Digital Subtraction Angiography

Two weeks ago (4th March) at 9.30am, we got a phone call from my family in Bogor: my grandfather had a stroke. His right extremities are all weak (hemiparesis) and he doesn't talk clearly (disatria). He's the kind of person who does not want to have medical check up and does not care whether he's sick or not. He does not want to be taken to a hospital so my mom, dad, bf and me had to take 2-hour drive to Bogor (luckily only some traffic along Jln Baru Cimanggu due to construction of LRT, and Winfrey drove the car) and had to "trick" him to just have CT Scan... along the way, we asked uncle's wife to buy some medications first (Atorvastatin, Miniaspi), but only had grandpa to take Atorvastatin. It took us 1 hour for him to say "okay, let's go". We had to secretly pack his clothes and his daily necessities.

We headed straight to Siloam Hospitals Kebon Jeruk (coz my grandfather had BPJS), arrived at 14.30 (took us almost 2 hours to drive from Bogor via Parung, and again, Winfrey on the wheel). He had his blood taken, MRI and ECG, and had some medications, blood pressure was 190mmHg systolic. Then we had to wait until 18.30 for confirmation of the room that he will be spending the next few days in. Everything was settled at 20.00. Grandpa insisted to go home several times, and we had to persuade him again and again that everything's okay.

The next day is Sunday, so there were no therapist available, both neurologist and cardiologist will have a look at grandpa around afternoon.
On Monday, doctor from rehab stopped by to check on him and to plan out his therapy sessions. He will have occupational therapy, speech therapy and physiotherapy everyday until he checks out from the hospital. His neurological motoric status for right arm is 2222 and right leg 3233. During the next few days in hospital, it was extremely hard for him to eat; he coughs a lot. So he had to focus and concentrate to swallow. He only ate 2 spoons (not spoonful) in every meal.

On Tuesday, we decided to consult to dr. Soewandi, SpRad (K) (interventional radiologist in Central Army Hospital) for the probability of DSA for grandpa. We only meet him for about 15 minutes to discuss about DSA, then we decided to wait until his therapy is finished at Siloam. After 3 days, grandpa is allowed to go home, but we decided to directly take him to RSPAD (Central Army Hospital). Just a note, to patients with BPJS and topup (eg. from first class to VIP), pay extra attention for examinations and medications which are suggested at the first hospital that we went to, because not all examinations and medications are necessary but patients without topup, it's fine.

He had chest XRAY and MRI (7 pieces of film plus MR Perfusion) that night. We were hoping that he can have DSA tomorrow or the day after, but we realized that it was Friday, and no procedures are planned during weekends at Central Army Hospital. After some discussions with dr. Erwin, SpS and another consultation with dr. Soewandi, SpRad (K), we decided to check out from Central Army Hospital early tomorrow morning, and take grandpa to Mitra Keluarga Kelapa Gading Hospital. There are few considerations to choose Mitra Keluarga Kelapa Gading:
1. We have MRI, thorax and lab results, we just need DSA.
2. DSA is available on weekends at 2 hospitals in Jakarta: Pluit Hospital and Mitra Keluarga Kelapa Gading Hospital. During weekdays, DSA is also available at Central Army Hospital.
3. Nearest hospital from Central Army Hospital is MKKG.

The next day (11th March 2017, 07.30am), my auntie, auntie's friend and I, arrived at the hospital. My cousin and I directly arrange for checking out from Central Army Hospital. All administration were finished at 9am. We headed to MKKG, arrived at 10am, submit some papers for admissions and were settled in the hospital room at 11am. Grandpa was already scheduled for DSA at 14.00, but had to run some blood tests again before the procedure. We had dr. Poppy K Sasmita, SpS, as grandpa's DPJP.

At around 11.30 or 12, blood test results came out, and his leukocyte was 16k-ish. dr. Soewandi, SpRad (K) then had to consult with dr. Iskandar, SpPD, and had to have Procalcitonin. This is marker to evaluate whether the patient has inflammation (infection) or not. If the result is positive, then we had to postpone the procedure and wait until it is negative. Thanks God, it was negative, so we are able to proceed with DSA. Grandpa was then brought to operating room at 16.45ish, and had DSA at 17.10.
We were all able to witness DSA in a room with windows overlooking the operating table and monitors which shows MR scans during the procedure, vital sings, etc. After about 30 minutes, procedure was finished, dr. Soewandi, SpRad (K) had grandpa lift his arm (surprisingly his motoric status was 5555!) and lift new infusion bottle (500mL), and miraculously did it!! We were so touched at the result and some of us can't bear our tears. We were all then told to go in and meet grandpa....

