Lois is a 64-year-old improvised woman who comes to the clinic every three months for evaluation of her diabetes and high blood pressure. She is so poor that when a storm blew off part of her roof over a year ago, she simply went without shelter. Rain constantly pours into her home while mosquitoes lay new eggs in the standing water in her bedroom. After the bugs have bitten her repeatedly throughout the night, the marks and itchy bumps she’s left with the next morning become so unbearable that she picks at the small swellings until they bleed, enlarge, and become big, infected mountains all over her obese body.
She uses no air conditioning because she cannot afford the utilities. From her smell, I would imagine that daily use of soap and water are luxuries she cannot pay for either. Although she is a pleasant single grandmother, anyone looking at her can quickly determine the amount of damage that a lifetime of neglect can do to a body.
Recently, she presented to the clinic with burning with urination. Later we confirmed the diagnosis as chlamydia. The moral of the story is: if you’re single, don’t worry. There’s somebody out there for everybody.