Dr Jacob writes about an 83-year old man with terminal lung cancer who was brought to the Intensive Care Unit of his hospital where he was on duty as an intensivist. After receiving a battery of treatments aimed at prolonging his life, his vital organs began to fail, and their functions were compensated with drugs and invasive tubes. “Confined to a cold bed, isolated from his family and friends, and at the mercy of strangers in white coats, he had a mental breakdown. He raved about how the nurses were trying to kill him, and demanded that he be set free.”
Dr Jacob continues: “To address the situation here, India will need legal reform, and a concerted shift in the medical system to provide greater access to end-of-life care outside hospitals. Such care, if properly planned, can be provided effectively and affordably in patients’ homes, through community-based approaches. There are numerous good examples of such systems across the world, but perhaps the best one for India to consider already exists on its soil.”
Read the complete article at: http://www.caravanmagazine.in/perspectives/last-resort-india-palliative-care
“The International Narcotics Control Board (INCB), an independent monitor that oversees the implementation of UN drug conventions, estimates that 92% of all morphine, an opioid commonly used to control the pain caused by cancer, is consumed in America, Canada, New Zealand, Australia, and parts of western Europe—which between them hold only 17% of the world’s population.”
“A report in 2009 by Human Rights Watch found that of some 300 Indian medical colleges, only five taught palliative care. The consequence is that few doctors know how to prescribe opioids safely. Even for patients with advanced cancer, they avoid morphine.”
We are very glad to report to you that the trend is clearly positive. The first time in the last quarter century, the consumption of morphine in the country went up above 300kg. In fact, it was 329kg in 2015.
We thank Mr A. K. Saxena of GOAW for providing the statistics and all at Department of Revenue of Government of India for the support.
Better days are coming! (Wish they would come a bit faster, though.)
On May 20th, 2016, Syndicate Bank donated a car to support Pallium India’s home visit program. At a function organized in Syndicate Bank Regional Office, Vazhuthacaud, Syndicate Bank General Manager Shri C. B. L. Narasimha Rao presented the keys of a brand new Datsun GO+ to Dr M. R. Rajagopal, Chairman of Pallium India. The program was attended by Syndicate Bank Regional Manger, Pallium India’s CEO and Justice M. R. Hariharan Nair.
We thank you for your support!
See this video: Using Morphine to Stay Alive
Zubair had intolerable pain from what had been diagnosed as giant cell tumor. 3 step-wise amputations later, he was in agonising pain – like needles being stabbed into him all the time.
He lost his job.
He lost his home.
He had to send his children to an orphanage.
In 1994 he was started on morphine. He has to take it even now.
But today, he is earning. He works all day, still on morphine.
He brought his children back from the orphanage. They had an education and are grown up men and women now, earning for themselves.
Thank you Ankita Rao and Atish Patel for this visual evidence about the power of pain relief.