We had to make sure that grandpa should not bend his leg for the next 5 days to let the wound (which resulted from DSA) to heal. During the next few days, grandpa had speech therapy and physiotherapy. After 3 days, he gained his appetite and ate meals provided by hospital, plus snacks that we bought. After 5 days, we tested motoric status for his lower extremities, and it was 5555! We brought him to my home on 16th March 2017 to make sure grandpa is able to walk, take a bath, and do all daily activities by himself, then he will move back to Bogor.

Just a rough idea, for blood test, MRI and MR Perfusion at RSPAD is about 5mio, and the DSA itself differs in "healthy" patients and "sick". At MKKG for "healthy" patients, it's about 40ish mio (you only need to be hospitalized for one night, then you can go home, it's just to make sure that you don't bend your right leg). For "sick" patients, it's 40ish mio plus medications and blood tests, so it varies from one patient to another, depending on the diagnosis and condition. So others out there with similar experience, hopefully can get something out of this post, especially regarding DSA.

We celebrated his birthday yesterday, mom ordered "nasi tumpeng" from pandan (tumpeng from pandan turns out very tasty. The rendang is very recommended! But the satay is so-so.) Mami's friend also brought cake, but it wasn't very good, not recommended (from Grandville Island). Cely, me and my bf (Winfrey) bought a nice little cake at Lippo Mal Puri, well we bought it because it was very cute, and turns out it was good! Very recommended. Cely and I also prepared some balloons (transparent ballons: Happy, Birthday, Engkong, Gunawan, Hoesada; and some silver and gold doff balloons, just for decoration. That day, we also had grandpa to have acupuncture for both his right arm and leg, which took about 1 hour. This actually helped him to get his balance. He admitted to us that he felt improvement after acupuncture.

He's now able to slowly eat by himself with little help from mom to put food on the spoon, but he's able to lift spoon into his mouth. He sits and eat with us together around the dining table (in fact, a lot). Sometimes he walks from the room to family room to watch TV, then to the back porch with my uncle's staff from Bogor to guard his back or sides in case he looses balance. He exercises his feet and hands (with mom's help) every morning to gain more and more strength to his legs. I'm proud of his effort to gain strength although sometimes he still says that he's no longer useful and he can't do anything. All of us persuade and cheer him up every time so that he is also confident in himself.... I'm sure he's able to get back to his normal daily activities soon..... All of us are very grateful for Him, for His healing hand upon grandpa. Thank You, God!!

Grandpa showing his right arms are now strong!

(Left to Right) Top row: mami, mami's friend, dad, mom

Bottom row: me, grandpa, mak, Cely (my cousin).

He's actually 79.

Little birthday cake (Credits to Cely for the pictures)

Balloons Happy Birthday Engkong Gunawan Hoesada!

Last night (21st March 2017), we (mom, Cely, staff from Bogor and I, plus our driver) took grandpa to MKKG to have his appointment with dr. Poppy K Sasmita, SpS, and dr. Iskandar, SpPD. dr. Poppy was fascinated by grandpa's improvement, because the last time she saw grandpa, he was still taking itty bitty steps. She also said that grandpa is one of her patients with the fastest progress and improvement. She prescribed grandpa with Piracetam, Citicholine and Clopidogrel for one month. FYI, she's one of the most angelic physicians I know. Appointment with the internist was not very fruitful, though. He prescribed NaCl and Bisolvon (for nebulization because we asked him to, he was given nebulizer at Siloam and felt better from cough). And although he knew I was GP, he did not give FOC. Oh well...

This morning, grandpa had his second acupuncture appointment at home. After one-hour treatment, he was able to sit-stand-sit-stand for 12 times!! We were extremely touched and surprised. According to the shinshe's (we call him shinse), grandpa can have acupuncture for only one month because he his progressing very fast. Usually his patients have appointments for several months. Some patients even for one year. So grandpa is actually very lucky, thank You God!

in two months

Took me 1 week (today is day 10) to adapt to the fact that I'll be spending one year in a city in East Java for my internsip program. Two of my friends (one female and one male) and I decided to choose RSUD Balung (we went to an internet facility in Tangerang area at half past 7, then to choose the right computer with a fast internet). It was my 3rd PC before I was finally able to get the right one, honestly it was quite terrifying because they had the right PC right away while I had to shift to 2 more PCs.

Anyways, after we got RSUD Balung, the female friend and myself still can't believe we chose that particular place. We're not sure whether to be happy or to be sad or what. Then tears started to flow (okay, it's unnecessary, but that time was just emotional for both of us).

We didn't go home right away, we chatted for like 10 minutes, then I decided to wait for my bf in one of a fast food restaurant nearby. At half past 8, one of the participant of this internsip said that East Java had no slots left, so they had to back off this time (because her husband did not allow her to take other internsip place besides East Java). This time, my bf had picked me up. And again, honestly I'm not sure whether I should be happy or not. I tried not to cry in the car, but I can't help it when we arrived at my bf's brother's boarding house. In the next two months, I'll be miles away from Jakarta (from him), to a place somewhere I've never been before. I was trying to imagine, if I was single, I think I'd be relieved, probably? Because I was finally able to stay out of my parent's reach (haha!), but on the other hand, away from him. He was also kind of sad as well.

