Hate Is Love's
Welcome Back's
After almost a month of apprenticeship, Arsy finally returned to the hospital.The presence of Arsy in the Emergency Installation was greeted with joy by all who served there, including Daffa. They were also surprised to see the change in Arsy. The young doctor had already covered himself with a hijab.
“Doctor Arsy. Yes Allah, very beautiful doc,” said Reni, one of the senior nurses.
“Still sisters. Sorry yeah, I'm late off. Must be mentally strong first.”
“Ngga nothing, doc. We all understand. Strong and patient doctor yes.”
“Aamiin.. thanks.”
Arsy returned to his place of duty not empty-handed. He brought a lot of food for his co-workers in the busiest part of the hospital where he worked.
They do not have much time to relax because patients have arrived. Since Ibn Sina made IGD as a trauma center, so many patients who have accidents or suddenly attacked by disease come here. That is also what makes the hospital add many interns in this section.
As long as Arsy is off duty, three new interns join. One male and two female doctors. For female doctors, this was their first time serving in the Ibn Sina hospital. They applied for internships at this hospital when the hospital opened vacancies for interns at IGD.
They are Faqih, Titian and Astrid. Arsy's name they often heard when they started on duty, except Faqih because he had known the young doctor when he was still a koas. Titian and Astrid are intrigued by Arsy. The woman's doctor can permit an internship for almost a month.
The two entered the IGD after changing clothes. They were immediately preoccupied with the patients who came. Arsy is also treating one of his patients. A five-year-old boy who fell from a swing and injured his head. The boy kept crying. The older brother who came with him tried to calm the younger brother down.
“Chicken boy, what's his name?” ask Arsy.
“Di.. Dika,” replied the child on the sidelines of his crying.
“Oh Dika's. Try aunty check first his head yes.”
“Sick aunt.. huaaaa.”
“Iya, aunt check first yes.”
Arsy immediately examined the wound on Dika's head. There was a slight tear near his temple. Deftly Arsy stopped the bleeding of the boy while continuing to talk to him. After the blood stopped coming out, the child began to cry.
“Position of the fall earlier how?” arsy asked the brother.
“When playing swing, fit again up the handle When loose keep falling to the ground. His head first hit the ground.”
“Only that? Is there another collision?”
“Oh yes, his back hit the edge of the swing.”
Soon Arsy checked Dika's back. He slowly opened the shirt he was wearing. On the boy's back was a beret wound. But his attention was fixed on the bruise near his nape. When Arsy pressed the bruise, Dika heard a ringing.
“This injury since when?” ask Arsy.
“Ngga know.”
The brother looked surprised to see there was a bruise on his sister's body. Arsy first takes care of the wounds on the back and head. After treating the wound on the back, the woman sewed the wound on the head. Fortunately, the wound was not very long and deep. It only takes a few stitches.
“Dika... This is near the nape, Dika remember not why it could hurt?” ask Arsy slowly.
There was no response from Dika, the child just lowered his head. Arsy crouched down and tried to see Dika's face. The boy kept his mouth shut. Shortly after Dika's mother arrived. He who was working was surprised to hear that the child had an accident while playing.
“Dika, you why, dear.”
“Mama.”
She immediately hugged her mother. His eldest son immediately told him what happened. The mother thanked the doctor who had treated her son. Arsy takes the mother a little away from the blankar.
“Mother sorry, I found another wound near the nape of Dika. The wound, it looks like it was two or three days ago. Did Dika ever tell you why she got hurt?”
“Luka, doc?”
Like her sister, Dika's mother was also surprised to hear her. Arsy invites the mother back to the blankar and shows the wound in question. The woman's forehead was wrinkled, she was completely unaware of any injuries. It is only fitting that these two days Dika always refused to be bathed.
“Treatment Dika is done. I will give the ointment to reduce the bruise. Try asking Dika later. Fear the wound was obtained at school or while playing with his friends.”
“Sya, doc. Thanks.”
The mother immediately held Dika and invited her eldest child to come home. He had already completed administration. Arsy also prescribed ointments to reduce bruises. His hand waved at Dika as the boy left IGD.
“Why, doc? Something wrong with that patient?” ask sister Mira.
“There was another wound near his nape. Bruised wound, looks like it was hit.”
