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Kosal is a rice farmer from Cambodia who needs $637 to fund shoulder surgery.

Kosal
56%
  • $359 raised, $278 to go
$359
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$278
to go
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September 3, 2019

Kosal is a 21-year-old rice farmer from Cambodia. He likes to play sports, watch television, and help his wife with the housework.

In May 2019, Kosal was in a traffic accident and fell off his motorcycle, injuring his left shoulder. He has been diagnosed with a brachial plexus injury on his left side. The brachial plexus is a nerve network that transmits signals from the spine to the shoulder, arm, and hand. Injuries to this nerve network can result in loss of function and sensation. He finds it difficult to lift his arm and move normally, and is unable to work due to his injuries.

Kosal traveled to our medical partner’s care center to receive treatment. On September 4th, he will undergo a brachial plexus repair surgery. After recovery, he will be able to regain function in his arm. Our medical partner, Children’s Surgical Centre, is requesting $637 to fund this procedure.

“I hope that after my surgery, I will be able to use my arm again and can return to work.”

Kosal is a 21-year-old rice farmer from Cambodia. He likes to play sports, watch television, and help his wife with the housework. In May...

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Kosal's Timeline

  • September 3, 2019
    PROFILE SUBMITTED

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

  • September 04, 2019
    TREATMENT OCCURRED

    Kosal 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.

  • September 09, 2019
    PROFILE PUBLISHED

    Kosal's profile was published to start raising funds.

  • October 14, 2019
    AWAITING UPDATE

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

  • TODAY
    AWAITING FUNDING

    Kosal is currently raising funds for his treatment.

Funded by 19 donors

Funded by 19 donors

Treatment
Brachial Plexus Injury Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $637 for Kosal's treatment
Hospital Fees
$86
Medical Staff
$503
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?

Symptoms of brachial plexus injury (BPI) vary on the severity and location of the injury, but include muscle weakness, loss of sensation, pain, and paralysis. BPI can cause neuropathic pain with damage to the spinal cord and can be long-lasting, with effects such as burning numbness.

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

The impact of a brachial plexus injury can range in severity; some patients may experience weakness or great pain, others may be paralyzed in their shoulder and upper arm. This can make day-to-day tasks difficult and impair quality of life.

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

Motorcycle collisions are the most common cause of brachial plexus injury, and are, unfortunately, an exceedingly common occurrence in Cambodia.

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

What does the treatment process look like?

Treatment for brachial plexus injury can involve nerve repair, nerve grafting, nerve transfer, or tendon and muscle transfers depending on the location and type of injury, and the amount of time since the injury occurred. A nerve repair involves reattaching a severed nerve; nerve graft is a procedure that takes a healthy nerve from another part of the body and transplants it to the injured nerve to guide regrowth; a nerve transfer is a procedure that cuts a donor nerve and connects it to the injured nerve when there is no functioning nerve stump to attach a graft. Nerve regeneration occurs approximately at a rate of 1 mm/day, and so recovery from a brachial plexus injury can take months for small improvements. Physical therapy during this time is important to prevent stiffness, contractures, or atrophy and increase the chances of regaining good movement in the affected limb.

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

While BPI surgery may not restore full movement to a patient, it can greatly increase the patient’s ability to use the affected limb and reduce the pain of the injury.

What potential side effects or risks come with this treatment?

BPI surgery is complicated and risks include infection as well as failure to restore movement, which would require further surgery.

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

Surgery to treat brachial plexus injury can be very complex and not widely performed. Surgical treatment in Cambodia can be expensive and hard to access. Patients will travel for hours by car, motocycle, and bus to receive free surgery at CSC.

What are the alternatives to this treatment?

Brachial plexus injury can have a range of severity; some patients may be able to be treated by splinting or physical therapy, but serious cases require surgical intervention. These types of injuries do not have alternatives to improving movement and functionality.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Kyin

Kyin is a 69-year-old retired teacher who lives with her 31-year-old son and 39-year-old daughter-in-law in Yangon, Burma. As a retired teacher since 2010, Kyin receives 140,000 kyat (approx. 140 USD) per month as part of her pension. She now volunteers as a teacher at a monastic school. Both her son and daughter-in-law work for a company. Kyin has another son who was paralysed in a workplace accident. He used to live with Kyin, but when her health deteriorated and she could no longer care for him, he was moved to a social care centre in Yangon. One day, in March 2016, Kyin was teaching at the monastic school, when suddenly she fainted. A medical emergency team then attended to her. When she felt better, a doctor told her that she might have a heart condition and advised her to see a heart specialist. One month after the incident, she went to a cardiologist at North Okkalapa General Hospital. There, she received an X-ray and an echocardiogram (echo). After checking her results, the doctor told her that she has a heart problem and that she can die if she does not receive appropriate treatment. The doctor prescribed her medication for her heart and told her that she will need to receive surgery if her health deteriorates. Six months ago, when Kyin received another echo and the doctor told her that she needs to receive surgery right away. However, her family could not afford to pay for her surgery. Therefore, the doctor said that he would help find them an organization that could help with paying for her surgery and medication. Currently, Kyin is unable to sleep well at night on her back and she needs to sleep propped up. She often feels tired and has shortness of breath.

81% funded

81%funded
$1,221raised
$279to go

Meet another patient you can support

100% of your donation funds life-changing surgery.

Kyin

Kyin is a 69-year-old retired teacher who lives with her 31-year-old son and 39-year-old daughter-in-law in Yangon, Burma. As a retired teacher since 2010, Kyin receives 140,000 kyat (approx. 140 USD) per month as part of her pension. She now volunteers as a teacher at a monastic school. Both her son and daughter-in-law work for a company. Kyin has another son who was paralysed in a workplace accident. He used to live with Kyin, but when her health deteriorated and she could no longer care for him, he was moved to a social care centre in Yangon. One day, in March 2016, Kyin was teaching at the monastic school, when suddenly she fainted. A medical emergency team then attended to her. When she felt better, a doctor told her that she might have a heart condition and advised her to see a heart specialist. One month after the incident, she went to a cardiologist at North Okkalapa General Hospital. There, she received an X-ray and an echocardiogram (echo). After checking her results, the doctor told her that she has a heart problem and that she can die if she does not receive appropriate treatment. The doctor prescribed her medication for her heart and told her that she will need to receive surgery if her health deteriorates. Six months ago, when Kyin received another echo and the doctor told her that she needs to receive surgery right away. However, her family could not afford to pay for her surgery. Therefore, the doctor said that he would help find them an organization that could help with paying for her surgery and medication. Currently, Kyin is unable to sleep well at night on her back and she needs to sleep propped up. She often feels tired and has shortness of breath.

81% funded

81%funded
$1,221raised
$279to go