Owner: THE DOCTOR NOTES URL:http://thedoctornotes.blogspot.com Join Date: Sun, 06 Apr 2008 03:48:35 -0500 Rating:0 Site Description: This site blog provides is only a small notes from the everyday incident that was experienced by me as a Indonesian Medical Doctor, maybe this is a DOCTOR BLOG or DOCTOR LOGBOOK or DOCTOR LOGBLOG but for my self this still only a small notes from who trie Site statistics:Click here
TRADITIONAL MEDICINE vs MODERN MEDICINE 2008-04-03 23:44:00 Especially in Asian countries and Africa, much effective traditional medical treatment methods, good that was proven, that was not yet proven or even that could not be proven by modern medicine science.This traditional medical treatment knowledge usually is the family's inheritance that was received for generations and was exclusive and becomes part of the community's culture. Many colleagues of the doctor who sneered this traditional medical treatment method because of more of conflicts with modern medicine who has very scientific, substantial and systematic. However the fact lately, many communities that chose to take medicine in traditional medical treatment although medical medical treatment access modern was spread the area. There were various reason sorts why they chose traditio
NAIVE OR THE TRAITOR? (2) 2008-04-03 02:11:00 I agreed with the Indonesian Medical Doctor Association statement. But also must be made thinking for the better future, why did this matter happen.According to me this matter happened because of several matters that became the source of the problem, that is:The nonexistence of the acknowledgment as well as the appreciation from the government would the medical doctor's profession. The low level of the community's purchasing power to pay the doctor's service. The low level of the awareness of the community and did not yet go him the standard and good system would the health insurance.The growth for economics needs of the doctors.The competition for efforts that were increasingly tight between many pharmacy companies that must hold the doctors with that the amount a little as loyal asse
NAIVE OR THE TRAITOR? (1) 2008-04-03 01:32:00 The Republic of Indonesia government through the Health Minister, The Agency of Consumen Indonesia Foundation and several non-governmental organizations in Indonesia, several last years suspected one of the causes of the price increase of medicine of being caused by the existence of the co-operation/the contract between the pharmacy company and the doctor, to sell their products by using the doctor as outlet.This was afterwards supported also by results of closed investigation by the press from several electronic medias and the print media.Then the government dismissed the decision to take action firm each doctor who co-operated or did the contract with the pharmacy company.Many doctors in Indonesia that agreed would this matter and took part in supporting the decision of the governme
MY FAVOURITE TECHNIQUE 2008-04-02 19:44:00 While I was active in the medical world and afterwards tried to focus my self in the orthopaedic world, with all the limitations of the situation and the condition for the Indonesian people, from human resources to the economic capacity to take medicine that still was very low, I was forced to look for the way that definitely alleviated the fracture sufferers to take medicine, considering the specialist doctor's service of orthopaedic that was relatively expensive and supporting materials of the operation that still imported so as to make the medical treatment cost soar.My aim was:Gave the health service of fracture medical treatment at a cost of as minimally as possible and the service as maximally as possible.At least the medical treatment cost was maximum 50% total cost if taking medi Read more:TECHNIQUE
ORTHOPAEDIC ELECTRONIC TEXTBOOK 2008-04-02 02:02:00 This is an free electronic textbook from Eugene Sherry,MD, MPH, FRACS as a editor, for medical students and orthopaedic residents/registrars.Orthopaedics is one of the oldest medical disciplines, yet remains at the forefront of intellectual and technological development in medicine as we move into the next millenium. And for good reason.Link: ORTHOPAEDIC ELECTRONIC TEXTBOOK
SINCERE PROJECT 2008-03-27 08:50:00 Uptil now the doctor's service was appointed of the doctor to work by the doctor or the place institution, so as for patients, especially the middle economic circle through to low economics, this matter made an obstacle get the appropriate and humane health service, like that was hoped for by them and was wanted by them.I had the principle, that each kind of humankind had the right to live healthily and got attention to the health as high as possible because on the basis of humanity, not on the basis of the economic capacity to pay the doctor's service and facilities that were needed.But also I was thoughtful, that medicine that was owned by me this was the gift from the Lord, so as properly has been devoted by us in the Lord's road through his group that needed scientific medical.So, wi