“The mother doesn't know?”
“Iya. I asked her son not to answer either. She was afraid she got that wound at school and didn't want to say it out of fear.”
“Sya, doc. The current era of bullying is not in High School or college. But in Kindergarten there is also a case.”
The conversation was interrupted when three ambulances arrived in a row carrying victims of traffic accidents. A car hit a motorcyclist and a bicycle. The cyclist who suffered the most injuries. His leg was sandwiched between the bumper of the car and the pylon of the road.
Arsy and Daffa rushed towards the action room. While they were checking the condition of the victim, there was a scream of the nurse calling the doctor because the driver of the car complained of chest pain. Arsy rushed to the driver's blankar.
“It looks like he has a collision wound in the chest.”
“The breathing is also tight, doc,” Sister Mira said.
“Doctor Astrid, please do intubation,” said Arsy.
“Why me? You just do it yourself.”
“I'm checking the wound on his chest, aren't you looking?”
“What are you, who would dare to rule me? We are both interns.”
Arsy looked annoyed at the intern. He immediately took over the job and performed intubation to help the patient breathe. Astrid just silently looked at Arsy who was trying to find out the wound on the chest. Sister Mira is very upset to see Astrid's doctor. Since the beginning of joining, the young doctor did look arrogant.
“It looks like he's having phenomothorax. Please see Daffa doctor is it done?” Arsy's Word.
“Good doc.”
“Patients should be X-rayed immediately. Can you drive him?” Arsy looked at Astrid.
“Why do you keep telling me?” beaver Astrid.
“Let me just.”
Faqih who heard the Arsy and Astrid debate immediately approached and took over the patient. Assisted by a nurse, he immediately pushed the blankar towards the X-ray room. Arsy's approaching Astrid. If he had held her back, not now. Astrid really pissed him off.
“What's your problem? Why do you keep rejecting what I ask?”
“We are both apprentice doctors, you have no right to tell me. If Daffa's doctor or Dante's doctor asks, I'd like to obey him.”
“Do you not know the name of teamwork?”
“Do not be a senior snob. You did apprentice here first but that doesn't mean my abilities are below yours. You can't just rule me.”
Their debate ended when Faqih returned with a patient blankar. Arsy took the X-ray and examined it. There is a tear wound in the lung due to the impact that occurred. Daffa who has finished handling patients, immediately approached Arsy.
“How is it?”
“Patients have impact injuries. From here it can be seen there is a tear in the para. the patient must be operated immediately, doc.”
It wasn't Arsy who explained it, but Astrid did. Arsy took a deep breath to dispel his frustration. Daffa took a quick look at Astrid and then looked at the X-rays. What the intern doctor said was indeed true.
“The time has come?” ask Daffa.
“Numbers, doc.”
“Contact directly to his guardian. Patients should be operated on immediately.”
“Good, doc.”
“Prepare the operating room and contact doctor Fabian,” Daffa said.
“Ready, doc.”
The nurse on duty immediately contacted the operations department. He also contacted Fabian who was going around checking on patients. Once the letter of approval for the operation is obtained, the nurse immediately sends the patient to the operating room. Fabian's doctor asks Dante to help him perform the surgery.
“Dok, the guardian of the injured patient in the leg has arrived.”
Daffa immediately went to the guardian of the patient he was handling. He immediately explained what happened with the patient as well as what actions needed to be taken. The patient's guardian leaves it entirely to Daffa. The young doctor immediately headed for the nurse's desk.
“Contact operating room. Then call Reyhan's doctor and Damar.”
“Good, doc.”
Two people entered the emergency room. A man called a woman who looked in pain. Arsy immediately asked the man to take his woman to blankar. He quickly made an examination. Astrid who did not want to lose took part in the examination.
“Take the machine USG,” said Arsy to Sister Mira.
“Good, doc.”
“How long has he been complaining of pain?” arsy asked the man who took her.
“It's been three days. She always says pain in the right part of her stomach.”
Arsy pressing on the patient's stomach. When he pressed down on the lower right abdomen, there was a scream of the woman.
“How much is his blood pressure?”
“100/70, doc.”
