Pengalaman BPJS untuk Pengobatan Ablasio Retina di Pusat Mata Nasional : RS Cicendo

March 31, 2021 4 Comments

Alhamdulillah ala kulli hal.

Bersyukur di setiap keadaan.

Itulah yang saya rasakan saat Zauji didiagnosa ablasio retina hampir dua tahun silam. Selama itu pula lah, kami berdua saling menguatkan komitmen niat kami berumah tangga hanya karena Allah semata.

 

Ablasio Retina

Ablasio retina adalah kondisi lepasnya retina yang menyebabkan hilangnya penglihatan. Kondisi ini berawal dari munculnya serabut halus yang hanya bisa Zauji lihat dan rasakan. Awalnya Zauji hanya berniat memanfaatkan layanan BPJS untuk mengganti kacamata minusnya. Pemeriksaan ini tentunya tidak bisa dilakukan di faskes (fasilitas kesehatan tingkat 1) sehingga klinik faskes 1 memberikan rujukan untuk pemeriksaan di faskes 2 yaitu RS Mitra Anugerah Lestari (MAL). RS MAL sebetulnya bukan RS besar dan populer di daerah kami, namun karena pasien yang tidak terlalu banyak dan pengurusan administrasi BPJS yang lebih mudah membuat kami berdua lebih sering berobat kesana.


Klik di sini untuk mampir di cerita tentang Pengalaman Operasi Ablasio Retina...Perjuangan itu Dimulai...Part 1...Saat Mata Tak Bisa Lagi Melihat

 

Awalnya dokter spesialis mata memberikan rujukan untuk konsultasi di RS Cicendo, saat itu ablasio retina belum terjadi, namun karena pengalaman masa kecil saya saat berobat di RS Cicendo tidak mengesankan, rujukan itu diubah menjadi Bandung Eye Center (BEC) yang ternyata bisa dipilih sebagai faskes 2. BEC sendiri merupakan RS swasta yang menerima pasien BPJS. Pendaftaran pasien BPJS terpisah dari pasien umum namun pasien BEC tetap dilayani dengan pelayanan prima. Qodarullah, retina Zauji terlanjur lepas sehingga BEC langsung memberikan rujukan ke IGD (Instalasi Gawat Darurat) RS Cicendo.


Pusat Mata Nasional, RS Cicendo

Pusat Mata Nasional, RS Cicendo merupakan RS terakreditasi internasional dan menjadi rumah sakit pendidikan dengan akreditasi paripurna. Di luar dugaan, pelayanan BPJS di RS Cicendo saya nilai sebagai pelayanan terbaik apabila dibandingkan dengan rumah sakit lain yang pernah saya kunjungi. Pelayanan di IGD di RS Cicendo jauh lebih cepat ditangani dengan minim pengurusan persyaratan yang biasanya memusingkan. Karena status darurat, hanya kartu BPJS yang menjadi pegangan saya dan pihak RS memperbolehkan persyaratan lain menyusul saat kami berobat di poli reguler.


Mampir yuks, klik saja : Pengalaman BPJS untuk Pengobatan Kanker Payudara : Masektomi dan Kemoterapi

Ada cerita yang lain, klik Pengalaman BPJS untuk Pengobatan Ganglion...Part 1


Cara Pendaftaran Pasien BPJS

Umumnya, pasien BPJS yang tidak dapat ditangani di RS tipe C dan B di daerah masing-masing harus masuk lewat jalur pasien baru. Pada tahap ini, pasien diharuskan mengambil antrian secara manual karena data pasien belum tercatat dalam sistem RS. Namun, untuk kontrol selanjutnya pasien cukup mendaftar lewat whatsapp, aplikasi android atau entri data secara manual di mesin yang ada di lobi RS dengan bantuan petugas bagi pasien yang tidak memiliki telepon genggam berbasis android.

 

Alhamdulillah, Allah memudahkan ikhtiar kami selama melakukan pengobatan mata di Cicendo. Alur pelayanan yang mudah dan sistemik benar-benar membantu pasien agar lebih nyaman tak terkecuali pasien BPJS. Yang harus diperhatikan adalah rujukan yang masih berlaku (3 bulan) dan biasanya bagian administrasi  akan selalu mengingatkan tanggal terakhir rujukan.

