L’AMHE à L’Hôpital Justinien

1. L’AMHE à L’HôpitalJustinien 2009 – 2013 Louis J Auguste, MD

2. Background • Visiting Professor Programs at HUEH • Initiated under the Presidency of Yves Manigat, MD • 1999 • Participation in the SHONC Annual Conventions • Annual AMH Congresses • Lectures at HUEH • Interruption of the Program • Departure of Marie-Eveline Moise, MD • Political Turmoil – Strikes – Threats to Students etc

3. The Beginning • Decision made to continue the Program in more Stable environment • Annual Cruise Convention of AMHE/NJ Chapter 2009 • Meeting with Drs. Guerline Roney, Marlyse Dominique and Jean-Lenic Joseph • When, Where, Who, How

4. The Concept • To raise the level of medical care in Haiti • (one physician at a time) • To empower the Haitian Health Care professional to practice better medicine • To support the national health system with learning material, medications and equipment • To cooperate with the local resources so that our impact may last beyond our physical stay in the country

5. Missions of AMHE to Justinien Hospital • 1st Mission: November 23 – 27, 2009 • L. J. Auguste A. Dufresne Y. Manigat • D. Westerband L. H. Thelusmond • 2nd Mission: May 22 – 29, 2010 • L.J. Auguste M.F. Conde J. Garvey J. Satterfield • 3rd Mission: • P. Nacier S. Grisseau W. Macenat • 4th Mission: February 26 –March 2, 2012 • L G Angus LJ Auguste C. Bijoux M. Coles MC Dejoie-Robinson Y. Ducheine I. Jean-Pierre • G. Laroche H. Leveque A Lihau-N’Kanza F. Momplaisir

6. Vth AMHE Medical Mission • November 10 – 17, 2013 • The Team • Erwin Douyon, MD Trauma Surgeon/Critical care Specialist New Jersey • Alix Dufresne, MD Internal Medicine. Cardiology Brooklyn, NY • Maxime Coles, MD Orthopedist/Trauma Surgeon Newport, ME • Danielle Colwell, RN OR Nurse North Shore-LIJ System • Arvin K. George, MD Urologist North Shore-LIJ System • Jamie Golden, MD PGY 2- Surgery North Shore-LIJ System • Jacques Guillaume, MD Obsterician/Gynecologist Brooklyn, NY • Jean-Baptiste Jasmin, MD General Surgeon Boca Raton, Florida • Michel Jasmin, RN Pediatric Nurse Boca Raton, FL • Anne Lihau-N’Kanza, MD Trauma Surgeon/Critical care Specialist New Jersey • David Livingston, MD Anesthesiologist North Shore/LIJ System • Jean-Michel Loubeau, MD General and Vascular Surgeon Larchmont, NY • Patricia Loubeau, RN, PhD Professor of Marketing Larchmont, NY • Sanique Lubin, RN OR Nurse North Shore/LIJ System • Joelle Pierre, MD Pediatric Surgeon Buffalo, NY • Cosandre Romain, MD PGY 1-Surgery North Shore/LIJ System • Laalitha Surapaneni, MD PGY 2- Medicine Cleveland, Ohio • Louis Herve Thelusmond, MD Internal Medicine/Cardiology Brooklyn, NY • Andrew Tyan, MD PGY 2- Radiology Minneapolis, MN • Dany Westerband, MD Trauma Surgeon/Critical Care Specialist Maryland • Nadine Zekam, MD Obstetrician/Gynecologist Jackson, MS • Michael Ziegelbaum, MD Urologist North Shore/LIJ System • Louis J. Auguste, MD Surgical oncologist/General Surgeon North Shore/LIJ System

7. Achievements • Creation of the Residents Library • Distribution of oral Hydrating solution, IV fluids and antibiotics at the peak of the Cholera epidemic • EKG and Echocardiography courses • Two Seminars on Diabetes mellitus • Grant to provide Insulin to Type 1 Diabetics for 1 year • Advanced Trauma Management Training • Purchase of manikins for life support training • More than 150 lectures to Surgery, Medicine, Urology, Pediatrics, Ob/GYN, Family Medicine, Anesthesiology, Orthopedics residents

8. Achievements • Large supply of medications at each visit • (HTN, DM, Asthma, PUD antibiotics, etc…) • Donation of 3 EKG machines, 1 Defibrillator, 1 Doppler machine and > 30 glucometers • Shipping of several tons of medical material and equipment from North Shore/LIJ Health System • Internet Access for two years (P. Nacier) • Observership at Brooklyn Hospital (P. Nacier and Simact)

9. Impact • Recognition of AMHE as a significant player and a Partner in the Field of Health Care in Haiti • News media • Greater participation of Non Haitian Physicians and other Health care professionals in the effort with the AMHE concept • Possible creation of regular residency rotations in Haiti • Coalescence and integration of the multiple efforts initiated by foreign groups in Haiti

10. IVth AMHE Mission

11. Vth AMHE Mission to Justinien

12. Advanced Trauma Course in Cap-Haitien

13. Urologists at Justinien

14. Future of the Program • Continuity is Key – Extend the concept to other cities • Trauma and Cardiac courses in other cities • Collection of Supplies from North Shore/LIJ • Pet Project : Tele-Pathology • Perhaps Joint Venture with the private sector • NEEDS Funding Newsletter to Donors TAX forms for Donors

15. Liste of Items Needed at HUEH • List of items needed in the Operating Room of HUEH • Kick buckets • Mayo Tables • Regular OR tables • Orthopedic Tables • Suture Materials • Disposable cautery plates • Disposable Scrub suits, Boots, Masks and caps • Sterile Gloves (All sizes) • Sterile surgical drapes • Paper wraps for sterilization of surgical trays and instrument sets • Betadine brushes • K-Y Jelly • Sterile Gauzes • Overhead lights • Surgical Instruments • Clamps (Allis, Babcock, Towel, Hemostats) • Scalpel handles • Full specialty trays • Pediatric Surgery • Neurosurgery • Vascular surgery • List of Items needed by the Department of Anesthesiology • Pressure Gauge for Oxygen tanks • Anesthetic Agents • Rocuronium • Pancuronium • Halothane • Sevoflurane • Depolarizing agents • EKG monitors • Also • Technical Support for Service and Maintenance of Equipment • Training of local technicians • Calibration of equipment