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Success! Sreymean from Cambodia raised $606 to fund a mass removal procedure.

Sreymean
100%
  • $606 raised, $0 to go
$606
raised
$0
to go
Fully funded
Sreymean's treatment was fully funded on July 21, 2019.

Photo of Sreymean post-operation

July 21, 2019

Sreymean underwent a mass removal procedure.

Sreymean has returned home after a successful operation. She has gone through proper post-operative care to make sure her wounds heal properly and do not become infected. Thanks to surgery, she will be able to grow up and go about daily life without the risk of the nexus expanding or becoming cancerous.

Sreymean has returned home after a successful operation. She has gone through proper post-operative care to make sure her wounds heal proper...

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June 18, 2019

Sreymean is a first grade student from Cambodia. She likes to watch television and read books, and hopes to become an English teacher when she grows up.

Sreymean was born with a condition known as nevus, affecting her face and both lower and upper body. She has large patches of darkened skin and hair due to the proliferation of melanocytes, and is at risk for the condition to expand over time with the potential to turn malignant.

When Sreymean learned about our medical partner, Children’s Surgical Centre, she traveled for half an hour seeking treatment. On June 18, surgeons at CSC will perform giant nevus excision to remove the nevus from her skin, preventing its expansion and growth. Now, she needs help to fund this $606 procedure.

Her mother says, “I hope that my daughter’s surgery goes well so that she will be able to look better and so that I will not have to worry about her condition anymore.”

Sreymean is a first grade student from Cambodia. She likes to watch television and read books, and hopes to become an English teacher when s...

Read more

Sreymean's Timeline

  • June 18, 2019
    PROFILE SUBMITTED

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

  • June 18, 2019
    TREATMENT OCCURRED

    Sreymean 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.

  • June 18, 2019
    PROFILE PUBLISHED

    Sreymean's profile was published to start raising funds.

  • July 21, 2019
    FULLY FUNDED

    Sreymean's treatment was fully funded.

  • July 21, 2019
    TREATMENT UPDATE

    Sreymean's treatment was successful. Read the update.

Funded by 7 donors

Funded by 7 donors

Treatment
Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $606 for Sreymean's treatment
Hospital Fees
$118
Medical Staff
$440
Medication
$0
Supplies
$40
Labs
$3
Radiology
$5
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

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

Flap surgery is used for large or complex wound repair. The wound may be too large to be closed directly or may not be amenable to grafting due to poor vascularization. A flap may also be favorable to grafting due to function or aesthetics. Such a wound can be caused by trauma, cancer, or burns, which may bring about disfigurement, pain, and exposure to infection.

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

Large wounds are disfiguring, and patients may face stigmatization and social rejection. Wounds will be prone to recurrent infections, which may cause further damage to the underlying tissue. Depending on the site of the wound, there may be functional loss and the patient may lose the ability to perform tasks independently.

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

For many Cambodians, the primary mode of transport is the motorcycle. Coupled with unregulated traffic and dangerous driving practices, motorcycle accidents are very common. Soft tissue injuries arising from these accidents are often large and complex, with flap surgery being the best approach to avoid skin necrosis or infection.

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

What does the treatment process look like?

Analysis of the wound location, vascularity of the wound bed, comorbidities, and cosmetic and functional significance must first be performed. Flaps can then be selected accordingly, with local and regional flaps being preferred over distant pedicled or free flaps. Prior to the skin transfer, debridement may be needed to remove dead or damaged skin. Local and regional flaps use adjacent tissue that is mobilized then advanced or pivoted into place. Distant flaps transfer tissue from a different part of the body and can be pedicled to preserve its original blood supply. The blood supply is cut off in free flaps and therefore will need to be joined to the local blood supply via microsurgery. Flap surgery can take anywhere from a short procedure for the most basic local flap, to many hours for the complex microsurgery associated with free flaps.

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

Flap surgery allows the wound to heal much faster, avoiding infection risk and a long wait for the defect to develop scar tissue. In flap reconstructive surgery of an area of the body more aesthetically sensitive, such as the face, disfigurement is reduced and patients feel more confident.

What potential side effects or risks come with this treatment?

The most common cause of flap failure is vascular compromise. Loss of blood supply to the flap could lead to partial flap loss or even total flap necrosis. In the latter, the flap must be removed. Other complications include haematoma, seroma, surgical site infection, and complications specific to the donor site. However, all these complications can be avoided with regular post-op checks of the flap and acting quickly on any foreboding signs.