So, all our plans (I think) changed. Before, we still thought that we will spend our internsip program in one area (Banten). We decided to exchange rings before I depart for my internsip, as a reminder that our hearts are in each other's hearts. I promised him that we will meet in Surabaya whenever we miss each other, possibly every 2-3 weeks, depends on the schedule actually. I will also try to compress my duty schedule so that I can have longer holidays to have time to go back to Jakarta. We'll just have to see later on....

A week ago, we decided to buy rings. My best friend's uncle and auntie actually have a jewelry store in Jakarta), so we thought it would be best to buy it there. But we didn't go there until few days ago. There were so many, like countless, of designs showcased. My bf wanted a bling-polished, and I wanted a doff one. I think it took us like half an hour to one hour to choose this design that the two of us finally agreed on. What I like about jewelry stores (not in malls) is they charge us like really for the gold and making-process cost (because it's handmade). Those stores in malls charge one pair of rings for like more than 10 mill, some more than 20 mill, while actually they only cost half of it, not even half, possibly 25% of the price. Well I get it, they need to pay for their employee, maintenance, electricity and all, but still, it's somewhere over the sky. And yes, we bought the pair of rings for below 10mill, without any diamonds because diamonds cost like 25% of the total price of the rings itself. Don't think it's necessary, this isn't for our wedding anyways (will have another ring for our wedding)

I think I skipped the part when he asked me on a date to Ancol (because we purchased Dufan annual pass) the day after I chose my internsip. Oh gosh, it was fun! He really made my day, although we did have some misunderstanding here and there, but I think that's why I love him. Again, we were not able to enjoy Ice Age and rafting, but we rode several "games". We were quite tired so we decided to go home, it was like 4pm-ish. We thought of stopping by my house to take a shower, but it wasn't very time-efficient, so we decided to enjoy the rest of the afternoon and evening in Ancol. Tried to look for the beach, but he saw "ecopark" and forced me to stop by ecopark (he seemed to know what to enjoy in ecopark, I thought it was something dealing with water, but from the parking lot.... didn't see any presence of water). Turns out to be garden, we can walk or run or bike-riding. They offer bike rentals, single bike or couple bikes. Bike for one person cost 25k, and couple bikes cost 50k, he took the couple bike. I still can recall the fun that we had, we never ride a two-person bike (I don't know what it's really called). For me, bike saddle for the person behind the steer is quite high. I can't even reach for the saddle with the steer, maybe because I'm short? Went around the garden for only 5 rounds because ecopark closes at 18.30.

Then we head to the beach, had some chit chat and selfies until it was starting to get dark... So browsed the internet for a restaurant nearby for dinner. No specific plans for that day, just Ancol. It was quite nice, although there wasn't many choice. Tenderloin beef strips were not showcased until we were half way through dinner, and enoki wrapped with beef were also only 1 plate provided. Besides that, it's amazing! Because there were a few shots of fireworks somewhere in the Putri Duyung cottages (I think), it was our first time to watch fireworks just the two of us (again, I think). He was like "I ordered that fireworks just for you, more fireworks soon", and I was like "right...... like I believe you really had that fireworks for me". And.... the day had to end, so we had to head back to my house.

Just one word to describe that day: PERFECT!

He really knows how to cheer me up, and the only one I can imagine spending the rest of my life with. Although we will be separated miles and miles away, we'll make it. My granny was sure happy that I took East Java, because that means he will visit Surabaya very often and meet me there. Before I chose that, she kept asking and insisting us to go to Surabaya and spend 3-4 nights, but we had difficulty of organizing our schedule.

So... can't wait how our ring will turn out! :)

Cao!

from Germany, with love (part 1)

So here we go. November 10th, 2014.

We had a short transit at Kuala Lumpur around 11.30ish local time just for about 15 minutes. Then we board into the airplane again, sat at the same seat as the trip to KL. It was quite a long journey, about 13 hours, but I managed to stay put. Actually I tried to sleep but I can't, but in the end, I slept for about 3 hours. We were served one meal, one snack (it was so-so), and was offered drinks twice (tea, coffee, water).

We arrived at Frankfurt Airport at 07.30, boy, it was still quite dark, seems like still 05.45 in the morning, and not to mention, freezing cold. Before we landed, we put on long john shirt, then when we landed Mom had us to put on "long john"s pants inside the jeans we were wearing, honestly I don't know what "long john"s actually meant. But it was warmer afterwards.

