I do apologies for the picture, we do have to blur it out due to it being too graphic .We also couldnt show the hand because of the extent of this condition. It does seem to appear that it would have to get amputated, however the price of the medication, hospital bed and stay cost up go £1500. This patient is in Somaliland which is why the medication and surgery and hospital for 2 weeks arent free. We are trying to speed up the operation because we dont want it spreading to her shoulders and neck. Thank you so much for reading this and thank you for your support