8/26/2010

berawal dari sebuah demo menolak UKDI oleh para dokter muda di Jakarta

Haha..and I thought I was the only one against it :P
post ini sbnrnya copast dr akun FB-ku, terinspirasi olh note seorang senior http://www.facebook.com/cininta.marcianora?v=wall&story_fbid=149114308440907 dgn bbrp tmbhn ini-itu..well, voila!


Cininta Marcianora Mangkuto Ameh
hahaha!semua kekacauan ini berasal dr alur pikir para petinggi yg keliru dlm menilai inti permasalahan kesehatan di negara ini :

1.
Kekurangan dokter = Kurangi masa pendidikan mahasiswa kedokteran shg jumlah lulusan S1 kedokteran bnyk & notabene meningkatkan kuantitas dokter umum.

HOW?
Sistem KBK

RESULT? Skrg lht nasib adek2 kita yg KBK. Udhlah di dlm diomelin dosen krn dianggap g kompeten, kurikulum g jelas, eh tnt nasibnya stlh lulus jg g jelas. jatuhnya lama pendidikan mrk malah lbh lama dp kita yg 6 thn
PADAHAL, IMO, it's not effective at all. Ap yg bs diharapkan dr kurikulum yg dimampatkan?
Kita tahu dr dl kedokteran ini "art", sistem kuliahnya aja g model SKS. It's learned thru understanding and it NEEDS time!
Selain itu, dokter itu ngga kurang, yg salah itu distribusinya. Knp dr dl dokter ogah diletakkan di perifer? Coz the government is corrupted! Org disuruh berjuang mati2an tp g dikasi sarana & prasarana yg layak. Smp 1 thn yl, sy msh dgr ada senior yg PTT malah TEKOR krn ia g dpt rumah dinas(jd harus kost,bayar sendiri), blm lg proposalnya utk minta obat ke PEMDA stmpt g dikabulkan jd obat pun dy biayain.

2.
Bnyk malpraktek = Bikin aturan buat dokter!

HOW?
UU Pradok

RESULT? Dokter skrg diperlakukan sama spt kriminal lainnya. Batasan2 yg g jls membuat org gampang menuntut dokter. Mslh tuduhan itu bnr/tdk itu urusan blkg, yg penting sdh tjd "pembunuhan karakter" dokter tsb

PADAHAL, mari kita lht lg.
Apa dr awal kita berniat masuk kedokteran untuk "mencelakakan org lain"??Wkt lulus pun kita disumpah utk mendahulukan kepentingan pasien di atas kepentingan pribadi. Sebut sy hiperbolis, melankolis, whatever, tp ketika sy membacakan sumpah itu, saya bnr2 terharu dan merinding. I was trembling! Sy bersumpah atas nama TUHAN akan sebuah tanggungjawab yg begitu besarnya! Nyawa orang lain,yg notabene adalah kuasa TUHAN, harus kami utamakan di atas kepentingan kami sendiri! Ngga peduli kami lagi lapar, lagi sembahyang, lagi ada masalah, kalau ada pasien minta tolong, semua harus kami tinggalkan dan kami harus fokus lahir batin utk menolongnya. Ngga msk akal kl menuduh kami "mengambil keuntungan di atas penderitaan orang lain" Well, maybe some but NOT ALL OF US ARE LIKE THAT!
Sy sendiri saksi dr rmh tangga seorang dokter yg krn kepentingan pasiennya, maka wkt utk keluarganya sgt kurang. Moreover, entah kenapa dr dl dokter adl target kecemburuan sosial. Kasarnya, ada org awam blg " Duduk2, notol2 pasien, tulis resep, eh dpt bayaran lbh bnyk dp gaji kuli bangunan yg krja banting tulang seminggu" Jd cara paling bnyk utk "melemahkan" posisi dokter di mata masyarakat adl dg menuduhnya melakukan malpraktek. Adakah & apa "payung hukum" utk dokter? .... *krik..krik..krik..*

3. Last.. ok,
malpraktek lg deh = Dokter diuji trs secara berkala kompetensinya (baca: masih pantes g jd dokter?)

HOW?
UKDI

RESULT? Kapabilitas anda dinilai melalui 200 soal. G peduli sblmnya anda adl mahasiswa FK yg rajin / tdk atau anda adl dokter yg selama 5 thn sblmnya tlh bekerja dg baik / tdk. Kl anda lulus, anda layak jd dokter , lalu siapkan mental anda dlm hal birokrasi dan menghadapi pernyataan semcm ini, "Ayo urus surat ini itu, tp sabar ya, kan yg kami urus g cm anda. Silahkan tunggu bbrp wkt (baca: ber-bulan2)"

Alhamdulillah, wkt sy selesai dilantik mjd dokter, sy tdk memiliki kewajiban utk mjd tulang punggung keluarga alias g wajib kerja, tp bgmn dg tmn2 yg keluarganya berharap ketika ia telah selesai dilantik lalu bisa lgs kerja? Kalau mrk bnr2 hrs mengikuti aturan yaitu memiliki izin lgkp dl (STR,SIP,yadayada) baru boleh kerja sbg dokter, bs dibayangkan brp bln mrk hrs menganggur?