We were confused at first at finding our way to the baggage claim. Dad almost led us the wrong way (he was following the crowd of people towards somewhere I don't really notice), but we managed to find our way. Baggage claim was one level down, they had us going down the escalator near the exit from the boarding gates. It was quite easy to find actually. And we were one of the few people who were actually down there waiting for the baggage. It wasn't more than about 15 minutes that we had our luggage packed onto the trolley (we had to deposit 2 euros to use the trolley) and then headed to the exit to find the train towards Frankfurt Hauptbahnhof (meaning Frankfurt Central Station). We had to go down one more level to the train area to "register" train tickets from the "DB" counter, then again down one level to wait for the train. All these time me and dad were trying to find sim card, but wasn't successful. Arriving at the train area, there was one train waiting to depart, but the doors were soon closed. We thought it was departing like in one second, so we thought the next train was okay. But it didn't depart until like 1 minute afterwards, and few people who came after us pushed the red button on the sides of the train door, and the door just opened. We were like "huh? The door can be opened?". We though it was like the train doors in Singapore, when it was shut, we should just back off from the door and wait for the next train to arrive. So that was epic. People in the train were like staring at us. Okay, I was quite embarrassed.

And so, we took the next train. Mom carried the big luggage, dad had 1 big and another small luggage, and I had 1 small luggage. Okay, it wasn't fair. Anyways. Haha. On the next train, mom made sure that we were on the right one. Then the train had some issues (I don't understand what they said in the announcement) that the train had to stop. After the announcement, people around us were like "what??" And some drop jaw, but we were like showing no expressions, just flat. Epic. We were soon on the way again after like 10-15 minutes and stopped in about 3-4 stations.

Okay, Frankfurt was freezing. It was like 7 or 8 degrees. Mom and I also put on those thick parachute-material jackets so my body was warm, but my fingers were like ice. We arrived at Frankfurt Hauptbahnhof, about 2 levels below ground. At ground level, the station was huge. My first impression was, "okay, this is like Harry Potter train station" and I imagined my friend, Cynthia's face. The station had around 20 platforms, McDonald's in one side, then one or two stop-by bakery/coffee shops, a book store, a confectionery store, etc. Like in the movies.

And so we headed to the hotel, we didn't think about finding our hotel in the map and so we were kind of lost in front of the station, but we found a small map of the central station with anything around I-don't-know km radius, and with my map skills (quite proud of myself), we were in the right way. We had to cross 3 streets, it took around 10 minutes to the hotel.

Hotel lobby was small, but it had all it needs for a lobby. Yes we were early (we arrived at 9am) and our room wasn't ready yet so the reception gave us a complimentary drink while we wait. And something happened, my eyes were uncomfortable and hurt so I had to go to the toilet to see what's wrong and took one pair of fresh softlens. Turned out that it was time to change them because after I changed them, my eyes were "relieved". When I got back to the reception area, mom was gone (as usual, she always wants to be the first, doesn't want to wait), only dad was waiting for me, with my bag and jacket.

We headed up to our room and boy we were relieved that we had arrived, safe and sound. But then we prepared our things to make a short (short as in 2 hour train) to Koln (or Cologne), mom said that there was a nice cathedral there and we would have lunch there as well. So we took of the next train (around 12 or 1pm), then arrived at Koln Dom to find that that day was Koln Carnival. We had two plates of roasted duck noodle, which turned out to be enough for the three of us. All people seemed to gather there dressed up in different costumes (sailors, nurses, Romans, football players, etc). We didn't realize it was Koln Carnival until my sister who was currently in Singapore, told us in Whatsapp. We weren't able to explore the inside of Koln Dom due to renovation if I'm not mistaken. So we just spent around 30 minutes then headed back to Frankfurt to rest to prepare for the 4-day Medica 2014 in Messe Nord, Dusseldorf.

a little note

Ears

• Small: honor, manners, affection
• Ears too small: shyness and reserve
• Medium ears show energy and determination.
• Ears long and narrow: these qualities increase.
• Earlobe thicker, the force of lived feelings is increased.
• Big ears: thick earlobe show rudeness and materialism.
• Normal ears: do not pass the height above or below the eyebrows and nose.
• Ears get over eyebrows: angry character, vindictive and crimincal tendencies.
• Ears with detached earlobes from head: generosity and free spirit.
• Earlobes closed to the head: contrast from it.
• Distanced ears show cruelty destruction desire.
• Large distance between eyes and ears: intellectual capacity and talent.
• Vertical ears show strength, courage, energy, power.

