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Sim is a 40-year-old farmer from Cambodia who needs $464 to fund ear surgery.

Sim
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  • $170 raised, $294 to go
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May 12, 2020

Sim is a 40-year-old rice farmer from Cambodia. When Sim was a child, her mother passed away and her father left her at the home of an uncle. She now lives and works with a cousin she grew up with. Sim enjoys shopping at the market for the best ingredients to use in her cooking.

When she was young, Sim had an ear infection. This infection caused the tympanic membrane, or the ear drum, in her left ear to perforate. For this reason, Sim experiences hearing loss, pain, and discharge. She has never been able to clearly communicate with others, and has not been able to work much outside the home.

Sim traveled to our medical partner’s care center to receive treatment. On May 12th, she will undergo a myringoplasty procedure in her left ear. During this procedure, surgeons will close the perforation. Our medical partner, Children’s Surgical Centre, is requesting $464 to fund this procedure. This covers medications, supplies, and inpatient care.

Sim’s niece said, “I hope that after this surgery she will be able to join in the conversations we have at home, and I can finally communicate clearly with her.”

Sim is a 40-year-old rice farmer from Cambodia. When Sim was a child, her mother passed away and her father left her at the home of an uncle...

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Sim's Timeline

  • May 12, 2020
    PROFILE SUBMITTED

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

  • May 12, 2020
    TREATMENT OCCURRED

    Sim 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 13, 2020
    PROFILE PUBLISHED

    Sim's profile was published to start raising funds.

  • July 02, 2020
    AWAITING UPDATE

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

  • TODAY
    AWAITING FUNDING

    Sim is currently raising funds for her treatment.

Funded by 3 donors

Funded by 3 donors

Treatment
Myringoplasty
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $464 for Sim's treatment
Hospital Fees
$78
Medical Staff
$385
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 myringoplasty is the closure of the perforation of the tympanic membrane in the ear. This surgery is performed when a patient has a perforated eardrum, certain types of hearing loss, and chronic otitis media (middle ear infection). A bilateral myringoplasty will be performed when a patient has otitis media on both sides. Patients experience difficulty hearing and communicating, in addition to chronic infection and daily ear discharge.

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

The patient has difficulty hearing and experiences daily pain and ear discharge. These symptoms make it difficult to attend school or work regularly.

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

Many people in Cambodia are unaware that medical help is available for ear, nose, and throat (ENT) conditions. In rural villages, if a young child has trouble hearing, it may be assumed that he or she is deaf. For this reason, that child may not attend school.

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

What does the treatment process look like?

A myringoplasty is the closure of the perforation of the tympanic membrane. The temporalis fascia is grafted. An incision is made along the edge of the perforation, and a ring of epithelium is removed. A strip of mucosal layer is removed from the inner side of the perforation. The middle ear is packed with gelfoam soaked with an antibiotic. The edges of the graft should extend under the margins of the perforation, and a small part should extend over the posterior canal wall. The tympanomeatal flap is then replaced.

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

This surgery will repair the perforated tympanic membrane, treat the infection, and stop the ear discharge. This operation has a high success rate of hearing improvement.

What potential side effects or risks come with this treatment?

This surgery is highly effective with few risks.

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

Treatment for chronic ear infections is not widely available in Cambodia. There are only a handful of doctors in the country that will perform a myringoplasty, but their services are expensive. Children's Surgical Centre is the only affordable treatment option for patients coming in with chronic otitis media on one or both sides.

What are the alternatives to this treatment?

The alternative to surgery is antibiotic ear drops, but they have a far lower success rate. Many people neglect their pain and discharge for years, until total loss of hearing becomes a reality.

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Wel

Wel is a five-year-old boy who lives with his parents and an older sister and brother. His parents are subsistence farmers while he and his siblings are students. His mother forages for food and fishes to supplement their meals, while his father also works as a day laborer. The income he receives is just enough to cover their daily expanses but is not enough to pay for basic healthcare. On the 26th of December 2019, Wel was playing with pebbles at school with his friends. When he came back home that afternoon, he was crying but no one was home; his mother was away fishing. When she came back home and saw him still crying, she asked him what was wrong. Wel told her that while he was playing with his friends at school, one of his friends threw a pebble that hit him in his left eye. Since then, his left eye hurt a lot. His mother checked his eye, but she did not see any redness, and thought that the pain would go away after a while. Five days later, Wel complained that his left eye hurt more than before. His mother then took him to Hpa-An General Hospital, where his eye was checked. The doctor saw pus in his left eye and told his mother to take him to a hospital in Yangon as they cannot do anything for him there. The doctor provided him with eye drops and they returned home. Wel's mother did not have enough money to go to Yangon. His mother administered the eye drops for him, but his eye did not get better. His mother started to worry more about him and tried to look for a way to take him to another hospital. One of their neighbors suggested that she bring him to Mae Tao Clinic (MTC) in Mae Sot, Thailand, as she has been to the clinic before. On the 5th of January 2020, Wel's mother borrowed 100,000 kyat (approx. 100 USD) from a neighbor and took him to MTC. There, his eye was checked but the medic referred him to Mae Sot Hospital (MSH), as they could not treat Wel at the clinic. When Wel arrived at MSH, the doctor examined his eye and told Wel’s mother that he has an ulcer in the cornea of his left eye. His left eye had turned white and he also had pus due to the infection in his eye. The doctor told them that unfortunately the only option left was to remove his left eye so that his right eye would not become infected as well. Wel cried when he learned that his left eye had to be removed. Wel's mother however agreed to the procedure and he was scheduled to receive surgery on the 20th of January. Unable to pay for the surgery, the medic at MTC referred Wel to Watsi medical partner Burma Children Medical Fund for assistance in accessing treatment. Currently, Wel's left eye is itchy and has discharge coming from it. He cannot look at sunlight, as if he does his eye hurts. Before he stated taking the painkillers provided by MSH, his eye was very painful. He can no longer see anything with his left eye. "I want him to continue his studies after he receives treatment and I would like him to become either a teacher or a nurse in the future," said Wel's mother. "I don’t want him to work on the farm like us because he will have only one eye, so I want him to get a good job.”

90% funded

90%funded
$1,350raised
$150to go

Meet another patient you can support

100% of your donation funds life-changing surgery.