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Success! Neak from Cambodia raised $925 to fund hearing treatment and surgery.

Neak
100%
  • $925 raised, $0 to go
$925
raised
$0
to go
Fully funded
Neak's treatment was fully funded on May 20, 2020.

Photo of Neak post-operation

June 16, 2020

Neak underwent hearing treatment and surgery.

Neak’s surgery was successful, and his cholesteatoma has been removed. He no longer experiences any discharge from his ear. He came back for a follow-up appointment and the medical team helped to treat his ear with merocel to prevent stenosis, or ear canal narrowing. Once he fully recovers, his tympanic membrane will be functional and he will have improved hearing.

His father said, “It seems he is already hearing better and he feels no pain in his ear like before. I am excited to talk with him when he is better, and see him do well in school.”

Neak's surgery was successful, and his cholesteatoma has been removed. He no longer experiences any discharge from his ear. He came back for...

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May 13, 2020

Neak is an 8-year-old third grade student from Cambodia. Neak lives with his parents with one older sister. Recently, Neak has been studying online while schools are closed during the COVID-19 pandemic. He enjoys Khmer literature and math, and wants to be a solider when he grows up. Neak likes to eat beef hot dogs, salty and sour crab salad, and chicken soup.

One month ago, Neak had a serious 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, Neak experiences hearing loss, foul smell, and ear discharge. It is difficult for him to hear his friends speaking.

Neak traveled to our medical partner’s care center to receive treatment. On May 13th, he will undergo a mastoidectomy procedure in his left ear. During this procedure, ENT surgeons will remove the cholesteatoma. Our medical partner, Children’s Surgical Centre, is requesting $925 to fund this procedure. This covers medications, supplies, and inpatient care.

His father said, “We already brought him for treatment at an ear care organization in another province, but he still cannot hear out of his ear. I hope that my son will get to hear better after this surgery, then he can learn in school very well.”

Neak is an 8-year-old third grade student from Cambodia. Neak lives with his parents with one older sister. Recently, Neak has been studying...

Read more

Neak's Timeline

  • May 13, 2020
    PROFILE SUBMITTED

    Neak was submitted by Sieng Heng at Children's Surgical Centre, our medical partner in Cambodia.

  • May 13, 2020
    TREATMENT OCCURRED

    Neak 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.

  • May 14, 2020
    PROFILE PUBLISHED

    Neak's profile was published to start raising funds.

  • May 20, 2020
    FULLY FUNDED

    Neak's treatment was fully funded.

  • June 16, 2020
    TREATMENT UPDATE

    Neak's treatment was successful. Read the update.

Funded by 15 donors

Funded by 15 donors

Treatment
Mastoidectomy
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $925 for Neak's treatment
Hospital Fees
$153
Medical Staff
$771
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.

Kemirembe

Kemirembe is a 49-year-old mother of five and shared that her husband died in 1998. He left her with a grass thatched house, and through hard work, she managed to construct a three-room semi-permanent house to shelter her children. Her house though, was washed away by floods early last month due to constant rains in the country. She is currently struggling in putting up a temporally one because she wasn’t financially prepared for the disaster. Her firstborn is 30 years old and joined a technical institution immediately after completing primary school class seven, the second born is 27 years old and dropped out of school from secondary school class two, her third born is 25 years old and got married after primary school class seven. Her fourth is 23 years old and is in secondary school class four while her last born is 22 years and dropped out of school from primary school class seven. Most of her children are casual laborers and can only offer minimal support to her. At Rushoroza Hospital, she presented with a history of lower abdominal pain plus menorrhagia. If not treated through a total abdominal hysterectomy, she could have chronic pelvic pain that will stop her from doing her daily activities, severe anemia secondary to menorrhagia leading to possible heart failure. Kemirembe is a small-scale farmer who grows a variety of crops for survival. Her husband used to own and raise livestock such as cows and goats. He had many of them, she told us. Kemirembe managed to pay school fees for her children by selling the cows and goats and now is left with no animals. Kemirembe shared, “I had lost hope. May my prayers be answered. I look forward to putting more effort to farming in order to be able to take good care of myself in a few years when I grow older.”

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$239to go

Meet another patient you can support

100% of your donation funds life-changing surgery.