Financial Assistance for Joan Rivamonte and Baby Precious Roan

TL;DR

A few weeks prior to admission, Joan consulted her physician because of vomiting and persistence of pain on her abdomen.

April 28, 2021, Joan was rushed to the hospital due to persistence of pain on her abdomen. Lab tests were done which showed partially contracted gallbladder with lithiasis in the common bile duct, hepatic lesion.

May 4, 2021, she was still 31 weeks pregnant but she underwent emergency Primary Cesarean Section due to Low Normal Amniotic Fluid.

Joan will be discharged on May 11, 2021 but baby Precious Roan still needs to recover in the NICU. Joan’s running bill is PHP 615,333.82 while baby Roan's running bill is Php 173,570.92. Baby Roan also needs to stay in the hospital for 2 more months with a daily bill of Php 20,000/day.

Joan needs our prayers as well as our financial support.

If you want to donate directly, please send it to any of the following channels:

• BDO ACCOUNT:
  • Account Name: Joan Kristine Rivamonte
  • Account Number: 002880429222
• GCASH: 09272451135
• BPI

PS. We are having issues with Paypal account creation that's why this campaign is in USD. Please transfer it directly to Joan's bank account listed above as we haven't setup the withdrawal on this campaign's ewallet yet, or message us on https://www.facebook.com/titasofsml/ for more details.

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Date of Admission: April 28, 2021

Brief History:

Three weeks prior to admission, patient noted vomiting of previously ingested food. 1/2 cup per episode with associated epigastric pail, burning in character 5/10 in severity. She self medicated with Hydrite with no relief of symptoms.

Two weeks prior to admission. patient sought consult with her attending physician and WFS prescribed with Ranitidine 150mg once a day. There was relief of vomiting but persistence of pain radiating to the left upper quadrant and back.

One week prior to admission, there was persistence of pain She consulted with attending physician and Ultrasound of the Upper Abdomen was requested. She was referred to a surgeon and was advised Magnetic Resonance Cholangiopancrealography (MRCP) and pain medications.

Two days prior to admission, there was persistence of pain with note of fever, chills, tee-colored urine and shortness of breath.

One day prior to admission, there was persistence of pain. She sought consult et the Emergency Room and was referred to the Surgery and Medicine service. She was still advised to undergo MRCP and to be admitted, however patient and relative refused, and patient was eventually sent home

Few hours prior to admission, there was persistence of pain respite medications. She sought consult at the Emergency Room and was then admitted.

On admission, patient was placed on nothing per orem. She was started on intravenous fluid, antibiotics and pain medications She was referred to Surgery and IM-Gastroenterology service for co-management. She was requested additional laboratory workup She had Magnetic Resonance Cholangiopancreatography done which showed partially contracted gall bladder with lithiasis in the common bile duct, hepatic lesion. cyst at pancreatic tail and bilateral pleural effusion She then underwent Ultrasound-guided aspiration of abscess on the left hepatic lobe.

On the seventh hospital day. she underwent Primary Cesarean Section, Cholecystectomy. Intraoperative cholangiogram. Common bile duct exploration. T-tube cholangiogram, Hepatotomy, liver biopsy, JP drainage. Patient tolerated the procedure. She was transfused one unit packed RBC prior to the procedure and was transfused 3 more units after the procedure. Post-operatively, patient's diet was gradually progressed. On the third post-operative day, antibiotics were shifted to oral form. Pain medications were continued.

Final Diagnosis

G1P1 (100) PREGNANCY UTERINE 31 4/7 WEEKS AOG DELIVERED VIA PRIMARY LOW SEGMENT TRANSVERSE CESAREAN SECTION FOR LOW NORMAL AMNIOTIC FLUID INDEX WITH ADHESIOLYSIS, CHOLECYSTECTOMY INTRAOPERATIVE CHOLANGIOGRAM. COMMON BILE DUCT EXPLORATION, T-TUBE CHOLANGIOGRAM, HEPATOTOMY, LIVER BIOPSY, JP DRAINAGE UNDER EPIDURAL-ENDOTRACEHAL ANESTHESIA PRETER M. CEPHALIC (LEFT OCCIPUT POSTERIOR) LIVE FEMALE NEONATE f3W 1389 GRAMS (3LBS 10Z) APPROPRIATE FOR GESTATIONAL AGE. BL 40CM, AS 8,9, BS 31 WEEKS CHRONIC CALCULOUS CHOLECYSTITIS, MIRIZZI SYNDROME. LIVER ABSCESS (SEGMENT 2)