19
Jun

Gang’s All Here!

In preparation for a big first week, the M4′s divvied up the work – the fearless team leaders spent the morning making last minute adjustments to the travel and housing arrangements while the rest of the students worked on making some important phone calls both to follow up on last year’s patients and to ensure that the patients seen over the weekend would return to Ste. Thérèse to be seen by the surgeons during the upcoming week.

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With most of the final tasks completed, there was not much left to do but buy a few cold beverages in preparation for the reunion with the entire team in the evening. Unfortunately, the search for Prestige, Haiti’s premier lager style beer, was foiled by a regional beer shortage. It seems that this year’s millet harvest, the grain used to brew the beer, was meager at best, leading to some harder times for Haitian farmers and a scarcity of Prestige in the region.

http://www.haitilibre.com/en/news-16286-haiti-agriculture-millet-plantations-ravaged-huge-loss.html

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(A valiant attempt to find beer by one of our interpreters, Des)

But the search for Prestige led the team to discover some of the local sites, and before heading back to the hospital for the evening, a nice walk down to the river was had:

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The rest of the week 1 crew arrived to Ste. Thérèse this evening without too much trouble

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Gang’s all here and excited for the upcoming week!

 

 

 

18
Jun

Byenveni nan Hinche, Haiti

Today’s our third day in Hinche. We spent the morning preparing for everyone’s arrival tomorrow and the afternoon unpacking and organizing our supplies into the supply room at the hospital.

After we finished, we explored more of Hinche. Hinche is the capital of the Centre department in Haiti and is relatively close to the border with the Dominican Republic.The center of town is only a 5-10 minute walk from the hospital. Most of the roads here are unpaved, and small bars/restaurants and stores line the streets. Many buildings and some churches are under construction, but the completed ones are painted in the brightest colors. Goats, chickens and dogs wander around amidst the lush trees. Before we headed back to the hospital, we made a pitstop at Eben-ezer Market for the essentials: snacks and $5 wine.

View outside the hospital complex

View outside the hospital complex

Bar in Hinche

Bar in Hinche

Street in Hinche

Street in Hinche

Liquor store in Hinche

Liquor store in Hinche

Eben-Ezer Market

Eben-Ezer Market

The sun setting outside the hospital complex

The sun setting outside the hospital complex

Packing in Clurb Supplies

Packing in Clurb Supplies

Hinche

Hinche

Hinche

Hinche

The rest of the team arrives tomorrow, and we’re very excited to see everyone!

Signing off,

M4s

17
Jun

Bienvenue nan L’hopital St. Therese

We arrived yesterday to our home base for the next three weeks: Hospital St. Therese in Hinche, Haiti.

Hospital St. Therese is a public hospital in the central plateau region of Haiti, one of the poorest regions in Haiti. The hospital is affiliated with the non-profit Partners in Health/Zanmi Lasante, but otherwise is government funded. As such, the hospital is limited in the services it can provide patients. Laboratory work is usually limited to basic labs such as H&H and creatinine and imaging is limited to X-ray and ultrasound. EKG is available but costs patients $11 US dollars ($1 is about $60 Haitian gourde). IV fluids and oxygen are limited in supply. There is no blood-bank in-house and cross-matching is limited to ABO compatibility. Patients stay in open-air wards, and bring their own sheets, bedpans and food for their stay.

We have partnered with Hospital St. Therese since 2008 and have seen significant changes to the hospital during that time. Dr. Prince Pierre, a previous Haitian senator who also completed cardiothoracic surgical training in Canada, became head medical director of the hospital about two years ago. Since that time, the hospital has developed an ICU and upgraded the OR from two to four rooms. Dr. Prince has hired several new surgeons to work at the hospital as well. And, one of the first nurse practitioner students in Port-au-Prince is continuing to work in Hinche while she completes her degree. We have also encountered new faces this year from the US including a nurse practitioner from UCSF who is helping to develop nursing education for the nursing staff at the hospital, and an internist from UChicago who has been working for several months in the internal medicine clinic. We have also encountered many friendly old faces whom we have worked with before including Dr. Prince, several members of the nursing staff, and our partners at Project Medishare including our translators and Dr. Rony, the medical director for Project Medishare. We look forward to again working with and engaging the various hospital team members and expanding upon our partnerships.

 

Hospital St. Therese

Hospital St. Therese

Dr. Desirald and Dr. Prince

Dr. Desirald and Dr. Prince

 

Men's surgical ward

Men’s surgical ward

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renovated OR

renovated OR

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16
Jun

Surgery Trip 2016: M4s have arrived!

Good evening all!

The fourth year medical students have arrived safely at Hospital St. Therese, Hinche. We arrived with all of our duffle bags intact (which is a feat) and made it through customs unscathed.

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The drive to Hinche was also without issues, and we made it to the Chart House (where we will be staying on the hospital compound) in time for dinner. We stuffed our hungry bellies with fried plantains, fries, goat/chicken, and beef lasagna.

Tomorrow morning we will be meeting with the hospital staff and organizing our supplies to get ready for the upcoming clinic.

 

-M4s signing off

15
Jun

Surgery Trip 2016: Ready for Departure

Dear Friends, Donors, and Colleagues,

Emory Medishare Surgery Trip is almost under way! We have spent the past 10 months coordinating schedules, raising money, and acquiring supplies, medications, and forms. In a few short hours the M4 students including Jesse Rappaport, Justine Broecker, Luke Philipp, Carrie Poorman, Wen Liu, and Maddie Lagina will be heading from Atlanta to Hinche. We will take our flight through Miami to Port-au-Price and then spend 2-3hrs driving over the mountains of Haiti to Hospital St. Therese (HST) in Hinche on the Central Plateau.

