Sarin is a 53-year-old single woman who lives in Phnom Penh province and is the primary caregiver for her elderly parents. She has five living siblings (sadly, two of her siblings died young) who help to support her and her parents. Most of her day is taken up with caring for her parents, cooking, and cleaning. In the evenings, Sarin likes to practice dhamma - a form of Buddhist meditation - as well as listen to the village monks pray on the local radio station. For many years, Sarin had an ear infection. This infection caused a cholesteatoma, or an abnormal skin growth, to develop in the middle ear behind the ear drum. If untreated, a cholesteatoma can cause erosion of the three small bones located in the middle ear, resulting in nerve deterioration, imbalance, vertigo, and deafness. It can also affect and erode, through the enzymes it produces, the thin bone structure that isolates the top of the ear from the brain, risking further infection with serious complications. Sarin's cholesteatoma has caused her many problems. She suffers ear discharge, headaches, and a gradual loss of hearing. It is difficult for her to communicate with her family and other villagers, and she is embarrassed that she cannot hear well. She visited several hospitals seeking care but could not afford to pay for surgery. One of the hospitals suggested she visit our medical partner, Children's Surgical Centre (CSC). Sarin traveled to CSC and, after examination, learned that she will be able to receive treatment. On October 17, the ENT surgeons at CSC will remove the cholesteatoma by performing a mastoidectomy procedure in her left ear. CSC is requesting $926 to fund this procedure. This covers medications, supplies, and inpatient care. Sarin said: "I hopeful that this operation will improve my hearing and prevent a brain infection."

Mu Yeh, a 23-year-old woman, resides in a refugee camp in Mae Hong Son Province, Thailand, along with her parents, brother, sister-in-law, and sister. Her parents run a snack-selling business from their home, while her brother and sister-in-law are currently unemployed. Mu Yeh's sister attends school within the camp, and she herself is a homemaker. In her leisure time, Mu Yeh finds joy in weaving traditional Karen ethnic clothes and visiting her relatives in the refugee camp. Each month, they receive 1,303 baht (approximately 43 USD) on a cash card from an organization called The Border Consortium. Additionally, they raise pigs which they sell when in need of extra cash. Despite their modest monthly income, it barely covers their daily expenses. Fortunately, they receive essential healthcare from Malteser International (MI) Thailand, which is provided free of charge in the refugee camp. In October 2022, Mu Yeh noticed a mass in her left breast. Initially, she dismissed it as normal, but by May 2023, the mass had grown and began causing her pain. Currently, Mu Yeh experiences considerable pain and discomfort in her left breast due to the large mass. The pain radiates towards the left side of her torso, making it difficult for her to carry anything heavy with her left hand. Seeking medical attention, she visited the hospital in the refugee camp, where the doctor referred her to Mae Sariang Hospital for further evaluation and treatment. On July 4th, with the assistance of MI staff, Mu Yeh underwent an ultrasound of both breasts. The results revealed cysts in her right breast and confirmed the presence of a mass in her left breast. Subsequently, she underwent a biopsy. During her follow-up appointment on July 18th, the doctor diagnosed her with fibroadenoma in her left breast and fibrocystic changes in her right breast. The doctor recommended removing the benign mass from her left breast under general anesthesia. Her surgery was scheduled for August 2nd. However, unable to afford the procedure, MI staff referred her to our medical partner, Burma Children Medical Fund (BCMF) for financial assistance to access treatment. BCMF is now requesting $1500 to help fund the procedure Mu Yeh needs. Mu Yeh said, “In the future, I would like to become a medic. When there is training in the refugee camp, I will register because I would like to study medicine.”

Consiira is a beautiful 32-year-old lady. Consiira is married with no child, which she believes is due to her condition. Her husband is a small-scale farmer, and she as well, but they only cultivate for food production without surplus for sale. Two years ago, Consiira began to experience troubling symptoms, including neck swelling. The swelling has subjected her to chest pain and easy fatiguability despite small activities. She experiences shortness of breath, difficulty in swallowing, and discomfort. She reports having started changing moods from time to time, affecting her happiness. If not treated, she will have airway obstruction, affecting her life and posing a threatening emergency. Consiira has not had medical consultation due to a lack of money until she felt the condition was progressing. Finally, she came to Nyakibake Hospital where test were done. She was diagnosed with thyroid goiter. The thyroid is the gland located in front of your neck and produces thyroid hormones. These hormones are responsible for functions such as metabolism, growth and other bodily functions. She needs surgery to prevent her symptoms from getting worse. They cannot afford the costs of this surgery, thus appealing to donors to support her surgery for an improved quality of life and good health. They hope that after undergoing this surgery, she may be able to have her fertility return and deliver a baby. Our medical partner, African Mission Healthcare, is helping Consiira receive treatment. She is scheduled to undergo a thyroidectomy on December 5th at Karoli Lwanga Hospital. Surgeons will remove all or part of her thyroid gland. This procedure will cost $252, and she and her family need help raising money. Consiira says, “This condition has made me suffer but hope to rejoice after surgery under your support. I hope to conceive a baby so that we can grow our family."