Thien Nhan Video

Click on the title to see a video of Thien Nhan, taken nine hours after he got out of surgery. He continues to heal well and is looking forward to returning to Hanoi to play with his cousins and his 5-year-old brother, Little Minh.

Good boy

Thien Nhan continues to recover well. "He is being such a good and brave little boy," says his mum, Mai Anh. "But of course he misses home and wants to see his brother, Little Minh, and to be able to get up and play normally."

Today, Thien Nhan is meeting prosthetic experts from a nearby prosthetic center in Bologne. "I hope that they'll be able to find a good solution for him," says Mai Anh. Because the stump of Thien Nhan's right leg is very short, to date, it has proven impossible to attach a prosthetic limb that has enough stability to allow him to walk comfortably.

"After his genitals heal, my next big goal is to help find a way for him to walk," says Mai Anh.

Family Support

"Thien Nhan is able to sit up and is eating well," reports his mum, Mai Anh. Indeed, the 4-year-old is recovering so well that his doctors may allow him to check out early and fly home to Vietnam. "We hope to go home this coming weekend," says Mai Anh. This is good news for Thien Nhan's brother Little Minh, 5, who is back in Hanoi, where he misses his brothers and his mum.

An early return to Asia would also be good news for Thien Nhan's godparents, Greig Craft and Na Huong, who organized this child's life-changing medical mission and accompanied him to Italy. Over the years, Greig and Na Huong have repeatedly taken time off from their demanding jobs in Hanoi to organize and accompany Thien Nhan on trips to see specialists in the USA, Germany, Thailand, and now Italy. All of these journeys have been made at their own expense, and caused considerable disruptions to their busy schedules.

While Thien Nhan had a rough start in life, he is lucky to have found such fantastic godparents!

[Photo shows Greig Craft and Big Minh comforting Thien Nhan.]

Recovering

Thien Nhan spent two days in Intensive Care, but is now recovering well. He is in pain, but his discomfort is being managed with medication. A risk of complications remain, especially pulmonary issues, as fluid can easily accumulate in the lungs of youngsters of Thien Nhan's age post-surgery.

As advised before the surgery, an additional urological surgery will be required in 6 to 9 months. But the goal of this surgery - to rebuild the boy's genitals - seems to be an outstanding success.

"Without going into graphic detail, suffice it to say that he looks 100% normal," says Greig Craft, the American philanthropist who, over the past 4 years, has been instrumental in organizing Thien Nhan's medical care. "Because the revolutionary technique of Dr. De Castro involves creating a penis from the pubic area, where flaps are cut from the side and formed to create a natural-looking, age-appropriate and functioning penis, the end result is stunning. Because this is from his body it will grow with him through puberty, as would his original penis."

The child's scrotum was also rebuilt, and a prosthetic testicle inserted. When he gets bigger, another testicle will be added.

[Photo shows the surgeon who led Thien Nhan's reconstructive surgery, Dr. De Castro, changing the boy's bandages.]

Then and Now

Four years ago, shortly after birth, Thien Nhan was abandoned on the edge of a forest in Central Vietnam. He lay in the open for three days and was badly mauled by wild animals. Found by passerby, the horrifically injured baby was transported 2.5 hours by motorbike to the nearest hospital, where doctors performed life-saving surgery. Unfortunately, the child's right leg was lost and his genitals were badly damaged.

Last week, Thien Nhan, now 4, underwent another life-changing surgery in Bologne, Italy. Surgeons worked for more than 8 hours to rebuild the boy's penis and insert prosthetic testes. "The surgeons say everything went well and he is recovering," reports Thien Nhan's relieved mum, Mai Anh. Full recovery is expected to take three months.

[Top left photo: Thien Nhan recovering from surgery in Bologne, Italy. Top right photo: Thien Nhan in Intensive Care as a newborn in Central Vietnam.]

Best Big Brother

While Thien Nhan's recovery seems to be progressing smoothly, he remains in considerable pain and is on strong medication. Whenever the 4-year-old wakes up, he immediately looks for his beloved brother, Big Minh.

Here, Big Minh is helping Thien Nhan to get a drink of water.

Good news

After about eight hours in surgery, Thien Nhan, 4, is recovering well. The surgeons are confident that the procedure to insert prosthetic testicles, extract the child's penis from beneath a covering of skin, and extend it was a success.

"His penis will be normal size for his age and look normal in about three months," said Thien Nhan's mum, Mai Anh. "It should be able to grow with him and have sensation."

Obviously, it had been a long day for Mai Anh, who was very relieved that the surgery was a success. Speaking at around midnight last night (Vietnam time), she said: "Thien Nhan is still groggy. When he woke up from the surgery his eyes were full of tears. He saw me there and he said: 'I didn't cry, Mummy. It doesn't hurt so don't worry. 'Since then, he's woken up a few more times and told me that he didn't cry."

Thien Nhan must remain in hospital in Bologne Italy for another two to three weeks, to recover from this major procedure.

Waiting...

Yesterday, Thien Nhan underwent four hours of medical tests and was declared healthy enough to undergo surgery tomorrow. The operation will start at 2pm Vietnam-time on Saturday January 29th. The surgery is expected to take around eight hours.

