Here come a sad story to share.. How should I start huh?? Ok, here it goes.. As usual this morning I’m running my Dietetic Clinic.. Then at around 10.50am a patient came to me as being referred from Medical Clinic.. In my first impression I thought the patient is BWN (Bukan Warganegara), without review his referral form and medical record.. But I’m totally wrong, he is actually a Dusun.. (I’m too judgemental huh)..
Okay, this patient have a very malnourished/ cachexic look.. Usually, I’ll obtain pt's anthropometry data first but as I knew this pt’s BMI is low, I didn’t do the measurement.. This pt was diagnosed of having unstable angina.. But after I review his medication, he took anti-hypertension, oral hypoglycemic agent, lipid lowering drugs and so on (sure already got multiple complications) and Dr refer to me just for low sugar and low CHO diet as his FBS (fasting bood sugar) was slightly high..
When I obtained his social and background data I found out that he was from a low socio-economic family.. He was married, unemployed and has 7 child.. Only his wife is working but as he mention “bini sy cuma tanam tabasan ja, itu pun menumpang tanah orang”.. Another touching words are:
“tu la saya sakit, tidak dapat kerja mau kasi makan/sekolah anak2”“selalu pagi2 saya makan nasi campur garam ja, x sayur”“kalau ada duit lebih baru dapat beli sayur d pasar, kalu x pun makan sayur hutan ja”So when I asked weather he consume any sugary foods or drinks, this is what he answered..
“Ada juga la kadang2 sy minum tu Nescafe 3 in 1 tapi itu pun 1 pek bagi2 sama anak2”
I’m so blurred that time.. I don’t know what to advise as nothing that I can help in term of dietary intake as he just consume that kind of foods everyday.. So, I just advice him
1) to eat regulary more frequent as to increase his body weight
2) continue avoiding sugary foods and drinks
3) increase vegetables intake..
I'm wondering why poverty still occured in our country eventhough we are now well developed.. Yeahh, I know poverty do exisits everywhere but I cannot accept to hear the situation that occured in Africa do occured in our own country.. Adakah kerajaan terlepas pandang golongan sebegini? Where were all the TV programmes BERSAMAMU, TABUNG DAFUR and all that?? We still have citizen who really in need but why must we help others out of our country..?? Is that due to the sense of humanity or it is just totally about political things??
I still remember my lecture class regarding The Vicious Cycle Of Poverty back in USM.. The explanation is almost the same with what this pt experienced now.. I just can't imagine myself in that place.. Commit suicide mangkali awal2..
This situation really awaken me.. I always sighing about my life, my work and what I become now but still I'm always happy... I finally realized that I never give thanks to God for all I have now.. Never be grateful..!! Poor Fred!!!