The girl in the picture is Katie Kirkpatrick, she is 21 and she has terminal cancer. The picture was taken shortly before her wedding ceremony, held on January 11, 2005 in the US.
In spite of all the pain, organ failures, and morphine shots, Katie is going along with her wedding and took care of every detail. The dress had to be adjusted a few times due to her constant weight loss
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Katie died five days after her wedding day.