Kakarna Alkananda, a member of the Goud family, sticks out her tongue as she asks a child on her lap to keep her mouth open to receive a live fish stuffed with a herbal paste, in Hyderabad, India, Saturday, June 8, 2024. Every year thousands of asthma patients arrive here to receive this fish therapy from the Bathini Goud family, which keeps a secret formula of herbs, handed down by generations only to family members. The herbs are inserted in the mouth of a live sardine, or murrel fish, and slipped into the patient's throat. (AP Photo/Mahesh Kumar A.)