Cerita dari Ruang IGD

Today we're talking with Dr. Gia Pratama. Thank you for coming here.

Mr. Radit, thank you for inviting me.

Yes, with Jaksel's son. But he's been in Cinere for a long time.

Yes.

Did you go to school there? I went to Labu when I was in the 4th grade. Oh, Gasper.

Okay.

Do you spend more time on IJD and hemodialysis? Yes, I do. I also do blood tests and blood washing. So, I face with blood and tears every day. Wow. Okay. Well, I'm currently watching... ...Pit. Do you know HBO?

Wow, you watch it too?

Yes, I do.

Cool. That's real.

Is it really real? Because there are many reviews saying that that say that's how IGD is. Yes, that's really IGD. Including people waiting outside? Yes. And we have to be good at calming, reducing panic, patients and families who deliver.

That's the best series this year. For me too, it's the best series. IGD about IGD. Even though there is a trauma code in Korea, have you watched it? Not yet. That's also cool, But The Pit is better.

The Pit is crazy. The best. It's really... We watched it like, oh, it's like this. Yes, now imagine me there.

Oh, yes.

Heart attack, heart attack, DBD, bleeding. Blood fever is bleeding. Right. What if The Pit has if someone had an accident and had to be cut off at that time? They had to be stitched.

Yes, they had to be stitched and fixed at that time. They had to be opened and then what? Was it done here in Jakarta? Yes, where else? It couldn't be done in the police station. What happened? Where did the doctor have to perform an autopsy on the spot? What happened? Where the doctor had to do a surgery on the spot?

What happened? At 5 AM, the parents and their son came to me. They said, please help me. I said, I know him, he's my neighbor's butcher. Oh, butcher. The butcher brought his 17-year-old son.

The son helped him. Do you know there's a meat grinder? He put in a kilo of meat. He was still sleepy. I put in a kilo of meat, and his hand was following me.

Then he came and put on a pair of gloves. I was like, this is weird.

Why is his hand shape so weird? It shouldn't be like that.

When I noticed,

oh my God, there was no hand. So, the position was like this. It I noticed, oh my God, there was no hand. So, the position was like this. It was gone. I opened it, the sarong was really great. But the sarong, I don't have to mention the brand.

The sarong could hold the blood. So, I fought with the blood. But I honestly prefer the blood that looked like that. It could be held, right? Tie it with a rope or something, for the bleeding. It's different from the internal bleeding that doesn't look like that.

It's more troublesome.

What's the example? The gallbladder, it's beaten, the rupture is tight. There was that, it went in at that time. The heart was torn. That's the bleeding. I nose and the blood pressure kept going down. It was more complicated. It was better if the blood was coming out.

So, at that time, you couldn't save your hand, right? Well, yes. The important thing is I stopped the bleeding until... Don't let it fall unconscious. And that's DJ? Our blood is only 5 liters, right?

One human body.

Oh, yes.

That keeps spinning with our heart. Our special heart, right? It's always in our heart. It's special. So, you don't need to have a transfusion? Of course. That kid? Of course. His blood pressure is down. I can see it in his eyes. It's so pale.

His blood pressure is down. So, it's dangerous. Yes. And the blood is so advanced. There's no human technology that can create synthetic blood. So, you have to donate blood. So if you donate blood, honestly, it saves a lot of lives.

Okay.

And is blood always available?

Always.

Oh, it's always there. Because sometimes people like to dig stories, looking for it. Blood is safe. But the PMI supply is okay. Okay, then sewed, safe. What about the one that was caught? There was a story about that.

Yes, that was the one that was stabbed. But there was also a stab that still stuck in the head. I had to take care of it. It was so tense and exciting. About the internal bleeding. When he was hit, he had internal bleeding.

So what should he do? Should he bleed out? He should stop the bleeding. The principle is that the blood can only be in the blood vessel. If you take the blood out, it will be in the heart for a while, and then it will still be bleeding.

Oh, it's leaking inside. What does the doctor do? This is an interesting story. I was in Garut. I was in the RSUD Garut.

