This is a blog for anyone interested in telling others of their time in Haiti. It's meant more for us to share stories, and please make any comments you'd like in the box below the posts (no need to sign in). Contact Julian if you would like to post on the blog--we welcome anyone doing health-related work in northern Haiti.

While we welcome discussion on this blog, issues meant for feedback from the Network should be posted on the discussion board by emailing caphealth@yahoogroups.com

Monday, October 31, 2011

Dispensaire de Limonade


The clinic have 2 nurses and 1 assistant nurse, 1 doctor, 2 lab technicians for the lab.
They have 80 people per week. They receive medications from MSPP and ICC.
World food program feeds the people who are pregnant, malnourished and have TB and HIV.
They do receive cholera patients but they send the people to the HHA cholera tents.
Their consultation is free!

CSL Quartier Morin

Today we visited CSL Quartier Morin. The administrator is Francois Marcelaine, and her number is 3855-7566

It is a large facility: 5 Cubans doctors, 2 haitien doctors, 7 nurse and 2 assistant nurses; they have 600-700 people per week.


RMM is an ONG that supports them by paying 3 nurses.

When they received cholera patients they send them to HHA
The people pay 25 gdes for consultations, and additional for medications and tests. They need more employees for the hospital but can't afford to pay them. For example, they have one lab technician to do 50 lab tests at a time; when he comes in he does have time to do all of the labs (but they do not have enough money to pay an additional tech to come in)

Caracol Clinic!

Djail Covsky and I have visited St-Elisabeth clinic in Caracol. The last time we came to the clinic they had a doctor, today we came back and there was not any doctor because Father Joseph could not afford the payments.


The clinic have a mobile clinic every week and they use the ambulance to travel o different communities.



Father Joseph had told us that they have an ambulance that is available for other people to use (other clinics, hospitals, etc.), but the only thing you to be aware of is the person requesting use has to have a driver and gas; it is available anytime to us.

They need and doxycycline and bactrim (antibiotics) are the two most important medications that they need at the clinic. They do have a cholera treatment center in Caracol and that cholera treatment center is receiving 1-5 people per day. MSPP are supporting them with cholera supplies. They have one nurse and two assistant nurses working there. The head nurse is Miss Martine.






Cholera at Grow Project in the village of Soufriere

The cholera treatment unit at Soufriere, an isolated village in the Acul du Nord area, has 8 cases of cholera and is facing an urgent shortage of supplies. having proper supplies is particularly important there, since transportation to other cholera treatment units is very difficult. We gave Colas lactated ringers, IV sets and catheters, gloves, and a bit of soap for the staff. We appreciate their effort to keep in touch with everyone in Cap!
Julian Malinak, MPH
3792-0060
3441-1546
Team Leader, Cap Haitien Health Network
Facilitating coordination among health organizations in northern Haiti
caphealthnetwork.org

Sent from my mobile device--pardon the brevity

Thursday, October 27, 2011

Hopital Grand Riviere du Nord!

On our way out to Bahon, Ted, Elisabeth, Juline, and I stopped by a new hospital in Grand Riviere. It was one of the more surprising visits I've had in Haiti so far, because I was not expecting to see a facility so new and comprehensive. There is a large Cuban contingent working at the hospital; one of the doctors had considerable linguistic talent, speaking Spanish to his Cuban colleagues, Creole to the Haitian staff, and English to us without missing a beat.

We hope that this hospital becomes a resource for those throughout the area, since it has a surgeon available throughout the week, a variety of diagnostic services (sonography, x-ray, hemogram, glucose, liver function), AIDS and TB programs, 15 clean, well maintained beds, and several doctors on staff (both Cuban and Haitian). They also go to communities with cholera cases and work with health agents to promote prevention and wellness. As always, the Network Support team is available to facilities coordination and learning between this facility and others around it.

Sterilized medical equipment!