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

Flaps and other reconstructive surgical procedures are accessible at local clinics and hospitals at a cost, and patients also often turn to traditional healers. Inadequate treatment or poorly designed flaps can contribute to unnecessary complications and prolonged suffering. Patients travel as much as twelve hours to reach Children's Surgical Centre for free surgery, arriving by bus, motorbike, or taxi.

What are the alternatives to this treatment?

Regular dressings with gauze and bandages can take many months and has a significant risk of infection, which may result in cutting away more tissue to treat it. Traditional medicine is available, but with unsuccessful results.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Khin

Htay is a 26-year-old-Araknese woman who lives with her younger sister in Yangon, Burma. Htay is in her final year of university. Her sister works as a seamstress in a shop and earns 200,000 kyat (approx.200 USD) per month. Their parents and their eldest sister are rice farmers in Rakhine State. Every year, they sell half of their harvest to earn an income. Htay's sister in Yangon sends their parents money occasionally, while their parents support Htay's medical expenses. The income that Htay's sister earns is enough to cover their daily expenses and pay for basic health care. In 2018, Htay started to feel very tired and could not sleep well at night. She also experienced chest pains if she walked anywhere far. She took traditional medicine which helped her feel and sleep better. However, she continued to feel tired and experience pain. One day in 2019, a neighbor who has a heart condition, told her that she could have a heart disease like her; the neighbor had also experienced the same symptoms as Htay. The neighbor advised her to seek treatment at Pinlon Hospital in Yangon, where the neighbor had undergone heart surgery. Htay decided to follow the neighbor's recommendation and also moved in with her sister in Yangon for extra support. In December 2019, Htay went to Pinlon Hospital to see a cardiologist. After receiving an echocardiogram (echo), the doctor told her that two valves in her heart no longer work and that she would need to receive surgery to replace those valves. The doctor also told her that because her condition is not severe, she did not need surgery yet. She received six month's worth of medication and a follow-up appointment for June 17th, 2020. When Htay came back for her appointment, she received another echo and an x-ray. After checking her results, the doctor told her that her condition had progressed and she now needed surgery, which would cost 15,000,000 kyat (approx.15,000 USD). When they learned about the price of the procedure, Htay and her sister lost hope of ever getting Htay treatment; they could not afford to pay such a large sum of money. When Htay told a nurse at the hospital called Sandar Ko about their financial situation, the nurse told her about an abbot who might be able to help her. The abbot heads Kyaung Gyi Parahita Monastery and is a partner of Burma Children Medical Fund (BCMF). Htay called the abbot and asked for help accessing surgery. The abbot then referred Htay to Watsi's Medical Partner BCMF for assistance receiving treatment at Pinlon Hospital. Currently, Htay feels tired and suffers from chest pains when she walks a lot. She cannot sleep very well at night and she feels short of breath at least twice a week. To try and cope with her symptoms mentally, she prays or recites Dhamma. She also tries to help her sister with household chore such as cooking and sweeping. She hopes that she will be able to continue her studies after surgery and she would like to work for the government as a civil servant once she graduates. Htay shared, “When I graduate, I will work and support my parents because they are getting old and they will not be able to work on the farm in the future.”

80% funded

80%funded
$1,207raised
$293to go
Jackson

Jackson is an 8-year-old student from Tanzania. He has been living with his grandmother since he was 2 years old as his mother and father separated and neither could care for him. His aunt describes Jackson as a very friendly and playful boy. He used to be a very active boy, always friendly, and hardworking. He would help his grandmother with home chores when he was not at school. He was in class one at school but unfortunately, his studies had to stop after he started losing consciousness and falling most of the time when at school. Jackson has been diagnosed with hydrocephalus, a condition in which excess cerebrospinal fluid accumulates in the brain and increases intracranial pressure. As a result of his condition, Jackson has been experiencing dizziness and he would lose consciousness and fall at school. He now cannot walk or stand and is often asleep. Without treatment, Jackson will experience severe physical and developmental delays. Our medical partner, African Mission Healthcare Foundation, is requesting $765 to cover the cost of surgery for Jackson that will treat his hydrocephalus. The procedure is scheduled to take place on September 16th and will drain the excess fluid from Jackson's brain. This will reduce intracranial pressure and greatly improve his quality of life. With proper treatment, Jackson will hopefully continue to develop into a strong, healthy young boy. Jackson’s aunt told us, “We all wish Jackson to get this needed treatment so that he can get back to his old normal self and hopeful resume school again.”

60% funded

60%funded
$465raised
$300to go

Meet another patient you can support

100% of your donation funds life-changing surgery.