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Haiti Eye Care Symposium. Mildred MG Olivier, M.D. Associate Professor Rosalind Franklin University of Medicine and Science May 18-20, 2012 AAO Haiti Task Force Member. Financial Disclosure. No financial interest in this talk Haitian-American
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Haiti Eye Care Symposium Mildred MG Olivier, M.D. Associate Professor Rosalind Franklin University of Medicine and Science May 18-20, 2012 AAO Haiti Task Force Member
Financial Disclosure • No financial interest in this talk • Haitian-American • First “mission trip” 1993 with John Mitchell to Mirbalais
AAO Task Force for Haiti Recovery David W. Parke II MD, ex-officio Robert Butner, MD Claude Cowan, MD Mildred MG Olivier, MD Daniel LaRoche, MD Richard Lee, MD Stephanie Marioneaux, MD Nelson Marques, chair, Pan American Ophthalmological Foundation Kaz Soong, MD 100 percent of donations sent to Haiti
Hospital Bernard Mevs Project Medishare Overview • 50 bed trauma and critical care hospital • Employs: • 44 Haitian Nurses • 22 Haitian Physicians • 70 Support Staff and Administration
Comprehensive Outpatient Services • General outpatient clinic with a pediatrician, two family medicine doctors, an OB/GYN, a dermatologist and HIV care • Wound care • Physical therapy • Surgical consultations • Urgent Care Center (24/7)*
Emergency Services • Staff and equipped to triage and stabilize critical patients • Intensive care unit available to very critical patients • Expanding access to critical and trauma care in Haiti through training staff at HBMPM (pilot) and to add other sites as this project develops sustainability
Radiology • Unique Radiology program including a 16-slice CT Scanner
Surgical Expertise and Services • 2 (soon to be 3) state of the art operating rooms • Specialties include: General, Orthopedics, Ophthalmology, Obstetrics and Neurosurgery
Funding and operational model • Operations in partnership with Project Medishare • Grants • Food for the Poor • American Red Cross • Rotary International • Knights of Columbus • Lions Club (UK –Carterton and Witney) • Private donations • Individual donors • Patient revenues *New* • Begin charging insurance and wealthier patients to subsidize free care
Social Impact 60,000 patients seen a year…
Current Ophthalmology Program • Launch of outpatient and surgical program in May 2012 • 37 patients operated and 150 screened • MOU with the Haitian Society of Ophthalmology • State of the art equipment and supply donations from Alcon, physicians and other hospitals
Partners and contributers • Pan-American Association of Ophthalmology (PAAO) • American Academy of Ophthalmology (AAO) • Haitian Society of Ophthalmology (HSO) • University of Miami • Alcon • Medical Missions International • DSC Logistics and Direct Relief International • American Glaucoma Society (AGS) • Northwest Community Hospital and Sherman Hospital
Vision "My hope is to have a full-functioning, sub-specialty eye clinic where continual skills transfer can be done. That way volunteer PAAO and AAO members can confer state of the art ophthalmological techniques to Haitian clinicians. We want to raise the bar for trainings” Mildred M. G. Olivier, M.D.
