Ah... Birokrasi.. Birocracy what soever

Today when I arrived at public hospital, already 10 in the morning, I saw the little tiny baby, about 1 kg newborn in the radiant warmer, trying to breath, probably having asfixia, then I ask my nurses, "what about this baby? Born spontaniously or caesar? APGAR score? Amnionfluid?" and guess what, the nurse just said "Don't know yet dr, she just came, no news from the midwife in obgyn ward, and the status paper hasn't arrived yet!" o my god!!! Little baby, hardly breath, and nobody knew about the story... Hmmmm... I'm speechless, so I just said.. "Give oxygen, iv line, d10%, and antibiotics, and aminophylin iv, observed the temperature" the nurse said that they need permission from parents for iv line... What? Hahahahah, yes permission just a minute before the baby die? no way, i ordered to just do the iv line, no need permission for this situation. Paper anf birocracy? hmmmm. I asked the nurse about the airway, was it clean already? And they just answered, "don't think so dr, but we can do anything, there's no suction pipe appropriate for 1 kg baby right now" once again I'm speechless, hey, it's neonatology ward, that means they must have supplies of that kind of things. Oh well, what can I say...must be birocracy... Must have lots of 'paper' for having a little stock. So I just order the nurse, to contact the baby's family for neotanal ICU permission. And the nurse said "ok dr, as soon as we know the status... SKTM, JAMKESMAS or JAMPERSAL or the baby family have money..." aaaa... Another birocracy. Hello... I'm trying to save life here... Then I leave the baby and having my round in neonatology ward, visitting the low birth weight baby ward. When I was just having my round, Cathy, the midwife with doctor title (the big D) from Canada, who's doing research in Serang, with panic, came to me. She said "o my god!! What the hell is the low birthweigth newborn doing in the baby's room radiant warmer? She's supposed to be in the neonatal ICU!!!" hmmmm... Ok... Don't panic, that's the same thing I had in my mind minutes before... So I just explained it to Cathy about what the nurse just told me minutes before... And she was like in shock... "Really? Ok, just send the baby to NICU, I'll pay for her..." emmm, very nice.. But I said to Cathy, wait untill some minutes, maybe the parents also want the baby go to NICU. Cathy said that all of them think the baby was death, but when delivered the baby was breathing. It's the mother 3rd baby, the other 2 were death, and this pregnancy the mother having lots of bleeding. Very very poor... Then Cathy look at me with confusion, how come I can stand to work in this kind of birocracy, like everyone need approvement of something and while waiting, the baby can be death. Hahahahah, it's Indonesia. Yes Cathy, it is stressed me a lot, like u can have the skill and knowledge, but because don't have the facilities, then u can't do anything. Just for iv line for lifesaving, need 'paper' permission, to transfer patient must know how the payment methodes, just for one tiny suction, we need dr recipe with real sign, aaahhh birocracy... Think about how much we wasted for that kind of things...