Rabu, 30 Juni 2010

A bit of time out


Three baby bumps, originally uploaded by stephalie1977.

I have my trust induction at the end of the week and as a result I have had a few days off. I can't say it's been restful, after all I do have two children under 5. However in between studying I have had the opportunity to combine one of my hobbies with my learning. I am lucky enough to have quite a few friends that are currently pregnant and three of them allowed me to take photos of their bumps today. I love photography and last year I invested in a DSLR and aimed to teach myself how to take better photos. Over this time I have learnt a lot about how to edit and how to take better shots, and I am looking forward to sharing in their journey, whilst creating a record for them.

I've obviously had friends who were pregnant before, but it's a whole new perspective as a student midwife. I am lucky to have such friends that support me and are happy to share their pregnancies with me.

Jumat, 25 Juni 2010

Getting started

I have now been a student midwife for 7 weeks. It doesn't seem possible but we are already about to be released onto our first placement and for some it feels a very scary prospect.

Over the last 7 weeks we have been introduced to each of our subjects; some gently and others thrown in at the deep end. The biology, for example, is intense; one lecture on the cardiovascular system, one lecture on the respiratory system, one lecture on the endocrine system etc. It doesn't take long for us to realise that we will need to do a lot of self-study to keep up and to really know these systems properly.

For others, it is perhaps the midwifery skills that are more scary. Having had children myself, I found these lessons more reassuring that I wasn't out of my depth completely. Whilst I obviously don't know anywhere near enough yet about how to do the appropriate checks, I at least do know what they are e.g palpation, scans, urine analysis etc. I've attended enough of my own antenatal checks to know the drill. It's been enjoyable for me to find out what they are really doing these checks for and what the notes really meant. I remember reading LOA in my notes and I'd always assumed it meant 'left of abdomen' well now I know it means 'left occipito anterior' and what's more I understand what that means (in case you are wondering, it's the ideal position for the baby to be in, in preparation for birth. The head is down and the baby is facing towards the mothers spine, and curled round to the left of the mother's abdomen).

Academic skills has been an interesting one and it's been a challenge for some to understand why we are doing it. It's essentially a course to teach us how to do further reading, how to reference and make quotations and eventually write our assignments. For me, it's been really useful as it's been a long time since I was at school and certainly we didn't have the same resources for further reading that are around now. Those that have come from doing other degrees, or straight from school, are maybe finding it a bit easier. Though I still feel they can learn from the course.

So now I am on the cusp of my first placement and feeling really excited about it. I simply can't wait to start my real practical training. I am hoping for good mentors, and to be lucky enough to see some births. I am hoping my own experience as a breastfeeding mother helper will come in useful and that I can share my knowledge. I am also hoping to get more to grips with listening to blood pressures and performing abdominal examinations. The one thing I am really nervous about is needing to take blood. Not because I am scared of needles or blood, neither bother me, but because it was really difficult to get to grips with the technique on merely a dummy arm. With the abdominal examination, although we have only practiced with the dummies, at least we can't hurt anyone, the blood taking is another matter. In theory, we could damage nerves, or bruise the ladies and whilst I know our mentors will be on hand to support us, it's still a slightly nerve wracking thought. Still I have just over a week off now so shall of course be studying all I can in preparation......whilst enjoying the good weather ;)

Selasa, 22 Juni 2010

The first week

On my first day I was so excited, it was like my first day at school all over again. I had organised to meet a couple of the others in the cafe, so I wasn't worried about walking in on my own. I was really interested to see who else would be Midwifery students though and wondered what sort of age mix there would be. At 32 I expected to be one of the oldest but in reality I was somewhere in the middle.

The first three days we spent most of our time in the one lecture hall. We had talks from people from various different departments e.g. student support, library, student union; and an introduction to some of our subject tutors. It was hard going in that there was lots of sitting and listening and not a lot of doing. Some parts were also a bit repetitive too - they'd each explain how to get onto the computer system and for those of us that were perhaps comfortable with negotiating our way round a computer, found this a little tedious. But on the whole, it was informative.

On the Thursday and Friday we were lucky enough to have a lie in.....well those of us without children did anyway...as we didn't start till 11. We had the theory of moving and handling, theory of resuscitation and our first Biology session. The Biology was the first time I felt I was in a proper lecture and learning something.

