Gift of Life

Sindhuja

Age 12, India

 PLEASE VISIT:

ROTI, Rotarians on the internet

ROTI

ROTI CHILD

Sindhuja had come for review the same day we spoke to Dr. Balasundrum about the ROTI CHILD PROGRAM.

Her problem is much more complex than an ASD or VSD. I have attached an explanation, which you may wish to share on the ROTI child website. Pictures from India, should be here ASAP.

As soon as the Rotary Gov. from Srilanka returns home he has promised to contact our doctor to get us a child's chart from his district.

I doubt that the budgeted amount will be sufficient for Sindhuja because of excessive complications, but Dr. Balasundrum  has spoken to a few other people who have promised monetary support to make the difference.

Her case is very compelling! It must be horrible to be 12 yrs. old and to have experienced ill health, constant colds and infections all your life. She should have had the operation as a baby. Normally, in America, Surgical Correction is done for TOF between the ages of 6-12 MONTHS!!

I thought these diagrams might be useful to understand her problem. -

Dr. Priyankha Balasundrum

Rotary Club of N. Alexandria, Louissiana

THE LISTED DONORS ARE CREDITED FOR HELPING TO SAVE THIS CHILD

EXPLANATION OF CHART:

On the left hand side is a normal heart.

Normally deoxygenated "used" blood flows from all over the body through the veins, back to the heart.

(BLUE- deoxygenated)

From the Right Atrium (RA) to Right Ventricle (RV) .

From the RV to the Lungs via the Pulmonary Arteries (PA).

In the lungs the blood is "recycled" and fresh oxygen added. (RED- oxygenated)

From the lungs this oxygenated blood flows into the Left Atrium (LA) through the Pulmonary veins.

From the LA to the Left ventricle.

Finally, the "good" oxygenated blood is pumped to the rest of the body from the LV via the Aorta (AO)- the largest artery.

Blood only flows in one direction and back flow is prevented by the presence of valves.

The Left picture shows what happens in a child with TOF.

There are FOUR main abnormalities.

1: A Ventral Septal Defect (VSD) i.e. an abnormal hole in the wall or "septa" that divides the right and left ventricles. So "bad" deoxygenated blood from the right ventricle (RV) mixes with the "good" oxygenated blood in the Left ventricle.

    2: There is a narrowing of the valves leading to the pulmonary artery (PA) from the Left Ventricle (LV) – pulmonary stenosis. So less blood flows to the lungs.

3: The Aorta "overrides" or straddles the hole in the septa. So "bad" deoxygenated blood from the Right Ventricle RV which has been mixed with the oxygenated blood from the left ventricle LV, flows into the Aorta and is pumped to the rest of the body – (PURPLE- mixed blood).

4: The final abnormality is thickening (hypertrophy) of the muscular wall of the right ventricle.

The symptoms are present from birth and include:

Difficult feeding (poor feeding habits)

Failure to gain weight

Poor development Cyanosis which becomes more pronounced during periods of agitation

Passing out

Sudden death

Clubbing of fingers (skin or bone enlargement around the finger nails)

Squatting during episodes of cyanosis

Repeated infections

Shortness of breath aggravated by exercise

The reason Sindujas problem is more complex is that she ALSO has an Atrial Septal Defect ASD, an abnormal hole in the wall or "septa" between the right and left atria.

CONTRIBUTIONS RECEIVED:

 CONTRIBUTIONS WILL BE UPDATED AS FUNDS ARE RECEIVED:
Rotarian: Barry Moreland
Isabella Moreland
Rotary Club of Calgary, Calgary, Canada
 
Rotarian: Peter Oleschuk
Great Neck, NY Rotary Club, Valley Stream, NY USA
 
Rotarian: Todd Lindley
District Rotary Foundation Chairman RC of Overland,
Missouri, USA D6060
 
Rotarian: Ivan Polacek
Provisional RC of Shanghai, China D3450
 
Rotarian: Father John Sheehan, S.J.
RC of Victoria Island, Lagos, Nigeria
 
Rotarian: Adolfo De Coene
Rotary Club of Mallorca, Spain
 
Rotarian: Ann Godwin
and her Late Husband, Richard
Rotary Club of Valley Center, Ca. District 5340
 
Rotary Club of Calgary-Chinook
Calgary, Alberta, Canada
$1000.00 (Canadian)
 
Provisional Rotary Club of Shanghai
Shanghai, China  D3450
 
Rotarian: Willian Skinner
Durham, New Hampshire, USA
 
Rotarian: Richard Bielefield
RC of Littleton, New Hampshire, USA, D7850
 
Rotarian: Roger Kemp -D7950
RC of Bourne-Sandwich, Massachusetts, USA
 
Rotarian: Dr. Dave Bickell - 5360
RC of Calgary-East, Calgary, Alberta Canada
 
Rotarian: Joel Bagage
RC of Arbois-Poligny-Salins, France, D1680
 
Rotarian: Philip Merritt
RC of Mabalacat, Philippines, D3790
 
Rotarian: Wayne McKinnon
RC of St. Thomas, Ontario, Canada  D6330
 
Rotarian: Phil Dotts and Vee Dotts
RC of Brawley, California, USA  D5340
 
Rotarian: Mary Ellen Munyon
RC of Phoenix Mid-Town, Phoenix, Az. USA D5490
 
Rotarian: Kevin and Lu Purcell
RC of Torrington, Connecticut, USA  D7890
 
Rotary Club of Torrington, Ct. USA
Torrington, Connecticut, USA D7890
 
Rotary Club of Conwy
North Wales, United Kingdom, D 1180
 
Rotarian: Bruce Latto
RC of Ellon, Aberdeenshire, United Kingdom D1010
 
David Heenan
 
Rotarians: Mark Howison and Barbara Edwards
RC of Perris, in Nuevo, California, USA D5330
 
Rotarian:Harold Soderlund
RC of Wawa, Ontario, Canada D6290
 
Rotarian: Chip Ross
RC of Strathcona Sunrise, British Columbia,Ca  D5020
 
U.S. Postal Service: Carl Alongi
Freeport, NY USA
 
Rotarian: Gavin Howell
RC of Port Alberni, British Columbia, Canada D5020
 
Rotarian: Dr. Frank & Donna Minissale Jr.
RC of Valley Stream, NY USA - D7250
 
Rotarian: Dr. Priyankha Balasundaram
RC of S. Alexandria, Alexandria, LA
 
Rotarian: Ron and Gloria Nethercutt
RC of Malabacat, Philippines, D3790
 
Rotarian: Giovanna McKay
RC of Waling-Waling, Davao, Philippines, D3860
 
Rotarian: Art and Averill McCullough
RC of Escondido Sunrise, California  D5340
 
Rotarian: Guillermo Proskauer
RC of Tijuana Centro, Tijuana, Mexico D4100
 
Rotarian: John F. Capri PDG and Sandy
Glen Head RC, Glen Head, NY D 7250
 
Rotarian: Lori Wood
RC of Littleton, Massachusetts USA D7910
 
Rotarian: Vaneeta Kaur Grover
RC of Hamilton-McMaster,Ontario, Canada, D7090
 
Rotarian: Rhonda Syler
RC of East Columbus, Georgia, USA D6900
 
Anonymous Cardiovascular
Surgical Association (to be announced)

Danny Thomas, echoed a thought that inspires our purpose:

"That a child should die before his time is, to me, simply unacceptable."

 

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