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
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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
INDICATOR
# of Inpatients Seen
# of Outpatients Seen
# of Operations Performed
60,000
patients seen
a year…
Total Jan- March
2012
490
10118
432
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.
Dr. Frantz Large
President of the HSO
AAO Mobile Units
Just do it!
?? Mission Impossible??
• Procure :
• Logistics:
Ophthalmic equipment
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 Commitment
Goal: 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
• Consult with Haitian
Society of
Ophthalmology re:
distribution
– Picture of broken slit
lamp & damaged
building
Connections
AAO received offers of donated equipmentJane 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
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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
From My Home to Your Home
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
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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
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Dr. Stephanie Marioneaux
Dr. Brigitte Hudicourt
WHRO- Barbara Hamm
WHRO-Lisa Godley
ABC-Barbara Ciarra
ChicagoDr. Mike Brennan
Dr. David Parke
Lombart Instrument
MSI
Dixie Crating
Topcon
Allergan
Drs. Cheryl Powell & Lori Moore
Agape Church
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AAO Task Force for Haiti Recovery
Phillippe Chatelain
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
Canadian Ophthalmologist Training
July 2010
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- RetinaNorth 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
Bernard Mev’s Eye Clinic
List of Donations
Goldman Humphrey
Machine
Corneal Endothelial Cell
Count
SD- OCT
A Scan
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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
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
ITEM
QUANTITY
Iris Spatula
2
Chopper
1
Y shape nucleus
manipulator
1
Mcpherson son
forceps
6
Rotators
6
Canula
10
Simco canula
4
Jewelers forceps
10
Needle holders
5
Curve scissors
1
Blepharostates
2
Utrata
5
Baraquer
blepharostats
10
Scalpel blades
3 boxes, 75
blades
10-0 nylon Suture
some
8-0 vicryl Suture
some
9-0 nylon Suture
some
27 gauge cannulas
Some
Ahmed valves
10
Future Site of Bernard Mevs – Expansion????
Dr. Brigitte Hudicourt and Family
Dinner Gathering with the Haitian Society of Ophthalmology at Papaye restaurant
In Petionville, First time the group got together after the earthquake,
Merci Ampil