Okay.

I was a doctor, I was a doctor in the RSUD. I was taking care of my son, at 2 AM, suddenly someone knocked. I was speaking Sundanese. I was in the consul's office. Can I come in? Yes, sir. What is it?

I'm from I took it. Masya Allah, this is a womb. Where did you get it?

In the car, bro.

I brought it here.

The womb was taken off his body?

In the bag.

How come?

That's why I asked him to get off. I used the bumper, bro. I saw his face was pale, like a wall. How did it happen? I was on blood pressure. How much was it, Radit? Around 170.

Around 180. This was 70. I was on infusion. How did it happen? After the birth, Mr. Radit, do you know what it is? I don't know.

The baby was born. The baby was born safely, only the placenta is left. The placenta, okay. The placenta is attached to the uterus. You should be patient, it will come off in 15 minutes. But, Radit was not patient, he pulled the central cord.

So, the uterus was pulled down, down, down, down. It was stuck in the vagina. What is that? Pull it out. It was coming down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, down, Our definition of fun is a bit different, right? Until the womb is detached from the body.

Yes, yes.

Then, I had to consult with the OBGYN, right? The gynecologist. Oh my God. I called the other consul and said, Doc, there's a case. I immediately screamed, what?

Let's go now, let's operate.

Okay, Doc.

I let him go out, this must be operated. What's wrong, Doctor? Please, please. In Sundanese, it's...

Please, please.

Please, please.

Okay. In short, I was ready. I helped the assistant at that time. The doctor came. He changed his clothes.

We were in the operating room.

I was nervous.

We said, Bismillah. Bismillah. I opened my skin, my muscles. My stomach was full of blood. I sucked it out. I even used my hands to remove the blood. My heart was beating so fast. I got one, I got a clamp. I got 12 clamps.

It was closed. The blood? The bleeding was pinched, bro. Okay, now we see the vagina. Vagina is like a cylinder. Imagine now the cylinder has a closed uterus. Now imagine the cylinder has no uterus.

So I can see the vagina from the inside, bro. Because there is no vagina. No atep. No atep, yes. Finally, it was closed. There's no hole.

No, the vagina is made like a dome. Oh, like a reconstruction. But the dome is not the outside. Again sewing the vagina, smelling poop. You fart? He said no.

I asked him, did he smell? He said no.

I asked him, did he smell? He said no.

I asked him, did he smell? He said no.

I asked him, did he smell? He said no. I was like... It wasn't the option part anymore, right? Finally, I called the part of the sword. The sword came. I saw the sword coming. It felt like the Battle of Bastard. When it came.

The cavalry came. It felt like that. The Avengers came. The Avengers came. On your left.

It was like that. It's like this.

It's like this.

On your left. I was so happy. It was fun. He took care of my stomach, I took care of my vagina. Finally. He took care of my stomach, I took care of my vagina.

Then? I stitched it. It was good. I closed the stomach. It was dry. I closed it. I closed it and it was good. I covered the uterus. I closed it. I had two blood transfusions and went to the ICU for two days.

Two days later, I moved to the normal room. Four days after the surgery, my mom came home healthy and fresh. She said, Dr. Hathun,

That's amazing.

After all the tissue was torn, the uterus, the lungs, the stomach, stomach is empty because there is no womb, right? But the womb is very small. The womb is only as big as a woman's palm. Oh yeah. The size is only 70 grams if it is not filled.

When it is filled, it becomes... That's why I said the womb is a very special organ. No, we men don't have that special organ. It's a group of muscles. If it's in a child, from 70 grams, it can turn into 1 kilogram, it can contain 3 kilograms of baby, 1 kilogram of placenta, 1 kilogram of uterus, and when it's out of the womb,

it can go back to normal size without losing its function at all.

Wow.

It's expanding, expanding. So, respect to all the owners of the womb.

That's crazy.

We have a muscle line like that, the heart. It's the same, the muscle line. But if our heart is swollen, can it go back?

Yes.

