Abstracted from the real story that happened in Cirebon : IBU RATRI

name and not the actual display

Ibu Ratri, victualler name recently appeared happy. Soon she would give birth to her first child after three years of marriage. Ibu Ratri always diligent prenatal care to the midwife. Never once did she check the pregnancy to the shaman, even though they are neighbors. She is still actively selling as usual. Ibu Ratri half-life. Her husband, Pak Salam was a farmer and one time the city became construction workers.

On one afternoon, she felt something wet from under her skirt. Until 01.00 am, the liquid is still flowing. Ibu Ratri began to panic. She asked her husband to call the midwife. Pak Salam did not dare to interfere with the midwife for being late. He chose to call the shaman who lived near his home.

At 03.00 am. Shamans come and see the content directly Ibu Ratri. She felt Ibu Ratri stomach and said, "Still a long birth, Bu!" and then go home.

Ibu Ratri increasingly agitated and asked her husband to call the midwife. Pak Salam is only left in the morning, midwife went to health centers.

Pak Salam confusion, how to bring his wife to the health center because he only had a bicycle. He had to run helter-skelter looking for a vehicle loan.

Arriving at the health centre, the midwife said Ibu Ratri liquid amniotic is finite, while opening a new. Ibu Ratri must be taken to the hospital, because the midwife can not handle it.

Arriving at the Hospital, Ibu Ratri can not be directly addressed because they do not have enough money. She just brought Rp.80.000,- and the her father family's green card. The hospital will not receive a green card because Ibu Ratri married, must have their own green card.

Normal Birth Cost is estimated Rp.400.000,-

The hospital agreed in advance to help Ibu Ratri, while Pak Salam went to raise funds. Pak Salam around the village to seek loans for labor it, but to no avail. Finally he got a loan from his father in-law.

Hospital, Ibu Ratri undergo a series of examinations by a doctor. The doctor stated that immediate surgery should be Ibu Ratri. Ratri more nervous because not enough money.

When her husband came with a puzzled face, Ibu Ratri said if she must to operate......

Pak Salam was surprised to hear this news. He had collected money with great effort, just enough for a normal birth. Especially now, when an operation, what cost????

Pak Salam could only let go and sat listless.

Penyakit Kawasaki

Penyakit Kawasaki adalah demam pada anak yang berkaitan dengan vaskulitis terutama pembuluh darah koronaria serta keluhan sistemik lainnya.1 Penyakit Kawasaki pada umumnya ditemukan pada anak balita, 80% ditemukan pada anak dibawah 4 tahun dan jarang pada usia dibawah 3 bulan atau lebih 8 tahun. Usia tersering adalah 1-2 tahun.4 Penyakit Kawasaki tersebar seluruh dunia yang mengenai seluruh etnik terutama ras Asia.1 Di AS pada tahun 2000 diperkirakan terdapat 4248 pasien rawat inap dengan Penyakit Kawasaki.1,2 Anak laki-laki lebih sering terkena dari perempuan. 3 Di Indonesia diperkirakan sudah ditemukan lebih dari 100 kasus terutama di daerah Jabotabek.4 Advani dkk pada tahun 2005 melaporkan seri kasus pertama Penyakit Kawasaki di Indonesia pada symposium Internasional Penyakit Kawasaki ke VIII di San Diego,Amerika serikat. Sejak itu Indonesia secara resmi masuk dalam peta penyakit Kawasaki dunia.4

PENYAKIT KAWASAKI

Definisi :

Penyakit Kawasaki adalah demam pada anak yang berkaitan dengan vaskulitis terutama pembuluh darah koronaria serta keluhan sistemik lainnya.1

Epidemiologi :

