HAITI OPEN Winter 2018

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SCHEDULE 2018 @DECAMERONHAITI

January 27th

July 1st - 5th

PAP JAZZ Festival Closing Party

LOL COMEDY Festival

February 10th -13th

August 2nd - 6th

Carnival Week-End

T-Vice Anniversary Bash

March 22nd - 26th

October 31st - November 4th

SPRING BREAK HAITI

HALLOWEEN Week-End

March 29th - April 1st

December 22nd - 25th

Easter Week-End

Christmas @DecameronHaiti

June 21st - 24th

December 29th - January 2nd 2019

Haiti Tech Summit @DecameronHaiti

New Year Celebration

Follow us on Instagram and Facebook for updates and new special events

@DecameronHaiti

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+1 855 308 0375 (USA) / + 509 2815 0111 (HT) reservations.haiti@decameron.com • www.decameron.com 2

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*Terms and Conditions apply

@decameronhaiti

You deserve to spoil yourself

+1 855 308 0375 (USA) / + 509 2815 0111 (HT) reservations.haiti@decameron.com • www.decameron.com *Terms and Conditions apply

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Le Plaza Hôtel

By Isabelle Vasquez

where Kanaval meets comfort and security

C

arnival in Haiti is a three-day bacchanal filled with music, dancing, fine Haitian rum and cold Prestige to keep you cool while you dance the night away.

Le Plaza offers an inclusive three-night stay deal. With your hotel reservation you get access to the hotel’s privately catered stand, a secure place to park your car and a fun new carnival T-shirt each day, which makes for a great keepsake. Le Plaza’s catered stand offers a traditional Haitian bouillon to all the brave souls who make it through the night of partying and into the wee hours of the morning.

Le Plaza Hotel is a proud supporter of the arts and has a longstanding tradition of commissioning a Haitian artist to paint a different mural onto their stand each year. Last year’s piece was done by the incredibly talented Pascale Faublas, a Jacmel-based Haitian artist who has showcased her art around the world.

There’s no better way to enjoy carnival than by knowing you can enjoy the festivities and party to your heart’s content without having to worry about having to travel further than your room in the hotel.

You’ll spend the night dancing to some of the best carnival songs, all performed by Haiti’s hottest new artists and longstanding favorites.

Carnival on the Champs de Mars is a much-beloved tradition that brings Haitians of all walks of life together to celebrate and revel for a few days of carefree abandon. And there’s no better place to enjoy it than Le Plaza Hotel!

CALL FOR RATES:

Le Plaza Hôtel 10 Rue Capois, Port-au-Prince Haiti: +509 28 14 6000 Toll-free: 1-877-810-0975 E-mail: Reservations@PlazaHaiti.com Web: www.PlazaHaiti.com

LE PLAZA HÔTEL IS THE ONLY HOTEL SITUATED DIRECTLY ON THE OFFICIAL TRAJECTORY OF HAITI’S CARNIVAL PARADE.

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WINTER 2018 Dr. Joseph also covers how to avoid Breast Cancer on pg. 55

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COVER STORY

COLON CANCER & ROBOTIC SURGERY

By Romane Joseph, MD General Surgeon

Prekosyon ou ka pran pou pa Vin Gwo, fè KANS È NAN TETE, SIK e TANSYON

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HEALTH ISSUES

How to avoid certain health issues like obesity, hypertension and breast cancer

23 HEALTH GUIDE DEPARTMENTS

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WHY VEGETABLES Li poukisa Pòm, Kawòt, Bannann, e Bwokoli bon pou wou

EGZÈSIS

List of recommended exercises to live healthier. From walking to dancing & more

Having SEX counts as an exercise too.

Keep it up to stay in shape

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DOCTORS

Top medical doctors for your health with list of services and contact information.

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CONTENTS| Winter 2018 37

59 EGZÈSIS/EXERCISE | 22 Walk/Mache Run/Kouri Dancing/ansé Sex/Fè Bagay Meditation/Meditasyon Stretch/Detire kòw

FRUITS & VEGETABLES | 32 Kawòt/Carrots Pòm/Apple Bwokoli/Broccoli Bannann/Banana

INTERVIEWS | 40 Mrs. Nathalie Beteau Antoine Dr. Nancy Charles Larco Kathy Leger

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FEATURED HEALTH TOPICS | 48 FOODS | 77 Prostate Cancer by Dr. Angelo E. Gouss Colon Cancer by Dr. Romane Joseph Breast Cancer by Dr. Romane Joseph Diabetes by Dr. Leon Stephane Gedeon

DOCTOR PROFILES | 59 Dr. F. Lucie Casthely Dr. Jim Francois Dr. Patrick Romeus Dr. Edwin Smith Dr. Clones Lans Dr. Hans Jean-Baptiste Dr. Sarepta Isaac Dr. Vanessa Petit-Vaval Dr. Thomas Toussaint Dr. Franklin Casthely Dr. Ninoutchka Dejean

What to eat more What to eat less

WEIGHT LOSS STORIES | 82 Denise Katia Jean Pierre Maryfrans Olide Tracie Roberts

TALK TO US health@haitiopen.com

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JEAN ALFRED DELVA Founder, Publisher, and Editor-in-Chief JeanDelva.com, 305-842-3555 Cover Photo DR. ROMANE JOSEPH General Surgeon da Vinci Surgical System Miami, FL, USA Photo by MACKINLEY “SPEX” MADHERE @spexphoto MENDES CHEVALIER Graphic Designer @mendes_1812, 786-267-0108 Proofreader ALEC ROSS Layout MOHAMMAD "MA" ALAUDIN Photographers: MACKINLEY “SPEX” MADHERE JOHNY “REDLIGHT” LUC Writers: ISABELLE VASQUEZ SARAH BRUTUS, ESQ. KHAINNA SEJOUR Haiti Representative: PETERSON AGERNORD, Port-au-Prince +509-3488-2714

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Exercises/Egzèsis

EXERCISE (Egzèsis)

Egzèsis bon pou kè-w The Department of Health and Human Services (HHS) late this year released its new Physical Activity Guidelines for Americans, calling for adults between the ages of 18 and 64 to exercise moderately (such as brisk walking or water aerobics) for at least two hours and 30 minutes or vigorously (running, swimming, or cycling 10 mph or faster) for at least an hour and 15 minutes weekly.

The longer, harder and more often you exercise, the greater the health benefits, including reducing the risk of diseases such as cancer and diabetes, according to the recommendations, which were based on a decade of scientific research.

Kouri ka ede-w viv pi lontan

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Mache desan tansyon-w

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Exercises/Egzèsis

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Exercises/Egzèsis

DANCING (Dansé)

Dansé ameliyore memwa-w

Like other forms of cardio exercise, dancing also seems to have mood and mind benefits.

A 2007 study by Journal of Sport & Exercise Psychology found that dancing improved energy, buoyed mood and lowered stress in ways similar to aerobic exercise.

A more recent study, published earlier this year in Frontiers in Aging Neuroscience, linked dancing to improved “white matter” integrity in the brains of older adults. Your brain’s white matter can be thought of as its connective tissue. That tissue tends to break down gradually as we age, which leads to a loss of processing speed and the thinking and memory problems that arise later in life, says Agnieszka Burzynska, an assistant professor of neuroscience at Colorado State University and that study’s first author.

Photo by HMIBUZZ

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Exercises/Egzèsis

SEX

(Fè Bagay) Fè Bagay amelyore domi-w

Sex can help relieve stress by raising endorphins and other hormones that boost mood. As a form of exercise, it can also help calm you down. In addition, a Scottish study published in the journal Biological Psychology found that sexual activity prevents increases in blood pressure during stressful events. While this effect was more pronounced in people who had sex with penetration, nonpenetrative sex and masturbation can also help you stay serene and sleep better.

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Exercises/Egzèsis

MEDITATION (Meditasyon)

Meditasyon bon pou strès

Research published the journal Health Psychology shows that mindfulness is not only associated with feeling less stressed, it’s also linked with decreased levels of the stress hormone cortisol.

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Exercises/Egzèsis

STRETCH (Detire kòw)

Detire kòw bon pou kolòn vètebral ou

Stretching once today won’t magically give you perfect flexibility. You’ll need to do it over time and remain committed to the process. “It may have taken you many months to get tight muscles, so you’re not going to be perfectly flexible after one or two sessions,” says physical therapist David Nolan of Massachusetts General Hospital.

“It takes weeks to months to get flexible, and you’ll have to continue working on it to maintain it.”

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Fruits & Vegetables

Poukisa pòm bon pou wou

Help fight against cancers

Scientists from the American Association for Cancer Research, among others, agree that the consumption of flavonol-rich apples could help reduce your risk of developing pancreatic cancer by up to 23%. Researchers at Cornell University have identified several compounds – triterpenoids – in apple peel that have potent anti-growth activities against cancer cells in the liver, colon and breast. Their earlier research found that extracts from whole apples can reduce the number and size of mammary tumours in rats. Meanwhile, the National Cancer Institute in the U.S. has recommended a high fibre intake to reduce the risk of colorectal cancer.

Apple Smoothie

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Eat an Apple a Day

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Fruits & Vegetables

Poukisa Kawòt bon pou wou

• • • • • •

Lower Blood Pressure Boost Immunity Help in Digestion Reduce Macular Degeneration Improve Eyesight Improve Oral Health

Roasted Carrots

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Prevent Heart Diseases

In a study meant to reveal the therapeutic value of carrots, researchers at the Wolfson Gastrointestinal Laboratory in Edinburgh, Scotland revealed that cholesterol level drops by an average of 11% if seven ounces of raw carrots per day are consumed for three weeks.

Carrots Smoothie

Glazed Salmon With Spiced Carrots

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Fruits & Vegetables

Poukisa Bannann bon pou wou

Helps with heart rate and blood pressure

Just one banana contains 467 mg of potassium, which is important for controlling your heart rate and blood pressure. This is interesting, since the same amount of banana has just one milligram of sodium. The vitamin B6 (pyridoxine) in bananas provides around 28% of what is needed daily to help prevent anemia and coronary artery disease.

Banana Split

Banana Walnut Oatmeal

Banana with Milk

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Fruits & Vegetables

Poukisa Bwokoli bon pou wou

Good for Bone health with Vitamin K

• According to the USDA National Nutrient Database, one cup of chopped raw broccoli (approximately 91 grams) contains 31 calories, 0 grams of fat, 6 grams of carbohydrate (including 2 grams of sugar and 2 grams of fiber) and 3 grams of protein.

• Just one cup of broccoli provides over 100 percent of your daily need for vitamin C and vitamin K and is also a good source of vitamin A, folate, and potassium.

• Broccoli ranks among the TOP 20 FOODS in regards to the ANDI score (Aggregate Nutrient Density Index), which measures vitamin, mineral, and phytonutrient content in relation to caloric content.

Oven Roasted Broccoli

Parmesan-Roasted Broccoli

Stir-fried Chicken with Broccoli

Broccoli with Eggs

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Interview

BOTANIK SPA TURNS 10!

Meet the Forward Thinker behind Haiti’s First Luxury Full-Service Spa:

Mrs. Nathalie Buteau Antoine

By Jean Alfred Delva

MISS NATHALIE, WHAT MADE YOU START THE BOTANIK SPA? I wanted to help others discover charms of life, relax, and regain their strength after a day or week of hard work. I started working on a concept where I could provide my clients with high-quality services while achieving a level of well-being that will benefit their body, mind and soul.

THIS LEVEL OF LUXURY TREATMENT WAS THE FIRST OF ITS KIND IN HAITI. WHY DID YOU TAKE SUCH A RISK? I have always been a risk-taker, but most importantly I’m a perfectionist.

If I was going to create the first spa in Haiti, it had to be at a level where people would understand that investing in their well-being would help them manage the stress of their daily routine, and would also help them remain healthy.

WHAT ARE SOME OF THE OBSTACLES YOU ENCOUNTERED BEFORE THE SPA BECAME A HIT IN PETION-VILLE? The misconception of the general public, who saw spas and wellness centers as places where luxurious and pampering services are offered to more privileged segments of the population, was one of the first obstacles. Second, training and managing staff was almost as challenging as getting new clients.