The lumbar muscle line. If we are very big, the lumbar must be operated. It can't go back. But the womb is growing, it's growing. It's special. But Rahim is growing up, he's back to business. Back to himself. Special. So, the doctors in this emergency department have to understand everything, right? Yes, so it's like the police, after sleeping,

they have to take him to the hospital, to the maternity ward, to the emergency department. But the first line is the doctors in the emergency department. Yes. So, they have to be accurate in seeing this, right? And I was the head of the installation of Gautar during the COVID. It was so fun.

So it's like in The Pit, the main character, he only works like... That's right. Okay, I'm leaving. Yeah, my team is like that. My crew is so good. I'm so happy. No wonder you like to watch The Pit, because it's your life story. Relate.

But it's really cool. He comes to watch The Pit, because it's about your life. Relate. But it's really cool. He comes to see. Can you do it? Yes, I can. Relate. Because he has to be able to do everything there. So if he needs help, he can do it. Is there any child in The Pit? No, not that big.

What's the name of the resident? Resident. No, right? Wow, that's so exciting. So, the case is about the infectious, the transmitted disease, the non-transmitted disease, and the accident. Those are the three combinations.

What about the infectious disease? What's in your head, Radit? If I say infectious, transmitted...

Yes, flu.

Ah, flu. What is that, sir? What do you mean? The cause. The cause of the virus when the immunity is low? Yes. So, I have to give an explanation. So, our eyes are amazing.

Our eyes are 576 megapixels. But it's very limited. We can't see too much light. We can't see too little light. We can't see too much light. I can't see too little light. I can't see things too far. I can't see things too close.

I can't see things too big. I can't see things too small. It's so limited. So without us realizing it, we're actually living in a world of microbes. Bacteria, virusesquitos, everywhere. In the glass, on the paper, all of it, full of microbes.

We can't see it, right? And indeed, God forbid, maybe this story is like that, so we don't live in fear. Because if you don't see it, it's horrible. Well, they, every day, not every day, every second they try to enter Radit's body.

Why doesn't Radit's body every second.

Why doesn't Radit get sick every day? Who's fighting on the left and who's serving on the right? Immune system? Not one person. A cell called Leukocyte. White blood.

They fight every day to protect Radit. He's only four days old. Four days old? Oh, the white blood cell is four days old? Yes, he's bitten by the fungus virus bacteria every day. What did he do after that? He died, replaced with a new white blood cell.

He did that all the time. Now, as the owner of the white blood cell, do we want to help our team? Or do we want to let him fight alone?

Right.

I want to help. How? I want to get to know the enemies. Bacteria, virus, fungus. The way they get in is different from our body.

Okay.

What is the disease that you know? The cause of bacteria. TBC. Ah, TBC is a bacteria. It attacks the lungs or other organs. But mostly the lungs.

Especially bacteria.

Bisul, bro.

Bisul.

Bisul, that's called bacteria. Or bacteria. Bisul, bro. Bisul. Bisul, that's bacteria.

Okay, bisul. Tipes, tipes. Bisul, bacteria. I'm just telling you. I'm just telling you.

Yes.

Tipes? Yes, tipoid. That's bacteria, bro. I've been vaccinated with tipoid.

Oh, okay.

It turns out there is. There is. If it's a virus, what's in your head when you talk about virus? Common cold virus, maybe. And then, the one that was mentioned before, COVID. COVID is actually a disease.

The virus is corona, right?

Hepatitis. Hepatitis is a virus, right. A virus that is infected. So it means that every day, all of this is there to enter our body. Yes. What is the most prevalent in the IGD?

Oh yes, a lot.

All the infectious diseases are in the IGD. TBC is a heavy condition. You can't breathe, you can't breathe, you can't breathe at all. Oh, one more thing, mosquitoes. Mosquitoes like to be in a humid place. That's why there are mosquitoes in the bathroom.

And our bodies are also like that. Our bodies are the most humid. It can be folded. That's why mosquitos often grow. Especially in tropical countries. Yes, we keep sweating.

