The Video Consultation

Nurse Rina connects the call. The video is grainy but functional. A woman in a factory uniform appears—Ibu Wati (Mother).

Mother: "Assalamualaikum? Mak? Why are you calling? Is that Bayu screaming?"

 Student Script (Breaking Bad News Remote):

"Ibu Wati, I am Dr. Eka from Puskesmas Tello. Please listen carefully. Bayu is critically ill. He has Dengue Hemorrhagic Fever that has affected his brain—that is why he is screaming and confused. It is not a spirit. It is the virus swelling his brain and thinning his blood. He is in shock. If he leaves this clinic to go to the Dukun, his heart will likely stop within hours. I need your permission to treat him right now. I need you to tell your father to let me work."

Mother's Reaction:

She bursts into tears but is decisive. She serves as the migrant breadwinner and trusts modern medicine more than the village traditions.

Mother: "Pak! (to Grandfather) Listen to the doctor! Please do not take him to Mbah Suro! If Bayu dies because of you, I will never forgive you! Doctor, save my son! I give full permission. Do whatever you have to do!"

This interaction highlights the Indonesian Health Law (UU Kesehatan No. 17/2023) and the Telemedicine Regulations (MOH Reg. 20/2019).

Remote Consent: Informed consent can be obtained remotely in emergencies. The video recording or digital message serves as valid documentation.

Parental Authority: The biological parent's explicit instruction overrides the grandparent's proxy authority.

Conflict Resolution: The student used the "higher authority" of the mother to de-escalate the grandfather without using physical force.