summer 2018

AMHE Newsletter September 17 Haitian Medical Association Abroad Association Medicale Haïtienne à l'Étranger Newsletter # 238

AMHE NEWSLETTER Editor in Chief: Maxime J-M Coles, MD

Editorial Board: Rony Jean Mary, MD Reynald Altema, MD

Technical Adviser: Jacques Arpin

The first Haitian flag was adopted to such detail until athletes of on 18 of May 1803 when the Haiti and The Principality of newly appointed general-in-chief Liechtenstein crossed path Jean-Jacques Dessalines ripped sharing the same colors. It was a apart the French tricolor flag surprise to the organizers of the removing the white and creating a third Reich and to the world. new revolutionary flag. He asked Graciously, Liechtenstein opted his god-daughter to sew the later to add a golden crown to its remaining colors together. The flag, in June 1937. fusion of the Blue and Red This fact demonstrated how little traditionally symbolized the union attention was given to such of the blacks and the mulattoes emblem because this was not the Words of the Editor in Chief: under a new banner. Napoleon first time Haiti has participated armies were beaten, and a new to the Olympic games. Our nation was born. In 1806, the athletes were scanty but showed Did you know? actual contemporary bicolor flag pride in competing for their Two countries used the became our symbol of Pride country. We are going to bring same flag! Until they under President Alexandre to light the story of our best met in competition Petion. track and field athlete who has during the 1936 Surprisingly, it is only during the written his name in the Olympic 1936 Summer Olympics of record book and for which, a Summer Olympics: Berlin, Germany, that the world Haitian record in the Meet one of our best realized that two countries shared competition for the Long Jump athletes who ever lived. the same and identical banner. still probably hold on after more Nobody has given much attention than ninety (90) years.

In this number - “Hautes palpitations à la FMP” - Words of the Editor, Maxime Coles, MD - Students Resident Corner - La chronique de Rony Jean-Mary,M.D. - l'Hopital Bienfaisance de Pignon - La chronique de Reynald Altéma,M.D. - Upcoming Events - Challenges in Hypertension: The Haiti Experience - And more... 2