HOW HAS THE SPA BEEN

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RECEIVED BY TOURISTS VISITING HAITI? For the most part, I would say they have been very receptive to the spa. They usually fall in love with our version for its simplicity and elegant particularities, but yet they mostly fall in love with the whole “treatment” part of the spa, which produces the after-effects of renewal, rejuvenation and balance.

… THE KEY IS TO REMAIN AUTHENTIC, WORK ETHICALLY AND TO CONTINUE INNOVATING AND PROVIDING HIGHQUALITY SERVICES.

WHAT SERVICES DOES THE SPA PROVIDE? • Face care & Microdermabrasion • Specialty facials • Body treatments and anti-cellulite treatments • Exfoliation • Massotherapy • Nail care • High-end hairstyling • Wax hair removal WHICH THREE SERVICES IS THE SPA BEST KNOWN FOR? The most popular spa treatment is the Swedish massage. Second, our purifying facial, and the third would be our new anti-aging treatment, “The Wishpro”.

YOU CELEBRATE THE SPA’S 10TH

ANNIVERSARY IN JANUARY 2018. WHAT HIGHLIGHTS DO YOU REMEMBER? The entire journey has been incredible and carries so many great moments that impacted many lives. It is awe-inspiring to me to collaborate with so many talented people and give them a place to utilize their gifts.

And equally amazing to be able to reach so many customers and hear how we have touched them. We often receive testimonials and notes from clients about what our services mean to them. It’s gratifying to know that we have been able to make a difference in their well-being.

WHAT WOULD YOU LIKE TO ACCOMPLISH NEXT? We have planned growth in terms of more services that we can offer in the future, and in different locations as well. We look forward to being better able to give back to our community, which has generously supported us.

WHEN YOU’RE NOT RUNNING THE SPA, WHAT ELSE DO YOU DO? HOW DO YOU SPEND YOUR FREE TIME? I am blessed with a completely full lifestyle and schedule. As the General Manager and part-owner of Kinam Hotel and Ritz Kinam, a full-time wife and mother to three gorgeous children, for me, free time is what I try to create for myself to relax and rejuvenate. I do that through sport, massage, music, reading, relaxation, meditation, and spending quality time with my family. I also love to travel and discover the world and its countless beauties.

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Interview An Interview with FHADIMAC Executive Director

Dr. Nancy Charles Larco A Foundation Helping People in Haiti affected by Diabetes, Hypertension and Cardiovascular Disease

By Jean Alfred Delva DR. LARCO, WHAT’S YOUR ROLE AT THE FHADIMAC FOUNDATION? For the past seven years, I have been FHADIMAC Executive Director, working to expand FHADIMAC’s activities in Haiti and in the Haitian community abroad. Presently, I work as FHADIMAC’s ambassador, which involves lobbying and grant research to improve FHADIMAC’s capacity.

One of the main focuses for 2018 is the implementation of a referral center – a Center of Excellence – a unique model of care for chronic diseases in Haiti. The most critical moment in my work as an Executive Director of FHADIMAC was probably the 2010 earthquake. Thousands of patients with diabetes, in desperate need of medicine and intensive care, received services from FHADIMAC’s dedicated diabetes clinic, the only one in operation at that time.

FHADIMAC received an award from the International Diabetes Federation in 2011 in Dubai for that work.

HOW LONG HAVE YOU BEEN WITH THE 30-YEAR-OLD ORGANIZATION? In 1988, I started as supervisor of the diabetes clinics. In 1992, I developed many educational materials on Diabetes and Hypertension in Creole. In 1993, I became the coordinator of events such as World Diabetes Day, and yearly trainings for medical professionals. I have

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conducted projects with World Diabetes Foundation, Americares, the Minister of Health of Haiti (MSPP), Insulin for Life (IFL), and the Helmsley Trust. In 2010, I implemented the IDF’s “Life For A Child” program, which currently supports close to 300 children and young adults with type 1 Diabetes.

WHY WAS FHADIMAC FOUNDED? In 1987, my father Dr Rene Charles, was receiving many poor patients with diabetes complications because they could not afford appropriate care. With the help from the Lion’s Club, he decided to open two clinics in two underserved neighborhoods. The clinics were rapidly overwhelmed. The space soon became inadequate, and Dr. Charles decided to relocate the clinics to a family home offered up by his wife, Mrs. Marie-Jose Charles.

Since then, FHADIMAC has grown and counts up to 6,000 registered members to date.

WHAT ARE THE TOP 5 SERVICES PROVIDED BY FHADIMAC? • Daily educational classes • Specialized clinics for patients with diabetes and hypertension • A foot clinic, the only one in Haiti • Training in diabetology for medical personnel • Programming for children and young adults with type 1 diabetes from all over Haiti

ARE THERE ANY CURRENT OR FUTURE PROJECTS FHADIMAC IS WORKING ON AT THE MOMENT? The space for all of our activities is very limited, so in March 2017 we launched a capital campaign to construct our new Referral Center for Diabetes and Cardiovascular Disease in Haiti, a modern and integrated medical facility to prevent and treat these chronic diseases.

CONTACT US VIA E-MAIL: INFO@ FHADIMAC.ORG, FHADIMAC@HOTMAIL. COM, OR OUR WEBSITE TO MAKE DONATIONS USING PAYPAL (WWW. FHADIMAC.ORG)

BESIDES YOU, WHO ARE THE KEY PEOPLE AT FHADIMAC WHO HELP KEEP THE ORGANIZATION GOING? • Dr Eddy Jean-Baptiste, an Internist, Endocrinologist, and Nutritionist, is our Medical Director • Dr Philippe Larco is a Physician and Epidemiologist and the VicePresident of FHADIMAC. • Dr Regine Lefevre, a public health specialist, is our project manager.

• Mme Sabrina Chauvet has had Type 1 diabetes since 1964. She brings the view of the patient.

• Mrs Marie Jose Charles is the administrator.

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Did you know that over 2 million people suffer from hypertension and over 370,000 people suffer from diabetes in Haiti?

The Haitian Diabetes and Cardiovascular Disease Foundation (FHADIMAC) is launching a capital campaign to construct the only Referral Center for Diabetes and Cardiovascular Disease in Haiti, a modern and integrated medical facility to prevent and treat these chronic diseases.

We need your support to fulfill our vision of establishing the first medical facility of its kind in Haiti that will provide a full range of services dedicated to the prevention, management, and treatment of diabetes and cardiovascular diseases, including their complications (eye, foot, kidney, and heart).

FHADIMAC is a non-profit organization based in Haiti with over 6,000 registered members. For the past 30 years, FHADMAC has been the only institution playing an essential role in the daily lives of thousands of people affected by diabetes and cardiovascular disease. Its services include consultations and screenings; a foot clinic; mobile clinics; daily educational seminars; community support groups; training programs for medical professionals; affordable and mordern medication; year-round program for children with diabetes and educational camps.

Your donation will: • ensure affordable and increased access to early diabetes and cardiovascular disease detection • reduce foot amputations by 85%, eye complications by 60%, kidney damage by 40%, strokes by 85%, and vascular disorders by 15% • create multi-disciplinary, patient-centered management that will result in patients taking better care of themselves • increase the comprehensive training of the Haitian medical corps and establish specializations in ophthalmology, surgery, cardiology, nephrology and diabetology

To Make A Donation: go to www.fhadimac.org or write us at fundraising@fhadimac.org For all other inquiries, please contact us at info@fhadimac.org Your donation is tax-deductible as it will be processed by HADICAD, a501(c)3 subsidiary of FHADIMAC located in Florida.

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Interview

KATHY LEGER

MOTHER, ENTREPRENEUR, ACTRESS...

By Sarah Brutus, ESQ + Photos by Mackinley "Spex" Madhere

MY GOAL IS TO PURSUE ECONOMIC EMPOWERMENT AND EDUCATE FINANCIAL LITERACY TO MY COMMUNITY ESPECIALLY FOR THOSE IN OUR COMMUNITY WHO DON’T HAVE THE ACCESS AND RESOURCES TO DO IT THEMSELVES.

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TELL US ABOUT YOUR UPBRINGING. I’m originally from Haiti, Port Au Prince to be exact. My education commenced at College Bird and College Roger Anglade. I moved to the United States when I was 13 years old. Prior to that, I came back and forth to the United States. From there, my family moved to Boston, where I continued my education.

HOW DID YOU GET STARTED IN ACTING? My brother Corvens Rozier A.K.A “Tonton Dezirab” put me in my first acting roll I was 18 years old. I’ve acted in several movies and have traveled all over the world with my brother to attend movie premieres, performing live plays “Banm Manmanm Tet Kale, movies like Ti Mafi, Papa’m Jalou, and numerous music videos. I’m Kathy Leger, a.k.a. Vierge Marie, the character. My brother is the one that put me on the spot to start acting. He said it ran in the family. When I first started, I was very shy and wondered if I was able to act in front hundreds of people or would I be any good. I always pressured myself to take on new challenges, but sometimes I

would also question what did I get myself into. But my brother always believed in me and he pushed me to believe in myself but I owe him the credit for giving me the courage to perform live in front of thousands of people which later I use that same confidence in doing business but I still think TonTon Dezirab is the true talent.

TELL ME ABOUT YOUR WORK IN THE BUSINESS FIELD. I have an associate in business, and I also became an investor in real estate while I was in Boston.

In addition to that, I had the opportunity to work in banking and held various roles in the banking sector, I was also able to introduce various bank products we now use in the tax preparation industry. After a quick divorce, I decided it was time for a change and decided to take my talents elsewhere. I chose to move to Miami, and never looked back.

I met my business partner a couple years later, and we have been partners for 10 years now.

We started South Beach Funding, which offers credit empowerment, credit-building, business funding, and other professional services.

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Interview We are currently nationwide representatives for 3 major accounting software, this sophisticated tax platform allows me to travel all over the country.

WHAT DO YOU THINK HAS MOTIVATED YOU AND ALLOWED YOU TO MOVE YOUR BUSINESS IN THE RIGHT DIRECTION OVER THE YEARS? My goal is to pursue economic empowerment and educate financial literacy to my community especially for those in our community who don’t have the access and resources to do it themselves. I've been extremely blessed and fortunate attend college, attend business conferences which affords me access and to gain the knowledge to help me build my business. I feel our haitian community would be furthef if we had more knowledge about credit, leveraging and most importantly financial literacy.

WHAT HAS BEEN THE HARDEST PART ABOUT BEING AN ENTREPRENEUR AND GROWING YOUR BUSINESS? The hardest part of being an entrepreneur for me was balancing my business and personal life. Being an entrepreneur sometimes require traveling and long hours at the office, It's important to have a great support system at home to keep the business and your personal life balance.

The second hardest for me was communicating and connecting with my Haitian people, Haitians are naturally uncomfortable discussing their financial business with strangers.

It's important to put yourself out there, take advantage of social media , attend free conferences and most importantly read books.

Knowledge is Power

WHAT ADVICE WOULD YOU GIVE YOUNG WOMEN ENTREPRENEURS WHO ARE JUST STARTING OUT? First to believe in yourself. Be selective on those you keep around you.

Focus. Be self-motivated. Find that thing you are passionate about. If you’re doing something just because someone else told you to do so, that is not your passion. Set goals, and actually follow through on them.

Procrastination is the enemy of progress. When you start something, finish it.

WHAT ADVICE WOULD YOU GIVE A YOUNG LADY WHO IS GOING INTO ACTING IN OUR COMMUNITY? You must believe in yourself before someone else is going to believe in you, make sure to work with reputable producers that will have your best interest and future at heart. Never shy away from any challenge just because you're a women.

WHAT DO YOU DO WHEN YOU’RE NOT WORKING AND TAKING OVER THE WORLD? I love to travel, especially to Haiti where I can let my hair down to enjoy some Lambi Boukannin as I enjoy those beautiful beaches.

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Anis is a business mogul and tax accountant who uses his life’s experience, as well as his mastery in business administration and training in public accounting to coach prominent leaders, and both current and future entrepreneurs. Naomi is an influential author and savvy business-woman who is known for her passion and zeal for mentoring and empowering women of all ages. Together they have over 20 years of combined experience in coaching and developing others on how to maximize their potential and capitalize on their God given power to create and innovate. With their collaborative approach to conquering and overcoming adversity, this dynamic duo has the tools to lead you to success and help you WIN at life.