GENERIC MEDICINE EQUALLY GOOD WITH PATENT MEDICINE? 2008-03-27 08:15:00 Already since long before in Indonesia, when the Republic of Indonesia was still being led by President Soeharto (R.I.P), generic medicine was produced to compete with patent medicines that increasingly bounced his price.The government claimed that although generic medicine was sold with the price that was far more cheaper compared to patent medicine, but it was guaranteed was precisely the same the composition, the quality & the effect of his recuperation towards the illness.Why did that price be cheaper?According to Republic of Indonesia Health Minister, this price could be pressed because of the nonexistence of the promotion cost, so as only was counted on the raw material cost, the production cost & the transport.So as really was suggested by the doctors in order to give this
MEDICAL MALPRACTICE 5 2008-03-08 15:33:00 To avoid the medical malpractice, I appealed to colleagues, to: Obey the current regulations.Undertake medical inspection protocol in upholding the diagnosis and current medical medical treatment protocol.Established and developed relations between the patient and you as well as possible and as closely as possible. Because basically these relations were professional emotional relations.Honest in thinking and acting.Give priority to the safety and the health of your patient, not your money!Always did informed consent to our patients.Kept and undertook with utmost sincerity your Doctor's Oath.Developed always knowledge and your skills capacity. Always introspection and the evaluation your self and your work every time.Remembered, the doctor not the GOD!! All that was carried out in this wor
MEDICAL MALPRACTICE 4 2008-03-08 15:22:00 MEDICAL MALPRACTICE STATISTIC AND FACTS1. Fewer than one-half of 1% of the nation’s doctors face any serious state sanctions each year. 2,696 total serious disciplinary actions a year, the number state medical boards took in 1999, is a pittance compared to the volume of injury and death of patients caused by negligence of doctors. A recent study by the Institute of Medicine of the National Academy of Sciences estimated that as many as 98,000 patients may be killed each year in hospitals alone as a result of medical errors.Earlier studies also found that this was a serious national pr
MEDICAL MALPRACTICE 3 2008-03-08 15:09:00 Now in the United States during 2000, was gotten by 86,640 cases of the demand malpraktek and most were also completed finished through the mediation. (www.medicalmalpractice.com)This made the community increasingly branded the doctor as the immune profession the law. This reality definitely only did not cause a loss to the community, but could damage the doctor's profession personally.I thought really unfortunate the doctor's fate that undertook his profession that was noble.On the one hand this profession not the perpetrators of efforts because of his aim not to look for the profit only. This profession only received the "appreciation" for his efforts in curing the patient.However on the side other had the big risk that was dealt with by him if in an effort to him to cure the patient. Wh
GURU SINGA METHOD 2008-03-08 09:14:00 The method of the fracture of case medical treatment in GURU SINGA was by using traditional Indonesian methods joined with modern medicine science method, that came from the ethnic group of Karo, North Sumatra.We applied the External Bone Traction technique and then the location of fracture we spread with oil and soup that was mixed gathered-ingredients traditional then was installed splinted as the implement immobilization.The position of the doctor in Guru Singa was as the medical consultant, who acted when Guru Singa hesitant would the patient's injury or felt could not or frightened of carrying out help to the patient who could be caused by the position fracture, serious him the wound as well as the condition for the patient.Apart from as the consultant, the doctor also was responsible
MEDICAL MALPRACTICE 2 2008-03-08 08:49:00 The criminal demand that like that the ease to be applied to the practice doctor, appeared to eliminate the classic legal doctrine, that only culpa degrading (difficult negligence) that could be blamed on the doctor. Also criminal law, some that properly ultimum the re-medium (last final efforts), by many investigators lately like that the ease was applied as the sorting law in the beginning.On the other hand, the lawsuit immaterial without the limit, with the system contingency fee (determined the percentage produced by the lawsuit that was received for lawyer this) that was applied as the repayment of the service lawyer, will make the community fertile that be fond of sued.The story of the crisis medical malpractice in the US state, often happened in that did not apply the limit maksimum
