Showing posts with label Sithan Leam. Show all posts
Showing posts with label Sithan Leam. Show all posts

Monday, March 24, 2008

A mother’s relief - Cambodian teen reunites with kin after medical work in Hawaii

CRAIG GIMA / CGIMA@STARBULLETIN.COM
Sithan Leam held her mother tight Jan. 17 after reuniting with her for the first time in a year at the Future Light Orphanage in Phnom Penh, Cambodia.



STORY SUMMARY

A 15-year-old Cambodian girl's life was forever changed by the year she spent in Hawaii.

Sithan Leam walked for the first time after surgery and physical therapy last year at the Shriners Hospital for Children in Honolulu.

She suffered a severe burn as an infant, and when the wound healed, scar tissue fused her foot and calf to her thigh. Star-Bulletin readers helped raise money to bring Sithan to Honolulu for treatment.

She returned to Cambodia for an emotional reunion with her mother in the capital, Phnom Penh. But instead of returning to her family and the rural village with no electricity or running water where she grew up, Sithan is starting on a long road to an education and a better life.

Reporter Craig Gima traveled to Sithan's village of Anglong Thor in 2006 to first tell her story, and he returned to Cambodia in January to cover Sithan's journey home.

FULL STORY

CRAIG GIMA / CGIMA@STARBULLETIN.COM
Sithan Leam answered questions from a Cambodian television reporter Jan. 17 at Phnom Penh International Airport. A crowd gathered as she told her story.


SECOND OF TWO PARTS

Monday, March 24, 2008
By Craig Gima
cgima@starbulletin.com
Honolulu Star Bulletin (Hawaii, USA)


PHNOM PENH, Cambodia - When Sithan Liem arrived in Cambodia after a 36-hour journey from Honolulu, the one person she wanted to see was not at the airport.

Her mother was still on her way, after leaving at dawn to travel two hours on a motor scooter over bumpy dirt roads from the family's home village of Anglong Thor to Kampong Thom, the provincial capital, and then a three-hour bus ride to Phnom Penh.

The 15-year-old girl was met instead by a Cambodian television crew, a Star-Bulletin reporter and Gunther Hintz, leader of the charity Medicorps, which brought Sithan to Honolulu for surgery that enabled her to walk for the first time.

A crowd gathered as Sithan answered questions from the news crew, recalling how she suffered a severe burn on her left leg when she was 5 months old; how scar tissue fused her foot to her thigh; how people raised money to bring her to Honolulu for surgery; and how it feels to be home after nearly a year.

When asked, Sithan showed the camera the prosthetic foot and knee brace that enable her to walk. Because her leg did not develop properly, her left leg is shorter than her right, and the brace supports her knee.

After leaving the airport, Sithan waited in a guest room at the Future Light Orphanage, a charity supported by the Sunrise Rotary Club of Honolulu. She picked at her lunch and watched Korean soap operas on television.

Even though Sithan had only about six hours of sleep during layovers in Japan and Bangkok, she was not ready for a nap.

JAMM AQUINO / JAQUINO@STARBULLETIN.COM
Sithan had a moment of solitude at Honolulu Airport. She left Jan. 15 for her home in Cambodia accompanied by United Airlines flight attendant Deborah Quigley.

TEARFUL REUNION

On the ride to the orphanage, Sithan's mother said she had a hard time sleeping the night before.

"I was so excited, hoping to see her," Tim Thea said though a translator, adding that she was thankful to the donors and doctors and "happy beyond words" to see her daughter again.

When Tim Thea stepped out of the van, Sithan was nowhere to be seen.

Then, a door opened and Sithan walked out of her room.

Tim Thea said the first thing she looked at was Sithan's legs; it was the first time she had ever seen her daughter walk.

There were tears in Tim Thea's eyes. Sithan smiled and held her mother tight.

"I told you, Sithan," said Deborah Quigley of Airline Ambassadors, a charity made up of airline employees that provided Sithan's flight home. Quigley accompanied Sithan to Cambodia and waited with her until her mother arrived. "I told you your mother would cry. Oh, my goodness."

Sithan made a face that quickly turned back into a smile as she refused to let her mother go.

CRAIG GIMA / CGIMA@STARBULLETIN.COM
Sithan helped with chores on Nov. 15, 2006, in her village rather than go to school. She suffered a severe leg burn as an infant, and when the wound healed, her foot and thigh were fused together.


