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."

Josephy is a 76-year-old farmer from Malawi. He has spent most of his life working the land and continues to tend to his crops through small-scale irrigation farming. With his nine children all grown and living on their own, he spends his quieter days with his wife and grandchildren. For the past two months, Josephy has been living with an inguinal hernia, a condition that occurs when abdominal tissue protrudes through a weak spot in the lower abdominal muscles, causing a bulge in the groin area. The hernia has grown and begun to cause severe pain that spreads through his pelvis and down his right leg, slowing him down and keeping him from the farming work he loves. Fortunately, on May 7th, Josephy will undergo hernia repair surgery with the help of our medical partner, African Mission Healthcare. Josephy is contributing to his treatment, but needs help in raising $500 more to fund the surgery. He says, “I am used to working with my hands and taking care of my home. This pain has made me feel weak and unable to do what I love. If I can have this surgery, I believe I will be able to go back to my life again. I am asking for support so I can be well.”

Seab is a 70-year-old woman from Prey Veng province in Cambodia. She is married and has two daughters, three sons, and seven grandchildren. Seab and her husband used to work as farmers growing rice. They have retired and receive support from their children, with some of their children working as farmers and others working in garment factories. In her free time, Seab enjoys listening to spiritual teachings from monks on the radio. About one year ago, Seab developed a cataract in her left eye, causing her to experience itchiness, tearing, and blurry vision. A cataract is a clouding of the lens of the eye, so it is like looking through a frosty or fogged-up window. She has difficulty seeing things clearly, including colors and faces, and is worried about falling when walking, so she cannot go places on her own. When Seab learned about our medical partner, Children's Surgical Centre, she traveled for three hours seeking treatment. On August 10th, doctors will perform a small incision cataract surgery and an intraocular lens implant in her left eye. After recovery, she will be able to see clearly. Seab contributed a $25 co-pay toward her treatment and needs help raising $238 more to fund her surgery. Seab shared her hopes that, after cataract surgery, her vision will improve so she can see more clearly, go outside easily, recognize her relatives, and carry out her housework independently.