Penyakit Kawasaki tersebar seluruh dunia yang mengenai seluruh etnik terutama ras Asia.1 Di AS pada tahun 2000 diperkirakan terdapat 4248 pasien rawat inap dengan Penyakit Kawasaki.1,2 Anak laki-laki lebih sering terkena dari perempuan. 3 Di Indonesia diperkirakan sudah ditemukan lebih dari 100 kasus terutama di daerah Jabotabek.4 Advani dkk pada tahun 2005 melaporkan seri kasus pertama Penyakit Kawasaki di Indonesia pada symposium Internasional Penyakit Kawasaki ke VIII di San Diego,Amerika serikat. Sejak itu Indonesia secara resmi masuk dalam peta penyakit Kawasaki dunia.4 Penyakit Kawasaki pada umumnya ditemukan pada anak balita, 80% ditemukan pada anak dibawah 4 tahun dan jarang pada usia dibawah 3 bulan atau lebih 8 tahun. Usia tersering adalah 1-2 tahun.4

Etiologi :

Hingga saat ini penyebab pasti belum dapat diketahui, meskipun gambaran klinis, laboratorium, epidemiologi mengarah kepada penyakit infeksi. 1,2 Diduga penyakit ini dipicu oleh gangguan imun yang didahului oleh proses infeksi.4

Manifestasi klinis :

Fase Akut (10 hari pertama )

A. Enam gelaja diagnostik

1. Demam tinggi mendadak, tidak respon dengan antibiotika, dapat berlangsung 1-2 minggu bahkan bisa 4-5 minggu. Dalam 2-5 hari demam gejala lain akan muncul.
2. Konjunctivitis bilateral tanpa eksudat.
3. Bibir merah terang kemudian pecah dan berdarah, lidah merah (strawberry tongue) dan eritema difus pada rongga mulut dan faring.
4. Edema yang induratif dan kemerahan pada telapak tangan dan telapak kaki, kadang terasa nyeri.
5. Eksantema berbagai bentuk (polimorfik), dapat di wajah , badan dan ektremitas. Sering menyerupai urtikaria dan gatal, dapat seperti makula dan papula sehingga menyerupai campak.
6. Pembesaran kelenjer getah bening leher (cervikal) dijumpai sekitar 50% penderita, hampir selalu bersifat unilateral dan berukuran > 1,5 cm.

B. Tanda dan gejala lain yang mungkin dijumpai :

· Piuria steril (pada 60% kasus)
· Gangguan fungsi hepar ( 40%)
· Artritis sendi besar (30%) dapat juga sendi kecil
· Meningitis aseptik (25%)
· Nyeri perut dengan diare (20%)
· Hidrops kandung empedu dengan ikterus (10%)

C. Kelainan kardiovaskuler yang mungkin timbul :

Takikardi, irama derap, bising jantung, kardiomegali, efusi perikardium, disfungsi ventrikel kiri, perubahan EKG, (PR interval memanjang, voltase QRS rendah, ST depresi/elevasi, QTc memanjang). Kelainan arteri Koroner mulai terjadi pada akhir minggu pertama hingga minggu kedua


Fase Subakut ( hari 11-25 )

· Deskuamasi ujung jari tangan dan kemudian diikuti jari kaki (karakteristik).
· Eksentema, demam dan limfadenophati menghilang.
· Perubahan kardiovaskuler yang nyata mungkin timbul : dapat terjadi dilatasi / aneurisma, efusi perikardium, gagal jangtung dan infark miokard. Jumlah trombosit meningkat, dan dapat mencapat lebih dari 1.000,000/ mm3

Fase Konvalesen ( 6-8 minggu dari awitan )

Pada fase ini laju endap darah dan hitung trombosit mencapai nilai normal kembali, dapat dijumpai garis tranversa yang dikenal dengan Beau’s line. Meskipun anak tampak menunjukkan perbaikan klinis, namun kelainan jantung dapat berlangsung terus.

