I passed a homeless man on the street yesterday. He said he was hungry, asked for money. I happened to have a granola bar in my pocket. I offered it to him.
"No thanks, I'm diabetic," he said.
If I'd wanted to engage, which I didn't, I would have told him I'm a doctor, and starving to death on the street is going to kill him a lot faster than diabetes. More realistically, I expect he wasn't hungry at all, but just wanted the money for alcohol or drugs. Maybe wasn't even homeless.
Not that I was giving panhandlers money before, but my month of ICU rotation made me even more reluctant. Seemed like half the people we saw were homeless folks going through alcohol withdrawal.
"No thanks, I'm diabetic" ? Is he even checking his sugar? Is he seeing a doctor? Is he on medication? I'm skeptical of all of it, unfortunately.