1. 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

2. Financial Disclosure No financial interest in this talk
Haitian-American
First “mission trip” 1993 with John Mitchell to Mirbalais

3. 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

4. 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

5. 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)*

6. 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

7. Radiology
Unique Radiology program including a 16-slice CT Scanner

8. Surgical Expertise and Services
2 (soon to be 3) state of the art operating rooms
Specialties include: General, Orthopedics, Ophthalmology, Obstetrics and Neurosurgery

9. Funding and operational model
Operations in partnership with Project Medishare
Grants
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

10. Social Impact 60,000 patients seen a year… INDICATOR
Total Jan- March 2012
# of Inpatients Seen
490
# of Outpatients  Seen
10118
# of Operations Performed 
432
60,000 patients seen a year…

11. 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

12. 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

13. 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.

14. Current Operating Expenses

15. Dr. Frantz Large President of the HSO

17. AAO Mobile Units

19. Just do it!

20. Budget: $0 ?? Mission Impossible?? Procure : Ophthalmic equipment
Logistics: Pack equipment
Transport to Port of Miami
Ship to Haiti ?Boat? Air
Budget: $0

21. The 6 “C”’s of Teamwork Communication Cooperation Courtesy & Respect
Compassion with Commitment
Connections
Communication
Cooperation
Courtesy & Respect

22. 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

23. Connections
AAO received offers of donated equipment-
Jane 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

24. Communication
Broadcast your challenge- friends, family, colleagues, patients, businesses
Immediate follow up on all leads
Negotiate : Humanitarian= pro bono
TV Coverage – ABC, WHRO, NBC
“Trail”

25. Media Coverage CBS ABC NBC WGN CNN Daily Herald Chicago Tribune
Nightline
World News Tonight
NBC
WGN
CNN
Daily Herald
Chicago Tribune

26. 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

27. From My Home to Your Home

29. 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
Shipped by the Clinton Foundation
Arrived April 2, 2010 in Port au Prince, Haiti

30. 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

31. 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

32. Courtesy Thank everyone & thank them often
Recognize hard work & generosity
Formal thank you notes, mail, , verbally
Tax deductible letters confirming donations

33. Thanks to Dr. Stephanie Marioneaux AAO Task Force for Haiti Recovery
Dr. Brigitte Hudicourt
WHRO- Barbara Hamm
WHRO-Lisa Godley
ABC-Barbara Ciarra
Chicago-
Dr. Mike Brennan
Dr. David Parke
Lombart Instrument
MSI
Dixie Crating
Topcon
Allergan
Drs. Cheryl Powell & Lori Moore
Agape Church
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.

34. AAO- Visiting Professor
Volunteer List
Subspecialty Representation
Oculoplastics
Glaucoma
Pediatrics
Training tech staff

35. Canadian Ophthalmologist Training July 2010

36. 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- Retina- North Carolina
Regine Edward – Phaco – Argentina
Bio Medical individuals –
Raymond and two others

37. 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

38. Bernard Mev’s Eye Clinic

42. List of Donations
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
Goldman Humphrey Machine
Corneal Endothelial Cell Count
SD- OCT
A Scan

43. 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

44. 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
Mcpherson son forceps 6
Rotators
Canula 10
Simco canula 4
Jewelers forceps
Needle holders 5
Curve scissors
Blepharostates
Utrata
Baraquer blepharostats
Scalpel blades
3 boxes, 75 blades
10-0 nylon Suture
some
8-0 vicryl Suture
9-0 nylon Suture
27 gauge cannulas
Some
Ahmed valves

45. Future Site of Bernard Mevs – Expansion????

46. Dr. Brigitte Hudicourt and Family

49. Dinner Gathering with the Haitian Society of Ophthalmology at Papaye restaurant
In Petionville, First time the group got together after the earthquake,

52. Merci Ampil
THE END