The first time Haiti participated to the Olympics was national selection of Curacao in 1926. He chose to in the year 1924 at the Paris, France Summer sharpen his skills in athletics early because he Olympics. Proudly a young gentleman bearing the wanted to represent his country at the Summer name of Silvio Paul Cator, an avid football player, Olympics in two disciplines: High Jump and Long member of two different teams: the Trivoli Athletic Jump. The Haitian Olympic team managed to train Club and the Racing Athletic Club of Haiti was at the under the directives of a French coach, E. rendezvous. He was born from an aristocratic family Lambergeon. Silvio competed but did not do so in the south of Haiti, in Cavaillon. His father, the well in his first competitions, finishing in a poor general Millien Cator, a closed ally of President 15th position in high jump but did a little better in Antoine Simon, needed to take an exile to Jamaica, the long jump securing a 12th position finish at the once the president was deposed. The Cator family 1924 Summer Olympics in Paris, France. was able to return 7 years after in a country of Haiti, Far from being happy of his performance, he invaded by the Yankees. dedicated less time to play football and more time Silvio benefited from exposure to many sports under to train harder in the goal of competing more the British rules and when he returned to the efficiently at the next 1928 Summer Olympics in country, he was old enough to avoid any contact with Amsterdam, Netherlands. There, better prepared, the forces of occupation. He refused to accept the he won proudly a silver medal in the long jump rules of the invaders or to play baseball during his competition clearing up the distance of 7.58 childhood because this sport was imported by the meters, only “16 cm” shorter than the Olympic American ruler to our land. The Americans failed to gold medalist, Edward Hamm. impose their will upon our youth although Baseball Perseverance always pays. It took Silvio P. Cator was practiced all over the Caribbean except in Haiti. only one month to shatter this world record in a This was certainly a form of resistance to the long jump, on September 9th, 1928 during a world occupation. competition held in Colombes, France: a jump of He became a dactylographer and performed in many 7.93 meters, a new world record. The American sports like Football, Tennis, Boxing and Athletism press was negative about the world record holder especially when the USSH (Union des Societies describing him as the “Haitian Grasshopper” Sportives Haitiennes) was formed in 1921 to prepare coming from a magic island of voodoo. No matter, athletes joining the first Haitian Olympic team. The he was the first man to have crossed the barrier of force of occupation did not provide any support to 26 feet. We know well how difficult it was for Bob this organization nor did they see it with enthusiasm. Beamon, years later, at the 1968 Summer They demonstrated a preference to the Haitian Olympics in Mexico, to set a new world record of military personnel who had no other choice than to 29 feet, 2.5 inches which lasted for 23 years until it cooperate with them. It is well known that patriotic was broken by Mike Powell in 1991. This record Haitians raised money to fight the Yankees and to still stands in the record’s book. allow the build-up of the first national team of Haiti. Silvio Paul Cator last jump, although recorded as a Racist attitudes toward the people of Haiti were world record, was not accepted as such, because noted and soon the Haitian elite witnessed junior the wind conditions were not optimal. More, in American non-commissioned marine-officers to be 1929, he also jumped, for another world record, ignorant and ill-educated. Many stories of abuses, the distance of 8.04 meters. To date, his “Silver fighting with drinking and sexual assaults were daily medal” represents the highest honor that Team reported. Dantes Bellegrade then minister of Haiti has ever received at any Olympics. A Education, wrote regularly on such crimes. The “Bronze medal” was awarded in