 

Tahapan pertama, adalah melakukan pendaftaran yang disesuaikan dengan nomor loket, nomor pendaftaran dan jam yang telah diberitahukan saat mendaftar online. Jadi tidak ada pasien yang menumpuk, nomor kecil akan mendapat giliran mendaftar lebih awal. Karena Zauji merupakan pasien retina, kami selalu stand by di depan loket E. Saat pandemi Covid 19 sendiri, jumlah pasien dibatasi dan pasien hanya diperkenankan didampingi satu orang saja.


Pemeriksaan di Poli Retina

Selain pasien BPJS, pasien umum juga dapat berobat dengan alur yang sama namun pasien umum dikenakan biaya sebesar Rp.25.000. dari pendaftaran, kami langsung ‘meluncur’ ke poli yang dituju. Poli retina ada di lantai 3. Pasien akan dipanggil menuju ruang 2 untuk pemeriksaan visus (pemeriksaan gangguna refraksi mata seperti tekanan mata dll yang mengindikasikan katarak, glaukoma, ablasio retina dll). Selanjutnya pasien akan diperiksa oleh dokter di ruang 3. Biasanya dokter yang memeriksa adalah residen (calon dokter spesialis) atau fellow (calon dokter subspesialis, misalnya subspesialis retina). Apabila ada kondisi di luar normal, biasanya pasien dapat berkonsultasi dengan dokter kepala. Kami biasa menghabiskan waktu hampir seharian. Bila mendapat nomor antri <10, jam 12 kami sudah mengantri di apotek untuk mendapat obat.

 

Antrian di apotek memang lebih panjang karena pasien dari semua poli akan mengambil obat di apotek yang sama. Verifikasi data bagi pasien pengguna BPJS dilakukan terlebih dahulu. Obat yang tidak tersedia tentunya harus dibeli di luar apotek RS.

 

Apabila perlu tindakan lain (pemeriksaan lanjutan, rujukan ke poli lain seperti poli glaukoma/katarak atau persiapan pra operasi) dokter akan memberikan rujukan atau surat kontrol apabila pemeriksaan sudah selesai. Di tahap ini, pasien harus bersabar dengan yang antrian cukup lama karena perawat dan dokter tentunya tidak sebanding dengan jumlah pasien.

 

Seperti halnya prosedur sebelum operasi, pasien diharuskan melakukan pemeriksaan darah dan rontgen untuk dikonsultasikan dengan dokter penyakit dalam dan anestesi. Pendaftaran operasi baik untuk pasien BPJS atau pasien umum dilakukan di admission center. Bagi pasien BPJS, cukup menyerahkan kartu pasien dan surat pengantar operasi dari poli. Proses verifikasi BPJS tidak memakan waktu lama, petugas akan melakukan verifikasi dan mengisi formulir serta memberikan jadwal dan ketentuan operasi. Tentunya harus sabar ya karena (sekali lagi) fasilitas yang tersedia tidak sebanding dengan jumlah pasien sehingga dibuat antrian. Insyaallah, pasien kategori darurat baik BPJS atau umum akan mendapat prioritas. Biaya operasi ablasio retina bisa mencapai belasan juta di luar ruangan rawat inap dan lainnya.


Ruang Rawat Inap

Pasien harus kembali ke RS H-1 operasi, mendaftar di loket D, konsultasi di poli yang dituju (Zauji di poli retina) dan kembali ruang admission center untuk entri data lalu diantar ke ruang rawat inap sesuai kelas BPJS untuk beristirahat. Biasanya pasien harus menginap H-1 dan H+1 sehingga total 3 hari untuk lama rawat inap pasien operasi. Jangan khawatir dengan fasilitas kamar di RS Cicendo, seperti yang saya sampaikan sebelumnya, RS Cicendo menjadi salah satu rumah sakit dengan pelayanan terbaik. Zauji sendiri menempati ruang Bougenvile untuk kelas 1 yang berada di lantai 3. Dalam satu ruangan, ada 2 bed yang terpisah tidak berdampingan dengan satu kamar mandi. Ada sofa yang bisa digunakan pendamping untuk istirahat, lemari dan kursi.

