Kosianjra is 18 years old and was diagnosed with acute myeloid leukemia in May 2023 as she was nearing completion of her senior year at Kamehameha Schools on Maui. Kosianjra was living with her mother, Tamara, and younger brother at the time. Shortly after that, the cost of rent was increased significantly by the family’s landlord forcing the family to move out and stay with friends temporarily until they could afford another place. During this time, Kosianjra began her cancer treatment at Kapiolani Medical Center for Women and Children on O’ahu while her mom stayed at Ronald McDonald House and her brother was housed with other relatives on Maui. There is no pediatric cancer care available on Maui so Kosianjra must travel to O’ahu for all of her appointments, tests and treatments, which adds a significant amount of cost and physical/mental exhaustion to managing an already difficult situation.