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Mary is a woman from Kenya who needs $1,500 to fund a mass removal.

Mary
70%
  • $1,061 raised, $439 to go
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$439
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September 16, 2019

Mary walks into my office with the top of her cardigan covering her chin. She sits on the chair opposite me with one hand clasping the top of her black cardigan to veil the swell running from her jawline to her neck. The lower lip protrudes with a peeping swelling attached in so that her upper lip cannot touch the lower one.

This has been Mary’s life for over 6 months. Late last year, Mary developed a small swelling on her jaw. It was not painful and therefore she did not think of it as serious. As time passed, the swell grew in size. Mary who could eat just about anything now has restrictions on what she can eat. There is pain when she bends and this has also obstructed her working.

Mary is married with two children. She was a subsistence farmer before the condition restricted her activities. Mary and her husband depend on one of their daughter who sells second-hand clothes. Besides helping her parents, she has four children under her care.

Mary says, “Please help me because I can barely eat.”

Mary walks into my office with the top of her cardigan covering her chin. She sits on the chair opposite me with one hand clasping the top o...

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Mary's Timeline

  • September 16, 2019
    PROFILE SUBMITTED

    Mary was submitted by Joan Kadagaya, Curative Medical Support Program-Partner Representative at African Mission Healthcare Foundation, our medical partner in Kenya.

  • September 17, 2019
    TREATMENT SCHEDULED

    Mary was scheduled to receive treatment at AIC Kijabe Hospital. 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.

  • September 22, 2019
    PROFILE PUBLISHED

    Mary's profile was published to start raising funds.

  • TODAY
    AWAITING FUNDING

    Mary is currently raising funds for her treatment.

  • TBD
    AWAITING UPDATE

    Awaiting Mary's treatment update from African Mission Healthcare Foundation.

Funded by 28 donors

Funded by 28 donors

Treatment
Mass Excision; Open Reduction Internal Fixation
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $1,920 for Mary's treatment
Subsidies fund $420 and Watsi raises the remaining $1,500
Hospital Fees
$1,545
Medical Staff
$0
Medication
$65
Supplies
$225
Labs
$72
Other
$13
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

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

The common symptoms of an ORIF include: extreme pain; inability and/or difficulty in using legs. Mass symptoms vary depending on the type of tumor. Not all tumors - cancerous or benign - show symptoms. A common benign tumor, such as a lipoma (fatty tumor), may cause local pressure and pain, or may be disfiguring and socially stigmatizing. This is mass excision followed by an open reduction and internal fixation (ORIF) procedure. It is indicative for conditions such as ameloblastoma- a rare, benign tumor of odontogenic epithelium commonly appearing in the lower jaw. An ORIF corrects a severe, poorly aligned fracture where the ends of affected bones are far apart. Such a fracture may occur anywhere in the body (leg, hip, arm, jaw, etc.), usually as a result of trauma. Broadly, masses come in two types: benign (not cancer) and malignant (cancer). The types of tumors are many and could range from osteosarcoma of the jaw (a bone tumor) to thyroid enlargement to breast lump to fibroma (benign fat tumor), among others.

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

Without an ORIF, a non-union leads to chronic disability, pain, and inability to work. If the tumor is cancerous, it is usually aggressive and invasive. If not treated (like certain skin cancers, for example) there could be great tissue destruction, pain, deformity, and ultimately death.

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

Because there are so many different kinds of masses, it is difficult to pinpoint certain cultural and/or regional causes.

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

What does the treatment process look like?

The patient will generally stay in the hospital for 2-3 weeks after surgery, and return for a checkup in 6 weeks.

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

Curative. An ORIF fixes the broken bone restoring it to complete function and thus, enables the patient to be able to work. In the case of cancer, the procedure can be life-saving. In the case of benign tumors, patients can be free of pain or social stigma.

What potential side effects or risks come with this treatment?

In an ORIF, there is medium surgical risk. Overall, the risk of surgery is less than the risks of the alternative (traction), or doing nothing. In addition to the scenarios above, fractures may occur in older people with osteoporosis or because of cancer or infections like TB. In mass excision, if the tumor is cancerous, the surgeon will only try to remove it if the procedure would be curative. If the cancer has already spread, then surgery cannot help. Most of these surgeries are not very risky.

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

There are few quality orthopedic centres in developing countries. Any American would go to their local hospital and get an ORIF. There are few qualified facilities and surgeons to perform this procedure in Africa.

What are the alternatives to this treatment?

Traction is an alternative for some—but not all—cases. And traction requires a patient to be in the hospital, immobile, for months—leading not only to lost wages but risk of bedsores, blood clots, and hospital-acquired infections. It depends on the type of tumor. If the tumor is cancerous, chemotherapy may help, but that treatment is even less available than surgery. If the tumor is benign, it depends on the condition - but just watching the mass over time would be one option.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Meet another patient you can support

100% of your donation funds life-changing surgery.