Merry Christmas :D

Selamat Natal untuk semuanya.. Semoga berkat Tuhan selalu menyertai anda dan keluarga sepanjang tahun mendatang.. GBU

Vaksinasi

Akhir-akhir ini sering terdengar "gerakan anti vaksin" dengan berbagai alasan, entah karena vaksin dianggap haram, ataupun karena mereka mengatakan bahwa setelah divaksin anak malah semakin sakit dan berbagai alasan lainnya. Hal ini sampai diangkat dalam morning report beberapa hari yang lalu di divisi Anak.
Namun sebagai dokter muda praktek di divisi Anak/Pediatri, secara pribadi saya melihat anak-anak yang tidak divaksin kondisinya jauh lebih buruk daripada anak-anak yang mendapatkan vaksinasi.
Vaksn tidak bisa melindungi anak 100% terhadap penyakit, namun lebih cenderung ke mengurangi resiko terkena dan menurunkan derajat keparahan penyakit.
Kalau protes "kenapa sudah divaksin masih kena??"ya terima saja, pencegahan yang paling baik memang menghindarkan anak dari penularan penyakit tersebut, jangan karena sudah divaksin lalu anak dilepas begitu saja, jelas akan terkena penyakit.
Efek samping dari vaksin tersebut selalu ada, sebaiknya tanyakan lebih dulu sebelum anak divaksin.
Kalau anda tidak percaya dengan pengobatan medis, silahkan bawa anak anda ke dukun, jangan dibawa ke rumah sakit dan malah komplain-komplain di rumah sakit.

Urine Examination (BCS)

Procedures:
1. Wash your hands
2. Open the urine container and put the cover look out to upper
3. First wasted a few of urine (beginning, about 1/3 of the total volume), then fill it urine as needed (about 1/3 of the total volume) and throw away the urine residue (about 1/3 of the total volume)
4. Close the container without touched the inner later

Enrichment Broth:
# Pediatriatic size --> yellow
# Adult size --> 4-8 mL

Routine Laboratory Testing (BCS)

Blood Test Tube:
# Purple (3mL) --> anticoagulant EDTA ==> for CBC, malaria, DHF, crossmatch
# Dark green (4mL) --> heparin ==> for blood chem
# Light green (2mL) --> heparin ==> eritrocyte osmotic fragility
# Yellow (3.5mL) --> no anticoagulant ==> for blood chem, immunology, serology
# Red (2mL) --> no anticoagulant ==> for hepatitis, immunology, serology, crossmatch
# Blue (2mL) --> sodium sitrat ==> for prothrombine time (PTT), activated partial tromboplastine time (APTT)
# Dark blue --> EDTA ==> trace element
# Light grey --> natrium fluoride&kalsium oksalat ==> glucose
# Black --> sodium sitrat ==> LED (SER)
# Pink --> EDTA ==> immunohematology
# White --> potassium EDTA ==> PCR, bDNA
# Yellow&black --> berisi media biakan ==> mocrobiology-anaerob, aerob, fungi

Vitamins

A --> retinol, retinal, 4 carotenoids (inc. beta carotene)
B1 --> thiamine
B2 --> riboflavin
B3 --> niacin, niacinamide
B5 --> panthotenic acid
B6 --> pyridoxine, pyridoxamine, pyridoxal
B7 --> biotin
B9 --> folic acid, folinic acid
B12 --> cyanocobalamin, hydroxycobalamin, methylcobalamin
C --> ascorbic acid
D --> ergocalciferol, cholecalciferol
E --> tocopherols, tocotrienols
K --> phylloquine, menaquinones
*vit. A, D, E, K = fat soluble
*others = water soluble

OSCE 1st Semester 2011 Station 1-2 Answer

A. Connective Tissue (CT):
1. Mesenchymal embryonic CT
2. Mucous/mucoid embryonic CT
3. Loose proper CT
4. Dense regular elastic proper CT
5. Dense regular collagenous proper CT
6. Dense irregular proper CT
7. Reticular proper CT
8. White adipose proper CT

B. Epithelial Tisue (EP):
1. Simple squamous EP
2. Simple cuboidal EP
3. Simple columnar EP
4. Squamous stratisfied EP

C. Cell Injury:
1. Adaptation
- Atrophy
- Hypertrophy
- Hyperplasia
- Metaplasia
2. Necrosis
- Caseosa
- Coagulative
- Liquifection
- Enzymatic
3. Accumulation
- Fatty liver
- Melanin pigment

New Update

Finally becoming 2nd semester student of Medical Faculty... (I try to use english, because I'm belong to english class, hehe...)
Believe me, being a medical student is hard, and sometimes you would think: what am I doing here? why am I end up here?
Especially, if you were away from your hometown and have no family in the city you live now (just as I am).
But, to think there was very tough journey to come here (Denpasar), I think I should pass it no matter what happened...
Well, so I will tell you how tough my journey was...:
I'm not a smart student (just depending on God) at school, but, since elementary, I always want to be a doctor. My art teacher said that I sould be an Architect, just as my mom.. But I said that I want to be a doctor... And here I am... When in 3rd grade of high school, I was taking 2 courses: DBB Course and SSC. It was hard for the first week, but in the end I can enjoy it. Just imagine, school untill 3.15 p.m., then go to SSC until 7 p.m., and then to DBB until about 10 p.m.. That's not everyday, just about three times a week for the whole year, hehe...
But finally I was able to come here, to start my new adventure as a medical student (it wasn't going well, trough). This was a rare chance to be independent, away from parents, no one to rely on except myself, even if it was much harder than everything I have already passed before, but I think it was really valuable.

p.s.: For you who wants to enter the medical faculty, it was hard, but valuable. Especially in Udayana University. But next time I will try to post some of my lectures here. Enjoy! ^^