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Over the course of the next three weeks, we will be sending two operative teams to work in Hinche. The first team consists of surgeons Dr. Sharma, Dr. Carney, Dr. Parker, and Dr. Haack, and anesthesiologist Dr. O’Reilly-Shah. The second team includes surgeons Dr. Srinivasan and Dr. Broecker and anesthesiologist Dr. Caridi-Sheible. We are also bringing one surgical resident, Dr. Rajdev, two anesthesiology residents, Dr. Macias and Dr. Evans, and one anesthesiology fellow, Dr. Li.

The past couple of weeks the students have been packing our supplies, practicing our skills, and teaching each other about Haiti and Global Surgery.

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This year we have strived to make progress in our past partnerships as well as forge new ones. We started by revamping our patient charts to be more extensive and cohesive. We hope to make the transition of our work back to the hospital easier with a succinct transfer of care cover sheet for the Haitian hospital workers. We have been working closely with the nursing staff at HST and will have our staff conducting various teaching sessions throughout our stay. We hope the expand our care capabilities through additional tests such as urinalysis as well as working closely with local pathologists to pilot a clinical feasibility endeavor for Telepathology.

 

In addition to our work at HST, we will be sending a small team to Hospital Bienfaisance in Pignon, Hinche to foster a new partnership with Promise for Haiti. This will be a shorter trip lead by Dr. Sharma on the first half and Dr. Haack on the second testing our ability to expand our global impact in Haiti. They will be accompanied by anesthesiologist Dr. Lynde and OMFS Dr. Roser who will be assessing for future endeavors.

 

We are looking forward to our trip as it quickly approaches!

We plan to update you along the way with (hopefully) daily updates and pictures.

 

Till Haiti!

 

 

11
Apr

Gearing up for Emory Surgery Trip 2016

Thanks to all of our past supporters!

We are well on our way to make this trip even better than previous years and it would not be possible without your help!

Please share and donate to our following momentum page here: https://momentum.emory.edu/project/2015

11
Jan

Another successful trip for Emory Medishare’s Medicine Team!

Emory Medishare’s medicine team headed down to Haiti for its annual trip November 22-28, 2015.  This trip was led by fourth-year medical students Louisa Wall (in absentia) and Gillian Baptiste.  Students on the trip were Christian Mustroph, Amy Ottensmeyer, Jessie Preslar, Jessica Li, Madison Paul, and Alice Haouzi.  Students were supervised by Jennifer Bracey, Assistant Professor of Internal Medicine, who attended the trip for the third year in a row, and Monica Khan, chief resident in the emergency medicine residency program at Emory.  The team provided primary care to dozens of patients each day at mobile clinics in rural sites surrounding Thomonde.

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02
Aug

Emory Medishare Surgery Trip 2015

Emory Medishare’s surgery team had another successful trip this summer down to Haiti.  We caught up with M4 Erica Ludi to hear her thoughts on the trip.  She told us about one patient interaction that she found particularly meaningful:

Ten years ago, my patient started to get a small hydrocele (fluid collection around the testicle) from playing soccer. Over the last two years, his scrotum had grown to the size of a watermelon with both sides affected. He couldn’t play soccer, couldn’t work and couldn’t have a physical relationship with his girlfriend. We were able to operate on him and drain all the fluid from around the testicles. While the skin was still stretched out and the road to complete recovery may be long, I believe we changed his life, and he’ll be able to fulfill his dream of becoming a police man one day.

They are a compassionate and dignified people. When one patient runs out of water, I see them turn to the patient and family in the bed next to them. Water is quickly shared. I watch them hold their heads high as they walk around the wards. Their suffering is not always minimal after the surgeries but they handle it with grace and positive attitude. I can only hope I will have the opportunity to come back more frequently

Thanks to Erica for sharing, and check back soon for more thoughts on this year’s surgery trip!

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Photo courtesy of Erica Ludi

16
Nov

 

Thursday, November 20, 2014, faculty and resident members of the 2014 surgery trip will be speaking on their experiences in Haiti for this week’s Surgical Grand Rounds.  The talk is open to all and will be held from 6:30-8:30 AM in the Emory University Hospital Auditorium.  Please see the surgery website for more details.  We hope to see you there!

http://www.surgery.emory.edu/news-and-events/surgical-grand-rounds/upcoming_schedule.html

2014 Medishare surgery group in front of Hospital St. Therese in Hinche, Haiti

2014 Medishare surgery group in front of Hospital St. Therese in Hinche, Haiti

Operating room at Hospital St. Therese in Hinche, Haiti

Operating room at Hospital St. Therese in Hinche, Haiti

In the operating room ready to operate

In the operating room ready to operate

19
Oct

Reflecting on the surgery trip

M2 Justine Broecker recently reflected on her experience on the surgery trip in June 2014:

“I learned a great deal of clinical knowledge and skills. I also feel that I came to understand the challenges of medical/surgical humanitarianism, especially the ethical challenges, on a much deeper level which I think is important in order to communicate the importance of Medishare’s goal and to build upon its purpose for the future.  Medishare makes a positive impact on the Haitian patients as well as the medical students who participate in the trips. Thanks to all the the Medishare supporters who made the experience possible!”

Medishare

 

Emory Medishare