Gregory is a 44-year-old husband and devoted father of five children from Malawi. As the family's sole breadwinner, he carries the immense responsibility of supporting his wife and children. His eldest child is currently a second-year university student, while his other children are in Form 4, Form 3, and Form 1, all relying on him for school fees, food, and daily necessities. The youngest is still an infant and depends entirely on his care and support. Gregory earns a living as a small-scale farmer, growing maize, Irish potatoes, vegetables, and rearing a few chickens. For many years, farming has been the foundation of his family's survival. Through hard work and determination, he has managed to provide food for his household and keep his children in school despite the many challenges of rural life. His health problems began when he noticed a small swelling in the upper part of his abdomen after carrying heavy metal objects. Initially, the swelling caused little concern, and he responded by avoiding heavy lifting. However, over time, the swelling became progressively larger and more painful, especially when performing strenuous farm work. Seeking medical attention, Gregory visited several healthcare facilities where he was diagnosed with an epigastric hernia, which is a bulge occurring in the upper abdomen, caused by tissue pushing through weak abdominal muscles. Although surgery was recommended, repeated delays and busy surgical schedules at the public hospital meant that he never received the operation he needed. As the years passed, the hernia continued to worsen, causing increasing pain and limiting his ability to work. While still waiting for treatment, Gregory developed another problem two years ago. A soft swelling appeared on his back and rapidly increased in size. Doctors later identified it as a lipoma, a slow-growing fatty tumor located between the skin and muscle layer. Unfortunately, the mass has continued to grow and has now become so large that it interferes with the movement of his arm, making farming activities increasingly difficult and painful. Today, Gregory lives with constant discomfort from both conditions. The painful abdominal hernia affects him whenever he bends, lifts, coughs, strains, or works in the fields. At the same time, the large lipoma limits his mobility and makes routine farming tasks exhausting. Determined to find help, Gregory came to PIH after hearing that patients could receive timely surgical treatment. He hoped that surgery would finally free him from years of pain and allow him to resume caring for his family without limitation. Gregory was evaluated by the surgical team at PIH who confirmed that he required two surgical procedures, which could be done in the same operation: an Epigastric Hernia Repair and a Major Mass Excision (Removal of the Large Lipoma). If left untreated, the hernia could place him at risk of complications such as incarceration or strangulation. The large lipoma would also impact his daily activities. Fortunately, our medical partner, African Mission Healthcare, is helping Gregory receive treatment. On August 19th, he will undergo the two procedures to relieve years of pain, restore his ability to earn a living, and give him the chance to continue supporting his family. Gregory is contributing to his care, but needs help to raise an additional $575 for his treatment. He says: "Your support will be highly appreciated, to restore my health and help me focus on my farm work."

Kheang is a 50-year-old rice farmer from Cambodia. He is married and lives in Kandal Province with his wife, who is also a rice farmer. They have one daughter, who is married and has a son. In his free time, he enjoys caring for his ducks and chickens. Four months ago, Kheang had an ear infection. This infection caused the tympanic membrane, or the eardrum, in his left ear to perforate. For this reason, Kheang experiences recurring ear discharge, mild ear pain, headaches, and hearing loss in his left ear. The chronic ear infection and perforated eardrum have affected his ability to hear clearly and caused recurring discomfort and discharge. These symptoms have made it more difficult for him to communicate with others, and carry out his daily activities comfortably. Kheang traveled to our medical partner's care center to receive treatment. On August 10th, he will undergo a myringoplasty procedure in his left ear, where surgeons will close the perforation. Kheang is able to contribute $100 towards the cost of his treatment, and needs help raising $263 more to fund the procedure. He said, “I hope the surgery will repair my eardrum, prevent the recurring infections and ear discharge, reduce my discomfort, and improve my hearing so I can return to my daily activities more comfortably.”

Fritz is a 30-year-old man from the Philippines. He is the only member of his family with a stable job, and his income covers their house rent and daily expenses. Once an avid basketball player, Fritz has had to give up the sport because of his condition and now spends his free time watching videos on his phone instead. Access to surgery would help him return to work without pain, support his family, and regain the active life he once enjoyed. For six years, Fritz has dealt with an inguinal hernia. His hernia has become increasingly painful, making it difficult to perform the physical demands of his work, raising fears that he could lose his livelihood if his condition remains untreated. Fortunately, our medical partner can help Frtiz receive the care he needs. On July 24th, Fritz will undergo hernia repair surgery at our medical partner's care center, Our Lady of Peace Hospital. The Philippine Health Insurance Corporation is supporting a portion of the cost of Fritz's treatment. Our medical partner is raising the remaining $1,038 to cover the cost of his surgery and care. Once completed, this procedure will allow him to live more comfortably and confidently. Fritz said, "I hope this surgery will allow me to work without pain again and continue providing for my family. I also look forward to playing basketball again once I have fully recovered."