Welcome to FSE live number over some of our Oscar looks from the Oscars so the Oscars happen yes so the Oscars happen today we're gonna go over Brian Andrea both picked a look from the Oscars so we're gonna show you guys step-by-step how to create those looks also we'll take your questions live so if you guys are on the chat through YouTube chat away post your questions and we will answer them as the show goes on also if you're watching this later and you're not seeing us live you can see us live every week Wednesday nights at 8 p.m. ish yeah we're right on the money today I think we are who are you all right so so we're gonna get started thank you to demand force comm slash free salon education manurva beauty dot com always big supporters of free salon education and us giving you guys education as well Drea yes you want to break down the style that you're gonna go over today sure sure so today we're gonna go over Olivia Wilde's look from the grant the Oscars not the Grammys it's a word season yeah it's a word season so you know at the most recent awards ceremony around so anyway so what she had was she had two double french braids coming back forming a massive braided bun our braided bun is gonna be a little bit smaller because we didn't add any hair pieces into it but if you wanted to have that larger bun just add some extra pieces of hair in there but what I did is I sectioned off I part did a side parting and then how I sectioned was there we go is I took from the top of the head a curved section going around right hugging the acceptable bone to right behind the ear and what that's gonna allow me to do is section off both braids and this is where the bun is gonna live so make sure wherever that parting is is where you want to see your bun sitting at the final resting place all I did to prep this mannequin was I did just a blowout use some foam and gloss drops to give it a nice shine this is a really simple updo from the standpoint that it's gonna take about 15 minutes to accomplish it's a great one for when you're doing a ton of bridesmaids prom hair really just simple knock it out really clean and fast so what we're gonna do is we're gonna start on the her left side her smaller side and we're gonna start with a for an inverted French braid so that it pops up and all that means is instead of when you do a French braid you go over top of each other we're gonna go underneath so just flip it out a little bit I'm gonna pay attention so I can learn how to do this oh don't know how to French braid oh okay I like to start when braiding hair use I'm using for kind of shine drops just to give a little bit of slip to the hair as I'm working through it the great part about this style is it's not a super sleek look it doesn't have to be perfect it's gonna have more texture to it just incorporating the braids into it I'm gonna start with a triangle size section just using my fingers to separate it I don't want any hard parts in here because we're not trying to create that look other than the part being here it's really gonna be super simple alright I'm gonna do so we're going to split it into three sections working underneath to pop it up whenever doing a braid around the hairline I like to go closest to the hairline first to pick up my first section just because it starts to direct the braid in the area that you're going towards keep in mind you want similar size pieces that you are picking up just so that the braid stays even I'm also not really concerned about making this super tight because we're not trying to have it glued to her head and we're gonna later kind of pull apart yeah hers had a little more to it yes it was attached to her head almost so by not going super tight it's gonna give you the freedom to be able to pull it apart a little bit later on because if you go too tight in you go to pole it's just gonna give them a headache and also by having that little bit of playroom in there you can kind of hide your sectioning a little bit more because even though you know where the braid started you don't want it to be a harsh area now are you like pulling any certain kind of way to direct this braid or what I'm pulling down um that way we get it more so to follow the hairline versus traveling up towards the middle of the head makes it look so easy a lot of people will drop the section of hair that they're gonna be picking up I don't like to do that I just like to add to the section in my hand as I'm working towards the back I am letting it get a little bit tighter because that's where we're gonna be securing the hair later what do you mean what's tighter I'm not letting it wait you can't see on the camera turn the head if you can because we're gonna be this needs to be a little bit tighter it's not quite as loose to her the head like you don't want it to hang yeah gotcha tight like a tiger tight like a tiger and then we're gonna just continue this braid all the way down to the ends the hair so once you hit the hairline it just becomes a loose braid like a hanging braid yes because this is what's gonna form our bun later on now what about the girl that sits down that has millions super layered hair that wants something like this normally do for that when you braid I can you can still do it you're gonna be working a little bit more with hairspray while you're braiding just to help control those little bits of hair that pop out this mannequin does have layers you can start to see them popping out a little bit I'm not overly concerned about it because when you have a braided style you're looking for a texture and movement in the hair you don't need it perfectly sleek and smooth well even the the pictures of her hair I remember it looking a little bit more like free and a little fuzzy almost like it wasn't this crazy tight it was not tight like a tiger it is not loose like a lamb so what I like to do is I'm not gonna secure this with a hair tie instead I'm just gonna use a bobby pin what because later when I'm working this around it's then gonna be able to just finish in the bun and you're maybe not well no you're gonna throw out a floor first yeah you know throwing bobby pins on the floor is the best way JK I mean that's how I handle up dues I just throw things on the floor and walk away from it's true I've seen it and then they cry usually the entire bobby pin container ends up on the floor yeah well I mean fits of rates or fits of rates you have to hide later so we're gonna try this again I was gonna say do you want to use a clip no more piece of gum actually that is what I prefer to use that's a fun surprise for people to find later it's like the toy in the cereal box yeah exact same thing except usually people aren't too happy when they find that all right this spot if I still go so I'm starting off the same way on this side now what would you do like to try to get that braid like the start of the braid like as close to the part as possible because that's one problem that I bit more on the temple side so I did a little bit of a larger section to start out I'd still be holding three pieces of hair so as I'm picking pieces up from the top I'm taking little pizza-sized sections but kind of so it's really skinny towards the part getting larger towards the bottom and that way you're not gonna have an overly directed section camera where Christina that was my next question so now someone like me depending on where you're pulling from and where you're directing the hair is gonna be a huge huge end result on where the braid lands now yes so when I'm picking up from the bottom I'm taking a shorter fatter triangle where when I'm taking from the top I have to make sure that hair stretches to this area so that's why it's really skinny at the front going towards wider at the bottom and once again just keeping it loose she's not going to soccer practice so you don't need to keep it that's true she does not have legs she got three legs she could bend it like Beckham and back again we're one of the killbots I do want to give a shout out to Russell Mays for he posted that people should check us out so appreciate that Russell thanks I hope we see him in Chicago I think he's so many people in Chicago just not Phil's gonna be there I could see Phil wearing that sweatshirt I don't know why you and Phil are the only people in the world that I could see well glad I'm documented is having it first I could see Gaga in that you mean you don't see Justin and I weren't it right maybe you've had you did put it's random man on the computer so if we're on this bad boy is so not forgiving Brian you're close to blend in with the jacket this is the difference between like a haircutting class or a color class is it is so calm and quiet in here because no one has anything to say because they wouldn't try it on their own are there any questions coming through apparently Ramstein will be in Chicago but not until June so we're gonna miss out we think Megan Sullivan will be there sweet hopefully awesome yes she came she drove from Ohio oh yeah didn't that cut her hair yes sweet we're doing interviews in Chicago we'll have a camera with us I mean besides the one of you walking around with cuz that doesn't count can we interview Christina when we're in Chicago your selfie stick oh my selfie stick we're actually all gonna be strad we'll have the selfie stick camera with us so we doing some fun plus we'll be Josh XO we did make a video last year we will probably be we will probably be attempting a second video this year Josh X Josh does the the most uncomfortable interviews yeah you're really good at once again it looks like we're talking to no one because you talk with your back of your head to the mic alright so what I'm doing right now is I'm just pinching the hair up by the part to kind of lift and give it a little bit more height through there so that it's not plastered to her head I think a really important note right there is if you're doing that make sure that your fingers are clean because if you've got sticky hairspray fingers you're gonna completely destroy what you just did so the first thing I'm gonna do is stick a bobby pin right there so that we can have a little bit of a base to work on sorry it's right here just to secure this piece so that it's not flopping all over the place flopping like an elephant's drunk so this is we're now gonna start creating the bun on because we have this bread coming in this way this is gonna be really easy for us to start as our base so what I'm gonna do is I'm gonna just