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https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56df3534c6fc085f1d1029aa/56df36bf859fd08a99fe05c7/1457469131148/IMG_8026.jpg Our Lady Hospice—Thigio https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56df3534c6fc085f1d1029aa/56df36ce4c2f854d2f2f34b6/1457469149542/IMG_8337.jpg Our Lady Hospice—Thigio https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56df3534c6fc085f1d1029aa/56e0853e20c64780c24c7406/1457554764370/IMG_8137.jpg Our Lady Hospice—Thigio https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56df3534c6fc085f1d1029aa/56e40c9dab48de1dc3bc81b0/1457786029036/IMG_7353.jpg Our Lady Hospice—Thigio http://www.more-than-pain.com/ruth daily 0.75 2016-03-08 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/56a4f8111115e033d3b891c5/1453651992842/ Ruth https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/56a4f8481115e033d3b892bb/1453652047241/ Ruth https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/56a4f8701115e033d3b89361/1453652092263/ Ruth http://www.more-than-pain.com/rosemary daily 0.75 2016-03-16 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569ac4220e4c1148e6b0a751/569ac42205caa74dde72d2d5/1452983818362/A+view+of+cancer+patient+Rosemary+Awuors+house+in+Nairobis+Mathare+slum+on+25th+August+2015.JPG Rosemary A view of Rosemary's house in Nairobis Mathare slum on 25th August 2015 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569ac4220e4c1148e6b0a751/569ac42805caa74dde72d2f9/1452983800140/Breast+cancer+patient+Rosemary+admires+herself+in+the+mirrow+at+her+home+as+she+prepares+to+go+to+work++in+Nairobis+Mathare+slum+on+24th+August+2015.JPG Rosemary Rosemary admires herself in the mirrow at her home as she prepares to go to work in Nairobi https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569ac4220e4c1148e6b0a751/569ac43a05caa74dde72d393/1452983791542/Breast+cancer+patient+Rosemary+Awuor+customers+at+her+bar+in+Nairobis+Mathare+slum+where+she+distills+and+sells+local+brew+for+a+living+on+27th+August+2015.JPG Rosemary Rosemary customers at her bar in Nairobis Mathare slum where she distills and sells local brew for a living on 27th August 2015 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569ac4220e4c1148e6b0a751/569ac45442f55250d916036d/1452984035494/Breast+cancer+patient+Rosemary+Awuor+massages+her+sick+breast+at+her+bar+in+Nairobis+Mathare+slum+where+she+distills+and+sells+local+brew+for+a+living+on+27th+August+2015.JPG Rosemary Rosemary massages her sick breast at her bar https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569ac4220e4c1148e6b0a751/569ac45acbced647da32da63/1452983892394/Breast+cancer+patient+Rosemary+Awuor+prepares+local+brew+for+a+customer+at+her+bar+in+Nairobis+Mathare+slum+where+she+distills+and+sells+local+brew+for+a+living+on+27th+August+2015.JPG Rosemary Rosemary prepares local brew for a customer at her bar in Nairobis Mathare slum where she distills and sells local brew for a living on 27th August https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569ac4220e4c1148e6b0a751/569ac464cbced647da32da9a/1452983996434/Breast+cancer+patient+Rosemary+Awuor+ties+a+head+gear+to+conceal+her+bald+head+when+she+got+due+to+chemotherapy+23rd+August+2015.JPG Rosemary Rosemary ties a head gear to conceal her bald head when she got due to chemotherapy https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569ac4220e4c1148e6b0a751/569ac471cbced647da32dada/1452983881396/Breast+cancer+patient+Rosemary+Awuor+with+her+son+Onyango+at+her+bar+in+Nairobis+Mathare+slum+where+she+distills+and+sells+local+brew+for+a+living+on+27th+August+2015.JPG Rosemary Rosemary with her son Onyango at her bar https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569ac4220e4c1148e6b0a751/56a40ad2a2bab8bce6bfcefe/1453591265866/Breast+cancer+patient+Rosemary+Awuor+with+her+grand+children+at+her+bar+in+Nairobis+Mathare+slum+where+she+distills+and+sells+local+brew+for+a+living+on+27th+August+2015+copy.jpg Rosemary https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569ac4220e4c1148e6b0a751/56a421f005f8e21e954fe0ae/1453597181508/Rosemary+Awuor+who+has+breat+cancer+walks+back+to+her+home+in+Nairobis+Mathare+slum+after+a+visit+to+the+Hospital+of+27th+August+2015+copy.jpg Rosemary http://www.more-than-pain.com/overview daily 0.75 2016-05-16 http://www.more-than-pain.com/leading-the-way daily 0.75 2016-04-25 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/571e5df037013b027acce3df/1461608213840/ Leading the Way: Women at the Forefront of the Palliative Care Movement in Kenya Dr. Catherine Nyongesa https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/571e5ddd37013b027acce309/1461608200065/ Leading the Way: Women at the Forefront of the Palliative Care Movement in Kenya Brigid Serengo https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/571e5aee86db432315cae33a/1461608258296/ Leading the Way: Women at the Forefront of the Palliative Care