Rasanya semua kamar sudah kami tempati😑
 

Sampai saat ini, rujukan pengobatan mata Zauji terus diperpanjang setiap 3 bulan sekali. Di faskes 1, kami tak perlu lagi mengantri karena sistem sudah tercatat sehingga pihak klinik bisa langsung memberikan surat rujukan. Di faskes 2, RS MAL, biasanya kami menyempatkan diri untuk konsultasi dan diskusi dengan dr. Novi yang telah mendampingi Zauji selama hampir 2 tahun.


Alhamdulillah ala kulli hal.

Bersyukur di setiap keadaan.

Foto : Dokumentasi JustMenong

Simple Liwet Rice Recipe...Traditional recipes typical of Sunda, West Java, Indonesia

March 26, 2021 0 Comments

I myself was new to nasi liwet or liwet rice when I started working, meaning that I'm 20 years older and living in Bandung, Capital City of West Java Province, have never tasted the deliciousness of this spectacular Sundanese rice. Initially, Nasi Liwet was synonymous with Islamic Boading School life. The male students usually cook rice with makeshift ingredients and in a short time.

Nasi liwet is a unique dish because it is made very practically, easily and quickly in a special pan called 'kastrol'. Nasi liwet is cooked in one step until a crust forms at the bottom of a caster or pot made of aluminum. Now, for practical reasons, liwet rice can also be cooked using a rice cooker.


Liwet rice concoction is very simple:

1 liter of rice

5 cloves of red onion

2 red chilies

2 bay leaves

1 lemongrass stalk

Salt to taste

Right amount of oil

Complementary side dishes


Rice that is directly cooked in castor, complete with salt, shallots, red chilies, bay leaves, lemongrass and a little cooking oil.

Cook until a crust forms.

Don't forget, while cooking the rice liwet, the lid of the caster must be opened occasionally so that the foam doesn't spill out of the caster.

As soon as the liwet rice is cooked, dip the hot caster into the water so that the crust will come off easily. Some people like this part of the crust so they will wait their last turn to get the liwet rice crust (including me :D )



The typical side dish of Nasi Liwet itself - usually fish peda, Jambal Roti, anchovies or impun - is put directly into the caster just before the Nasi Liwet is cooked, giving it a savory aroma and taste.


Nasi liwet will be incomplete if it is not served with other side dishes, which are usually tempeh, tofu, oncom, fish or fried chicken and crackers. And don't miss the sudden chili sauce and fresh vegetables such as cassava leaves, papaya leaves, petai or jengkol.


Spicy Sauce:

3 pieces of lamb cayenne pepper

1 red chili

1 tomato

1 clove of red onion (optional)

Salt to taste

Terasi enough

Brown sugar to taste


Lamb cayenne pepper, red chili are ground first with salt. Add the onion and then the tomatoes, shrimp paste and brown sugar. Taste correction.

Nasi liwet is served warm using a winnowing or banana leaf base with various side dishes spread on a winnowing tray or banana leaf and then eaten together in the garden or in the rice fields so that you will feel the feel of togetherness and simplicity.

Nasi liwet sometimes makes me forget the diet program because it is delicious. Aahhhh…..so miss liwet rice….


Also click to read in Bahasa: Resep Nasi Liwet Sederhana...Nasi AntiDietDietClub


Click here to stop by at ig JustMenong

Reference: Extracted from various sources

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Complete Prayer of Khatam Quran

March 26, 2021 0 Comments

The khatam Quran prayer is a prayer that we can pray after the khatam Quran.

This prayer comes in various versions.


O Allah, with the Qur'an, bestow with Your mercy on me. Make the Qur'an as faith, light, guidance and a source of mercy for the servant.


O Allah, remind me if there is a verse that I forget to remember. Teach me verses that stupid servants understand. Give me the pleasure of reading all the time, both midnight and noon, make the Qur'an for me as evidence ... Ya Rabbal Alamin.


O Allah, grant me goodness in religion which is the key to honor for me. Give goodness to the servant in the world, which is the place where the servant lives. Give the good of the hereafter for the servant to which the servant returns. Make my life a servant's freedom from all evil.