One thing I hadn't been prepared for was how tired I was. We really didn't do very much that first week but I was coming home starving and exhausted. I could literally fall asleep at the drop of a hat and for someone who usually takes a good hour to get to sleep at night, this was a bit of a shock. I was very reassured when I spoke to the others about this, as they were all feeling the same. It didn't take too long to settle down luckily.

So that's the applying, preparation and first week covered. I hope you are enjoying reading my journey so far and I hope it's useful if you are thinking about applying to Midwifery too. If you do have any questions, then do feel free to ask :)

Sabtu, 19 Juni 2010

PIT POGI 2010

Sedianya, acara PIT POGI XVIII th 2010 akan diselenggarakan di kota Padang Sumatera Barat, namun musibah Alam Gempa Padang telah meluluh lantakan ranah minang. Setelah diadakan Pertemuan dan pemikiran oleh Pengurus Besar POGI, yang dilaksanakan pada hari Senin, 9 November 2009, memutuskan bahwa tempat penyelenggaraan dipindahkan di Jakarta, dengan panitia pelaksana POGI Cabang Padang sesuai surat no. 029/int-ketUm/XII/09 dari PB POGI.

Tema pada PIT XVIII ini adalah Peningkatan mutu pelayanan Obstetri Ginekologi yang profesional dalam mempercepat pencapaian MDGs tahun 2015.




SOurce: http://www.pogi.or.id/
Cuma BAntu2 Menyebarluaskan saja

Neverending form filling

I very soon discovered that the majority of my preparation for Uni involved a lot of form filling - a 36 page bursary form and then the 24 page Dependents form to accompany it, then the health questionnaire, the student loan application and the registration forms. It took a lot of time to make sure I filled them in correctly as well......having to check what childhood illnesses I'd had was not something I'd expected.

The bursary form was definitely the form that gave me the most headaches....having to find my husbands P60 from 2007-8 was a challenge in itself, and then the obvious discrepancy with the fact that he'd been working then and wasn't now. It took a few weeks to gather all the information together but once it was sent off I could relax for a bit. Even the uniform order form gave me some headaches as the measurement guide didn't match up with my usual size, nor even close to. I tried ringing them for some advice but that didn't prove to be very useful. I ended up ordering a size bigger than my usual and hoped for the best...luckily when it arrived it fit just fine.

Once I got my signed form back from the doctors, which took a ridiculous amount of time, considering he just had to sign it, I posted that off to Occupational Health and organised my health check with them. I'd started my Hep B course of injections when I dropped my form in to be signed so the health check was the final thing I needed to do. The day before my Health check I had my second Hep B injection and also a Men C jab. Sadly that night I was very unwell and ended up having to cancel my appointment the next day. The nurse was not very happy with me and reminded me that I needed health clearance in order to start my course. I re-booked my appointment for two weeks later and it was all fine. Finally a shopping trip with my Mum to get some new clothes, pens, paper and a bag and I was all set.

All that was left to do was wait for my first day....

Kamis, 17 Juni 2010

To Interview...

In preparation for my interview I made a list of potential questions I might be asked and thought about how I might answer them. With a bit of research I managed to compile 3 sides of A4 paper with questions I could be asked, and I prepared myself to be asked any of them. I made sure I was aware of anything happening in the media that could relate to Midwifery and I read my monthly issue of The Practising Midwife (TPM) cover to cover.

On the day of my interview, I woke up feeling as excited as I used to feel on Christmas morning. I got my bag ready, including my list of questions and a copy of TPM to read. I drove to the University, leaving in plenty of time to allow for traffic. As I pulled into the car park "Greatest Day" by Take That was playing and it really made me feel good about the interview ahead. I made my way to where I had been instructed to go and waited with the others that being interviewed that day.

We were soon taken to a room and had the format of the day explained to us...we'd start with a Maths and English test and providing we passed that, we'd go through to the interview stage. I was not too worried about those tests until that moment but once I turned my paper over I was quite relieved to see it didn't look too difficult. Some of the English questions made me doubt myself a bit due to it being multiple choice....if I'd just had to put the answer it would have been far easier. Anyway I finished first and went to have a coffee. Gradually the others all joined me and we discussed the paper...no-one sounded too worried about it.

Anyway at 11 we returned to the room for our results and only one girl hadn't passed. It was horrid when she was taken from the room as we could all guess why. But that was swiftly forgotten as the relief that we had passed overtook us. We were then given a talk about the course from one of the tutors and then a current student also spoke to us about her experience of the course. We had the opportunity to ask questions and it was really good to hear her opinion and get a "true" view. We then had another short break before the interview itself.