use pieces of the braid to secure as we're forming a circle I'm using bobby pins just because I like it for this type of style you don't really need to pin something in place ever so slightly this is to secure it to the head again gorilla glue and staple gun my my means of updoing the gorilla really adds extra volume to the hair okay we did have a question of do we get receive many requests for braided styles in the salon right now where we're at I feel like we don't have that much of a demand for formal hair like prom season comes and goes and we might see two people every now and then there'll be somebody wants a braid I was gonna say I feel like when I do get girls they do want braids in their hair when they get bride or the guy braids but that's it I mean I but at the same time a lot of people make or try to make appointments for updos and formal hair and stuff like that for all the weddings that we have but we never have people available to do that on Saturdays when they want to come in oh no I hate them formal hair we do some formal hair we just don't say my prom girl is already booked he is your prom girl my my prom girl brook oh brookie my one prom girl is booked my one prom girl hey I've done her she is bit this is her junior year and she has gone to prom every single year since her freshman year she got asked in the east grade and her mom said no that she would that was like not okay for her to go smart oh Karen but yeah last time Karen was in she asked about Brooks prom hair and I was like well if you want to make sure it's on the book we can do it now I have a feeling I might get some prom girls from doing that play this past weekend yeah you probably will because they do a whole school prom it's not just the seniors okay and most of the students that's what you get for your 30 grand a year you get prom every year you get lots of prom except they're going on field trip next week to the Grand Canyon yeah and that's yeah yeah I feel trips are like I don't even know where I think we didn't do anything we went to when I was in high school we went to this tiny zoo we went to the beach we went for shells no no we went to beach to work we planted dune grass which I didn't mind though I would say I enjoy the beach yeah that's nice we do have a question though what's that a million watts candle stylist does anyone go ever go to location for wedding and stuff I have yes no this is why this class is so quiet because me that Justin all do not do nobody styling styling any more unless they are their client like Brian does his girlfriend like your friend's hair yeah we don't everyone's booked and nobody really likes to do formal hair in the salon because it's not really worth their time yeah that's basically when so this year we bright like we're all so busy on the weekends that would be when we would have like our wedding hair come in and all that and we were blocking out so much time trying to do wedding hair and unless we charged a lot of money for wedding hair which we probably could have but the problem was it was inconveniencing our steady clientele that we have and because we're so small we had to stop doing it Brian and Jaya like doing formal hair that's why we're doing it tonight but for the most part like we don't we've never really been into it and yeah right yeah yeah alright so now I'm just finishing up by adding any extra bobby pins where it feels loose but you can see it's formed a nice little bun and it can grow and be bigger dependent on the length of the hair or if you added in extension pieces but I chose not to do that this evening Andrea we have two follow-up questions from the walk candle stylist they are always afraid of hurting their clients when securing body pins do you have any tips on how to secure body pins without like stabbing your client um well as far as not stabbing the client make sure you're not digging straight into the head but going in at an angle but as far as hurting them when putting it in I have never complained about you've never complained about have no like in any of my I don't want to I would never complain about getting hurt by a bobby pin because then I know that it's secure and then but I actually had a bride that I did this summer tell me she has never had an updo that hasn't fallen out until I did it and she's like like I don't even care if you hurt me with bobby pins because at least I know it's gonna stay secure it's cuz the body pin was secured to her scalp it was I actually glued it to her scalp yeah she's my gorilla okay and then the second question to the million what candle styles is what do you bring when you go on site everything there you go extension cords power strips those are two big things that you want to make sure you bring um in your kit to doing any kind of formal hair because a lot of times when you're on location you don't have the optimum setup for doing hair so you're gonna see you're gonna be in a middle of a room and there's not an outlet near you at all plus I like to have every single iron I possibly would want to use plugged in and hot as soon as I get there I set it up so I have it's so different how you and I do it I know it's so funny cuz Brian and I did a wedding party this past summer together and his bag was like this small little thing and then I have two irons that I just make work for everything yeah now and I had like four irons and the power strip and I always four out of reasons tend to forget a mirror and then I'm like okay well there's the hotel bathroom go check it out but make sure you bring a mirror because it does work better when you have one you guys have your kits that that you travel with with your bobby pins and yeah because I know Brian has one there's one here I always like to have my bobby pins separated I did it to all of our bobby pins here I made little bundles of hair pins and bobby pins so that you can easily grab a little bundle for each hair and then it's not like you have this massive amount of bobby pins going everywhere at one point just in case if it spells to then you're looking at bundles to pick up instead of a thousand bobby pins right all right but you can see where I've just pulled up a little bit to kind of hide that seam a little bit I that's any like Dreya or Brian like little tricks or tips that you've learned along the way that something like with a product or a tool that you're like oh well when it comes to products I just always make sure I have a really light hairspray and then a really really heavy-duty like the shellacious hairspray that I can get my hands on just because there isn't one thing that's gonna work for everybody you're gonna have a few different hair types after just years of doing it I just sort of picked up my own little like tools that I prefer to use things that I know I'm gonna whip out when I no matter what sits down it is good to have a couple different color bobby pins elastics that seems to be the one thing that when I run out of it's like you never buy the end of the world because you buy them like once every two years and then forget I just bought a really kick-ass chair that I did a wedding this past year and the makeup artist showed up with this like folding chair that was the perfect height for doing makeup and I checked it out it's actually really good height for doing up styling not so much for haircutting I discovered that because they're a little too high for haircutting but for styling for makeup any of that kind of stuff I think it was like 80 bucks on Amazon and it's got a nice little like table arm that you know that you can set things on like irons and stuff so that you're not reaching and contorting it's it's great to just I've never had a problem with it but it's definitely something that I got better at sort of insisting on when I get there is setting up an actual station like rather than be like oh don't worry about it I'll just reach into my bag 500 times for the next four hours like actually find somewhere to set up be conscious if they have a makeup person coming that you guys need to work together there have been many times I'm I feel bad saying this but I'm gonna say it anyway all of the weddings that I have ever done except for two I'm waiting on the makeup artist because they lie and say that they can get it done oh I can do each girl in like 20 minutes and they never do and I'm like done the hair or I'm stuck because I can't do so and so yes they haven't had makeup so just sort of be ready to plan that into your day don't let the bride say they want to go last you know that's like the worst thing you can do ever I always like to do the bride first because then I tell him middle like usually because they they have that little bit of control that they want to like still boss people around and see things get started oh no but I won't let them wait till the end because I've had a couple of occasions where I was like running out of time at like six minutes to do the last person's hair and you don't want that to be the bride I think another tip to remember is if you are not the one putting the veil in if the veils game put in at a separate time or a different location you need to put somebody in charge of teach them and teach them how to put it in and then remove it at the end because that bride is not going to spend all day wearing a veil and you want to make sure that hair stays intact for them afterwards I've also seen a lot of people do little kits for the brides they'll get travels hairsprays and do bundles of bobby pins and hairpins just to make sure that they have everything that they need after you leave I bring breakfast bars and force my brides to eat it while I'm doing their hair that's so sweet of you yeah it makes my life a little easier to we have a question is there any other things that can be used to secure rather than bobby pins I'm gonna presume as well as a gorilla glue and super glue like Justin I mean I've done obtuse with staples but I mean that sounds right I mean teasing and hairpins teasing hairpins but I mean yeah depends on what you're you're gonna other than bobby pins and hairpins that's gonna be your best pat for securing hair it's gonna give it the best result afterwards and it's gonna be easier to hide at the end kubernetes 9 1 1 5 says it looks great right thank you yeah so that's that super super simple give her a twirl just spin the whole stand try the thing if you pull that there you go win-a-win at chicken dinner ready Drea take a job thanks job Drea thank you all right