MY HEART DOCTOR

honesty Mimi

The busy schedule made Syahril forget his phone, he just held the phone at night, that was after he finished doing the cesarean section.

Initially Syahril only opened his cell phone to see messages from his umma and ummi Parida.

"Assalamualaikum Real, son Umma heard Mimi is in Jambi. Pursue do not let go again son." message Umma.

Syahril thought "Tumben Mimi went back to Jambi" he said while scrooling other messages from Ummi Parida.

"Assalamualaikum Real, Baiq the same story Ummi said Mimi was in Jambi lo." message Umm Parida.

"Hmm, is Mimi the Jambi? Baiq the story.. Emm usually knows from Ay.'' he murmured.

Syahril saw his schedule tomorrow turns out he had a cesarean operation after dawn until noon and afternoon at four o'clock just empty.

Syahril tried to scroll back to the message last Sunday.

"Fia" he said when he saw there was a message from Selfia Mimi's friend that was not read.

In the non-existent chat from Fia, there were dozens of missed calls there on the last week's date and a few missed calls three days ago, syahril opened the chat again from the beginning and there was a photo of the wedding invitation.

"Selfia married, her date... Astaghfirullah three days ahead of his reception" he said and Syahril look back on his schedule and lucky the next few days he has no scheduled surgery and the day after he was off.

"The next three days, emm" he said, thinking.

"Tomorrow action, well if the day after tomorrow just go free. Afternoon leave nyampe there can be the day after noon or new night nyampe. Ach why can only now open his WA." murmured Syahril alone.

Without Syahril realizing, he muttered that he had noticed Ryan who was already in his room.

"Where is Real going?" ryan asked suddenly and made Shahril surprised.

"Astaghfirullah setaaa**n, but don't look at Yan" he said Ryan just chuckled and shook his head.

"Udah hundreds of real greetings, only the person inside is busy talking to himself with his cell phone" said Ryan.

"Where are you going?" ask Ryan again.

"Papua Yan" replied Syahril.

"Fia's wedding?" ryan suddenly said.

"You know?" ask Syahril.

"Eh, O Allah I also just remembered you call Papua Real" replied Ryan who turned out to remember when Syahril mentioned Papua.

"Three days ago if it wasn't wrong there was Selfia calling she said she'd sent WA to me and you still tick one and she said she wanted to get married on the date I had to see." ryan said as he picked up his phone to see the date of Selfia's reception.

"The next three days Yan" said Syahril.

"Huh Apaaa!! yes, if the next three days yes, we should leave tomorrow, real will also nyampe the night tomorrow." said Ryan.

"I have an eight o'clock operation tomorrow after it's empty" Ryan replied.

"Huh, even though tomorrow said Fia Di'ah came." said Ryan SE!bari also scheduled flights from Jambi Papua.

"Where tomorrow's flight is empty again during the day at night." Ryan keeps nyeeocos.

"Whoa ndakah ya Real we leave at night" said Ryan while directly booking a night ticket without the approval of Syahril.

"Eh but Di'ah same Mimi and Emma have a message yet yes" said Ryan again before click Ok.

"Mimi's coming too huh Yan?" ask Syahril.

"Yes yes Mimi did not come to her best friend's show. Oh yes Baiq called he said mimj was already in Jambi three days ago." said Ryan, Syahril only gawked at Ryan's babbling.

"Emm we go to her house just yok Real tonight ask Mimi leave at what time?" ask Ryan.

"Crazy bae you Yan, look at what time it is." said Syahril by pointing at the clock.

"Just nine Real, let's go to his house now not yet asleep Mimi" Ryan said by directly pulling Syahril's hand.

"Busyet is a child, wait a moment." Say Syahril by wearing her pants again.

"You haven't had a real shower?" ask Ryan.

"The plan was to take a shower just look at HP first uh there is a message Umma same ummi continue to see chat that others forget to shower" he said.

"Tomorrow." invite Syahril who changed to pull Ryan's hand.

They both finally left !leaving the hospital for Mimi's residence, the distance from the hospital to Mimi's residence takes an hour. Luckily tonight was a little quiet so Ryan could carry the car at above average speed.

Until the front of Mimi's parents' house, they both saw the lights of the room still on and the sound of TV, as well as Mimi maaih's room lights on.

"It's still on him, it's real" Ryan chuckled.

"An on an on, let's go down" said Syahril. They both get out of the car and walk to Mimi's parents' house.