I was one of the first to be interviewed and it was nice not to have to hang around and get nervous. I was interviewed by one of the tutors and a hospital midwife. They were really friendly and made me feel at ease by being so welcoming. They asked me 5 questions, including why I wanted to be a midwife and what I'd seen in the media recently? Due to my preparation I didn't hesitate at all with the answers and could have talked for ages. Everything I said I linked to the role of a midwife and how I thought it would help me. Both the tutor and the midwife smiled and nodded at me throughout so by the time I left, I felt it had gone well. The next 5 days were horrible, waiting for news. I had no clue at all when I might hear but as each day went by, I felt less and less confident....good job I only had to wait 5 days lol.

On the Wednesday I finally got the call and I could not stop smiling when they told me they were offering me a place. Not only offering me a place but offering me the opportunity to begin in May instead of September which was just perfect for me. I was on my way....

Selasa, 15 Juni 2010

Going from dreaming....

When I was at school and thinking about what I wanted to do with my life, I briefly thought about Midwifery. However I wasn't very good at science, and despite being at a Grammar school, I was encouraged not to take a Science GCSE. On this advice I immediately shelved the idea of being a Midwife and instead planned to become a teacher....but that's a whole different story. On finishing my A-Levels, I did in fact do a GCSE course in Human Biology but at that time I was still on the track to teaching.

Needless to say teaching did not work out for me and I floated for years not knowing what I wanted to do with my life. I worked in sales, I worked in catering, I worked in an office....nothing really inspired me. As mentioned before, it was the birth of my second child that made me really return to the idea of being a midwife. After her birth obviously I was a little busy with a newborn and a 2 year old to think about and take care of, so I decided not to do anything about it yet.


When my second child was 14 months old, my husband became out of work. After a couple of months, he'd not managed to find a new job and we started to look around at the different options for us. I decided to just look into what I would need to be able to apply to become a midwife. I went along to an open evening and chatted to some lecturers. I made contact with one of my own midwives and asked her advice about what I could be doing. It became evident at this time, that I did not need to sit any further exams as the results I'd achieved at school were adequate. I decided to sit an OU course to refresh my brain a bit and so I could show some recent study experience. I was already working as a volunteer with the local breast-feeding support group and occasionally helping out with a teenage mum antenatal group and I was a member of the MSLC (Midwifery Services Liaison Committee). I subscribed to The Practising Midwife and started looking at the University websites.

Over the coming months I wrote and re-wrote my personal statement for my UCAS application and filled the rest of the form in. In the September I was finally able to submit the form and then the waiting to hear from the Universities began. I was lucky that I didn't have to wait too long before hearing from one of the Universities and I was invited for interview......which I shall tell you about next time....

Senin, 14 Juni 2010

So why midwifery?

When I told people I was going to be a midwife I got a mix of reactions..."oh I'd love to do that" or "rather you than me" but many people wanted to know why.

I've always loved learning about pregnancy and birth. I found that I remembered things I'd been told, read or watched without any effort at all and whether I needed to know or not. I'd watch every program I could about pregnancy and birth, and would daydream about what kind of midwife I would be.

With my first child, I was induced in hospital. I won't say it was a bad experience because it wasn't but it wasn't how I'd have chosen things to happen. Then when I had my second child, I had the most amazing home water birth. I had the two most incredible midwives, that had supported me through my pregnancy and I was lucky enough that they were the two present at the birth as well. They had taught me everything I knew about the optimum position to be in for birth, positions to labour in and what I could use for pain relief. In short they gave me all the information I needed so I could write my birth plan. They also made sure I had all the information I needed to make decisions if things didn't go to plan; which fortunately I didn't need. With my first child, I was a mere participant in the birth; with my second child, I gave birth and they supported me. It was then that I truly knew exactly what I wanted to do with my life, with more clarity than ever before.

I want to give women the chance to feel involved in the birth of their children. I want them to feel that they made decisions, even when it perhaps doesn't go ideally to plan. I want them to feel a part of the whole process. I want them to feel proud and empowered like I did after I gave birth the second time. Two and a half years on and I still feel a glow about my second child's birth.

