It is early morning in April 2019, just after 7.00 a.m. in one of Kenya’s largest urban public hospitals, in the west of the country. Nurse (‘Sista’) Angela and I are sitting in the room used for counselling patients in the hospital’s fledging ‘Cancer Care Centre’, an outpatient clinic. Nurse Angela is one of the clinic’s three nurses and one of only two with palliative care training in this regional Referral Hospital. She is much loved by patients and staff. Today she wants to talk to me urgently about one of her patients. Sometimes I get the impression that telling
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