The WHO pain ladder is a sensible guideline, but oral morphine's licensing remains a nightmare after the 2014 NDPS amendment—states like ours have made the process so restrictive, it's like prescribing gold. In my cancer ward, I see patients suffer in agony for weeks while paperwork moves at a clerk's pace. My own father died with bone cancer, and I had to beg for morphine from another district, a humiliation that stains my white coat even today.
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