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176 | Chapter 7 Alex and Becky, Andrew and Naomi, without a doubt your support and prayers were very valuable. I am thankful for your kindness, help and for regularly checking on me. Dear Edwin anna and Renu akka, what an immense joy it is to be a part of your family, you were always welcoming us into your house. Thank you for the love and care you showed to our family. Dear Renu Akka, it would be unfair, if I don’t mention about your special yummy Biriyani, which kept me going on Sunday’s when I was working. Dear Ajay atta and Vineetha, thank you so much for your support and encouragement throughout these years. You were by my side always. It was a big blessing and I truly cherish our friendship. Dear Mike and Jose, you were a special gift to my family, and to both I wish to express my gratitude. Friends and well-wishers from XRDS Tamil life group and Eindhoven Tamil life group have greatly supported us, the gatherings, fun and activities have kept us going, during our stay in the Netherlands, I would like to specially thank, Anbu anna and Banu akka, Anbarasu anna and Ezhil akka, Arul anna and Sheeja akka, Vinoth anna and Mercy akka, Harish and Geethu, Ramesh and Preethi, Anthony and Nancy, Edwin and Emima, Migavel and Augustina, Arun and Jelfin, Jebasingh and Hetzi, Prasanna and Erica, Muthu and Priya, Shijo and Neena, Meril and Serene, Viji, Samuel, Jaimon and Titto. I am grateful for your support and encouragement. At this time, I would like to extend my sincere thanks to friends and teachers from Christian Medical College Vellore, with special thanks to Dr Sukesh Chandran, Dr Dolly Daniel, Dr Mary Mathews, Dr Geethanjali Arulappan, Dr Victoria Job, Dr Pramila, Dr Paul, Dr Joy Mammen, Mrs Jacob and Mrs Molly mam, Ravi sir and Phleos 03 gang; Jithu, Godhev, Saritha, Princey, Retina, Satish, Sherry, Deepa, Hadon and Akhil. Thank you so much for your love, guidance, constant enthusiasm and encouragement. Another important place in my personal and professional life is Christian Fellowship Hospital, Oddanchatram, being born, raised up and to have worked for 2 years in this hospital environment, I was greatly motivated by its humble beginning. In a remote village in south india, adopted by Dr A.K. Tharien and Dr. Cherian, who started their clinic in a haunted hut back in 1955, it has grown into a 300 bedded multi-speciality hospital catering to the needs of thousands in the area today. Their relentless service to humanity is the biggest inspiration for me to choose a career in healthcare. At this moment, I would like to sincerely thank the members of the fellowship, with special thanks to Drs Susan and Kuruvilla Varkey, Drs Latha and Paul, Drs Valsa and Susheel Tharien, Drs Sleeby and Thomas Philip and Mrs. and Mr. M.A Abraham. Writing the final bits of the thesis, I am reflecting on my kinder garden days, picturing Alice teacher teaching us how to write the English alphabets. 33 years has passed by, I would feel extremely guilty, if I don’t say a big thank you to all my teachers from my primary and high school. At this special moment, I sincerely thank all the teachers and well-wishers from Christian Matriculation Higher Secondary