Lalu bgmn dg dokter2 lama yg krn peraturan baru ini mrk jg hrs mengikuti UKDI? Alhamdulillah kl lulus. Kl engga? Apa itu menunjukkan mrk g kompeten? Berarti selama ini tu dokter ngaco dong? " Oh, kan bisa ikut UP " Yaayaa.. Mari kita lht saja lah jadwal UKDI selama 1 thn ya. Bgmn kejelasan nasib dokter saat ia hrs menunggu jadwal UKDI berikutnya utk ikt UP tsb? Wallahualam..

Kesimpulan sy cm satu sih..
Kl mau memecahkan mslh, sebaiknya lht inti permasalahan tsb. Causa bs bnyk, makanya prlu diuraikan satu2 dg teliti. Bnyk kekacauan ini tjd krn konklusi yg msh prematur justru buru2 direalisasikan. G ada test case, g ada pilot project, hajar aja. Yg penting pas rapat dpt ongkos rapat & makan minum gratis. Ohya, sama satu hal lg.. Selama msh ada korupsi, well, better save ourselves than being consumed by those irresponsible people..

Last.. Maafkan sy kl ada kata2 sy yg salah / kasar, kakak2/tmn2/adek2 yg baca.. ne? :)

5/30/2010

Just wanna share my experience in life...



My 2 last years in med faculty was like a dream. I made friends with other students whom I didn't use to gather to, but with them I shared thoughts, struggled through good and bad times together. But I also bumped to a strange person.

It happened on the day when I was having an exam on anesthesiology dept. I was writing down the meds the anesthesiologist gave to a patient through his surgery when suddenly a nurse (I hope God would teach her a lesson after what she's done to me) came out of nowhere and talked nasty things about my family. The secrets I've been hiding so hard from my friends. Maybe she thought it's just daily gossip routine, maybe she didn't realize that one of the people she's gossiping about is actually in the same room with her, but that's not the point!! I mean, why would you talk about someone else's dirty facts inside an operating room when there is actually an operation going on?!WTF

But there I was. Sitting with my eyes staring at the medical record I'm working on and suddenly the writings become blurry. I went to a resting room and couldn't hold my feelings anymore. Thank God it didn't take more than 2 minutes to realize I'm in the middle of an exam. Any moment my examiner would come. The anesthesiologist whispered me calming words when I come back, " Nothing is perfect even a family. I have a problem too. You shouldn't be ashamed. Now make a bright smile and face your exam. I'm sure you'll perform well despite of this nuisance " I thanked him and go to the examiner's office where my "tandem" had arrived earier than me.

My "tandem" (my partner in that exam. Well, it's not actually a "partner" since we don't work on the same case, in fact a "tandem" can become your worst nightmare when he/she can answer the questions better then you) was one of the brightest student in my class. I thought, " Great God. 2 stones you've thrown me today. One was hurting but this one, I still have no idea. Please help me.. I'm devastated "

But as soon as the examiner entered the room, I have a "hollow" feeling inside my chest. I didn't care of what happens next. If it's humiliation I'll get, I won't shed a tear anymore. But it turned out to be okay. Both of us could answer the questions the examiner asked. When I couldn't answer, my "tandem" acted like he can't answer either, vice versa. I almost felt like it's just a discussion when suddenly the examiner said that it's over and both of us had done well. I shook my "tandem"'s hand, thanking him for his "cooperation" I always smile everytime I remember that moment. In times of darkness, God always find a way to light my way again. Since then, I knew he'll be a good coleague

My problems still exist and I still don't know the nurse's name until now. I hope in the near future, I'll hear some stories about her... I prefer the unfortunate ones..

