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Posts Tagged ‘cleft palate’

Project Medishare for Haiti has a very strong presence in the Haitian capital of Port-au-Prince at the countries only critical care and trauma facility, Hospital Bernard Mevs. However, this is not the only place where life saving work is completed. We have teams in the Central Plateau and in Miami that collaborate with doctors, nurses, staff, etc. on a daily basis. These relationships are so important as they are the ones that together, ultimately save lives in Haiti. One Saturday, earlier this month was a great example of the incredible team work that goes on to help Haiti.

Project Medishare often sets up mobile clinics in order to provide health care to those that otherwise would not receive it. One Saturday in early June was no different. A mobile clinic was in place in the Central Plateau. One of the patients seen was an infant with a cleft lip. The baby and her mother are from a small community near the remote village of Marmont. The doctors described the baby’s condition as being “on deaths door step”. She is a four month old that weighed only four pounds. She was not feeding as she could not form a field on her mother’s breast because the cleft was so severe. Initially, the doctors at the mobile clinic sent her to the regional hospital in Hinche with one of the Medishare drivers and nurse practitioners. The regional hospital did not have any pediatric tubes there so the staff called the hospital in Cange only to find that they did not have a pediatric tube either.

The Project Medishare staff in the Central Plateau, Port-au-Prince and Miami all put their minds together to find a solution. In Miami, staff worked to find a breast pump as “formula was not an option without refrigeration.” By Wednesday a breast pump was in the hands of the baby’s mother and the Medishare nursing team taught her how to use it properly.

The baby was successfully released on Friday only six days after first being seen at a Project Medishare mobile clinic. The baby is scheduled to return for the next cleft surgery week. As Project Medishare co-founder Dr. Arthur Fournier said, “The work involved in saving this child’s life illustrates the need for balance for our work involved in primary care, hospital and community care programs in Haiti.” Together, another life is saved.

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Waiting to go in for his hernia surgery, Widmayer Nordé draws pictures next to his decorated glove balloon recovery nurse Renaye Mansfield blew up for him.  Photo by Jennifer Browning.

By Jennifer Browning

Port-au-Prince, HAITI–Whether it is minutes or hours, the wait always seems long when waiting for surgery. After getting him dressed for surgery, recovery nurse Renaye Mansfield took a couple of surgical gloves and blew them up for 11-year-old Widmayer Nordé. Widmayer took a pen and drew a face on the makeshift balloons. Widmayer is scheduled for hernia surgery today.

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Keeping the kids occupied critical care recovery nurse Janet Shanley lets the kids play with surgical hats and masks.  Photo by Jennifer Browning.

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Handing over her contact information Project Medishare’s Nurse Liaison Maguy Rochelin is pleased that she can make an appointment for Ambrose Widzar. In accordance with The Smile Train grant the doctors from the University of Miami will return to Port-au-Prince two more times this year to perform cleft surgeries. Photo by Jennifer Browning.

By Jennifer Browning

Port-au-Prince, HAITI–While the patients scheduled today will be general surgeries, Project Medishare’s nurse liaison, Maguy Rochelin is scheduling cleft palate patients for another round of surgeries when the doctors return in June.

Motioning her to come closer a little girl hugged Maguy and gave her a kiss on the cheek before she and her mother left the clinic. Ambrose Judhly Widzar, 5, came today to see about her cleft palate being repaired. Three years ago Widzar traveled to from Port-au-Prince to Cap Haitian to have her cleft lip repaired. Ambrose’s mother was happy that he daughter would be able to have her surgery closer to home.
But not everyone is fortunate enough to live close to the surgical site in Port-au-Prince, many times more efficient travel is to take a tap-tap but even this modest transportation isn’t affordable to everyone.

Elise St. Pierre came with her parents today to see about repairing her cleft lip. They live in Degan near Carrefour. The family woke up at 1 a.m. to walk to Port-au-Prince to be here this morning after hearing about the surgical program on the radio a few days before. Since general surgeries are already scheduled for today.

Although the St. Pierre family will have to come back when doctors return for the second round of cleft surgeries, the family said they are thankful for The Smile Train who provided the grant which will allow their daughter to have surgery.

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During morning consultations a volunteer medical resident from the University of Miami observes Dorine Mesidor’s scar from an electrical burn she received three years ago. Below: Nervous about going into surgery, Dorine was given a mirror to play with while she waits. Photos by Jennifer Browning.

By Jennifer Browning

Port-au-Prince, HAITI–Infants discover their world by sticking things in their mouth, but sometimes this isn’t the best way to learn. Three years ago Dorine Mesidor was playing with an electrical cord that was plugged into an outlet. Curiously, she placed the dsc_0311.jpgcord in her mouth. Unfortunately part of the cord was not protecting all the wiring inside and Dorine suffered an electrical shock which caused a burn on the corner of her mouth. Dorine arrived with her mother yesterday to see the doctors after she had heard about the team working at Bernard Mevs.

