A good outcome

Thien Nhan is getting "back on his foot" following his latest round of surgeryin Hanoi. The 5-year-old is healing well and is in good spirits.

All of the 31 other boys who underwent genital surgery at the Hanoi Paediatrics Hospital have also returned home to their families. The all-volunteer surgical team, which included Italian, American and Vietnamese specialists, were pleased with the outcomes of all 32 operations.

Fundraising is now underway to raise money for another 60+ Vietnamese boys to receive surgery to repair or rebuild damaged or malformed genitals.

Thien Nhan Recovering

Thien Nhan's latest surgery at the Hanoi National Pediatric Hospital went well, although he remains in considerable pain and is having trouble sleeping. "He doesn't complain but I hear him crying quietly at night," says his mum, Mai Anh. "The first days are the worst."

Two days ago Thien Nhan, now 5, underwent his third surgery to repair his genitals, which were badly damaged when he was abandoned at birth in the jungle near Danang and mauled by wild animals. His first two surgeries were performed in the US and in Italy.

It is expected that Thien Nhan will require two more surgeries, plus lifelong hormone replacement therapy to help him to mature normally. He is a bright, active and very determined little boy, who loves video games, cake and playing with his brothers.

Thien Nhan's big dream is to get a high-tech, "robot" prosthetic limb that will allow him to walk and run. Due to his very short leg-stump, previous prosthetics have proven unusable. He moves around by hopping on his left leg, which is hard as steel.

WHERE TO DONATE

At the end of October, three Italian specialists in genital reconstruction will travel to Vietnam to perform genital surgery on 32 little boys. Thanks to these surgeons, who are waiving their fees, and other volunteers, these difficult procedures will cost just $1,500 per child.

While this is an extraordinarily great deal, it still adds up to US$50,000 for the first set of 32 little boys. Another 63 boys are on a waiting list for future surgeries. We are desperate for donations to ensure that as many kids as possible can undergo this life-changing surgery. If you are able to support this worthy cause, funds can be sent to these bank accounts:

Account name: Tran Mai Anh & Greig Craft for Thien Nhan surgery

Account number: 5690849

ANZ Bank - 14 Ly Thai To, Hanoi

Bank name: Citibank N.A, HCMC Branch

Address: 115 Nguyen Hue Blvd, Dist 1, HCMC

A/c name: Asia Injury Prevention Foundation

A/c #: 0-300411-002 (USD)

0-300411-029 (VND)

Please write "DONATION FOR DR.DECASTRO GENITAL SURGERY" in the subject line.

Thank you!

Medical Mission: 95 Kids in Need

Since Thien Nhan's first round of phalloplasty surgery, we've been inundated by requests for help from dozens of other families in Vietnam whose sons are suffering from malformations or traumatic loss of their genitals. In light of all that we have learned and experienced in the past five years, I feel a strong moral obligation to "give back" to others.

Thien Nhan has experienced complications and will require two more genital surgeries. In light of the prohibitive costs, we invited the Italian specialist, Dr. DeCastro, to come to Vietnam - and he generously agreed. In three weeks' time Dr. DeCastro will perform surgeries in Hanoi on 32 young patients - including Thien Nhan, at a cost of $1,500 per sugery. Fantastic!

This was a difficult decision for us, because it involves limiting the funds that could be given to Thien Nhan, who still has many unmet needs, including a working prosthetic limb, physio and educational costs. We hope that Thien Nhan's champions will continue to support him. That said, we also hope to find more donors to help other kids facing similar hardships. There are 95 children in Vietnam awaiting this surgery. Within the next nine months they could ALL receive this life-changing surgery - if we can find funding.

If you can help, please email me at gcraft001@gmail.com


Sincerely yours,

Greig Craft

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.]

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.

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].

Help for Manh

Some months ago, we posted a note on Thien Nhan's blog about another little Vietnamese boy named Le Duc Manh who needs help, as he had suffered disfiguring burns as a result of domestic violence. Thanks to reader Ngoc Nga Dang, of Canada, for her offer to help little Manh. As Ms. Nga wrote: "I cannot stand to see another being in pain. My help may not be much, but little drops of water will amount to a river, right?"

We couldn't agree more! If you're able to help Manh or other desperately sick or injured kids in Vietnam, please contact Sam at samsey2@ncf.ca

The Unstoppable CC Lee

This time round, readers and colleagues of Singaporean comic artist CC Lee sent in S$1,947, or US$1,423 to help Thien Nhan! As well as donating all proceeds from the sales of his books and t-shirts to the tot, plus footing shipping costs, Mr. Lee threw in US$177 to bring his latest Pay Pal transfer up to US$1,600. To date, this wonderful man has helped to raise S$6,643 (almost US$5,000) for Thien Nhan. Check out Lee's comics at http://chewonitcomics.blogspot.com/

Thanks again Singapore!

Growing Boy

This afternoon Thien Nhan will go back to VietCot, a center that trains prosthetic technicians in Hanoi, to be fitted for a new prosthetic limb. Since being adopted just over nine weeks ago he has grown by several inches and needs a longer prosthesis.