It’s hard to go back to sleep when you are awaken by a distress call in the ER in the middle of the night. A lot of what if’s will play in your mind and the fear of losing a patient’s life will bother you all the time. But the moment you will realise that the patient has been having the problem for a year now, a question will be asked why the patient is rushed to the ER only now? It’s always financial problem which hinder a patient to seek an immediate care and here in the country, our patient will only seek admission if they can no longer bear the difficulty in breathing. And the moment that the patient can feel a little relief, even if not well yet, they will just go home against advice right away. This is the very tragic health status in our country.