"What we think, or what we know, or what we believe, is in the end, of little consequence. The only thing of consequence is what we do"

~ J. Ruskin

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Donations cover medications, supplies, and travel expenses for Haiti. 98% of donations go to direct patient care.

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Monday, February 28, 2011

What's in a name

The Haitians always commented on my name with fascination. They liked it. “Are you French?”, they would ask. Well, yes, I do have some French mixed into what my mother calls the League-of-Nations heritage on her side of the lineage, but the truth is my name is more from the strong Irish heritage on my father’s side. I was named after my Great Aunt Claire, a woman my mother said was the “most generous and kind person I’ve met”. As a  young child, I took pride and responsibility knowing that story of my namesake.

It was not until I returned stateside that I learned why my name so fascinated the Haitians. It turns out Marie-Claire Heureuse Felicite
was the first empress of Haiti in the early 19th century. Her husband, Jean-Jacques Dessalines, was one of the founding father’s of Haiti. Slave for over 30 years, he was leader of the slave revolution against French rule and became the first ruler of an independent Haiti. He called himself Jacques I of Haiti. Today he is considered an icon of Haitian nationalism.

But, back to Marie-Claire. A nurse and educator, her life, too, was a revolution against injustices, though from a different angle. During the 1800 siege of Jacmel, she became known for her work with the wounded and starving. She even managed to convince Dessalines, who was one of the parties besieging the city, to allow some roads to the city to be opened, so that the wounded could receive help. She led a possession of women and children with food, clothes and medicine back to the city.

She was a contrast to her spouse, also, in her way of showing indiscriminate kindness to people of all colours, disregarding their ethnicity. A great opponent to the policy of her spouse toward the white French of Haiti, she saw to the needs of the prisoners, and despite the ire of Dessalines, saved many of them from his massacre on the French.

Jacques I of Haiti had a short-lived rule. He was assassinated after just two years in power. Marie-Claire lived in poverty from then on, first as consequence of her husband’s property being confiscated, and later by choice. Decades after her husband’s death she was offered a handsome pension by Emperor Faustin I of Haiti who wanted to demonstrate his admiration for her late husband. Having no admiration of her own for many of the ruthless tactics of Dessalines’ rule, she declined the money and lived in poverty to her death at the age of 110.

My parents I’m sure did not know of Empress Marie-Claire when contemplating baby names. However if they had, I’d be equally proud to have her as inspiration for my name.

~Mc

Saturday, February 19, 2011

Fondwa




Fondwa is a small mountain village approximately 1.5 hours from Léogâne. We left early in the morning and were happy to know that Jon Baptiste had come from Port au Prince this morning to drive us. Jon Baptiste is of course not only the best taptap driver in Haiti, but also one of our favorite people in Haiti.



The drive was as expected- rapid, hair-raising, and exciting. The roads to Fondwa certainly contain some of the most beautiful scenery in the country we've yet laid eyes on.


At the crest of a ridge we parked at a mobile container clinic ("clinic in a can") from Hospitals for Hope , much like the one set up next to the house in Léogâne. We were greated by the nuns who staff the clinic except for the one day a week when physicians come. As at the other locations, a large group waited there to meet us.








We saw patients by intermittent generator power through mid-afternoon with no patient being particularly critically ill.





After clinic we were graciously treated to lunch by the Sisters of Charity. The nuns prepared everyone a simple but delicious meal of beans, rice, beats, corn, and fish.


Before lunch we enjoyed the company of the happiest and healthiest dog in all of Haiti.




To learn more about Fondwa and the region, please watch The Road To Fondwa:





-Aaron

Friday, February 18, 2011

Alive!

We have been in the Haitian countryside for the past 5 days with no communications since we landed. We are alive and well and will update here shortly!

-Aaron & Maryclaire

Clinic in a Can. Orphanage in a Tent.





Right next to our volunteer center base camp is a "clinic in a can": cargo container fitted with three 7 x 10 rooms that function as two fully equipped doctor's office and pharmacy. This is normally staffed by a Haitian doctor employed by Heart to Heart. He was off today, so I filled in for him as Aaron and Sue (our good friend and nurse who was in Haiti with us this time last year) took the mobile out to a community church in Petite Riviere.


There are three bleacher sized benches under a wide white tarp in the front yard. Patients begin lining up at 7:30 am. Today the seats filled with many mothers and children. My youngest patient was 29 days old. Fortunately, she was not very sick. Unfortunately, I did see a 20 year old patient, brought in by her mother, who was in fulminant liver failure: her abdomen was as large as a term pregnant uterus, her limbs skeletal, her breaths short and fast. I sent her to the closest MSF hospital (doctors without borders). What she needs is a full ICU admit. Even with that, I'm not sure she will survive.

In between these patients I saw ailments ranging from common cold, fungal skin infection, miscarriage, and ulcerations from scabies.