so we'll get the microphone on Brian Drea can take Brian's seat and we have a question I don't even know what these are have you guys ever used in visa bobbles did anybody know what in God's name and a visa bubble is is that like a bump it I'm not sure what that is but if anybody knows then definitely post it maybe we have I'm not sure I don't think we have an invisible we don't have them here that's for sure um J got a lot of awesome is a nice jobs I mean it looks like you know the here you know the things that like you kept around your wrist to wear keys on it looks like a faux bump it yeah they kind of went out with a fanny pack only as a four star review on Amazon calm wouldn't trust it I've seen them used on people who have really thick heavy hair um but I'm not sure I'd necessarily use it on medium texture or fine textured hair I mean just stuff like that though just very weary to trust any of that stuff for like a formal wedding hair oh no it's fine like there's hair nuts you can also use it's a ponytail holder that looks like an old landline yeah no Melissa G's got it nail on the head yeah so we actually have some people chatting on Instagram just kind of cool um but one was great tip insisting on setting up a set but then do you prefer to curl the entire head and then tease or tease as you curl I don't know if something um tease cold hair not gonna hold that he's not gonna hold that circle okay all right Brian hair do some hair and away we go oh can you hear me now yeah I wasn't saying anything important just that I'm dressed awesome I didn't I haven't what has he held his hand hey Brian you look like an Oscar I'll hold it is like the curling iron anyway it's fine um so now that I'm getting ready to start I'm thinking of a couple more tips the look that I chose to go for I remember when I saw her walk down the red carpet I was like oh my god she has everything going on in her head is Alicia the candor she has somehow got center part bun and half up half down going on at the same time and I was like yep that's that's my jam right there yeah there were so many center parts yeah a lot of center parts a lot of really like hard parts this year like Rooney Mara was one that I saw that I was she was like rocking a really severe version of right I'll start a break three little perfect buns but I thought this one was good I like this one I played around with it a little bit and I think that just having an overall understanding of how to put this together because I saw some questions out there maybe on Instagram or something of just some quick tips that we can throw out updo wise and I don't think that there's necessarily like one quick updo that I have that I go to if I need to come up with something really quick it's really just having a certain set of things that I know I can go to like this kind of bun this kind of ponytail this kind of whatever will help just build a little bit of confidence so that however much time you have or whatever kind of hair you're working with you can throw something together so I liked this because it's a couple of different little tricks that just get put into one thing one of the really big things whenever I'm getting ready to do a formal event wedding really more wedding than prom prom it's like whatever it's not really your big day it's just a day that you get pretty but for weddings I make sure that's a big day for it's the biggest day of their life from that point on you know gross did you say you grow some girls it is you grow oh god this is getting sad anyway whatever however important the day is I don't care if it's a quinceanera or a big night out just gauge how important it is no anyway something that's really important when you discuss the look and you figured out what look you're gonna do if there's any kind of prep work that has to go into it if they need a specific kind of blow-dry or if they need their hair smoothed out first I will tell them you know if you're not capable of doing it yourself I suggest getting a blowout with me or whatever the day before because I know there are some people that just don't have the hair texture that you can do their hair and a whole wedding party the day of so maybe they need a blowout this is a good example because this she did have a pretty hardcore center part and not very very few of the weddings that I go and do the bride gets a blowout and then the formal style like they're usually set and ready to go so I would suggest you know either come see me the night before and then sleep on your face or do something just to make sure that we get this part in there because if you just kind of like half-ass at the day of and it's not really set then throughout the course of the day you'll lose that part which is a part of the look I was gonna say I love the brides that come to you the day before to have their rehearsal hair done oh yeah and then it's already prepped and ready and it's really just my setup for the day yeah I will finish this tomorrow sleep in a chair yeah alright so this is actually super quick easy I've got her hair she's a little little roughed up I put a little texture in this morning just so that it has just a little fatness to it because it's not again you can see in the picture it's very cute it's very youthful it's it's nothing super secure it's got a little a little softness to it while still having that polish so that's why I don't have hard curls it's really just like a soft wave kind of thing I know this mannequin's hair is shorter but in the ones that I was playing with earlier I liked her texture the best as far as and the color because I did it and I just thought it would but it would come out looking wonderful so to get her center part obviously we just parted it blue dry here so that everything was coming down because as you can see we're gonna be pulling the sides up into a bun near the top of the back of her head so let's do this so you can see I'm going to take from right at like the top back corner of her ear this guy to this high point on her head oh wait I just thought of something that I didn't prep because I wanted to show you never mind we're not doing anything here yet I'm getting my ponytail holder ready because anytime you're doing an updo just putting a regular ponytail holder in there can get a little difficult you can lose your spot and you know you can sort of accidentally move it over a little too far or something like that so you've got this trick picked up this trick a couple years ago that I love because it is super secure it's just I don't know how do you need me to get in there so you can see two little elastics and then we're gonna she coming in I know my jacket's a little distracting maybe I'll do it in front of the head all right so you take the rubber bands and then just interlock them by just pulling it through to get your little figure eight and then we're just gonna put one bobby pin on each end of this and then this will be how I end up holding her ponytail together when he showed me this light just go off but my mind was blown this light just one of the battery finally died three and a half weeks later just turn your right so this is gonna be my my ponytail holder it went off so that you can see that this is lit up yeah it's just really light out here all right so now like I said center go off her center part right where you got that ridge and the head starts to curve down I'm not looking I'm gonna have to double check to make sure it's okay oh yeah that's actually perfect I've got this side of her head and then just being careful I'm gonna clip this away until I get to the other side but I I want to make sure that I keep this part in so just have think of it as like a starburst from this spot right here it's gonna come back but making sure you keep the part so rather than bringing it straight back it's gonna sort of wrap around her head Brian can we think of it as a strawberry starburst yes that awesome my mind's always on food I'm sorry so I'm gonna take this and for now I'm just gonna clip it away until I get the other side ready and then I'm going to come over show and do the same thing all right now I have a teasing brush because I like the fine bristles because it's gonna help me get control of the hair without being as tight as a comb like if you were doing Rooney Mara's upstyle from the from the Oscars hers was so tight that's definitely done with the tighter teeth of an actual comb this is a little bit more forgiving so it's gonna grab the hair and bring it in the direction that I want it without putting so much tension that we lose that texture that is just kind of in the hair hey Brian yo real quick cute brunette 9 1 1 5 what did you prep the hair with first before you did this honestly right now all she's really got in there is just a bunch of a really really light hairspray I had some earlier when I put the little bit of texture in there and then I did a little bit right before we started filming just so that it grabs a little bit more control it gives the hair a little more grit a little more dirty because I like it dirty more like a working spray not not as firm as a finishing spraying all right now I want to be able to tell which side should I stand on all I keep having flash my head is like that Christina you're a dirty vinker right now now I'm gonna grab my hair from before bring it together do you need a tilter we're just gonna hope that I nail this because I don't have a mirror and I can't stand behind it so so now I'm just coming in again like I said I don't want it super super tight but I also don't want like these bumps in here I wanted to actually look like there's some polish it was the Oscars for crying out loud so now Brian why do you like this brush over like an actual like dressing brush because it's smaller I feel like I can sort of get in a little bit tighter because it's only three rows versus like a big hole dressing brush Matt what's up oh nothing I it hurts for me to watch up dues like so if my face look like I was in pain or something it's just because I'm used to that look I'm just making sure I'm not doing anything bad no you're fine all right so I'm sorry no just real quick we're gonna get this ponytail in there I'm sure you had to use my little do hicking I've got it where I wanted to go even though I can't see it I know she's got a center part so if I'm pretty much in the middle of that we should be pretty solid so first you're gonna take your one bobby pin come in from the top and on your way