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Featured Health Topics

Prostate Cancer:

What You Need to Know

By Angelo E. Gousse, MD Board Certified Urologist

Prostate cancer is one of the most common forms of cancer among men. The prostate gland is an integral part of the male reproductive system. It is responsible for secreting prostatic fluid, comprising about 30% of the male ejaculate. This fluid promotes motility, protection of genetic material, and longevity of sperm cells as they travel through the vagina.

It is estimated that 1 in every 7 men will be diagnosed with prostate cancer during their lifetime. Over 90% of prostate cancer diagnoses are in men over the age of 50, with an average age of 66. Although, a very serious disease, when caught early prostate 48 Haiti Open | People Culture Tourism

cancer is treatable. In fact, the majority of men diagnosed will not die from prostate cancer. About 92% of prostate cancer is caught in its early stages. This is because men are encouraged to do yearly prostate cancer risk assessments, including both a digital rectal exam (DRE) and a blood screening for the prostatic specific antigen (PSA) level.

Neither the DRE or PSA level alone is enough to diagnose an individual with prostate cancer.

The DRE is an exam done by the physician to palpate the prostate through the rectum and feel for solid nodules in the prostate. The PSA is known as a cancer marker, that is, when found above the

normal range (below 4 ng/ml), there is an increased probability of that individual having prostate cancer. The only definitive test to determine if there are cancerous cells in the prostate is a biopsy. In a biopsy, small pieces of the prostate are removed and sent to the lab to be examined. The prostate tissues are examined under a microscope and rated based on how much they resemble regular cells. The lab uses what is known as a Gleason score.

The higher the Gleason score, the farther the cells look from normal cells, and the more aggressive the cancer is likely to be.

When the cancer is slightly aggressive, it will most likely require treatment. There are

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Featured Health Topics several different treatment methods for prostate cancer, each with its own pros and cons. The two most common methods of treatment are radical prostatectomies, removing the prostate all together, and radiation, where high energy rays are used to kill the cancerous cells. However, not all prostate cancer needs to be treated right away. If an individual is asymptomatic and his biopsy reveals prostate cancer with a low Gleason score and a small volume of cancer cells, the doctor may suggest to place him under active surveillance. This implies regular monitoring of the PSA ,

way to many different places in the body including the bones. Upon diagnosis of prostate cancer, to determine if a patient's cancer has metastasized, the physician will generally order both a CT scan, to examine with soft tissues, and a bone scan.

While there is no treatment that cures metastatic cancer, it can be managed. One of the methods used to manage metastatic prostate cancer is hormone therapy. The hormone Testosterone, and its derivative Dihydrotestosterone, promote growth, differentiation, and increase metabolism of prostate cells. By depriving them of these

releasing hormone (GnRH) agonists.

These drugs act to decrease the testosterone produced by the testes by close to 90%. The decrease in cellular activity as a result of hormone deprivation can often be observed by monitoring the PSA. When hormone therapy is effective, there will generally be a decrease in the individuals PSA, which should be constant for the duration of the treatment.

Unfortunately, hormone deprivation is not always effective.

When the individual’s PSA continues to rise despite extremely low levels of hormones, the treatment is most likely ineffective.

THE TREATMENT OF PROSTATE CANCER HAS COME A LONG WAY. IT CAN OFTEN TIMES BE TREATED WITH NEGLIGIBLE EFFECT ON THE INDIVIDUAL'S QUALITY OF LIFE. HOWEVER, DESPITE THE LOW PROBABILITY OF DEATH ASSOCIATED WITH PROSTATE CANCER, IT IS IMPERATIVE THAT MEN AGES 50-75 MONITOR THEIR PROSTATE CANCER RISK ANNUALLY IN ORDER TO BEST PREVENT LATE STAGE PROSTATE CANCER DIAGNOSES.

DRE and possible future biopsies.

Although prostate cancer can be slow growing, the danger lies when untreated prostate cancer becomes metastatic. This occurs when cancer cells migrate from the prostate into the surrounding tissues by entering blood or lymph vessels. Cancer cells can find their

hormones, cancerous cell growth and activity in the tissues can be suppressed. Hormone deprivation can be achieved physically by surgical castration (removing both testicles), since the testes are the main source of testosterone, or by chemical castration, using a class of drugs known as Gonadotropin

This is considered to be castrate resistant prostate cancer (CRPC).

Almost all individuals who are dying from prostate cancer at this time have CRPC. There is currently no cure or effective management for CRPC. The most common method used to try to treat CRPC is chemotherapy.

CONTACT INFORMATION

Angelo E. Gousse, MD | Bladder Health And Reconstructive Urology Institute Memorial Hospital Miramar Medical Office Building 1951 SW 172 Avenue, Suite 305, Miramar, FL 33029 Phone: (305) 606-7028 | Website: www.gousseurology.com HaitiOpen.com | Winter 2018 49 ÂŤ

Featured Health Topics

COLON CANCER & ROBOTIC SURGERY

By Romane Joseph, MD General Surgeon

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Featured Health Topics

How dangerous is colon cancer?

Well, colorectal cancer (CRC) is the second leading cause of cancer death, and accounts for approximately 9 percent of cancer deaths and 3 percent of total deaths. Survival rates are improving, but over half a million people die from cancer each year in the United States alone. Cancer outranks cardiovascular disease as the number one cause of death in the United States for those under the age of 85. Both screening and prevention can reduce mortality from cancer.

What do you mean by screening and prevention?

Most colorectal cancers (CRCs) arise from adenomatous polyps that progress from small to large (>1.0 cm) polyps and then to cancer. Screening is the process to detect abnormalities before they are clinically apparent, allowing for intervention either before cancer develops or at an early stage, when treatment is most often effective. The progression from adenoma to carcinoma is believed to take at least 10 years on average. Prevention strategies focus on modifying environmental and lifestyle risk factors that promote cancer. It is estimated that 50 percent of cancer is preventable.

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Featured Health Topics

WHAT ARE THE RISKS OF COLON CANCER?

Multiple cancer risk factors have been identified; tobacco use, excess weight, poor diet, and inactivity account for two-thirds of all cancers in the United States. In one study, nine modifiable risks were identified as the cause of 35 percent of cancer deaths worldwide: smoking, alcohol use, diet low in fruit and vegetables, excess weight, inactivity, unsafe sex, urban air pollution, use of solid fuels, and contaminated injections in health care settings.

When should one start screening?

Most groups offer screening beginning at age 50 years for average-risk patients. CRC does, however, occur in asymptomatic average-risk people under the age of 50. Guidelines from some organizations (the American College of Physicians and the Multi-Society Task Force (MSTF) recommend initiating screening in people of African descent at an earlier age (40 to 45 years). Prior to initiating a screening program for a patient, it is important to identify patients who may have increased risk factors that would have an impact on: what age to initiate screening, the choice of testing, the frequency of testing, and the need for genetic testing.

What are the choices available?

The guidelines support the following screening options: • Colonoscopy • Fecal immunochemical testing (FIT) for occult blood • Sigmoidoscopy plus FIT • Computed tomography colonography (CTC) • FIT-DNA multitargeted stool DNA testing (MT-DNA, also known as fecal immunochemical testing-DNA) • Guaiac-based fecal occult blood testing (FOBT) • Sigmoidoscopy

Which tests is the best one to have?

All tests that are recommended by guidelines groups are acceptable options, but the best test is one that 52 Haiti Open | People Culture Tourism

the patient is willing to do with high quality after an informed shared decision-making process.

For people who are afraid of colonoscopy is there a futuristic/easier way of testing? Capsule endoscopy is one of many — Capsule endoscopy of the colon uses tiny video cameras embedded in the two ends of an ingested capsule (Pill) to take images as the capsule traverses the colon. This technique, while less invasive than colonoscopy, requires a more rigorous bowel preparation regimen. Unfortunately, colonic capsule endoscopy does not allow for biopsy or polyp removal, so patients with lesions detected during the examination typically require subsequent colonoscopy for further evaluation and/or treatment. Compared with colonoscopy, colon capsule endoscopy has a relatively low sensitivity for polyp detection. It is not an option as an initial screening test.

What’s after the screening tests?

Surveillance is also needed. It refers to follow-up testing in patients who have a history of polyps, cancer, or inflammatory bowel disease. Surveillance is conceptually different than screening (which applies to patients without disease or symptoms) and is discussed in separate topics - Once adenomatous or

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Featured Health Topics advanced polyps have been identified by screening, the patient should be entered in a colonoscopy surveillance program. The surveillance interval would be determined by what is found at each colonoscopy.

How do you treat colon cancer?

The treatment is complex. It involves first detection and staging of the disease (i.e. what is the extent of the cancer in the body). Then, removal of the disease (surgery); in addition to possible chemotherapy and radiation treatments. New technology such as the ROBOTIC surgical platform has now changed the management of colon cancer.

Why Robotic Surgery?

“Dedication beyond measure”. We are dedicated in providing our patients with the best and latest in surgical technology. We strive to make the surgical experience of our patients as comfortable, pain free, and bloodless, as possible. Providing the latest in Minimally Invasive Surgery allows the patients to recover faster, go home the same day, and have less pain. The Robotic Surgical platform provides us the tools to accomplish just that.

Can the robot make its own moves or decisions?

No, the Robotic System represents the latest in surgical technologies. WE, the surgical team are 100% in control of the Robotic System at all times. The Robotic System technology translates the surgeon’s hand movements into smaller, precise movements of tiny instruments inside the body.

What procedure can be done using the Robot?

The Robotic technology is evolving very fast. Now days almost all procedures that used to be done OPEN can be done using Robotic Assisted Minimally Invasive approach. Hernia repair, colon, gallbladder, prostate, heart, gynecologic surgeries, and most cancer related surgeries.

What are the advantages of Robotic Surgery for the patient?

In robot-assisted surgery, we use a variety of techniques to operate with less injury to the body than ever before.

In general, it is much safer: less dissection, less blood loss, no more cutting just small holes. The patient is able to recover faster and heal with less pain and scarring. It is usually done on an outpatient basis or requires only a short hospital stay.

WHAT IS ROBOTIC SURGERY?

It is surgical technology that provides a magnified, 3-D view of the surgical site. Robotic surgery, or robotassisted surgery, is done through one or more small incisions, using small tubes and tiny video cameras and surgical instruments. The Robot allows surgeons to perform many types of complex procedures with more precision, great flexibility and control than possible with conventional techniques.

CONTACT INFORMATION:

Romane Joseph, MD | Joseph Surgery Dade: 9415 NE 6th Ave, Miami Shores, FL 33138 | Broward: 4900 West Oakland Park, Blvd., #107, FT. Luaderdale, FL, 33313 Phone: (786) 401-6455 | Website: www.josephsurgerymiami.com HaitiOpen.com | Winter 2018 53 «

Health Issues & Tips

PREKOSYON OU KA PRAN POU PA FÈ KANS È NAN TETE (Ways to reduce breast cancer)

Lifestyle changes have been shown in studies to decrease breast cancer risk even in high-risk women.

• Limit alcohol. The more alcohol you drink, the greater your risk of developing breast cancer.

• Don’t smoke. Accumulating evidence suggests a link between smoking and breast cancer risk, particularly in premenopausal women.

• Control your weight. Being overweight or obese increases the risk of breast cancer.

• Be physically active. Physical activity can help you maintain a healthy weight, which, in turn, helps prevent breast cancer.

• Eat Your Fruits & Vegetables. A healthy diet can help lower the risk of breast cancer. Try to eat a lot of fruits and vegetables.

Pale Avèk Doktè Ou

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Featured Health Topics

BREAST CANCER Early Diagnosis is key

By Romane Joseph, MD General Surgeon

Breast cancer screening: A number of expert groups have developed recommendations related to age to initiate screening.

• Age under 40 — We suggest not screening average-risk women who are under 40 years of age. Among women younger than 40, the incidence of breast cancer is low, there are no randomized trials of breast cancer screening, and performance characteristics of mammography are poor.