MEDICAL MALPRACTICE 1 2008-03-08 04:01:00 Lately in Indonesia many reportings also prosecution concerning medical malpractice.Almost all of the doctor's actions that results could not have finally cured his patient, the defect, in fact died, was made the case medical malpractice.The term medical malpractice was the more inexact term, because of being a guilty presumption towards the medical profession.This guilty presumption could misused by certain sides for the interests for a moment that will damage all the orders and the system of the health service.Unfortunately, medical malpractice the medic who was the doctor's mistake in doing something or did not do something compared with standard the profession, not explicit was encountered in regulations in Indonesia.The hurling of rumours medical malpractice continually lately ought t
Orthopedic Traumatology: A Resident Guide 2008-03-07 04:02:00 Description:In a very concise and extremely well organized manner Orthopedic
Traumatology discusses the important principles underlying the management of orthopedic trauma, which has undergone significant changes recently. The book will benefit residents in orthopedics as well as orthopedic surgeons in developed and developing countries. It will help educate trainees in orthopedic surgery, nursing, physiotherapy and rehabilitation medicine as well as medical students. The book’s structure facilitates review of the material before board exams and the quick retrieval of information.DOWNLOAD CLICK HERE Read more:Resident
, Guide
The Rationale of Operative Fracture Care 2008-03-07 03:43:00 Description: Since its initial publication in 1987, The Rationale of Operative Fracture Care has enjoyed tremendous popularity. So much so, that the second edition was also published in Spanish, Portuguese, Japanese and Greek.It is a book written by surgeons for surgeons. It explains in clear terms the logical progression of problem-solving in the evolution of a treatment rationale.First identify the problem and then logically outline its various potential solutions. This provides a basis for deciding which is best from a technical perspective and which will lead to the best outcome for the patient. Then choose from the available armamentarium the most suitable surgical technique and implant.All the chapters in the volume have been carefully revised to reflect the state of the art in biolo
Clinical Tests For The Musculoskeletal System 2008-03-07 03:29:00 Description: The main stay of orthopedic diagnosis continues to be the physical examination of the patient following a thorough history. This convenient pocketbook presents a comprehensive collection of the clinical tests that are used in orthopedic diagnosis, thereby answering the following questions: What tests are available for examining a particular joint, and how are they to be interpreted?What is meant by the name of a test that is mentioned in the literature or in a physician's report?The methodology and interpretation of all relevant test procedures are presented in almost 500 instructive drawings and brief desciptions: Initial tests, Functional tests, Stress tests & Stability tests Tables on the examination of the spinal column, shoulder, and knee jointhelp in selectin Read more:System
WOUND CARE 2008-03-06 05:44:00 The handling of the wound was important enough to be good for us as a doctor, especially for our patient that was suffering.Last October 2007, I got the invitation from one of a pharmacy company in Indonesia to attend the launching of their supreme product that is the new product from South Africa that was connected with the handling of the wound, that was claimed about as newest technology and a breakthrough in the matter of the handling of the wound in a modern way, by the next dimension and the paradigm in wound care.That was known outside Indonesia by the name of CERDAK.This product in his research before being introduced, was carried out by the research to patients diabetes with the ULCUS DECUBITUS cases or DIABETIC ULCER and GANGREN cases, but just a few very much the research was ca
ALTERNATIVE THERAPY 2008-03-06 04:47:00 Indonesia as the developing country, with the income of economics per capita that still quite low, definitely the matter of the health became something that was very important to be responded to. To form the strong country, definitely must had the healthy inhabitants the body and spiritual. Where this health also was one of the human rights that must be filled by his country.Considering the Indonesian existence as the developing country like it was mentioned above, the problem of the health was one of the problems that was complicated enough for the government.Various problems of the health in Indonesia and other developing countries, were the level of education and the low awareness, still enough heights of the poverty figure as well as the health cost that must be borne by the sufferer.