So it's got nothing to do with babies really....it's all about the women

Jumat, 04 Juni 2010

Tips membakar kalori tanpa berkeringat

Ibu hamil pasti akan mengalami peningkatan berat badan. Saat memberi asi pastinya akan sulit melakukan diet karena akan membuat asi berkurang bahkan berhenti. Biasanya banyak yang baru akan menormalkan BB-nya setelah nifas atau bahkan ada yang gak peduli sama sekali. Berat badan dengan mudah bertambah (walaupun ada sebagian orang yang susah menaikkan berat badan), sedangkan menurunkannya membutuhkan perjuangan: no pain no gain. Berikut ini ada sejumlah tips cara membakar kalori tanpa berkeringat (sedikit keringat).

Konsumsi vitamin D
Dalam suatu penelitian, wanita yang kekurangan vitamin ini penurunan berat badannya lambat. Dianjurkan untuk mengkonsumsi 2,000 mg per hari.

Minum Kopi
Penelitian memperlihatkan bahwa kafein dapat meningkatkan pembakaran kalori.

Cukup tidur (Tidur lebih banyak)
Sering tidur kurang dari 4 jam sehari akan memperlambat tingkat metabolisme (pembakaran). Dianjurkan antara 7-9 jam per hari.:ngiler::ngiler::ngiler:

Lakukan pekerjaan tangan
cuci piring, memasak dan kerja2 rumah tangga lainnya yang mempergunakan tangan ternyata membakar banyak kalori. (Ngetik Keyboard kompi atau lepi atau BBM-an termasuk juga loh he he).

Makan sedikit dan sering (jumlah kalori yang sama per hari)
Pada kebanyakan orang, tubuh akan memakai lebih banyak energi saat mencerna makanan dalam jumlah sedikit setiap beberapa jam, dibanding dengan memakan jumlah kalori yang sama dalam 2-3 kali makan.

Bergerak dengan lebih cepat
Berjalanlah seperti kalau kita sedang terlambat rapat atau yang lain2nya. (yang ini bikin keringat sedikit ya he he).:ngacir::ngacir::ngacir:

Tertawa
Tertawa 10-15 menit per hari akan membakar lebih dari 50. Mari kita tertawa ha ha ha ha ha ha ha ha ha ...gelakgulinggelakgulinggelakguling

Sarapan
Banyak yang diet secara salah dengan tidak sarapan. Dengan sarapan kita memberi sinyal ke tubuh bahwa kita tidak kelaparan, sehingga tetap terjadi pembakaran lemak walaupun kita melakukan aktifitas normal sehari-hari. Sarapan yang dianjurkan adalah putih telur (yang digoreng hancur, diudek2 dan oatmeal dengan buah.

Makan banyak serat
Makan rendah karbohidrat dan tinggi serat, akan membuat makanan lebih lambat dicerna sehingga rasa kenyangnya lebih lama, dan mengurangi ngemil snak. Yang banyak serat diantaranya bayam, broccoli, asparagus, dan bunga kol.

Memilih jarak yang terjauh.
Parkirkan mobil jangan terlalu dekat dengan tempat kerja (jangan kejauhan, ntar percuma saja bawa kendaraan). Atau cari rute terjauh untuk ke toilet (jangan sampai keluar kantor pula he he jelirjelirjelir).

Jangan makan terlalu malam
Karena sudah tidak ada aktifitas, maka kalori akan disimpan dalam tubuh. Bisa juga jadinya gak sarapan karena masih kenyang.

Posisi tegak (dalam duduk atau jalan)
Sikap ini akan memperkuat/berkontraksinya otot perut.

Banyak minum air putih
Kekurangan air akan menyebabkan penurunan angka metabolisme tubuh. Minum air sepanjang hari akan meningkatkan metabolisme sekitar 30. Targetnya 8 gelas kq5) sehari.

Hati2 terhadap gula (makanan yang mengandung)
Karena akan memicu insulin, sehingga akan terjadi penyimpanan gula dalam tubuh.

Jongkok
Kalau mengambil sesuatu dari lantai berjongkoklah, disamping menjaga kesehatan pinggang, juga agar otot2 di daerah kaki dan bokong berkontraksi.

Ngunyah permen karet (yang low/no kalori)
Membakar kalori dengan gerakan otot rahang dan wajah, cuma berapa ? Gak disebutkan.

Memindahkan posisi
Saat membawa sesuatu (jinjingan atau tas tangan di bahu), pindah-pindahkan posisi kiri-kanan agar lebih banyak otot bekerja.

Go on a date.
Wanita cenderung malu-malu sehingga sering memesan makanan rendah kalori saat nge-date., dibanding jika makan sama teman2 cewek.