down rather than just sticking it straight in I'm gonna stick it and kind of wiggle it down so that it just sort of grabs a little bit more hair and has a little bit firmer of a grip and doesn't accidentally pop out while I'm spinning so into the hair and then a little wiggle it just a little bit and then start wrapping it around you're gonna get a whole bunch of wraps what I like about this is it's gonna give you a really secure ponytail without it being an overly tight ponytail I do this on brides all the time and I'm like do you feel okay and they're like no it's fine I'm gonna start using this for the gym and it's great because really I can't ever think of a time where I leave a ponytail exposed so the fact that it's you know not like one elastic going around doesn't matter because we're not gonna ever see that so you see we've got her up it's loose but it's pretty excellent what we're gonna say Justin oh yeah Amy Paz just giving her favorite flexible hold for formal styling is osis elastic I don't know if many people have different brands of elastic but that's hers I don't know that one well cool all right so now I'm gonna take her hair and if you look at her bun it's really it's super simple and the way that I found because I like to keep it as easy as possible I'm just gonna take her ponytail and I'm just gonna start to twist it clockwise and then once it starts to get once it's twisted tight then it's gonna start just twisting around itself and then just keep going with it until you just get to the end I'm going to secure the end into the base of the bun and then depending on how tight your little twist is is going to be whether you use bobby pins or hair pins for this next section she's pretty firm I might need bobby pins we'll try a hairpin because I just want to again just anchor this bun a little bit just in case something happens she's partying her face off and you want it to you know just make sure it's not gonna go anywhere so I'm gonna come in right at the base of it go I don't know if you saw in and then I'm gonna lift up to grab the head and then pull it down to make the two come together and stay so in bring it up to grab the head boom yeah hairpins work so that's a thing now you can see good on this section grab the underside grab some of the head get in there now again this is one of those looks because she has got some layered we've got these little frayed guys going here again if you're doing this on a girl going to the prom that might be cute it might totally work for her if you want a little bit more polish there this is where you're gonna want that super mega hold hairspray like I was talking about because if you just get that wet sometimes I'll use a moose is really great for getting flyaways under control and a way easier amount of time than hairspraying I don't have one on me or I would show you exactly what I'm talking about but moose pretty much any kind of moose usually dries totally clear so rather than over spraying a section and just making a big mess with hairspray I'll just get a little bit on my finger and kind of slick that down and it'll dry just as clear as hairspray well so it's fun little tip it's also great for the nape of the neck if you do something up and they have all these little fuzzy guys I'll just take some moose and go right up the back and I'll just slick all that down and stay for the whole day do you love it anybody I love it I can't see it right now though I was actually shocked I thought you're gonna be doing the same up to Australia but only doing it the right way whoa I think yeah I think he I think that was meant to be a dig on Brian but I actually think it was a huge dig on drive I think I think he needs to practice because no one knew what you were talking about do I have any moose he's the practice sarcasm yeah this hairspray is not enough if not it's okay too late so here's a dollop of daisy now we're just throwing things and we're just taking it and if you just sort of smooth it and work that down you might want it if it's more stubborn like this is blonde and short so of course it's gonna be stubborn and it's gonna look like it doesn't work and I'm a total jerk liar I know right wait ah suck on that bun all house fails Elmer's glue works no for real no Elmer's glue like for real yeah that's only pretending like he doesn't do up to is I was at the exact same Paul Mitchell training with that one and up to that did win it up to contest was funny as though we were in the hundreds of other hairdressers yeah yeah that was in Vegas there was like 500 people there I mean in my class I won the class and he won the up to I don't know how I had retired right after that like you got to go out on top he totally signed felt it and left while he was at the top like yeah he told a funny joke I'm walking out of the room yeah never to do when I do again I'm like I can't beat this I want a prize it's working I was gonna say Brian charming that moose trick I definitely saved me in a bunch of scenarios now Christina was also the up to well because you're you have the same tone of voice you have the same tone of voice for nice and bustin balls it's true we get confused shiny things all right okay so now focus yeah okay so we got her up she's done this it's cute but I would like to see a little bit more texture to this so that it looks a little bit more done not everybody has their a ton of tools to get their hands on so I like honestly I tell people so much you've got a good curling iron without a big lip that hangs off of it you can use this like a regular wand because for something like this where I was really going for loose you know kind of just cool tousled sort of look I don't want these to be hard curls I'm afraid if I do hard curls on this it's gonna look like it belongs on a six-year-old and that's it so I'm really only gonna focus on just putting a little bit of movement through the mid shafts the only key to that if you use if you do this trick I'm about to do or if use a curling wand you have to make sure that the ends have been smoothed out either with a really good blow dry or go through and actually iron the ends a little bit first because I can always tell when somebody tries to do like that beachy look but they didn't focus on the ends because the hair might look gorgeous and then the ends look like frayed rope because what an iron touches it's gonna make smooth and shiny and like lay that cuticle down just like going through the smoothing iron and if those ends look like then the whole thing was just done so I don't want to create like if you look at her straight on I'm not looking to create a fat silhouette here because I just don't think it'll go with the the sort of sleekness of the the pulled back sides or anything so when it comes to the curls that I do right behind her ear I'm gonna direct them back rather than forward because then it'll sort of hold everything back a little bit so she won't get too wide so I'm just gonna grab nice big chunk of hair I've already got this hot and get hotter come on let's turn it up then I'm gonna take it hold it like a rope and then the reason I say like a rope is because when I wrap it around it actually is a little fat rope not laying flat against the curling iron I'm holding the ends because I don't want those to curl until the very end then just a little touch and then pull it out and while it's still hot that's when I sort of rake through it and pull it out because they want these to be loose casual waves rather than like a hardcore curl if you have a ton of hair like this mannequin actually kind of does you might want to pull up around the occipital and then just do two rows which I'll do soups fast that's probably a one inch iron right Brian yeah this is just a one inch yeah which is good because as much as I love the bigger barrel curling irons they're not really good for doing this because it's just the only hair that really shows up on that is so long that without putting a real structured curl in it which this does not it's not really gonna hold very well so one thing you want to make sure and this is actually a little tip for if you some of the other looks that they had at the Oscars I saw a lot of what looked like wave sets I don't want this to look like that I don't want it to all wave together like I know Lady Gaga had some wave set looking stuff what's her name Naomi Campbell had a little bit like that I want this to be like hers was sort of loose not really blended together Emily Blunt's hair was a little bit like that where there was some actual texture you could see between the curls so to make sure that that's what you get I'm gonna make sure that my curls no more than two curls sitting next to each other can be curled in the same direction if they're all curled the same direction then they're all gonna fall into a wave set together if they sort of clash against each other then they will push against each other and create a little more definition in the texture does that make sense yeah Matt do you love it I do love it so much and not even super long like just just enough to get a little bit of movement a little bit of in there Matt looking at both of us I feel that we were those kids in class they got in trouble for something got like put in the back or like in trouble right now like we're in detention we're in hair detention this week oh cuz we're watching yeah I don't mind watching style like I just don't want of course I was excited I don't want the responsibility of it I have nothing to really say I don't think that and I've ever been this quiet for little bend little sexy bend and I actually when I was messing around with these earlier did another one just a little variant because I was thinking about different ways that I could do this and I've got like okay here's the pullback there's a cute little bun here's some fun little waves and I've actually got someone whose hair I'm doing for a really fun outdoor summer wedding and she's just super cute anyway but she's got like just beyond a little bit of a grown-out bob like it's just starting to touch the top of her shoulders and we've cut it like real textured and all that so and she's very little layering especially around her face so I actually sent her a picture of this and told her I wanted to do this on her because I think it'll just look really cute at that like just below chin length with the top pulled up into this good summery kind of look and she's excited about it and she said I can put