LOW BACK PAIN 2008-02-29 23:42:00 Enough very much my patients who came to take medicine with the pain complaint to the waist that never will recover although trying to take medicine to various doctors, also could have been ascertained by 90% medicating to the expert massaged that in Indonesia still really was believed in could treat various illnesses, especially the muscle and bones.Painfully this underside back, for some practitioners, this illness was regarded as the normal matter & natural, so as enough that at once diagnosed "NPB" (Nyeri Punggung Bawah) or "LBP" (Low Back Pain) and gave the medicine yan usually consist of analgetic drugs and non steroid anti inflamation drugs (NSAID), without looking for his problem root, what his cause and the body part what was affected as a result so as to produce this pain.In
GURU SINGA 2008-02-26 07:44:00 The "GURU SINGA" was a non profit foundation that was stood since 1984 in Jakarta, Indonesia by:Prof(HC). DR(HC). Ng. Rusli Guru Singa (R.I.P)and involved in the health service that specialized in the field of non operating fracture medical treatment.I had gathered with GURU SINGA since early 1995, as the assistant doctor. At this time my position was as the Head of the Medical Consultant (Orthopedic & the Trauma), supervised two General Practitioners Medical Doctors as my assistant, one nurse was qualified the surgery and six masseurs.The method of the fracture of case medical treatment in GURU SINGA was by using traditional Indonesian methods, that came from the ethnic group of Karo, North Sumatra. So why above was mentioned apart from the medical staff, I also supervised several mas
My Hobbies.. 2008-02-24 03:24:00 As the others, i then had a hobby, a large number of hobbies..But however from many of my hobbies definetely had several main hobbies.I like to adventure-travelling to anywhere, in Indonesia or in other countries. Especially if by driving my old Land Rover, "Pak Ijo" (Mr.Green).yes.., i really liked old Land Rover, the car made in UK, with four wheels drive, that was known as the "work-horse", this was very comfortable for my self. And because this love too, i also collecting many Land Rover die-casts from Series I to series III with many version, that according to me that form was unique and eternal.Beside travelling and drove Pak Ijo, i also played music as the bass player and percussion, collecting various watch kinds, especially vintage watch and military watch, military surplus equipm Read more:Hobbies
About Me.. 2008-02-24 02:12:00 I one of the Indonesian Medical Doctors, who was assigned as one of the Medical Doctors at the Republic of Indonesia Ministry and the Republic of Indonesia Palace, moreover also the practice in one of private enterprise's pharmacies and as the Medical Consultant (Orthopaedic and the Trauma) in a foundation of fracture medical treatment in Jakarta.Truly so many had liked as well as the sorrow for me to become the doctor, since I passed to the general practitioner till at this time.That initially the medicating patient in a day did not exceed the number of hands fingers in per day till at this time that finally I could apply knowledge and my expertise to many people that needed through to time with my family many that were seized only for my patients.But so the risk and the sorrow that must
PREAMBULE 2008-02-22 23:36:00 This site blog provides is only a small notes from the everyday incident that was experienced by me as a Indonesian Medical Doctor, maybe this is a DOCTOR BLOG or DOCTOR LOGBOOK or DOCTOR LOGBLOG but for my self this still only a small notes from who tried, until now, the idealist in undertaking "Hipocrates - Medical Doctor's Oath" that was said, possibly was useful to all colleagues.
