At this moment, over a million people in India are in unimaginable pain. We refuse to look the other way. We choose to hear the cry, and to do what we can.
Please join us. Your help is needed.

Upcoming: Online Foundation Course in Palliative Medicine (for doctors)

2019 April 13

TIPS (Trivandrum Institute of Palliative Sciences) collaborates with ECHO International (Extension for Community Healthcare Outcomes) to provide palliative care education and expertise using an online platform. As part of TIPS-ECHO, we conduct sessions to enable medical professionals to inculcate the principles of palliative care in their treatment.

Project ECHO® is an online lifelong learning and guided practice model that revolutionizes medical education and exponentially increases workforce capacity to provide best practice specialty care and reduce health disparities through its hub-and-spoke knowledge-sharing networks.

Click here to read more about the TIPS-ECHO Program.


The Objective of the Online Foundation Course in Palliative Medicine is to train healthcare professionals in pain management and palliative care.

To ensure adequate interaction during sessions, we will have to limit the number of participants at each course on a first-come, first-served basis. So register quickly!


M.B.B.S or B.D.S with permanent registration with medical council.

Class Details

Classes Scheduled: 18 Sessions
Start Date: 01 May 2019
End Date: 28 Aug 2019
Day of the week: Wednesdays
Class Timing: 3:00 PM – 4:30 PM



Participants need to attend all sessions. If one is unable to attend a session, due to unexpected emergency, they should watch the session videos provided and mail us back a summary of the class. Course certificate can be issued only to those who have attended minimum 80% of the sessions in person.


Features of Online Foundation Course in Palliative Medicine

  • Prescribed syllabus-oriented courses
  • 1 session per week
  • Pre-test and post-test for assessment
  • Case Presentation by a participant in each session
  • Regular assignments
  • Participants are provided with various learning materials for different topics
  • Several articles regarding subject shared
  • Certificate issuance at the end.

How to apply

Download the application form, fill it up and send it to


How to join the session

ECHO is conducted through ZOOM application which can be downloaded(free download) from Google play store for mobile phones and direct download from internet for Windows.

Download from:

Click here for instructions on how to download and join a meeting



For more information on this course or for any assistance, please call us at +91-6282902450 or write to us:

Clinical Director: Dr M. R. Rajagopal

Project Facilitator: Dr Sunilkumar M. M.

Project Coordinator: Ms Rajalekshmi Balu

Videos of Previous Sessions

Click here to view the videos of previous sessions

Can the woman who feels no pain guide us to a safe pain-reliever?

2019 April 11

Medical Science has struggled for centuries to relieve pain and suffering. The search usually ends with an opioid which, unfortunately, needs to be used carefully for its various side effects, including the possibility of addiction. A 71-year old woman in the UK, it now appears, may lead us to an answer.

This woman went to a hospital for a surgery that should ordinarily have been very painful. She required no pain medicines except for one dose of Paracetamol, which possibly she did not need. An astute doctor was curious. He went into her medical history: at the age of 65, she had undergone a hip surgery which again should have been painful, but wasn’t. This time, it led to research, which showed that she had not only no pain sensation; but also never experienced any anxiety about anything. She would know of a burn on her skin only when she smelled burning flesh! Her wounds heal fast. The geneticists’ search led to a pseudogene.

Now here is how we, non-geneticists, interpret this:

Pseudogenes are junk genes, so far thought to be of no use. Their presence caused the woman’s freedom from pain. We now understand that they are not really junk genes; they could potentially lead us to safe ways of relieving pain.

Interestingly, of her two children, the daughter feels pain normally, but her son has diminished pain sensation, though not complete loss of pain as in the mother.

This is different from the total absence of pain that some children may be born with. In such cases, children sustain injuries because of pain as a protectant, and die in childhood.

The article is available for free download at:

Can someone who understands genetics give us more information about this pseudogene and its potential impact, in layman’s language? We will be very grateful.

Nurses thirsty for knowledge on World Health Day

2019 April 10

World Health Day, 7th April 2019, saw palliative care nurses from the four southern districts of Kerala getting together at Kollam for a day to absorb more knowledge about palliative care and nursing. Organising team at Kollam, thank you for giving this opportunity for a large number of representatives from Pallium India along with other nurses.

The nurses left with a resolution to plan for weekly educational programmes in each district. The importance of this cannot be underrated. The tiny state of Kerala has more than a 1000 palliative care nurses – more than 90% of them reaching patients and families in their homes. The more empowered they are, the better the quality of health care in the state; and the less the suffering in the community.


Is home not the best place to die in?

2019 April 8

Home is where one feels connected. And one would like to have family around, say one’s farewells and go in peace. Yes; but when one feels that way, he or she has not experienced what it is like to die at home.

So could death at home be a romantic dream rather than practical reality?

Researchers from University of Missouri-Columbia challenge the oft-held view about “death at home” in the article, “The myth of ‘no place like home’ when it comes to end of life” published on 03 April 2019. The study finds that “home deaths can be physically and emotionally challenging, especially for caregivers”. We need to think, could this challenge be even greater in our country where palliative care services are able to give only even less support at home?

Please read the abstract of the article: The Motivations and Consequences of Dying at Home: Family Caregiver Perspectives

Thank you Barry Ashpole and Media Watch for bringing this to our attention.

Congratulations Dr Thinh, Dr The, Professor Eric Krakauer and all colleagues:

2019 April 3

Mahatma Gandhi said, “A small body of determined spirits fired by an unquenchable faith in their mission can alter the course of history.”

And here is some living proof.


Please see this success story from Vietnam:

Thank you e-hospice, for bringing this to our attention.