the free rifle NAACP was called upon to investigate. The situation competition to the famous Haitian quattro-team was so bad that the Marine General John A. Lejeune, (Augustin, Metellus, Destine, Roland), a military based in Washington D.C., banned all sale of alcohol team supported by the American Invaders during to American military personnel. This was the the same 1924 Summer Olympics in Paris, France. atmosphere in which young athletes were living in Silvio P. Cator also competed in his last Olympics, under the American occupation. at the 1932 Los Angeles. California Olympics with Silvio Paul Cator was an outstanding member on the others like Andre Theard, Armand etc. He was Haitian national team of Football and he will be best then 32, babysitting injuries to both ankles but he known later for scoring the winning goal against the still managed to represent his country proudly, 3 finishing the long jump competition in a 9th position. vocal, addressing the American press and Fortunately, his world record of 7.93 meters and expressing his discontent for having his country later unofficially 8.04 meters, surely still stands as the occupied. He voiced openly his opinions about Haitian best long Jumps ever recorded unless young prejudice in an America where discrimination was athletes of Haitian descent, studying presently in rampant especially after the “Jim Crow law” was American Universities, or in any other foreign adopted. He supported the struggle of the African countries have proven the contrary. American athletes who were poorly treated by the The country of Haiti showed much appreciation to media. This was his way in demonstrating solidarity one of his exceptional sons, a super athlete by re- toward the one he competed against. naming and re-novating the previous Cincinnatus Silvio P Cator was a close friend of President Paul Leconte stadium, “Stadium Silvio Paul Cator”, in his Eugene Magloire and became a State honor. He became later an influential Mayor for the Representative (Depute) at Aquin in 1950 until his town of Port-au-Prince. Many stamps and postal sudden death by asphyxia, on the 21st of July 1952. cards have commemorated the accomplishments of He received a National Funeral, reserved to such a fine athlete. He was also a businessman and dignitary. built the Savoy Hotel in Champs de Mars at the same Silvio Paul Cator is definitively the Jesse Owens of place later, the mortuary salon Pax Villa has erected the Nation of Haiti. He will remain invariably the office. only Haitian athlete to have participated at three Perhaps, more will surface with time. Silvio P. Cator Olympiads, inscribing the name of Haiti on the was an activist who did not accept well the American book of records. invasion of our land. He was ashamed and resisted to In all, Silvio P. Cator was a proud athlete, a cooperate with the invaders. He joined in 1930, the competitor, a nationalist, a politician and an students in their revindications to ouster president activist, conscious of his responsibilities of athlete Louis Borno, the US backed president of Haiti, until called upon to represent his country everywhere he two commissions were sent by President Hubert would be invited to compete. He was fluent in Hoover to study the situation. Cator joined an anti- French, English, Spanish, Creole. Frankly, I was occupation movement led by Joseph Jolibois-Fils and astonished to discover that we have ignored a so other nationalists to fight better. He did not accept outstanding athlete with so many virtues. the teaching of Jacques Roumain on indigenism and I am happy to be able to reveal in our Newsletter, humanism. the hidden face of this human being who had His role in 1932 on the national team travelling to written in Gold, the word “Haiti”, on the Olympics compete at the games in Los Angeles California, records book. He will remain the best athlete Haiti changed drastically, especially when he learned that has ever produced. the official attaché to the Haitian Olympic team was a Thank You Silvio Paul Cator. US Marines’ colonel. At age 32, he became more Maxime Coles MD

