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Chang is a woman from Cambodia who needs $842 to fund ear surgery.

Chang
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  • $656 raised, $186 to go
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August 5, 2019

Chang is a 41-year-old market seller from Cambodia. She has one son, one daughter, and enjoys cooking for her children and doing the housework in her spare time.

Four years ago, Chang had an ear infection. This infection caused a cholesteatoma, or an abnormal skin growth, to develop in the middle ear behind the ear drum. For this reason, Chang experiences hearing loss, infection, discharge, and headaches. She is not able to hear properly and experiences daily discomfort.

Chang traveled to our medical partner’s care center to receive treatment. On August 5, she will undergo a mastoidectomy procedure in her left ear. During this procedure, ENT surgeons will remove the cholesteatoma. Our medical partner, Children’s Surgical Centre, is requesting $842 to fund this procedure. This covers medications, supplies, and inpatient care.

She says, “I hope that my surgery is successful and that my ear will heal and my hearing will improve.”

Chang is a 41-year-old market seller from Cambodia. She has one son, one daughter, and enjoys cooking for her children and doing the housewo...

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Chang's Timeline

  • August 5, 2019
    PROFILE SUBMITTED

    Chang was submitted by Lindsay Bownik, Stakeholder Relations Officer at Children's Surgical Centre, our medical partner in Cambodia.

  • August 05, 2019
    TREATMENT OCCURRED

    Chang 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.

  • August 05, 2019
    PROFILE PUBLISHED

    Chang's profile was published to start raising funds.

  • August 13, 2019
    AWAITING UPDATE

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

  • TODAY
    AWAITING FUNDING

    Chang is currently raising funds for her treatment.

Funded by 19 donors

Funded by 19 donors

Treatment
Mastoidectomy
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $842 for Chang's treatment
Hospital Fees
$153
Medical Staff
$688
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.

Zin

Zin is a 37-year-old woman from Burma. She lives with her husband, son and two daughters in Myawaddy, Karen State. Her 17-year-old son and 13-year-old daughter go to school while her youngest daughter stays home as she is still very young. To make a living, Zin used to make different Burmese snacks and sell them at the nearby villages. But she recently stopped working due to her health condition. Sometimes, her husband works as a day labourer but Zin said she does not know how much he earns from that. Six months ago, Zin started to experience stomach-ache so she went to a clinic. The doctor there did not do any investigations, instead, just prescribed her oral medication. Although Zin felt better with the medications she received at the clinic, her symptom returned after two months and she went back to see the same doctor. The doctor again prescribed her medications, but they only relieved her symptoms for a short time. In early September, Zin felt like her stomach-ache has worsened. She had it more often and the medications that she received at the clinic did not help her anymore. On 12 September 2019, Zin had a severe stomach-ache and for the last time, she returned to see the same doctor. On this visit, the doctor performed an ultrasound and said that there are stones in her common bile duct (CBD), a duct that carries bile from the gallbladder and liver into the duodenum (upper part of the small intestine). Zin has been advised to undergo a biliary obstruction repair, a procedure to repair the blockage of the bile ducts, which carry bile from the liver to the gallbladder. If left untreated, Zin's symptoms will continue to worsen and put her at risk for further health complications in the future. After seeking treatment through our medical partner, Burma Children Medical Fund (BCMF), Zin is scheduled to undergo her biliary obstruction repair on October 03. BCMF is requesting $1,500 to cover the total cost of Zin's procedure and care. Zin said, “I cannot do anything now. I want to get well soon and start working again. If not, my family will not have enough food”.

83% funded

83%funded
$1,247raised
$253to go

Meet another patient you can support

100% of your donation funds life-changing surgery.