pink in her hair so I'm really excited about it now Brian are you keeping the sections similar in size or are you varying honestly no because the less consistency you have in something like this the less it's gonna come out looking like a wave set and the more it's just gonna look like a little bit of because if I know Christine is brought up the picture a couple times but if you look at it like her hair looks like there's barely anything going on but just putting a little bit of loose texture into that will make it look so much fancier than if that was just hanging straight if that was just then it would look like she just put up some of her hair to take her makeup off do we have any questions at all no no people are loving it though well that's good because I'm almost done cool we're looking for a wheel spinner at this point so well I have the other one that I want to show you what I changed a little bit yeah I'm gonna bring you this back alright so I've got this wave I'm using a little bit of a beach spray afterwards just again to kind of just dirty it up and make it a little fun and fancy this is back to the beach from bro kato and then I'll use the same movable hair spray hairspray that Jaya was using again should get some in there give it a little bit of hold to what we just put in without making it firm or sticky beautiful Brian you are hey Brian how long do you usually schedule for an updo never less than an hour we've trade me the purple girl but you fed ice and trading with Christina to show you just a little variation that I did today because not everyone's comfortable with the center part and it's really funny because if you try to put a center part of someone who's not comfortable with it it's not gonna go well so I did the same thing but I just went off of a bit of a side part the only thing that I did differently with this because it was a little I was having a little bit of a hard time getting this to come all the way from here to wrap into this so what I did was I sectioned off her bang and then put her part in forgetting it's like I put her part in brought the sides back left the bang out secured everything got it where I wanted and then I just swooped the bang back into it and wrapped it around the base of my cute little bun same thing now just off to the side in case somebody wants to try that and that's it I'm done good job Brian awesome good job Draya good job Brian yay Oscars like I said center part was just a really big thing this year all right cool so spinning the wheel let's see we have Amy Amy Paz it's gonna be spinning I'm not sure where Amy lives so we're hoping the continental yes I tried to do some research Amy you will be limited on prizes depending on where you live so you have to let us know that because some what's that has Amy won before that's ever stopped us let me ask her sad yeah she's in California perfect so so far so good can you zoom that camera and Chris to the wheel and let's have sad everybody is requesting that you talk about the sponsors all right on the wheel so what I want to say she did win a long time back what did she win I'm not sure what she won but I do want to give other people chances as well to win well you're live so so yeah so it's not focusing it won't all right I'm gonna bring my computer back over there that's gonna go over the sponsors Amy you're gonna spin because I already said and because we really like you and when we really like people we let them spin twice so so while we figure out what Amy's gonna win I do want to say thank you to everybody that sponsors this wheel because it's really really awesome and you should support all of these companies that are on this wheel ready sad all right so you got Ergo with the ergonomically correct styling tools we have Donald Scott with the razor combs so you can raise your hair comb hair and cut hair at the same time we have Minerva beauty so you can outfit your salon very stylishly and effectively and ergonomically to a freesline education Matt what are we giving away we got a price back from a freesline education it's a surprise we got sunlights for Balayage highlights to give a nice diffused sunlight and highlight we have mainstream for the stylist on the go we got Amica for styling products and styling tools we have all the plugs for those super blondes that love to continue to get blonde or any chemically traded hair we have Mr. Tiny shears they are Japanese steel they are very sharp just like a samurai sword we got some more Minerva we got some more freesline education we have some more Donald Scott some more sunlights we have Jay Lace for the stylish stylist and go out to their website to check out their gear as well as to see your one and only Justin Scott rocking their gear we got more Olaplex deep breath he's out of breath he's winded and we got Parker razors for cardio sad your hairlines etching out your hairline sketch all right Amy Dre make sure that that's not gonna spin that loosen up the I still gotta fix this it's good all right here we go Amy sounds like rolling thunder this wheel was the most expensive always broken thing I've ever purchased really I've been in your cars Donald Scott those tools are awesome and I've made lots of videos recently doing lots of different haircuts with those tools so thank you Donald Scott thank you to everyone that sponsors the wheel with all these all the cool prizes thank you to Brian hair welcome follow him on Instagram hairstyle hairstyle Drea congratulations on your class good job on your class that bonus I am Justin Scott follow Justin if you want to see him getting pulled over follow Christina at underscore Stine follow us everything freesline education thank you guys so much for watching next week next week Drea has a actual a makeover yeah on a guy who's only gonna be here for that day that's one of her friends coming into town he's got really long hair so she's gonna do a little makeover on him so we've we've lined that up so thank you guys so much for watching make sure you tune in next week and bring a friend with you yep all your friends all right thanks for watching guys we'll see you next week bye


Wela very good morning to you, thank you so much for being part of this particular morning show, my name is Ramma, this is why in the morning we are coming to you live from the broadcasting house here in Nairobi Kenya, we are also live on our website at www.kbc.co.ke4 slash y254. So ensure that you engage with us as we continue with this particular morning show, remember you can watch us from where at the comfort of your morning or of your living room, today it's all about understanding cancer palliative care, especially when it comes to cancer patients and much more, today we want to find out what is palliative care, what is it that we need to look out for when it comes to palliative care and how do palliative care providers do their job, how do they ensure that you get the best care from wherever you are, how do they do it, is it from home, from the hospitals, how do they move around and what do they do and they don'ts that they really consider when they are giving care to patients, remember palliative care is given to different kinds of patients, we shall find out what is it that we kind of patients will give and why is it that we have so many of them being actually cancer patients, today let's talk about cancer prevention also, in this conversation I'm joined by none other than Dr. Esther Mwenga, she is a palliative care specialist, Karibusana Doctori and thank you for finding time to join me, how are you? I'm fine, thank you very much. Asante sana, I'm sure that you engage with us, keep the conversation going, the hashtag is why in the morning at Ram Aguko and not why 254 channel, you can bring in your questions as you continue with this program, also let us tell us where you are watching us from and we shall sample your feedback as we continue with today's show. Doctori, let's find out, before we touch on the niti grittis, by definition, for those who may not understand what you are talking about here, what is palliative care? Thank you, thank you so much Ram, palliative care is a specialized type of care that looks at improving the quality of life of a patient in the family. So, in simple terms, we are looking at a patient who has a life threatening illness, by this we mean a condition that is difficult to cure or they are living in a, they've had unexpected difficult diagnosis and now they need support to work with them throughout the journey, so we are looking at improving the quality of life of this patient and also their family. And is there any particular disease that is associated with palliative care and why is it that we see most of it, because I'm seeing most of the palliative care providers associated with cancer, is cancer the only one or do we have others? So palliative care benefits a number of diagnosis, so if you have a patient with, you've mentioned cancer being the commonest, if you look at the burden of cancer in Kenya, it's really growing, cancer is documented to be the biggest burden in terms of the palliative care need, but if you think about other life threatening conditions or serious health suffering of patients with a hard to cure diagnosis, we are looking at patients with HIV and AIDS, patients with organ failures, like a patient you've heard of a lot of patients needing dialysis because they have renal failure, that's a patient who benefits from palliative care, patients with congenital, that is children congenital malformations, like those ones with heart issues, so they need support to work with them throughout the journey, most times they would be receiving care aimed at, it might not really end up with cure, some do get cure, but if you look at it, some will end up living with this for a long time, so we've talked about cancer, HIV, congenital malformations for children, sometimes birth disorders, they had cerebral palsy because of birth issues, patients with mental health issues, dementia, all these benefit from palliative care, so it's a wide range, you just need to look at how is it affecting their quality of life. If you look at all these different diseases that exist, the different conditions that are there, what are some of the most common challenges that you experience as a palliative care provider as you are on the field and you are administering care to these particular patients suffering from different conditions, yet at the same time, yes, it can be challenging. I think to start with palliative care is not, the service is not well known, so what happens is most patients will actually be referred for palliative care at end of life, but palliative care services ideally should begin from diagnosis, so if we are talking about a patient who has a diagnosis of breast cancer for example, when they are going through their curative treatment or medical therapy with the oncologist, they are also receiving palliative care, so both therapies go hand in hand and depending on the outcomes of care at the oncologist's office, one would usually decrease, so sometimes if the curative treatment is not really successful, what happens is now that they will receive more of palliative care and less of the curative therapies. You mentioned that we mostly go for palliative care towards death. Towards yes. What are you referring to particularly in this area? Are you saying when it's at the last stages, when things are so bad?  