• Age 40 to 49 — Most expert groups encourage shared decision-making for women in their 40s because of trade-offs between benefits and harms. we engage in shared decisionmaking to encourage women to individualize the decision based on the benefits and harms of screening and their personal values and preferences. For women who decide to initiate screening in their 40s, we typically suggest screening mammography every two years.

• Age 50 to 74 — We suggest breast cancer screening with mammography for average-risk women aged 50 to 74 years.

We typically screen every two years, unless the prior screening identified a finding for which more frequent breast imaging was advised.

• All expert groups recommend routine screening with mammography for women at average risk who are

age 50 or older, and most agree to continue screening through age 74 years (at least).

However, recommendations on the frequency of mammography screening for this age group vary • Age 75 and older — We suggest that women over the age of 74 be offered screening only if their life expectancy is at least 10 years.

For women in this age group who elect to be screened, we typically screen with mammography every two years.

• Mammography as preferred screening modality — Among a variety of imaging modalities developed for breast cancer screening, mammography is the best-studied and the only imaging technique that has been shown to decrease mortality • Mammography is available as digital and as film mammography. The choice between them generally depends on availability • For women with dense breasts, digital mammography, if available, is preferred because of higher sensitivity; the sensitivity of mammography is inversely correlated with breast density, especially with older film • Other imaging modalities — For average-risk women, there is a lack of medical evidence to routinely recommend other radiologic modalities or supplemental radiologic screening with ultrasound, MRI, or newer imaging technologies

CONTACT INFORMATION

Romane Joseph, MD | Joseph Surgery Dade: 9415 NE 6th Ave, Miami Shores, FL 33138 Broward: 4900 West Oakland Park, Blvd., #107, FT. Luaderdale, FL, 33313 Phone: (786) 401-6455 | Website: www.josephsurgerymiami.com HaitiOpen.com | Winter 2018 55 «

Featured Health Topics

Living with Diabetes

By Leon Stephane Gedeon, MD

DIABETES: WHY IS IT SO CRITICAL?

Before we talk about what diabetes is and how it affects those living with it, let us acknowledge some facts about it: According to the Center for Disease Control and Prevention’s (CDC) 2017 National Diabetes Statistic Report, in 2015 there were an estimated 30.3 million people in the United States (US) living with diabetes. This translates to nearly 10% of the US population. Of those 30.3 million people, 7.3 million were not yet diagnosed. Diabetes was most prevalent among Native Americans (15%), Non-Hispanic blacks (13%), and Hispanics (12%). Diabetes is the 7th leading cause of death in all 56 Haiti Open | People Culture Tourism

ethnic groups in the United States as of 2016 and the 5th leading cause of death among AfricanAmericans preceded by accidents (#4), stroke (#3), cancer (#2), and heart disease (#1). Diabetes is the leading cause of kidney failure, blindness, amputations, and a major cause of erectile dysfunction.

Most importantly, diabetes can be managed.

WHAT IS DIABETES?

Diabetes is a chronic (lifelong) condition where the body has difficulties taking the sugar from the bloodstream into the body’s cells to be used for energy.

This happens either because the pancreas does not make enough

insulin or the body does not efficiently use the insulin the pancreas makes. Insulin works like a key that opens the doors allowing sugar from the bloodstream to enter into the body’s cells. When the body does not absorb the sugar from the bloodstream, the sugar stays and accumulates in the blood vessels and travels wherever blood travels in the body including the brain, eyes, heart, kidneys, genitals, fingers, and toes. The more concentrated the sugar is and the longer it stays in the bloodstream, the more damage it does to the blood vessels, nerves, and organs.

HOW DO I KNOW IF I HAVE DIABETES?

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Featured Health Topics

Diabetes is often called a silent killer. This means that one may be affected and not know or notice any symptoms of diabetes until it is advanced. Therefore, the safest way of knowing your status is to complete a series of blood tests. Common symptoms of diabetes however include frequent urination, unquenchable thirst or hunger, blurry vision, fatigue, poorly healing skin sores, frequent infections, tingling/numbness of fingers or toes, and/or unintentional weight loss.

WHAT CAUSES DIABETES?

Diabetes can be the direct result of inherited genetic code misinformation that instructs the production of proteins that attack and destroy the pancreas cells that make insulin. Those insulin-producing cells can also be destroyed by certain viruses or toxins. The destruction of the pancreas causes an earlier onset or appearance of diabetes and what is termed as Type 1 Diabetes. Type 1 Diabetes is therefore most commonly seen at a younger age—usually during but not limited to adolescence. Diabetes can also be caused by poor diet and lack of exercise leading to obesity which is the most common cause of Type 2 Diabetes. In Type 2 Diabetes, the body’s cells become increasingly resistant to insulin creating the need for more insulin for the same effect.

This initially forces the pancreas to work overtime and produce more insulin which if persistent eventually leads to the pancreas exhaustion.

I HAVE TYPE 2 DIABETES. WHY IS MY MEDICAL PROVIDER RECOMMENDING INSULIN?

People with Type 1 Diabetes require insulin as part of their diabetes management as soon as they are diagnosed because their insulin-producing cells have been destroyed by their immune system. Those with Type 2 Diabetes gradually build resistance to insulin therefore may start off with non-insulin medications to increase insulin sensitivity or help the body manage sugar production and usage more efficiently.

This resistance however may eventually progress to the point where supplemental insulin is required.

Remember, insulin is the key to the doors that allow sugar into the cells. Other medications may assist in the process but they do not open the doors.

EVERYBODY I KNOW WHO TAKES INSULIN ENDS UP IN DIALYSIS. DOES THIS MEAN THAT INSULIN IS BAD?

This is a misunderstanding that actually causes more people to end up needing dialysis.

Dialysis is an invaluable process of cleaning the blood of toxins when the kidneys have failed. This process must be done several times weekly to maintain a certain level of blood purity. Insulin does not cause kidney failure. Rather, the delay in taking insulin when recommended by your medical provider leads to persistently elevated blood sugars which in turn leads to kidney failure among other organ damages.

Remember, diabetes is the leading cause of kidney failure.

DIABETES IS THE LEADING CAUSE OF KIDNEY FAILURE, BLINDNESS, AMPUTATIONS, AND A MAJOR CAUSE OF ERECTILE DYSFUNCTION. WHAT ELSE CAN I DO TO MANAGE MY DIABETES?

Management of both Type 1 and 2 Diabetes requires strict lifestyle modifications including improvement or a complete revision of diet and exercise habits. We must become familiar with foods that increase blood sugar including soft drinks/sodas, sweet juices and fruits, rice, white bread, pasta, potatoes just to name a few and common desserts including but not limited to cakes, ice cream, cookies, candies/candy bars.Beware of the common food additive/sweetener high-fructose corn syrup (HFCS) more commonly simplified today as corn syrup which is said to be linked to obesity and diabetes.

In terms of developing exercise habits, a minimum of 30 minutes per day of active walking 5 days per week is recommended to maintain an active lifestyle. Additional exercises may be recommended depending on individual needs for weight loss, heart health, musclebuilding, joint mobility, among others.

CONTACT INFORMATION

Leon Stephane Gedeon, MD, Board Certified in Family Medicine Memorial Healthcare System South Broward Community Health Services 1750 East Hallandale Beach Boulevard, Hallandale Beach, Florida 33351 Phone: 954-276-5552 | Web: www.mhs.net HaitiOpen.com | Winter 2018 57 «

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Doctor Profile and Jackson North Medical Centers, as we strongly believe it is safer to deliver your baby where a full service NICU team is available 24/7.

OBSTETRICS “WOMEN CARING FOR WOMEN.”

Dr. Marie Carmelle Liburd Obstetrics/Gynecology Specialist

Dr. Carmelle Liburd hails directly from the former Pearl of the Antilles – the island nation of Haiti. She completed her education at the Sisters of the Sacred Heart of Turgeau, and received her medical degree from the State University of Haiti in 1994. After practicing for a few years, Dr. Liburd relocated to Miami, Florida, where she was recertified as a physician and completed her residency training as an OB/GYN at the prestigious Mount Sinai School of Medicine. Soon after, she was also certified as a Fellow of the American Congress of Obstetricians and Gynecologists (ACOG, Board Certified).

In 2006, Dr. Liburd returned to Miami and established a clinic through North Shore Medical Center. She has been providing quality service to the diverse communities of Miami-Dade and Broward Counties since, and strives for excellence every day with you and your family in mind.

Dr. Liburd is married with two children, and is an active member of the South Florida community affiliated with organizations such as the Haitian American Leadership Organization, Association des Medecins Haitiens a l’Etranger, Florida Medical Association.

ABOUT THE CLINIC

Medical Care for Women strives to provide high quality and comprehensive care for women of all ages in a state-of-the-art facility. MCFW offers a full breadth of Obstetric and Gynecologic services to its patients including in-office procedures as well as gynecologic surgeries in the hospital. We only deliver at North Shore

Are you currently pregnant and planning to deliver in the Miami area?

Medical Care for Women is your medical center of choice. Our staff is fluent in English, Spanish, French, and Haitian Creole. It is of the utmost importance that women educate themselves about the benefits and the challenges of giving birth in South Florida. We will provide answers to all your questions, whether you’re a first time mother or welcoming your fourth child. The more you know, the better equipped you will be when making decisions about what is best for you and your unborn child.

Our all-female staff will make you feel welcome, and have implemented a professional but warm environment that will help future mothers prepare for the fulfilling and natural experience of birth. The goal of our obstetrics practice is to ensure that both the mother and baby remain safe and healthy during this special time. You will receive personalized care throughout your pregnancy, including delivery and any subsequent follow-up visits. The same level of care that you thought was only available “lakay an Ayiti.”

GYNECOLOGY

“WOMEN TREATING WOMEN.”

Dr. Carmelle Liburd and her staff provide regularly scheduled health screenings as part of your plan of care.

At your annual exam, our doctors and staff take the opportunity to listen to your concerns, to answer your questions, and to get to know you and your unique needs in order to make recommendations specific to you.

At Medical Care for Women, we take your privacy seriously, and offer the services and skills required for you to have a healthy treatment plan from start to finish, free of stress.

Our office of all-female, Board Certified providers and experienced staff offer women in the South Florida community personalized and compassionate, high quality OB/GYN care in a unique, relaxed environment.

FOR WOMEN, BY WOMEN.

CONTACT INFORMATION

Marie Carmelle Liburd, MD, FACOG | Medical Care for Women 1190 NW 95 ST, Suite 107, Miami, FL 33150 | Phone: 305-696-9400 HaitiOpen.com | Winter 2018 59 «

Doctor Profile ABOUT THE PRACTICE:

Dr. Mogin Antoine Anesthesiologist & Pain Medicine Specialist

Dr. Antoine earned his medical degree at the State University of Haiti School of Medicine. To further his medical education he moved to the U.S. and, after successfully passing his medical examinations for licensure, started an internship in General Surgery at Columbia University/Harlem Hospital. Upon completion of his internship he was accepted into the Anesthesiology program at the University of Miami/Jackson Memorial Hospital where he successfully completed his residency training as an anesthesiologist. Always eager to increase his knowledge and expertise, he decided to pursue a fellowship in Pain Medicine at the prestigious New York University/NYU Medical Center.

Dr. Antoine’s career began with Millennium Anesthesia group before joining a few colleagues in starting their own Anesthesia group, Heartland Anesthesia, where he is still a managing partner and practicing anesthesiologist. Over time, he went on to open his pain medicine practice; his current office is located in North Miami under the banner of Sunshine Pain Management Medical Center.

Dually boarded, he has met the highest standards to practice two specialties: Interventional Pain Medicine and Anesthesiology. He holds privileges at several hospitals/ surgical centers in south and central Florida. Dr. Antoine also dedicates some of his professional time to clinical research, hoping to contribute to the advancement of Pain Medicine. He is married and raising two beautiful daughters. He enjoys sports, music, and discovering different parts of the world through traveling. He never wavers from delivering care with commitment and compassion!

