Myelomenigocele. It is a neurosurgically treated birth disorder that is largely preventable by Folic acid (vitamin) taken during pregnancy. I had not seen a case in decades until I worked in Saudi Arabia. I lived in a walled compound with guards. The poverty rate? The government hides its data but estimates of 30% unemployment are noted.
Needless to say it was shockingly sad to be treating a condition that was preventable by simple measures taken early in pregnancy.
In this land knowledge mixed with ignorance. I lived in a walled compound separated from the very people I treated in so many ways more than the mere presence of a wall. Yes, it came with a pool. My hospital was no clinic. It was an upscale hospital in busy downtown with a well to do patient population. It meant the general population had poor health care knowledge.