Nuclear Medicine: Sophisticated!

It is a week long rotation but quite fun though.In the almost end, something impressed me, a message from a nuclear doctor, my examiner.

At first, I felt like, this department was so unfamiliar since its rarity (rarity?) in Indonesia. I haven't found any precise data but we can search for Perhimpunan Kedokteran Nuklir Indonesia (PKNI) in advance to know more. Basically, when nuclear medicine is mentioned, first thing that came up in my thought was chemical, radioactive, unfamiliar. Second thing, it has a relationship, a very close one with radiology, it's all about imaging. Third thing was about its role as a diagnostic and therapeutic tools.

And yes it was true. Nuclear medicine in brief is about imaging. The department listed the differences between nuclear medicine and radiology and teach them to the medical apprentices, one of them is it has lesser radiation effect to human being. The source of radiation is from the patient, while in radiology they use the radiation source from the machine. Nuclear medicine plays role as a confirming examination yet a breakthrough in detecting an abnormal function of an organ. For example, in radiology they examine kidneys based on the anatomy and obstruction in the renal system. While in nuclear medicine they examine kidneys physiology starts from the filtration (hence for GFR examination), secretion, excretion, and re absorption. One step forward! Nuclear medicine in the future can be used as a medical check up tool, meaning that more people can feel the advantage of its technology rather than only knowing it as a sophisticated medical equipment.

Very futuristic, isn't it? I got a very inspiring saying from a nuclear doctor today.

"The 80% of nuclear medicine is diagnostic and the 20% is therapeutic. I want to master the 20%. I want to be an expert in a field that few people master. We have to be a different doctor, in a good way of course, with a strong background of basic science and knowledge." - dr. Erwin.

Distinguish doctor, yes that was what he meant. A reminder that one should perform the best and be an expert in a field that few people master.

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