  

Forehead

• Little wide and high forehead well shaped eyebrows: most desirable, prospect of permanent success.
• Low and wide forehead: intuitive nature, endowed with natural skill and imagination, spontaneity, spirit will shine. More interested on impressions than knowledge gained through study.
• Square forehead: honesty, sincerity.
• Loosing forehead: lack of intelligence.
• High brow: aptitude for study, diligent, trained, reach success.
• Straight eyebrows: increase these qualities.
• Forehead with deep lines (wrinkles): indulge in contemplation and research.
• Vertical lines (wrinkles) between eyes show power of concentration
• Head without lines: cold, selfishness, lack of empathy and sarcasm.

  

Eyebrows

Curved:

• mental focus is people-oriented
• connect & relate to world best through understanding people
• sometimes you can understand an idea/theory better if it is explained to you in personal example/experience

Straight:

• direct & factual approach, technical details
• logic, need to be shows all facts & data before accepting something as true
• mentally evaluate hard facts without letting emotion effect judgement

Angled:

• stay mentally in control of any situation
• gregarious and expansive: good leadership qualities, people will challenge your authority
• you like to be right and usually are, conscientiously  “done your homework”
• stay mentally

High eyebrows:

• discerning, selective, discriminating
• need time to observe and work out ideas conpletely before acting
• protect yourself with wait-and-see approach
• need time to put new information for you to understand how you feel about the subject and how parts relate to the whole
• store information with emotional tab, recalling the feeling, often recall event with surprising clarity
• detest being put on the spot to make a snap assessment or to make decision about something new before you have had time to reflect on it and understand

Low eyebrows:

• expressive, quick to take action, process information quickly
• you want to get the job done and do it now
• may have tendency to interrupt others when they seem too slow to speak because you can often anticipate what they are going to say before they have finished saying it
• initially optimistic but may become antagonistic if criticized
• challenge is to develop more patience with others who don’t have your gift of mental quickness

Bushy:

• mentally active, full of thoughts, ideas
• powerful intellect
• non-stop thinker

Thin (pencil-like):

• single-minded, focus on one thing at a time
• overly sensitive to how you imagine others see you
• probably think they are more critical than they really are
• overly self-conscious

Winged (thick at beginning, thinner at ends):

• need being on the planning committee
• love coming up with big, new ideas
• visionary approach allows you to create exciting new plans, but challenge is with follow-through
• delegate details to someone else to free yourself up to focus on your grand vision

Even (same thickness throughout length):

• thoughts flow smoothly, evenly, easily grasp whole concept
• develop a tolerance for other’s people difficulty with detail
• rest of the world may seem slow or even unable to fully comprehed ideas

Managerial(thin at beginning, thicker at outer edges):

• slow to start something new, but once accepted, you have great follow-through
• mentally tidy, well-organized, methodical, do wel in any roles that requires attention to detail and completion

Continuous/uni-brow:

• thoughts are continuous and restless
• if you have problems, may have trouble sleeping because can’t stop thinking

Tangled hairs:

• unconventional thinker whose thought range over many areas
• ability to see all sides of an issue, may enjoy playing devil’s advocate to discover hidden truths
• may also attract unwanted conflict

Access hairs (hairs growing straight up at beginning):

• strong connection between inner feelings and logical thinking
• ability to be aware of potential problems immediately
• right side: spot problems in business and public area
• left: anticipate potential problems in relationships

Scattered hairs (single hairs outside of eyebrows):

• curious mind, mentally drawn to many different topics
• each individual hair could almost be read as separate mental interest

Chameleon (nearly invisile eyebrows):

• others may think you are just like them, but you are not
• blend into almost any group, may be talented negotiator because you can extract more information than you reveal

Nose

• Perfect nose: length = width of forehead, end = length of eye
• Aquiline nose: commanding power, determination, pride
• Nose narrow: loose these qualities, replace with tyrannical character
• Straight well-formed nose: patience, kindness, balance, elegance, power to endure, fascination, cold, indifference, liberal ideas in relation to moral & social conventions
• Aquiline nose, tip bent down: melancholy, proud, bold, never be funny, regular sarcasm
• Straight nose, tip bent down: more melancholic, less envious, more lenient than curved nose
• Pointing up high, slightly curved in: enthusiasm, skill, reach goals through cheerful, stylish manner, laugh in defense, implement plan despite obstacles
• Snub nose: tendency to dominance, lack of elegance & behavior in life, can be accompanied by literary and poetic power
• Curved nose: sharpness, very little curiosity, quarrelsome
• Thin lips & mouth, bent edges: gossipy

Cheeks

• Meaty/fleshy: special sensitivity, artistic interest
• Weak and narrow: may have concerns or mystery that wishes to hide
• Too round & full: spiritual innocence

two thousand fourteen

Three years later from my last post. Wow time flies!