INDONESIA WAS FAILED FREE FROM THE CHICKENPOX/SMALLPOX! THE FACT, CONSPIRACY OR PROPAGANDA? 2008-04-07 21:40:00 One of the most important results that caused the world belief would the success of the development of the health in Indonesia was the condition that was achieved in 25th April 1974, that in this case the World Health Organization (WHO) said that Indonesia as one of the countries that was free from small pox. During 1984 WHO came to Indonesia to destroy the smallpox virus at the same time his laboratory in Biofarma, Bandung. Since that time Indonesia already did not have the smallpox virus. However during 2003, WHO announced the existence of the biological weapon from the smallpox. All the world must buy the vaccine for stock pilling. His price was very expensive could until 600 billion. The Fact:This 2008 or 34 years since Indonesia was stated free the smallpox by WHO, from several o
THE MEDICAL DOCTOR ALSO HUMANKIND, LIKE YOU.. 2008-04-07 19:58:00 Possibly this one of the authentication that the doctor not someone who had the strength that was great like superman, but only a human that the God gave the knowledge gift in the contents of his brain that is medicine.After the existence of the activity of the addition two weeks ago, that is preparations for my brother in law's wedding from Thursday to the peak agenda on Sunday night, then continued last week, was in a Meeting of the National Co-ordination to one of the Ministries of the Country of Republic Indonesia, since Tuesday morning till Friday night, that was significantly automatic did not have rest time because I must also undertake the routine schedule that is going to the office, then the practice in the afternoon and the practice of the night.Finally after coming home th
THE HAPPENED IN THE STARTING OPERATION, THE BONE AND THE WOUND 2008-04-09 23:32:00 In the operation action then will be carried out incisi, so as to soft network damage under skin and blood vessels that resulted in the occurrence of edema, pain, and the decline in the scope of the movement of the articulating happen.Basically recuperation in the soft network injury had 3 stages that is injury, inflamation, and re-scanned.1. INJURYIn this stage, soft tissues that was sliced in the process of the operation of causing the wound and the bleeding as well as the death of several networks. To space incisi the bleeding that afterwards will join will happen the agglomeration. After that the body will issue leucocytes to fagositosis the network that died.2. INFLAMATIONIn this stage, was also received signs of the inflammation as the swelling, pain, was felt hot, and reddish,
ILIZAROV METHOD FAQ's 2008-04-09 22:35:00 INDICATION:Made equally long the arms or legs bones that not be the same long.Made equally long and cultivated the area of bones that were lost as a result of the fracture was open. Threw bones away that the infection and was filled up by means of cultivating healthy bones.Increased high the body.CONTRA-INDICATION:Open fracture with soft tissue that needed the better continued handling when being installed single planar fixator. Intra-articulair fracture that needed ORIF. Simple fracture (could with the fitting plate and screw nail wire). Fracture to the child (fresh and new condition).PLUS POINTS:You can read at ILIZAROV METHOD 1, ILIZAROV METHOD 2, ILIZAROV MERHOD 3.MINUS POINTS:Long operation time. The long maintenance so as to need the co-operation as well as the understanding tha
ILIZAROV METHOD 3 2008-04-09 22:33:00 ..............................At one year follow-up the patient had right knee range of motion of 0 to 135º. He had 0º of dorsiflexion and 30º of plantarflexion of his right ankle. His right ankle dorsiflexion strength was four out of five and plantarflexion strength was five out of five. He had no complaints of hypersensitivity or cold intolerance. The patient was then full weight bearing without pain and was wearing a one-inch shoe lift to account for his leg length discrepancy. He then underwent an ipsilateral femoral lengthening of one inch to equalize his leg lengths. At two year follow-up, he has full mobility of his knee. His ankle and foot continue to function well with no change in mobility. Open fractures of the tibia with associated vascular injury are a difficult pr
ILIZAROV METHOD 2 2008-04-09 22:28:00 ....................Case report The patient is a 49-year-old man who was struck by a car while riding a motorcycle. The patient sustained a right intertrochanteric hip fracture, a right femoral shaft fracture, a right tibial plateau fracture, a right grade IIIB open tibial shaft fracture of the distal onethird of the tibia, a right calcaneocubiod fracture dislocation, a right Lis Franc fracture dislocation and multiple right metatarsal fractures (Figure 1). During the patient’s trauma work-up he was noted to have an absent dorsalis pedis pulse and first web space Figure 1. Injury anteroposterior (AP) radiograph of tibia and fibula numbness. Angiography was done and showed disruption of the anterior tibial artery at the level of the tibial shaft fracture. Other than a scalp la
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