Berlianku My wife
221. Old Man
Alarm clangs, low alerts or high alerts from bed set monitors in IGD sound understated. The sound makes a rhythm.
The rhythm that drives the heart pumps harder and forces the brain to think faster makes decisions, for some of the humanitarian workers in the space. They need to be agile when looking at the numbers beyond the normal limits.
Some people become immune as if their ears are deaf, they focus on what they do in their hands. Some more, indifferent because they do not understand.
"Doctor Gery hasn't been active yet?" ask Dr. Ana.
"Not Doc. My plan will be late at noon" replied Doctor Alya.
"No doctor's anesthesia, huh? Patient 1A needs surgery right away" Dr. Ana asks.
"There's a schedule of nights" Alya replied.
"Only one time?"
"I think MY improvement, refer to a more complete hospital Doc. Kasian if waiting worsens" said Alya.
"Okay, that's the best thing" replied Dr. Ana.
"Tok patient 1B is done in heacting for his external wound. The patient's condition worsens. TD 80/60 mmHG, N: 50x/m Doc" nurse report.
"Duh, put an injection to fix his pulse. As I wrote" Alya replied.
"Good Doc!"
"Call the ICU room. She's in ICU".
"Good Doc"
"Oh, how did you get a referral?"
"Ratna's again looking for Doc's referral hospital"
"OKAY. Patient 1C, stable yet? How breathing! Last saturation? The nebulizer isn't ready yet?" ask Alya again to the nurse.
"5 minutes to go Doc"
"alright. Did you call the internal medicine ward?"
"Not Doc"
"Reserve class 2"
"Ready Doc" replied the nurse.
"Patient 1D, just waiting for the results of Laborat? The pacracetamol dripper is in, right?"
"Udah Doc"
"OK, Thanks Mba" said Alya smiling.
Then Alya continued his work completing RM. After completing the medical record Alya stood around making sure the nurse's work report was correct.
Not yet Alya finished checking the patient, the hospital phone reads. Alya then ran to answer. No matter being pregnant Alya is always nimble at work.
"Good Morning, with IGD RSUD xx, I am Doctor Alya, there is something I can help" Alya said to the client who called.
It turned out that the phone came from one of the puskesmas, who wanted to refer patients to give birth because the position of the baby is not the head.
"Can I mention your complete diagnosis?" ask Alya again. After Alya wondered, Alya confirmed the midwifery section of the ER.
"Mohoh awaited in 5 minutes. We confirm to the relevant ward"
Then Alya called her Bidanya colleague, who turned out to be busy receiving labor.
"Mba... want a reference to the location of the latitude, how? Can accept? What time is Doctor Gery's replacement?" ask Alya to the Midwife
"If the situation is good, Doc. Doctor Andre will come at 19:00" replied Midwife who was seen sewing the patient's birth canal.
"OK means I accept yes, reported Doctor Siska right?"
"Yes Doc" replied the Midwife again.
Then Alya again called and gave certainty to the health center.
"Haaaah" Alya sat down sighing her and holding her stomach.
"Healthy baby, work with mother ya" inner Alya communicate with her child so that as well as invited to work hard.
Although not complaining, Alya also occasionally felt cramps and back pain.
"Doctor Gery, Doctor Gery. Why does everything hurt Doc? Did you know a lot Doc?" alya suddenly remembered her husband's best friend.
At the new hospital, his anesthesiologist had only one and had not remained. So if there are concerns that need surgery, general practitioners and nurses are made to bother to refer.
When Alya daydreamed, the nurse came to report to Alya and Ana, always the doctor who looked after her that morning.
"Acc orthopedic central hospital received a referral from us Doc"
"Okay, patient's stable, right?" ask Dr. Ana.
"Stable Doc"
"Enough nurse or am I the same Doc?" alya asked herself.
Because some specialists want the Internship Doctor to refer and be responsible during the trip.
"Doctor Alya is strong? The doctor is pregnant again" asked Dr. Ana, the general practitioner remained at the hospital.
"Can I sit in front of the driver?"
