Risen from the Shadows Death

Risen from the Shadows Death

Executive summary By Darmansjah

Eagerly Bertila (68) rose from the chair. He headed the auditorium podium Dharmais Cancer Hospital, Jakarta, and give greetings to the hundreds of guestsatthe event World Hospice and Palliative Care Day 2010 .

Although the course a little stagger, the spirit radiates from Bertila faces. Breast cancer patients are tersenyumsetiap times doctors and nurses greeted him warmly.

Finished off the podium, he was engrossed in conversation with some people he knew. The words that came out of his mouth mingled with the breath of breath.

"My son was grumpy, I must obey him. That way she encouraged me, "said Bertila. Each time you speak a little long, he must dwell a moment to catch his breath.

Tyas (31), Bertila only child who was by his side, just smiled at her mother's words. He felt very happy because I could see his mother again excited and can live with higher quality.

To care for her mother, Tyas many consult with doctors and nurses in palliative care units Dharmais Hospital for nearly two months. "I was taught how to help you overcome the pain, treat injuries, and how to strengthen mental Mother," said the woman who worked as a private employee here in Jakarta.

Assistance from the palliative unit that greatly reduce the suffering Bertila. He is no longer too often felt pain in his body. He also taught to manage the pain with a variety of ways, including regulating the breath.

Once the pain decreases, Bertila could return activities. He began to help clean up the house or come to a church group events.

Pain

Bertila very different conditions than before to get assistance palliative. Over the past three years, should be curled up in pain because Bertila gnawed cancer cells. He no longer could berkegiatan at home or outside the home.

Almost every day he had to struggle against the pain that pierced his body. When pain comes, Bertila felt her body like a knife pierced big. Because of the pain, sometimes up to berkelojotan Bertila body. "Every day, especially at night, my mother was always crying in pain," recalled Tyas.

Torture does not know the time. Sometimes the pain comes in the morning or evening. However, often the pain was coming all day and not see indistinctly. If you can not stand it, Bertila always talking about death. "Aduuh ... mbok fine. If it was about time it had taken it, "says Tyas imitating her mother's complaints.

The pain is felt nearly every day to change the joy and spirit Bertila. He became a figure of quiet and lazy to talk to. Filled his days just sitting watching television or lying in the room in pain.

Since 1999 the doctor was already detected a lump in her breast. However, Bertila not visit the doctor. The process is long and painful treatment, like chemotherapy, and high cost of treatment burden Bertila mind.

"I'm sorry for the Tyas when I have to bear huge medical expenses," said Bertila. He just want to be taken to the doctor for further detection in 2007. That's when the cancer began to spread to the left side of his body.

Control your mind

Cancer is considered synonymous with death, pain, and bankruptcy. Three things scary it could also haunt the minds of Zuriati (54) who detected breast cancer 14 years ago, when he was 40 years.

Hearing the verdict of doctors, Zuriati depressed. Completion of the doctors he did not go home, but spent the night with swirling a rented taxi. "We followed the road at night, filled my mind about the death. My kids were little. If I die, who would take care of them, "said Zuriati.

However, Zuriati not want to be too long decline. Assisted by her husband she was trying to get up, then prepare a strategy to fight cancer. Besides praying, by her husband Zuriati taught to cultivate the mind.

"I can not imagine frightening things associated with chemotherapy and cancer," said Zuriati. He had heard that after the chemotherapy will cause pain and discomfort extraordinary. However, Zuriati decide "hug" the pain was to always think positive.

For his mind not overshadowed the horror, Zuriati behave as if to a picnic when he set foot in the hospital. Each time the chemotherapy she would bring bring one bag full of passion for delicious food, such as nasi padang, rendang, sweet tea, fruits, and others.

After chemotherapy, she experienced severe nausea. However, he still ate lunch he was carrying because her body conscious high protein need chemotherapy after being poisoned. Once the food to the stomach, he vomited and he should try again to eat all his lunch.

Mind control, said Zuriati, so help him. When severe nausea came, he turned his mind to not focus with her nausea. When being sick, he imagined the beautiful courtship with her husband once or cuteness her children while still a toddler. By controlling the mind, Zuriati feel really helped through the bad times pascakemoterapi.

Now after 14 years of cancer in the body Zuriati never acting up again. Although aware of his body is still there of cancer cells, it no longer be overshadowed about death. "Everyone will die, just a matter of time," he said.