"Assalamualaikum" they both said.

"Waalaikum salam." replied his mother and father. Balak walked towards the door and opened the door.

"Shahril." said the father.

"Yes, sir, I'm sorry Syahril came here tonight." replied Syahril.

"Jaudah come in." said the father and let Syahril and Ryan in.

Although Mimi was not in Jambi, Syahril always went to Mimi's parents' house, Syahril always thought Mimi's parents were her parents as well.

"Syahril" said the mother when she saw Syahril and Ryan enter the house.

"Yes Mak, I'm sorry Syahril came at night." said Syahril.

"What's up, son?" ask mom, usually shahril come night-night.

"Emm nothing Mak, um Mimi there's Mak?" ask Syahril.

"Mimi's there, like she's asleep" said the mother, as she looked as if she was breathing out, disappointed that she failed to meet Mimi tonight.

"We need to be with Mimi? if there's a biae you wake up." said the mother.

"Emm don't make me, let Mimi rest." Syahril said evasively.

"So there's always the way you go to the night, son, you usually never come last night." asked the mother.

"Emm yes Mak Syahril just finished the operation directly here. Plan to ask Mimi if she will go to the Fia event." replied Syahril.

"Oo if it's Mimi go tomorrow Mak's rope don't know what time it is" said the mother.

"Oo that's it Mak, emm means Mimi has bought a ticket there huh Mak?" ask Ryan.

"Yes Yan, he had already had a long time to buy his ticket. The plan to take mamak same father and Ay but Ay school can not take a long vacation" said the mother.

"Mimi went with who's Mak?" asked Ryan enthusiastically.

"Emm if it's not wrong Di'ah same Emma also went there." replied the mother. Ryan smiled his heart was happy, this time he would try to seduce Di'ah again even though he had tried before but always failed.

"Oh my goitunya Mak." said Ryan.

"Yes, bentar Mak make a drink first. Have you eaten yet?" said the mother immediately moved and walked towards the kitchen swmbri asked them.

"Actually it's not Mak hehee" replied Ryan who was not a teenager.

Syahril continued to look at Mimi's room, wanting to feel like she entered and hugged Mimi tightly but she endured her longing and just a sigh plagued her feelings tonight.

Before long she brought two dishes, as well as rice to the living room.

"Don't bother, Ryan was just kidding" Ryan said.

"So what, you must be hungry and tired" replied the mother and returned to the kitchen to take the side dishes and drinking water this time Syahril followed the mother to the kitchen and helped the mother bring food for them.

After eating, they returned to chatting and soon they returned home.

Syahril and Ryan tonight directly packing clothes that will be brought to Papua, tickets have been ordered.

Syahril rest for a moment because after the dawn prayer he will have surgery. At four o'clock in the morning Syahril woke up and lamgsung performed the sunnah prayer and then continued with the dawn prayer after that he immediately went to the hospital.

Until Syahril hospital went straight to the operating room and immediately performed surgery on a mother whose womb experienced placenta Previa totalis.

Placenta previa is a pregnancy complication that occurs when the baby's placenta is placed under the mother's uterus. This can cause the placenta to cover part or all of the cervix thus blocking the baby's birth canal.

This disease is divided into three types according to its location, namely :

Placenta previa lateralis, which is the placenta that attaches downward but does not cover the birth canal.

Placenta previa parsialis, which is the placenta that attaches downward near the cervix and covers part of the birth canal.

Lastly, placenta previa totalis, which is the placenta that attaches downward near the cervix and covers the entire birth canal.

Placenta previa usually resolves on its own, but there are 10% of cases that usually last a long time until the time of birth. This one disorder has been seen since pregnancy entered the age of 20 weeks. So that this disorder can be monitored and found a solution over time.

Until now, the exact cause of this disease has not been known. But the risk can increase if you have several conditions, such as :

1.Pregnancy occurring at > 35 years old

2.Have had a cesarean section or other surgery on the uterus

3.Have had a twin pregnancy

3.Experiencing placenta previaThere is scarring in the endometrium

4.Abnormalities in the lining of the uterusDisorders of the placentaSmoking or using illegal drugs

When pregnant women experience this disease, there are usually several signs and symptoms that appear. The most common symptoms, among others :

Bleeding that occurs repeatedly

Bleeding is not accompanied by pain

3.If bleeding occurs it can cause anemia and shock

4.Appearance of the fetus in the womb is not normal

Cramping or pain in the stomach.