Pakai Hak tinggi (sesekali)
Setiap beberapa hari pakai sepatu hak tinggi, karena akan melatih bagian lain dari otot kaki daerah betis dan paha.

Relaks
Stres akan menyebabkan tubuh melepaskan kortisol yang akan menyebabkan lebih banyak kalori disimpan sebagai lemak, terutama di daerah perut.

Kurangi nonton TV
Katanya sih dengan mengurangi separuh jam nonton TV, maka akan terbakar kalori sekitar 119 kalori. (Mungkin karena tidak duduk saja di depan TV)

Minum beberapa gelas teh hijau pekat sehari
Teh hijau mengandung catechin polyphenols, bahan yang dapat meningkatkan metabolisme,

Makanan Pedas

Beberapa penelitian mengungkapkan bahwa makanan pedas bisa meningkatkan metabolisme tubuh.

Sering2 ML
Pasangan yang ML akan membakar rata2 300 kalori per sesi. Cuma dengkul bisa copot wkkk lovelovelove

Pakai Minyak Kelapa
Penggunanya akan kehilangan lemak tubuh lebih besar dibanding pengguna minyak goreng sumber lain.

Minum Teh Oolong
Sama seperti teh hijau, teh oolong juga mampu meningkatkan aktifitas metabolisme tubuh sebesar 1o persen.

Lakukan Sit up
Saat nonton TV, sebelum bangun dari tempat tidur serta kesempatan lainnya. Lakukan semampunya.

Diet Rendah Lemak
Otomatis akan mengurangi lemak yang akan disimpan dalam tubuh.

Banyak tips lainnya, tapi inilah yang kira-kira "masuk akal" walaupun ada sebagian yang terkesan mengada-ngada he he.

Kamis, 03 Juni 2010

Intoleransi Laktosa

Sering ditemukan bumil yang mengkonsumsi susu akan mengalami diare. Hal ini sering diakibatkan oleh kondisi yang disebut dengan Intoleransi Laktosa. Intoleransi laktosa berarti bahwa tubuh tidak dapat dengan mudah mencerna laktosa, sejenis gula alami yang ditemukan dalam susu dan produk susu. Ketika laktosa yang tidak dicerna tadi bergerak melalui usus besar (kolon), dapat menyebabkan gejala tidak nyaman seperti sakit perut dan kembung.

Intoleransi laktosa bisa menimpa siapa saja. Bahkan ada yang sampai tidak bisa mencerna produk susu apapun. Sedangkan sebagian lainnya dapat makan atau minum susu dalam jumlah kecil serta produk susu tertentu tanpa masalah.



Intoleransi laktosa terjadi ketika usus kecil tidak cukup membuat enzim yang disebut laktase. Enzim ini dibutuhkan tubuh untuk mencerna, laktosa.Intoleransi laktosa sering bersifat herediter (diturunkan dalam keluarga) dan gejala biasanya mulai terjadi di masa remaja atau saat dewasa.

Dalam kasus yang jarang terjadi, bayi yang baru lahir ada yang tidak tahan terhadap laktosa. Orang yang lahir dengan intoleransi laktosa tidak dapat makan atau minum makanan yang mengandung laktosa.

Beberapa bayi prematur mengalami intoleransi laktosa sementara karena memang ususnya belum mampu memproduksi laktase. Setelah bayi mulai membuat laktase, kondisi biasanya hilang.

Gejala intoleransi laktosa dapat ringan sampai berat, tergantung pada seberapa banyak laktase yang mampu dibuat oleh tubuh. Gejala biasanya mulai timbul 30 menit sampai 2 jam setelah makan atau minum produk susu. Gejalanya antara lain: kembung, Nyeri perut atau kram perut, suara gemuruh dalam perut, muntah atau diare.

Tidak ada obat untuk intoleransi laktosa, yang terbaik adalah dengan pencegahan : membatasi atau menghindari produk susu. Sekarang tersedia susu dengan laktosa yang rendah atau mengganti susu dengan susu kedelai. Sedangkan gejala intoleransi dapat dengan mudah diatasi dengan obat2 bersifat simptomatik (menghilangkan gejala).

