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Success! Hour from Cambodia raised $1,500 to fund hip surgery to alleviate his pain and allow him to walk without difficulty.

Hour
100%
  • $1,500 raised, $0 to go
$1,500
raised
$0
to go
Fully funded
Hour's treatment was fully funded on January 7, 2023.
August 10, 2022

Meet Hour! He lives in Cambodia with his parents, who both work as farmers. His 26-year-old brother works as a seller at a local market. Hour completed school up to 6th grade, but he no longer attends. He enjoys spending time listening to music, playing games, and meeting friends.

When he was a toddler, Hour was diagnosed with hemophilia, a medical condition that severely reduces the ability of blood to clot. This causes him to bleed heavily from even slight injuries.

Four months ago, Hour began experiencing pain in his hips. He was diagnosed with bilateral hip necrosis, a painful condition that occurs when the blood supply to the head of the femur, or thighbone, is disrupted. Because bone cells need a steady supply of blood to stay healthy, his condition can ultimately lead to the destruction of his hip joint.

Hour is currently unable to walk without support, has anemia, and is in chronic pain. Fortunately, our medical partner, Children’s Surgical Centre (CSC), is helping him receive treatment. On August 10th, he will undergo a joint replacement, called an uncemented hip arthroplasty. CSC is requesting $1,500 to fund Hour’s treatment and care.

Hour shares, “I am thankful that I have a chance to have a new hip. This treatment will help me be able to work to help my family in the future.”

Meet Hour! He lives in Cambodia with his parents, who both work as farmers. His 26-year-old brother works as a seller at a local market. Hou...

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Hour's Timeline

  • August 10, 2022
    PROFILE SUBMITTED

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

  • August 10, 2022
    TREATMENT SCHEDULED

    Hour 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 10, 2022
    PROFILE PUBLISHED

    Hour's profile was published to start raising funds.

  • January 7, 2023
    FULLY FUNDED

    Hour's treatment was fully funded.

  • TODAY
    AWAITING UPDATE

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

Treatment
Hip arthroplasty-uncemented
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $1,500 for Hour's treatment
Hospital Fees
$171
Medical Staff
$494
Medication
$0
Supplies
$827
Labs
$3
Radiology
$5
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

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

Patients typically experience severe hip pain and difficulty walking or standing. By the time Children's Surgical Centre provides treatment, patients have often lived with these symptoms for months or more. A total hip replacement (THR) treats hips that are severely damaged and therefore not amenable to other forms of treatment.

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

Patients may not be able to walk or walk with great difficulty. Physical activity is extremely restricted, making any movement painful. This prevents patients from carrying out daily life, going to work, attending school, or taking care of themselves and their families.

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

Many Cambodians use motorbikes as their main form of transportation. Because of weak traffic laws, motorbike accidents are common. Injured individuals who cannot afford treatment often self-medicate or rely on Khmer traditional healers. Their fractures never heal, and patients live with the pain. Steroids are a common pain treatment in Cambodia. No prescription is required. Individuals who do intense physical labor take steroids regularly, which restricts blood flow to the joints. This causes bone tissue death and tiny bone breaks, making bones more susceptible to breaks and fractures.

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

What does the treatment process look like?

During a hip replacement, doctors replace both the acetabulum (hipbone socket) and femoral head (head of the femur) with prosthetic implants. Doctors remove the dead or broken bone. A cup is inserted into the acetabulum, and a metal hip prosthesis is inserted into the femur. Surgeons use a different technique to embed the prosthesis in the bones without using cement. The implant is more costly and preferred in patients that are younger.

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

The patient will be able to walk independently without pain, improving their ability to work physical labor and quality of life.

What potential side effects or risks come with this treatment?

Severe disability, arthritis, and avascular necrosis of the hip can be successfully treated by a THR. This treatment 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?

Most Cambodians visit Khmer traditional healers before seeking modern medical care. As recently as ten years ago, a total hip replacement was entirely unavailable in Cambodia. Children's Surgical Centre is one of the few centers that provide this procedure. This procedure is more costly than the more common cemented version, as any potential revision surgery in the future is easier and the hip replacement may last longer.

What are the alternatives to this treatment?

There are other surgical alternatives, and much depends on the type of fracture, the health, and the age of the patient. Patients can elect to undergo hip fusion surgery and postpone the total hip replacement until later in life. In young Cambodian patients, surgeons may opt to use uncemented hip replacements albeit a more expensive procedure.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Janeth

Janeth is a two-year-old girl and the youngest in a family of two children. Her father is a small-scale farmer, while her mother has a few cattle whose milk she sells to buy food and other commodities. They also harvest and sell some of their crops to earn money. They are living in a harsh environment, but they try to manage on a day-to-day basis. Janeth was involved in an accident last year where she sustained severe burns. Her mother had made porridge for breakfast. She took the pot off the fire and placed it at a corner to cool down so that she could feed Janeth. As she went out to clean the plates Janeth took a cup and tried to take porridge by herself from the pot. She dipped her hand in the pot of hot porridge and while pulling her hand out, some of the porridge spilled on her left foot. Her mother ran inside when she heard Janeth crying, but she had already been badly burned. Her mother gave her first aid and rushed her to the nearest clinic where she got treatment that helped with the open wounds. The wounds have healed, but left her with scars that make her left-hand fingers hard to use, and the toe on her left food was disfigured. A relative who saw Janeth advised her mother to seek treatment at our medical partner's care center ALMC (The Plaster House). Janeth was diagnosed with burn scar contracture on her left hand and left foot. Her hand needs a release surgery with skin grafting because her fingers are webbed, and the fifth toe of her left foot needs to be amputated because it causes pain when she tries to wear shoes. Her mother cannot afford the $1,088 cost of treatment and is asking for help. Janeth’s mother says, "I had to convince my husband to let me come and seek treatment for our daughter. I am not at peace every time I think of her.”

66% funded

66%funded
$726raised
$362to go

Meet another patient you can support

100% of your donation funds life-changing surgery.