The Other 85%Hospice in Southern India

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Conflict of Interest

None

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32 hour trip

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India

Population 1.2 Billion

Population of USA 313 Million

Population density India 349.2 # sq. km

Population density USA 31.6 # sq. km.

Trivandrum same population as Chicago in 1/5 of the land mass

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Abu-Dhabi Airport

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Waiting for the School Bus

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Starbucks India

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Generations

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Art Contest

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Knees

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Note Handler

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Who Needs Words?My New Family

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Oncoming at 45 mph

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Pallium India

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Opiate Production

Largest producer of opium in the world

Morphine costs one cent per dose

Largest exporter in the world

However...

India is

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India’s National Shame

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1980-2010

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Morphine mg/capita 2010

USA 73.68 mg/capita

India 0.091 mg/capita

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Geeta, her Mom and sons

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Why

Addiction fears

Government regulations - 4 licenses

Licenses renewed every year

1st day at Pallium ran out of injectable morphine

Might be 6 months before they got more

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Why continued

Errors in record keeping 10 years in prison for physician - hard time

Lack of knowledge to prescribe

No medical specialty until now

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Pallium India

Non-profit

No government funds

People don’t have insurance

Work on donations ONLY

No strings attached

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Pallium India

Inpatient Hospice at SUT National Hospital

Many Clinics- schools, libraries

3 teams go out in vans 6 days/wk.

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Text

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Cancer Patients 97% diagnosed near death

Also care for people who are paraplegic, diabetic, high blood pressure

Care is free for those who cannot pay

Pallium India

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28 Year OldParaplegic

Uses Morphine for Neuropathic

Pain

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Medicines

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Pallium India

In addition to medical care

Food Program $10 month/ Family of 4

Education Program for families

Volunteers - roof on house, wall etc. no charge to patients

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Dr. Raj

Anneja

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Questions?

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