If death is finally coming, Zuriati want her life lived with useful things.[HDG]

Health Information on Internet

Health Information on the Internet

Executive summary By Darmansjah

I am among those who diligently follow the development of health information through the internet. I am interested in new drugs as new drugs are promising better. Many cancer drugs, HIV drugs is likely to give better results in the future.

However, when I asked to a family doctor, most of the information that I received is considered less precise, even he also advised me to be careful because not all health information that is available on the internet it comes from reliable sources and objectively. He reminded that I only use drugs that have recognized the benefits through research conducted by the Food and Drug Supervisory Agency (POM). According to him, developing countries are often used as a market for products (including drugs) that have not been clear benefits. In fact, the product was in the producing countries themselves should not be used.

It's not easy to choose the reliable information and ignore information that is not quite right. However, in my opinion, the doctor also needs to follow the latest drug information in order to provide advice to patients. It seems the medical community in our country and the authorities less quick in adapting to the latest medical developments in developed countries.

I once read about HIV vaccination is done outside the country. However, if asked of doctors in Indonesia, the answer there is no effective vaccine. Are doctors in Indonesia (could) follow the development of therapies that occur overseas so that they can use it to our society. Hopefully the use of new drugs may reduce the willingness of some members of society medical treatment abroad.

M in B

Advances in science and medical technology runs fast. We have enjoyed such progress are utilized for the accurate diagnosis or treatment of disease. In this land we have available quite a lot of tools, such as CT scans. This tool is expensive, but because of high demand, this tool has been available in some large cities in our country.
In Jakarta even available a new tool called PET scans that are used primarily to support the diagnosis of cancer. Prices expensive tools so the cost of inspection is also expensive. However, there are hospitals that are willing to invest to buy the equipment. This shows that our hospitals are actually quite fast in making new tools. The question is whether these tools are actually needed? Does the new device is superior to the old equipment? If the answer is yes, it would certainly be useful tools.
Governments have a team that studied medical devices and how new therapies. The review will be submitted to the Ministry of Health to be a material consideration in the permit procurement of new equipment.

POM

For drugs, drug procurement is under the supervision of the POM. This Agency is responsible for providing permits and supervise the procurement of medicines the drug in our country. Every drug that is used in Indonesia must be registered in the POM. In this registration process POM will examine the benefits and safety, and if you need to do testing. Everything is done to keep the public can be protected from drugs that do not clear the benefits and harmful side effects.

We are grateful that we include POM POM is considered good performance in the ASIA region. Quite a lot of friends from other countries who visit our POM, and WHO has also several times been running training courses in Indonesia, with participants from foreign countries. POM is used as the training ground. So, to use new drugs, we can not simply import the drug and then used like other merchandise. For medicine and food, necessary procedures to ensure safety to the public.


News in the media including the Internet are often attracted attention because it informs the various studies conducted in research centers in the world. However, it takes a long time for a drug can be used in the community. To determine the benefits and security conducted several stages of testing before it can be concluded is completely secure.

We still remember many thalidomid babies, namely babies born with disabilities on thalidomid drug use in pregnant women in the world around the year 1960. These events of course we hope not repeated again. Doctors have to follow the development progress of science and medical technology because the doctor in performing medical services necessary to implement evidence-based medicine. Doctors follow these developments through medical journals either printed or through electronic and medical practice in conducting research and evidence to consider various new findings.


HIV Vaccine

About HIV vaccine is certainly the medical community in Indonesia is also followed. HIV vaccine field study ever conducted in Thailand is actually very we wait, but the new results show that the group using an HIV vaccine protection only get about 32 percent compared with controls. Figures for this protection is still considered to be low so that the vaccine still must be perfected.

At the Institute of Virology and Cancer Biology, University of Indonesia, the Indonesian University School of Medicine researchers are developing influenza vaccine (H5N1), dengue hemorrhagic fever (DHF), and HIV by using a virus that originated from Indonesia. This suggests that doctors and researchers we are not just as spectators and consumers progress of science and medical technology, but also plays an active role in encouraging progress.

It's not easy to sort out reliable information via the Internet. You can try to open sources of information from WHO, the Ministry of Health, the site of the medical profession and the university. Indeed, we also need to be careful of the information submitted the parties to obtain commercial advantage.