Later in the afternoon, our Haitian born, US-bred Field Director took us to visit a local orphanage 1/2 mile down the street. It is home to 45 children ranging in age from 2 weeks to 12 years. One of the two-weekers arrived only last night, dropped off by a mother unable to care for her. I was immediately approached by a 3-year old, with out-stretched hands who wanted to be held. According to staff, he is quick to ask all visitors to hold him. I held him for most of the time we toured the facility.

The tour was given by Donna Tente who works with CityTeam ministries. She secures donations and grants for the orphanage needs and spends a few weeks every couple months at the orphanage helping out.



The orphanage used to be housed in a building. Since the earthquake it is a series of tents and recently-constructed wooden buildings. The plan is to have the orphanage rebuilt in a year. The children are schooled in French and English, have a playroom of games and toys, and keep the company of puppies, cats, and goats. The goats, like the turkeys, will become dinner. Each child has a small box of items of their own--clothes, toys, etc. The rest is shared, including Sunday dresses.


It is a well-run organization with happy children.


If you would like to volunteer or help fund items of need, or even sponsor a child, please go here:






Tomorrow, we head out to the mountain village of Fondwa, and return at days end to Port-au-Prince to continue work at the Bel-Aire clinic Saturday morning. Once back in the capital city, we will have access to internet, where we will post these blogs.


~Mc


Please note: we will post more pictures when stateside. The process of posting here is extremely protracted given the internet connection and PC program. [Update- photos now added.]

Monday, February 14, 2011

Haiti Revisited

2.14.2010

Our first day at clinic began before our previous day was over. We arrived into Haiti at 8 am after traveling all night, with a quick nap on the Ft Lauderdale airport floor. Shortly after arrival, and clearance of our four large bins of medications through customs, a flatbed Heart to Heart truck delivered us to the Bel Aire clinic at it's opening time of 9 am. Our arrival was like a surreal call shift, where you are up all night, and then take care of patients throughout the morning, though with the twist of starting the shift on a crisp bright New Mexico afternoon and ending the following afternoon in a health clinic on then second floor of a Haitian church overlooking the seaports and the commerce, education and life that has sprung up on the streets, amidst the considerable rubble that remains.

Children in school uniforms and backpacks are a common site now. The basement of the Bel Aire church, even, houses several classrooms filled with studious children of various ages in blue and grey uniforms.

The clinic too is familiar, but improved. There are now two Haitian doctors on staff, and a Haitian nurse who does triage. We have basic laboratory capabilities, and an expanded pharmacy staffed by a Haitian pharmacist. And we have our translators. The same translators we had last year. It was so wonderful to see them! Especially Calixte.

The patients lined up in similar fashion, waiting on pews to be seen. We saw many of the same aliments as last year--general aches and pains, insomnia, reflux--but also cases of more severe illnesses: malaria, strep throat, cholera, surgical hernias, acute renal failure, ulcerated scabies infections, kidney infection. And I had the lab capability to tell a woman, that yes, she was feeling nauseous from pregnancy and got her started on pre-natal vitamins.

It was a busy, tiring, rewarding day that ended with a truck ride to the volunteer center in Leogane. (The city that was the epicenter of the earthquake.) We will spend the next couple days setting up mobile clinics in the surrounding communities.

Bon nuit (good night)
~Mc

An Exhausting Arrival

Our flight out of Albuquerque was quick and painless but all of my lingering sickness was still there.

Dallas to Ft. Lauderdale was no real issue either but when we arrived in Florida it was 12:21 and the airport was closed. We needed to check back into the airport in less than four hours and there was no point in getting an hotel for the evening. We went down to the main lobby and laid out our thin sleeping bag liners, crawled under the plastic seats, and stole fitful sleep while the overhead announcements reminded us of where we were.

In the morning, we checked back in through the gate, then bought last minute food, changed into scrubs, and boarded the last leg of our flight to Port-au-Prince.

Landing in Haiti was surreal. When we traveled immediately after the earthquake we had to pass through the Dominica Republic and take U.S. Embassy transport across Hispañola to arrive in Port-au-Prince. This time we were able to land directly into the country. I thought I was fine until I saw the first crack in a window and wall, and I choked back tears. In minutes though any sadness was overcome by a positive energy as live music blasted through the open areas, played by musicians hired by Digicel, a local communications company.

Our push through customs was quick, and we met new members of our team.

Immediately we traveled by open-air truck truck to Belaire, and within an hour of landing in Haiti, were back in the church clinic and seeing patients.


V is for Valentine's, V is for Vitamin


This Valentine’s day we invite you to participate in our return to Haiti by sending not a love letter, but a bottle of vitamins or infant/children’s Tylenol. We have ordered several hundred dollars of these and other medicines through a wholesale supplier ($5 covers ample Tylenol; $8 covers 1000 multivitamins; and so on). We will deliver these much-needed medicines on Valentine’s Day, when we disembark once again into Haiti for two-weeks of medical volunteerism with Heart to Heart International. This year we will be taking our mobile clinic out into Leogane, the city at the epicenter of the earthquake, and surrounding communities.

