2018 September

NSVI returned to Haiti for our 17th mission September 19-22. We performed vasectomies on 120 fathers of 568 children in total. We drained 6 large hydroceles, most of which were treated with doxycycline sclerotherapy. Of three additional hydrocele patients, one had a multi-loculated hydrocele that could not be adequately drained, one had a complex hematocele, and one had such severe scarring of the cord that the vas was not palpable even after the drainage.

Three of our guest vasectomists came long distances at their own expense for the privilege of serving Haitian families. Dr. Hoover had to cancel one day before the mission because his NP had a serious illness in the family and he had to see her patients in her absence. What a dedicated doctor!

We served all locations except New Hope, where no clients came for vasectomy.

Our location hosts.

Our support staff.

Special thanks:

Wednesday Sep 19:
1. Arrived in Cap Haitien on American Airlines #2732 at 12:33 PM. Before we arrived, our Haitian Team brought our stored supplies (tables, Mayo stands, and some equipment) from the Cap Haitian Health Network (CHHN) office to Hopital Ft. St. Michel, less than one mile from the airport. That enabled us to perform 20 vasectomies, reviewing our technique and protocol. Administrative Director Covsky exchanged money so that we could reimburse patients for lost income and transportation costs. We spent the evening at Hotel Roi Christophe, where we organized supplies to equip two teams.

Thursday Sep 20:
As Team 1, Dr. Mesadieu and Dr. Jimenez went to Dr. M’s ULS Clinic in Ft. Bourgeois where they performed 14 vasectomies. When finished, they went to Dr. St-Martin’s private clinic in Cap-Haitien where they did another 7. As Team 2, Drs. Saint-Vil, Shah, and Quayle spent the day at the Dugue Clinic, where they performed 20 vasectomies (3 requiring hydrocele drainage) and attempted to drain 3 additional hydroceles without success because of complex issues. They had planned to go to New Hope Hospital, but there were no patients there despite promotion weeks in advance.

Friday Sep 21:
Team 1 went to Centre de Sante de Caduch. Despite a turnout of 21 patients during our last mission in June, only 3 patients came for vasectomies. So they got an early start at Hopital Ft. St. Michel. Team 2 went to Clinique Metropolitaine in Limonade where they performed 13 vasectomies, then joined the other team at HFSM and helped them complete 12 vasectomies. When finished there, we simply locked the door so we could continue on Saturday morning without having to set up again. Done by about 3:30 PM, we took a brisk hike up the hills overlooking Cap-Haitien and enjoyed the view and a cocktail at the new Satama Hotel.

Saturday Sep 22:
We performed 31 vasectomies at HFSM in Cap Haitien by 12:15, at which time we had to depart to get the 1:25 flight back to Miami. As the other doctors worked, I paid the staff and divided supplies and equipment into those that stayed in Cap-Haitien for the next mission, and those that I brought home to the USA.

And now some photos …

Arrival. The adventure begins!

In the hotel restaurant after 20 vasectomies on opening day: dividing supplies brought from USA and stored in Haiti into separate suitcases to support two teams starting Thursday.

Dividing money into piles of 700 goud each …

… then stuffing that money into envelopes to be given to patients as income replacement and help with transportation.

How to get an early start – bribe the staff with breakfast in the hotel restaurant!

Thursday – arrival at Clinique Dugue.

Dr. Saint-vil training Dr. Dugue.

Gaspard sterilizes instruments and prepares trays.

700 ml drained from this man’s scrotum prior to his vasectomy. VERY proud, and much more comfortable.

Another hero.

Many thanks to our hostess, Madame Dugue, who runs a very fine clinic.

FRIDAY – Sr. Saint-vil’s Clinique Metropolitaine in Limonade. The bright and breezy procedure room on the second floor provides a nice view of the boulevard below.

Then on to Hopital Ft. St. Michel to join the other team and share ideas and techniques.

Finished early, we hiked up to the elegant Satama Hotel …

… where we enjoyed an exotic drink …

… and a spectacular (though hazy) view of Cap-Haitien below.

On the way back to OUR hotel, we encountered 7 cute kids …

… who were delighted with their own images.

For dinner, we were joined by our Medical Director Dr. Maudelin Mesadieu and his lovely wife Wilmide. Such a poster couple!

SATURDAY – The final day and the staff are feeling giddy outside the procedure room at Hopital FSM. It is time for NSVI to pay them for 3 days of dedicated work before departing on our midday flight back to Miami.

NSVI will return in 3 months (Dec 5-8) to keep the momentum going. In the meantime, our 2 domestic teams run by Drs. Mesadieu and Saint-vil will provide vasectomies for those who “just can’t wait” until our next visit.