O Allah, make my best life at the end, make my best deeds at the end, make my best days when I meet You.


O Allah, I ask You for a simple life, a normal death and a place to return that is not sad and free from chaos.




O Allah, I ask You for the best wishes, the best prayers, the best success, the best knowledge, the best deeds, the best rewards. Strengthen me, weigh my virtues, realize my faith, raise my rank, accept my prayers, forgive my sins, and I ask for the highest heaven.


O Allah, I ask for the gift that You must give, the forgiveness that You must give, the salvation from all sins, the reward from all goodness, the victory of getting to heaven, and salvation from the hell fire.


O Allah, grant us goodness in all matters, reward us from all the wounds of this world and the torment of the hereafter.


O Allah, grant us the fear of You, which limits us from disobedience to You, and grant obedience to You which will lead us to Your Paradise, and grant us confidence which will lighten all the calamities in this world for us. this.


O Allah, grant us pleasure through hearing, sight and in our strength as long as we are alive and make it an inheritance from us. Make us recompense for those who persecute us, and help us against those who are against us. Do not make our misfortune in the affairs of our religion. Do not make this world the greatest ideal and the pinnacle of our knowledge.


O Allah, don't ever leave your sins behind unless you forgive them. There is no confusion unless You provide a way out and there is no need in this world and the hereafter unless You fulfill it, O Lord of the worlds.


O Rabb, grant us good in this world and good in the hereafter and protect us from the fire of hell. Amen


*Copy of Syaamil Al Quran Miracle The Reference

**facebook note, 23 July 2014


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Pengalaman Operasi Ablasio Retina...Part 10

March 18, 2021 0 Comments

Papil Yang Pucat

Pemeriksaan dokter glaukoma menyebutkan bahwa dalam kasus Zauji, sebab memucatnya papil tidak bisa diketahui secara spesifik. Meski demikian dokter memberikan acc apabila bagian retina berencana melakukan evakuasi silikon. Kami pun kembali kebagian retina, dokter kepala bagian retina menyatakan silikon akan tetap dipertahankan karena kekhawatiran retina belum cukup kuat untuk menempel meski pada kenyataannya berdasarkan hasil OCT, kondisi papil mulai memburuk.


Untuk konsultasi lebih jelas, keesokan harinya kami kembali menemui Prof Arief. Beliau menyatakan kondisi menurunnya papil belum dapat dipastikan apakah dari silikon atau hal lain. Karena itu, dokter akan melalukan observasi selalu dua bulan untuk membandingkan hasil OCT bulan ini dan dua bulan berikut. Apabila ada perubahan penurunan yang signifikan maka dipastikan silikon oksana berpengaruh negatif terhadap kondisi papil.


Secara umum, kondisi ini jarang ditemui sehingga kasus Zauji bisa jadi menjadi kasus pertama yang menjadi rujukan kasus lain yang serupa. Menurut beliau, tidak banyak jurnal penelitian terkait dengan pengaruh silikon oksana terhadap papil karena secara teori silikon oksana akan dievakuasi setelah 3 bulan terpasang. Namun mengingat kasus Zauji yang sudah 7 kali operasi karena posisi retina yang terus menerus lepas pasca operasi, dokter mengambil keputusan di antara dua pilihan : retina menempel dengan bantuan silikon oksana namun kondisi papil menurun atau silikon oksana dievakuasi untuk menyelamatkan papil namun selalu ada kemungkinan retina lepas kembali.


Bagai Buah Simalakama

Keduanya bagai buah simalakama. Yang membedakan adalah kerusakan retina dapat diperbaharui selama retina dapat ditempatkan kembali ke tempat semula namun kerusakan papil bersifat irreversible artinya bila sudah mengalami kerusakan, tidak ada opsi untuk memulihkan kembali.

Kondisi papil yang menurun ditandai dengan mata kanan yang semakin buram, meski demikian Zauji tidak merasakan perbedaan yang signifikan karena sejak operasi ketiga, mata kanan memang sudah tidak berfungsi dengan baik.


Skenario Allah itulah selalu yang terbaik.


