Friday, September 25, 2015

Oslo's Streets... in a flash

Oslo's Streets... in a flash


During my trip to Paris in May 2015... I went to visit Reyjavic, Iceland. The shortest trip, has to be transited to Oslo, Norway.. So, Why Not??

Oslo (English pronunciation: /ˈɒzl/oz-loh, Norwegian pronunciation: [ˈuʂˈlu]  or, rarer [ˈusˈlu] or[ˈuʂlu] is the capital and the most populous city in Norway. Oslo constitutes both a county and amunicipality.
Founded around 1000 AD, and established as a "kaupstad" or trading place in 1048 by King Harald III, the city was elevated to a bishopric in 1070 and a capital under Haakon V around 1300. Personal unions with Denmark from 1397 to 1523 and again from 1536 to 1814 and with Sweden from 1814 to 1905 reduced its influence. After being destroyed by a fire in 1624, the city was moved closer to Akershus Fortress during the reign of King Christian IV and renamed Christiania in his honour. It was established as a municipality (formannskapsdistrikt) on 1 January 1838. Following a spelling reform, it was known as Kristiania from 1877 to 1925, when its original Norwegian name was restored.


Just a cross the street of my Hotel. Very hard not to notice, an old well take care of building.

The building is built in yellow brick with details and basement in light gray granite. It is a combination of several styles, including inspirations from France and Italy. A characteristic feature of Stortingsbygningen is the way the plenary chamber is located in the semi-circular section in the front of the building, as opposed to the building's centre. The back side of the building mirrors the facade of the front, with the meeting chamber of the now-abolished Lagting legislative chamber. The interior of the building is also designed by Langlet.

The Storting building (NorwegianStortingsbygningen) is the seat of the Storting, the parliament of Norway, located in central Oslo. Located at 22 Karl Johans gate, it was taken into use on 5 March 1866 and was designed by the Swedish architect Emil Victor Langlet.
Oslo has a large number of parks and green areas within the city core, as well as outside it.
  • Frogner Park is a large park located a few minutes walk away from the city centre. This is the biggest and most reputed park in Norway with a large collection of sculptures of Gustav Vigeland
  • Bygdøy is a large green area, commonly called the Museum Peninsula of Oslo. The area is surrounded by the sea and is one of the most expensive districts in Norway.
  • St. Hanshaugen Park is an old public park on a high hill in central Oslo. 'St. Hanshaugen' is also the name of the surrounding neighborhood as well as the larger administrative district (borough) that includes major parts of central Oslo.[30]
  • Tøyen Park stretches out behind the Munch Museum, and is a vast, grassy expanse. In the north, there is a viewing point known as Ola Narr. The Tøyen area also includes the Botanical Garden and Museum belonging to the University of Oslo.[

Frogner Park is a large park located a few minutes walk away from the city centre. This is the biggest and most reputed park in Norway with a large collection of sculptures of Gustav Vigeland


Oslo harbour with Aker brygge, marina, shopping and residential area. Nobel Peace Center on the west side of the square. Oslo city hall (opened in 1950) with it's two towers to the north. On top of the eastern tower is a 49 bell carillon



The Oslo Norway harbor is one of Oslo's great attractions.  Situated on the Oslo Fjord, the harbor front is a popular destination for both tourists and residents. This boat remind me of "Square pant"

Because of the city's northern latitude, daylight varies greatly, from more than 18 hours in midsummer, when it never gets completely dark at night, to around 6 hours in midwinter.
Oslo has warm summers with two out of three days in July that have high temperatures above 20 °C and on average one out of four days reach a maximum above 25 °C.[25] The highest temperature recorded at Blindern in July was 33.4 °C (92 °F) on 21 July 2014.[26] The highest ever recorded at Blindern was 34.2 °C (94 °F) on 3 August 1982. At the "Observatory" downtown Oslo 35 °C (95 °F) was recorded on 21 July 1901.[27] In January, three out of four days are below freezing (0 °C), on average one out of four days is colder than -10 °C.[25] The coldest temperature recorded is −26 °C (−14.8 °F) on 3 and 19 January 1942.
July 2014 was the warmest summer month ever recorded, with a monthly mean temperature at 20.8 °C (69.4 °F), monthly mean maximum temperature 26.8 °C (80.2 °F), monthly mean low was 15.3 °C (59.5 °F).[28] Twenty days in July 2014 had highs above 25 °C (77 °F).[29] The climate table below only includes numbers for the standard period (1961-1990) and only for Blindern observation site (the offices of the Norwegian Meteorological Institute).