Actually, there is another humid place in humans, which is the mouth. But why don't we have a mosquito bite? Because our team was amazing. In cases like HIV patients who are already AIDS, the number of the team dropped. As a result, the mouth is full of fungus.

Okay.

Now, how bacteria enter our body, they split into 1 to 2, 2 to 4, 4 to 8. If the virus specifically enters certain organs, like HIV, maybe it doesn't attack our eyes. No, HIV specifically attacks the leukocyte. Hepatitis specifically attacks the heart. So we're facing microbes microbe like that every second.

So it means that in order to not get sick easily, we have to maintain our physical strength. Yes, if we get sick, we lose, right? That's right. Only when we lose, we get sick. I just recovered. What? of illness?

I had a flu, but the sound was gone. So, your voice was gone. The sound was gone. And I went home with a sore throat.

Oh my God.

The doctor said that I was tired. Because I played with a sore throat, I was tired too much. And the virus is manifested. He said that. Well, it means that taking care and planning when we have to exercise, rest, sleep, it helps with endurance. Bro, there's a formula, bro.

You can put it in yourself and your family. I call it the risk of infection formula. How is it? RI, I'll make it short,, is equal to GM divided by IT. Okay? RI is the risk of infection,

is equal to GM, the number of microbes, divided by the immunity of the body. So how do we reduce the risk of infection? We have to reduce the number of microbes and increase the immunity of the body. Okay, so you don't have to stay at home.

Yes, how do you deal with the amount of microbes? Yes, it's true, it can be from people, from dust. But if it's from the air, it's not from people, it's from mosquitoes. It means we have to protect ourselves from mosquitoes. The problem with mosquitoes, DPD, AEDES, AGEP, they like clean water.

The important thing is that there is clean water, not just a slogan. That's why good houses, even if it's a house with a good house, it's not avoided by the DPD. Because they are aiming to develop their wealth in clean water.

Okay.

But is it normal for people to get into the IGD because of the flu? It's usually because of the flu. Oh, because of the fever. The fear of the temperature, it's not good for everyone. Everyone's body aches. Yes, even children and adults. But now it's also because of the weather, right? Yes, that's right. The weather has increased the number of microbes.

Okay.

The heat changes, it rains all day and night. Okay, okay. There's a lot of water left. That's why the 3 known as 3M. It's for cleaning, throwing away garbage, recycling. Okay, what about the smoke?

So that in this uncertain weather, it can still be fed, right? That's right. So, there was enough nutrition earlier. Nutrition consists of macronutrition and micronutrition. Unfortunately, in Indonesia, most people only eat macronutrition. There are carbohydrates, rice and noodles, right?

Okay.

Less protein and less micronutrition. It's vitamins and minerals. Vitamins and minerals include micronutrition? Yes, where do we get micronutrition? Mostly from fruits and vegetables. Fruits and vegetables.

We hope that the fruit contains enough vitamin C and minerals. How to make it easier? Fruits are...

Yes, sometimes it's a hassle.

How about we make it easier by adding juice? Juice? Okay, like we stock it in the fridge. Like this. We drink it often. For Vita who has a hangover.

What about this? This is ready to drink, right? Ready to drink. Now we see there's a nutrition table. Nutrition table, vitamins and minerals. That's how you read it.

There's a measurement. How many packages? 2, 4, 5. The way to read it, there is a number of sages. One sage. How many are there? 2, 4, 5. 2, 4, 5. That's one sage. I think so.

So, whatever is in that box is one sage. Oh, I see. How many are there? Read it, I'll explain it later. Okay. Total fat, lean fat, zero, zero, zero, no.

Good. Vitamin A, vitamin C, 100%. 100% from the AKG, which is the amount of nutrition. Oh, I see. So, if you drink it, maybe the vitamin A, the amount of nutrition is already fulfilled. Okay, and without preservatives too, without synthetic color, without artificial sweetener, without preservatives. Yes, that's it. Good, right? Okay, and without preservatives, without synthetic color, without artificial sweeteners, without preservatives.

