Meet another patient

Watsi logo blueWatsi

Success! Malai from Cambodia raised $487 to fund ear repair surgery.

Malai
100%
  • $487 raised, $0 to go
$487
raised
$0
to go
Fully funded
Malai's treatment was fully funded on January 10, 2023.
August 11, 2022

Malai is a 34-year-old soft drink seller from Cambodia who enjoys cooking and watching Khmer movies. She has one son and one daughter, both of whom currently attend school. Malai’s husband sells soft drinks with her near their home.

When she was ten years old, Malai had an ear infection. This infection caused the tympanic membrane, or the ear drum, in her right ear to perforate. Because of this, Malai now experiences ear pain, discharge, and hearing loss. She also has difficulty communicating with others.

Malai traveled to our medical partner’s care center to receive treatment. On August 11th, she will undergo a myringoplasty procedure in her right ear. During this procedure, surgeons will close the perforation. Our medical partner, Children’s Surgical Centre, is requesting $487 to fund this procedure. This covers supplies, treatment, and inpatient care.

Malai says, “I hope the ear infection will stop so my hearing can improve.”

Malai is a 34-year-old soft drink seller from Cambodia who enjoys cooking and watching Khmer movies. She has one son and one daughter, both ...

Read more

Malai's Timeline

  • August 11, 2022
    PROFILE SUBMITTED

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

  • August 11, 2022
    TREATMENT SCHEDULED

    Malai 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.

  • August 11, 2022
    PROFILE PUBLISHED

    Malai's profile was published to start raising funds.

  • January 10, 2023
    FULLY FUNDED

    Malai's treatment was fully funded.

  • TODAY
    AWAITING UPDATE

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

Funded by 6 donors

Funded by 6 donors

Treatment
Myringoplasty
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $487 for Malai's treatment
Hospital Fees
$61
Medical Staff
$375
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?

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.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Sonita

Sonita is from the Koh Kong province and lives with her parents and younger brother. Her parents are rainy-day rice farmers, and her brother is in grade one. She is in grade four and excels in Khmer literature and math. She shared that she would like to be a lawyer some day. When not studying, Sonita likes writing stories, reading books, doing homework, watching TV, and going to the market with her mother. At home, she eats a soft meal and drinks juice due to her inability to open her mouth. Sonita was born with temporal mandibular joint ankylosis. This is a bony or fibrous adhesion of the mandible joint components. Trauma is the most frequent cause, followed by infection, but Sonita's parents do not know how she developed it. She is unable to open her mouth, causing difficulties with chewing, speaking, and oral hygiene as well as limiting the growth of her mandible (micrognathia). She is shy, and shared that she is often embarrassed that she cannot speak well enough to be heard. Her parents took her to a local hospital when she was three, but did not receive any treatment. A villager suggested her parents should visit our medical partner, Children's Surgical Centre, for a diagnosis and treatment. Doctors have determined that she needs a bilateral condylectomy with the addition of a bone graft from her femur. Now, her family needs help to pay for the $469 procedure. Your donation will cover Sonita's surgery, medicines, and hospital stay. Sonita's mother said: "We are hopeful that the doctors can fix my daughter's jaw so she can open her mouth. We worry that she will not grow well because she cannot eat well."

37% funded

37%funded
$177raised
$292to go
William

William is a small-scale farmer from Kenya. He is a married man with twelve children. Some of his oldest children are married while others are still in school. William and his family live in a semi-permanent house. He has been a long-term potato farmer who has been growing them mainly for sale. His family has worked on their farm and it has contributed a lot to their income. Through the limited income William makes, he has been able to provide for his children's basic needs. William has medical insurance that he has been using throughout all his visits for inpatient and outpatient services for his medical procedures. In May 2019, when William was walking along the road, he was hit by a motorbike and he fell down, thus injuring his lower limb. Immediately, he was taken to a facility where he was admitted and surgery was done.  All was well up to last year when he started feeling unwell and decided to visit our partner's hospital. He presented with a lot of pain, he had a wound that was discharging pus, and his affected limb was swollen. An x-ray was recommended and it found that he had a non-union on his fractured bone and he had to be admitted for hardware removal, as it was already infected. He went to the operating theater for infected hardware removal and antibiotic nailing was done in order to treat his infection.  Since the nail was not stable, a patella tendon-bearing cast was applied in order to immobilize his non-united fracture. He has been in and out of the hospital for frequent check-ups, change of dressing, and casts. The wound has not improved and at some time after the antibiotic nailing, he went to the operating room for debridement and vacuum-assisted closure of the wound to help in healing and daily dressing change has been done in a health facility near his home. He also suffered eye problems in between and can barely see at the moment. On Monday when he came for review, his wound was not well and had a foul smell. His hardware needs to be removed, the non-union has to be taken down and an ORIF procedure will be done for stability. He was prepared for admission, but then it was realized that he had exhausted his inpatient insurance limit. In order to save his leg, it is vital to perform the surgery immediately. William has no alternative way of paying for his procedure, which is very complex. Fortunately, surgeons at our medical partner can help. On December 7th, William will undergo a fracture repair procedure, called an open reduction and internal fixation. When treated, William will be able to walk normally and he will continue with farming to provide for his family. Now, our medical partner, African Mission Healthcare Foundation, is requesting $1145 to fund this medical care. William says, "Spending most of the time in the hospital has been quite challenging. I cannot work or supervise my work as I did before because of my fractured limb. I am really looking forward to getting better in order to stabilize my family again. Please help me."

56% funded

56%funded
$642raised
$503to go

Meet another patient you can support

100% of your donation funds life-changing surgery.