The patient who was treated this time not only placenta previa but the mother also contains twins and the mother also has preeclampsia.

Preeclampsia is a condition of increased blood pressure accompanied by the presence of protein in the urine. This condition occurs after more than 20 weeks of pregnancy. Preeclampsia should be treated to prevent complications and prevent it from developing into eclampsia that can threaten the lives of pregnant women and the fetus.

Preeclampsia generally develops gradually. Signs and symptoms that will appear along with the development of preeclampsia are:

*High blood pressure (hypertension)

*Proteinuria (protein in the urine)

*Heavy or persistent headaches

*Sight disorders, such as blurred vision or sensitivity to light

*Pain in the heart or upper right abdomen

*Suffler breath

*Dizziness, weakness, and not feeling well

*Popping frequency and decreased urine volume

*Nausea and vomiting

*Swelling of the legs, hands, face, and some other body parts

*The body weight rises suddenly

The cause of preeclampsia is still unknown. However, there is a suspicion that this condition is caused by abnormalities of development and function of the placenta, which is an organ that functions to channel blood and nutrients to the fetus.

The disorder causes the blood vessels to narrow and the emergence of a different reaction from the body of pregnant women to hormonal changes. As a result, there are disorders in pregnant women and fetuses.

Although the cause is not yet known, a number of the following factors are considered to trigger disorders of the placenta:

*Enter or are suffering from diabetes, hypertension, kidney disease, autoimmune diseases, and blood disorders

*Entervious preeclampsia in a previous pregnancy

*New first time pregnant

*Pregnate again after a 10-year gap with previous pregnancies

*Pregnant at age less than 20 years or more than 40 years

*Having more than one fetus

*Optobese while pregnant, marked by body mass index (BMI) ≥30 kg/m2

*The pregnancy that is being undertaken is the result of the baby tube method (in vitro fertilization)

*There is a history of preeclampsia in the family

Syahril did an operation on this mother !e!it will be a very long time because in addition to the placenta Previa totalis the mother is also pre-eclampsia.

Previously the mother had checked regularly on him, what else this is the first child for this couple who was new to the gift of a child. Fourteen years of marriage the new mother was given trust by Allah SWT by conceiving twins.

Syahril has also done a thorough physical examination of the mother, including blood pressure, pulse, respiratory frequency, body temperature, swelling of the legs, feet, and hands, as well as the condition of the womb.

And the mother's blood pressure is more than 140/90 mmHg at 2 times with a 4-hour time lag, Syahril also conducts subsequent investigations to ensure the diagnosis of preeclampsia:

Urine tests, to determine the level of protein in the urine

Blood tests, to check liver, kidney, and blood platelet count

Ultrasonography (USG), to see fetal growth

Ultrasound Doppler, to measure the efficiency of blood flow to the placenta

Nonstress test (NST) with cardiotocography or CTG, to measure the fetal heart rate when moving in the womb

Preeclampsia will be resolved if the fetus is born. But before Syahril gave treatment to the mother who experienced preeclampsia will be given some of the following treatments to overcome complaints and prevent complications:

While still applying a healthy lifestyle, the doctor may give the following drugs to pregnant women who experience preeclampsia:

Antihypertensive drugs

Antihypertensive drugs are usually given if the blood pressure of pregnant women is very high. Generally, if the blood pressure of pregnant women is still around 140/90 mmHg, no antihypertensive medication is needed.

Corticosteroid medications

This medication is used in severe preeclampsia or when HELLP syndrome occurs. In addition, this drug can accelerate the maturation of fetal lungs.

MgSO4 Drug

In severe preeclampsia, your doctor will give you an injection of MgSO4 to prevent complications, such as seizures.

Even the mother is experiencing preeclampsia is quite severe or getting worse when the gestational age enters in mknggunke 37, this mother was immediately treated so that her condition is monitored. During treatment, the mother is advised by Syahril to perform blood tests, NST, and ultrasound regularly to monitor the health of pregnant women and the fetus.

A few hours later the operation performed Syahril Lun went smoothly, this and the two babies survived without any obstacles. Syahril felt relieved Bika saw her treated patients did not experience obstacles

But still after giving birth, monitoring still needs to be done. Usually, patients need to undergo hospitalization a few days after giving birth. Patients also still need to take antihypertensive drugs prescribed by doctors and perform routine control until about 6 weeks after giving birth.

