Roland is a 36-year-old father from the Philippines. He has been living with a fistula for about 15 years. Initially, his symptoms were sporadic and self-resolving. However, flare-ups have become frequent, occurring every two months for the past two years. These episodes cause pain, fatigue, and difficulty sitting, forcing Roland to adjust his daily routine. After Roland traveled to our medical partner's care center, World Surgical Foundation Philippines, surgery was recommended to relieve his symptoms. While this has brought Roland hope, the estimated cost remains beyond his financial capacity, leaving him reliant on antibiotics for temporary relief. Despite his condition, Roland continues to support his family by helping run their small clothing business and taking on electrical work on the side. His condition limits his ability to fully participate in work, leisure activities, and caring for his children. His family strongly believes surgery would restore his quality of life, reduce recurring medical expenses, and ease the financial strain. Fortunately, Roland is scheduled to receive surgery on March 20th at the World Surgical Foundation Philippines. Our medical partner, Our Lady of Peace Hospital, is requesting $1,198 to fund this treatment. Access to surgical treatment would allow Roland to regain comfort, resume normal activities, and provide more stability for his household. Roland shared, "I’m looking forward to playing basketball again without pain and being able to sit comfortably while spending time with my children."

Clemence is a small-scale farmer from Malawi. He is married and has two children. Five years ago, Clemence began to experience troubling symptoms, including abdominal symptoms whose cause was unclear. He moved between hospitals without improvement. In 2021, it was discovered that his esophagus was obstructed, and he underwent treatment. Fortunately, his symptoms reduced and he experienced some relief. However, in 2025, he began experiencing severe gastroesophageal reflux symptoms, including heartburn, chest pain, and regurgitation, sometimes causing food to come up through his nose, especially when lying down. This created a constant fear of choking in his sleep. During one of his recent hospital visits, he underwent an endoscopy. Doctors have now diagnosed him with a hiatal hernia, and he was urgently referred to our medical partner PIH for support where surgery is recommended. Physicians recommend a laparotomy, which is a surgery that opens up the abdominal cavity to treat his condition. Our medical partner, African Mission Healthcare, is requesting $1,244 to fund Clemence's surgery. On February 6th, he will undergo surgery at Partners in Hope Medical Center. Once completed, this procedure will hopefully greatly improve his quality of life. Clemence said, "Kindly help me to get better, I am afraid of eating in fear of choking that can cause death; food comes through my nose sometimes and I am very terrified now. I can no longer do anything to generate cash apart from spending."