KINDNESS TO A BEGGAR

On a bus the next day, Sithan and her mother left the congestion and new construction of Phnom Penh for the countryside.

Cattle grazed in rice fields brown and drying in the sun, and naked children played in canals shaded by sugar palm trees.

The passing tableau reminded Sithan of her village, a place where her father's family has worked the land for as long as anyone can remember; a place without electricity or running water. Until she came to Hawaii, it was the only life Sithan had known.

At a rest stop, a beggar with an amputated leg waited by the bus door with his hands out. Sithan stopped and gave him money. She also gave her mother and her uncle money before her uncle got off the bus in Kampong Thom to return to the family village. Sithan stayed on the bus, headed for the city of Siem Reap.

In Sithan's knapsack was a composition notebook with schoolwork. When asked whether she opened it during the bus ride, Sithan said no.

Before Sithan left Hawaii, Rinou Kong, her guardian in Honolulu, told her that money had been raised to help her with her education but that they were not giving it to her yet.

"If you go to school, you'll get the money," he said. "If you don't go to school, you're cut off."

In an interview, Sithan was asked, "Do you want to go to school?"

"Yes," she answered.

"Do you want to live in the city or in the country?"

"The city," Sithan answered.

"What do you want to do?"

At first, Sithan said she did not know, then she said perhaps office work.

But when asked if she would rather be a teacher in a village like the one she grew up in, Sithan's face brightened and she answered yes.

Becoming a teacher will take years of study for Sithan, who left the school in the second grade and cannot read or write.

Sok Oeuy, a Cambodian boy who was treated at Shriners in 2001, knows what Sithan is going through.

Oeuy returned to Cambodia at age 14, and is only now entering high school at age 20. He has learned some computer skills and was working part time at Medicorps, the charity that brought him and Sithan to Hawaii, to help pay for his education. He wants to continue to college and perhaps get a marketing degree.

"When I come back from Hawaii, I go to my village, and my village don't have the school. Just go to the farm. Go to feeding your cow and don't have study," Oeuy said.

During a visit, Oeuy told Sithan to stay in Siem Reap and keep working on her English and Khmer language skills.

"If you want to go back to the country, then there's no school, no practice English. It's easy to forget," he told her.

CRAIG GIMA / CGIMA@STARBULLETIN.COM
Sithan Leam practiced walking across a wooden bridge on Jan. 19 at Handicapped International, a charity in Siem Reap, Cambodia, that provided her with a new prosthesis and trained her to use it in her village.


NEW OPPORTUNITIES

Sithan has a long and difficult journey ahead of her, said Dr. Gunther Hintz, a former Honolulu plastic surgeon who founded Medicorps.

It will likely take two years before Sithan can read and write enough Khmer to go to high school, Hintz said. If she wants to get a college education and become a teacher, she will be in school until she is at least 25.

Medicorps is raising money to help pay for Sithan's room and board and her education. The charity will train Sithan in a trade, perhaps haircutting at first, so she can support herself. The Hawaii Cambodian community has also promised to pay for Sithan's schooling.

Medicorps, Hintz said, will try to impress upon Sithan that because she has benefited from other people's help, she needs to get an education and eventually give back to her community.

But not everyone makes it.

"Sometimes the smartest of them will go on the streets (to beg) because they will make more money than they ever could with an education," Hintz said.

Sithan could get married and have children, and that could also affect her schooling. Or she might decide she would rather return to her village and her family.

"I think physically for Sithan to go back to her village will not be all that difficult. However, mentally and emotionally it will be very much of a challenge," Hintz said, "because she now has experienced Western society and she has lived in a big-city environment in America for a year.

"So now, going back to the village where everything revolves around sunrise and sunset and the cows and the rice fields, it leaves her un-stimulated, and probably she will get very depressed after a period of time."

Sithan's mother said she wants her daughter to get an education.

None of her other children has had the opportunity to go to school, Tim Thea said. They are too poor, and school is too far away and too expensive, she said.

Sithan's older sister left the farm for a while last year to work in a garment factory in Phnom Penh, Tim Thea said. But the pay was too low and the cost of living in the city too high, so she returned home. Sithan will not be a garment worker, Tim Thea said.

Tim Thea says the family's hopes for a better life now lie on Sithan's tiny shoulders, on a girl that even her family once nicknamed "A Khvin," or "Cripple."

Asked whether she understood the responsibility she now faces, Sithan gave a shy smile, hid her face and did not know what to say.