At SPMMC, we understand the extent to which pain can negatively alter your daily life. We work with a team of multi-disciplinary specialists to provide a wide range of treatment options designed to meet the patient’s specific needs. We practice comprehensive care, combining interventional pain management techniques (non-invasive procedures, or surgery such as intrathecal Morphine pump implants) with the appropriate medication regimen, physical therapy or other options…and now Medical Marijuana. We treat a wide range of chronic pain syndromes (neuropathic, musculoskeletal, or post-surgical) deemed unresponsive to conservative treatments.

CALL US TO BEGIN YOUR JOURNEY TO PAIN RELIEF!

While there may not be a cure to your underlying disease, we’re here to help manage your pain, and, thus, reclaim your life!

LIST OF SERVICES:

Epidural steroid injection Joint Injections Facet blocks & Nerve blocks Radiofrequency nerve lesioning Spinal cord stimulator implants Intrathecal pump implants Trigger point injections Discogram & IDET Medical marijuana Automobile accident

CONDITIONS TREATED: Sciatica Back pain Herniated disc Neck/thoracic pain Cancer pain Spinal stenosis Neuropathic pain Post laminectomy syndrome CRPS (type 1 and 2) Chronic migraine/headaches Joint pain and other painful conditions

CONTACT INFORMATION

MOGIN ANTOINE, M.D., D.ABA Sunshine Pain Management Medical Center | Interventional Pain Medicine 900 NE 125th Street, Suite 110, North Miami, FL 33161 Phone 305.836.1421 | Fax 305.836.1442 60 Haiti Open | People Culture Tourism

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Talk with your Doctor

HEALTH TIPS Some tips on living with chronic pain:

• Learn deep breathing or meditation to help you relax.

• Reduce stress in your life. Stress intensifies chronic pain.

• Boost chronic pain relief with the natural endorphins from exercise.

• Don't smoke. It can worsen chronic pain.

• Track your pain level and activities every day.

HaitiOpen.com | Winter 2018 61 «

Doctor Profile

Dr. F. Lucie Casthely Orthodontist Specialist

F. Lucie Casthely, DMD, MPH, MS, affectionately referred to as “Dr. Lucie” by her patients, obtained her Doctorate in Dental Medicine (DMD) from the Harvard School of Dental Medicine in 1995, as well as a Masters in Public Health (MPH) from the Harvard School of Public Health. In order to specifically become an Orthodontist, “Dr. Lucie” subsequently pursued a formal education in Orthodontics at the University of Florida in Gainesville where she obtained a Master in Science (MS) and certification as a US-trained specialist in Orthodontics.

DR. LUCIE’S PRACTICE PHILOSOPHY

“After years of practicing, I am still amazed by how no two patients are alike with regard to both dental and personal needs. I, along with my staff do our best to serve and care for our patients the best way possible. The greatest compliment for me is when one my patients refer a family member to our practice. I love to see the changes that occur in my patients when they go from being self-conscious of their smile to noticeable selfconfidence.”

I BELIEVE IN GIVING MY PATIENTS INDIVIDUALIZED CARE. SERVICES:

Braces Invisalign Orthodontic Treatment Teeth and Face Classifications Impacted and Missing Teeth Crowding and Spacing of Teeth Orthodontic Disorders Headgear Appliances Home Care for Braces

CONTACT INFORMATION

Dr. F. Lucie Casthely, DMD, MPH, MS | Casthely Orthodontics 1400 NE Miami Gardens Dr., Suite 101, Miami, FL 33179 Tel: 305-940-4911 | Fax: 305-940-4189 62 Haiti Open | People Culture Tourism Web: www.casthelyortho.com

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Talk with your Doctor

HEALTH TIPS The benefit of braces goes beyond just esthetics. Straight teeth help an individual more effectively bite, chew, and even speak. It may come as a surprise that straight teeth contribute to healthy teeth and gums.

Straighter teeth are easier to brush, clean, and flos HaitiOpen.com | Winter 2018 63 ÂŤ

Doctor Profile

Your feet are the foundation of your body. When you are experiencing problems with pain in your feet, legs, or ankles it affects your well being. These problems can make it difficult to manage all aspects of your life in a healthy and productive way and seeing a podiatrist could be the right answer. Our podiatry specialists understand this and take our commitment to your better health seriously.

WE’RE HERE TO HELP:

Dr. Jim François Podiatrist Specialist

Dr. Jim François began his health care career after earning his Associate in Science Degree in Pre-Med from Miami Dade Community College in 1994 and his Bachelor of Science Degree in Physical Therapy from Florida A&M University in 1996. He became a Doctor in Podiatric Medicine through his study at Barry University of Miami Shores in 2005.

Dr. François has been working with patients and fellow health care professions as a physical therapist and rehab supervisor since 1996. Dr. François holds certifications and licensure in Podiatric Medicine, Physical Therapy Advanced Cardiac Life Support, Cardiopulmonary Resuscitation, and External Ring Fixation from Orthofix. He maintains memberships in numerous professional organizations including the American Podiatric Medical Association (APMA), the Florida Podiatric Medical Association (FPMA) and the American College of Foot & Ankle Surgeons (ACFAS).

He is also privileged to work at the following hospitals: North Shore Medical Center of Miami, Villa Maria Rehabilitation Hospital of North Miami, and Jackson North Hospital and North Miami Beach Surgical Center of North Miami Beach.

ABOUT THE CLINIC:

We are proud to provide a state-of-the-art facility for the highest quality foot, leg, and ankle care available. It is one of our top priorities to protect the well-being of our valued patients.

Our Podiatrists are here to help you build a strong and healthy foundation by addressing any podiatric issues that may be keeping you from your best self

CONTACT US TODAY TO LEARN HOW OUR EXPERIENCED PODIATRY PROFESSIONALS CAN HELP. SERVICES: Achilles tendonitis Allergic contact dermatitis Athlete's foot Brachymetatarsia Bunions Calluses/corns Diabetic foot care Flatfoot (fallen arches) Fracture (foot/ankle) Ganglions Haglund's deformity Hallux limitus Hammertoes Heel pain/fasciitis Infections Injuries Ingrown toenails Leg pain Metatarsalgia

CONTACT INFORMATION

Dr. Jim François, D.P.M., P.T. | Foot & Ankle Surgery 150 NW 168th Street Ste 303, North Miami Beach, FL 33169 Phone: 786-657-2757 | Fax: 786-657-2758 64 Haiti Open | People Culture Tourism Web: www.jimfrancoisdpm.com

Morton's neuroma Onychomycosis (nail fungus) Osteoarthritis Pediatric foot care Plantar warts Plantar fasciitis Posterior tibial dysfunction Rheumatoid arthritis Running injuries Sesamoiditis Sprains/strains Tarsal tunnel syndrome Taylor's bunion Tendonitis Toe deformities Xerosis.

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Talk with your Doctor

HEALTH TIPS Who should see a podiatrist?

Anyone with a lower limb complaint, whether it is a new injury or long standing, should see a podiatrist. Leg, hip, knee and foot pain are not all they treat, they can also help with nail and skin issues including in grown toe nails, corns and verrucas.

HaitiOpen.com | Winter 2018 65 ÂŤ

Doctor Profile

Dr. Patrick Romeus Board Certified in Internal Medicine Dr. Patrick Romeus has been practicing medicine for twenty years and has worked in extensive medical research involving patients with HIV and psychiatric conditions. He has been recognized on many occasions by his peers at practicing hospitals where he has been awarded a certificate of best physicians. Dr. Romeus graduated from the school of medicine and pharmacy in Haiti where he received his medical degree and shortly thereafter completed the United States Medical Licensing examination. This allowed him to achieve his residency in internal medicine at San Juan City Hospital/VA in San Juan, Puerto Rico which was followed by his certification by the American Board of Internal Medicine (ABIM). He has active privileges in several South Florida healthcare systems.

Furthermore, he is affiliated with several medical and nursing schools serving as a mentor and preceptor for medical and nursing students completing their clerkship and preceptorship. Moreover, he provides palliative care to patients facing end-of-life illnesses in several Hospice facilities. He is fluent in Creole, French, English and Spanish.

ABOUT THE CLINIC:

Preferred Family Care, Inc. is a family practice that caters to patients with all kinds of healthcare needs.

The physicians and staff at Preferred Family Care, Inc. are dedicated to provide comprehensive and high quality care for their patients. At PFC Inc. we

perform physical exams and treat a wide spectrum of common illnesses in adult men and women. We are conveniently located minutes away from most Hospitals and major highways near the Golden Glades interchange. For added convenience to our patients, we have two locations to serve their needs and we provide transportations to our Geriatric patients.

THE PHYSICIANS AND STAFF AT PREFERRED FAMILY CARE, INC. ARE DEDICATED TO PROVIDE COMPREHENSIVE AND HIGH QUALITY CARE FOR THEIR PATIENTS. WE’RE HERE TO HELP:

PFC is dedicated to providing better care to our patients, and provide more educational material to help educate the patients on their healthcare needs by conducting health fairs to churches and community centers; while being mindful of the diverse cultural background of our patients’ demographics.

Furthermore, our goal is to eventually venture out to serve our partners in Haiti and help provide a great healthcare system to underserved, underprivileged areas.

CONTACT INFORMATION

Dr. Patrick Romeus, MD, Board Certified in Internal Medicine Location #1: 16853 N.E. 2nd Avenue, Suite 101, North Miami Beach, FL. 33162, Phone: 305-548-8530, Fax: 305-548-8533 Location #2: 838 N.W. 183 Street, Suite 201, Miami Gardens, FL. 33169 Phone: Fax: 305-651-6757 | Web: www.pfcareinc.com 66 Haiti Open | People Culture305-651-6755, Tourism

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Health Issues & Tips

PREKOSYON OU KA PRAN POU PA FÈ TANSYON (Ways to reduce hypertension)

High Blood Pressure in the United States, according to the Centers for Disease Control and Prevention:

About 75 million American adults (29%) have high blood pressure—that’s 1 of every 3 adults. Only about half (54%) of people with high blood pressure have their condition under control. Nearly 1 of 3 American adults has prehypertension—blood pressure numbers that are higher than normal, but not yet in the high blood pressure range.

• • • • • •

Keep your weight healthy Eat a healthy diet Don’t smoke, or, if you do now, quit Exercise regularly Limit the amount of alcohol you drink Reduce your stress

Pale Avèk Doktè Ou HaitiOpen.com | Winter 2018 67 «

Doctor Profile

Dr. Edwin Smith Dental Specialist

Dr. Edwin Smith is a devoted, caring, and highly skilled dentist who graduated from Columbia University College of Dental Medicine. He was raised in South Florida, attending High School ay Chaminade-Madonna College Prep, and he graduated with a Bachelors in Science from Florida International University. After training in New York, he returned to North Miami Beach to treat his local community alongside his father, Dr. Pierre Michel Smith.

Dr. Smith is a member of the American Dental Association, Florida Dental Association, South Florida Dental Association, Miami-Dade County Dental Society, and Academy of General Dentistry. Dr. Smith is an avid learner who is passionate about providing the highest level of care to his patients so regularly doubles the board requirements for continued education.

Dr. Smith is the Director of Next Dental and Next Dental 6th Ave. In 2017 he was named one of Haiti Open Magazine’s Top 10 Haitian Business Leaders in South Florida, and along with his wife Michelle Smith was named Legacy Magazine’s Power couple of the year for their rapid business growth by enhancing access to care, and their real estate redevelopment projects in North Miami Beach.

ABOUT NEXT DENTAL:

Next Dental is a fast growing practice in the North Miami area whose main focus is to enhance the oral health of the community. We provide every patient with excellent dental care that will result in a lifetime

of optimal dental health. We offer a tradition of professional integrity, and pride ourselves on providing the highest quality dentistry in a family environment.

Our mission is to enhance access to care in our community. We do this by accepting most insurance, and offering an in-house Wellness Plan for our uninsured community. With our in-house plan, we offer affordable fees and reasonable payment plans.

In addition, we offer transportation services for locals upon availability. Many members of our community don’t have reliable transportation so they frequently miss their appointments. This allows oral diseases to worsen and spread because the treatment that is required is not being received.

