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Success! Nen from Cambodia raised $781 to fund a hip replacement.

Nen
100%
  • $781 raised, $0 to go
$781
raised
$0
to go
Fully funded
Nen's treatment was fully funded on February 21, 2017.

Photo of Nen post-operation

February 22, 2017

Nen underwent a successful hip replacement.

Following his procedure, he was given medication for inflammation and pain relief. He had two weeks of physiotherapy to improve the range of motion of his hip. Nen is now able to walk better than before and does not experience pain.

Nen says, “I am happy with the surgery. I can walk normally and it isn’t painful.”

Following his procedure, he was given medication for inflammation and pain relief. He had two weeks of physiotherapy to improve the range of...

Read more
October 26, 2016

Nen is a 41-year-old farmer who is married with two sons. He likes to watch TV and go to the rice field. Nen heard about CSC from people who live in his village. He traveled for four hours with his wife to reach CSC for treatment.

Nen has had a difficult time walking for the past 20 years due to osteoarthritis in both hips, however, pain is worse in his right hip. He took painkillers, but his symptoms did not improve. He also went to a Khmer traditional healer for treatment, but has not gotten better. In recent weeks, his pain has increasingly gotten worse to the point where he’s unable to work and sleep. Nen has to use crutches to get around.

Fortunately, on October 26th, surgeons at CSC were scheduled to perform a total hip replacement on his right side to allow Nen to walk more comfortably and relieve him of his pain.

Doctors expect this surgery will give Nen back his mobility, reduce his pain, and allow him to return to work.

Nen is a 41-year-old farmer who is married with two sons. He likes to watch TV and go to the rice field. Nen heard about CSC from people who...

Read more

Nen's Timeline

  • October 26, 2016
    PROFILE SUBMITTED

    Nen was submitted by Lindsay Bownik, Stakeholder Relations Officer at Children's Surgical Centre.

  • October 26, 2016
    TREATMENT OCCURRED

    Nen received treatment at Kien Khleang National Rehabilitation Centre in Cambodia. Medical partners often provide care to patients accepted by Watsi before those patients are fully funded, operating under the guarantee that the cost of care will be paid for by donors.

  • November 11, 2016
    PROFILE PUBLISHED

    Nen's profile was published to start raising funds.

  • February 21, 2017
    FULLY FUNDED

    Nen's treatment was fully funded.

  • February 22, 2017
    TREATMENT UPDATE

    Nen's treatment was successful. Read the update.

Funded by 13 donors

Funded by 13 donors

Treatment
Hip Replacement (Cemented)
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $781 for Nen's treatment
Hospital Fees
$252
Medical Staff
$217
Medication
$5
Supplies
$307
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

​What kinds of symptoms do patients experience before receiving treatment?

Patients typically experience severe hip pain and difficulty walking or standing. By the time Children's Surgical Centre provides treatment, patients have often lived with these symptoms for months or more. A total hip replacement (THR) treats hips that are severely damaged and therefore not amenable to other forms of treatment.

​What is the impact on patients’ lives of living with these conditions?

Patients may not be able to walk or walk normally. Physical activity is extremely restricted, making any movement painful. This prevents patients from carrying out daily life, going to work, attending school, or taking care of themselves and their families.

What cultural or regional factors affect the treatment of these conditions?

Many Cambodians use motorbikes as their main form of transportation. Because of weak traffic laws, motorbike accidents are common. Injured individuals who cannot afford treatment often self-medicate or rely on Khmer traditional healers. Their fractures never heal, and patients live with the pain. Steroids are a common painkiller in Cambodia. No prescription is required. Individuals who do intense physical labor take steroids regularly, which restricts blood flow to the joints. This causes bone tissue death and tiny bone breaks, making bones more susceptible to breaks and fractures.

  • Process
  • Impact on patient's life
  • Risks and side-effects
  • Accessibility
  • Alternatives

What does the treatment process look like?

During a hip replacement, doctors replace both the acetabulum (hipbone socket) and femoral head (head of the femur) with prosthetic implants. Doctors remove the dead or broken bone. A cup is inserted into the acetabulum, and a metal hip prosthesis is inserted into the femur.

What is the impact of this treatment on the patient’s life?

The patient will be able to walk independently without pain, improving quality of life.

What potential side effects or risks come with this treatment?

Severe disability, arthritis, and avascular necrosis of the hip can be successfully treated by a THR. This treatment is highly effective, with few risks.

How accessible is treatment in the area? What is the typical journey like for a patient to receive care?

Most Cambodians visit Khmer traditional healers before seeking modern medical care. As recently as ten years ago, a THR was unavailable in Cambodia. Children's Surgical Centre is one of the few centers that provides this procedure.

What are the alternatives to this treatment?

