Doctor Ella Love Story
42. Puskesmas

It had not been ten months since Ella had set foot in the city of Genting. Eight months he served in RSUD G in the ER and outpatient poli. And these two months he served at the Sobo Puskesmas. Means only two more months of time needed to complete his interenship service in Genting City. Time flies so fast, not hard.

And today as usual Ella sits sweetly at the ER puskesmas Sobo. Like the usual days of small ER puskesmas in rural areas like this, there are rarely patients who visit. Most shock patients in traffic accidents or injuries due to agricultural equipment. Most of these puskesmas patients go to poly for outpatient treatment. Well if there is an ER patient means again hockey aja hehe.

Looks like that lucky day also stopped by today. Exactly at eleven o'clock when the eyes have begun to sleep and the stomach is getting hungry. Suddenly the atmosphere of the puskesmas became rowdy. Some people ran from APV cars parked in the puskesmas yard. Others carried three patients at once. "Dock work accident. Again, the canopy continued to collapse to fall on them" One of the nurses reported to Ella.

"Ok mas Rozi, get the bed ready." Ella answered, Get ready to receive the patient.

"Three patients docks. Accidents work from a construction plant in the area. One patient with a torn wound to the head, bleeding. One was torn in the left leg and the other was stuck in a nail in the right hand." Rozi described the state of the patient.

"The head and leg injuries in the bed. While the one who got a nail in the chair first. Try asking Dr. Roni for help in poly if there are no patients." Ella gave the order.

Ella immediately took and put on her hand gloves. Attendance of patients with head injuries and leg injuries that have been put to bed in the ER. He watched carefully the two patients, then Ella decided to deal with the foot injury first because of more fists.

"Els? A windfall, huh?" Roni came to Ella a few moments later. Help came, at lease Ella was a little relieved there was Roni who was one puskesmas with her. So do not hesitate to ask for help when unexpected events like this.

"Ron, help you get a nail pierced." Ella asks for help and Roni immediately deftly takes the handgloves as well. Approaching and treating the patient.

"Mas Rozi, ask for two more nurses to take care of his assistant and take care of his administration. Who has a head injury. It's light just need to take care of that wound." Ella's orders to her ER nurse.

"Ok doc," Rozi immediately called two of his colleagues to the ER. He then treated the head injury patient.

"Can I help Doc?" Erni, the nurse approached Ella.

"Bak try to install infuse set first deh. All anti-biotic ingredients. I'm still dealing with this bleeding." Ella pressed the bleeding in the patient's leg, precisely the calf. He put a torniquet on the upper thigh of the patient to stop bleeding . Anesthetize the tissue around the patient's wound and then sew the patient's wound with needle and thread that has been prepared before. Then proceed with closing the wound with sterile gauze.

A few minutes later all the chaos in the ER was resolved. All three patients have completed emergency treatment in accordance with the treatment procedure. But the commotion is still not finished in the administration section it seems.

Patient's personal data and health and employment security cards are incomplete. It could be that these three patients did not even carry their identity cards. And again the problem of payment is also still confused because it seems these workers do not bring money. Maybe they're still waiting for their boss to come here to take care of his administration.

Ella wrote and filled the sheet medical records disturbed because of the crowd on the administrative table. Ella faintly heard the name of the company mentioned by the employee who delivered the three victims. Pradana construction, Ardi?s company? Yes timing?

And sure enough, before long Ella sees Ardi's red jazz honda car arriving and parking in front of the ER. From inside the car came Ardi and Cindy who walked simultaneously to the workers who were still excited in front of the door of the ER.

Cindy precedes Ardi to enter the ER. A little surprised to see Ella sitting in the doctor's seat with Roni. Both of them are still busy writing the contents of the patient's medical record. "Excuse me doc, how are my three employees doing?" Cindy approached Ella and Roni, greeting her.

While Ardi was also a little astonished to find Ella and Roni who became the ER guard doctor at Sobo's Puskesmas. Ella had told him that she had moved round to the health center. Ella is no longer serving in RSUD G. But Ella never told me which puskesmas. And stupidly again Ardi also never questioned it. If I know the puskesmasnya deket gini office I can go every day, said Ardi.

Why else would that jerk always be on Ella's deck? What was his name first? Roni's? Maybe the guy always gets one round and one spot keeps the same Ella. Really annoying.

"The patient in Darmo's name is just a blister on his head and has been treated for injuries. Nothing serious. The second patient in the name of Budi wound quite wide on the left leg. Already done sewing, 10 stitches. It's still infused and observed because of a lot of blood loss." Ella explained the two patients she was handling earlier.

"Wait for observation first, it can be taken home if it is stable. Take outpatient medication at home. The depleted medicine can control here all treat the wound and change the gauze." Ella continued about the treatment procedure of both patients earlier.

