Strangled for Info

No good news re: Pak. Fadil. I suppose we should begin looking for patients with less complicated cases. It’s worth pointing out that the main point here is information. To make the system work you need lots of it. When my father-in-law went in for an operation at RS Fatmawati yesterday Mona pointed out that this was operation No. 6 for us in less than 3 years.But actually it’s 8, since Fahri had 3. All of them successful and some of them brilliantly so, such as little Fahri’s.

The only time u’re pretty much guaranteed good info is when they’re putting you under the knife. Informed consent at its finest: you’ll hear them clearly call “family of [patient’s name].”

Next, they’ll determine your relationship to the patient. Now they’ll begin to speak clearly and slowly, looking you in the eye. Lumayan — not bad, that is — for a doctor. And they’ll emphasize the most important parts of what they’re saying like *maybe won’t wake up* and *not necessarily a simple operation.”

And you can ask questions and get clear answers. Very unlike the ordinary office call. That’s when it dawns on you that the case isn’t so complex that doctors are at a loss for words, or totally puzzled by it. It’s just that they’re not around nor inclined to speak to you. It’s a one-way info scene. They give orders. The end.

Of course the operating room situation is dif. That’s because it’s a bargaining scenario. You have to give them consent so they can go ahead and do what they’ve already planned to do with their OR for the morning. And they can’t be wrong. You need to accept the risk of that.

Anyway, for me the OR epiphany at #RS Fatmawati yesterday ahead of Pak Fadil’s tracheostomy was that the lung infection we’ve heard about (is it pneumonia or what, don’t know) can be related to Pak. Fadil’s difficulty breathing. And this can help his lungs heal up.

Which leads one to check the net again and you see that besides the tongue situation, the pressure through the neck — lymph nodes ? — is part of the breathing problem. So the breathing tube make sense as a workaround.

But that’s the kind of thing you won’t learn until you literally just about can’t breath.

Speaking of two-way flows of info, we really appreciate the comments, of which there have been some real substantive ones lately. Terimah kasih and GET WELL SOON!