Younger patients can elect to undergo hip fusion surgery and postpone the THR until later in life. The duration of the prosthesis is 10-15 years.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Yoon

Yoon is a bright and loving 12-year-old girl. She lives with her mother and uncle in Karen State of Burma near the border with Thailand. She was a student in grade three but stopped studying in August 2020 when she was no longer able to walk. Yoon enjoys painting pictures and reading books. In the future, she wants to go back to school and continue her studies. She helps out her mother with household chores. Her uncle is unemployed whereas her mother is an agricultural day labourer. One day at home, Yoon fell down when she tried to stand up to go to the bathroom. Her feet felt painful and were pointing downwards. After that, she did not try to stand up again and would move around her house on her knees. Her mother would have to carry her to the bathroom. Due to their financial situation, her mother was not able to seek treatment despite being very worried for her daughter. Over time, Yoon noticed that her feet were increasingly pointing downwards and were stiff. Her legs would feel painful and were also stiff. Sometimes, she could not stretch out her legs due to feelings of tightness and pain. Her mom shared that she would cry whenever her legs pained, and she would have to wait until the pain lessened by itself. Additionally, her hands began to weaken until she could not hold food with her hands. At the same time, her speech became slurred and her voice became hoarse. On June 17, Yoon arrived at our medical partner's care center, Mawlamyine Christian Leprosy Hospital (MCLH), and was admitted that same day. She received a physical examination and was diagnosed with cerebral palsy and tightness of Achilles tendon in both of her legs. The doctor recommended she receive surgery on both of her feet, which would help her walk again, and scheduled the procedure for June 21st. When Yoon’s mother told the doctor that they cannot afford to pay for surgery, the doctor referred Yoon to Burma Children Medical Fund (BCMF) for assistance accessing further treatment. Our medical partner, BCMF, is requesting $1,500 to cover the cost of an Achilles tendon lengthening procedure for Yoon. This procedure will elongate her Achilles tendon, allowing increased motion at the ankle joint. Without treatment, Yoon's condition will continue to cause her discomfort and will further limit her movement. Her mother said, “I cried almost every night when I saw my daughter in this condition. She always cried and complained about her feet. She always asked me to bring her to the hospital to get treatment. Whenever she asked me, I felt very sad and I would cry in secret. I want her to get treatment, but I cannot afford to pay for it. Due to COVID-19 and the current fighting in Burma, I cannot make enough money or save it. Often, I would only eat fishpaste and rice, but give her meat so that she can have something nutritious. When I heard that she has donors who will help her receive treatment, I felt very happy and thankful to BCMF for this kindness. I never thought she would receive such an opportunity. It makes me so happy that I do not know how to express it in words.”

66% funded

66%funded
$1,003raised
$497to go

Meet another patient you can support

100% of your donation funds life-changing surgery.

Yoon

Yoon is a bright and loving 12-year-old girl. She lives with her mother and uncle in Karen State of Burma near the border with Thailand. She was a student in grade three but stopped studying in August 2020 when she was no longer able to walk. Yoon enjoys painting pictures and reading books. In the future, she wants to go back to school and continue her studies. She helps out her mother with household chores. Her uncle is unemployed whereas her mother is an agricultural day labourer. One day at home, Yoon fell down when she tried to stand up to go to the bathroom. Her feet felt painful and were pointing downwards. After that, she did not try to stand up again and would move around her house on her knees. Her mother would have to carry her to the bathroom. Due to their financial situation, her mother was not able to seek treatment despite being very worried for her daughter. Over time, Yoon noticed that her feet were increasingly pointing downwards and were stiff. Her legs would feel painful and were also stiff. Sometimes, she could not stretch out her legs due to feelings of tightness and pain. Her mom shared that she would cry whenever her legs pained, and she would have to wait until the pain lessened by itself. Additionally, her hands began to weaken until she could not hold food with her hands. At the same time, her speech became slurred and her voice became hoarse. On June 17, Yoon arrived at our medical partner's care center, Mawlamyine Christian Leprosy Hospital (MCLH), and was admitted that same day. She received a physical examination and was diagnosed with cerebral palsy and tightness of Achilles tendon in both of her legs. The doctor recommended she receive surgery on both of her feet, which would help her walk again, and scheduled the procedure for June 21st. When Yoon’s mother told the doctor that they cannot afford to pay for surgery, the doctor referred Yoon to Burma Children Medical Fund (BCMF) for assistance accessing further treatment. Our medical partner, BCMF, is requesting $1,500 to cover the cost of an Achilles tendon lengthening procedure for Yoon. This procedure will elongate her Achilles tendon, allowing increased motion at the ankle joint. Without treatment, Yoon's condition will continue to cause her discomfort and will further limit her movement. Her mother said, “I cried almost every night when I saw my daughter in this condition. She always cried and complained about her feet. She always asked me to bring her to the hospital to get treatment. Whenever she asked me, I felt very sad and I would cry in secret. I want her to get treatment, but I cannot afford to pay for it. Due to COVID-19 and the current fighting in Burma, I cannot make enough money or save it. Often, I would only eat fishpaste and rice, but give her meat so that she can have something nutritious. When I heard that she has donors who will help her receive treatment, I felt very happy and thankful to BCMF for this kindness. I never thought she would receive such an opportunity. It makes me so happy that I do not know how to express it in words.”

66% funded

66%funded
$1,003raised
$497to go