Itu yang selalu Zauji tanamkan kepada saya.


Apabila menurun atau bahkan menghilangnya penglihatan menjadi jalan Zauji lebih dekat dengan Allah, biarlah seperti itu karena apapun yang Allah berikan akan selalu menjadi yang terbaik bagi hamba-Nya.


Dua bulan berikutnya kami menjalani hari-hari dengan rutinitas biasa. Zauji masih setia mengantarkan saya beraktivitas. Tidak ada yang dibatasi kecuali kami menghindari bepergian dengan motor di malam hari. Dahulu kami punya jadwal touring mengunjungi  sanak saudara di berbagai kota, kini saya sendiri yang merasa lebih khawatir dan over protektif bila Zauji bepergian jauh meski sekedar antar jemput saya di kantor.


Bagaimana hasil kontrol selanjutnya?


Klik di sini untuk baca “Pengalaman Operasi Ablasio Retina..Part 11...Hasil OCT Kedua"


Foto : Dokumentasi Justmenong

Indonesian Cuisine: Horse Soup, Maranggi Satay, Banana Epe, Sarabba, Grilled Konro and Sweet Potato Soup

March 03, 2021 2 Comments
Indonesian cuisine is famous for its variety of flavors and uniqueness. This time, bolangers will be invited to get acquainted with various regional specialties in Indonesia.

Coto Kuda, Horse Coto or Horse Soup

As the name implies, horse coto is a coto with the basic ingredients of horse meat. Coto itself is a typical Makassar soup dish. Coto Kuda typical of Jeneponto, South Sulawesi, was originally a special dish for the king or noble of Jeneponto. Coto Kuda is usually served with vegetable ketupat and onions. Horse meat fiber is larger and thicker when compared to beef fiber.

Coto the horse, finally swallowed it with the help of Teh Botol


For people with ulcers, coto Kuda is not recommended because it will cause heartburn and bloating only a few minutes after the dish slides into the stomach.



Sate Maranggi, Maranggi Satay
Maranggi satay is one of my favorite foods. Maranggi satay is a typical Purwakarta satay,  a city in West Java, that has a strong taste because the beef is soaked in spices before being roasted. Usually served with nasi uduk (rice uduk) or ketan (sticky rice) plus sambal (chilli sauce) oncom or peanut, maranggi satay is the menu of choice when visiting Purwakarta.

Maranggi Satay, Purwakarta


Maranggi satay can also be found in the Cianjur area, a city about 2 hours from Bandung. The price is more expensive than regular satay, one skewer 2500 - 3000 rupiahs. The more expensive the price, in one skewer only consists of meat and is not varied with fat. In contrast to Madura satay, which is mostly sold in the late afternoon, Maranggi satay is mostly served at breakfast.


Pisang Epe, Epe Banana
Epe banana is one of Makassar's culinary specialties, capital city of South Sulawesi Province. Pisang epe is made from kepok bananas that are old, flattened with a flat surface, then burned and poured with liquid brown sugar. Currently, Banana Epe sauce is available in various flavors such as chocolate, durian or jackfruit. Hundreds of Epe banana wheelbarrows can be easily found around Losari Beach, Makassar.

Pisang Epe di Pantai Losari

Sarabba
Sarabba is a health drink typical of Bugis, South Sulawesi. Sarabba is made from ginger, brown sugar and coconut milk (you can also add egg yolk and ground pepper) so that it gives off a warm aroma and taste when we drink it. Sarabba is easy to find in tourist areas. Although Sarabba is typical of Bugis, this drink can also be found along the Kendari coast, Southeast Sulawesi.

Konro Bakar, Grilled Konro
Still from Sulawesi, grilled konro is a bone that is still wrapped in beef ribs with a splash of peanut sauce and a distinctive blackish-colored konro soup. Grilled Konro itself is a modification of Konro Soup, which is a soupy dish with a dark brown color with kluwek fruit and coriander. Konro Bakar Karebosi Field is one of the famous konro Bakar culinary places.