Yes, that's it.

Good, right? Okay, very good. Because the kids like it, I like it too, it tastes good too. Okay, so this is safe, right? If in the season, like this, I drink this, no problem, right? Safe and maybe it helps to boost our body's metabolism.

For the vitamin C. Because there are vitamins. Vitamin C is full of daily needs. That's the important thing. This is crazy. I'll put it here. I don't know, but this is just gossip.

The gossip is about the current DPD. Because our neighbor is a doctor. He's taking care of the elderly. And the neighbor came to my house and said, be careful, you're having a DPD. And then I asked around, and this is the gossip.

The gossip is that the current DPD is more... How do I say it? It's more severe. It's more severe because there's a case where a child got a DPD and went straight to the ICU. Because back then, I was in school, I didn't think it was that serious. Is it really worse now? Yes, but I'll tell you about the DbD first.

So DbD is a dengue virus, right? There are several variants, 1, 2, 3, 4. D1, D2, D3, D4. The virus is different from HIV, different from the flu, different from the SARS. It aims to destroy our thrombocytes. Do you remember when you were in high school? For example, this glass of blood. What is the substance of this glass of blood?

There are red blood cells, white blood cells, and one more, blood clots.

Okay.

And the plasma, the liquid that contains the nutrients. Now, the task is different. What is the function of red blood cells? To carry oxygen from our lungs to the whole body. So, when Raditya breathes, it puts oxygen from the air to the lungs.

When it reaches the lungs, it's not our job anymore. The job is the red blood cells. Take the oxygen and distribute it to the whole body. If the white blood cells already know, the job is to fight. Well, this thrombocyte is similar to... What is it called?

What is the name of the anti-leak coating? Aqua proof. So that it doesn't leak to the blood clot? Keep the blood clot, the blood inside doesn't leak out. It's coated. Oh, if there's no it...

What happens? It means it breaks out of the blood clot? It breaks, right? It becomes bleeding. Oh. So it's easy to bleed. It's bleeding from the blood vessel.

That's why it's called bleeding fever. Yes, it's bleeding, it's bleeding. It's better if you can see it. If the internal bleeding is in the lung, can the bleeding be in the lung? It's very possible.

The promotion of vessels in the eyes. It can be blind, right? That's why we're afraid of children. It's called DSS. Dengue Shock Syndrome. So the blood pressure is high because the blood vessels are leaking everywhere.

The red dots. If you spread it, the redness won't go away. That's a typical DPD. Because there's bleeding there. So, the question earlier, is it true that it's heavier now? Yes, it's true. The condition is really fast.

High fever for 4 days, suddenly, it's just weak. The kid is really weak, like he can't do anything. We call it the break bone. Like it's broken, the kid's bones were weak, pale, and he was too lazy to eat or drink. Was it lighter back then? Not really, right? Maybe just an anecdote.

Maybe there was no variation. It was just the conditions I faced every day. Maybe this time, in today's world, it felt worse, maybe because there were a lot of people who were busy, and you only found out on the fourth day. Maybe that's it. Yeah, when I was there, I was like, why is the thrombocyte only 12,000 or 13,000? Normally, it's around 300,000, right?

That thrombocyte.

So, what about the patients in the GED that the doctor often sees? Sometimes it's too late, right? Yeah, it's so itchy. It's already, what is it, it's really itchy. Well, it must be infused immediately, bro. The salivation is liquid, that's the difference. I infuse it according to the weight of the body. For example, the weight of the body is 30, I adjust the dose of the infusion.

To immediately increase the tension again so that the air is filled again. Okay. Wow, so you see that every day. And TBC is also said to an endemic, right? TBC is also a sad thing. 10 years ago, we were in the third place. How many places are we in this year? TBC in the world?

Two.

After India, right? Is that good news or bad news? Yeah, it's bad news. Because it can spread, right? TBC can spread. And the medication is taking a long time, maybe that's why it's difficult.

Yes, that's why we have a task at Post Cresmos to drink the medicine. To make sure he drinks the medicine.