Diagnosis :

Diagnosisi Penyakit Kawasaki didasarkan kepada gejala klinis semata. Tidak ada pemeriksaan penunjang yang dapat memastikan diagnosis. Terdapat 6 kriteria gejala diagnostik :

1. Demam remiten dapat mencapai 41O C dan berlangsung > 5 hari.
2. Infeksi konjunktiva bilateral (tanpa eksudat).
3. Kelainan di mulut dan bibir : lidah Strawberry, rongga mulut merah difus, bibir merah dan pecah.
4. Kelainan tangan dan kaki, eritema dan edema pada fase akut serta deskuamasi ujung jari tangan dan kaki pada fase subakut.
5. Eksantema yang polimorfik.
6. Limfadenopathi servikal unilateral.

Pemerikasaan penunjang :

Laboratorium :

· Lekositosis pada fase akut dengan pergeseran ke kiri pada hitung jenis.
· Anemia normositik normogrom.
· Peningkatan reaktan fase akut : CRP (C Reactive Protein), laju endap darah.
· Trombositosis di jumpai pada fase akut bisa > 1.000.000/mm3.
· Piuria.
· Peningkatan trasaminase serum (enzim hati), hiperbilirubinemia ringan, peningkatan gamma glutamyl transpeptidase.
· Hipoalbuminemia pada kasus berat.
· Peningkatan enzim miokardium seperti Creatine Phospokinase MB menunjukan
· infark miokard 1,2


Rontgen thoraks :

Biasanya tidak banyak memberi informasi, dapt ditemukan kardiomegali jika terjadi miokarditis atau kelainan arteri koroner atau regurgitasi katup yang berat, 2,4

EKG :

Harus dilakukan saat diagnosis ditegakkan. EKG dapat menunjukkan gambaran voltage QRS rendah, perubahan gelombang ST elevasi atau depresi, QTc memanjang, Gelombang Q yang abnormal.4

Ekokardiografi :

Pemeriksaan ini mutlak perlu dilakukan untuk melihat kelainan arteri koroner dan disfungsi jantung yang lain. 4

Penatalaksanaan :

Semua pasien dengan Penyakit Kawasaki fase akut harus menjalani tirah baring dan rawat inap. Selama fase akut aspirin dapat di berikan 80-100 mg/kgbb/hari dalam 4 dosis terbagi dan imunoglobulin intravena 2 gr/kgbb dosis tunggal diberikan selama 10-12 jam.2,4 Lamanya pemberian aspirin bervariasi, pengurangan dosis dilakukan 48-72 jm bebas demam, beberapa klinisi memberikan aspirin dosisi tinggi sampai 14 hari sakit dan 48-72 jam setelah demam hilang.2 Dosis rendah aspirin 3-5mg/kgbb/hari dan dipertahankan hingga pasien tidak menunjukan perubahan arteri koroner dalam 6-8 minggu onset penyakit.2 Steroid digunakan untuk Penyakit Kawasaki bila terdapat kegagalan respon dengan terapi inisial. Regimen steroid yang umum diberikan methylprednisolon intravena 30mg/kgbb selama 2-3 hari diberikan sekali sehari selama 1-3 jam. 2,4

Prognosis :

Penyembuhan biasanya sempurna pada penderita yang tidak menderita vaskulitis koroner. Serangan kedua jarang sekali terjadi. Angka kematian Penyakit Kawasaki di jepang 0,08% - 1-2%. Semua anak yang menderita Penyakit Kawasaki meninggal karena komplikasi jantung, biasanya dalam 1-2 bulan sejak timbulnya penyakit. Aneurisma koroner dapat dijumpai pada sekitar 20-49% kasus dan kurang dari 5% menjadi infark miokard. 2,4

Kepustakaan :

1. Rowley AH, Shulman ST, Kawasaki Disease in Behrman RE, Kliegman R, Arvin AR editor, nelson texbook of Pediatrics 17th edition, Philadelphia 2004: 823-4
2. Newburger JW, et al, Diagnosis, treatment and long term Managementof Kawasaki Disease. A statement for health professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki disease. Council of cardiovascular Disease in the young. American Heart Association , 2004
3. Parillo S. Pediatrics Kawasaki Disease, Medicine 2008 diunduh dari http://www.edmedicine.com/
4. Advani N. Diagnosis dan Tatalaksana Penyakit kawasaki dalam Buku Naskah Lengkap: Hot Topics in pediatrics IDAI cabang Kalimantan Timur 2006