"May, the patient is stable. Later behind the family and the nurse"
"If you can sit in the front, it's okay my baby is strong! This deck" Alya replied smilingly.
"OK" replied Doctor Ana acc.
I don't know if Ardi and his extended family know. They will surely wrath Alya to set out to refer patients.
Then some nurses prepared all the referral needs. We are also waiting for the arrival of the patient's family.
It just so happens that no hospital driver stands by. They were also on a work trip with the ward attendant.
One of the ambulances is done. But still on the way back to the hospital.
"Wait to eat first Doc, or just snack? " tag Doctor Ana.
Alya then kept quiet. Remembering the message of her father-in-law and husband. Alya right if eating something must be tasted first and certainly not toxic.
"Dok, buy a shaken avocado! In front there is a delicious alpucok" said the nurse interjected, giving an idea.
Since Alya did not reply, it was Doctor Ana who decided and was willing to pay to buy some servants.
Alya could not refuse. As with any strict rules in the Alya family, if you have joined his friends all become invalid.
Alya became an ordinary human like her friends. Snack from street vendors and enjoy it fresh. When the drinks came, all also took at random. It is impossible to give poison. Just enjoy.
"Ahh, rather than at home was was was. Always eat out with your friends, huhak, huh?" alya smiled to herself.
"Why smile Doc?" ask nurse.
"The alpucok is delicious" replied Alya origin.
While waiting for the driver to arrive and depart, Alya and the nurse relax. Then Alya picked up her phone which since yesterday was taken away.
As long as Ardi was nearby, Alya would have a hard time holding a cell phone let alone playing. Because of Ardi's rules, Alya's attention should only be for him.
"Mba Intan" Alya muttered inwardly.
It turned out that last night Intan received his laughter.
"It looks like Mba Intan needs money, she's really out of the boutique" Inner Alya.
Alya was sure with all her heart Intan had changed. Alya could feel from the look in her eyes and her voice. Alya was eager to help Intan.
But it was Alya himself who asked Intan to make a dress for her. If Alya cancels Alya it's uncomfortable. Like PHP.
Then Alya thought, so that Intan still make, but later handed to Dara and say it from Dara not Intan. Just as Alya was about to type in the message Dirver ambulance came. Alya saves her phone again, delays replying to Intan's messages and returns to work.
"Ready to Doc"
"Let's go! Bismillah, referral letter and full-duty letter huh?"
"Complete Doc"
Alya, Nurse and Driver then leave for the referral hospital. Performing humanitarian tasks to fight for the survival of the patient. Because of Gery's absence, the patient was handed over to another hospital.
During the trip Alya and nurses always routinely check the general state of Pasein. Until the patient's referral site is safe.
Alya then performs the operand. After the handover and some files sorted out Alya returned home to his hospital.
"Alhamdulillah is relieved yes" said Alya invited the nurse to chat
"yes Doc. Alhamdulillah"
"Did you come by Doc?" ask driver.
"No need to go back" Alya replied.
On the way home, Alya saw the men in orange uniforms holding a broom looking dropped holding his stomach.
"Pak stop there are people fainting" Alya told the driver.
The driver stopped, Alya and the nurse immediately went down to check. A few pedestrians approached as well.
Because Alya and the nurse were wearing uniforms, the community pulled over and let Alya help.
"He has a listening response. His breathing and pulse are also normal, but he's in pain so don't answer our questions. We're taking her to the hospital now" Alya told the nurse, after checking in.
"Good Doc"
Nurses and the public helped raise the street cleaner. This time Alya sat in the back.
"Please oxygen nasal cannul Mba" Alya orders to the nurse. Alya then examined the patient more fully.
"Abdominal column if not wrong appendicitis, then immediately check the radiology yes. Do we have analgesics?" ask Alya to the nurse.
"Documentary" the nurse answered checking the medicine box.
"Repourses doc"
"It's okay for a little while" Alya replied
Then Alya patted the patient's hand gently and said softly to the patient's ear.