CRAIG GIMA / CGIMA@STARBULLETIN.COM
Sithan Leam explains her story to reporters from the Phnom Penh Post after returning to Cambodia from Honolulu, where she underwent surgery at the Shriners Hospital for Children to enable her to walk for the first time.


Charity teaches Sithan to use prosthesis

Sithan Leam spent several weeks at Handicap International in Siem Reap, a city next to the ancient ruins of Angkor Wat.

The charity, originally founded to help land-mine victims, fitted Leam with a new foot prosthesis.

She was also able to practice how to use her new prosthesis in a village environment. Handicapped International has equipment set up much like a playground, which simulates conditions in a rural village such as wooden suspension bridges, rocks and muddy fields.

Leam is still in Siem Reap, taking Khmer and English classes through Medicorps, the charity that brought her to Hawaii.

Her older sister Sithath has joined her in Siem Reap and is working at Medicorps as a housekeeper and also is taking English classes.

So far, Sithan has not gone back to visit her home village.

For information on Medicorps, the charity that brought Sithan to Hawaii, go to
www.medicorps.org.
For information on the Shriners Hospital for Children, visit
www.shrinershq.org/Hospitals/Honolulu
.

Monday, December 17, 2007

On her own 2 feet [-Sithan Leam to return home to Cambodia]

Sithan Leam, right, thanked Shriners Hospital Nurse Care Coordinator Bonnie Paulsen yesterday for taking care of her during her recuperation from surgery at Shriners in the past year. The Cambodian girl bade farewell to her supporters at a party at Central Union Church in Makiki. (Photo: JAMM AQUINO / JAQUINO@STARBULLETIN.COM)

Sithan Leam thanked donors who helped her receive treatment

By Craig Gima
cgima@starbulletin.com
Honolulu Star Bulletin (Hawaii, USA)


Dressed in blue jeans and standing on her own two feet, a Cambodian girl who came to Hawaii for surgery to allow her to walk said goodbye last night to supporters in the local Cambodian community.

In the benediction before the farewell dinner for 15-year-old Sithan Leam, the Rev. Larry Corbett, Central Union Church senior minister, noted, "Sometimes it takes a whole village of people to heal a child."

Star-Bulletin readers and Cambodian community members contributed thousands of dollars to pay for Sithan's travel to Hawaii for treatment and a fund that will help pay for her continued schooling in Cambodia.

Sithan suffered severe burns on her left leg as an infant, and her foot was fused to her thigh by scar tissue.

She hopped on her right leg, instead of walking, until doctors, nurses and therapists at Shriners Hospital for Children in Honolulu were able to separate the scar tissue and outfit her with a prosthetic leg.

She was able to walk for the first time a couple of months ago after undergoing several surgeries, skin grafts and physical therapy.

"It's kind of amazing to see her now as when I first met her at the airport in February," said Anthony Deth, who, along with the charity Medicorps, helped coordinate Sithan's stay in Hawaii.

At that time, Deth said Sithan weighed only about 80 pounds and appeared scared after her first plane trip. She ate only rice on the flight because everything else was too strange.

"Now look at her," he said. "She's smiling, and she's walking on her own two feet."

Sithan's treatment at Shriners is nearly complete. She will likely return to Cambodia next month.

"She's going to be missed very much, especially at Shriners," said nurse Bonnie Paulsen. "When I first met Sithan, she was absolutely frightened. Now she's totally come out of her shell. She's been an absolute inspiration."

Cambodian community member Patrick Keo said Sithan's story reminds him of his own struggles when he first immigrated to the United States.

"We connect with her. We identify with what she's gone through -- coming to a new country without knowing anybody or knowing the language, and how she misses her family," he said.

Sithan said she will miss Rinou Kong and Sary Phean, the couple that has taken care of her in Honolulu, but is looking forward to seeing her own family again in Cambodia.

She also thanked the doctors and nurses at Shriners for helping her.

Sithan's story is especially appropriate at this time of year, Corbett said. "To see a child's life change is always inspiring."

Tuesday, May 01, 2007

Sithan Leam's update: Lose the lower leg or live with a knee that will not bend

Click on the image to zoom in

Tuesday, May 1, 2007

Cambodian girl starts down long road of surgeries

Lose the lower leg or live with a knee that will not bend, doctors tell Sithan Liam

By Craig Gima
cgima@starbulletin.com
Honolulu Star Bulletin (Hawaii, USA)

DOCTORS at the Shriners Hospital for Children are performing the first in a series of surgeries today that could help a Cambodian girl walk for the first time.

