 Imagine for a moment the perfect patient examination, you find clubbing, a heart murmur and discover signs of heart failure. Rheumatic heart disease appears on your differential; and you’ve made the perfect diagnosis. However this isn’t just an exciting case allowing us to congratulate ourselves on our medical skills, this is a real patient. She’s the same age as me, has 3 children, and has travelled 3 days from Northern India for treatment. She can’t speak the language, has no money and has left her children behind. What’s the solution?
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