Movement in Kenya Dr. Faith Mwangi-Powell https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/571e5b7e86db432315cae9d6/1461608143324/ Leading the Way: Women at the Forefront of the Palliative Care Movement in Kenya Dr. Esther Munyoro https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/571e5bd7d51cd40a84ce0c86/1461608185744/ Leading the Way: Women at the Forefront of the Palliative Care Movement in Kenya Anne Owiti https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/571e5b4b86db432315cae741/1461608244496/ Leading the Way: Women at the Forefront of the Palliative Care Movement in Kenya Dr. Zipporah Ali http://www.more-than-pain.com/kicoshep-to-heal-a-community daily 0.75 2016-03-09 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569af2dc76d99c4f39155feb/569af2dd76d99c4f39155fec/1452995314480/IMG_2870.JPG KICOSHEP: To Heal a Community https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569af2dc76d99c4f39155feb/569af2ddbe7b96bf7730b4ff/1452995316004/IMG_2877.JPG KICOSHEP: To Heal a Community https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/569af256841aba3e97291275/1452995184863/IMG_2863.jpg KICOSHEP: To Heal a Community 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https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/569af1731f4039527f8fd2fd/1452994952720/ KICOSHEP: To Heal a Community https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56e06a9dd51cd48341c9430b/56e06a9de707eb5e0b7506a1/1457547945664/IMG_2847.JPG KICOSHEP: To Heal a Community https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56e06a9dd51cd48341c9430b/56e06abed51cd48341c94464/1457547984033/IMG_2897.JPG KICOSHEP: To Heal a Community https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56e06a9dd51cd48341c9430b/56e06acdd51cd48341c944f9/1457547994430/IMG_2903.JPG KICOSHEP: To Heal a Community https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56e06a9dd51cd48341c9430b/56e06ad88a65e2605912da83/1457548000721/IMG_3304.JPG KICOSHEP: To Heal a Community https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56e06a9dd51cd48341c9430b/56e06af28a65e2605912db99/1457548030466/IMG_3110.JPG KICOSHEP: To Heal a Community https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56e06a9dd51cd48341c9430b/56e06b428a65e2605912dee2/1457548114544/IMG_3182.JPG KICOSHEP: To Heal a Community http://www.more-than-pain.com/haron daily 0.75 2016-03-07 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56985d59b20943af6e1ed048/56985d59c21b861954587666/1453318001465/haron01.JPG Haron Haron’s eldest son, Michael, visits him in hospital. During this visit, one of their topics of discussion was finances. Although Haron has paid into the National Hospital Insurance Fund, he is not getting a single shilling back to help with his cancer treatment. Michael has been paying for most of his father’s treatment out of pocket, with some help from other family members. Finances are getting tight, but he is determined to do everything he can for his father’s health. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56985d59b20943af6e1ed048/56985d651a5203aa7d440279/1453317968245/haron03.JPG Haron Haron’s bottle of morphine syrup rests on his bedside table. A panadol patch (another opioid medication) on his stomach provides him with around-the-clock pain relief, but sometimes he needs morphine for breakthrough pain. "You can see on his face when he needs it", Maureen, his physical therapist, said. "When I come in and see he’s in that much pain, I give him the morphine syrup before I do anything else." https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56985d59b20943af6e1ed048/56985d594bf118ad2a62c50f/1452825975762/haron02.JPG Haron https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56985d59b20943af6e1ed048/56985d70d82d5e518d16cd35/1453317982047/haron05.JPG Haron Haron rests in bed while receiving his second chemotherapy treatment. Maureen explained that this treatment, in Haron’s case, is purely palliative, not curative. At this stage in cancer, the purpose of chemotherapy is to decrease pain and hinder the cancer from spreading further. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56985d59b20943af6e1ed048/56985d6e1a5203aa7d4402b9/1453318022153/haron04.JPG Haron Maureen and two other healthcare workers at Texas transfer Haron as carefully as possible down the hospital stairs and into the car; he is still essentially immobile from the waist-down. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56985d59b20943af6e1ed048/56985da5d82d5e518d16ce46/1452826047638/haron09.JPG Haron https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56985d59b20943af6e1ed048/56985db9d82d5e518d16ce96/1453318036582/haron11.JPG Haron Haron arrives at home, fatigued by the half-hour journey from Nairobi to Ngong, where he will be staying at Michael’s house between treatments. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56985d59b20943af6e1ed048/56985dd4d82d5e518d16cf0e/1453318049697/haron12.JPG Haron Haron’s daughter Cecelia (right) and daughter-in-law (left) unpack his medications. On Haron’s first night out of hospital, the family hadn’t yet hired a home-care nurse, so Cecelia stayed with him overnight. Though Michael gave her detailed instructions on how to administer Haron’s medicine, he still wasn’t sure if she knew what their father was suffering from. After all, he said, the medications don’t say “cancer” on the bottles. http://www.more-than-pain.com/nurses-video daily 0.75 2016-01-26 http://www.more-than-pain.com/an-interview-with-dr-catherine-nyongesa daily 0.75 2016-05-16 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/571e60eaf8baf3be69a6b84b/1461608714501/ Dr. Catherine Nyongesa http://www.more-than-pain.com/elizabeth-survivor-tailor-advocate daily 0.75 2016-03-07 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/569012da7086d707a2cafe89/1452282595350/ Elizabeth http://www.more-than-pain.com/samwell daily 0.75 2016-03-08 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a413a2bab83b967cd24a/1453507607142/2015-08-22-Texas+In+Patient-32.jpg Samwell Nurse Rebecca Nandinmaye removes Samwell's bandage. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a4187086d7a1e8bb2cac/1453507801317/2015-08-22-Texas+In+Patient-49.jpg Samwell Nurse Carren Asembo, who attended to Samwell during his final moments, when asked about how she felt following his loss: Nursing is not a job, it's a calling. Those who can't adjust and handle caring for others come, but they soon leave. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a421a2bab83b967cd405/1453507585013/2015-08-22-Texas+In+Patient-56.jpg Samwell A nurse holds Samwell's hand while his tumor is redressed. Part of what separates palliative care from other forms of patient care is the holistic approach to treatment. This includes caring for the patient's emotional and psychological wellbeing as well as their physical needs. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a42da2bab83b967cd502/1453507572599/2015-08-24-Texas+Cancer+Center-15.jpg Samwell Physician's assistant, Carol Apondi, right, nurse Milca Mwankiki, center, and a medical student file patient logs at the Nurse's Station on the second floor the center. All the nurses working at the center have received specialized training in palliative care and work exclusively with patients who are terminally ill. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a4307086d7a1e8bb2e4d/1453507567979/2015-08-24-Texas+Cancer+Center-51.jpg Samwell Physician's assistant, Carol Apondi, center, and her colleague attend to Samwell. Although his cancer is late stage, Samwell has been marginally improving over the past few days. He has been recently experiencing more moments of clarity. Due to a lack of diagnostic technology and a stigma around cancer in Kenya patients like Samwell often aren't diagnosed until their illnesses become terminal. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a4417086d7a1e8bb2f85/1453507597757/2015-08-24-Texas+Cancer+Center-60.jpg Samwell                       Samwell grimaces while physician's assistant, Carol Apondi, center, and her colleague provide Samwell with essential nutrients through an IV. Due to his mandible tumor Samwell is unable to eat, drink or talk. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a44f7086d7a1e8bb3043/1453507665661/2015-08-25-Texas+Center+Morning-17.jpg Samwell Nurse Milca Mwankiki talks on the phone with a friend during a break in her shift. For nurses like Milca who confront death regularly, connecting with friends and colleagues is an essential part of managing the stress of working in palliative care. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a44ea2bab83b967cd7b3/1453507788498/2015-08-25-Texas+Center+Morning-5.jpg Samwell A janitor cleans a vacated room in preparation for the next patient. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a4577086d7a1e8bb30eb/1453507730040/2015-08-26-Night+Shift-1.jpg Samwell On Wednesday, Aug. 26, 2015, Samwell Mosota Omaiyo passed away due to organ failure early in the evening. He died peacefully. A palliative care nurse Carren Asembo, attended to him in his final moments and when his wife called to see how her husband was improving, she had the responsibility of informing her of his death. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a4647086d7a1e8bb31cb/1453507593006/2015-08-26-Night+Shift-50.jpg Samwell Nurse Carren Asembo checks on two patients at the Texas Cancer Center during the night shift. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a464a2bab83b967cda08/1453507769107/2015-08-26-Night+Shift-2.jpg Samwell Samwell Mosota Omaiyo's medications which will be sold back to the pharmacy to help save his family money. