When Kumar told the man that the doctors could not prescribe without seeing the patient, he broke down in tears. Kumar weakened and told the man someone would come. Gradually demand increased. Then someone donated a vehicle. The project took off after Burn, who ran a trust, Cancer Relief India, donated 100,000 rupees (£4,000 in the mid-1990s), enabling them to appoint their first doctor. In 1993, after he had attended a course run by an English nurse, Gilly Burn, he and his colleague Suresh Kumar established the Pain and Palliative Care Society in Calicut, a town in the north of Kerala, together with an activist friend, Ashok Kumar, who ran a printing business and provided a vital layman’s perspective. Within a year, it was being copied – by a medic whom Dr Raj met on a train and by a former student who wanted to open a clinic in his own town.

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