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Tola is a construction worker from Cambodia who needs $925 to fund a mastoidectomy.

Tola
68%
  • $636 raised, $289 to go
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$289
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April 29, 2020

Tola is a 28-year-old construction worker from Cambodia. He lives with his parents in the Takeo province. He has two sisters and four brothers. His favorite sport is football and after work he helps his parents at home.

When he was a child, he began experiencing ear pain, discharge, and discomfort. When he tried cleaning the ear discharge himself with cotton at home it only made his condition worse. Tola had a serious ear infection, which caused a cholesteatoma, or an abnormal skin growth, to develop in the middle ear behind the ear drum. For this reason, Tola experiences hearing loss, tinnitus, and ear discharge. He has difficulty hearing clearly at work and throughout his day.

Tola traveled to our medical partner’s care center to receive treatment. On April 29th, he will undergo a mastoidectomy procedure in his right ear. During this procedure, ENT surgeons will remove the cholesteatoma. Our medical partner, Children’s Surgical Centre, is requesting $925 to fund this procedure. This covers medications, supplies, and inpatient care.

“I hope that after surgery I can hear everything better, my ear infection will stop, and especially that the discharge will go away. I want to go back to working at the construction site to support my parents and family,” Tola said.

Tola is a 28-year-old construction worker from Cambodia. He lives with his parents in the Takeo province. He has two sisters and four brothe...

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Tola's Timeline

  • April 29, 2020
    PROFILE SUBMITTED

    Tola was submitted by Sieng Heng at Children's Surgical Centre, our medical partner in Cambodia.

  • April 29, 2020
    TREATMENT OCCURRED

    Tola received treatment at Kien Khleang National Rehabilitation Centre. 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.

  • April 30, 2020
    PROFILE PUBLISHED

    Tola's profile was published to start raising funds.

  • June 30, 2020
    AWAITING UPDATE

    Awaiting Tola's treatment update from Children's Surgical Centre.

  • TODAY
    AWAITING FUNDING

    Tola is currently raising funds for his treatment.

Funded by 18 donors

Funded by 18 donors

Treatment
Mastoidectomy
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $925 for Tola's treatment
Hospital Fees
$153
Medical Staff
$771
Medication
$1
Supplies
$0
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

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

A mastoidectomy is a surgical procedure that removes diseased mastoid air cells. A patient who needs a mastoidectomy will experience hearing loss, chronic ear infections, and possibly cholesteatoma—an abnormal skin growth in the middle ear. Cholesteatomas cause hearing loss and ear discharge. The cholesteatoma will erode bones in the middle ear and can eventually expose the brain and cause death in complicated, untreated cases.

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

Patients live with hearing loss and chronic ear infections.

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

Treated incorrectly or left untreated, an infected mastoid bone can cause hearing loss, persistent ear discharge, meningitis, temporary dizziness, and temporary loss of taste. Due to poor hygiene and limited education in rural Cambodia, patients are likely to experience complications and receive the incorrect treatment.

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

What does the treatment process look like?

A mastoidectomy is performed with the patient asleep under general anesthesia. Surgeons will perform one of several different types of mastoidectomy, depending on the amount of infection present. These include: • Simple (or closed) mastoidectomy: The operation is performed through the ear or through an incision behind the ear. The surgeon opens the mastoid bone and removes the infected air cells. The eardrum is incised to drain the middle ear. Topical antibiotics are placed in the ear. • Radical mastoidectomy: This procedure removes the most bone and is usually performed for extensive spread of a cholesteatoma. The eardrum and middle ear structures may be completely removed. Usually the stapes, the "stirrup"-shaped bone, is spared to preserve some hearing. • Modified radical mastoidectomy: In this procedure, some middle ear bones are left in place, and the eardrum is rebuilt by tympanoplasty. After surgery, the wound is stitched up around a drainage tube, and a dressing is applied.

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

This treatment will relieve chronic ear infections, hearing loss, and other symptoms caused by the infected mastoid bone.

What potential side effects or risks come with this treatment?

This treatment is highly effective, but it poses risks if performed by an inexperienced surgeon. The operation is near the facial nerve and the brain, so surgeons must be careful when operating. At Children's Surgical Centre, ENT surgeons only operate on cases about which they feel confident.

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

Care for this condition is not easily accessible in Phnom Penh. Only one other hospital performs ENT surgery, but care at that hospital is expensive. The ENT surgeons at our medical partner have a proven record of successful cases.

What are the alternatives to this treatment?

Once the infection stops responding to antibiotics, surgery is the only option.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Yin Yin

Yin Yin is a 27-year-old woman from Thailand. She lives with with her husband, her sister-in-law, her sister-in-law’s husband, her niece and her niece’s two small boys. Her husband, who is the only one supporting her financially, works as a cleaner at a shopping mall. In her free time, she likes to read Burmese novels. Three years ago, when Yin Yin worked as a cleaner in Bangkok, she felt tired, had no appetite, had memory loss and frequent urination. She was brought to a hospital where she was told she has a blood clot in the back of her head. She had it removed surgically, which her employer lent her money for. On December 6th and 8th, Yin Yin had two seizures. She and her husband sought treatment at Mae Tao Clinic, where she was admitted. She does not remember what happened but was given medication and told to come back if she felt unwell. On January 14th, however, she came back to the clinic, complaining of soreness in the back of her head where her first surgery took place. She also reported continued blurry vision, memory loss and fatigue. When the weather gets cold, she feels stiff and sore in her neck and hands. MTC thought she might have encephalitis but needed a CT scan to confirm her diagnosis. Unable to pay, MTC referred her to Watsi Partner Burma Children Medical Fund for assistance in accessing further treatment. Doctors want Yin Yin to undergo a CT scan, a procedure in which x-ray images taken from several angles are combined to produce cross-sectional images of the body. This scan will hopefully help doctors diagnose her condition and formulate an appropriate treatment plan. Our medical partner, Burma Children Medical Fund, is requesting $414 to cover the cost of Yin Yin's CT scan and care, scheduled for January 28th. “It has been very difficult for me, but my husband gives me encouragement,” said Yin Yin.

35% funded

35%funded
$145raised
$269to go

Meet another patient you can support

100% of your donation funds life-changing surgery.