Donations from Star-Bulletin readers and others helped bring Sithan Leam, 14, to Hawaii for treatment at the Punahou facility. She suffered a severe burn as an infant, and when it healed, her foot and calf were fused to her thigh.

The treatment will involve three major surgeries and physical therapy. It will be painful at times, and because her knee did not develop properly, her left leg will be fused straight. But if all goes well, Leam will be able to walk on her own two legs.

-------------
(Photo: JAMM AQUINO / JAQUINO@STARBULLETIN.COM)
Sithan Leam, 14, held the hand of Shriners Hospital evening supervisor Denise Weatherford while touring the hospital last night.


WHAT'S NEXT FOR SITHAN

» In a few months, doctors will operate again to straighten Sithan's left leg and fuse her knee straight. Her knee and ankle joints did not develop properly and cannot be saved.
» In between surgeries, Sithan will be doing physical therapy, which consists of exercises to strengthen her hip and thigh muscles. Shriners Hospital also has a program to teach her English.
» Doctors will decide whether to lengthen her left leg or shorten her right leg so the two are even.
» If there are complications, it is still possible that Sithan's leg will have to be amputated at the knee joint. Possible complications include failure of an artery supplying blood to her lower leg.
» After more physical therapy and follow-up care, Sithan will return to Cambodia in about a year to 18 months. She will live with a host family in the city of Siem Reap, near the famed Angkor Wat temples, where arrangements have been made to send her to school. Medicorps, the nonprofit group that brought Sithan to Hawaii, has set up a fund to help pay for her educational expenses.

- Star-Bulletin staff
-------------

A CAMBODIAN girl is undergoing the first of a series of surgeries this afternoon at the Shriners Hospital for Children -- the beginning of a long and arduous effort to help her walk for the first time.

Sithan Leam, 14, suffered a severe burn as an infant. There is no medical care in her village, and when the wound healed, her foot and calf were fused to her thigh by scar tissue.

Since she arrived in Honolulu in February, Leam has gotten to go to beach and see some of the island but prefers to spend time at her host family's apartment near Shriners, watching Korean soap operas at night.

She has gained 12 pounds but not because of fast food. "She could only take one bite of a hamburger," said Sary Kong, Leam's surrogate mother here. "She thought it smelled funny."

But Leam's time here has also involved a difficult decision -- especially for a 14-year-old.

Dr. Ellen Raney, chief of staff at Shriners, said the staff wanted to make sure Leam understood her treatment options.

They showed her the Ilizarov apparatus, a scary-looking series of metal rings, rods and pins placed through the bone, and Leam met patients at Shriners who are being treated with it.

In short, the options were:

» Do nothing and send her back to Cambodia without surgery.

» Amputate her leg at the knee and send her back with a prosthetic.

» Take the longer, more involved and more painful process of trying to save the leg.

Amputating would mean Leam could go home sooner -- probably in three months. But there is concern about whether she can continue to get prosthetics in Cambodia. A good prosthetic can cost several thousand dollars and needs to be replaced every year for children and every few years for adults.

Saving the leg will mean Leam will not need a prosthetic. But because her knee and ankle joints never developed properly, Leam's leg will be fused straight -- she will not be able to bend it -- a potential problem in Cambodia, where many people sit on the floor. There will also be scarring on the leg, and she will have to stay here for up to a year and a half. Part of her foot will also be amputated.

As late as Sunday, Leam's host family talked it over again with her to make sure she understood the choice that ultimately only she could make.

"Your leg will be 'trong' -- straight," said Anthony Deth, brother of Rinou Kong, Leam's host father. "They have prosthetics that can bend," he told her in Khmer.

But Leam was resolute.

"I think the only thing she wants is to save her leg," Deth said.

So today, Raney and plastic surgeon Dr. Clyde Ishii will begin to separate the scar tissue that connects her calf and thigh.

Leam will go through three major surgeries and a number of smaller operations, Raney said.

Her next major surgery in a few months will involve straightening her leg and fusing her knee joint. They will also attach the Ilizarov apparatus.

There is also the possibility of complications. If the blood flow to her lower leg cannot be maintained, her leg will be amputated at the knee, and she will be fitted with a prosthesis.

The last surgeries will involve either lengthening her left leg to be even with her right leg, or shortening her right leg.

The process will be painful at times, Raney said.

"We try to minimize the pain, but you can't completely eliminate it," Raney said.

"I think the children are very brave," she said. "It's got to be hard for her being away from home for so long."