How?

Watch the medicine. Watch it at home? Yes, it's per airway, right? Watch it at home, do you drink it? Yes, because the amount of medicine is not counted, how much is left, how much is left.

Oh, you count the amount of the medicine. Yes, it's packaged. Because if the medicine is not finished, it's dangerous. Or it's skipped, it's even resistant. It's resistant. And the resistant bacteria to other people, it's hard to cure, right?

Half dead, that's real. How do you protect doctors in the IJD to not get TB? Not everyone gets TB and immediately gets sick. If we have a good body condition, it's okay. I've been dealing with TB, thank God, it hasn't hit me yet. Okay.

Gilang here. He coughed for three months and didn't get better. We were all suspicious.

Not necessarily the ICU.

No, we just wanted him to leave the hospital and go to the hospital. We were suspicious, so we told him to go to the hospital. Did he get a ronson?

No.

You said he got a ronson?

No, I said he got a checkup.

Oh, he got it from Ronson. I got it from Ronson. I got it from Ronson. I got it from Ronson. I got it from Ronson. Not a kidney failure, but a lung failure. Lung failure, Mas. No, you can also have a lung failure. I'm talking about the long term.

It's been more than 2 weeks, 3 weeks. Who knows, GERD. It's a short term. Gastroesophageal reflux disease. So the acid irritates the throat. The water will be itchy.

Because it's easy to screen, if there's no fever, it goes up and down. If there's no body weight, it goes down. If there's no sweat, it's not TBS. Doc, my wallpaper, my phone, is Asam Lambung diet. Asam Lambung diet? LPR.

Oh yeah?

It's already here.

Seriously?

Yeah.

You can't have milk, you can't have coffee. Yeah. You can't drink milk or coffee. So, the only thing that can cause the acid to be that big is bacteria or virus. The food that irritates you, right? And also, it's worrying about something more.

That's it.

This nation, Doc.

Worrying about Indonesia.

Worrying about Indonesia. Okay, Doc. So, you your days in Gawat, right? Yes, and since Kambing Jantan, since Cinta Berontosaurus, I decided to be a writer too. Really? Yes, and I became a writer because of Bang Radit Perjalanan. No way.

Really, really. So I became a writer because of Mr. Radit Perjalan. No way. It's true.

I also wrote the first book. I brought the book, Ubur-Ubur Lembur, in 2018. That was my first book in 2018. The one you read?

I wrote it.

I wrote it because I read Mr. Radit's book. And I... If I write a book, I have to meet Radit. I met Aziza first at the Betadine event.

Oh yeah?

You didn't tell?

You're blowing your head off. I was confused. You met her at the Betadine event. I met Aziza first. Oh yeah? I just met Radit today.

So I brought the book, Ubur-Ubur Lembur from 2018. And I want to give my books to Raditya. Oh, thank you. I've made 5 books but I brought 3. What's the last one? The last one is Legarda Detak,

Antology Gawat Darurat. It's a collection of stories from the IGD. I made 40 books, similar to Chicken Soup for the Soul. I know. That's the medical version. So, every time Radit wants to read Bap 17,

he can do it first, 30, he can do it. He's free, he won't lose his meaning. It's like a short story. So, there's a diagnosis, there's a conflict, there's wisdom behind the story. Oh, no wonder you like The Pit again.

Right?

Scrubs, watch Scrubs. No, I mean, I just watched the first episode, and then I stopped. What? Grace Anatomy? Grace! That's a legend. But that's for most of the dramas, Grace. Yes, it's a long story. A few seasons. Thank you, Doctor, for coming here. Lastly, for those at home, is there anything you want to say for the current situation? Yes, for all of you, the current situation is hot in the afternoon,

and it's raining all day. Let's take care of our immune system. Remember the formula, the stress-eco-infection formula. Eat nutritious, don't forget to rest, don't forget to exercise. God willing, we will be free from all the infections. Sorry, I just took a sip. Sorry, I just took a sip.

Thank you, doctor. Thank you, everyone.