Scientific facts : Prophet muhammad miracle of splitting the moon

Fakta Ilmiah: Mukjizat Nabi Muhammad Membelah Bulan

THE STORY is told by Prof Dr Al-Najar Zaghlul (Geology Muslim scholars) about the experience of a leader of Al-Hizb al-Islamy British convert to Islam because of admiration in the separation of truth.

Allah says: "It was near the Day of Resurrection, and the moon has split" (Surat al-Qamar 1).

Are you going to justify the story of the Qur'an is the cause of the Islamic Hizb Islami leader of England?

Below is his story :

In a speech on television meeting with the Muslim geologists, Prof.. Zaghlul Dr. Al-Najar, one British citizen questioned him, whether verse from surat Al-Qamar above contain scientific miracles?

So, Prof.. Dr. Al-Najar Zaghlul answered as follows: About this verse, I'll tell you a story. Since some time ago, I presented at the Univ. Cardif, western England, and the participants who attended all kinds, there are Muslims and there are also non-Muslims. One of the themes of discussion at that time was about the scientific miracles of the Qur'an. One of the Islamic youth who stood up and asked, "My God, do you think the verse that says," It has been near the Day of Resurrection, and the moon has split ", contains scientific miracles?"

So I said: No, because the scientific excellence is explained by science, while miracle can not be explained science, because he could not reach. And about the separation month, then it is a miracle that happened in the last Messenger Muhammad. as a justification for the prophetic and apostolic, as the previous prophets.

Miracles are seen, then it was witnessed and confirmed by everyone who saw it. If not found in the Book of Allah and the Prophet, then surely we Muslims in this era would not believe. However, it was stipulated in the Quran and the Sunnah, the Sunnah of the Prophet.

Allah Ta'ala truly has power over all things. So, Prof.. Dr. Al-Najar Zaghlul story quoted the Prophet split the moon. The story is before the Hijrah from Mecca to Medina Mukarramah. The polytheists said, "O Muhammad, if you really prophet and messenger, try to show us the greatness that could prove prophetic and kerasulanmu (mocking and making fun of)?"

The Prophet asked, "What do you want? They said: Try to divide the moon". So, the Prophet stood up and paused, then pray to God for help. Then, Allah tells Muhammad to lead a finger to the moon. So, the Prophet directed his finger to the moon and the moon is divided by the truth. So, once also the idolaters say, "Muhammad, you really had bewitched us!" However, experts say it is true that magic can be "bewitched" person who was next to him, but could not bewitch people who are not in place. So they waited for the people who will return from the trip. Then, the people of Quraysh who rushed to exit the city limits of Mecca waiting for someone who had just returned from the trip.

And when he came the first group from the trip to Mecca, the idolaters were asked, "Did you see anything strange with the moon?" They replied, "Yeah, right. On the last night we saw the moon split in two, and away from one another and each one back together ...".

Finally, some believe they and others remained pagan (damaged). Therefore, Allah revealed the verses of his: Indeed, had the Day of Resurrection, and has split the moon. When he saw the signs we are, and they disbelieved again turned and said, "This is the magic constant", and they denied him, even follow their own lusts. And every business has really fixed .... (until the end of surat Al-Qamar).

This is a true story, according to Prof. Dr. Al-Najar Zaghlul. And after the completion of Prof.. Dr. convey Zaghlul hadith prophet, standing a Muslim British citizens and introduced himself and said, "I Pitkhok David Moses, chairman of Al-Hizb Al-Islamy English.