Taken around 16.00, the sky were amazing. I wish i will visit this place again.. They said there are alot of amazing sky scape in Norway. The best in the world

The population of Oslo was by 2010 increasing at a record rate of nearly 2% annually (17% over the last 15 years), making it the fastest-growing Scandinavian capital. In 2015, according to Statistics Norway annual report, there were 647,676 permanent residents in the Oslo municipality, of which 628,719 resided in the city proper. There were also 942,084 in the city's metropolitan area.
According to the most recent census 432,000 Oslo residents (70.4% of the population) were ethnically Norwegian, an increase of 6% since 2002 (409,000). Oslo has the largest population of immigrants and Norwegians born to immigrant parents in Norway, both in relative and absolute figures. Of Oslo's 624,000 inhabitants, 189,400 were immigrants or born to immigrant parents, representing 30.4 percent of the capital's population. All suburbs in Oslo were above the national average of 14.1 percent. The suburbs with the highest proportions of people of immigrant origin were Søndre Nordstrand, Stovner og Alna, where they formed around 50 percent of the population. Pakistanis make up the single largest ethnic minority, followed by SwedesSomalis, and Poles. Other large immigrant groups are people from Sri LankaVietnam, Turkey, MoroccoIraq and Iran

Oslo has numerous religious communities. In 2008, 63% of the population were members of the Church of Norway, lower than the national average of 82%.In 2011, almost 20% of the population were registered in other religious or life stance communities









Oslos's youngster.. driving loudly aroundthe main city block yelling and reclimimng their new club

The Royal Palace (NorwegianSlottet or formally NorwegianDet kongelige slott) in Oslo was built in the first half of the 19th century as the Norwegian residence of the French King Charles III of Sweden, who reigned as king ofNorway and Sweden. The palace is the official residence of the present Norwegian monarch. The crown prince resides at Skaugum in Asker west of Oslo. The palace has 173 rooms.
guard after hour

Long road from Parliament building to city hall

Not sure whether they were tourist or local, but iyt was worth shoot

Its a nice city with a nice wheather. Surely it was not enought just to stay for one day. 
It will be in my next list still thou.





Thursday, September 24, 2015

My Theaters.. and it's Heroes....


My Theaters.. and it's Heroes....


“What you do is what matters, not what you think or say or plan.” Jason Fried, Rework


My Mod Bentall & Total Arch replacement .. one of the most difficult, complicated yet high risk surgical procedures


My OR, about 15minutes before I started

operating theatre, operating room (OR) or operating suite, is a 
operating theatre, operating room (OR) or operating suite, is a facility within a hospital where surgical operations are carried out in a sterile environment. Historically, the term “operating theatre” referred to a non-sterile, tiered theater or amphitheater in which students and other spectators could watch surgeons.






My work... well, you can say it’s my life.. were in a 80metres square room full of dedicated and sophisticated surgical equipment




My First heros.. The one who work closer to my field. The one who first came and last came out from my operating room. And never forgot to mention, the one who teach me most of the basic procedural in my surgery
Agus... with his serious face where working hand in hand with my resident/fellow. Even thou it was a "simple" operation... most of the time the procedires still involeving sophisticated device which onlu could be mastered by dedicated OR nurse.

