President of Singapore Dr Tony Tan and Dr Cherian Koshy

The Regional Cancer Centre conducts a weekly Tele Clinic in Palliative Care connecting this Centre and a rural Hospice located 350 kms away and at altitudes of over 3500 feet above sea level
The places Vellethooval, Adimali , Munnar etc are not rail linked and patients and families in and around these places benefit
To reach the Regional Cancer Centre, patients have to take a bus through inhospitable hilly terrain and reach Alwaye or Kottayam for a train connection to Trivandrum
I worked on the health ecnomics- Travel by Taxi to the Regional Cancer Centre and back costs around 100 US $. On Teusdays we have this clinic where patients and their families can have a face to face session with me.Those seeking expert advice need to come to the local Hospice ! Advice on uncontolled pain, non healing wounds and empowering the patient and family is a great service
Education on the deleterious effects of tobacco is a bonus and several households have become tobacco free as a result.
Breaking bad news the proper way and communication skills needed for the same are mandatory
If bad news is broken the wrong way 'you will never be forgiven, if done properly you will be always remembered' !
We had occassion to take classes for nursing students and volunteers through the medium of 'Tele Clinic'
The Hospice is the Karuna Bhavan which belongs to the 'Sisters of Destitute'
The Venture is christened 'HELP for the HILLS'; H E L P to mean Hear , Ease, Link Palliate
We have found patient load increasing along the past few years from around fifty  patients a year we have over 300 patients a year presently
Oral Morphine has been made available and the staff at Karuna Bhavan have been trained by us
My presentation was shorlisted as it is a unique venture probably the first of its kind linking a Tertiary Care Cancer Centre and a rural Hospice dedicated for Palliative Care , to be presented at the  fifth biennial Singapore Palliative Care Congress ar Biopolis Singapore on the 14th and 15th Singapore
The Tele Clinc is linked through an ISDN enabled line ( Integrated Service Digital Network)
At the gala Dinner the Bursary award Certificate was presented to me by HE Dr Tony Tan the President of the Republic of Singapore.
Use of Information Technology for the greater common good is a laudable cost effective step.
What a momentous occassion for me to be on stage and shake hands with a really great man !