It was a lazy Saturday evening of my OPD. Suddenly one of my hospital attendant came & told me, “Madam, one OPD patient is waiting for you. Would you like to examine him? He has a bad pus filled, fowl smelling, dirty wound over his one of the foot.” She made a face. But I decided to help him. As I am a primary care physician and helping him is my duty. I asked my attendant to send him to my OPD.

This was my first encounter with the family. I saw one 18 years old young boy was accompanying his 78 years old grandfather who was suffering from left diabetic foot. It seems he was known diabetic and hypertensive since last many years and was taking treatment from CHC nearby because he cannot afford a private physician. He was a poor, illiterate fellow, surviving with his wife in different house. His pension income was 500/- only. The treatment he received from CHC was the metformin Tb.500 mg…