Monday, 12 December 2011

Please help NATC save a life

NATC has sponsored the medical treatment of a young Liberian lady, Ms. Naomi Zeinabu Meh aged 30. She is currently admitted in Nanavati Hospital in Mumbai, India under the supervision and care of Dr. Jayant Barve, a respected MD and Gastroenterologist

Patient Details: Ms. Naomi Zeinabu MEH, Ward No. 6, Bed No. 24, Indoor Patient No. 12005, Liberian Passport No. L 043646

Since she has been under the care of the doctors in India, we have found out that not only does Naomi have Osteo-Carcinoma (Cancer in the Pelvic Bone) but is also suffering from Jaundice and TB. This really explains the enormous suffering she has been undergoing for the past few years.  She reportedly used to vomit huge amounts of blood before the treatment began at the hospital. At the moment, the doctors are trying to first cure the Jaundice and TB, which is on course.  They have also started Radio Therapy treatment to shrink the tumor in her pelvic area before considering the supra-major surgery to excise the tumour. The Doctors believe that if they rush into carrying out the surgery without ensuring her Lungs and Liver are in suitable condition, then the surgery could be prove fatal as it will be done under General Anesthesia and there are chances of Lung/Liver Failure/Collapse if they are not fit enough. Therefore she will undergo treatment for the Jaundice and TB until the Doctors confirm that she is fit for surgery to remove the tumor. This may take up to the next 2-3 weeks.

Naomi is 30 years old, a mother of a 10-year old girl and a former employee of NLTC (the predecessor of NATC). Naomi has been suffering for several years now from a malignant tumour in the pelvic region of her body. She sought treatment from various hospitals and as you all know, given the poor quality of care available at the medical facilities in Liberia, has continued to suffer because of the lack of proper diagnosis and treatment. The doctors at Firestone Hospital actually amputated one of her legs which was unnecessary. 

Noami used to visit the NATC offices from time to time and, to take her mind off her illness, offered to provide voluntary administrative and marketing duties. She managed to even get us a new client. Naomi is an exceptionally intelligent, capable and wonderful girl. More than that, she is a survivor and we wonder how she has managed to cope with her pain all this time.

Having learned more about the suffering she has undergone - she has not been able to get a decent night's sleep in the last few years due to the sheer agony she suffers from - NATC made the decision to sponsor her travel and associated costs to and from India. 

We got her a passport, visa to India and arranged for the ticket and travelling cash which amounted to about $ 2,500.00. We have also borne the initial hospital fees which amount to US $ 3,000.00. The next step of her treatment involves US$5,000.00  and a further US$5,000.00 (maybe more)  for the Major Surgery. We are committed to bear the financial costs and to go all the way in order to save her life. She herself has insisted that she would rather die on the surgery table rather than come back to Liberia to continue a life of physical misery.

The doctors predict a 80 % rate of recovery and extended life span by another 5-10 years
NATC is a mid-sized company that is trying its best to help Naomi. We are requesting our friends and community to help us do a good deed and save the life of Naomi who deserves a fighting chance. 

We will appreciate any amount of contribution, even amounts as little as US$100.00. Every penny counts! We spend hundreds of dollars going to the beach/restaurant/ entertainment on ourselves. If everyone of us decides to skip one such outing this can help save a life.
You may give the donation to us in cash or directly transfer to the NATC Account in Monrovia, Liberia or the Nanavati Hospital in Mumbai, India:

Nanavati Hospital, India
Bank name: Axis Bank, Santa Cruz West.
Account no: 778010200000019 in favour of Dr. Balabhai Nanavati Hospital.

Swift code: AXISINBB020
Make sure that the Patient details are mentioned in the transfer.

New Africa Technology Company
Ecobank Account Number: 004-1024701946001
IB Bank Account Number: 04-00-02532-6

Please see below a letter from the Hospital confirming that Naomi is admitted there and undergoing care. 

You may contact us for more details and information. 

Please join us in a good cause to save the life of a young girl and mother. 

From: Rekha Barve []
Sent: Thursday, December 08, 2011 3:25 PM
To: Haresh Karamchandani
Subject: Re: patient detail

Mrs. NAOMI MEH ,30 yrs old female patient  from LIBERIA was admitted at DR. BALABHAI NANAVATI HOSPITAL MUMBAI,for further investigations and management.

Patient admmitted on 13 /10.2011 in ward 6 bed no 24, ipd no 12005, with chief complaints--  1.swelling at left gluteal region    since may 2010
                     2. intermittant pain at left gluteal region  since may 2010

Past history --  

1.Jan 2010 = kochs spine  treated. ( documents unavailable)
2.Feb  2010 = left leg above knee amputation done  in view of  cellulitis of left leg,chronic left foot ulcer and peripheral neuropathy left leg. 

On examination -- 

1.  Genral examination = Afebrile, pulse 88 /min ,BP 110/70, No pallor/icterus/edema feet.
2.  Systemic examination = RS -Air entry equal in both lung, clear
CVS-  Heart sound + CNS.-- Concious ,oriented ,alert.
P/A -- Soft ,non tender,no organomegaly.
3.   Local examination =  1.Left leg above knee amputation +
2. Swelling and tenderness  at left gluteal region + Investigation report -- 1.2 D ECHO = LVEF 60%
2.PFT =  Sev .restriction FVC 37% ,mild small airway obstruction.
3. Colour doppler right lowe limb =  No DVT
4.99 MTC MDP Whole body bone scan = A large Soft tissue mass right iliac bone, avascular tumour
5.X ray chest = Pulmonary kochs.
6. Histo patho report ( biopsy from mass left gluteal region) = Spindle cell neoplasm  ( coagulative necrosis.)
7.Cytology of broncho alveolar lavage = clusters of  acid fast bacili seen, candida spp. 

Mrs. Naomi had a major episode of massive hemoptysis and needed ICU management for 10 days.
Antituberculosis treatment was started from 27/10 2011 ( as BAL + VE for Acid fast bacili ) After controlling hemoptysis patient was considered for surgery. However in view of active, advanced pulmonary tuberculosis, fibrosis with restrictive lung disease, poor general condition, immunocomprized state and need of a supramajor surgery  patient  was considered unfit for  surgery and even for chemotherapy.  At present a desicion is made to treat her with radiotherapy, Anti Tuberculosis drugs, chest phyotherapy and improve General condition of the patient.

If patient's general condition improves at the end of radiotherapy, surgical treatment will be considered.


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