I have been working at the nephrology unit for past 3 months.

Therefore,  many patients are newly diagnosed kidney failure and required long term dialysis.

Dialysis, whether a peritoneal dialysis or haemodialysis, required substantial of money.

For a local, if the patient is a government servant or their parents are government servant, t he cost will bear by the government. For working people, Socso (a form of insurance for working people) can support. There’s still a large group of people whom did not have financial support, and they are were apply for Zakat, Baitul’mal ((for the muslim), and other charity dialysis centre like YKN, SSL, NKF and St John.

The one that prove difficulty are the immigrants and the permanent resident. They are not entitled for any other financial support and required self-finance.

I read this article by NYTimes and the problems of immigrant who required dialysis support.

The article mentioned a immigrant who have no permanent place for dialysis,  were dialysis on and off and financially the hospital paid her to send her back to Mexico for continue dialysis.

Back to our ward, we have a similar case.  The case is involved of indonesia man who in kidney failure was admit couple of time and each of time required dialysis.

The consultant eventually managed to get the social worker help and contact the Indonesia embassy who will provide a ticket for him to return to Indonesia. But, he didn’t manage to return home. He contracted hospital acquired pneumonia and pass away.