After today the University of Miami Department of Plastic Surgery team will have performed 23 cleft palate surgeries. After two cleft lip surgeries this morning, the remainder of the surgeries for today and tomorrow will be general surgeries.

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Critical care recovery nurse Janet Shanley tickles Lise Marielle to get her to smile. Today will be Lise’s second surgery by Dr. Sam McDonald who will repair Lise’s palate. Photos by Jennifer Browning.

By Jennifer Browning

Port-au-Prince, HAITI–Taking the bumpy, winding road up to the Partner’s In Health Hospital in Cange is one of the things Rebecca Dasy remembers when she took her niece, Lise Anna Marielle to get her cleft lip surgery.

Rebecca helped her sister look into surgery in Port-au-Prince for Lise who not only needed her lip repaired but also her palate which was gaping, but in 2004 there was only one doctor who could perform this type of surgery in Haiti’s capital. This doctor’s cost was $4000. And that was only to repair Lise’s lip.

dsc_0125.jpgSo Rebecca learned about a group of American surgeons who had traveled to Cange to perform cleft lip and palette surgeries. Lise was only 9 months old when Dr. McDonald performed cleft lip surgery on her in June 2004.

Lise is almost five years old now. Her aunt found out about the doctors returning to Port-au-Prince due to a grant provided by The Smile Train and brought Lise to Bernard Mevs to get a follow up surgery to repair Lise’s cleft palette.

Rebecca was thankful when Lise went into surgery today. She was also a bit relieved to see that the same surgeon was operating on her niece. While Project Medishare makes a major effort to see that patients have opportunities for follow-up, it is rare that a doctor donating his time in the operating room gets to meet a patient for the second time.

“I saw him walk into the room,” Rebecca said, “and I immediately remembered him as the doctor who operated on her in Cange.”

Lise’s operation was successful, and her aunt is thankful for Project Medishare and for the grant that The Smile Train provided to make this surgical trip possible.

“Your organization,” Rebecca said. “and other organizations who join you to finance this program are blessed.”

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Jeff St. Elois, 8, looks into a mirror for the first time since his surgery yesterday. A grant provided by The Smile Train to the University of Miami Department of Plastic Surgery made this week’s cleft surgeries like St. Elois’ possible. Photos by Jennifer Browning.

By Jennifer Browning

Port-au-Prince, HAITI–Following the rising sun the surgical team arrived at the hospital at 7 a.m. Before beginning consultations and prepping patients for today’s surgeries, doctors checked on their patients from the day before. Clevil Nesilomme was one of the first.

dsc_0047.jpgClevil was handed a 5×7 mirror so could see the results of his surgery the night before. Although he was swollen from surgery, his lip was repaired. Clevil glanced back and forth from the mirror to the doctors standing before him. His eyes began to water and despite the pain from the swelling; he tried to force a smile. Clevil said he couldn’t believe the difference the doctors had made.

“It is a Godsend that you are here,” he said.

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Doctors working with Project Medishare begin marking Clevil Nesilomme for his cleft lip surgery. Nesilomme said that many times when he notices people looking in his direction he covers his mouth to hide his cleft lip. He hopes that this surgery will help him look better to avoid these strange glances. Photos by Jennifer Browning.

By Jennifer Browning

Port-au-Prince, HAITI–While standard telecommunications are improving, teledyol is still a powerful thing in a place like Haiti. Without word of mouth many wouldn’t get appropriate information about where to go for proper health care or other services.

It was a friend of Clevil Nesilomme who told him that The Smile Train in conjunction with Project Medishare and the University of Miami was in Port-Au-Prince to do cleft palate surgeries. His friend heard about the specialty surgery trip on the radio.

Living with a cleft lip all of his life, Nesilomme, 34, was ecstatic when the doctors told him they would operate on him today.

dsc_0011.jpg“I think that for you to be here to help me look better is good for me,” Nesilomme said, “because sometimes I walk out on the streets and people look at me. I don’t know if I should die or if I should live because I am so ugly.”

Nesilomme is a mason who builds houses around Port-au-Prince and has lived with a shattered self-esteem all of his life.

He feels that with this surgery he can live a normal life and be more accepted throughout his community.

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Second year resident Ying Zhuge and fourth-year medical student Reagan Ross stop by to check on Junior Viciere. Viciere was one of the first children to have cleft palette surgery during the week. Photo by Jennifer Browning.

By Jennifer Browning

Port-au-Prince, HAITI–Project Medishare is back in Haiti this week with the University of Miami on another specialty surgical trip. The main focus of this trip is to perform cleft lip and palate surgeries, however the surgeons plan on performing general surgeries along with other plastic surgery.

The University of Miami Department of Plastic Surgery received a grant from The Smile Train and is partnering with Project Medishare. During this trip doctors will be working at Centre Bernard Mevs, a private hospital in Port-au-Prince owned by two Haitian surgeons Drs. Jerry and Marlon Bitar.

The Project Medishare team arrived yesterday to assess the situation at the hospital and begin setting up. They head to Centre Bernard Mevs at 6:30 a.m.

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