In January 2005, Madumekala Udayawanthi was an 11-year-old girl with the height of a 3-year-old (100cm = 39.37 inches) when she was first introduced to us in February 2005 at the Children’s clinic in the Mawella camp in Sri Lanka. At the age of three years, she had been hit by a bus and was in a coma for a long time. Her pituitary gland ended up being severely damaged because of this trauma. At the age of eight years, Madumekala was diagnosed with panhypopituitarism. In 2005 Real Medicine’s Dr. Martina Fuchs initiated a growth hormone program to support Madumekala, a young girl of the age of 10 suffering from Panhypopituitarism.