5/27/2010

mockingbird

am i the only one thinking her face color is whiter than her body?

somebody should give her a make-up lesson

2/17/2010

Unending Love

I seem to have loved you in numberless forms, numberless times…
In life after life, in age after age, forever.
My spellbound heart has made and remade the necklace of songs,
That you take as a gift, wear round your neck in your many forms,
In life after life, in age after age, forever.
Whenever I hear old chronicles of love, it's age-old pain,
It's ancient tale of being apart or together.
As I stare on and on into the past, in the end you emerge,
Clad in the light of a pole-star piercing the darkness of time:
You become an image of what is remembered forever.
You and I have floated here on the stream that brings from the fount.
At the heart of time, love of one for another.
We have played along side millions of lovers, shared in the same Shy sweetness of meeting, the same distressful tears of farewell-Old love but in shapes that renew and renew forever.
Today it is heaped at your feet, it has found its end in you
The love of all man's days both past and forever:
Universal joy, universal sorrow, universal life.
The memories of all loves merging with this one love of ours – And the songs of every poet past and forever.

[By Rabindranath Tagore]
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2/11/2010

It's Not Right and It's not OK

A husband left her wife for his mistress, leaving her alone with her daughter, but they're not divorced yet

This woman, thanx to her husband's request before he left, has no job

Her daughter is still attending college but her father pays her tuition and her monthly wage

So they carefully use that money to survive, pay for electric and water bills

They even have to sell things like their fridge, air conditioner , etc

Their life's not like what they used to be, but they keep holding on




Come to think again, this is a common story here but most women, unfortunately, are too ashamed to tell it (Unless they are celebrities with paparazzis around them then the story can be told without being spoken)




It all started with poor knowledge about marriage. About how serious it is so when you decide to do it, you better be ready for the ups and downs because, hey, it's a promise you make in front of God. Not just some sorta legal way to get legal sex




Then comes poor citizenship data-taking. How a person can have so many identity cards in different cities just by paying the officers and automatically, he/she can fake his/her marital status.




Then, fortune. People with money have the urge to get more things in life. Including spouses. Flirting, cheating, all those stuff become the ecstasy from their boring i-can-get-anything-i-want life. On the contrary, people who in urgent need of money tend to do anything to get it. Even when it means you have to be a prostitute.




I'm not judging anyone here. I'll just leave this matter open to the minds of the readers. All I know is, those people in my story are not happy. Yeah, even the father. Because he's cheated himself by cheating the person he had personally chose as a wife. He might have what he wants but he's the truest fool.




From my pessimistic point of view. Good night.



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2/03/2010

My Dream World or it could be Everybody's Dream World

1. There should be lessons at school that can be really useful for the students. Lessons included making crafts, cooking, sewing, fixing stuff, lessons on administration (banking, tax, etc), so when some students can't continue their education, they won't be BLIND. They can SURVIVE their lives with dignity. People who are clueless tend to do ANYTHING without considering the negative effects. They are closer to things like commiting crimes, prostitution, drug addiction, etc.
PROPER, PRACTICAL EDUCATION IS A KEY TO REDUCE CRIME RATES

2. A proper salary rate to any kind of workers. In Indonesia, workers' salary rate is still in the same amount as few years ago. While the price of basic needs, such as food, oil, etc., are increasing no matter how much they pay the workers. There should be a calculation towards our standard of living. It's ironic how some people can buy luxorious cars while that money they've spent can actually save a village from hunger.For example, there's no way, a single-man, high-school graduate, working as a shopkeeper, living in a monthly rent single-roomed apartment, no parents, no wife nor child, can even survive a month only with his salary of Rp 300.000,- It's our problem, that WE CAN'T APPRECIATE OURSELVES and put a low price upon our heads, despite of our inteligence and abilities. The 3rd world, developing countries are tags given by other countries because they see our people's inferior souls. We've been an independent nation for almost 65 years and still "DEVELOPING"??Somebody should raise and erase that shit!

3. Birth control. There are various methods. WOMEN should choose what's best for them, not men! Because, hey, most of those methods are applied to women, not men.DOOOH??! -_-'
Why birth control? Because raising your child without proper nutrition, control to health care providers even without proper psychological support will result in low weight birth, disabilities or even death/abortion. "OK,so I've made it through delivery.What's next?" Well, beside the bills for the helpers, meds, yadayada, you need to feed the baby with breast/formula milk, give vaccine(normally, it costs >Rp 500.000,-/baby), vitamins, etc. The cycle goes on until your babies grow up. If you don't do that, your babies will be prone to diseases and will not have a quality life. How can you expect to have a great next generation when you ignore their basic needs?

4. Health insurance. It's classic. People are afraid to go to hospitals not because of the syringe-needles, but by BILLS! I won't babble more.

5. Inarrogant leaders who'd listen even to children not to increase his/her popularity but to really listen to their innocent voices that are full of truth, dreams & hope.

I think, that's for now. Please, if there's anything you'd like to add, tell me.

