2017 October

From October 25 to 28, NSVI will conduct its 15th vasectomy mission in Haiti.

Guest vasectomists will likely be:

201710HaitiTeamRevWe will once again meet in MIA for the final flight to Cap Haitien:

HaitiMaps201710Once again, we will stay at the Hotel Roi Christophe and perform vasectomies at 6 locations, splitting up into two teams if necessary based upon patient projections.

Tentative schedule:
Wednesday Oct 25:
1. Arrive in Cap Haitien on American Airlines #2732 at 4:42 PM.
2. 5:25 PM: Exchange money at Hopital Ft.St.Michel (HFSM). Pick up stored supplies, procedure tables, and Mayo stands at the Cap Haitian Health Network (CHHN) office.
When finished: Hang banners at HFSM and at the CHHN office if Maudelin and Covsky have not already done so. Spend the evening at Hotel Roi Christophe organizing supplies to equip a second team if patient predictions warrant that.
Thursday Oct 26:
After breakfast at the Hotel Roi Christophe, Team 1 will go to Clinique Dugué in Plaine-du-Nord (we continue to train Dr. Dugué). Team 2 will go to ULS in Ft. Bourgeois. When Team 2 is finished there, they will join Team 1. When all are finished at the Clinique Dugué, Team 1 will go to the Clinic of Eugene Maklin (New Hope Hospital) in Acul-du-Nord near Joly, and Team 2 will go to Centre de Sante 2000 in Limbe (we continue to train Dr. Manno) if there are any patients there. All of this depends on numbers of patients.
Friday Oct 27:
Morning: Clinique Esperance et Vie in Terrier Rouge (we work with Dr. St.Vil)
Afternoon: Team 1: Clinique RJP-CRAPS in Limonade (we work with Dr. Romel);
Team 2: Hopital FSM in Cap Haitien.  Team 1 joins Team 2 if they finish early.
Saturday Oct 28:
8:30 – 3:30: Vasectomies at HFSM in Cap Haitien.
Depart CAP at 5:32 PM on American Airlines #2732.

Visiting doctors are asked to bring:
1. Headlights and extra batteries. I will have a few extra headlights for our Haitian trainees, but if you have more than one, please bring an extra for a trainee. Having seen many lights brought by trainees, I still think the best for the money is the LED Lenser H7 for $25 at LEDsupermall or the Coast HL7 for $31 on Amazon. Rechargeable units can be more of a nuisance than just changing batteries periodically.
2. Optical loupes if you are a loupes user. My take on loupes is HERE.
3. Your NSVI shirts from prior missions.
4. 80 pairs of surgeon’s gloves in your size. Powdered gloves are easier to don when we have no A/C, but they are now banned in the USA. We work together on so many cases that each vasectomy ends up “consuming” 2 pairs of sterile gloves.
5. 1 box of 100 non-sterile gloves in your size. Better yet, 1 box of 300 nitrile gloves. They pack more tightly than latex gloves, go on almost as easily, and may be cheaper. I find vinyl gloves to be difficult to don.
6. Your re-usable thermal cautery unit handle (and six tips) if you have one.
7. Nuts, soybeans, granola bars, etc. for lunches. We eat big for breakfast and dinner, but scarf lunch while traveling between morning and afternoon sites.
8. Copies of your medical license and specialty certification. I carry mine in my computer case in a plastic sheet protector.
9. It’s nice to bring your own MadaJet … (1) I can bring one fewer, which cuts down on my weight, and (2) it’s good to practice MadaJet care if you plan to perform vasectomies at more than one site in your geographic region. Pack it sterile in a see-through sterilization pouch without its glass cylinder. Autoclave the glass cylinder in a smaller separate pouch and pack that into a rigid container like a plastic pill bottle so that it doesn’t get smashed in transit. Keep the MadaJet brochure with the MadaJet. If you carry it on, put it alone with its brochure in a TSA bin, even if you have TSA PreCheck. TSA will fret over it EVERY TIME, especially if it is “hiding” in your bag. If you leave it in your checked bag, that bag may be delayed at an intervening airport if they run it through another scanner. I check 4-6 MadaJets, but leave them on top of the other supplies in the suitcase with a MadaJet brochure. ON my checked bag and IN my checked bag I affix/insert (in a plastic sheet protector) a page that looks like THIS.