there was one young patient who was suffering 4m severe hypertension(b.p-220/100) and tachycardia.The hospital supply consist of only one medicine of hypertension,but this was not enough for treating her.I prescribed her two more medicines and advised her to continue these and advised her some investigations and also advised her to consult one cardiologist.Due to poor monetary condition and also ignorance and also advice 4m other people, the patient only took those medicines for 1 week and at the end of one month patient came wid profuse hypertensive epistaxis(nasal bleeding).at that time i also refered her 2 higher centre but she refused.then i prescribed her and her husband on that day bought all medicines.fortunately patient got cured.again i referrd her and advised her all relevent investigation and i advised her to continue all medication.but i m sure she will again discontinue.on one side this is due to poor monetary condition,and on the other side it is due to ignorance of people about health and education.so bottomline is that 1)we hav to work hard to uplift the poor,2)health and education should go simultaneously.
As i joined rural posting as MO,i m really faceing the truth of poor rural people.They r not having money 2 live daily life,they totally hav 2 rely on hospital supply medicines.As emergency patients need some costly medicines,they r unable 2 afford.Some patient even if i refer them 2 higher centre for better treatment r unable 2 go due to their poor monetary condition,they even say "treat me here if u can,i hav nothing,i hav no one"....