"The last patient who was hit by a nail in Joko's name has also been issued a nail that nancep in his hand. Also been treated for wounds and closed gauze. But it seems to need an injection of ATS (Anti Tetanus Serum) because the nail that stuck it a little rusty. Not given yet for waiting for the fuck. It's expensive." Roni went to explain the patients he was handling.

"Samely if it is stable can be taken home. Take medicine from home and control if the medicine runs out." Roni.

"The three don't have health and labor insurance docks." Rozzy added.

"Can't that be? Well, you guys didn't sign up workers for bail, did you? Real tega! Big company time does not guarantee the welfare of its employees?" Chirps Roni while smiling cynically to Ardi.

"They're new to our company. There haven't been three months. So all of his administration is still at the management level. Their current status is just casual daily energy." Cindy explained. While Ardi remained still standing watching the situation around them. Watching Ella at her desk more precisely.

"Yes means all common wear." Rozi reaffirmed the payment status of the three patients.

"No problem I'll take care of all the payments." Cindy answered to make sure. "What's the ATs?"

"About 600 thousand of the serum alone. Not yet the cost of treatment" Rozi replied.

"Love you," answered Ardi briefly.

"Alright please give her ATS injection. Then where can I manage his administration?" Cindy decided. Rozi handed over the prescription and payment bills to Cindy. Then he also delivered Cindy to the administration and cashier. Meanwhile, Roni also went to give ATS injections to patients who had been treated.

Ardi who was standing looking at Ella from afar also approached Ella after there was no one around them. The man took a seat right opposite Ella. Such as the position of the patient who wants to consult with his doctor. "Hallo Ella, baby." Her greeting was gentle on Ella who was still writing on the pile of medical record papers.

"Hallo, Ardi's mas." Ella replied to that greeting.

"I miss you so much" said Ardi. They had not met for two weeks at all. Ardi with all his busyness takes care of two companies at once. Well the main company in Banyu fragrant has begun to take care of in part, plus his own company in Genting. And Ella is also focusing on studying harder to prepare for the PPDS admissions exam. Starting from learning the TOEFL English to repeat the medical materials he got while still in college and koas.

The two are still in touch every day through chat, phone and vidio calls. Trying to survive their long-distance relationship that might continue considering Ella is almost completing her period of interest in this city. I have studied LDR (Long Distance Relationship). But still there was a burning longing in their hearts because they could not meet for so long.

Their relationship seems fine, but both seem to keep their distance and refrain from revealing things that are too sensitive. The two seemed to guard and maintain a time bomb that could explode at any time, destroying their relationship instantly.

"I miss it too."

"Why didn't you tell me about this puskesmas?" Ardi nodded with a question. "Where are you? How do I think I'm kurusan?"

"Good mas. The currant period? That's Ardi I'm the one."

"I think we need to see you often let's get fat hehe." Chirp Ardi.

"Yes if we meet we are always culinary delicacies. How not fat?"

"If so from tomorrow we meet again more intensely. For our health."

"What the fuck is that? Is Ardi not busy?" Ella is also confused between happy and unpleasant to disturb the busyness of Ardi.

"At least we can have lunch together. After hours of rest, safe. Anyway here decket with my office, so evil you never stop by"

"OKs. It could be that." Ella. "Keep me by the office why try? Strangely enough with this Ardi."

"Well, nothing. Nemenin I doank or just meet can also. I think you were playing at the office."

"Let's see the situation. Afraid of disturbing the work of the mas in the office because. Ntar said not professional like his men. Time to bring a girlfriend"

"Like me dong. Who dares to protest and complain about the boss."

"Basic big boss hehe"

Their conversation stopped when Roni came back to their table. Took a seat next to Ella, becoming the third of them with his chuckle. Write something down on the patient's medical record. Ardi cursed inwardly to see Roni's brash behavior, while Ella looked relaxed no matter what.

It seems like this is enough for now. Neither Ella nor Ardi could decide where to take their relationship. Both are too afraid to talk about it. Fear of time bombs going off. Destroying everything, the two of them were forced to separate.

Let them enjoy this togetherness which is only two months away. At least they were still dating until then. Maybe after Ella finished her interest and returned to Surabaya. Maybe after the announcement of the results of the PPDS Ella exam came out, they can only talk again about this. Discussing something that can not be avoided again.And once again let time answer what will happen to their relationship.

~∆∆∆~

FYI (For Your Information)

*Tetanus is a potentially fatal bacterial infection affecting the nerves. Tetanus causes painful muscle contractions, especially in the jaw and neck. This can interfere with the ability to breathe, and may eventually lead to death.

*One of the pillars of tetanus case therapy is the realization of tetanus toxin/poison in the blood circulation. There are two therapeutic options to realize the toxin, namely anti-tetanus serum (ATS) derived from horse serum and human tetanus immunoglobulin (HTIG) derived from humans.

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