Pity dialysis patient

Yesterday i was on call in nephro and chest ward . At 4.00 am ,my pager beep and a message came from casualty. I called up them the casualty doctor told me the patient just discharged from our ward 2 weeks ago who refused renal replacement therapy (either hemodialysis or peritoneal dialysis) came in for acute pulmonary oedema. Quickly, i went and saw the patient is in acute respiratory distress . Sp O2 is 87-90% on high flow mask. Patient in semi conscious state. Immediately I went and discussed with patient's family regarding patient's condition and need of intubation and temporary PD (peritoneal dialysis) later. After long time discussion, patient's family agreed and Intubation done . Patient survived and now PD done to him.
This is a real story happens everyday. Patent whether affordable or not for dialysis or got good financial aid from government (patient's daughter is teacher) or not . This is only a part of the issue. The most important thing is patient willing to accept the fact he is in end stage renal failure. It is very easy for us (doctors) to talk about the RRT(renal replacement therapy) but for them to accept it is very difficult. Basically they are at denial state until PD is being done to them or they got severe pulmonary oedema. The lesson being paid sometimes is too high . Sometimes they may lose their life on this process.
I think Malaysia should got better access for financial aid and information regarding dialysis just like this site.