Saturday, April 23, 2011

Puskesmas Practice

Student life is when u waste a lot of time doing something you think is useless. Working life is when you waste a lot of time thinking you should have learned that better. Life has been pretty much the same, except that I have a lot of thing to say, but no one to listen. And of course, I hardly find time to tell blogger that, so hYde had been abandon for some time now. And what makes me wanted to write something here? Good question. I don’t know.

Well. Lately, I have to go to Puskesmas every week. Puskesmas is something you called clinic, I supposed. And what I did there is to observe and learn, and of course assist if I can and perform if I am lucky. Too bad, luck was never with me. Our competency is to perform simple procedures like injection, which I believe most of my batch mates have tried. But, so far what I did most is to anamnesis patients, mostly cough and common cold, or vertigo, just because the doctors never fail to refer the patients to a bigger hospital due to lack of facilities (or facilities that serve more of a white elephant). Some patients even walk in and said all they wanted are MCs.

But today, I followed the POSYANDU. POSYANDU is a service, where they bring the clinic to you. An ambulance, fetching a few nurses and medical aids, will visit certain area at certain time, to provide medical care for the community there. So, me and Vicky sat the ambulance, and visited a village not too far from the puskesmas.

What happens was, they were having this “old folk clinic anniversary”, so there were singing and ceremony going on. And of course, we were invited to sit in the front row, and served with porridge. GOODNESS, a HUGE bowl of porridge. I haven’t been touching porridge since don’t know when, but to express gratitude, I actually ate them.

And the old folk spoke Jawa. So, what happen was, I had a huge difficulties communicating with them. I felt like I am a duck, talking, coz they can’t understand me. I am soooo blur that I dint fill in their blood pressure in their forms. I just told them their blood pressure, and 10 minutes later, 6 of them came to me asking what were their BPs. I stunned, and trying to ask them what I told them just now. They can’t understand or can’t remember, I don’t know. But I know that I was pretty helpless. And Vicky trying to help me, but his patient told him “biarkan mbak itu, ambil tensi saya dulu. (leave her alone and take my pressure first)” =.= So, in the end I retake them. Thanks to the blasting musics, I hardly able to hear the beat from my stethoscope. I remember telling the old lady that hers was 120/80, and she happily and proudly announce it to all her friends, before I find out that her previous pressure was 200/100. GOD! I quickly called her back to recheck. I wonder whether I killed someone today.

Another thing about my puskesmas was, there is a USG device there, but it had never been used before. So, how do we examine the patients? We use Leopord Manuve. And today I felt the baby in the uterus with my hands, but only mistaken the butt as the head.

I know it is bad to wish for better cases, but that was what I did. And I haven’t tried injecting a patient!!!!! GRRRH~