Meet another patient

Watsi logo blueWatsi

James is a bus conductor from Kenya who needs $1,094 to fund a hip fracture repair.

  • $798 raised, $296 to go
to go
Dedicate my donation

We'll send your dedicatee an email
about your gift, along with updates
about James's recovery.

July 28, 2020

James is a young man from Kenya. He is single and works as a bus conductor on the Kiambu-Nairobi route. He is on a daily contract and earns an average $3 depending on the day. For the last three months, he has been jobless following the government COVID-19 restrictions that are in place. James shared that his mother is elderly and depends on farming for upkeep. His father passed on years ago.

On the 22nd of July, James accidentally hit a brick wall when the vehicle lost control while he was driving the bus to work. James was injured in the accident and fractured his hip. He is now in chronic pain and cannot walk.

Fortunately, surgeons at our medical partner can help. On July 29th, James will undergo a fracture repair procedure, called an open reduction and internal fixation. This procedure will help him walk easily again. Now, our medical partner, African Mission Healthcare Foundation, is requesting $1,094 to fund this procedure.

James says, “I will be happy to get help so that I can get back to work and help my elderly mother who depends on me.”

James is a young man from Kenya. He is single and works as a bus conductor on the Kiambu-Nairobi route. He is on a daily contract and earns ...

Read more

James's Timeline

  • July 28, 2020

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

  • July 29, 2020

    James received 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.

  • July 30, 2020

    James's profile was published to start raising funds.

  • September 23, 2020

    Awaiting James's treatment update from African Mission Healthcare.


    James is currently raising funds for his treatment.

Funded by 12 donors

Funded by 12 donors

  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $1,094 for James's treatment
Hospital Fees
Medical Staff
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

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

Common symptoms include extreme pain and inability/difficulty in using body parts. This procedure 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.

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

A non-union leads to chronic disability, pain, and inability to work.

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

Car/motorcycle taxi accidents are the number one cause. Work-related accidents and violence are others. The condition is more common largely because African roads (particularly Kenyan roads, where this procedure is approved) are among some of the most dangerous in the world.

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

What does the treatment process look like?

In general, an ORIF (open-reduction internal-fixation) procedure uses rods or plates to bring multiple parts of bone together and help them heal correctly.

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 enabling the patient to be able to work.

What potential side effects or risks come with this treatment?

This procedure has medium surgical risk but most trauma patients are young and tolerate the procedure well. Overall, the risk of surgery is less than the risks of the alternative (traction), or doing nothing. There is a risk of the metal becoming infected, which would require antibiotics and perhaps removal of the hardware and a second surgery.

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

There are few quality orthopedic centers in developing countries. Often patients have received initial care for a fracture at another hospital and may have been placed in “traction.” This involves placing the affected limb in a cast under tension for prolonged periods to try to re-align the bones. Those who have funds try to make their way to a place like Kijabe Hospital. Most patients seen in Kijabe who are in need of an ORIF are patients who have been mismanaged in other hospitals. Usually, those hospitals lack adequate resources and expertise to treat them.

What are the alternatives to this treatment?

As mentioned, 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.

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.