So initially healthcare workers would take care of these patients and then when you've tried all the therapies, they've gone to India, they've come back, you've done everything you've thought would work. That's when they go for palliative care. That's when now they say now let's refer you to a palliative care centre. So you see at that time the patient is even tired, the doctor is tired, so they feel you're giving up on them, but it's not giving up. Ideally if you start working with the patient from diagnosis, it makes it easy for them to cope with the illness. So one challenge that you're facing is this belief system or this trend that we go for palliative care when it's actually getting late. Yes. And we need to change that particular ideology, that particular belief system. When you're on the field, what other challenges do you face when dealing with patients as a palliative care provider? There are many issues also to do with the financial capabilities of these patients. If you think about it, if someone has a heart or a serious health suffering or a serious illness, most likely they'll have used a lot of resources looking for therapies.  Medicines like pain, medications like muffin and they tell you, I can't afford it. So how do you take care of these patients? So there's a lot of social financial issues. And then in terms of family support, I think that's also a very big issue. A patient who has this diagnosis will face a lot of psychosocial issues because of lack of family support, friends leave you. So someone was telling me the other day that when they had a diagnosis of breast cancer, it seems like their friends used to do things without her because they felt that she was always sick. But for her she wished they would check on her even when she refused. So you see that aspect really brings them down as a patient. Sometimes they'll tell you, I don't feel like doing this but just being there and being present for them really plays a big role. And how is it for cancer patients specifically? Because now those are general challenges for many patients. Do you have those that cancer patients that you experience while handling cancer patients? So for cancer specifically, we still have the issues with finances because for them to go get chemotherapy or radiotherapy, they would need to go to a radiotherapy centre. So we have radiotherapy in Nairobi, in Eldoret. If you're coming from somewhere further than that, it means you have costs incurred. It means even your cost of transport, accommodation and treatment is high. And then the social challenges remain the same for them. And then in terms of think about they've lost work time. So some have actually lost jobs because of that. You've consumed a lot of your time going for therapy, for treatment. The employer decides we can't keep you anymore. Because we mostly deal with cancer patients, I want us to touch on palliative care for cancer patients. What are the steps that you go through while offering palliative care for cancer patients? So once a patient has a confirmed diagnosis because you need a tissue diagnosis from the oncologist or from the hospital. So for example they've been told they have cervical cancer. They're receiving therapy at a cancer centre and we have been in Kenya. They would also be enrolled to palliative care. The palliative care team would work with them starting from the issue of accepting the diagnosis because that's the first step. And then as they go through the therapy issues come up. So for example things like pain management, that's really a big burden for patients. Pain because of the illness, pain because of the therapy they might be using. And then they also have to accept that they need this support because you can't force the care on someone. They have to agree. Is it like you also need to be a psychologist at the same time? No, so you see we've talked about pain management. We've talked about they're getting their chemo, their radiotherapy, wherever they are. They're getting psychosocial support, spiritual support. So it needs a multidisciplinary team approach. So what happens you have the palliative care specialist leading the team. If they need nutritional support, their feeding patterns might have changed. You engage your nutritionist. They have spiritual issues, they are questioning life. Those questions that come up, why me, they are not at peace. A spiritual caregiver comes in. They need physiotherapy. Maybe they are not able to work or they are not able to do a certain activity. So you see they need physiotherapist, occupational therapist. They would need a speech therapist if they've lost a voice. So it's a team approach. So it's a team service and not by one person. I'm looking at the process that you go through all this. You said you've got different specialists coming on board. It means we are working with a team. Now for a patient, at what level is it that this team is to be able to work on that plan to be able to attend the patient. Are you starting from the time that they get the diagnosis at the hospital where they are still in hospital? Yes, so that's the ideal situation. And if you look at the cancer centers that are being set up in Kenya, the recommendation is there has to be a palliative care center at that facility. So once they are going through this cancer care, for example, the palliative care team comes on board and works with the patient.  So it should start from the hospital, not from home? Ideally it will start from the hospital where the diagnosis is made. But the care can be given whether they are in hospital or at home. Now for many cancer patients, you mentioned it earlier that they complain about the financial implications because cancer is expensive, going through the chemo and all those visits. Does palliative care have the ability also to cushion a cancer patient from filling these diverse effects of funding and the medical expenses? So it's a challenge that cuts across many medical conditions, let's say that. In terms of cushioning patients against this financial strain, we know we've had a lot of talks in Kenya about universal health coverage so that patients are cushioned in families and they don't have to suffer financial distress. We also talk about having insurance covering these patients. So if you look at the market, most insurance companies now have covers for cancer and now our advocacy bit because I work with the National Palliative Care Association is ensuring that these patients are not, you know those fine prints that are usually written that care is only given in the facility, it cannot be given at home. So how do you make sure that home-based care is also covered within this insurance package?  If you're not accredited by NHIF, that means that financial cover is not there but there's much that can be done because if you're looking at giving services for these patients where they are, we need to make sure that the cover is giving them support even if they're getting home-based care. So they don't have to be admitted in a facility but the health worker or the health teams, like we have hospices around the country, they're able to do home visits for patients and they're able to do tele-consults for patients so that they don't have to travel the whole mile just to get support. So it means you also give recommendations in regards to what they also need to do as individuals. Yes. I'm seeing a comment here, this is, Masi is asking, at what point do you start giving palliative care? Do you need to wait till someone is badly off for them to start getting palliative care? I know you mentioned that a bit earlier on when you started, maybe you can answer her. Yes, thanks Masi for your question. Palliative care needs to start from diagnosis and what we're also encouraging is that if you're a family member or you're a patient, ask your doctor about palliative care services because sometimes someone focuses on their speciality and they forget other things so even patients engaging health care workers helps make sure that these patients get the services they require. So keep commenting, keep talking to us. The hashtag is 1 in the morning at Ramagukon. That's why 2-5-4 channel ask your questions and we shall be able to answer them with that query here. You're saying that we need to take advantage of the universal health coverage plan and of course the hospitals are there to ensure that cancer patients are well advised in regards to what they need to do. I want us to look at still on part of advisory, cancer prevention. What are the things that we need to do to prevent ourselves from cancer coming from palliative care provider? The first step actually for prevention is what we call primary prevention. I'm sure we've had a lot of talk about how do you keep yourself away from cancer. So there are simple steps that people can always take up and follow. First being our diets, what we eat, taking care of what goes into your mouth. So being proactive about it and being intentional about it. So there is looking at reduction of refined sugars because we tend to eat a lot of that in our diets. So we are looking at are you always taking deep fried foods? A little oil is good but too much now becomes harmful to you. So we have diet, we have issues to do with exercise, staying feet, walking. Do you take the lift? Do you take the stairs? Do you walk to the matatu stage? Do you take a border to the stage? How active are you during the day? Are you seated the whole day? Those are also risk factors. So salt in the diet has also been