So a little bit of update, I went through my clerkship life at RSPAD for almost two years (19th March 2012 until end of December 2013) then Forensics at RS Polri Kramatjati for 4 weeks. Afterwards, just over half of our batch had exit OSCE exams which was last 11th April. The rest of us wasn't able to sit the exam because they still have clerkship rounds. But then only 44 out of 63 passed the exit OSCE. So we had to do a supplementary OSCE with the remainding students who weren't able to sit the April exam this coming June 20th.

I'd like to express my gratitude to a couple of doctors, nurses and staff, for sharing their knowledge and experience and for their helping hand, kindness and time they had given me when I was thriving clerkship at both RSPAD and RS Polri, especially those who have been my examiner and those who helped me with both my papers and case reports: 

- dr. H SpS, dr. S Sps and dr. L and the neurology department team

- dr. A SpM and dr. E SpM and the ophthalmology department team

- dr. M SpKJ and dr. Y SpKJ and the psychiatry department team

- dr. W SpTHT and the ear, nose and throat department team

- drg. Y and drg. YG and the dentistry department team

- dr. S SpAn, dr. UH SpAn, dr. B SpAn and the anesthesiology department team

- dr. S SpPD, dr. SL SpPD, dr. AP SpPD and the internal medicine department team

- dr. JJE SpOG, dr. SAA SpOG and the obstetrics and gynecology department team

- dr. A SpBP, dr. G SpBP and the surgery department team

- dr. IM SpA, dr. NS and the pediatric department team

And yes, there were a few "undesirable" moments that I wouldn't want to remember, those "ones" and "moments" that if I may say, brought a negative impact to my journey.

So, after we pass exit OSCE from UPH, we're to sit the UKDI CBT and OSCE exam. Those who passed the April exit OSCE, will proceed to this upcoming May's UKDI, while those sitting the June exit OSCE will sit the August's UKDI. Then we have internship for one year. I'm not sure how this actually works, but all I know is that we can choose which area (suburb) we want to intern for 12 months (8 months in type C hospital, then 4 months in Puskesmas). My seniors (2007s) that I know of, some of them are randomly chosen to be placed in Banten, like 30 of them. Some choose Papua and Sulawesi for a particular reason. But for us, it won't be happening in six months' time. Here's why:

A friend of mine sat November 2013's UKDI and should be allocated for internship starting February 2014, however due to some "reasons" regarding "money" so I heard, their internship is postponed to May. But then, a few of them were suddenly informed that they should be starting their internship in a few days time. Yes, shocking news for them. So literally, internship is postponed for 1 cycle. (Normally, UKDI November then internship February. Now UKDI November then internship May).

Another issue also came up around two weeks ago. Those who sat the February UKDI wasn't able to obtain their STR because the exam is "illegal". STR is the certificate we get when we pass UKDI, which we use to get our SIP (permission to open a practice) but now is used as a requirement for internship, so I heard. So a few parties are meeting up to discuss this "problem" and are trying to reach into a solution, in order for the UKDI participant to get their STR and not re-take the UKDI. Meanwhile, the UKDI in May is currently postponed for the moment until further announcement, but they stated that it won't be later than June.

We'll just wait for the announcement and hopefully it does benefit the participants.

second post of the year

Reading my last post made me want to write more although I don't know what to write haha I laughed a bit reading that post coz a few "funny" events happened, and it sure is something that I will always remember :)

So anyways, last night my friends and I were invited to Edlin and Fifi's birthday dinner. It wasn't exactly Edlin's birthday *his birthday wasn't even this month* but I guess they just want tocelebrate it together *awhh so sweet of them*

We talked, laughed and laughed. Basically we spent most of the time laughing of stupid things, one of which was the "3 levels of eagerness to eat" haha *will continue in Indo*

Jd td mlm ada 3 meja shabu2 yg digabung, n 3 lg yg digabung di ruang yg sama.. Nah di meja pnjg prtm kyk dibagi 3 kls (kls adem ayem ato ringan *awalnya yg mkn cm patty+dody+tya*, kls sedang yg mknnya ckup byk tp ga gragas *fifi gw apin ivan*, n kls berat yg mknnya rebut2an, paling ribut deh mejanya *harry anita edlin yona*) dari semua meja, mea mereka paling ribut gara2 rebutan makanan tp akhirnya paling cpt selese smntra meja lain msh nerusin makan smbl smbl ketawain keributan di meja nya kls berat.

Si Anita merasa terancam nyawanya krn saingannya cowo2 smua, yg di mangkok blm abis tp uda ambil lg dari kuali. Jd kalo mau dpt daging, msti rebutan ambilnya, kalo ga ya dptnya sayur haha blm lg si Harry yg "nipu" edlin, dagingnya uda mateng tp si Harry blg "blom mateng itu
mah" jd di balikin, pdhl uda mateng jdnya Harry yg rebut haha bnr2 d, ngakak the whole night.