O Sir, may I add? "Prof. Dr. Al-Najar Zaghlul replied: welcome gladly." David Moses Pitkhok said, "I have studied religions (before he became a Muslim), one Muslim student pointed to a translation of the Qur'aan that noble. I also thank him and rendering it brought back. As I leafed through the translation of Al -Quran at home, who first opened the letter al-Qamar. And I read it: "It has been close qiamat days and months have split ... .

I mumbled: "Does this sentence make sense? Is it possible to split months later reunited? If so, what kind of power can do that? So I stopped reading the next verses and I busied myself with affairs of daily life. But , Allah is Aware of His servants sincerity in the search for truth.

One day I was sitting in front of British television. At that time there was a discussion between a British presenter and 3 of the U.S. space experts. The third space experts also informed of such large funds in order to travel into space, while at the same time the world was experiencing the problems of hunger, poverty, pain and strife. The presenter also said, "If the funds are used for the prosperity of the earth, would be more useful". All three experts also defend themselves with the project, and said, "This space project will bring a very positive impact on many segments of human life, both in terms of medical, industrial, and agriculture. Thus, funds are not wasted, but in context of the development of human life.

And, in between the discussion is about the decline astronauts set foot on the moon, where the journey to the moon has spent no less than 100 million dollars. Hearing this, the presenter was flabbergasted and said, "let alone this kind of ignorance, so much money thrown away by the U.S. only to be landed on the moon?"

They also said, "No! Goal is not simply plugging the U.S. science on the moon, but we learn the content in that month alone, so we've got the essence of the moon, that if we provide funds for more than 100 million dollars for human pleasure, so we will not provide funds to anyone.

Then the presenter asked, "The essence of what you have achieved so the stakes are so expensive? They said," It is through the cleavage of the moon in a day long ago, then reunited.! This picture was on the shuttle pictures NASAPresenter asked, "How can you be sure?" They said, "We have found exactly the cut stones on the surface of the moon split in the (stomach) months. Then, we asked experts to examine geological and they said," It might not happen unless the moon has split and then reunited.

Hearing the explanation, the head of Al-Hizb al-Islamy UK, said, "So I got out of the chair and said," Miracle (greatness) has actually happened to Muhammad. From 1400 years ago. God has truly mock the U.S. to release funds so large, more than 100 million dollars, just to establish the truth of the Muslims!! Thus, Islam can not be good.

So, I muttered, "So, I opened the back Mushhaf al-Quran and I read surah Al-Qamar, and ... it was the beginning I received and converted to Islam.

Source : Cahaya Iman

Blessed is ALLAH who created the mighty river below the sea

Maha Suci Allah SWT yang Maha Menciptakan Sungai dibawah Laut

"We will soon show them one day, the evidence of our truth is the whole world and for themselves, until light to them, that the Qur'aan is the truth. This is not enough that thy Lord is witness over all things." (QS Fushshilat: 53)

"It is He who let the two seas (side); a more fresh and other fresh salty and bitter, and He made between them and the walls that block boundaries." (Surat al-Furqan: 53)

If you include people who enjoy watching TV plans `Discovery 'must know Mr.Jacques Yves Costeau, he was an expert diving oceanographer and leading experts from France. Male, white-haired old man who throughout his life diving into the sea floor around the world and make a documentary about the natural beauty of the ocean floor to watch the whole world.

One day while exploring the underwater world, he suddenly saw a group of fresh water, which is very delicious fresh taste that is not mixed / not merge with the salty sea water around him, as if a wall or membrane that restrict them.

Strange phenomenon was dizzy Mr. Costeau and encouraged him to seek cause of separation of fresh water from salty water in the ocean. He started thinking, maybe it was just a hallucination or delusion when diving. So the time passed after the incident, but he never got a satisfactory answer about the phenomenon of difference.