associated with your risk of cancer and non-communicable diseases. When you mention salt and fatty food, I'm reminded of scenarios where people like adding salt on the table. Yes, in fact that is really discouraged. A few people who do that, before when you taste the food, and they like doing that before they taste. Yes, so you see those are things that you can intentionally change and you don't need all that. Salt is still good, it has some iodine but too much or rather in excess that becomes harmful to you. And sometimes people believe that chakula nima futa but if you see that oil dripping, you feel like a chakula nipiko, which will not be the case. So others will put a lot of soup, these ones are floating in oil. Yes, which is also expensive for you. So if you think about your expenses in the household. The other things are screening. So screening is simply looking for any issues in someone's body when they are healthy. They don't have any symptoms. And they are simple cancers that can be screened in Kenya. So we have a service called cancer whose screening is really affordable and available. And if you think about service called cancer is one of the cancers that are preventable. So if you take up a screening package regularly every 2 years and all these things depend on the patient. So you need to talk to your healthcare provider about it so that they advise and you use the correct route. So we have service called cancer screening that is done. Breast cancer screening and in October there is a lot of awareness around that. We have it available for women and for men too. We also talk about screening for... If you have a family history of a certain cancer, you are also eligible for screening. We are not saying because someone in your family has the cancer, you also get it, but research has shown that because you are exposed to similar environments, you might have similar risk factors, you might end up with a similar diagnosis. So it's good to go for screening as a preventive measure. And the reason why I ask this is because for many people we may think that palliative care is just all about you wait, get the disease and then you get palliative care. But actually you need to also learn how to prevent yourself from getting cancer because even as a cancer patient there are those things you need to do. There is a way your lifestyle needs to change now even including your diet so that it doesn't get worse. Is that true? I would say that the diet you are telling the patient with cancer to follow is you are talking about a healthy diet or a healthy routine. That is what I should also be doing. But sometimes recommendations in terms of diet are made based on the patients. For example, their kidney is not working well. So there are things that they are told do not do. So those are specific things. But generally speaking if we talk about when we are telling, for example this conversation when patients talk about if I have diabetes, I have a diabetic diet you are basically saying that this patient needs to avoid some things and take some things which is what we should actually be doing as people who are not patients yet. So if we can adopt that and if we look online there are many recommendations but you have to look at what is approved. We have organizations that are credible like the World Health Organization. Our Ministry of Health Kenya also has guidelines to give recommendations on the same. So if I have a diagnosis of cancer my lifestyle needs to improve. Yes, as you have said. But even my family's lifestyle needs to be the same. So that I am not the only one working this journey and I feel like an outcast of people are doing things differently. It is usually better if everyone in the family does the same. I want us to touch on this particular angle of the work place. Now you will realize that the person that you are giving palliative care is employed needs to at some point show up for work. They need to leave the house, go do some things so that they can put food on the table and even get money from our funds to cater for those medical expenses. So how do you balance and train this patient to be able to balance this kind of work life work and palliative care? That's very important because as we talk about palliative care we are talking about person centered care. We are looking at this person holistically. So they are not just someone with a diagnosis of cancer. There are people with a family around them and that's why we say palliative care involves the patient and the family, the community around them. So when they are employed employers have recommendations of how many days you need to be at work, sick ofs and those things. So there is a lot of awareness that needs to be done also for employers to embrace these patients or their workforce because they are still their workforce. So you need to be there to bridge the gap between the patient and the employer? Yes because those policy changes need to be done. For example we have talked about patients who have lost their jobs. It means they had to go for care and treatment and they lost some time of work and the employer might have because they have certain policies in the workplace that say you need to be here so many hours or so many days in a year. You've lost this so we can't keep you anymore. So the balance needs to be there. There are employers who have given patients going through therapy like days off or they are able to work flexible hours at the workplace. So they are still able to work. We are not saying they are not getting really different treatment and you are saying they are patients in the hospital. They are able to work but they need to keep up with their medical appointments so that they are even more productive at the workplace. So if for example they are overworked they end up sick they become admitted and you lose even more days but if you are able to make sure that they are not missing their medical appointments they have a good medical cover because that's also a big aspect and then they also have that support from the employer and the other workmates so that if I need some time off I know someone can cover for me for a few hours and I'm back but it's also a team approach in the workplace. But at the same time there are occupational hazards and that can be able to affect a patient. How are you able to gauge these things? How do you do it? So that you can be able to give your patient the best service regardless of the occupation and how are you able to prevent them from the occupational hazards that are there. So some employers have actually given or changed the employees terms or what work they were actually doing before. So there is that aspect of for example they have a week back they were doing manual work or they were standing for long hours so that can be changed they are given another department where they don't have to stand for too long. If it was a place for example they have a long issue they are working in a painting factory or somewhere there is a lot of dust they will be given alternative duties so that discussion needs to happen even as a palliative care provider as I am talking to the patient I need to know where they are working what support they need in terms of in terms of in terms of their support in the employment space but some are not employed so you also need to look at can they engage in income generating activities so that they keep going or do something else that is not really strain us for. But sometimes I know it can be had and I don't know if it has been for you can it be challenging dealing with the different employers because sometimes some of them can say no we don't have specialized work environment so if this person cannot be able to adapt to this then they let them go and that's where the human rights aspects come in because that is their right to work there to be listened to so if this employer there are many suits that have gone up people who have been illegally let go so a lot of things come up there are legal challenges and when we are talking about palliative care and the patients and families you are looking at aspects to do with the physical aspects there are legal issues that come up and then there are spiritual issues that come up and they are just general well being issues that come up in terms of the care of the patient and for someone who has a diagnosis of cancer if I had I was diagnosed with breast cancer today there is also risk of getting another cancer later so you see the prevention or rather the care of this patient does not end at the end of if they are given their radiotherapy kimo and they finish they need to be followed up and that's why it's important for us to talk about cancer prevention because you can get it another cancer exactly I want to take a short break but after this I want us to touch on now the family aspect the stigmatization the stigma that is there for cancer patient how is it for palliative care and sometimes when you enter that room the environment, the mood that you get what are some of those times that you've just gotten into a house and you're shocked you're downfounded wow this is how most people treat their own kin and after that you shall be able to tell us a bit of your experience when it comes to dealing with different families so let's take that short break after this we'll be back with much more remember to keep it going on our social media handlers the hashtag is one in the morning at Ramaduko and at Y254 channel it's all about cancer prevention and awareness when it comes to palliative care we're taking a short break we'll be back welcome back as I said earlier on we value your feedback let me just sample a few your comments on our social media handle and get to see what people are saying when you meet and doubt palli when you Facebook the hashtag is one in the morning at Ramaduko and that's why Y254 channel is where you can be able to ascend in your tweet I'm seeing Vivian and as I'm watching you from Kibra as I understand Vivian interesting conversation there I'm seeing this is Maxwell and as I'm watching you loving the show enjoying the conversation this is Agustin Asama good morning watching live and direct from Tengeniki Saumakwini county thank you so much Agustin you've sent in some present there Sam Kush good morning thank you so much producer Magustu Babu Red Lemon it's also enjoying the conversation tell us what you think about this particular conversation on cancer awareness and prevention thank you also