?? Mission Impossible?? • Procure: Ophthalmic equipment • Logistics: Pack equipment Transport to Port of Miami Ship to Haiti ?Boat? Air • Budget: $0
The 6 “C”’s of Teamwork • Compassion with Commitment • Connections • Communication • Cooperation • Courtesy & Respect
Compassion with CommitmentGoal: Provide equipment to broadly re-establish ophthalmic services in earthquake ravaged Haiti • Identify the need: • HSO, Volunteers • Outline a strategy for procurement, packing & shipping – Pro Bono • Consultwith Haitian Society of Ophthalmology re: distribution • Picture of broken slit lamp & damaged building
Connections AAO received offers of donated equipment- Jane Aguirre , VP of Global Alliances & Annamarie Hastings Social networking- Facebook: Earthquake survivors & friends, Gregory Mevs- Clinton Foundation; Food for the Poor, Fed Ex, patients Contacts Ophthalmic Equipment companies USAID, State Department NGO’s – Physicians for Peace, Partners in Health
Communication • Broadcast your challenge- friends, family, colleagues, patients, businesses • Immediate follow up on all leads • Negotiate : Humanitarian= pro bono • TV Coverage – ABC, WHRO, NBC • Email “Trail”
Media Coverage • CBS • ABC • Nightline • World News Tonight • NBC • WGN • CNN • Daily Herald • Chicago Tribune
Cooperation • AAO Staff • Refer donations to sub committee • Catalog all pro bono donations & contact info. • Follow up with Tax exempt donation letters • Haitian Society of Ophthalmology • Identify & respect their needs • Keep them up to date • They decide on distribution
What We Accomplished • 5 complete rooms of ophthalmic equipment( Lombart Instrument) • 14,000 pairs of reading glasses (Physicians for Peace) • 8000 bottles of prescription eye drops( Allergan) • SLT Laser • Shipped by the Clinton Foundation • Arrived April 2, 2010 in Port au Prince, Haiti
Donations cont- • Complete , 2 exam room satellite office (Drs. Cheryl Powell & Lori Moore) • SLT laser (Dr. Mildred Olivier) • 6 new Topcon Chairs • 2 Slit lamps
Total donations • Potential for 10 rooms of equipment • SLT and Yag Laser • 11,000 bottles of prescription eye drops • Phaco machine • Ophthalmic Books and Surgical Video’s • Panoptic Ophthalmoscope and Lenses • Provizion Camera with Computer
Courtesy • Thank everyone & thank them often • Recognize hard work & generosity Formal thank you notes, mail, email, verbally • Tax deductible letters confirming donations
Thanks to • Dr. Stephanie Marioneaux • Dr. Brigitte Hudicourt • WHRO- Barbara Hamm • WHRO-Lisa Godley • ABC-Barbara Ciarra • Chicago- • Dr. Mike Brennan • Dr. David Parke • Lombart Instrument • MSI • Dixie Crating • Topcon • Allergan • Drs. Cheryl Powell & Lori Moore • Agape Church • AAO Task Force for Haiti Recovery • PhillippeChatelain • Inspire Pharmaceuticals • Kiwanis International • AAO Staff • Alcon Foundation • Lisa Jones Johnson • Gregory Mevs • Physicians for Peace • Clinton Foundation • USAID/State Dept.
AAO- Visiting Professor • Volunteer List • Subspecialty Representation • Oculoplastics • Glaucoma • Pediatrics • Training tech staff
HUEH Clinic and Post operative Area • Luc Nozier – Phaco – India • Beatrice Valerius – Pediatric – Bascom Palmer • Mike Maingrette – Phaco and Glaucoma- India and Bascom Palmer • Don Hernshelown- Retina- North Carolina • Regine Edward – Phaco – Argentina • Bio Medical individuals – • Raymond and two others
One or more operating rooms entirely devoted to eye care, An eye care clinic mainly aimed at the economically poor, but possibly with a part time profit use in order to help with the costs. A 24 hour emergency care unit. One major center for providing all levels of eye care education. A center for the formation and training or residents in Ophthalmology A center for sub-specialty training. A community eye care health center. A major clinical research center for eye care
List of Donations • 4 chairs • 1 lateral file cabinet • 3 horizontal file • 4 horizontal file • 2 small bookcases • 2 large cabinets • 4 small cabinets • 2 wheel chairs • 3 small fridges • 6 operating lights • 1 blanket warmer on wheels • 8 carts on wheels • 2 sterilizers • 3 medical beds • 41 lockers • 20 miscellaneous pieces of electronic equipment • 3 TVs Goldman Humphrey Machine Corneal Endothelial Cell Count SD- OCT A Scan
Total donations • Potential for 20 rooms of equipment • 2-3 SLT’s and 2 Yag Lasers • 15,000 bottles of prescription eye drops • 14,000 reading glasses • Phaco machine AMO, Infiniti • Ophthalmic Books and Surgical Video’s • Panoptic Ophthalmoscope and Lenses • Provizion Camera with Computer
Dr. Hudicourt taking inventory of donated Instruments by Khosla Medical Instruments, brought by Dr. Laroche
Dinner Gathering with the Haitian Society of Ophthalmology at Papaye restaurant In Petionville, First time the group got together after the earthquake,