Dokter

Bismillahirrahmanirrahim...

Pukul 3 pagi sudah bangun, siap-siap untuk berangkat ke lokasi di mana sudah ada kru Salon di sana. Bener-bener yaaa.. kalo nggak terpaksa sih males. Nah ternyata untuk merampungkan 9 orang, dengan 3 kru, jam 7 baru kelar semuanya.

Sekitar jam 8, dimulai prosesi sungkeman. Orangtua dateng agak telat, karena ngebujuk adek ga mau datang gara-gara masalah salon. Fine, nontonin temen-temen yang duluan sungkem, dan kadang ada yang nangis baik mereka atau orangtuanya ikut bikin terharu. Jadi, pas ortu datang, udah kuwanti-wanti nggak usah ngomong apa-apa dan nggak usah ngusap-usap. Riasan bisa luntur kalo nangis, haha. Pose aja pose, yang penting tanpa terucap di sungkeman mereka tetap berdoa.

Sarapan dulu pake makanan ringan. Setelah itu naik ke aula untuk memulai prosesi. Pertama, kami para 'pengantin' masuk ruangan diiringi gending jawa dan dikawal Bawor. Lalu pembacaan sumpah yang begitu berat kalau diresapi, dan penandatanganan sumpah beserta orangtua. Terakhir foto-foto.

Setelah acara itu rasanya senang, tapi sesekali terasa sesak. Mungkin karena akan berpisah dengan para sahabat seperjuangan, dan mulai menghadapi belantara sebenarnya. Nggak bisa dimungkiri, banyak pandangan yang cukup membuat sakit hati bila dianggap. Membuat beban makin berat.


Sebelum masuk Aula

Sumpah

Paska siraman

With the doctors

We..


Wednesday, June 26, 2013

Pelepasan Calon Wisudawan/wati

Bismillahirrahmanirrahim....

Senin 24 Juni pagi, kami para calon wisudawan/wati yang keesokan harinya akan di-wisuda di-lepas dulu. Prosesinya mirip dengan wisuda, hanya ini khusus fakultas kami saja.


Tuesday, June 25, 2013

Wisuda Kedua

Bismillahirrahmanirrahim...

Berawal dari ba'da subuh. Make Up Artist kali ini adalah temen SMP-ku yang belajar dandan secara otodidak. Aku merelakan mukaku untuk dipermak, hihi. Males banget ke salon. Jujur, wisuda kali ini nggak seheboh yang pertama. Ya setelah tahu wisuda gitu-gitu doang. Kebaya yang dipake juga kebaya belom jadi bener, hehe. Yang penting ga keliatan kaya orang bangun tidur deh.

SONY DSC
Aku termasuk orang yang manut peraturan. Jadi setengah 7 harus sudah di sana ya aku berusaha ada di sana. Karena takut nggak boleh masuk. Padahal kenyataannya, sampe rektor dateng juga masih ada yang baru masuk -_-''

Nah. Kehebohan pagi dikarenakan MUA dateng lebih dari jam 5, haha. Itu berarti, cuma 1 jam waktu buat dia permak muka dan kerudung. Ditambah perut mules. Cukup heboh deh, tapi untungnya nggak ada yang ketinggalan.

Dengan kecepatan super, setengah 7 lebih sedikit aku-bapak-ibu sudah siap di mobil. Terima kasih banyak buat my sweety MUA, mimom Deas :D Berjuang keras supaya bisa tepat waktu. Kerudungnya aku suka :D

Cerita Lensa

Selain itu ini pertama kalinya pake lensa kontak lama. Sebenernya baru pernah beli lensa kontak :D Kemaren beli yang murah, diameter besar, pikirku cuma dipake beberapa kali doang. Soalnya udah nyoba ga pake kacamata lama, selain sakit kepala, burem. Akhirnya beli yang minus 1,25. Karena murah, pas dipake iritasi, merah, dan ngeganjel.

Kata temen yang udah ahli, emang yang diameter besar, dan murah suka begitu. Kandungan airnya lebih dikit dan kurang lentur. Akhirnya daripada sakit, cari yang lebih enak. X2 glow brown, beda 20 ribuan, diameter kecil. Enak banget ternyata, walaupun nggak seterang pake kacamata karena minusnya lebih kecil dan tanpa silinder. Mayan lah, sesekali. Dipake dan dilepasnya juga lebih mudah.

SONY DSC

Sampai di Gedung Auditorium UNSOED Graha Widyatama, pertama kali wisuda di sini. Lebih luas, alhamdulillah. Dan ngantrinya ternyata lama -_-'' Tepat waktu itu kadang begini jadinya. Setelah masuk ke gedung, prosesi demi prosesi dilakukan. Biasa lah ya, hampir sama kayaknya sama wisuda di tempat lain.
Yang paling seru tadi waktu PSM Gita Buana Soedirman nyanyi Janger, yang bikin mereka dapet Gold Medal di Nasional. Kira-kira seperti ini lah..


Cerita Bunga

Sejak pagi, bakul bunga sudah berjejer rapi. Wisuda pertama dulu, berlalu dengan biasa saja. Selesai wisuda, ke studio foto, pulang. Kali ini, hampir sama. Makanya begitu keluar, "Ih, aku nggak dibeliin bunga." Di saat banyak orangtua, pacar, suami, istri (kali) yang bawa bunga buat wisudawan/wati. Memang sih, kebahagiaan lulusan dokter/S.ked itu bagai belum di ujung. Karena masih banyak prosesi lain yang harus dijalani. Jadi rasanya seperti belum menetas.

"Oh, yaudah ayo beli," kata Ibu.
"Ah ga mau, masa harus diminta dulu."
Liat bunga mawar biru cakep banget. "Aku mau itu ;p."
"Mana ga ada yang jual." Nyari yang jual.
"Yaudah ga usah lah," kataku. Jalan lagi. "Aku beliin balon aja." Tergoda liat balon angry bird.
"Malu bawanya, kamu yang mau bawa?"
Ga mau juga sepanjang jalan nenteng balon.
"Itu ada mawar biru, tapi jelek ga usah." Kataku sambil jalan. Sementara itu Ibu akhirnya beli bunga, seperti di gambar. Bukan yang aku pengen. Tapi biarin deh, hahaha. Makasih bu.

SONY DSC
 25 june 2013

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