Until on someday he met a professor Muslim, later he too tell phenomenon strange. Professor it remember in verses Al Quran about convergence two oceans (letter Ar-Rahman paragraph 19-20) which often identified with Suez Canal. Paragraph rang “Marajal bahraini yaltaqiyaan, bainahumaa barzakhun laa yabghiyaan.. .” Meaning.: "He letting two oceans meet, between both exist boundary not must impregnable." Then recited SuratAl- Furqan: 53 in top.

Besides, within Tafseer books several verses about convergence two oceans but not diertikan water mingle as estuary location, whichever occurs meeting between freshwater from river and salty water from sea. However Tafseer not explain next verse from letter Ar-Rahman paragraph 22 which reads Yakhruju minhuma lu’lu`u wal marjaan” that means" Exit from both pearl and Marjan. "Whereas at debouchment not found pearls.

Enchanted Mr Costeau heard verses Qur'an was, exceeding admiration see magic scenery'd visits in oceans deep. This Qur'anic impossible compiled by centuries Muhammad, alive seven era when not diving equipments sophisticated achieving remote location distant in oceans depths. Verily a miracle, news about strange phenomena 14 centuries silamakhirnya proven on centuries 20th. Mr. Costeau also said that the Koran is the holy book that contains the word of God, whose entire contents are absolutely correct. With instantaneous he too hugged Islamic.

"And He who let the two seas (the nearby), the fresh longer fresh and the other salty and bitter, and He made between them and the walls that block boundaries." (Sura Al-Furqan: 53)

Allahu Akbar ...! Mr. Costeau receive guidance through the phenomenon of marine technology. Almighty Allah is true.

If you divers, then you must visit Angelita cenote, Mexico. There cave. If you dive until depth 30 meters, waters water fresh (bargaining) but if you dive until depths more from 60 meters, water changes saltwater, ago you can saw river "" within basically, complete with tree and foliage leaf.

sources: from different sources

Puskesmas Tapian Dolok recovered 1 case malnutrition in the workspace.

The Puskesmas Tapian Dolok team doctor could perform emergency meeting in August 2008, because in 1 case of malnutrition in Subdistrict Tapian Dolok, Hijratul diagnoses of clinical signs as marasmus Kwashiokor with only 4 kg of weight (1 year 1 month).

Hijratul, 1 year 1 month, the only 4 kg weight. Photos taken around August 2008.

Strict observation conducted through the Puskesmas Tapian Dolok by dr.Togi Jerry, the agent of nutrition, Supiati Tanjung and Midwife Village, Windariani. With the eksta, giving oralit (liquid) control biscuits MP ASI, and local MP ASI made by parents remain.

Finally, the date of the observation of May 6, 2009 Hijratul already weighed 8.5 kg. Congratulations Hijratul..

Hijratul, 1 year 11 months, has weighed 8.5 kg. And has learned to walk. A photo taken on May 6, 2009.

Waspada Penyakit Kawasaki

Saat ini telah mulai banyak beritakan tentang penyakit kawasaki. Pada saat pertama mendengarnya mungkin sebagian kita akan tertawa, karena dianggap candaan, ya..sama ama produk otomotif keluar Jepang. Tapi sekarang kita jangan tertawa lagi tapi harus waspada bila mendengar nama penyakit kawasaki.

Wakil Ketua Ikatan dokter Indonesia (IDI) Medan, Delyuzar Haris, di Medan, Selasa, mengatakan, penyakit Kawasaki yang masih tergolong baru ini pada umumnya hanya ditemukan pada anak balita. Berdasarkan literatur, sekitar 80 persen penyakit ini ditemukan pada anak dibawah usia empat tahun dan diatas tiga bulan. Penyakit ini sangat jarang ditemukan pada anak di bawah usia tiga bulan dan di atas delapan tahun.

Diperkirakan anak di bawah usai tiga bulan sangat jarang terkena, penyakit ini karena si anak masih mendapat kekebalan tubuh yang cukup baik akibat ASI yang dikonsumsinya dari sang ibu. Penyebab utama Kawasaki belum diketahui secara pasti, namun ada indikasi pemicunya adalah gangguan system kekebalan tubuh yang didahului terjadinya infeksi.

