"Sharing knowledge to improve care"
Drs. David Koon and Chris Hydorn, USC ortho are the first team to visit Hospital Lumiere since March 2020. They did 23 major ortho cases and cared for 62 clinic patients and 38 inpatients in one week. Dr. Jean Maxime Dumesle, resident PGY4 HUP, was the only resident to accompany the team due to Covid19 and level 4 travel alert. The future of the residency exchange program for this year depends on these two issues.
I made a one week visit to Hospital Lumiere to see how the modification of leadership was going and to encourage the staff as best I could. Harvest Call is trying to promote Haitian leaders they have been training over the years to more prominent leadership rolls. Please Pray for the hospital in this new endeavor. Dr. Koon, the president of the SCOA Foundation is trying to organize the trips to Haiti in the future. With the improvement in travel and the decrease in crime in Port we are hopeful this will be possible.
Malaria: The risk is low. Prophylaxis is recommended for those staying less than three weeks. All malaria in Haiti is chloroquin (Aralen) sensitive. Dose: 500mg weekly beginning two weeks prior to arrival and continuing for four weeks after your return. Use insect repellant, or vitamin B1.
Tetanus & Diphtheria: Booster is required every ten years.
Polio: A one-time booster is recommended for adults immunized in childhood. Children under 18 that have been immunized need no booster
Hepatitis A: Vaccination with Havrix and a booster six months later. Risk is low at the hospital & high in Port au Prince
Hepatitis B: Vaccination required if not already immune. Three shots over 6 months.
Typhoid: Oral vaccine of 4 capsules.
Measles: immunity or vaccination required.
Travelers Diarrhea: Prevention with two Pepto-Bismol chewable tablets four times a day. Antibiotics not recommended for prevention.
Tuberculosis: Very prevalent. Routine precautions with patients.
AIDS: Prevalent in Haiti but only 5% of hospital patients are HIV positive. The blood supply at Hospital Lumiere is screened for AIDS antibody. Avoid needles, blood and sexual contact. Treatment for needle sticks is available at the hospital.
The Haitian Ministry of Health in Haiti requires that all visitors who render medical services in the hospital or clinics have proper US credentials: A professional diploma, license to practice and any specialty certifications. The hospital or clinic must have these on file upon your arrival. Please E-mail photocopies (include all diplomas, licenses, residency or board certificates, etc.) to Mrs. Lindsey Demos (LMDemos@att.net) as soon as you know you will be visiting the hospital. Volunteers should carry a copy of their credentials as well as a copy of their passport to the hospital. Medical students work under the supervision of physicians at the hospital and the clinic. Residents should inquire in advance about special restrictions on residents working in the hospital. Every traveler needs to sign the release of liability for the hospital and must have proof of medical evacuation insurance.
APPROXIMATE SUMMARY OF FINANCIAL OBLIGATIONS FOR A WEEK VISIT TO HOSPITAL LUMIERE
A. Travel Insurance: $2.55 per day of travel per individual
B. Transportation Charge: $60.00 per person round trip pending mode of transportation
C.Hospital Lumiere Guest House Fee: $50.00 per day per person includes 3 meals a day and all amenities.
D. Airline Tickets: American Airlines $750 to $900 per person round trip USA to Port au Prince.
E. Guest House in Port au Prince: $50 per night with two meals. Servotel: $148 per night with breakfast and shuttle service.
F. Spending Money: Minimal
G. SCOA pays the transportation and housing fees for one staff physician and one resident for each trip.
Ms. Lindsey Demos, PT who has visited Hospital Lumiere many times, is in charge of making reservations for travel and accommodations, as well as scheduling trips for each team.
Phone 843-709-5306 Mobile
803-466-0434 US Cell
509-48728697 Haiti Cell
My Fathers Guest House:
Dalmar 75 Rue Dalla 16
Phyll Van Es 50934566741 & 9543768606 US in Haiti
509-42252200 Haiti cell
785-547-6841 US in Haiti
Mr. Nadar -Taxi Driver:
509-35589382 or 34120493
US Embassy in Haiti:
Dr. Pierre-Marie Woolley:
Hospital de la Paix Staff
Dr. Peter Jumelle:
Chief of Orthopedics HUP
Phyll Van Es:
Operates My Fathers Guest House
Dr. Pierre Marie Woolley
Dr. Robert H. Belding
509-3311-8676 Haiti cell
785-284-7170 Guesthouse US#
Mrs. Komari Aberle
785-547-6841 US cell number
1. Deplane and follow crowd to Immigrations
2. For Immigration Card, fill out on plane before arrival:
3. $10 fee, cash to immigrations for airport tax
4. Address in Haiti: Hospital Lumiere, Bonne Fin Haiti
5. Phone in Haiti: 509-48728697
6. Reason for Visit: Pleasure/tourist
·7. Keep the green card that Immigrations gives you for departure
·8. Go down stairs to claim baggage.
9. Downstairs turn left to rent a baggage cart: $2
·10. Take white customs form with baggage to exit.
11. If stopped, you do not want to have a large quantity of medications in your bags. Tell customs you have supplies for surgery. You are Dr. Zoe (Bone Doctor)at Hospital Lumiere. The hospital has tax exempt status
12. As soon as you exit the building a Haitian Ortho Resident should come to you, if not just stand near the building and he will show up.
13. If no one shows up:
You are in Haiti, the people are friendly, delays are common. Remember you are on Island time.
Two hand sets
One amputation set
Three large ortho instrument sets
Two small ortho instrument sets
One micro ortho instrument set
One K-nail set
One Supracondylar locking nail set
One tibial nail set
Three large frag DCP sets - 3 tray each
Four small frag DCP sets - 1 tray each
One mini frag DCP sets - 1 tray
Two cannulated screw sets ( 4.0mm & 6.5mm)
One DHS hip sets
One Austin Moore set
Two sets of flexible reamers
One set rigid reamers
Rush rod set
Blount nail set adult & Peds
Bone staple set
One Herbert screw set
Large and small plate bender
One large rod (pin) cutters
Stiman pin set with hand drill
Large and small x-fix
Three large ortho battery power ( Drill & Saw with chucks, key, blades)
Two small ortho battery power (Drill & Saw with chucks, key and blades)
Two small ortho electric power sets
One pelvic recon plate set
One DCS set
One set of large fracture reduction clamps orthopedic surgery
SIGN Nail set for femur, tibia & humerus
Cerclage wire set (wire, cutter, passer, tighter)
1. The availability of Orthopedic Instruments will determine which cases you are able to do. The Haitian nurses and staff can clean and help with the instruments, but you must insure the instruments are in the set you want to use before each case.
2. Although our equipment may look old to you it is all we have. Please help us take care of it and help keep track of it.
3. At the end of your week and before leaving Hospital Lumiere please be sure all equipment is cleaned, back in its proper sets, and in the locked cabinets or the next group will not have instruments to work with.
4. The ortho instruments are kept in the sterilization room in 6 locked cabinets. The keys are in the sterilization room.
5. The ortho cabinet, between OR 3 & 4, has supplies used in our cases. It also contains the hand table, the lateral positioning board, the image table extension and the pneumatic tourniquets. This cabinet lock combination is 1946. We purchase many of the items in this cabinet so use sparingly.
6. There are extra screws, plates, pins, drill bits, taps, and ortho instruments on the bottom shelf of one of the cabinets in the sterilization room. Use them to replace broken instruments or used implants. Extra rods and AM prostheses are in the cabinet also.
Visiting Orthopedic doctors should watch this orientation video before visiting Hospital Lumiere.