Woodbridge Dermatology Centre
(905) - 851 - 1436
301 - 8077 Islington Ave. N

ABOUT US

Since opening our doors in 1990, the Woodbridge Dermatology and Laser Centre has provided excellent, up-to-the-minute medical care and a caring approach that ensures you are always fully informed and completely comfortable.

During my 3 weeks in Haiti this summer, I had a few projects that I wished to work on, as well as seeing patients in the clinics and wards and teaching.

513

Limbe,Haiti

 

My First Project:

1: Introducing a new lab test to the staff at Hopital Bon Samaritain (HBS) in Limbe, Haiti

Many skin diseases look alike and any lab tests that can aid a physician in making the correct diagnosis, would be of great help. I created a Power Point presentation on how to perform a simple KOH (Potassium Hydroxide) lab test for fungus.

I arranged for extra learning sessions here in Canada at Gamma/Dyncare Labs in Brampton, Ontario. The microbiology staff was very eager not only to teach me how to prepare the skin specimens and view the slides with a microscope, but allowed me to photograph them, performing each step of the procedure. They gave me extra supplies to take with me to HBS.

I had a bilingual summer student,translate my talk into French. I brought USB keys for the medical staff with the talk on it, as well as printing out hard copies in French and English.

I taught the HBS staff physicians how to properly collect the skin scrapings.

haiti_275

Dr Nield demonstrating how to collect a skin scraping in the hospital clinic in Haiti

 

I then collected a number of specimens and brought them all to Zo, head of the lab at Hopital Bon Samaritain.

559

Zo, Head of Lab Services at the Hospital

Here, Zo is following the protocol as outlined in the booklet that I had prepared. Zo had studied this procedure in the past, so he was able to teach me a few things!

Zo was able to easily identify whether fungi were present or not.

Based on the results, we were able to confirm if patients needed antifungal medications.

For widespread tinea corporis (Ringworm) patients may need 2-4 weeks of Griseolfulvin by mouth, so in cases where the diagnosis is not obvious, doing a KOH test will be very useful, ensuring the patient has the correct treatment.

I hope to continue with this project next summer. I have left enough supplies to last the year. The physicians are often very busy and they may not have time to do the test, so I hope to review it with them next summer.

 

2: Medications can be expensive and I have developed an interest in how to prepare topical medications in tropical countries. Using inexpensive raw materials purchased here in Canada, I was able to utilize established protocols (Dermatological Preparations for the Tropics, 2nd revised edition, Peter Bakker et al, The Netherlands). I then worked with the pharmacy staff and Shawn to adapt the drug preparation to the conditions at HBS.

haiti_502

Sandra helping prepare a new medication for the pharmacy

 

We successfully produced Gentian Violet 0.05% solution, useful for yeast infections and herpes infections. This drug is already on the HBS drug formulary, but procuring it can be difficult, so it is not always available. Now, HBS will be able to produce this medication on an ongoing basis. The total cost is approx. 44 goudes, includes cost of container.

We also produced Salicylic Acid 5% solution which is a good topical treatment for acne and folliculitis. The total cost, including the container, is 35 goudes. As a dermatologist, many teenagers and young adults see me for acne and it was great to be able to offer them an affordable treatment.

I hope to continue producing more topical medications during my future visits to Hopital Bon Samaritain.

I am already preparing for next year’s trip to Haiti.

3: Images from the hospital this year.

haiti_2015_095

Infant with infected Scabies

 

haiti_2015_380

Young child admitted to the hospital with severe malnutrition and skin ulcers

 

patients_lining_up_in_the_morning_to_register_for_the_out_patient_clinic_at_hbs_limbe_haiti

Patients lining up in the morning for the outpatient clinics at HBS

 

      



<< Back to Community Service Blog

RECENT NEWS / UPDATES

Ultherapy Update
Apr. 8
Read More
Canadian Dermatology from the Heart Video
Mar. 17
Read More
Dr Nield is Canada’s 2017 Dermatologist from the Heart
Sep. 24
Read More
Dr Nield provides medical lectures to Haitian physicians, nurses and students
Sep. 20
Read More
Hôpital Bon Samaritain in Haiti has a new truck !
Aug. 19
Read More
Dr Nield delivers a lecture to the Dermatology Association of Ontario
May. 28
Read More
FUNDRAISER SUCCESSFUL
Apr. 17
Read More
Dr Nield has a GoFundMe Campaign to Help a Hospital in Haiti
Dec. 13
Read More
Dr Nield recently in Prague at Merz Expert Summit
Dec. 13
Read More
Micro-Needling for Facial Fine Lines and Sun Spots
Oct. 23
Read More
8 POINT LIFT
Sep. 27
Read More
Skin Brightening Product
Oct. 21
Read More
Non Surgical Ultrasound Lift in the News
Oct. 21
Read More
Courtney Cox discusses her Non Surgical Ultrasound Lift treatment on Entertainment Tonight!
Oct. 21
Read More
The Doctors discuss Non Surgical Ultrasound Lift
Oct. 21
Read More
Rachael Ray discusses Non Surgical Ultrasound Lift
Oct. 21
Read More
America Now features Non Surgical Ultrasound Face & Neck Lift
Oct. 21
Read More
Fox News highlights the Benefits of Non Surgical Ultrasound Lift
Oct. 21
Read More

NEWSLETTER SIGN UP

Enter your email to receive Rujevenate, Dr. Nield’s email newsletter.

SUBMIT

CONTACT US

Submit