"Today we will rest around the hotel," says Thien Nhan's mum, Mai Anh, who admits that waiting is tough.

"Thien Nhan knows that the operation will hurt and be bloody," says Mai Anh. "But he told his brother Big Minh that he isn't scared. He said that everything will be fine and he'll have a penis like his other brother Little Minh's."

Hungry

When Thien Nhan, his mum and brother arrived at their hotel in Bologne in the middle of the night, there was nothing to eat. "Go to sleep now and we'll eat in the morning," said Thien Nhan's mum, Mai Anh.

Unfortunately, in the morning Mai Anh learned that Thien Nhan wasn't allowed to eat until after he'd had some medical tests.

"Mum, I'm so hungry," said Thien Nhan.

"I know love," said Mai Anh. "I'm so sorry but you must wait. I'm hungry too."

"So why don't you have some bread?" said Thien Nhan.

"No," said Mai Anh. "When you can eat, I'll eat too."

"You should have some bread."

"But you're not allowed to eat yet."

"Go on, Mum. Eat something now. I'll eat after I've had my check up," said Thien Nhan.

Mai Anh was so proud of her brave little boy, and so touched by his concern for her.

[Photo shows a tired and hungry Thien Nhan waiting to see specialists.]

At the Hospital

After a long trip, Thien Nhan arrived safely in Bologne, Italy. "He was a good boy on the flight and ate and slept well," says his mum, Mai Anh. "We are all tired but happy to be here."

This morning, Thien Nhan will see doctors for a pre-surgery consultation. The surgeon needs to be sure that he is healthy enough to withstand such a lengthy and difficult operation.

Bon Voyage

Along with trip organizers and longtime supporters Na Huong and Greig Craft, Thien Nhan, his mom Mai Anh and his 12-year-old brother Big Minh boarded a flight to Paris last night at midnight. Their final destination is Bologne, Italy, where Thien Nhan, 4, is to undergo genital surgery on January 29th.

As the group sat waiting at Hanoi's Noi Bai airport, Mai Anh admitted to being nervous about Thien Nhan's upcoming surgery. "I'm sure that Thien Nhan will sleep on the plane," she said. "But I doubt that I will."

[Photo: Thien Nhan (right) and his brother Little Minh check out some new toys that Thien Nhan will bring on his trip to Italy.]

Getting ready

Because Thien Nhan is leaving for Italy tomorrow (Tuesday) night - and nobody wants him to catch a cold at school - he is staying home today. His mum, Mai Anh, is busy collecting warm clothes and packing for their trip.

Mai Anh, Thien Nhan, and Thien Nhan's eldest brother Big Minh will spend Vietnam's biggest festival, the Tet Lunar New Year, in Italy. Following his genital surgery, Thien Nhan must spend two to three weeks in hospital.

To prepare for the Lunar New Year, everybody in Vietnam gets a haircut, buys new clothes and makes themselves look as good as possible. Here's a photo of Thien Nhan's maternal grandpa or Ong Ngoai helping Thien Nhan to look extra handsome.

Italy: one week to go...

The countdown is on! In just one week, Thien Nhan will fly to Bologna, Italy, to undergo the most important surgery of his young life.

Dr. Roberto DeCastro, one of the world's leading experts in genital reconstruction, will rebuild an age-appropriate sized penis and scrotum and insert prosthetic testicles. Because some nerves in Thien Nhan's groin are undamaged, the penis should have sensation, and should continue to grow as he matures.

This complex surgery will take seven to nine hours. Recovery time is estimated at 14 to 20 days. All being well, this is the most difficult surgery that Thien Nhan, who's now four years old, will have to endure.

After a sizeable discount the surgery will cost US$45,000. Travel and three weeks' accomodation in Italy will add around another US$20,000.

Luckily, Thien Nhan's champion, Singaporean cartoonist CC Lee http://chewonitcomics.blogspot.com/, has come through yet again. From May to December 2010, CC Lee raised an astounding US$13,755 towards Thien Nhan's medical care. As usual, he topped up the donations with his own money and handed over US$14,000.

In all, CC Lee, his readers and colleagues have donated US$77, 600 to help Thien Nhan. We are overwhelmed by the generosity of CC Lee and his fellow Singaporeans!

Thank you, Singapore!

[Photo shows Thien Nhan and his schoolmates doing their morning exercises].

Merry Christmas!

Happy Holidays!

Here's a photo of Thien Nhan (shortest, in center) celebrating Christmas with his preschool classmates.

Sorry for the long blog-silence but Elka, who runs Thien Nhan's English blog, has had vision trouble. Health-wise, this has also been a tough year for Thien Nhan's mum Mai Anh, but the whole family is looking forward to a healthy, happy and succesful 2011!

In just a few weeks Thien Nhan, 4, will be heading to Italy, where he's to undergo reconstructive surgery with one of the world's leading experts in male genital reconstruction. In preparation, Thien Nhan has been getting hormone injections for some months.

Thien Nhan and his family wish all of you a festive Christmas & New Year!