The courtyard

Open beds

Wednesday, October 26, 2011

Return to Bahon

We made our third trip to Bahon, what the Haitian government says has the worst health indicators in the north and second worst in Haiti. It has a twin parish with Holy Family Catholic Church of Nashville, Tennessee, led by Patty Gaines. Our last planned trip, 1 year ago, was cancelled by the tropical storm, as was Patty's trip, so the village was even more in need of help.
It was 2 hours by bumpy ride from Cap, now seemed to be a little shorter and less bumpy. We were driven by our friend Father Abraham, as our newer, better car for this difficult trip was still not credentialled to be used after 5 months (see story from Elisabeth about that). We had nice stops at Hopital Sacre Coeur, where we met with Dr. Previl, and at Hopital Grand Riviere, where we got a grand tour of a very nice not well known new hospital staffed by 21 Cuban docs and nurses (see blog by Julian).
Josh and Anna in Grand Riviere du Nord
 
Father Gaby was our host, and runs a very nice parish with a school, rectory/guest house, and clinic, called St. Joseph's, with the help of Sister Rose and Sister Cecilia (who is also a nurse and runs the clinic). The sisters have taken care of Joshua since he was a little baby and first came there and slept in a little "manger" that they made for him. This time he was following around and playing with the boys of the village, who all learned how to pronounce his name very well.
This clinic has a doctor working there only once a week (not the day we were there), the rest of the time Sister Cecilia runs it.
Next morning we did clinic, with the help of Elisabeth and Juline, and Julian did some pill cutting so we could distribute a large amount of donated 100 mg captopril tabs and also for 500 mg griseofulvin tabs we bought at the pharmacy in Cap for Tinea Capitis. We saw 35 kids. Included was a now 2 year old that a pediatrician with us last year found to have anal atresia with a vaginal fistula. With great difficulty, we helped arrange for surgery in Cange by a pediatric surgeon from Harvard. Her anus is now beautiful as an anus can be, and she is growing and developing pretty well.
The worst case of the day was a boy with an extensive dental infection.
Bahon has a lot of dental problems (there is a theory there is something about the water) and we brought a lot of toothpaste and some brushes we could gather. We are trying to arrange for mobile clinics with the Cap Haitien Dental Institute and ongoing dental visits there by the Haitian dentist, Dr. Junior, and Patty has a dentist coming with her team in January.
 Julian, Juline and I also visited the MSPP Dispensaire that is also in Bahon, a few hundred feet south of the Catholic clinic, on the river. It has a delivery area, the nurses deliver babies in the clinic, and provide other care, as there is no longer the weekly physician visit that they used to have. We met Mdm Napolean the nurse, and another worker there told us about her 5 year old son with undescended testicle (which is much later than would be ideal to be treated for that condition). She brought him to be seen at the clinic we held St. Joseph's, and we used the Network calendar to find out when there will be surgeons and urologists who might be able to treat him.
Dispensaire of Bahon, along the Grand Riviere du Nord and close to St. Joseph's clinic
 
We encouraged the staff at both clinics to interact and assist each other, especially as St. Joseph's is the only one that gets visiting teams. We are looking for organizations and teams that might like to help the Dispenaire.
We always enjoy our visits to Bahon. It is a beautiful community that is isolated and needs more assistance in health and dental care.

Monday, October 24, 2011

Cap Haitian trip Oct 2011



From Ralph Gousse--Thanks Ralph for coming!!!

Wanted to share with you pictures of our most recent great trip this past week.  Haiti Help Med (Ralph and Ninotte Gousse) and volunteer Florida Hospital Internist Dr Bola Akakabote accompanied Dr Ted Kaplan and Elisabeth Kaplan of the Cap Haitien Health Network to beautiful Cap Haitien.
- Day one we did some Hematology and Oncology consultations in Hospital Sacre Coeur of Milot and Hospital Justinian of Cap Haitien: we saw some cases that we were able to discuss with the staff.  Unfortunately very limited diagnostic and therapeutic options available.
We also visited a nice urgent care section donated by the Israeli government to the Justinian Hospital of Cap Haitien.
- Day 2: we attended the quarterly meeting of the Cap Haitian Health Network at the Hotel Roi Christophe and we headed to Labadie Village for our first day of clinic.
- Day 3: second clinic day at Labadie Village, only reachable by water taxis.  We saw 250 patients that day alone. Great experience. Thank you Ted and Elisabeth!
We then headed back to Auberge du Picolet in Cap Haitien where we reconnected with old friends and celebrated Ted and Elizabeth"s 5th wedding anniversary and also an anniversary for Ted's Cap Haitien Health Network.
I encourage everyone to make this trip one day. Straight from Fort Lauderdale to Cap Haitian.
I will be back!