Your mouth is the gateway to your body. Oral disease does not exist in isolation. Gum Disease negatively affects Diabetes, Blood Pressure, and your overall health. Studies show that most adults have gum disease and don’t know it. Common signs include bad breath, loose teeth, calculus buildup, and bleeding on brushing/ flossing, and swollen gums. Treatment of gum disease can help with the management of many diseases, so we are regularly promoting continuity of care with local physicians. It is important that our community is regularly evaluated and treated.

We are a family-oriented dental practice, treating patients of all ages. We accept walk-ins, but always recommend scheduling an appointment to avoid a long wait time.

COME IN TO GET EVALUATED AND TREATED BY ONE OF OUR FRIENDLY DENTIST. SERVICES:

Dental Implants Cosmetics Restorative Pediatrics Periodontics Oral surgery

CONTACT INFORMATION

Locations: 16125 NE 18th Ave, Miami, FL 33162 | 16451 NE 6th Ave, Miami, FL 33162 Hours: Mon, Tue, Thu, Fri: 9am – 5pm | Wed: 9am – 6PM Phone: (305) 949-2766 | Website: www.nextdentalcare.com 68 Haiti Open | People Culture Tourism

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Talk with your Doctor

HEALTH TIPS The American Dental Association recommends cleaning between your teeth once a day. Cleaning between your teeth may help prevent cavities and gum disease.

HaitiOpen.com | Winter 2018 69 ÂŤ

Doctor Profile

Dr. Clones Lans OBGYN Specialist Dr. Clones Lans is an established and highly skilled physician with over 20 years of experience in obstetrics and gynecology. He is certified by the American Board of Obstetrics and Gynecology. Doctor Lans Currently serves as Vice Chair of the Department of Obstetrics and Gynecology at Jackson North Medical Center, one of the main centers in the Jackson Health Systems in Miami, FL. He is the medical director at Total Women Wellness Center and serves precepts students at Ross University, American University of the Caribbean (AUC), Saint Georges University, University of Florida, South University, Barry University, Chamberlain College of Nursing, and many more.

Dr. Lans received his Medical Doctor (M.D) degree from Universite D’Etat D’Haiti in 1994 in Port-auPrince, Haiti. After graduation, he obtained training in Obstetrics and Gynecology at the Hopital de l’Universite D’Etat D’Haiti where he became the Administrative Chief Resident in 1998. He opened his private practice at Polyclinique du Pont Morin in 1999-2004. He has managed the unusual career path of having a successful private practice as well as a fulfilling a political career as Senator of the Republic for the Department of Grand’Anse. As the youngest senator in Haiti History, he chaired the Health Commission and was instrumental in creating the Department des Nippes where he was born.

In the United Stated, he was recruited to train in Obstetrics and Gynecology at Nassau University Medical Center, New York. Soon after, he became

Attending Physician in Obstetrics and Gynecology at Bronx-Lebanon Hospital Center in NY and a Clinical Associate Instructor at the OBGYN Department Albert Einstein College of Medicine, in Bronx, NY for Advanced expertise in high-risk obstetrics and laparoscopic GYN surgery. A fan of warmer climate, he moved to South Florida for private practice, expanding his vision and experiences in treating obstetric patients ranging from routine pregnancies to those with complicated medical conditions. He was instrumental in establishing Total Women Wellness Center in Miami, FL, an OBGYN medical office for excellence in healthcare for women of all ages.

Dr. Lans is well regarded in the Miami and South Florida community, earning numerous accolades for his quality and patient centered care. He is fluent in Creole, French, Spanish and English. He excels at giving each patient individualized care at all times, providing the perfect balance between health and care. His clinical interests include: Low Risk and High Risk Obstetrics (pregnancies complicated by diabetes, thyroid disorders, overweight and hypertension), Vagina Birth After C-section (VBAC), management of uterine fibroids and other pelvic mass, infertility, abnormal uterine bleeding, menopause, pelvic pain & endometriosis, polycystic ovarian syndrome, premenstrual syndrome, minimal invasive surgery, pain during intercourse and many more.

Dr. Lans has published extensively and presented various researches, posters and articles both nationally and internationally. Dr. Lans passion is driven by the bonds he builds with his patients over the course of their lives and the enjoyment he holds in keeping them and their families healthy and well.

VISIT DR. CLONES LANS TODAY OR CALL FOR AN APPOINTMENT AT (305)705-4575

CONTACT INFORMATION

Clones Lans , MD | Total Women Wellness Center 16400 NW 2nd Ave #101, Miami, FL 33169 | Web: www.totalwomenwellness.com Phone: 305-705-4575 | E-mail: info@totalwomenwellness.com 70 Haiti Open | People Culture Tourism

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Talk with your Doctor

HEALTH TIPS Tips for a Healthy Pregnancy: Exercise Educate Yourself Get early prenatal care Recharge with Fruit Don't forget breakfast Eat foods with fiber Limit caffeine and avoid alcohol Take a prenatal vitamin with iron and folic acid every day.

HaitiOpen.com | Winter 2018 71 ÂŤ

Doctor Profile

Dr. Hans Jean-Baptiste OBGYN Specialist Dr. Hans Jean-Baptiste was born in Cap-Haitian, Haiti and is a double boarded physician in Family Medicine and in Obstetrics & Gynecology. He obtained his Medical Doctor (M.D) degree from Universite D’Etat D’Haiti in 1994 in Port-au-Prince, Haiti. After graduation, he pursued training in Obstetrics and Gynecology at the Hopital de l’Universite D’Etat D’Haiti. He was the OBGYN Physician at Hopital Universitaire of Cap Haitien, Haiti from 1998 – 2002, where he also precepted students in the Obstetrics and Gynecology Department and the Family Medicine Residency Program sponsored by the University of Miami School of Medicine. Subsequently, he was recruited to be a research associate at the University of Miami. He continues to precept students for Ross University, South University, Saint Georges University, American University of the Caribbean, Kaplan University, etc. He has travelled to many healthcare missions and sponsored various healthrelated activities in Haiti.

Dr. Jean Baptiste was recruited to train in Family Medicine at Howard University Hospital in Washington, DC. Following that successful assignment, he was then recruited to train in Obstetrics and Gynecology at Nassau University Medical Center in Long Island, NY. Soon after, he became an Assistant Professor of Family Medicine and Obstetrics and Gynecology at Howard University in Washington, DC. He has also imparted his skills and knowledge as a Locum Tenens OBGYN Physician at Lonesome Pine Hospital, Big Stone Gap, VA, at DELMED Health and BEEBE Health Care Hospital,

Lewes, DE. Dr. Jean-Baptiste’s commitment to health care extends beyond his own practice. He works with local Hospitals in West Palm Beach, Bell Glades, etc.

His passion to serve has motivated his decision to commission as an Officer in the US Army since 2006.

Major Jean-Baptiste has provided care, treated, counseled and educated soldiers in numerous missions in the United States, Kuwait and other military installations around the world. This distinguished soldier has received awards for his military service, many accolades and testimonies from the US Military, his fellows in the Medical Corps, his comrades and patients alike.

He is a co-founder of Total Women Wellness Center, a cradle for exceptional Care for Women of All Ages in Miami, FL, and serves as its Chief Obstetrics Officer. Dr. Jean-Baptiste’s vision to perform the highest medical standards coupled with a strong personal commitment on every patient, has been the cornerstone of his medical practice. He embodies the true characteristics of of a great doctor, providing excellent care related to pregnancy, childbirth, and the female reproductive system. He cares and counsels women throughout their pregnancy and delivery of their babies. He is also an expert in analyzing and treating health issues specific to women, such as breast cancer, cervical cancer, hormonal disorders, and symptoms related to menopause.

Dr. Jean-Baptiste’s passion for Medicine is also evident in his publications in the International Journal of Gynecology and Obstetrics, World Health Organization, and various scientific circles and journals in the United States and around the World.

WITH A CELEBRATED STAFF SUPPORTING DR. JEANBAPTISTE, YOU WILL FEEL AT EASE AT IN HIS MEDICAL PRACTICE. VISIT HIM TODAY OR CALL FOR AN APPOINTMENT AT (305)705-4575.

CONTACT INFORMATION

Hans Jean-Baptiste , MD | Total Women Wellness Center 16400 NW 2nd Ave #101, Miami, FL 33169 | Web: www.totalwomenwellness.com Phone: 305-705-4575 | E-mail: info@totalwomenwellness.com 72 Haiti Open | People Culture Tourism

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Health Issues & Tips

PREKOSYON OU KA PRAN POU PA VIN GWO (Ways to prevent obesity)

In the United States, 66 percent of all adults are overweight and, of those, 32 percent are obese, according to the Centers for Disease Control and Prevention: • • • • • •

Drink water Keep junk food out of the house Eat more fruit, vegetables, nuts, and whole grains.

Exercise, even moderately, for at least 30 minutes a day.

Cut down your consumption of fatty and sugary foods.

Use vegetable-based oils rather than animal-based fats.

Pale Avèk Doktè Ou HaitiOpen.com | Winter 2018 73 «

Doctor Profile

Dr. Sarepta Isaac Podiatrist Specialist

Dr. Sarepta started her mission in healthcare and wellness advocacy and education after noticing a tremendous need while treating her patients in her everyday work. The passion and commitment to motivate, educate and advocate came from this.

Before commencing medical school, Dr. Sarepta had the opportunity to work closely with the Haitian community, of which she is native. There, she recognized the tremendous need for clarification of health-related information, not just in the Haitian community, but in general. She found that often, health topics are not clearly understood, and this misunderstanding contributed to complications and mismanagement of disease. Put simply, once one better understands their disease and treatment options, they are more likely to better manage and even be cured.

Her mission is to motivate and encourage the public into taking charge and better care of their health and wellness.

After completing her undergraduate studies at Pace University in NYC with a major in biology and minor in chemistry, Dr. Sarepta received her Doctor of Podiatric Medicine Degree in 2011 from the New York College of Podiatric Medicine. She went on to her residency training at South Nassau Communities Hospital in Oceanside, NY. She served as Chief Resident in the Podiatric Medicine and Surgery residency program during her final year. At the end of her studies, she was awarded a Completion of Podiatric Medicine and Surgery with an added credential in Reconstructive

Rearfoot Surgery certificate.

While serving as Chief resident, Dr. Isaac began pursuing her Masters’ in Business Administration degree with a Concentration in Health Care Management which she completed in August 2016.

Shortly after completion of her MBA program, Dr. Isaac began her entrepreneurial journey and opened her private practice, Serenity Podiatric Concierge, LLC in Atlanta, Ga with plans for further expansion in 2018.

Dr. Sarepta enjoys researching and exploring all aspects of healthcare. She is a sought-after speaker and contributor of various health and wellness topics in numerous publications. To help her reach the masses and those that need this information, Dr. Sarepta holds monthly “Serenity Health Talks” seminars where she meets with her patients and family members of her patients to discuss pertinent health and wellness topics.

If you are looking to bring expert health and wellness knowledge to your next conference, panel, or health event with high content health information- Contact Dr. Sarepta today.

Speaking topics include, Taking Charge of your Health, Keeping Your Health a Top Priority, Properly Advocating for the Health of a Loved One and Balancing your Mental and Physical Health. Dr. Sarepta is also available for all types of media interviews including television, radio, lectures, panel discussions and keynote speaking engagements. Inquiries should be made at contact@drsarepta.com

PUT SIMPLY, ONCE ONE BETTER UNDERSTANDS THEIR DISEASE AND TREATMENT OPTIONS, THEY ARE MORE LIKELY TO BETTER MANAGE AND EVEN BE CURED.

CONTACT INFORMATION

Dr. Sarepta Isaac, DPM, MBA | Serenity Enterprises, LLC P. O. Box 232, Alpharetta, GA 30009 Phone: 404-937-7005 | Email: contact@drsarepta.com Web: www.drsarepta.com 74 Haiti Open | People Culture Tourism

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HEALTH TIPS Starting to run regularly?

Runners are especially prone to aches and pains like shin splints. A podiatrist can assess your body and feet to flag potential problems and recommend strategies to avoid them. He or she can also recommend the best type of athletic shoe for your foot.