"She heard me, sir. Hang on sir, hold the pain, take a deep breath and let it out slowly. Soon as we get to the hospital, we'll help you"
Although Alya's words were not reciprocated, Alya still smiled warmly. The nurse looked at Alya in admiration. Alya himself looked at the Father in this orange uniform with a sad look.
The old man whose hair started to gray, his skin started to wrinkle. But this father still swings his hand holding a broom clearing the street. Alya was touched.
Not long before they arrived at the hospital. The father of this orange uniform was immediately greeted with a gurney. Ana's doctor asked Alya's doctor, anther patient, to go home with the patient as well.
"By Doc" said Alya membandai kartuya.
Then the nurse installs the infusion according to the instructions of the Doctor.
"Injection of ketorolac and ranitidine yes, later check radiology. If you know call me"
"Well Doc, but we didn't find the identity of Doc's patient. For approval of what actions and costs Doc?" ask nurse.
"We'll help ease the pain first. If we realize we can anamnesa, his identity and his family. Cost is not to be thought about. It will be my business" Alya replied gently to the nurse.
Alya looked at the old body holding the skit. Alya Iba saw the old man still working hard on the road until he fainted on the street. From his clothes Alya also guessed this old father had no money.
"Okay Doc" replied the nurse
"What matters is congratulations" Alya replied again.
When viewed from the skin and face of the old man it looks like someone Alya knows. But I don't know who. His skin was also clean, unlike the other handymen.
After a while. The patient regained consciousness, Alya and the nurse then approached. And greet him kindly.
"Good day, father. How are you doing? Does his stomach still hurt? What do you feel now?" alya asked kindly.
"I where? I have to work" said the father restless and wanted to wake up.
With a warm smile and a gentle touch. Alya held the father by touching his arm.
"Sir, I am now in the hospital. He fainted on the street. Lie down, let us treat it first" said Alya softly.
"I'm not sick. I don't want to trouble my son. I have to work, I want to go home" said the father.
"Father, if left untreated, you can't work. And it will only trouble the father. I was treated first" said Alya again.
Then my mother kept quiet and cried.
"If you can know what your father's name is? Where do you live? Is there a family I can call?"
"I just go home Doc, I don't have any money for treatment" the father said.
"Do you have health insurance?"
"No, I'll just go home Doc. I don't want to make my child sad and become a burden to him"
"If you can know what age parents are? Still school? Or is it working?"
"I have one child and one toddler grandson. Nobody is working. I have to work"
Alya sighed with pity. Then Alya grabbed the hand of the old man who snorted it.
"Mr listen to me. If you want to work, stay here first until healed. I'll help you pay for your treatment, you don't have to think about the cost"
"Why the Doctor wants to do that, I don't know the Doctor" asked Mr. Didi looking at Alya.
"Because I don't have a father, sir. I was also impressed by his work spirit. I want to see my father keep working. Hows it? Want huh? You need to be well and healthy for your children and grandchildren?" woo Alya again with her sweet smile.
"I don't want to go into debt and trouble. I'll just go home"
"Mr, don't bother. Thank God I have more fortune. I want to share, I'm sincere Sir. Want huh?"
The father was silent and looked at Alya shedding tears. Alya looked at him and nodded her head convincing her father was willing to be helped.
"What's the name of the doctor?"
"Include me Alya Berlian Sari, my husband calls me Lian friends used to call Alya" Alya replied smilingly reaching out.
"All right, Doctor Alya. I want to be treated" replied Mr. Didi finally.
"Thank you for giving me the opportunity to help you, sir" Alya said again.
"I thank you Doctor"
"Important healthy dad. After this the father goes to the radiology room to be examined. But before, what was the name of the father?"
"My name is Didi"
"Pak Didi, you sign the approval of this action yes. Please also fill in your family's phone number, so we can call"
"Good"
Mr. Didi then affixed an agreed signature against all actions. And gave his son's cell phone number.
The nurse immediately conducts the examination according to instructions. Alya then took the phone number of Mr. Didi's family and wanted to call him.
"So familiar with this phone number?" alya pinned the phone number given to her patient.