Scrub Nurse also called operating room, OR or perioperative nurses care for patients in the fascinating, fast-paced surgical environment. In a setting where every second counts, some times they serve as the only surgeon’s primary assistant and work closely with their team members to make each procedure safe and successful. They also provide much-appreciated comfort and reassurance to patients before and after the operation




Perfusionist...a specialized healthcare professional who uses the heart-lung machine during cardiac surgery to manage the patient’s physiological status. The perfusionist is a highly trained member of the cardiothoracic surgical team which consists of cardiac surgeons, anesthesiologists or Certified Registered Nurse Anesthetists, physician assistants, surgical technologists, and nurses. The perfusionist is solely responsible for the management of the physiological and metabolic needs of the cardiac surgical patient so that the cardiac surgeon may operate on a still, unbeating heart. This is accomplished through the utilization of the heart-lung machine, as well as its associated components of an oxygenator, filters, reservoirs and tubing. The perfusionist is responsible for the management of circulatory and respiratory functions of the patient which has a great effect on the patient systemic condition and allows the cardiac surgeon to focus on the actual surgical procedure and less on the immediate needs of the patient.
Ida & Koeswara... conducting a complicated perfusion procedures for me.


Cardiac Anesthesiologist a subspeciality of the medical practice of anesthesiology devoted to the preoperative, intraoperative, and postoperative care of adult patients undergoing cardiothoracic surgery and related invasive procedures. It deals with the anesthesia aspects of care related to surgical cases such as, but not limited to, open heart surgery, lung surgery, and other operations of the human chest. These aspects include perioperative care with expert manipulation of patient cardiopulmonary physiology through precise and advanced application of pharmacology, resuscitative techniques, critical care medicine, and invasive procedures. This also includes management of the cardiopulmonary bypass (heart-lung) machine, which most cardiac procedures require intraoperatively while the heart undergoes surgical correction

My fellow CV anesthesiologist... desperately consult to his attending
Mr Adi.. TEE& CV anesthetist specialist ...Images à la Sauvette ...THE DECISIVE MOMENT...... silent time during TEE evaluation by TEE master after Heart Valve Operation / Defect Closure by Master Surgeon... on the back ground.. Mr Bagus ,CV surgeon, was watching

Others.... never knew their face nor names... One of the deep secrets of life is that all that is really worth the doing is what we do for others....I know that silent gratitude isn’t much use to anyone.. so.... 

After the last and before the next surgery...
I'm thankful to him for having a environment that's been comfortable for me. He's been there from the time I was a trainee to even now with my fellow resident helping with my own surgery. It's worth more than words could ever describe. That's one of the ways I've been able to stay grounded is thanks to him.
thank you my friends

thank you my friends..


Mrs Euis...My fellows trainee said...."As surgeons sometimes we forget to thank people like him, after surgery's done we rushed out to rest or to the ICU, leaving a trail of catastrophies in the OR, as a result of 'our battle'. There are people who also got their part in the battle, yet hardly appreciated. These people cleaning up all those mess and preparing the room for the next. 
To think again, there might not be any surgery without them cleaning the room first... 
Guess we should appreciate them more, not just at the OR, but everywhere

So, thank you janitors everywhere,
for your cleaning services...
And thank you dr Dicky A Wartono for this heart touching pic that instantly poked my heart....."


Fellow... whether it was anestethist or surgery... was always our most important team crue

Our resident n nurses, hand in and in training & learning

Mrs Tenty.. our chief administrator, my friend & my teacher







Let my soul smile through my heart and my heart smile through my eyes, that I may scatter rich smiles in tired hearts.

Mrs Endah.... My most senior female nurses & my teacher.... smiling face of her were always relieving... even after tiredfull aortic surgery



Koeswara & Ida...professionally matched couple.. Smile after her first Perfusion job for complicated Arch Surgery

Mrs Cindy.. the seniormost female CV anestesiologist... Smile for succesfull Aortic dissection Surgery


Poetry.. my Little sister... my CV perfusionist, smile after a successfull coming off bypass

Irza... one of my Scrub nurse... smile after succesfull ComplicatedAortic surgery

Mrs Icha.. my anesthetist with her generous smile before surgery..which most of the time encourage us ,surgeons, to do our best




Hendra... young scrub nurse.. His mask cannot hide his wide smiling faces after a tiredfull emergency surgery


The first sign of a successfull Cardiovascular operation, were felt in the smile from the tiredfull OR staff’s faces.... thank you Guys...



dedicated to all my friends in life. Your excellent works are meaningfull for my road success