Baby Angela came to GLA from another orphanage because she was sick. She desperately needed an IV because she was severely dehydrated with diarrhea. We had seen her a week before and gave her medication and an antibiotic, But she still was not getting any better, and so they brought her back for us to see.
Poor Angela was so dehydrated that the nurses could not find a vein. I finally found a vein in her left foot. We stabilized the catheter and started giving her fluids. The other orphanage sent a nanny to stay with her and our nurses were responsible for watching over her care. During the night, the IV infiltrated and the nurse did not catch it until the morning.
Because Angela was also malnourished, her circulation and the condition of her skin was not good. The skin started breaking down due to the swelling and the skin started dying. We had already started treating her foot the next day but it just was not getting better. The Pediatrician changed the treatment when she visited. I saw it over the weekend and was shocked at how it looked. The skin was dead and you could see the muscle! I started a different treatment for the weekend. Then on Monday, it was still very bad so I decided that we needed to send her to the plastic surgeon and see what she said.
Well, she said that Angela needed a skin graft! It cost us $2500 USD for the surgery. She asked us $4000 to do the surgery, but we had given her lots of medical donations and narcotics for pain control right after the earthquake and she gave us a good break. But it was still a lot of money and an unexpected expense!
But Angela is doing great and the foot and donor graft sight on her left thigh are looking very good. We did not take photos of the before, but here are ones taken today.
Posted on Fri, August 13, 2010
by Dixie Bickel