Yummy😍


Sup Ubi
When you hear the word 'soup', you can imagine a kind of dish similar to the 'soup' of chicken or beef that we usually cook. Sliding into a shop right across from the Unity Monument in Kendari, capital City of Southeast Sulawesi, it turned out that 'sweet potato soup' was far from what it seemed. Sweet potato soup is a clear soup containing yellow noodles, sprouts and beef stew. The sweet potato referred to in this soup is fried cassava which is added to the soup as a complement. This soup comes from South Sulawesi. Sweet potato soup is more of a home-cooked dish, so it is rarely served in large restaurants and restaurants.


For bolangers who are not used to consuming soup served with fried cassava, this sweet potato soup is certainly a sensation in itself.


Getuk Goreng, Fried Cassava
Fried getuk is a typical snack from Sokaraja, Banyumas, Central Java. Getuk Goreng is made from cassava and palm sugar so it tastes very sweet. Initially fried getuk came from getuk that was not sold and processed again so that it can still be consumed. The packaging of woven bamboo is the main attraction for this Banyumas specialty.


For bolangers who don't really like sweet taste, it's not recommended to taste too much fried getuk. The sweet taste will last a long time on the teeth.

Tahu Gejrot, Gejrot Tofu
Tofu gembos, salt, cayenne pepper, shallots and brown sugar sauce in earthenware dishes are common sightings of tofu gejrot, a typical Cirebon food, a city in West Java. Eaten using a small stick made of bamboo, this dish is a favorite of many people because of its distinctive taste and aroma (be careful with the after taste of shallots afterwards).


Now that we know that gejrot has penetrated malls, some food courts in malls always provide this Cirebon specialty.


Rujak Beubek
Rujak beubek or rujak mashed is a typical West Javanese rujak consisting of mango, guava, kedondong, red sweet potato, yam and others that are ground with rujak seasoning in a special pounder with a pestle. The finished rujak is made in a container with leaves attached with a pointed stick. This rujak is peddled around using poles, although just like tofu gejrot, now rujak beubek has penetrated fast food counters in various malls.


Petis
Similar to kupat tofu, petis from Cirebon is made from small shrimp or fish that is used as a spice for several dishes. The petis color is quite unique, which is dark brown and has a distinctive aroma. petis can be served as a condiment that causes rice cake, fried tofu and bean sprouts with peanut sauce with crackers.


Bakmi Jawa
Javanese noodles from Wonosari, Gunung Kidul, Yogyakarta are cooked in a unique way using a brazier, charcoal and a small frying pan with a wooden handle. Distinctive aroma especially eaten while the sauce is still hot. Bakmie Jawa consists of 3 variants, namely boiled noodles, fried noodles and nyemek noodles (a gravy between boiled and fried).

Kolak Kampiun
Remember the Kampiun compote…remember Ramadhan… this Minangkabau compote is a meal for breaking fast because of its sweet taste. Kolak Kampiun consists of a mixture of banana compote, sweet potato compote, marrow porridge, candil porridge, pomegranate porridge, black sticky rice, white sticky rice and sarikaya. Currently, there are many champion compotes found and have been sold outside the month of Ramadan.

My Fav

Tahu Sumedang
Sumedang tofu is a well-known tofu so it doesn't only exist in the Sumedang area, West Java. This type of tofu is served hot with cayenne pepper, peanut sauce or chili sauce and rice cake and given a special woven bamboo container. Now many sellers are deliberately frying lontong as a friend of sumedang tofu, which tastes no less delicious than ordinary lontong.

Soto Sutri Purwokerto
Culinary in Purwokerto, don't forget to stop by in the Sokaraja area. Soto Sutri serves Purwokerto's signature soup that will tantalize your taste buds. Cut kupat, sliced beef, bean sprouts seasoned with onions, candlenut, ginger, turmeric and pepper does not contain fat because it uses the best quality beef..


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Cuanki
Here it is.... one of Bandung's culinary specialties. Cuanki or "Cari Uang Sambil Jalan Kaki" or 'looking for money on foot' is a mixture of meatballs, fried tofu and dumplings. Cuanki is widely peddled by carrying it accompanied by the sound of wooden gongs with a distinctive rhythm. Cuanki Bandung is guaranteed to make your eyes fresh and literate.



Photo : JustMenong Documentation