Our blogs and photos from last year can be seen by scrolling through archives on bottom right. Please follow along with this year's experiences. We will post often with photos, stories, musings.

And please pass this along to anyone you know who'd like to send a "mulitvitamin valentine" to Haitian children.




V is for Very grateful,
Maryclaire, Aaron, and our Haitian patients

Sunday, February 13, 2011

On Being Sick and Departing

Wow, I barely made it.

As some of you know, I was dreadfully ill before our departure. On Wednesday I came down with shaking chills and went home to rest. Thursday morning Josh Umbehr and I did the the radio show and then I went to clinic but it wasn't long before I was so worn down that I had to leave early.

Then the nightmares began. High fevers, hallucinations and nightmares for the next two days. Nothing got done- no packing, no phone calls, nothing. Friends came and went and helped where they could. I stayed in bed for 48 hours and finally late Friday night my fever broke. I let Maryclaire know that I was slowly feeling better.

Saturday was a whirlwind of activity- I had to get 3 days of work done in one morning and half an afternoon to be able to leave on time. Getting by with a little more help from my friends, I was out the door and on the road. Barely.

Great thanks to everyone who helped me while I was ill. I certainly would not have been able to make it here to Haiti this year without the help of about 8 or 9 people just out of that illness alone!

-Aaron

Thursday, February 10, 2011

Vitamins! (and more)

"Rice?! We don't need more rice, we need vitamins!" 

Such was the proclaim of this astute Haitian gentleman last year as he overhead us speaking with the Marines about supply needs and food rations. The Marines were in charge of coordinating food distribution points and the Bel-Aire Church, home to our Heart to Heart clinic on it's top floor, was one of them in the early days after the earthquake.

A year later, the needs in Haiti remain relatively unchanged. Both nutrition (in the form of food and vitamins) and medicines are in short supply. Shipments are held up at the ports for months by political red tape and palms that beg to be greased, while a malnourished populace is left all the more vulnerable to disease and lacking access to medicines that could easily cure them.

As many of you have read in the papers, cholera has swept across Haiti. Since October it has claimed over 4,000 lives. Cholera need not be so fatal. In industrialized countries, fatality is less than 1%.  However, without access to oral rehydration salts, and the occasionally-needed antibiotic, fatality can reach 50%. This is Haiti's reality. 

Aside from rehydration salts, the wish-list of "greatest need" medications to replenish the Heart to Heart clinic pharmacy is headed by: vitamins, infant tylenol, children's tylenol, "adult" tylenol, antacids. Seemingly mundane medications that make a world of difference to a people with ailments large and small, and no access to the over-the-counter meds we take for granted every time we open our cupboards to reach for them.

Aaron and I will be taking nearly 200 lbs of these and other medicines with us. The best way to deliver meds, as with all other supplies, is by direct delivery. Bypassing the sea ports, our medicines will make it past customs snug in suitcases waved on after a $20 under-the-table exchange.

We have been fortunate to find a whole-sale supplier that makes these medicines relatively affordable: $8 for 1000 multivitamins, $5 for several hundred antacids, $18 for 1000 antibiotic pills and so on. We have ordered several hundred dollars of medicines to assure we'll have at our disposal the medicines needed as we bring our mobile clinic into the communities. And we will leave the pharmacy shelves stocked, at least for a short while.

If you would like to help us off-set the costs of these medicines (and vitamins!), please make a donation by following our link at right. All amounts are greatly appreciated by us, and even more so, by the Haitian people. All dollars translate to medicines and medical care. If you have family, friends, co-workers, who would be interested in donating medicines to Haiti, please pass along our blog information.

~ Maryclaire

Brett & Tracy In The Morning


Thanks to Brett and Tracy of B98 for having us on this morning! They've offered to keep our mission highlighted while we're in the field and to do a follow-up when we return. I'm so proud of our Wichita community.

Thank you also to Josh for being on with me to discuss how far our donations can go. If anyone knows about saving healthcare dollars, it's him!

-Aaron

p.s. Keep those donations coming! We appreciate every single dollar.








Wednesday, February 9, 2011

MC & Aaron for Haiti On the Radio

Please tune in to Wichita B 98 FM's morning show Thursday morning to hear Aaron and fellow Wichita physician and mission supporter Josh Umbehr, MD of Atlas MD discuss the logistics behind the latest mission to Haiti.


Sunday, February 6, 2011

Countdown...


We are one week from deployment, and things are certainly picking up. The last of our paperwork for deployment is completed and we are set for a start date on the ground on Valentine's Day. We are currently in the process of sourcing high-demand medications and of course, always seeking funding.

Maryclaire and I are extremely grateful to the dynamic duo of Lynn & Alex Hund. Both have an advanced background in the world of communication and technology, and have given our campaign an energy and push that it has really needed. Most importantly they have set up and are maintaining our donations this year at:


Please stay posted for new developments as things really get moving this coming week!

-Aaron