Initiation of hemodialysis at Hôpital Universitaire de Mirebalais (HUM), Haiti
A patient story
KIKY (Patient 7)
A 6 year old Haitian boy developed sudden anuria (no urine output) from acute kidney injury and was brought to the Hôpital Universitaire de Mirebalais (HUM), a Partners in Health facility. A kidney biopsy performed by Dr. Philip Cleophat, a nephrologist and Director of the HUM Department of Medicine, was transported from Haiti to the Dartmouth-Hitchcock Hospital by Dr. Brian Remillard and interpreted by their renal pathologist, Dr. Alan Schned (all three doctors were TORCH Directors). The biopsy showed a severe inflammation of the glomeruli, the filters of the kidney, with clots in the blood vessels, offering an uncertain prognosis for recovery. Kiky received 16 hemodialysis treatments at HUM with donated equipment and supplies under the medical care of Dr. Cleophat, Resident Dr. Mariline Menager, and Pediatric Nephrologist Dr. Judith Exantus. Kiky has regained his kidney function and dialysis has been discontinued. He feels much better. What a triumph!!
Dr. Robert Brown, President of TORCH, brought Dr. Mariline Menager to the American Society of Nephrology meeting in Chicago and to the Beth Israel Deaconess Medical Center in Boston to learn more about kidney disease. She has decided to pursue more formal training in internal medicine and kidney disease to help patients in Haiti, now as a medical resident in the USA. TORCH has helped make this happen.
Kiky at HUM
Kiky feeling better
Kiky on hemodialysis
Dr. Cleophat & Dr. Remillard with Kiky
→Dr. Robert Brown with Mariline Menager, MD, Gracilli Cadet, RN, and Saisette Joseph, RN, brought to the USA for hemodialysis training to bring back to HUM in Haiti
→Dr. Robert Brown with Mariline Menager, MD, Gracilli Cadet, RN, and Saisette Joseph, RN, brought to the USA for hemodialysis training to bring back to HUM in Haiti
Kiky going home
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Photos with family and patient permission.
Updates
The Hemodialysis program at HUM was started in 2014, saving the lives of many Haitians like Kiky who developed acute kidney failure that necessitated dialysis.
TORCH has helped provide training and supplies to HUM for this program, and importantly, to coordinate help and donation of equipment and supplies from multiple sources to which we are deeply indebted. TORCH has been helped and worked with the following institutions in the past and at present:
Beth Israel Deaconess Medical Center, Boston, MA Dartmouth Hitchcock Medical Center, Lebanon, NH Partners in Health, Boston, MA Zanmi Lasante/Partners in Health, Cange, Haiti Bridge of Life (formerly Davita Village Trust) NxStage Medical Inc. Sustainable Kidney Care Foundation Société de Néphrologie Société Francophone de Transplantation
Beth Israel Deaconess Medical Center, Boston, MA Dartmouth Hitchcock Medical Center, Lebanon, NH Partners in Health, Boston, MA Zanmi Lasante/Partners in Health, Cange, Haiti Bridge of Life (formerly Davita Village Trust) NxStage Medical Inc. Sustainable Kidney Care Foundation Société de Néphrologie Société Francophone de Transplantation