Sister Mira came to bring us the USG machine. Arsy immediately applied the gel on the woman's stomach. He moved the probe in the lower right part of the woman's abdomen. He moved to the other side and returned to the previous section.
“This patient who is father?” ask Arsy.
“She's my wife, doc.”
“My wife has appendicitis. Seeing his condition, the mother must be operated on immediately.”
“Good, doc. Please do anything to help him.”
“Do mothers suffer from allergies to certain drugs?”
“Ngga, doc.”
“Ok, I'll give him pain medication first. You have to undergo a series of tests to have surgery.”
“Yes, doc.”
The husband of the appendix patient immediately took care of the administration. Arsy orders Sister Mira to check the patient's blood. Astrid approached the patient's husband while he was signing a letter of approval for surgery.
“Sorry, sir. I will explain the surgical procedures that can be done. The first is open surgery or laparotomy. The mother's stomach will be dissected and the troubled intestine will be cut off. The second is laparoscopy or keyhole surgery. Here we just make a small incision. His recovery is also faster. I suggest you take a laparoscopy rather than a laparotomo,” explains Astrid.
“Oh so, doc. Thanks for the explanation.”
After signing the letter of approval for the operation, the patient's husband returned to see Arsy. He wants to talk about the surgery he chose for his wife.
“Dok, I want my wife to have laparoscopic surgery aja.”
Arsy's forehead is wrinkled. From where the patient's husband knows about the dead-end surgery procedure. He had not yet explained the two techniques. Actually, he did not need to explain because the patient will undergo open surgery.
“Sorry, sir. Mother must be operated open.”
“Why open surgery if you can only make small incisions. I heard his recovery was faster.”
“That's right, sir. Better you choose laparoscopy,” sambar Astrid.
“Patients cannot perform laparoscopy! He must be operated open!” arsy resolute.
“Laparoscopic risk is smaller and recovery is smaller. I prefer this to my wife. No matter how much it costs.”
“You! Follow me!”
Arsy immediately left blankar patients with appendicitis. As Astrid did not follow him, Arsy pulled the woman's arm. He continued to pull Astrid slightly away, all the way to near the entrance.
“What are you doing? Why would you suggest laparoscopy?”
“Why? I'm just offering a more efficient operation to patients. Isn't that also an advantage for the hospital because the cost is much more expensive.”
“What is this?”
Daffa who saw Arsy and Astrid quarrelling immediately approached the two. His eyes looked alternately at the two women in front of him. Arsy was just about to answer, but Astrid had already answered him. She told him everything she explained to the patient's husband.
“I'm not wrong, doc?”
“No. Then Arsy, why do you suggest laparotomy?”
“The patient's appendix is already experiencing inflammation, may have festering. Too risky if the patient undergoes laparoscopy.”
Not wanting further debate between Arsy and Astrid, Daffa chose to examine the patient's own condition. He again moved the probe in the woman's patient's abdomen. What Arsen said is true. The shape of the intestine is different, like there is a buildup of pus in it.
“Patients should have open surgery,” drop out Daffa.
“But doc, this doctor said.”.
“Patients have inflammation and there is a possibility of festering already. We cannot perform laparoscopy in such conditions.”
“Oh. good, doc.”
“Suster, is the operating room ready?” ask Daffa.
“Triple operating room is still in use. About 10 minutes more just finished.”
“Good. Keep monitoring the patient.”
Daffa left the patient's blank and headed for the nurse. He was writing a patient report that he was handling earlier. Arsy approached, he did the same. Writing reports for Dika patients.
“You have nothing?”
“Pengen kutabok tuh mouth the Astrid. From that moment on the storm continued. Patience. patience Allah.”
“Sabar.. It's a test.”
Daffa patted Arsy's arm while raising a smile. A smile rose on the face of the beautiful woman. Astrid was visibly upset that Daffa chose open surgery for the appendix patient. Titian approached her co-worker who looked sour.
“Why?”
“Tuh princess Arsy. Feels the most pinter and true here.”
“Sabar.”
That was all Titian told his co-workers. Judging from the performance, Titian must admit that Arsy is smart and deft. But she also disliked the young doctor.Sy looked so close to Daffa.
🍁🍁🍁
Arsy just returned to the hospital had met the duo of cool grandmothers huh. Patience Ar, patient people are wide🤭