The patient was lying curled up in bed, with her husband and sister in attendance. In a very feeble voice she informed me that there was a fire in her stomach. The attending doctor told me that she had advanced AIDS and was suffering from acute cytomegalovirus (CMV), meningitis, and other severe complications. They had begun treatment for CMV, but there was no provision for ARV drugs. Since I had nothing to offer in terms of medical advice, I stepped back to talk to the two student doctors, Bharat and Veena.