This blog entry is inspired by the boys who sold newspapers until midnite comes, no matter how cold the rainy nite was. They gave me the same answer, "I can only go home after I sell all of these newspapers"

God..


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1/30/2010

"Ode untuk para Gajah"



situasi sy skrg sdg berada di tengah 2 gajah raksasa yg lg beradu. sy pelanduknya. ini bukan soal ukuran, tp arti mereka dlm hidup saya.

gajah-1 yang membuat sy seperti ini, pelanduk yg bermental gajah. badan boleh kecil tp kekuatan dan cita-cita segede gajah (sekali lagi, ini semua perumpamaan. kl ada yg mau protes, "gajah kan bego?otaknya aja kecil bgt dibandingin badannya" sy ngga mau bantah. i'm not a zoologist)

gajah-2 yang mengajak sy keluar dari kamp militer dan mendorong sy utk bersenang-senang sekaligus belajar dari dunia luar. jeleknya, ya, jeleknya, dy adiktif. everyday's full of adventure with him.


mereka adalah gajah2 yang selalu bersamaku bahkan di situasi terburuk sekalipun. so, i kinda made a promise that i will do anything for them.

gajah-gajah ini awalnya jalan beriringan, bertautan belalai sementara sy berayun di atasnya. sampai pada satu episode di mana sy ingin menyandarkan badan sy ke salah satu belalai. lebih tepatnya, sy ingin bersender ke gajah-2 krn secara usia dy lebih muda. sy takut kalau sy bersandar ke gajah-1, dy akan cpt lelah krn usianya yg sdh senja.

tapi, bagi gajah-1, sy tetap pelanduk kecil yg ia besarkan susah payah hingga menjadi "seperti gajah" dan serta merta ia merebutku dari gajah-2 dan mulai mengibarkan bendera perang. gajah-2 kaget dong tapi dy segan dan memutuskan utk menyingkir dari kami beberapa saat.

ok, gajah-2 aman. tapi yg tdk ia tahu bagaimana gajah-1 tiba2 membombardirku dengan segala pikiran buruknya tentang gajah-2. pelanduk ternganga dan bingung harus mengambil sikap apa terhadap kedua gajah yg ia sayangi..


in life there's more than "yes" or "no", "black" or "white",etc.

i remember when my guru ngaji (what's it in english?) told me a story about a mother and her son who were boiled to death because they chose to be moslems than to become followers of paganism.
i asked my teacher, "what if they answered 'yes' but still moslems at their hearts? wouldn't they live longer and when her child grows older and create his own family, he could spread their faith secretly if the situation's still dangerous. i'm sure there will come a day when they can practice their faith without fear "


she couldn't answer and then talked to my parents that she quits because she's getting married :P


ngomong2, mnrt sy, situasi di mana anda hanya dihadapkan kepada 2 pilihan itu sbnrnya ngga ada. it's only in your head. if u jump outta the box, you'll see that there are so many answers and opportunities beside those 2 options.


spt seorang tutor sy ajarkan tentang penanganan emergensi pasien shock krn perdarahan :
"Kaga ade infus?Pake buah kelape. Bolongin trus colokin tu kelape, infus trus rujuk tu orang ke fasilitas yg lebih gede. Sampe sono, loe disemprot ama perawat atau dokter jaga UGD yg nerima gara2 'infus' loe bisa jd sumber infeksi? loe semprot balik, 'emang loe pikir isinye infus ame kelape kaga same?! pake otak loe, jgn nyolot doang!' trus loe pergi dah. kl tu pasien infeksi, kan ada antibiotik. daripade dy mati duluan gara2 kaga loe infus sblm loe rujuk? "
(background : para peserta course yang melongo dan menahan ketawa mendengar penjelasannya dokter itu. keren )

so, people, if you're torn between two choices :
  1. step back
  2. loose yourself from them
  3. look into the bigger picture
maybe you'll find a better solution that can be better for everyone


Cheers!


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1/05/2010

[Too much soap in those magic box can paralyze ur neurons.Maybe u'll become worse than a rotten potato]

I'm still dazed on how those so-called producers who make stupid soap operas(and how our TV stations and government put them on prime time shows so kids can watch those rubbish too and when they grow up,they'll be as greedy and foolish as the characters on those soap operas) can enter high class society, have dinner with ministers, wear designers' clothes and put their kids into so-called international school or send them abroad to avoid them consuming their parents' dirty products.

Not saying my family's record is snow-white pure, but at least we try not to give our society more garbage to consume

WARNING:
Don't let your kids watch our local TV shows that's not educating especially ones on prime time


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