References: 1- Gjerde, Arid, Jeroen Heijmans, Bill Mallon, Hilary Evans: Silvio P Cator Bio, Stats and Results: Olympic sports. September 2014-09-29. 2- Bill Mallon, Jeroen Heijmans: Historical Dictionary of the Olympic Movement: (ISBN 978-0-8108-7522- 7(2013) 3- Michael R Hall: Historical Dictionary of Haiti: pp.55-ISBN 978-0-8108-7549-4 (2013) 4- Silvio P Cator: Wikipedia 5- Brandon R Byrd: Silvio P Cator. Haiti’s Olympian 6- Cator Confident of Broad Jump Win: Pittsburg Courier, July 16, 1932 7- Al Monroe, Chicago Sees Haiti’s Jump King. Chicago Defender. August 27, 1932. 8- 100 Greatest Moments in Sports History: A long Jump. (39), 10-18-1968 9- Paul Medan: Gouverneurs de la Cendrée. 4

CES EGLISES QUI POUSSENT A TOUS LES COINS DE RUES

Mackenson Dorilas Prophète ou Anti christ ? afflictions et les calamites naturelles ,le sentiment A cote des revendications répertoriées un peu partout a d’être rejeté par la société ou l’on vit, qui rendent les travers le pays concernant l’utilisation des fonds PERO gens toujours plus vulnerables, donc facilement CARIBE, l’autre événement qui a marque la semaine manipulables et exploitables. Les adeptes de ces cultes écoulée, c’est l’apparition sur scène, depuis quelques sont tellement conditionnés par les dirigeants après mois , d’un dirigeant de culte, du nom de Mackenson lesquels ils courent, qu’ils finissent souvent par y laisser Dorilas qui se prénomme prophète et qui a fait des leur peau. On se rappelle l’empoisonnement au déclarations intempestives sur des sujets de tous cyanure de près de 918 personnes dans une foret de la ordres, dont certaines se référent tout Guyane par un pasteur du nom de Jim Jones qui leur particulièrement a la guérison de certaines maladies promettait une vie de félicité loin des tourments et des comme le Sida. Il bouleversements de ce monde. David Koresh ,un autre aurait demandé a ces fideles infectés par le virus de fou de la religion , périt a Texas avec ses adeptes, au mixer une potion de candélabre, de 21 punaises , de tout début de l’administration Clinton ,en s’immolant souffre ou sulfure tiré d’allumettes, de lait évaporé et par le feu plutôt que d’obtempérer aux ordres des de bien d’autres intrants qu’ils boiraient pendant un autorités constituées de sortir du conciliabule et de certain nombre de jours afin de se guérir de leur laisser partir les fideles. maladie. Il aurait dit aux mères incapables de nourrir En Haïti, on raconte qu’une jeune femme vivait leurs enfants d’aller pratiquer la prostitution au coin normalement pendant des années comme porteuse du des rues afin de pouvoir en prendre soin . Mr. Dorilas virus du Sida jusqu’ ace qu’elle commença a fréquenter a été invite à comparaitre au parquet du tribunal civil les temples de Marco et de Muscadin ,deux récents de la croix des bouquets pour répondre de ses faiseurs de miracle de la région de Delmas et de déclarations. Il était accompagne d’une foule d’adeptes Tabarre. Elle s’entendit dire qu’elle n’avait plus besoin pour le supporter tout au cours de l’audition. Il a de prendre ses médicaments et qu’elle était guérie rendez –vous a huitaine pour apporter des pièces .Elle mourut quelques mois plus tard des complications devant prouver si son église est reconnue légalement, de l’infection. On croit savoir que les églises, et plus ou mieux si elle est autorisée a fonctionner dans la généralement la religion, depuis le moyen Age région métropolitaine et ailleurs. Le ministère des jusqu’aux temps modernes, en passant par l’esclavage, cultes dénie avoir enregistré une telle église dans ses a souvent servi d’instrument de domination et de archives. contrôle des masses non éduquées. Le phénomène de gens qui courent après un sauveur C’est pourquoi le nombre d’églises dans un pays donné n’est pas nouveau. Beaucoup suivirent Jésus parce qu’il est souvent un indicateur du degré de développement avait fait plusieurs miracles dont celui de la social atteint par ce pays. On racontait dans un récent multiplication des pains et des poissons. Au point qu’il rapport que les pays les plus avances d’Europe avaient a eu a leur dire de rechercher non pas le pain qui périt bien moins d’églises que les pays dans lesquels les mais bien celui de la vie éternelle (Jean chap. 6). besoins primaires des gens n’étaient pas satisfaits. Plusieurs raisons peuvent être a la base d’un tel Faute de pouvoir vivre décemment, les gens se phénomène :Les problèmes économiques, les résignent dans la promesse d’un sauveur personnifié 5 qui les bombarde de boutades incohérentes. Je heure pour prouver aux illustres visiteurs qu’ils avaient n’émets guère ici un plaidoyer contre la religion et les des fideles dans leur église pleine a craquer. Ceux-ci, ce pasteurs bien formés qui instruisent bien leur troupeau sont les vendeurs du temple, aussi bien que des et les préparent a mieux vivre leur existence. En plus usurpateurs. Il y a quelque part un vide qui mérite d’être d’être un véhicule de spiritualité, la religion doit aussi comblé. Le laxisme des autorités permet à quiconque le pouvoir s’immiscer dans le social. désire, de se faire appeler Pasteur et de s’enrichir aux Nous devons une fière chandelle a tous ces bergers, a dépens des plus faibles. L’âme d’un peuple, c’est sa quelque domination qu’ils appartiennent, qui ont conscience du bien et du mal ; Cette conscience peut fondé des écoles et construit des dispensaires ou l’on être juste ou erronée, dépendant des creusets dans puisse guérir sa blessure et acquérir le pain de lesquels elle a été façonnée. Mais elle s’acquiert toujours l’instruction. Ils ont aussi droit à un salaire décent et par l’éducation. C’est donc toujours un danger de laisser ils doivent pouvoir vivre du fruit de leur travail selon la formation des âmes a des charlatans qui n’ont pour l’apôtre Paul. Nous parlons bien certainement de tout rêve que de s’enrichir et de vivre en parasite du ceux qui grossissent le nombre de leurs fideles pour courage des autres. forcer les institutions locales et étrangères a délier la courroie de leur bourse ; de ceux qui, au temps de Rony Jean-Mary,M.D. mon enfance, rentrèrent dans la ville avec une Coral Springs ,Florida, cargaison de blancs et invitèrent tous ceux qu’il le 17 Septembre 2018 croisèrent sur leur route a un service de dernière

Prelude

How aggressive should we be in preventing and detecting Hypertension in the Haitian population? Is conservative initiation to antihypertensives a fair approach?