Rabu, 02 Juni 2010

Joke2 Dokter SpOG

Aku pernah melempar joke di twit yang oleh sebagian orang kesannya menyeramkan dan jorok . Padahal joke ini sudah sering keluar dari banyak mulut SpOG. Dan joke inipun aku dapatkan saat pendidikan. Jadi tentunya bukan aku yang ngarang setan. Joke2 dokter, secara umum sih memang banyak yang mengarah2 kekiri, Apalagi joke SpOG ammpyuun dah. Jadi buat yang baca jangan marahin aku ya ? Takuut ah doadoadoa

Joke 1 : SpOg pelupa
Dokter SpOG sering lupa wajah pasiennya, dan selalu ingat ciri (maaf) miss V nya. Jadi suatu hari ketika pasiennya periksa kembali dan menjelaskan tentang kasusnya spognya jadi bingung: ini ibu yang mana ya ? Kemudian agar spognya ingat pasien tersebut (maaf) mengangkat roknya dan berkata : "yang ini loh dok" wehehehe spognya langsung bilang oh iya ini ibu ANU kan ? (Gak bermaksud menghina ibu ANU sengihnampakgigi)

Joke 2 : Selingkuh dengan dokter
Ini aku dapat waktu ikut PONEK di Jakarta beberapa waktu lalu. Dilempar oelh dr. George Adrianz, SpOG, yang tentunya tidak betul dan hanya sebagai obat kantuk saat mengikuti pelatihan tersebut. Begini katanya : Lebih oke selingkuh dengan SpOG dari pada dengan SpA (dokter anak), sulit ketahuannya (sebetulnya barang busuk pasti akan tercium juga), karena kalau hamil bisa di k***t, kalau dengan dokter anak pasti ketahuan karena akan mengatakan jangan di k***t sayang babynya.(he he he gatai)

Joke 3 : Pil KB untuk tidur nyenyak
Ini joke dokter yang yg ada hubungannya dengan obgyn yang aqu ambil dari website (ntar dikasi tahu ya): Seorang nenek usia 75 tahun (umur perlu dikasi karena ada nenek yang masih muda)datang ke praktek SpOG untuk minta pil KB, dokter SpoGnya heran (karena yakin si nenek sudah menopause (tidak haid dan tidak subur lagi), lalu bertanya ke si nenek : untuk apa nek (kerennya : Nyonya) pil KB nya ? Si nenek menjawab : "supaya tidur ku jadi nyenyak dok" ( ceile kayak drama saja). Sang dokter jadinya bertambah heran gimana caranya kok pil Kb bisa bikin tidur nyenyak. Si Dokter kembali bertanya :"gmn caranya nek kok bisa bikin tidur nyenyak?" Jawab nenek : : "Pilnya nggak saya yang makan dok, tapi saya masukkan ke dalam minuman cucu ku (perempuan yang ABG), setelah dia meminumnya baru tidur ku nyenyak dok..."

Joke 4 : Dokter Playboy (WARNING : yang ini trple X, dan agak ngawur sih rasa2nya)
Seorang wanita cantik berkunjung ke seorang ginekolog (kalau di luar negeri sudah umum dipisah antara dokter kebidanan (obstetrician) dan dokter kandungan (ginekolog, kalau di Indonesia masih rangkap). Dengan sangat profesionalnya dokter kemudian menyuruh pasien untuk membuka bajunya.
Sesaat kemudian dokter mulai memeriksa pasien tersebut dengan meraba paha pasiennya dan bertanya :" Nyonya tahu apa yang saya kerjakan sekarang ?" Pasien wanita tadi menjawab : "Ya saya tahu, dokter memeriksa apakah ada lecet, luka dan kelainan kulit lainnya" "Betul sekaliii" kata si dokter.
Kemudian dokter meremas2 p******a si wanita, kemudian kembali bertanya :"Nyonya tahu apa yang saya lakukan sekarang?". "Tahu dok, dokter memeriksa apakah ada benjolan tumor di p*****a saya" "Betuuul Sekaliii" balas si dokter.
Terakhir si dokter melakukan hubungan s** dengan sang wanita (yang heran dan ngawurnya, namanya juga joke ya ha ha) tidak menolak perlakukan dokter tadi. "dokter kembali bertanya :" nyonya tahu gak apa yang sedang saya lakukan sekarang?" "Tahu banget lah dok" jawab si wanita : "DOKTER BAKALAN KENA HERPES ...." ( he he gak lucu ya, sudah ah cukup, ntar diisukan dokter porno pula hahaaayyy)

REMARK : Mohon maaf kalau ada yang tidak berkenan ... pisss sembahsembahsembah

Joke 3 dan 4 ambilnya dari sini