Plus si Dody yg begitu semangka *kok jd ikutan si CiLay (Tya) sih, emohhh* menceritakan cicinya yg slh paham. Jdnya si Dody pergi dari apartment dia ke Yakoya, tp cicinya slh paham sehingga ksh tau jlnnya ke Pantai Mutiara (bygin, maunya ke JakSel, tp diksh tau jln ke JakUt,
Jakarta yg begitu macetnya tiap Sabtu). Yg bikin ketawa sih pas cicinya blg "ntr ada Harvest, belok kiri.. Slamatttt, smp deh di Pantai Mutiara!!" Parah bnr loh, gw ngakak bnr dgrnya, smp ga bs berhenti ckck uda tng gt, msh ktwa lg klo keinget sm critanya Dodeyyy. Trs blm lg dody blg sepnjg jln dia kesel bgt sm cicinya haha thanks dod for the laugh ^^

Another "kocak" moment jg terjadi. Si Nyak marahhh coz Beben ngerangkul Fifi! Haha ga lah, ga bnr2 marah sih.. Jd kmrn tu Fifi foto sm si Beben, si Beben kebiasaan klo foto tuh ngerangkul org stunya.. Lsg deh kita smua "wahh wahhh cari ribut sm Edlin lu ben! Ga lm kemudian, si Nyak pgn foto megang samurai (diruangan itu ada pajangan samurai gt), kita lsg "waduhhh marah kan, kan.. Ati2 Fi!" Trs nanggepin bcandaanya, fifi lsg ngumpet diblkg edlin haha

Kyknya klo dicritain disini ga sbrp lucu ya haha tp klo di tkp, omg kocak abis!

Oh btw, thanks again to fifi & edlin for the great night & fab all you can eat :) esp for dody, buat critanya yg bkin ngakak, kmrn lg bnr2 butuh ktwa haha hopefully everything will be okay and back to normal ^^

Alrighty right.. Closing the month of January 2011 :)

new year new update :)

Woww.. Finally, a chance and a mood to write again -,-" had been trying to write something like a couple of times, but I just don't seem to have the mood, until now :) so took me half a year to just gain that mood..

Half a year, or 6 months. Many things have happened, of course. Passed two -difficult- blocks for sure, three-week Christmas break, new year and, my **th birthday, youngest sist's, both of my cousins', dad's, mami's, mak's and Winfrey's birthday. There has been ups and downs in family, friends and academically, but all those are now the past.

Maybe I should mark the month of July because well.. something -kind of- unexpected happened, but am very happy about it :) so then, our first day back from the summer holiday was August 16, which was a day before Independence Day.. we were then back to our routine activities..

Perhaps I'll write the rest of this in Indonesian ^^

Okay, sambil nulis sambil mengingat apa lagi yang udah terjadi selama stgh taon ini. skip dulu deh ke desember, bulan exam and my fave month as well :) ga tau knp, desember tu bulan yang penuh memories.. lg berharap jg sih, hari "spesial" bakal bulan desember, but who knows haha

Okay Desember.. hmm pertama kalinya Winfrey ikut EOYP haha but thanks ya :) selesenya sih masih jam 1030an gitu sih, tp Cynthia ngajak potong kue bareng, jd yaaa lanjut deh ke kos2an dia.. trs pada nangkring disana smp 1130 *stgh jam lagi ultahnya Winfrey tp sejujurnya gw dah ngantuk pas itu and pgn plg jg* ga ada rencana apa2 bwt ngerjain dia krn emang preparednya utk bsk paginya (tanpa ramuan)..

trs pas di jln pulang, ngmg sm jeffry, tya, gun dkk, pd blg pake ramuan aja! bingung dah, coz emang ga ada rencana apa2 utk ngerjain pepe *ksian pepe jg.. halah!* lalu.. jam 12 teng, ngucapin happy birthday altho cm di bbm.. oh iya pas eoyp itu, battnya pepe abis -,-" and gw dh mkr "okay, batt dia dah abis, ga bakal baca jam segini" lalu ternyata, dia ngebls.. gw lsg "he? bknnya tadi battnya abis?" gw ga kepikiran klo dia pas dh smp kos lsg ngecharge -,-" lalu ya gitu deh hehehe

pas smp rumah, lsg cari bahan2 bwt ramuan, tepung & telor.. di campur smua ke tempat adonan *ga tau namanya apaan* fast forward aja deh ya hehe tambahin kecap sgla macem.. trs pas di mskkin ke kantong plastik.. duerrrrrr robek bawahnya.. tumpah smua ke lantai -___- *pas itu udah jam 1an*

lsg cari kantong gula yang gde.. lsg ribet di dapur sendirian :( smp jam 2an klo ga slh.. pagi2 jam 445an, dibangunin gara2 dapurnya bau amis gara2 telor.. lsg kebgn ke dapur buat bersihin lagi.. what a tough night! nyiapin kue yang udah di pesen, lsg taro di mbl.. intinya, cm kue yang siap, ramuannya.. total disaster :(

jam 6 teng dah jalan ke karawaci.. coz jam 630 dah janjian sm anak2 bljr brgnya pepe bwt surprisin dia.. smpt jmpt tya dl di kos sih..