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a475a2bab83b967cdacb/1453507646171/2015-08-26-Night+Shift-71.jpg Samwell Nurse Rebecca Nandimaye, left, and Carren Asembo, prepare medications at the Nurses' Station during the night shift. Most medical professionals are not yet trained in palliative care. These nurses, who are legally barred from dispensing morphine and other opioids to patients in need, stand on the frontline of a national struggle with rising cancer diagnoses, HIV-related complications and other life-limiting illnesses. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a47fa2bab83b967cdb5d/1453507779879/2015-08-27-Texas+Center-12.jpg Samwell Samwell Mosota Omaiyo's body in the holding room, approximately a day after his death on Thursday, Aug. 27, 2015. Omaiyo was 52 years old. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/5692ba09bfe873d73943c36a/5696a4847086d7a1e8bb33a9/1453507676539/2015-08-27-Texas+Center-26.jpg Samwell Nurse Carol Apondi rests her head in her hands during a break while family members visit patients. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/5696a2491115e07e997f129b/1452712537885/ Samwell Samwell Mosota Omaiyo sits up in his bed on Sunday afternoon at the Texas Cancer Centre in-patient facility in Nairobi, Kenya on Sunday, Aug. 23, 2015. Nurses here are trained in palliative care and give round the clock care to over a dozen patients in this small medical building. http://www.more-than-pain.com/rose daily 0.75 2016-03-08 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/56a39ff8b204d579c8fb7275/1453563911042/IMG_2769.JPG Rose Rose's daughter, Sylvia, and Rose's niece, Sharon, both living with her in Kibera. https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569abf74a12f44354e047b4e/569abf74841aba8e21109724/1452982148275/IMG_2946.JPG Rose https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569abf74a12f44354e047b4e/569abf7da12f44354e047b98/1452982158459/IMG_2953.JPG Rose https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569abf74a12f44354e047b4e/569abf7fa12f44354e047b9a/1452982157714/IMG_3412.JPG Rose https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569abf74a12f44354e047b4e/569ac021c647addf69b099a7/1452982325281/IMG_3611.JPG Rose 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https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56a4ed50a976afaceba0c83d/56a4ed50a976afaceba0c83e/1453649240912/IMG_5253.JPG Kajiji https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56a4ecd305f8e21e95528b5f/56a4ecd4ab28105c11743eda/1453649117801/Carol2.jpg Kajiji https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56a4ecd305f8e21e95528b5f/56a4ecd4bfe873f61a2f1ffb/1453649119840/Carol1.jpg Kajiji https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56a4ecd305f8e21e95528b5f/56a4ecd9bfe873f61a2f2022/1453649124531/Carol4.jpg Kajiji https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56a4ecd305f8e21e95528b5f/56a4ecdfbfe873f61a2f2042/1453649136817/Carol5.jpg Kajiji https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/56a4ee3369492eecad1a4f22/56a4ee3369492eecad1a4f23/1457380907110/IMG_5330.JPG Kajiji 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Kajiji Joyce https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/56a4efc1dc5cb49acf00d305/1453649867046/ Kajiji http://www.more-than-pain.com/faith daily 0.75 2016-04-25 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/56e841f545bf21c0ab8931c7/1458061835326/ Dr. Faith Mwangi-Powell http://www.more-than-pain.com/zippy daily 0.75 2016-03-15 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/56e84283746fb9bea10c1679/1458062000467/ Dr. Zipporah Ali http://www.more-than-pain.com/lily daily 0.75 2016-03-07 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569c045357eb8d0f114ab8f7/569c04537086d768fdf37862/1453065300953/DSCF0361.JPG Nyambura https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569c045357eb8d0f114ab8f7/569c045476d99c4f39197881/1453065301831/DSCF0452.JPG Nyambura https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569c045357eb8d0f114ab8f7/569c045576d99c4f39197884/1453065302749/DSCF0685.JPG 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2016-04-25 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/571e6053ab48de1a6d59e2dc/1461608560121/ Nurse Anne Owiti http://www.more-than-pain.com/brigid daily 0.75 2016-05-16 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/571e6155b6aa6027c8694f76/1461608825643/ Nurse Brigid Serengo http://www.more-than-pain.com/lea daily 0.75 2016-03-07 https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/t/569c0267b204d58bba6dbdac/1453064823386/ Lea Photo by Elizabeth Mealey https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569c0069b20943556a8ff434/569c0069df40f311e719ca5d/1453064321127/2Q9A1224.jpg Lea https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569c0069b20943556a8ff434/569c006969a91a75f8132860/1453064324145/2Q9A1230.jpg Lea https://static1.squarespace.com/static/567af07e1115e084cc4d0ee2/569c0069b20943556a8ff434/569c0079be7b96bf7734a4e5/1453064340145/2Q9A1243.jpg Lea 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