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Success! Shela from Haiti raised $1,500 to fund prep for cardiac surgery.

Shela
100%
  • $1,500 raised, $0 to go
$1,500
raised
$0
to go
Fully funded
Shela's treatment was fully funded on February 27, 2018.

Photo of Shela post-operation

April 2, 2018

Shela underwent cardiac surgery.

During surgery, the two holes in Shela’s heart were closed with patches, and blood can no longer leak through them. She should be able to lead a normal life with no further symptoms from this condition.

She says, “I am excited to get back to Haiti so I can go back to school and see my friends!”

During surgery, the two holes in Shela's heart were closed with patches, and blood can no longer leak through them. She should be able to le...

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January 17, 2018

Shela is a student from Haiti. She lives with her parents and older brothers in a small rural community in southwest Haiti. Her parents are both farmers. She is in the third grade.

Shela has a cardiac condition called ventricular septal defect and atrial septal defect. Two holes exist in her heart, one between the two upper chambers and another between the two lower chambers. Blood leaks through these holes, depriving her body of oxygen and leaving her weak and short of breath.

Shela will fly to Cayman Islands to receive treatment. On January 22, she will undergo cardiac surgery, during which surgeons will first perform a diagnostic catheterization to determine if it is safe to close the holes in her heart. If the result is positive, they will then perform surgery to close both holes with patches. Another organization, Health CIty Cayman Islands, is contributing $17,000 to pay for surgery.

Shela’s family also needs help to fund the costs of surgery prep. The $1,500 bill covers labs, medicines, and checkup and followup appointments. It also supports passport obtainment and the social workers from our medical partner, Haiti Cardiac Alliance, who will accompany Shela’s family overseas.

Her mother says, “We are very thankful to everyone who is making it possible for Shela to travel to the hospital!”

Shela is a student from Haiti. She lives with her parents and older brothers in a small rural community in southwest Haiti. Her parents are ...

Read more

Shela's Timeline

  • January 17, 2018
    PROFILE SUBMITTED

    Shela was submitted by Owen Robinson, Executive Director at Haiti Cardiac Alliance.

  • January 17, 2018
    PROFILE PUBLISHED

    Shela's profile was published to start raising funds.

  • February 8, 2018
    TREATMENT OCCURRED

    Shela received treatment at Health City Cayman Islands in Cayman Islands. 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.

  • February 27, 2018
    FULLY FUNDED

    Shela's treatment was fully funded.

  • April 2, 2018
    TREATMENT UPDATE

    Shela's treatment was successful. Read the update.

Treatment
Overseas Prep and Transportation
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $1,980 for Shela's treatment
Subsidies fund $480 and Watsi raises the remaining $1,500
Hospital Fees
$0
Medical Staff
$450
Medication
$360
Supplies
$0
Travel
$900
Labs
$180
Other
$90
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

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

When a hole exists in the heart, a physician can hear a buzzing noise, or murmur, in the child's chest as blood passes through the hole at high velocity. The child's parents might notice that their son or daughter cannot keep up with other children in daily activities. In severe cases, the lack of oxygen in the bloodstream can lead to dramatic symptoms, such as blue lips and tongue, clubbed fingers and toes, and heart failure. The patients treated by Haiti Cardiac Alliance tend to fall into two categories. They are either born with some type of hole or defect in the heart, or they develop valve disease as a result of an untreated strep throat infection (rheumatic fever). Patients with rheumatic valve disease experience swelling of the abdomen and extremities, as the heart tries to circulate blood through the body despite the valve's dysfunction.

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

Virtually all of the conditions treated at Haiti Cardiac Alliance will eventually lead to death without surgery, the majority of them within one to two years. In the meantime, patients experience heart failure as their hearts struggle to compensate for the presence of leaks or other defects. In most conditions, the heart becomes fatigued, limiting the child's ability to be active, go to school, and participate in daily life.