and.. pepe susahhh bnr bwt disuruh kluar! agak2 krik2 jg pas ngasih kuenya, cm gw sm pepe doang yg di luar.. pepe ngerasa aneh jg sih, tp yaaa gitu lah.. trs gw bingung bnr gmn cara biar pepe kluar.. trs gw mkr, mnta pepe ambilin stryper deh, blg mau foto brg styper.. altho geje tp ya gmn lagi :( anak2 dh pd ngg diluar..

pas dh kluar, gw mkr, gmn pd tw klo pepe dh kluar.. jdnya sengaja triak "bs ga pe buka mblnya??" lalu crotttt si erwin nyiramin tu ramuan ke pepe, tp pepe berhasil nunduk :( haihhh alhasil kena mbl sebelah.. swift putih!! lsg panik dah, ngebersihin, smp ada yang nyangkut di kaca blkgnya swift pula..

lalu ternyata, baru tau klo cara bkin ramuannya salah *maklum lah amatiran* ternyata harusnya jgn dicampur, tp di lempar masing2 *pantesan* tp ywdah lah yaaa.. pertamax bkin ramuan haha lalu mkn kue dehh..

once again, happy birthday pepe :)


lalu next, the same month jg, desember..

spent the first week of holz di rmh, trs minggu kedua ke bogor for new year celebration with entire fam (yg dr sby dtg ke jkt smua), trs minggu ke3 ke sby bwt lnjt ngumpul2
pas di bgr, ntn match indo vs malay brg2, duhh pgn deh nobar lg :( deg2annya trs ketawa2 brg awhhhh

lalu pas di sby, tiap mlm di lantai kmr mami, maen kartu smbl ntn sinetron *abisnya ga tau lagi mau ntn apaan haha* trs tiap kali maen kartu, psti ktawa2, kdg ktawa gara2 gw "ermm bentar... mmmm mmmm........ *stgh jam kemudian* passs" ya ga smp stgh jam sih, cm ya gt d haha *lebay*

trs pas udah kluarin kartu dengan pede, ternyata salah kluarin kartu "ermm ciee.. kok gini kartunya?" and ternyata yg gw kluarin tuh siki+pair, hrsnya tris+pair haha foolish me -,-"
ngakak lagi..

and yupp tiap kali gw jd bahan ktawaan spupu2 gw kecil2 yang tercinta wahahaha *dibully2 sm anak kecil2 ckck* but it was fun & memorable :)

thennn tgl 9 pun tiba.. hrs balik jakarta :( jam 330 dah bangun and jam 4 dah harus cao ke airport.. jiwa blm terkumpul smua haha trs tiba di airport, msti visit ko2 yang lg di RS coz penyakitnya *sensor* kambuh.. smp jam 11an br balik dr RS.. smp di rmh sgt2 teler, tdr smp jam 2 or 3.. and pagi mesti nyetir ke kampus lagi :(

oh iya, pas di sby, gw potong rambut -finally- haha tgl brp ya, 5 klo ga slh.. kyknya gw ptg rambut emang setaon sekali.. ya abisnya cocoknya cm di salon itu.. di jakarta ga pernah cocok, psti plg2 pgn motong poni lagi biar lebih sesuai sm yang gw mau -___-


oh iyaa.. sbtunya si pepe bli itouch.. plusss dia bikin iriiii, mcm2 lah cara dia bkin iri, sbeelll ckckck jd pengen itouch.. bnrnya emang dah pengen dari pas di bogor, tp krn mkr2 ttg duit yg msh pas2an, diurung dulu deh.. tp duhh pengen bnr hr ni bli itouch :( smoga jadi deh hari ini.. smoga diblhin pergi ntr..

anyways.. hasil nilai obgyn blm kluar.. pada bilang sih kmrn pas jumat hrsnya dah kluar, tp blm pada heboh soal nilai kmrn.. perhaps this week dh di post deh nilainya :)

pbl hemato sm dr. Juli, maya, gocci, juna, apin, febri, adit, jes, tasya mariya, dody ^^
cs smester ini sm ka Nia ^^ dan 8 orang lainnya: edgar, owi, patty, nechan, jep ganjil, ko benz, tuti, sheila :)

and block ini hrs dpt bgs! ckckck hrs rajin blajar.. smntra gw lg nulis blog -,-" rite.. omdo..

ywdah deh, lnjt kpn2 lagi hahaha klo inget ada yg mau dicritain, br update :)

see you alll ^^