HaitiOpen.com | Winter 2018 75 ÂŤ

Doctor Profile

Dr. Vanessa Petit-Vaval OBGYN Specialist

Dr. Vanessa Petit-Vaval is a Family Nurse Practitioner specializing in Obstetrics & Gynecology. She completed her Doctorate in Nurse Practice at Florida Atlantic University (FAU) where she also earned her Master’s degree in Family Nurse Practitioner at FAU. She received her bachelor’s of Science in Nursing at Nova Southeastern University in Davie, FL. She has previously worked for Aventura Hospital as a telemetry Registered Nurse and at the Memorial HealthCare System as a Postpartum Registered Nurse.

She joined Total Women Wellness Center last year as lead Nurse Practitioner. As the most recent addition, Dr. Vaval strongly about patient education, and realizes that women who are educated about gynecological and obstetric issues can partner with a physician to improve their health. She creates a caring environment and establishes a connection with the patients and their family to provide individualized care that minimizes unnecessary interventions while offering the same tests, medications and procedures as her physician counterparts.

“Caring for patients has always been my passion”. In 2009, Dr. Vaval lost her Aunt to Cervical Cancer. That loss fueled her continued passion for the improvement of women’s health. She treats every patient like her

family. She educates patients and families on health care needs, conditions and present to them options for themselves and the newborn infant.

Her patients report they have a high level of trust in her decisions and that she explains medical conditions well. She also spends an appropriate amount of time with the patient and listens and answers questions.

Dr. Vaval realizes that modern medicine is only part of the answer when it comes to health, and counsels her patients in topics like nutrition as related to issues like fertility, preconception management and pregnancy.

VISIT DR. VANESSA PETIT-VAVAL OR CALL FOR AN APPOINTMENT AT (305)705-4575

CONTACT INFORMATION

Vanessa Petit-Vaval, DNP,ARNP,FNP-BC | Total Women Wellness Center 16400 NW 2nd Ave #101, Miami, FL 33169 | Web: www.totalwomenwellness.com Phone: 305-705-4575 | E-mail: info@totalwomenwellness.com 76 Haiti Open | People Culture Tourism

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Food/Manje

CORNMEAL ( May i )

Mayi Bon Pou Sante-w

Some Health Benefits of Eating Cornmeal • • • • • • •

Gluten-free Whole Grain Rich source of Carbohydrates Improves Digestion Great for Iron intake Protects the Heart Good for your skin Excellence source of Fiber

HaitiOpen.com | Winter 2018 77 «

Doctor Profile

Dr. Thomas Toussaint OBGYN Specialist

Dr. Thomas Toussaint is a co-founder of Total Women Wellness Center and serves as its CEO and Chief Gynecology Officer. He is Board Certified in Obstetrics and Gynecology by the American Board of Obstetrics and Gynecology and is one of the few specialists in Uro-Gynecology in the World. Born in Cap Haitien, Haiti, he received his Medical Doctor (M.D) degree from Universite D’Etat D’Haiti in Port-au-Prince, Haiti.

After graduation, he obtained training in Obstetrics and Gynecology at the Hopital de l’Universite D’Etat D’Haiti and was elected Chief Resident in 2001. He served as OBGYN doctor at Hopital Sacré Coeur and Hopital Justinien in his native city. He later was recruited to train in Obstetrics & Gynecology at Nassau University Medical Center in Long Island, New York, at Memorial Sloan-Kettering Cancer Center in New York and South Side Hospital for Surgery. Subsequently, he completed his fellowship in Minimally Invasive Gynecologic Surgery at Nezhat Medical Center, Endoscopy Laser Institute of Atlanta, in Atlanta, Georgia.

This accomplished physician holds medical licenses to practice in Florida, New York, Georgia and Illinois.

His training includes as well Advanced Operative Gynecologic Hysteroscopy & Laparoscopy (Atlanta, GA), Laparospocopic & Obstetric Surgical Techniques (Martinique, France) and Robotic Assisted Surgery expert. After his fellowship, he was recruited as a Clinical Instructor for the University of Illinois School of Medicine for Minimal Invasive Surgery, Pelvic Reconstructive Surgery, Urogynecology while being part

of the Rockford Health System for Gynecologic Surgery & Clinic in Rockford, Illinois.

Dr. Toussaint is as passionate about medicine as he is compassionate about people. He has been part in many medical missions and sponsored many healthrelated activities in his homeland. His clinical interests include treatment of Cystocele, rectocele & Enterocele, overactive bladder syndrome, vaginal rejuvenation, pelvic organ prolapse, pelvic reconstructive surgery, robotic surgery, pelvic pain & endometriosis, postmenopausal bleeding, advanced laparoscopic minimally invasive surgeries, urinary and fecal urgency, leakage, frequency and nocturia. His great passion is bringing healing to those who have been through a traumatic/ stressful experience dealing with hard to remedy disorders of the reproductive and the urinary systems.

Women can experience urinary problems at any stage of their life. And it takes a great Physician like Dr. Toussaint with years of experience in Uro-Gynecology to help liberate those stigmas attach to urgency, leakage and frequency, prolapse, etc. He understands and provides individualized treatment for a successful outcome.

His presence has also been felt nationally in many conferences, workshops and meetings held in Washington, DC, Las Vegas, NV, Denver,CO, Hollywood, FL, etc. He has also conducted researches in Management of Uterine Adenosarcomas, Abnormal Vaginal Bleeding, disorders of Vagina & Vulva, and many more. His publications have also been read both nationally and internationally. With fluency in Spanish, Creole, French and English, Dr. Toussaint is a gem in the Haitian and Hispanic communities of South Florida.

When he is not in his office in Miami, FL he is attending to patients in various hospitals in the Orlando, FL area.

VISIT DR. THOMAS TOUSSAINT OR CALL HIS OFFICE AT (305)705-4575 FOR AN APPOINTMENT.

CONTACT INFORMATION

Thomas Toussaint, MD | Total Women Wellness Center 16400 NW 2nd Ave #101, Miami, FL 33169 | Web: www.totalwomenwellness.com Phone: 305-705-4575 | E-mail: info@totalwomenwellness.com 78 Haiti Open | People Culture Tourism

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Food/Manje

BULGUR WHEAT (Ble)

Ble Bon Pou Sante-w

Some Health Benefits of Eating Bulgur Wheat • • • • • • • •

Great source of Fiber and Protein Improves Immunity against Chronic Diseases Builds Strong Bones Boosts Circulation Helps with Weight Loss Fight Type 2 Diabetes Reduce High Blood Pressure Rich Source of Iron

HaitiOpen.com | Winter 2018 79 «

Doctor Profile

Dr. Franklin Casthely, DDS Dental Specialist

Dr. Casthely was already a dentist when he left Haiti in the early 1970s. He obtained his dental degree from the State University of Haiti in 1967. After several challenging years Dr. Casthely was able to overcome the barriers placed in front of foreign-trained doctors, and not only attended but also taught at Harvard University.

This experience proved to be of great value as it helped further cultivate his leadership and public speaking skills.

Dr. Franklin Casthely started his practice in Miami in the early 1980s after relocating from Boston, Massachusetts. Although at the time he was Clinical Instructor of Prosthodontics at the prestiguous Harvard School of Dental Medicine, he longed for the tropical climate of his homeland Haiti and a community with a larger Haitian-American presence.

90% OF THE TIME, ORAL CANCER CAN BE CURED IF DETECTED AND TREATED EARLY. SERVICES:

Preventive Dentistry Restorative Dentistry Prosthodontic Dentistry Cosmetic Dentistry Orthodontic Dentistry

ABOUT THE CLINIC:

With over 20 years of serving the dental needs of the Miami community, we take pride in providing the ultimate patient experience in a caring and comfortable environment. As we look into the future, we are excited to continue the tradition by offering the latest in General Dentistry and Orthodontics. We know that no two patients are alike! We look forward to providing customized care as we continue to grow our family of patients and friends. We invite you to take a closer look at Casthely Dental... Welcome!

CONTACT INFORMATION

Dr. Franklin Casthely, DDS | Casthely Dental 160NE 82nd Street, Miami, FL 33138 Phone: 305-756-7602 | Fax: 305-751-6830 80 Haiti Open | People Culture Tourism Web: www.casthelydental.com

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Food/Manje

FISH

(P was on) Good:

Fish contains high-protein, low-fat, and is among the healthiest foods on the planet. It is loaded with important nutrients, such as protein and vitamin D. Fish is also the world’s best source of omega-3 fatty acids, which are incredibly important for your body and brain.

Bad:

The FDA says pregnant women should limit the amount of fish in their diets. And while canned tuna is the most popular fish, it’s also contains some of the highest levels of mercury.

Suggestions:

Fish is your best alternative to eating meat. Eat mostly grilled fish. Cook it with vegetable oil if you must.

Ou Ka Manje Pwason 7 Fwa Pa Semène Selman HaitiOpen.com | Winter 2018 81 «

Doctor Profile Because our focus is solely on Gynecology, we are able to meet your needs in a timely fashion without the disruptions commonly experienced in an obstetric practice. With many years of experience in the field of OB/GYN, our staff is knowledgeable and ready to answer your questions both on the phone and in the office.

Dr. Ninoutchka Dejean Obstetrics/Gynecology Specialist Dr. Dejean is board certified by the American Board of Obstetrics & Gynecology. She graduated from medical school at the University of Florida College of Medicine and completed her residency training in Ob/Gyn at New York Medical College.

Dr. Dejean’s focus is on the management of gynecologic disorders and performing minimally invasive office-based procedures such as hysteroscopy, endometrial ablations, Essure permanent birth control as well as routine pap screening.

ABOUT THE CLINICS:

Our offices are located in the Memorial Hospital Pembroke Plaza and at the Boca Clinic where we offer personalized care to women of all ages in a private and relaxed atmosphere.

Our offices are designed with warmth and sensitivity to make your visit a comfortable and pleasant experience. We provide state of the art, comprehensive healthcare for women in every stage of life.

Our practice respects your time. We do our best to get everything done for you at the time of your visit. Blood work is drawn in our office so that you don’t need a separate trip to the lab. Our doctors perform all of their own ultrasounds, avoiding a second appointment elsewhere, and allowing you to receive your results immediately.

WE OFFER EVENING APPOINTMENT HOURS AND SATURDAY APPOINTMENTS FOR YOUR CONVENIENCE. CALL TO SCHEDULE YOUR APPOINTMENT TODAY! LIST OF SERVICES:

GYNECOLOGIC OFFICE PROCEDURES Colposcopy for Abnormal Pap Tests LEEP Cone Procedure for Cervical Dysplasia Transvaginal Pelvic Sonograms Hysterosonograms Essure™ permanent birth control Nexplanon™ birth control implant insertions Endometrial Ablations Hysteroscopy and Endometrial Biopsy Hysteroscopic removal of uterine fibroids and polyps GYNECOLOGIC OFFICE VISITS Routine Wellness Exams Menopause Care Ovarian Birth Control IUD Insertions Post-Menopausal Bleeding Abnormal and Heavy Menses Family Planning GYN Ultrasound HPV Testing and Vaccination Infertility Cancer Screening

CONTACT INFORMATION

Dr. Ninoutchka Dejean, M. D., F. A. C. O. G. | drdejean@miamiwomencare.com Broward: Pines Women’s Care | 2253 North University Drive, Pembroke Pines, FL 33024 Phone: (954) 716-3378 Fax: (561) 939-0524 Palm Beach: Boca Women’s Health | 1601 Clint Moore Road, Suite 210, Boca Raton, FL 33487 Phone: (561) 939-0520 Fax: (561) 939-0524 82 Haiti Open | People Culture Tourism

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Food/Manje

GOAT (Kabri t) Good:

According to the USDA, Goat meat is lower in fat than chicken, but higher in protein than beef. Goat meat outshines traditional meat sources in most areas: it’s lower in calories, total fat, saturated fat and cholesterol. It’s a leaner, healthier choice when compared to equal serving sizes of chicken, beef and pork.

Bad:

Excess meat consumption, like goat or any other red meat, may lead to health-degrading conditions. Too much of saturated fat and cholesterol, from goats, may increase the risk of cardiovascular diseases such as heart attack and atherosclerosis.

Suggestions:

If you like goat (red meat), eat it in moderation. Eat it twice a week at the most. Two 3- to 4-ounce portions of red meat per week is considered healthy, says researcher Michael Roussell, Ph.D., in the January 2012 American Journal of Clinical Nutrition.

