"We are each of us angels with only one wing,
and we can only fly by embracing each other."
Anonymous
Its Time to Go Home
I was born in Port-au-Prince, the capital of Haiti.
I have adopted the Dispensary and Hospital St. Joseph of La Vallee de Jacmel, which
serves a population of over 100,000 people.
This 30-bed hospital, built by the people of La Vallee, is
located in the southwestern part of Haiti, an arduous three-hour journey from
Port-au-Prince.
The hospital is staffed throughout the year with one medical intern, two nurses, one
midwife, and two nuns.
The Need
Haiti is currently one of the poorest underdeveloped countries in the Western
hemisphere, being plagued throughout its dynamic history with catastrophic political
upheaval and unrest. Haitis demographic breakdown is startling:
- No basic necessities to sustain life and health such as electricity, safe running water,
or food and shelter for the majority of its people
- No infrastructure for basic medical care for its poor
- The highest rate of infant mortality in the Western hemisphere
- A life expectancy for adults of only 45 years
- 85 percent illiteracy rate
- 80 percent unemployment rate
When the team is in La Vallee, the small waiting room is always full, while a long line
of sick people waits patiently outside under the hot Caribbean sun.
There is only a single unsterile operating room with no air conditioning, a citronella
candle to ward off mosquitoes and flies, and a generator for electricity available only
when there is gas.
On occasion, when the generator is not working, a flashlight is held by an assistant in
order for the surgeon to complete the surgical procedure.
During the rest of the year when the team is not present, the majority of ill people
die from a lack of basic medical care.
In order to meet the needs of this population, we must take with us medical
instruments, supplies, and everything necessary to perform minor and major surgeries,
medications, antibiotics, and analgesicsin short, a complete pharmacy!
The Team
With a group of ancillary personnel, I will be rotating with a team lead by Charles
Rene, MD, a Haitian ob-gyn practicing in New Orleans, and the co-founder of the Haitian
Association for Human Development.
Dr. Rene has been going to La Vallee twice a year for over 14 years to provide
outpatient care, minor surgery, and when permitted, emergency C-sections.
This dedicated team helps an average of 250 patients per day, putting in long days of
12 hours or more.
More patients could be served if additional staff and supplies were available.
I was born in Port-au-Prince, the capital of Haiti. Because of our familys
economic situation while growing up, I occasionally had to go to bed hungry. I grew up in
a country with very few resources and an extremely oppressive and dangerous political
climate. Schools closed at the first sign of political unrest¾
books were banned and rare to find. I also lived in a caste society wherein women were
considered second-class citizens without the opportunities and rights that men
automatically enjoyed. In spite of these challenges, I was given tremendous support from
my relatives and was brought up to believe that I could do and be anything I desired.
Because of them, I decided that I was going to be smart and go as far as any man could
ever go. I was going to be different¾ I was going to be a
champion of hope!
Several important events compelled me over the years to become a doctor. When I
was 9 years old, I became very ill and was brought back to health by the caring of my
paternal grandfather, a well-known indigenous healer. At age 16 my desire to be a doctor
and serve the poor was cemented when I acted as an assistant to Joseph, a nurse who was
running a clinic in Source Chaude, a poor rural town.
My dream, while growing up, was to build a hospital, just as Albert Schweitzer had
done, to provide medical care for the poor. In pursuit of this dream, I became an
obstetrician-gynecologist and was fortunate enough to work among diverse populations and
conditions in New York, Mexico, Jamaica, and Milwaukee.
In 1982, I established my ob/gyn practice in San Diego, and in 1993, the non-profit
Health Through Communications Foundation. Through HTCF, I developed "Lets Stay
Healthy," a cable television talk show geared toward low-income viewers and reaching
over 600,000 households. In addition, Ive recorded several audiocassettes, written
articles for various publications and a Spanish-language newspaper column covering
womens health issues. Ive made numerous talk show appearances discussing the
importance of helping women to become better informed about their own health¾ to become self- empowered to take charge of their own well-being.
For almost two decades, I have been providing free medical care to under-served women
through Catholic Charities, St. Vincent de Paul Village, and Native-American Health
programs. In addition, I have received multiple community awards for my on-going efforts
to improve the life of the women and children of San Diego.
Its time for me to go home!