In his article: "Challenges in Hypertension: The Haitian Experience" (J Clin Hypertens (Greenwich). 2014 Feb; 16(2): 97–98, Dr. Roger Jean-Charles astutely references the term "glocalism", evoking the need to "think globally and act locally" when it comes to a more systemic approach to the treatment of Hypertension in Haiti. A term that was previously brought up by Dr. John Kenerson in Hypertension in Haiti: the challenge of best possible practice. J Clin Hypertens (Greenwich) 2014;16:107–114 where he pleads for a better physician education and a more targeted practice tailored to the population.

I am pleased to share with you an article I co-authored with a master of Hypertension Treatment and a member of the JNC7 Executice Committee, Dr. Barry J. Materson.

"Prehypertension is real and can be associated with target organ damage." Materson BJ, Garcia-Estrada M, Degraff SB, Preston RA. DOI: 10.1016/j.jash.2017.09.005

J Am Soc Hypertens. 2017 Nov;11(11):704-708. doi: 10.1016/j.jash.2017.09.005. Epub 2017 Sep 21

Kind regards, Stéphane B. Dégraff M.D. Clinical Research Associate Division of Clinical Pharmacology University of Miami Miller School of Medicine

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4237537 6

La missive de nos jours est supplantée, Mais la soif d’un « Je t’aime, » ou « En toute amitié » Demeure insatiable. Les moyens de communication Ont rapidement augmenté Et nos vies sont agrémentées Par le texto, mèl, la vidéo, De l’Alaska au Bornéo, Cette soif humaine en pleine amplification, Sempiternelle, universelle, qui ensorcelle.

Swaf santimantal

Ti moun, an ete kay manman adoptif Mwen. Gate, men anuiye, paske wazif Reynald Altéma, MD San lòt ti gason pou jwe boul, badnen Ou byen fè lago. Raz lajounen Soif sentimentale Se tankou kochma nan nwit. Kò nou gen Bezwen ki mache kou revèy. Men Kè e lespri w anvayi de swaf pou afeksyon Gamin, je passais des semaines en été Ki nan venn nou e ki pa sipòte desepsyon. Avec ma mère adoptive. Gâté, Youn sèv brak, tilandeng, kap soti gout pa gout Mais ennuyé, sans autres garçons Sou po n. Nou pa ka detounen l nan wout. Pour jouer au foot, rigoler et autres façons De détente. Avoir le cafard, Pafwa li te mande m si m te wè faktè Un sort similaire au nocturne cauchemar. Youn kesyon ke m pat ka wè klè. Des activités corporelles dans le quotidien Premye pitit fi l t ap viv Nou Yòk depi dat Suivent un mode circadien, San nouvèl li, li te akaryat. Mais la soif affective du cœur et de l’esprit, M vin savoure valè yon lèt tou A fleur de peau ne tolère pas le mépris. Tankou piman ki bay manje fad gou Comme une sève saturant nos pores goutte par Lè yon paran lòt bò, lwen zye w, pre kè w goutte, Ekri w. Sa kòdase e chofe kè w. Aigre-douce, tenace, étanche à aucune déroute. Penitans yon remen kap soufri de distans Pran kalmi pa pasyon nan korespondans. Parfois elle me demandait si je voyais le facteur, Amitye sensè, resiste separasyon Une question dont je ne comprenais pas l’ampleur. Si l nouri pa kominikasyon, Sa fille ainée vivait aux USA depuis des années. Ke l brid sou kou, Sans ses nouvelles, prête à chicaner. Kin alaganach, men veridik tou. Plus tard j’ai savouré la valeur d’une missive Qui épiça ma vie comme par une cive, Nou pa ekri lèt souvan dankou nan tan pase D’un parent en outre-mer, loin des yeux, proche du Anvi pou tande “M renmen w,” “Lamtye pa cœur. trayi,” pap janm ase. Une écriture vivifiant et réchauffant le cœur. Mwayen de kominikasyon vin ogmante. Un amour griffonné par une absence Sa fè n santi n ekzalte, Est repu par une passionnée correspondance. Mèl, tekxto, video Une vraie amitié en dépit d’une séparation de De Alaska a Bòneo longue date Yon swaf pou imanite kap anplifye, Survit, s’abreuvant de messages, même rédigés à la Tèmfas, kòrias, pou nou tout swete nou ka fè las. hâte.

