The challenge to become physician in a rural area is one complex issues which every young doctor had to deal with at some point of their career. If they choose to become ones in a lifetime of course.
Start from the cultures, the mindset, traditional value, and so on. Well thats not the biggest concern if the area cover by lands, but if its not it will drive you in a one hell of a adventures.
As working in the second most outer rings of archipelago, I was dealing with situation where saying “no we can’t” wasn’t an option. Lack of facilities due to difficult transportation lead to unregularly medical distrubutions make almost everything we’d done barely impossible.
One example in this photo, one time a young daughter of the village chief severed with dengue fever. Fall down into dehydration after eight days fever weakend her body. Red patch start to infiltrate his skin while her urine turn black rapidly.
Before I reach the village, the shamman or they used to call “tabib” pour her down with coconut water. Which I think thats make sense, and smart. But apparently the electrolite compounds wasn’t able to sustain the body demand. Her pulse rate still anadequate and the level of consciousness had started to deteriorate.
Our team had no other options unless crossing the ocean and get this young girl immediately to the largest medical facilities. In that term, we must used small speed boat to delivered the girl as soon as possible.
It was not an easy task consider the rain season and storm could hit any boat regardless the size of it. But we did not have any choices. We must cross the ocean.
Three hours riding waves at that moment was the most thrilled experience in my whole career as physician. Our boat was hitted so many times, jumping around avoiding impact. My only attention paid for the girl who was lying in barely open her eyes. I know somehow we are going to make it.
The Sun slowly dropping down, the sea was quite. We reach the hospital after almost 5 hours on the sea. I report everything to the doctor at the ER, and the old physician once said something I have never forgot.
“We never had a medical team like yours from before on the islands. You guys are a good people.”
One year later the Ministry of Health decided to pull me back to the capitol of the province. At the moment our team had done so many medical rescue from those archipelago. The community have been taking care well since then by the local government.
The community health center was equipt with appropriate medical tools. The midwifes get train to handle emergency case routinely and actively involve in continuing healthcare education to young people. Especially young mother who prepare to get birth.
I continue my journey and hope that seeds we plant, is growing faster and faster, and the result will making impact to the next generation on the islands.