Suhu tubuh si penderita Kawasaki bisa meningkat hingga 39 derajat dan tidak mengalami penurunan suhu hingga 5 hari. Menurut dia, sulit untuk mendeteksi atau memastikan gejala penyakit ini jika hanya didasarkan pada demam yang timbul, sebab kebanyakan demam memang selalu menyertakan suhu yang meningkat dalam tubuh karena terjadi infeksi.

Makanya orangtua jangan terkecoh, mungkin saja mereka mengira hanya demam biasa. Untuk itu sebaiknya agar diketahui secara pasti, sebaiknya anak cepat dibawa kedokter jika sudah menderita demam dalam beberapa hari ,katanya.

Ciri-ciri penyakit ini hampir sama dengan gejala demam berdarah yakni demam tinggi sampai berhari-hari. Bahkan sering juga disertai dengan bercak merah mirip campak.

Secara umum penyakit ini dapat diketahui engan ciri-ciri Demam tinggi mendadak, tidak respon dengan antibiotika, dapat berlangsung 1-2 minggu bahkan bisa 4-5 minggu.

"Jangan sampai terlambat segera periksakan ke dokter jika keluarga anda ada yang menderita gejala-gejala semacam ini, sebab jika terlambat terdiagnosis dapat menyerang pembuluh darah jantung dan memicu penyakit jantung koroner di usia muda," katanya tanpa merinci seberapa banyak jumlah kasus penyakit itu yang sudah terjadi.

A Ray of Hope

This thing has become a habit for me, if all the above at 8 pm after practice, I go and hang out with my friends. And we usually walk around the P. Siantar City. Sometimes at the dinner crowd.

There's a place our customers, selling fried rice, precisely in Jl.Kartini, P. Siantar or Jl.Sudirman intersection. If Siantar's people often say Nasi Goreng Idola. We often hung in there with the excuse that the food was so delicious, spicy and a gathering place for a pleasant enough.

To the point, the Seller Nasi Goreng a worker has a son who was about 18 Years. Tall, white and silent. Maybe because I grew up in a family environment and the middle and upper economic relations with people my level, so I was impressed proud of the people who are not level. And workers' sons was named Elvin (name because my friend asked the child's name), I am often struck that every time I order food. Because he kept forgetting and looking rather foolish.

One of my friends named Nora (high school teacher Parapat, Girsang Sipanganbolon) always advised me, if I can not do it. And she said to Elvin, "Bro, if this brother was sitting and do not ask again, what message he wants, because you already know what he likes."

One night, Nora asks the same Elvin, "You live where?"
Elvin, "In Negeri Dongeng, Sister."
Nora, "You graduated from what?"
Elvin, "I never graduated from junior, sister."
I quickly snapped, "Why not go to school?" Elvin and replied, "My mama's dead, Bro. Beside me there is no cost to the school."
Nora, "oooo yes already."
And when I started thinking, means that Elvin was a child difficult. But I do not care.

Day after day, with our habit to eat Nasi Goreng Idola, I have two nights watched Elvin does not work. Curious, I asked him to Nora to ask a friend of workers as well. Apparently Elvin sick that day. I feel guilty arises, why I was so arrogant and often yelled at him. But he was anxious to serve a variety of characters customers.

Finally I decided I was with Nora to see him. And until addressed, we parked next to the store and down the steep stairs. Oh God, but how the plight of this community in Negeri Dongeng. Life is so dilapidated, poverty is seen.

Elvin surprised by our arrival. I looked at his family. And the father came, day-to-day work as a carpenter. We spoke at length to find his family. At that time he was cooking lunch for his father and sister. Because the father came, my father continued to cook. In my heart, I am very sad, it was Elvin including family backbone.

I realized there was no point in vain. Oh God, I found I was still someone you love luck. Apparently many people who are not lucky like me. Thank God, you take me through Elvin.