It is my rare experience in medical profession during rural service. It is after graduation about three decades back. One night at 10 pm, one of the staff member from rural health center requested to see a patient who is in critical condition. She was refused for admission in a hospital that time and was attended by another reputed physician of the area. Her family members called all their relatives considering her last time.

I was surprised to see about 60 years old woman, lying on a mat on ground. She was thin emaciated, her head was placed on a heap of wheat grains, There was animal green fodder and jaggery near her. Only history provided was woman is diabetic, was on oral antidiabetics and us had vomiting for the last two days. On examination, the only sign of life was feeble, heart beat on auscultation. After explaining them all pros and cons, I was permitted to give one injection…