Rose was dying. She was no longer able to sit up on her thin bamboo mat in the dim house. Her dusky color and gaunt frame were signs of her terminal leukemia. But this was not the first time that Rose had been on the brink of death.
Six months earlier, family members informed me that she was seriously ill and unable to leave her home. I found her in a dilapidated house, moaning, mildly disoriented, and poorly cared for. Although Rose had been sick for weeks, her family, assuming she would die, had not taken much initiative in seeking help. We transported her to the clinic, started intravenous fluids, and began to assess her condition. Most of her tests came back normal, but her hemoglobin was dangerously low. Rose desperately needed multiple units of blood.