With regards to 12 year old girl suffering from excruciating pain last 2 weeks due to advanced hip bone cancer (continuous pain). As the usual pain killers are not helping she needs to have a specialised 'nerve block technique' to relieve her pain for which she needs admission for three days. Extremely poor economic background. The cost of the procedure is estimated around Rs.20,000. She resides in a village called Srimushnam near cuddalore and is unable to travel. This is purely for palliating her pain and giving her quality of life at this terminal stage.
I, Dr. Mallika Tiruvadanan, have personally been in touch with one Dr. Sriram who is taking care of this patient at the Primary Health centre. A number of calls have been exchanged, several times a day, as he wanted guidance to give effective pain relief for the child. As the principles of pain relief and palliative care are still not taught in the medical curriculum this doctor like many others, was facing the challenge. He just happens to be one of the most committed, sincere and compassionate doctors who did not want to give up in his sincere efforts to at least relieve the child's pain, which is the only humane thing one can do at this stage of her disease.