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Food/Manje

BEEF (B è f ) Good: Good source of protein, iron, vitamin B-12, zinc, potassium and Sodium.

Bad:

A recent National Institutes of Health-AARP study of more than a half-million older Americans concluded that people who ate the most red meat and processed meat over a 10-year-period were likely to die sooner than those who ate smaller amounts. Those who ate about 4 ounces of red meat a day were more likely to die of cancer or heart disease than those who ate the least, about a half-ounce a day. Epidemiologists classified the increased risk as “modest” in the study.

Suggestions:

If you like beef (red meat), eat it in moderation. Eat it twice a week at the most. Two 3- to 4-ounce portions of red meat per week is considered healthy, says researcher Michael Roussell, Ph.D., in the January 2012 American Journal of Clinical Nutrition.

Li Pi Bon Si-w Manje Bèf 2 Fwa Pa Semène Selman

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Food/Manje

CHICKEN ( Pou l ) Good: According to the USDA, chicken (100 g) contains vitamin C, thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, vitamin A, vitamin E, vitamin D, and vitamin K.

Bad:

Eating fried chicken daily can be fatting and may cause high cholesterol.

Suggestions:

The American Heart Association recommends that people limit skinless chicken to less than six ounces per day, total. If you must eat chicken regularly, try to cook it yourself with vegetable oil, or just grill it. And stay away from the skin.

Li Pi Bon Si-w Manje Poul 3 Fwa Pa Semène Selman

HaitiOpen.com | Winter 2018 85 ÂŤ

Food/Manje

PORK

(Kochon) Good:

Pork is a good source of protein, Vitamin B-12, iron and selenium. The more varied the pig’s diet and the more time it spends outdoors in the sun, the better its nutrition will be.

Bad:

Processed pork, bacon and other pork fatty cuts are very high in artery-clogging saturated fat and cholesterol and are not good for everyday eating. The International Agency for Research on Cancer actually classifies processed meat as a carcinogen, something that causes cancer.

Researchers found that consuming 50 grams of processed meat each day raises your risk of colorectal cancer by a very significant 18 percent.

Suggestions:

If you like pork (red meat), eat it in moderation. Eat it twice a week at the most. Two 3- to 4-ounce portions of red meat per week is considered healthy, says researcher Michael Roussell, Ph.D., in the January 2012 American Journal of Clinical Nutrition.

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Food/Manje

TURKEY ( Kodè n) Good:

Turkey is high in zinc, B vitamins, phosphorus, tryptophan, selenium and protein. It is low in saturated fat, cholesterol, provided that you do not eat the skin. Since it is lower in fat and cholesterol than beef, chicken and pork, eating it also helps to lower LDL or “bad Cholesterol”.

Bad:

Too much processed turkey, like any other meat, is bad for you.

Suggestions:

Turkey is a better option than chicken, contains less cholesterol. Eat it without the skin.

Li Pi Bon Si-w Manje Kodèn 3 Fwa Pa Semène Selman

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Weight Loss Stories

HOW

DENISE LOST 65 LBS

WHY I LOST THE WEIGHT

I was 230 pounds after giving birth to my son. My life was nonstop. Multitasking took on a totally new meaning. I was managing a business, being a wife and mommy. My diet was horrible – a lot of home-cooked Haitian food and fast food. When I noticed that the numbers on my scale were increasing and not decreasing, I knew something had to be done.

most part, I live a healthy lifestyle.

I manage my weight by replacing one meal a day with my Herberlife protein shake. I mainly snack on baby carrots, dried fruit, nuts, granola bars, and bananas. I always

carry a snack in my bag. I cut out soda and stick to water, tea, and some fruit juice – and I exercise like a beast!

My current goal is to increase muscle mass and decrease body fat.

HOW I LOST THE WEIGHT

I realized I had to lose weight after friends and family said I still looked pregnant. So I eliminated all excuses about being too busy and made a commitment to get my health and body back! Luckily, I found a convenient weight-loss management program called Herbalife that helped me manage what I ate. I combined that with a lot of cardio, and ZUMBA dance fitness. In less than a year, I lost 55 pounds.

HOW I MANAGE MY WEIGHT

Don’t get me wrong – I indulge in pie, cake, and ice cream sometimes, and I do gain weight during the holidays. But for the

Before

After

I realized I had to lose weight after friends and family said I still looked pregnant.

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Weight Loss Stories

HOW

KATIA JEAN PIERRE LOST 80 LBS

My name is Katia Jean Pierre.

I am 51 years old and have been living in Montreal for the past eight years. A friend of mine sent your link to me, and told me that I have an inspiring story. First, there is no age to start. I’ve been struggling for 15 years to lose weight. Losing, gaining, with ups and downs, until I got to my worst weight at 245 pounds! I tried everything, but I kept gaining.

I gained 80 pounds in eight years!

Gaining less than a pound a month doesn’t sound like much, but it piles up over eight years.

I was very depressed, and it didn’t help. Then one day, my chance came. My heath was getting dangerously bad, with asthma, HBP, diabetes, sleep apnea, low selfesteem. A doctor proposed Rouxen-Y (RNY) gastric bypass surgery. I was afraid, but after much thought, I went for it.

It was very difficult, and still is at times. But it’s an amazing tool that gives you a good start in your journey to educate your stomach and make good, healthy decisions by eating small portions and exercising daily. It is important

that I stress that this operation is 10% of your success – the rest is up to you. It doesn’t stop you from wanting chocolate or pizza, nor does it make you want to exercise.

It just gives you a good tool to recreate yourself in one year. It called “the honeymoon year”.

Looking back, it was best

Before

decision of my life. I lost 80 pounds in a year and today look and feel amazing. My heath and sexy feelings are back. I got a second chance in life and it feels amazing.

So that’s my story. When people ask me what my secret is, I always tell them, “Before I answer you, tell me how bad you want it.”

After

I’ve been struggling for 15 years to lose weight.

Losing, gaining, with ups and downs, until I got to my worst weight at 245 pounds!

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Weight Loss Stories

Hi! My name is Maryfrans Ovilde.

I’m 30 years old, and super excited to share with you this new journey I embarked on at the beginning of 2017. After I became a mom in 2007 and again – yes, I said again – in 2008, I went from the average 5’5”, 150 lb girl to a whopping 210 lbs. Yikes! As you can imagine, caring for two babies is extremely hard, and because I was young and lazy at the time I chose to do nothing about my rapid weight gain.

However, a year went by and I was still gaining more and more weight, rather than losing it. In February 2017, after hitting my highest weight of 251 lbs, I fell into a deep depression and felt disgusted to the point where I literally hated myself. One night, as I lay in bed feeling fat and discouraged, I decided that on my next pay date I was going to invest in myself and purchase my very own Herbalife supply – which consisted of a meal replacement shake program – and that I was going to enroll in kick boxing classes. I vowed to make it my business to walk at least two miles each day. After just one month of changing my eating habits, drinking lots of water, portioncontrolling foods while using the Herbalife meal replacement shakes alongside kick boxing and walking, I lost about four pounds the first month. Once I noticed that this new

Before

After

HOW

MARYFRANS OVILDE LOST 53 LBS

way of living was very effective, I kept going. Within eight months, I was 53 lbs down. YAYYYYYYYYY!!

GOD is the center of all of this. I’m keeping the weight off by his grace and my willPOWER! I no longer do kickboxing, but I have continued my regime of walking daily for about 45 minutes or longer, depending on the weather here in Jersey. All in all, as long as you are focused, determined and ready, all will fall into place. Thank you so much for giving me the opportunity to share my story. Hopefully I have inspired at least one person!

Before

After

In February 2017, after hitting my highest weight of 251 lbs, I fell into a deep depression and felt disgusted to the point where I literally hated myself.

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Weight Loss Stories

HOW

TRACIE ROBERTS LOST 100 LBS

My name is Tracie Roberts, and I am known as the burpee queen. I made the decision to change my life after hitting rock bottom when I attempted suicide and was hospitalized. I knew at that point I am here for a reason and there is a purpose for my life. I lost 100lbs by gradually changing what I eat and adding exercises I like.

I incorporate burpees into all of my workouts. I encourage women to not just change what they look like on the outside, but to focus on the things they love so when they reach their goals they are in love with the complete person they have become. I still have work to do on my body, and love incorporating new things to switch things up.

I am now a fitness expert who helps other women to love and become their healthiest selves.

Before

After

Before

After

I made the decision to change my life after hitting rock bottom when I attempted suicide and was hospitalized.

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FRANTZCESCA CASIMIR

Fitness Tips

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Fitness Tips HER FITNES TIPS: When it comes to what I eat, I stick to 5-6 ounces of lean meat and at least 1 cup of green vegetables for every meal.

I keep my complex carbs in the early part of my day so only for meals 1-4. I eat 6 meals a day. My workout routines consist of 3 leg days a week and 3 days that I forbid on upper body training. If anyone is trying to shed fat, I would say to keep your calories low and increase your cardio. Incorporated cardio in fasted state is also great! My don’t will be don’t eat process food and stay away from refined sugar. Get plenty of sleep 6-8 hours and drink plenty of water. I aim for a gallon of water a day :) Follow @fancy85fit_

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CELEBRITY BODIES for inspiration Haitian-American Pop Superstar Jason Derulo 3.3 million IG followers @jasonderulo

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CELEBRITY BODIES for inspiration Haitian-Cuban dance phenomenon 'CANDICE' 720K IG followers @candice

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TOP DOCTORS & MEDICAL CENTERS

Memorial Healthcare System South Broward East Hallandale Beach Boulevard Hallandale Beach, Florida 33351 Phone: (954) 276-5552

INTERNAL MEDICINE: Primary Medical Care Centers

Dade: 115 NW 7th Ave, Miami, FL 33168 Broward: 2412 N. State Rd. 7 Lauderdale Lakes, FL 33313 Phone numbers: (305) 751-1500 | (954) 289-0000

I&B Medical Associates

Dr. Alain Innocent & Dr. Alande Brezault 9400 NW 12th Ave, Miami, FL 33150 Phone: (305) 835-9264

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Total Women Wellness Center

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Medical Care for Women

Bazile Medical Center

6464 North Miami Ave, Miami, FL 33150 Phone: (305) 756-8453 96 Haiti Open | People Culture Tourism

Dr. Marie Carmelle Liburd 1190 NW 95th Street, Suite 107, Miami, FL 33150 Phone: (305) 696-9400

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Pines Women’s Care

Dr. Ninoutchka Dejean 2253 N. University Drive, Pembroke Pines, FL 33024 Phone: (954) 716-3378

UROLOGY Health and Reconstructive Urology Institute

DENTAL

Dr. Angelo E. Gousse Broward : 1951 SW 172 Avenue, Suite 305 Miramar, FL 33029 Dade : 21150 Biscayne Blvd #304, Miami, FL 33180 Phone : (305) 606-7028

Casthely Orthodontics

Dr. F. Lucie Casthely 1400 NE Miami Gardens Drive Suite 101, Miami, FL 33179 Phone: (305) 940-4911

Family, Cosmetic & Implant Dentistry

Dr. Francisco Javier Azar 16777 N. Miami Ave, North Miami Beach, FL 33169 Phone: (305) 866-9644

Next Dental

Dr. Edwin Smith 16125 NE 18th Ave, Miami, FL 33162 Phone: (305) 949-2766

PAIN Sunshine Pain Management Medical Center

Dr. Mogin Antoine 900 NE 125th Street, Suite 110 North Miami, FL 33161 Phone: (305) 836-1421

Casthely Dental

Dr. Franklin Casthely 160 NE 82nd Street, Miami, FL 33138 Phone: (305) 751-6830

SURGEON Joseph Surgery

PODIATRY

Dr. Romane Joseph Dade: 9415 NE 6th Ave, Miami Shores, FL 33138 Broward: 4900 West Oakland Park, Blvd., #107, FT. Luaderdale, FL, 33313 Phone: (786) 401-6455

Foot & Ankle Surgery

Dr. Jim François 150 NW 168th Street, Ste 303 North Miami Beach, FL 33169 Phone: (786) 657-2757

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