Doctor Terawan and His Patient

Do you remember the story of the physicist Galileo Galilei stating that the center of the solar system is the sun, but his theory is considered heretical by other physicists so that Galilei is exposed to other countries to prove his theory can be believed. Similar things are now repeated in Indonesia, this time experienced by an experienced doctor who has a new method in treating stroke, doctor Terawan Agus Putranto.

Doctor Terawan Agus Putranto is a former medical officer in the Indonesia national army who bears the rank of major general. His desire to become a doctor is his a childhood dream. The Man who born in Yogyakarta, August 5, 1964 continue his graduating in high school, he took studies in the Faculty of Medicine at Gadjah Mada University (UGM), Yogyakarta. He successfully graduated as a doctor in 1990 when he stepped 26 years.

The Indonesian medical expert inventor of DSA method

Graduated as a doctor, he devoted himself to the Army’s military affairs and then assigned to several areas, including Bali, Lombok, and Jakarta. To deepen his medical science, he took Radiology Specialist at Airlangga University (Unair), Surabaya. He felt that the science of Radiology in Indonesia has not been much developed, so he was tapped his heart to deepen the radiology of intervention. Terawan finally graduated at the age of 40 years.

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The importance of science has certainly to help patients to recover faster from the disease. Not enough there, Terawan again adds his scholarship, he took a doctoral program at Hasanuddin University (Unhas), Makassar and graduated in 2013.
Due to such a high level of medical dedication, Clinicians can be regarded as doctors with above-average intelligence. Because of his intelligence, doctors Terawan finds a new method for stroke patients. The method is called brain flushing or Digital Subtraction Angiography (DSA). The method is also contained in his dissertation titled “Intra Arterial Heparin Flushing Effect on Regional Cerebral Blood Flow, Motor Evoked Potentials, and Motor Function in Patients with Chronic Ischemic Stroke”.

The method he created was already practiced into some of his patients and proved to have tremendous benefits. Approximately as many as 40 thousand patients, including important figures have felt the method created by the doctor Terawan, one of them is a businessman as well as political figure Aburizal Bakrie.

But it is unfortunate that the method that has saved many people is viewed differently by his colleagues who consider the method introduced by Terawan is absurd. For one thing, DSA is not a healing therapy tool, but a tool for disease diagnosis. Other hard criticism was also delivered by prof. Dr. dr. Sudigdo Sastroasmoro, Sp.A (K) who considered that the research conducted by Terawan was “weak” and “flawed” from the validity of the study methodologically.

His research ignores aspects of research design, sample size, sampling methods, and writing, especially Terawan not understanding the principle of rigorous controlled trials in drug trials or medical procedures. In addition, Sastroasmoro considered Terawan’s research was not based on a real experimental study, but a potentially biased pre-experiment biased on assumptions.

Due to the many criticisms given to this Terawan doctors, in the end, the Indonesian medical association (IDI) sanctioned the doctor Terawan Agus Putranto in the form of 12 months’ sacking from IDI membership since February 26, 2018-25, February 2019. This has received much criticism that the sanction given to doctors Terawan very unreasonable, one of which is a statement from the chairman of the House Commission IX Dede Yusuf said, so far the practice of Terawan doctors do not harm the community and there is no violation of the law. Regardless of the controversy about the method used by Clinical doctors underlying IDI dismissal, he argues, the number of patients being cured reflects that his method is beneficial to public health. The existence of an academic or scientific verification procedure should not be a constraint and turn off useful innovations.

Likewise, Health Minister Nila Moeloek requested that this polemic must be resolved internally between the Ethics Council of Medicine and the Doctor of Terawan. Ministry of wealth is willing to mediate the parties to avoid any noise. Minister of Health also asked all parties not to muddy the atmosphere, and wait for the next process. The question of the debated brainwashing method, according to the Minister of Health, should be discussed along with its security and feasibility issues.

Doctor Terawan is believed to teach expert doctors in Germany through his DSA method

However, different responses are shown by his German colleagues who consider that doctor Terawan methods are worth to developing. Therefore the German side specifically requested the doctor Terawan to train a specialist in Germany with his method through the offer of research cooperation directed to him. It is in good response by doctor Terawan by fulfilling an invitation from the German Krankenhaus Nordwest Hospital to introduce this DSA method. This is even an opportunity by doctor Terawan to introduce to the world that Indonesian medical technology is not inferior to medical technology from other European countries.



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