Chapter 7. Preparation of the cardiac surgery

I still remembered the moment I met the doctor who treated me, dr. Aryo Suryo, besides he gave the Operation Request Form to dr. Anwar Maizul who would operate me, he also gave two more forms to be given to the otolaryngologists (ENT specialist) and the dentist in the form of the Operation Preparation Form. FYI, in the Harapan Kita Hospital, which had got ISO-9000 certification, all the processes always started or ended by using particular forms.

Why were ENT and Dental surgery important for the operation preparation? Because both of these very necessary for the safety and ease of the heart surgery. If one was having problems with the ENT, there would be a fear of the ear; nose and throat germs spread to the heart so that the cardiac surgery wound healing could be obstructed. Similarly, if the cardiac surgery patient’s teeth contained a lot of the dental caries, there would be a fear of the dental caries’ germs spread to the heart and made difficult the results of cardiac surgery wound healing.

I then did the “self assessment” about myself, about whether I was fit for the operation according to the otolaryngologists or the dentist. From this assessment, I concluded that I would easily get a clearance letter from the otolaryngologist, considering I had never had a case or a serious otolaryngology illness before. While from the dentist I might find a little problem, considering the condition of my teeth since I was still a student which it had always been problematic.

My assumption proved correct; the otolaryngologist at the Harapan Kita Children and Maternity Hospital immediately gave me a clearance letter for the cardiac surgery. After examining my eyes using a flashlight and using the same flashlight to check my nose and ears, then the otolaryngologist used a kind of a tuning fork to be rung on my ears. While filling out the Surgery Preparation Form, the otolaryngologist said, “There is no problem with your ENT, Sir.” Mean that ENT preparation was completed.

And apparently… my tooth preparation was rather long-winded and took almost a month. The problem was that the dentist wasn’t always in his office. I then moved to one of the well-known dental polyclinic in Jakarta, and apparently the queue was amazingly so long because I’d been waiting for 4 hours but had not been allowed to come into the practice room. Finally, thanks to two dentists in my office, I told them that I would undergo a heart surgery in the near future, therefore, my dental carries needed to be cleaned. By my explanation, the dentists who practiced in the office helped me wholeheartedly. After nearly a month of struggling, I then could see the only dentist in the Harapan Kita Heart Hospital, dr. Desi Pontoh, who then wrote something on the Operation Preparation Form.

At the next control a week later with dr. Aryo Suryo, I gave him the two clearance letter from the otolaryngologist and the dentist which immediately were inserted in my Medical Record (MR). Then dr. Aryo called someone to get a date for my Bentall procedure surgery.

It appeared that I got a month later schedule, which was February the 10th, 2011. It’s quite a long time to wait, but it turned out that my long awaiting period had a special meaning…. February the 10th, 2011 was an ideal time for me to have Bentall procedure surgery.

Why? I would explain it later in the next writings….. (To be continued)

2 Comments (+add yours?)

  1. Heru Hartanto
    May 08, 2012 @ 15:21:02

    Mas Tri, I hope you get better and better.

    Mas, bahasa inggris saya jelek sekali. Jadi pakai bahasa saja. Dua tahu lalu, saya periksa di RS Lavellete, Malang. Keluhan saya jalan 1 km sudah terasa sesak, jelan cepat semakin sesak. Stres sedikit sesak. Setelah di ECG normal. Sebulan kemudian saya periksa di RSUD Dr Soedhono Madiun di cek yang sama tidak berbeda. Dua bulan berikutnya periksa di RS Siloam Surabaya dengan treatmeal. Hasilnya saya disarankan pake ring, plus diberi resep. Saya periksa ke “Dokter” gak pakai papan nama di Jl Kabupaten, Jogjakarta, katanya terjada pembengkaan di salah satu bagian arteri. Menurutnya, percuma di ring, tidak menyelesaikan masalah. Pembengkakan tersebut disebabkan sering memendam amarah. Kemudian saya terapi ala beliau. Alhambdulillah keluhannya berkurang. Selanjutnya saya periksa ke ahli kesehatan cina. Diperiksa dengan alat yang bentuknya semacam mikroskop. Kuku jari manis tangan kiri diberi cairan, kemudian melalui “microscope” tadi dilakukan observasi yang gambarnya dapat dilihat di layar LCD. Berdasarkan interpretasi beliau, ada masalah terjadinya pembengkakan di bagia arteri dekat jantung. Sama dengan hasil diagnosis dari Jogja. Baru-baru ini, bulan Januari 2012, saya ketemu ahli kesehatan dari Cina di Hotel Cikini, Jakarta. Di kamar, bersama dua orang lelaki lain sebagai pembanding, saya diperiksa melalui telapak tangan. Telapak tangan diberi air dari kran. Setelah diberi cairan dari botol, kedua orang lelaki itu tidak ada masalah, warna cairan jernih tidak berubah, sementara di telapak tangan saya berubah menjadi merah. Katanya ada masalah di daerah jantung. Kemudian saya diminta membuka kancing baju. Dada saya diberi air keran tadi, kemudian disemprot dengan cairan. Anehnya, pada bagian sedikit di atas jantung terdapat warna merah sepanjang 2 cm selebar 1 cm. Itu katanya terjadi pembengkakan sebagaian arteri saya pada lokasi yang berwarna merah itu. Lantas saya ditawari obat herbal asli dari Cina (saya tanyakan ke toko obat Cina di Malang, benar asli dari Cina). Saya lakukan pengobatan selama tiga bulan sesuai jatah obat herbal tadi. Sekarang sudah tinggal 20 hari lagi menjadi tiga bulan. Saya percaya saja. Saya ingin sembuh dengan biaya yang relatif murah. Hasilnya belum ada perubahan signifikan. Walaupun sudah ada perbaikan sedikit lebih kuat kalau Nggowes dengan teman-teman kantor 10-20 km. Ahli kesehatan dari cina itu menurut “surat tugas dari RS Siloam Tangerang” , saya lupa namanya, saya diberi kartu nama, adalah petugas palang merah internasional dari Cina yang ditempatkan di Indonesia dan mengaku “berkantor” di RS Siloam untuk Indonesia.

    Tulisan Mas Trijoko sangat bermanfaat bagi saya yang mempunyai keluhan seperti di atas.

    Terima kasih, semoga Mas Trijoko sehat kembali dan berakfivitas seperti sediakala.

    Salam

    Mas Heru,
    Thanks for the prayer…:)

    Actually, if I were you, I would have gone to Harapan Kita Heart Hospital to check my heart condition with an equipment which is called “Multiple Slice CT Scan” (MSCT Scan) which can map the heart condition complete with the condition of the blood vessels around heart. By knowing what the real condition is, then we can decide which further action (tindakan) needed to correct the faulty of the heart. That’s my opinion…
    In short, mapping the heart has to be in a right way. But take further action, can be considered later according to time and cost available to you…
    As further action, you can go to Chinese doctor, Japanese doctor, or American doctor, as you like. But as far as my experience goes, the heart surgeon at Harapan Kita Heart Hospital is very very capable of what he/she is doing…

    Reply

  2. Interior Design
    May 10, 2012 @ 14:23:25

    lekas sembuh yah mas…
    tetap semangat melawan penyakitnya… 😀

    Di tunggu kunjungan baliknya yah..

    Reply

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