Meet Djemy...

Here is our latest little guy that will be coming to the States for surgery. Djemy is 2 years old and was brought to GLA (God's Littlest Angels Orphanage) in June with the beginning stages of Kwashiorkor.
Kwashiorkor: Kwashiorkor is a type of malnutrition with controversial causes, but it is commonly believed to be caused by insufficient protein intake. It usually affects children aged 1–4 years, although it also occurs in older children and adults. Jamaican pediatrician Cicely D. Williams introduced the name into international scientific circles in her 1935 Lancet article[1][2]. When a child is nursing, it receives certain amino acids vital to growth from its mother's milk. When the child is weaned, if the diet that replaces the milk is high in starches and carbohydrates, and deficient in protein (as is common in parts of the world where the bulk of the diet consists of starchy vegetables, or where famine has struck), the child may develop kwashiorkor.

The name is derived from one of the languages of coastal Ghana, translated literally "first-second", and means "rejected one", reflecting the development of the condition in the older child who has been weaned from the breast, often as the result of the birth of a sibling.
(Wikipedia definition)
At the beginning of July, he had diarrhea and refused to eat. A feeding tube was placed to assure that he was getting enough calories. He had the feeding tube in for 7 days. On the 9th day, he developed NOMA on his left nostril. The necrosis developed rapidly. He ended up in surgery, to save his life, but in the process he lost half of his nasal septum and nasal flair. He was treated with 3 VERY strong antibiotics for 3 weeks following the surgery.

This photo was taken after the surgery to remove the dead tissue.
NOMA: Exact etiology is not known, but noma is likely caused by bacterial infection, specifically by fusospirochetal organisms.[3] Risk factors include severe protein malnutrition (e.g. Kwashiorkor) and unsanitary conditions.[3]

The mucous membranes of the mouth develop ulcers, and rapid, painless tissue degeneration ensues, which can degrade tissues of the bones in the face.[4]

The disease is associated with high morbidity and mortality and mainly affects children under the age of twelve in the poorest countries of Africa. Children in Asia and some countries of South America are also affected. Most children who get the disease are between the ages of two and six years old.[5] The WHO estimates that 500,000 people are affected, and that 100,000 new cases are reported each year. (Wikipedia definition)

He is doing well now, and is has gained a lot of weight.

We already had a host family lined up for him: Thanks Ralph and Beka! So we started looking in the San Diego area to find him care. God had everything all in His control. The first Cranial Facial Plastic Surgeon's group that I called, accepted him. Thank you to Julie, the nurse coordinator, and Dr. Amanda Gosman, the surgeon, for taking this little guy under your care! The surgery will take place a Rady Children's Hosptial in San Diego, CA, and will be sponsored by Fresh Start. We are waiting for some last minute details to come together, and we will be able to get all of the paperwork together, and FED EX it off to GLA.

GLA was able to contact the birth father, so he is in the process of signing for the passport, ect... This will speed up the process sooooo much!!!!!!!

Please keep Djemy in your prayers and I will update as things transpire!

No comments: