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Im is an active 69-year-old grandmother and farmer from Cambodia who needs $673 to fund skin cancer surgery.

Im
21%
  • $145 raised, $528 to go
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$528
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May 17, 2022

Im is a 69-year-old farmer with two sons, three daughters, and many grandchildren. Im lives with her youngest daughter. She enjoys exercising in the morning, cooking for her family, and caring for her grandchildren.

She developed squamous cell carcinoma (SCC) on the right side of her face 10 years ago. It has grown over time and has become very uncomfortable, causing itchiness and pain. She has tried applying ointment from the pharmacy and Khmer traditional medicine treatments, to no avail.

When Im learned about our medical partner, Children’s Surgical Centre, she traveled for two hours seeking treatment. On May 17th, surgeons at CSC will perform an excision, histology, and rhomboid flap procedure to remove the skin cancer. Now, she needs help to fund this $673 procedure.

Im says, “I hope my face heals and I do not experience this pain again.”

Im is a 69-year-old farmer with two sons, three daughters, and many grandchildren. Im lives with her youngest daughter. She enjoys exercisin...

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Im's Timeline

  • May 17, 2022
    PROFILE SUBMITTED

    Im was submitted by Sieng Heng at Children's Surgical Centre.

  • May 17, 2022
    TREATMENT SCHEDULED

    Im was scheduled to receive treatment at Kien Khleang National Rehabilitation Centre in Cambodia. 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.

  • May 20, 2022
    PROFILE PUBLISHED

    Im's profile was published to start raising funds.

  • TODAY
    AWAITING FUNDING

    Im is currently raising funds for her treatment.

  • TBD
    AWAITING UPDATE

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

Funded by 5 donors

Funded by 5 donors

Treatment
Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $673 for Im's treatment
Hospital Fees
$126
Medical Staff
$496
Medication
$0
Supplies
$43
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.

Naw En

Naw En is a 31-year-old woman who lives with her husband, two sons and parents in a village in Karen State near the border of Burma and Thailand. Her husband and parents are subsistence farmers. Naw En is a village health worker, and her two sons are primary school students in the village. Although she earns around 100,000 kyat (approx. 100 USD) per month to support her family, she does whatever she can to only charge the villagers she treats for medications provided. Those who cannot afford to pay for the cost of medications are provided medication free of charge. Her family also raises chickens and pigs for their family to eat. The income Naw En earns is just enough to cover their daily expenses, but they have to borrow money to pay for anything else, like basic health care. Naw En learned she was pregnant last August 2021. She went to register her pregnancy at nearby Hlaingbwe Hospital, but the doctor told her to go to Hpa-An General Hospital when she told them that she had high blood pressure and previously needed a c-section delivery. When she went to Hpa-An General Hospital, a nurse told her to go to Taw Win Thu Ka Hospital because they were understaffed due to the coup and humanitarian crisis in their area. Finally, she then registered her pregnancy at Taw Win Thu Ka Hospital last November and received an ultrasound, blood test and urine test. The doctor gave her monthly follow-up appointments to check her high blood pressure and to check that her baby is in the right position. In January, Naw En learned that she will have a girl. “I was very happy to hear this as I already have two sons,” she said. Her doctor has now told her that she will need another c-section to ensure a safe delivery and unable to come up with the money needed, Naw En called her friend who works in Mae Sot to ask for help. Her friend told her about our medical partner Burma Children Medical Fund (BCMF) and that she may be able to find assistance in accessing her treatment. Currently, Naw En is taking medication for high blood pressure and feels tired when she walks. She can feel her baby kicking. When her blood pressure is high, she feels dizzy. She feels stressed each time she has to travel to the hospital, as it is located four hours from her home and cost 60,000 kyat (approx. 60 USD) just for the round-trip transportation. She is also worried about the cost of her c-section and that they would have to borrow money if they cannot find donors. In the future, she will continue to work as a village health worker. In her free times, she loves to spend time with her two sons and play with them. Naw En said, “I was happy when BCMF staff told me that donors will help pay for my c-section. Thank you so much to the donors for reliving me of my worries.” She also added, “I am very happy and excited to have a baby girl!”

60% funded

60%funded
$801raised
$527to go

Meet another patient you can support

100% of your donation funds life-changing surgery.