If left untreated, preeclampsia can lead to complications, such as:

Eclampsia, a complication of pregnancy characterized by high blood pressure and seizures

Damage to organs, such as pulmonary edema, kidney failure, and liver failure

Heart disease

Blood clotting disorders

Placental abruption

Hemorrhagic stroke

HELLp Syndrome

Complications can also affect the fetus. Complications in the fetus include:

Stunted fetal growth

Prematurely born

Born with low weight

Neonatal respiratory distress syndrome (NRDS)

Preeclampsia Prevention

There is no specific way to prevent preeclampsia. However, there are several things that can be done to reduce the risk of preeclampsia, namely:

Perform routine controls during pregnancy

Control blood pressure and blood sugar if you have hypertension and diabetes before pregnancy

Applying a healthy lifestyle, among others by maintaining an ideal body weight, meeting nutritional needs, not eating foods that are high in salt, exercising diligently, and not smoking

Take vitamin or mineral supplements as advised by your doctor

After performing the operation Syahril and Ryan no longer have action, they both just have to wait a time that feels very long.

I wanted Syahril to meet Mimi but when she called my mother, she told me that Mimi had gone to the airport.

"Well, what time is the flight to Papua in the morning?" ask Syahril.

"Emm jerk." replied Ryan by checking on his phone.

"It should've taken off half an hour ago Real." jaqba Ryan.

"Ah shit." said Syahril who continued to play the pen.

"Patience" said Ryan advising Syahril but his heart also cursed him who also had forgotten the Selfia event.

After Maghrib they both went straight to the airport and before long they both left for Papua.

The next night they just arrived at the Papua airport they went straight to the hotel where the Selfia event will be held.

Various plans have been arranged by the two human children, they will both surprise their hearts the next day.

Syahril and Ryan have prepared, Selfia event held two sessions in the morning at ten and in the evening.

That morning, Mimi, Di'ah and Emma were made ober by MUA Selfia, the three of them look very beautiful, not a few eyes, especially the business partner of the husband and his second big family, look in admiration to Mimk and his two best friends.

Syahril and Ryan who had just been in the hall saw his heart adoration in the eyes of another man clenched his hands so badly with Ryan.

Ryan immediately walked over to Di'ah and pulled out a Di'ah hand.

"Eh" said Di'ah when he felt his hand on someone's pull, when he saw Di'ah feeling surprised if there was Ryan Selfia show, Di'ah dumbfounded to feel himself a dream in the middle of the room.

Not only did Ryan forcefully pull out Di'ah's hand, Sahril did the same.

"Eh ka mu" said Mimi who will be angry but not so when she saw the person g pull his hand is a person she knows.

Mimi just followed where Shahril took her, Syahril me!take Mimi out of the hall and take Mimi to her room.

"Kaak." said Mimi but not in the governorate by Syahril.

"Kaaak, why go to the hotel room." exclaimed Mimi when she was in the room.

Syahril immediately locked the movement of Mimi who would walk back to the door.

Syahril stared at Mimk's face intensely with an irregular breath.

"Kaak" said Mimi, staring at the bead of Shahril, a gaze she missed so much.

"Why is my sister dressed like this?" ask her by removing the dandan mimj with her hand.

"Sister" said Mimk by pursing his lips.

"Ckk, mimi has not been photographed with Fia kak, brother sduah damaged her makeup" Mimi said with a sad look.

"Ii mimi in the dance and the same MUA Fia" said Mimj while pushing Syahril's body and towards the mirror looking at her makeup. Lead him andand it's not easy to break.

"Yes but it doesn't need to be as beautiful as that deck. The eyes of the boys look in the direction of the adek" said Syahril protest.

"Ckk her name is beautiful cewwk yah seen is the yes time in the wine" said Mimi origin.

"What are you saying." said Syahril as he approached Mimi and held onto Mimi's shoulders.

"What did Emang Mimi say?" ask Mimi.

"Udah ah, come back to the hall." said Mimi but when Mimk will step over Syahril embrace him, mengluk vent his longing.

"Sister misses adek, does adek not miss big brother?" ucal Syahril, Mimi who initially did not want to retaliate finally Mimi also hugged the body that she missed so much.

"Mimi also misses big brother" said Mimi lirih and was shocked by Syahril, Syahril I heard that the more tightened his embrace.

Syahril kissed Mimi's entire face and last Syahril kissed Mimi's lips, Mimi also enjoyed the atmosphere but they stopped immediately so as not to dissolve in the atmosphere, they returned to the hall.

tbc