7

I am also sharing this one taken from my recent publication, The Voice, available on Amazon.

The Healer

I. Imhotep, long ago, in Egypt started this fraternity. Healer treating a new and contagious malady True blessing for humanity. Exposes the self without prior remedy. Caring of the sick, from curious inquisition, Years later into a special dedication, III. Art and science of healing. Healer, sentient like an artist, Most noble task, dealing Analytical like a scientist, With ultimate: life and death decision, With swift’s alacrity, tortoise’s pace, Upholding a magnanimous vision. To diagnose and to listen as may be the case. Famous motto: Do no harm! Just as important, deliver the care with charm! VI. A golden rule to remember, II. As January follows December, Knowledge painstakingly accumulated We are all fallible; sooner or later, Most proudly disseminated King, magnate, hewer, or cobbler, Throughout the ages, Illness as a great leveler A tradition as per the edicts of the sages. Will make sure we all will need a healer. Hippocrates’s oath, Aesculapius’s rod Potent symbols for all to laud. The Voice 73 Reynald Altéma, MD

“Hautes palpitations à la FMP”

“Hautes palpitations à la FMP” 8

Cher Docteur et Mme Nacier, L'administration de l'Hopital Bienfaisance de Pignon vous prie de bien vouloir trouver en attachement une lettre de remerciement pour la semaine que vous aviez bien voulu passer avec nous. Soyez assure que le travail que vous aviez commence ne sera pas vain et que votre empreinte restera sur l'oeuvre que vous nous aidez a consolider. Bien a Vous Gyrlene

Dear Paul,

On behalf of AMHE leadership I want to command you for this great mission done without fanfare. Your initiative is a testimony of your commitment to AMHE and I want to personally thank you. Best, Roosevelt. 9

Nadalette Alcénat, MD, James SANON, MD Resident III HUEH| Pediatric Third Year Resident Internal Medicine From August 1 to November 1, 2016 Hôpital Universitaire Justinien (HUJ) Externship: September 17th to December 17th To see the full document 10

Dear Dr. Clérismé :

Au nom de la famille St-Gérard, je vous remercie de votre message de sympathies. Le support de tout un chacun nous est très réconfortant au cours de cette épreuve.

Les remerciements s’étendent à toute la famille AMHE.

Sincèrement,

Henriot St-Gérard, M.D.

Published on the AMHE Facebook page last week Articles parus sur la page Facebook de l'AMHE durant la dernière semaine An afternoon visiting the Hyppolite - Concours d’admission à la résidence hospitalière (Hôpital universitaire de Mirbalais) - New article of Stefane Desgraffe MD on Hypertension.- At the funerals of Michaelle Amedee Gedeon MD - AMHE at Sonia Alfred Birthday 9-15-18 - Dr. Steven Baumhauer: Famous Surgeon Breaks Silence, Reveals The Most Hushed Up Natural Medicine And more…

AMHE 2018 Convention Baru AMHE Convention 2018 at Baru Columbia (Courtoisie de Maxime Coles) Fotos Courtoisie de Marc Gaston and Lesly Acasia from the NJ Chapter

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