for letting us know where you're watching us from ensure that you also tell us a bit more about what you'd like to learn concerning cancer and palliative care now Lahtari before we went on that break we were talking about how challenging it can be to be in the work environment and that there are actually rights that are there for for workers maybe you can touch a bit more about this particular attribute when you you are a cancer patient and you find it hard to work and the work environment is not that conducive and positive and it is affecting you what would you advise such kind of a person to do that's quite a valid concern most times you would have heard of these patients who have had a conversation with their HR departments most likely if you are employed there needs to be that conversation that takes place sometimes it's difficult for the HR team to understand what the patient is going through but I've found what works is if organizations are also empowered about the journeys these patients go through or if they've had a similar experience they're able to empathize with this patient but the doctor to the patient can also write a recommendation letter so that they take it to their employer and they're able to come to an agreement and see this is where we will balance and this is what we'll agree to do so that both the organization and the patient benefit so the patient is still earning a living and the employer still has the work force running for them so it can't be a one answer for all cases but it will have to be each person different approach based on what needs are there at that point it's actually not a one size fits all exactly and I love what you're saying I want us to touch on family stigma is there and for some cancer patients when they are told when they get that diagnosis that they've got cancer some of them feel like it's a death sentence what are some of the experiences you've had when you're on the field there you're dealing with families providing palliative care and you can clearly see that right here this is stigma stigma is it's quite a demoralizing aspect in terms of care and your rights so in terms of patient support and patient care the family is usually the first line of support for the patient because you have the family the patient and the family immediately around them so you see if the family is supportive of this patient the patient is able to thrive in many cases even the patient themselves once given a diagnosis of cancer they would loose hope so to say maybe because of what they've had before so now imagine the patient the patient's family around them most times they their families that have like distance themselves from this person we had a patient in Nyeri who had a diagnosis of breast cancer a lady she ended up being by the husband first issue with the husband was that he was saying that now she she has one less breast so she has one was removed the other issue is they thought she was going to die so he really like it wasn't an official divorce but you could see that she's been left on her own and that was her source of support they have big children so where do you turn to but the end was actually quite good for her because now she she went through hospice care she got support from the team where she was she now became a patient advocate so what happens is if a patient has a diagnosis of cancer she will be able to talk to you and give you that encouragement because there is something about someone talking to you with a lived experience as opposed to someone talking to you with just technical experience so they become good cancer advocates or good palliative care advocates in the community and that's what we need because even in the in the counties people who have gone through these experiences are now becoming more vocal they are asking for their rights they are asking that counties support their treatment and I'm seeing this advocacy program but I was following up they are trying to make to say that cancer should be declared a national disaster exactly so from the patient's mouth it bears a lot of weight because they've gone through they know where the shoe pinches they are able to articulate issues that are close to them because sometimes as policy makers you make things something else is a big burden while actually the issue is something different there's this example that was given of the Kenyatta National Hospital team was looking at issues that face the cancer patients and something that came out is the patients talked about having challenges with accommodation when they are going for care but also aspects of they don't have water to drink so just having a dispenser or having clean drinking water for them those issues make a big difference I want you to talk to the families outside there because now I am fully aware that you for I don't know if there are palliative care providers who stay in the homes I don't know if they are there but what I know is so far you work in shifts those are there or not but you can enlighten them but how is the work plan and depending on the work plan there is there time that now you leave the patient to be along with the family what would you advise this family how should they be handling their patient that also helps when you are back the next day you don't have to start afresh so palliative care is provided in different settings so this is the hospital setting we have palliative care units within hospitals we have hospices that are standalone centers that offer these services for patients and home based care is also offered so what happens is based on the patients needs and the location for example if I am near a health facility it is easy for me to work there and get support from the team the palliative care providers or the hospice teams can visit you at your home depending on what agreements you have with them sometimes a patient is bedridden they are not able to commute so it is easier to bring the help worker to them their instances where someone has needed to have 24 hour nursing so you employ someone to take care of you at home and offer that care but they still consultation with the other team members so that they are receiving the holistic care and support and patients really prefer being at home when they are getting services remember we are talking about maybe a life long illness life threatening illness it is not like malaria where you know the diagnosis is malaria take a tablet and you are fine tomorrow you test and you are fine this one you might have it for years 20 years, 5 years, 2 years 2 months you don't know so they prefer being at home so there are various mechanisms that can enable them to receive the care at home either the health worker coming to visit them weekly or every 2 weeks depending on how stable they are they could be admitted to an inpatient facility and we have a few around that offer inpatient hospice facility and you are able as a family you are able to visit your patient as regularly as you wish remember admissions also to hospitals we usually limit the visits to the patients because of the risk of infections the different patients are admitted but if they are in a hospice environment or they are specialized in patient facility organization for patients with such similar illnesses it's easy to control that it's easy to control patient visits when they are at home it's easy also to control the environment around them the noise, the food they are eating who is cooking for them who is visiting them and all that but yet the family has a role to play the family is the number one support for this patient and they know what the patient needs but we also say that the patient needs to be engaged in those discussions so it's not just the health worker making a decision it's not just the spouse making the decision for this other one the parents making a decision for the child it involves the whole team so it's a patient, the family and the health care too what would be your advice to that family that is watching you today and they are having a patient with them what would be your piece of advice that they can be able to grasp something that they need to be remembering every single day that will help them in this journey for providing care for their patient don't shy away from taking care of the patient of your patient remember today it's your patient tomorrow it might be you and these patients usually when you get feedback from them they'll say being there really mattered so when you're just there for the patient as a family, as a caregiver the patient really appreciates that the patient feels that they are not abiding because what has happened is some people have ignored that person because maybe they are always sick they always need to be taken to hospital but the care and support is really crucial I want us to bring this conversation to a close and I would like to give you a time to have a final word and as you do so you can give a recommendation especially to the government your call to order for the government because there is somebody who is watching you today that may be able to hear that voice what would be your recommendation to take care of course wrapping it up within that seconds so I think first of all I'm really proud of the ministry of health because we launched the palliative care policy last two weeks ago which is the first policy and this is a big milestone because it helps guide provision of these services and I would encourage each and everyone of us if you have a patient who needs care and support please ask your health care provider about the services please read more and please don't shy away from asking for help even as a provider or as a patient as a patients caregiver you also need the breaks you also need to rejuvenate yourself but don't shy away from taking care of these patients and taking care of their families so we want palliative care in every county so that patients don't have to travel far to get these special services Thank you so much Lakari that is Dr. Esther Muigga who is a palliative care specialist who has given us a lot of information actually I believe that you've gotten what you need when it comes to cancer prevention and awareness and also palliative care Thank you so much for your time and I appreciate it Thank you so much to the end of today's this conversation on health remember to keep the conversation going even on our social media handles we're taking a short break we'll be back with more in a bit this is why in the morning