Surgeons wish

It's all about surgeon wish
What every surgeons want
Their patient gets their best care

For the best, supreme excellence patient meets also their best, supreme excellence doctors
They give their best performance
For the sake of the sick

When surgeons and doctors wish meet patient wish
That's the deal


The most gets the most, the best

Detour

In life, also in surgery, like any other artisan work. It needs a masterpiece to show who you are actually.
Working in silence. No need to show off.

People value you by your work.
Your writing...
Your artwork...

Be brave...show it naturally, beautifully, with layer and framing

Nerve Injury

good axial symmetry, realigment
nerve guide 

anastomosing epineurium only

surgery at the district hospital
connecting nerves, connecting lives

B P H

static
dynamic
inflamatory

Stipendien DTC

Hand-obsessed

Traumatic amputation cases:

Have done replantation of partial traumatic amputation of finger some month ago, this week I got a new insight of hand trauma. A 30 y.o married lady who tried to kill herself with "bendo" on her left wrist joint.

On exploration it was found that the median and ulnar nerve were in total rupture. 

God, we need microsurgical instrument. But this is just Banyumas district and in our OK there is only loop with 7x magnification. So... just doing repair for the tendos and the sheath of the nerve.

Well... let's see if the nerves have some plasticity (who knows).

Praying ...

Frustated

Like in our general life, sometimes we meet moment when we are just alone.
No family, no (closed) friend, no one ...
Just you and you new (temporary) life.
You work for an institution, your boss is complaining anytime, though you have done 24/7 shif. You give all your best but still, underrespected, misjudged and always like a victim. You have no one to talk (personally). No one to ask any (stupid) question about your new jungle.
Just you...and the jungle (full of patient everywhere). Being call here and there. Pendling from ward to ward.
Phone never in silent. Always ringing.

Serving yourself to the sake of the most needy, the patients.
Then ... you just see the pattern, you will find the answer.

Keep eyes on the details.
Find the beauty of this world.

Travelling through the beautiful world of surgery

It was the last rotation in Banjarnegara, Central Java. A patient came from Pandanarum district, the peak (like Zugspitze in Germany) because of acute urinary retention. He has been referred by local Puskesmas to our ambulatory servis in RSUD. But it was still difficult to insert catheter and he was transfered to the OK. Like usual, the senior "punggawa" tried to use mandring and still he was stuck. 

I was offered to try, not using mandring, just with bare hand and the FC. Smoothly, it passed until the blast. 

Alhamdulillah...

The face of the old man turned into very peaceful and statisfied. (Me too)

That's a kind of reward that money can't buy.

Thanks God, for giving me special patient and my both hands.

I know, they are for serving to the most needy, like those old man.