1. L’AMHE à L’Hôpital Justinien
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 When, Where, Who, How
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