Monday, March 26, 2007

Leam's leg injury poses dilemma for her doctors

CINDY ELLEN RUSSELL / CRUSSELL@STARBULLETIN.COM
Sithan Leam, 14, greeted 7-month-old Brandon Deth yesterday during a luncheon held in her honor by the Khemaras Center at the University Avenue Baptist Church in Manoa. Leam, from Cambodia, was badly burned as an infant in a fire that fused her leg to her thigh with scar tissue.
'Sithan' with an 'i'
In previous stories, Sithan Leam's first name was spelled Sythan, a spelling given to the Star-Bulletin during a visit to her village in November.
The spelling is phonetic and interchangeable, said Dr. Gunther Hintz, Leam's guardian. But her name is spelled as Sithan, with an "i," on her passport, so that is now the official English spelling of her first name.
Cambodian girl adjusts to Hawaii

By Craig Gima
cgima@starbulletin.com
Honolulu Star Bulletin (Hawaii, USA)


In a world that is still completely new to her, Sithan Leam prefers what is familiar.

But there is one exception: a growing habit of watching Korean soap operas.

Leam, 14, arrived in Honolulu last month from Anglong Thor, a small rural village in Cambodia, for surgery that could help her walk for the first time.

Yesterday, a potluck lunch was held in Leam's honor at the University Avenue Baptist Church with members of the local Cambodian community and some of the people who helped raise more than $10,000 to bring her to Honolulu.

The food included sushi, muffins and tossed salad, but Leam made a simple plate of rice and roasted chicken.

Anthony Deth, whose family is hosting Leam, said they bought her new clothes at Kmart. But Leam prefers to wear the same clothes she brought from Cambodia.

Most things "are just too strange for her," Deth said.

Even calling home was a new experience, and Leam and her family did not really know how to use a phone, Deth said.

In the last couple of weeks, Leam has been adjusting and smiling more, he said.

She especially likes playing with Deth's two children. Leam took care of her younger brothers and sisters in Cambodia.

CINDY ELLEN RUSSELL / CRUSSELL@STARBULLETIN.COM
Sithan Leam, 14, looked on yesterday at a luncheon held in her honor by the Khemaras Center at the University Avenue Baptist Church in Manoa.


Her village consists of five families with no running water, electricity or paved roads.

Her family uses an oxcart for transportation, so even cars are new to Leam.

There are no doctors in the village, and when she was an infant, Leam suffered a severe burn on her left leg. When the wound healed, the scar tissue fused her ankle to her thigh.

Dr. Gunther Hintz, founder and president of the charity Medicorps, brought Leam to the attention of Shriners Hospital, which agreed to treat her.

Next month, Leam and Hintz, who is now her legal guardian, will meet with Dr. Ellen Raney at Shriners to decide Leam's treatment.

Hintz said there are two main options. Doctors could amputate -- most likely above the knee -- and fit her with a prosthesis. Or she can undergo a series of surgeries, skin grafts and physical therapy to try and save the leg.

There are potential complications, Hintz said. Leam's joints and muscles are functional but not fully developed and have not supported any weight.

CINDY ELLEN RUSSELL / CRUSSELL@STARBULLETIN.COM
Medicorps Director Dr. Gunther Hintz introduced her at the event. Hintz spotted Leam hopping on one leg on the side of the road in Cambodia and identified her as a good candidate for reconstructive surgery.


Still, Hintz said he favors trying to save the leg.

"If she goes back to Cambodia on her own legs, it's going to be a tremendous inspiration," Hintz said.

Leam will also be able to learn some English while she is here, a valuable skill back in Cambodia, Hintz said.

Deth said they are starting to teach Leam her ABCs. During yesterday's potluck a retired teacher volunteered to help tutor her after the surgery.

In an interview through a translator, Leam said she is still homesick. She prefers Cambodian food and has not yet been to a McDonald's or the beach.

Leam is shy around strangers and gave mostly one-word answers, but smiled and laughed occasionally as translator Patrick Keo spoke with her in the Khmer language.

Deth said she has not really wanted to venture out much from the apartment near Shriners where she is staying.

But Leam can watch Korean dramas for hours, even if she does not understand Korean and cannot read the English subtitles, Deth said.

Asked what she likes about them, Leam said she doesn't know. Sometimes it's funny, she said.

She is learning more Korean than English, Deth joked. "It may not be a bad idea because there are a lot of Korean tourists now in Cambodia."