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

Families in Haiti often have complex cultural mechanisms for understanding cardiac illnesses and their causes, sometimes involving voudou or other religious belief systems. Nevertheless, the overwhelming majority of Haitian families in our medical partner's program also engage with the medical explanations and treatment of these conditions. Parents are willing and cooperative participants in their child's treatment.

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

What does the treatment process look like?

The patient is first referred to our medical partner, Haiti Cardiac Alliance (HCA), by a pediatrician or another medical practitioner who detects symptoms that might be cardiac in nature. HCA staff then perform an echocardiogram to diagnose the cardiac condition. If surgery is required, the child joins a triaged waitlist to be placed for surgery with partner hospitals. It can sometimes take 6-12 months to move through this waitlist. During this period, HCA provides periodic cardiac checkups, changing the patient's triage position as appropriate. The child and his/her guardian then travel to the hospital with an HCA social worker. Typically, the child spends 4-5 days in or near the hospital prior to surgery for testing and examinations. After surgery, he or she spends several more days as an inpatient prior to being discharged. When the child is strong enough to travel, usually after several more weeks, he/she returns home to Haiti. HCA provides regular cardiac checkups for at least five years postoperatively before the final discharge from their program.

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

These treatments are almost always life-saving in nature. These cardiac conditions are not survivable over the long-term without surgery. Within weeks after surgery, the patient should notice a difference in energy level. Many patients also undergo a growth spurt and/or gain significant weight after a surgery.

What potential side effects or risks come with this treatment?

The risk of death during or shortly after an open-heart surgical procedure is about 3%. Other risks, though rare, include stroke and post-operative infection. In a small percentage of cases, the material used to patch the hole "blows," and a follow-up surgery is necessary to re-patch the defect.

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

Patients come to Haiti Cardiac Alliance (HCA) from the entirety of Haiti. This can involve three days of travel in buses, pickup trucks, or even on horseback. There is no cardiac surgery of any kind available in Haiti outside of the HCA treatment network.

What are the alternatives to this treatment?

In general, patients are treated with medications to prevent heart failure until they are ready to travel. Patients may also seek care from traditional healers, who may use liquids and powders derived from local plants and roots.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Pwe

Pwe is a 56-year-old woman who lives with her husband, her older brother, her daughter and her grandson in a refugee camp in Tak Province, Thailand. Since they came to the refugee camp, Pwe teaches at one of the primary schools and she earns 1,060 baht (approx. 35 USD) per month. She has a resourceful family: Her daughter teaches piano on a keyboard, and she earns around 2,000 baht (approx. 67 USD) per month. Her older brother is a carpenter who earns income when someone commissions a piece of furniture. When he does have work, he will earn around 150 baht (approx. 5 USD) per day. Pwe's grandson is a nursery school student in the refugee camp. Her son-in-law went back to Burma to visit his parents in 2019. Due to COVID-19 restrictions, he has been unable to come back to the refugee camp since then. All together, they work hard to make finances meet their day to day needs. The doctors at our medical partner's care center, Mae Sot General Hospital (MSGH), have diagnosed Pwe with a cataract in her left eye. Currently, Pwe cannot see people’s faces and she can only perceive light out of her left eye. With her right eye, she can see things that are near, but nothing that's far away. She received a pair of eyeglasses from the doctor at MSGH after her first visit, which helps her see better with her right eye but if she does not wear the eyeglasses, she cannot read or teach her students. Fortunately, on February 23rd, doctors will perform a lens replacement surgery, during which they will remove Pwe's natural lenses and replace them with an intraocular lens implant. After recovery, she will be able to see clearly again and go back to teaching her students without difficulty. Our medical partner, Burma Children Medical Fund, is requesting $1,500 to help fund Pwe's treatment. She said, “Since the vision in my left eye worsened, I feel uncomfortable reading and teaching. Sometimes, I ask my daughter, who also graduated from high school in the refugee camp, to teach in my place as I cannot read or prepare my lesson plans.”

73% funded

73%funded
$1,106raised
$394to go

Meet another patient you can support

100% of your donation funds life-changing surgery.