The Journey of Doug Paquette
Thursday, December 17th, 2009The patient is Doug Paquette, a 39 year-old man from New Hampshire, who was born with a congenital heart defect. Watched carefully by doctors as an infant and child, Doug grew to be a young man thoroughly engaged with life; a man who looked and acted healthy in every way. But inside, his heart was in serious trouble. His aunt, Gail Delisle told us: “He was in congestive heart failure and was a walking time bomb. At any moment he could have had a massive heart attack that would kill him”. Doctors told Doug he would need immediate heart surgery. But before that could happen, many obstacles had to be overcome. With the help of his aunt, Doug ultimately found the facility, Tufts Medical Center, and the surgical team headed by Dr. Kenneth G. Warner, that could help him. With no medical insurance and being unable to work, the toughest obstacle, financing his surgery and hospital care, still loomed; this is where The Ray Tye Medical Aid Foundation stepped in.
Doug’s story is best told by his heart surgeon who came to know him so well during his evaluation, hazardous surgery and recovery.
A MIRACLE WAITING TO HAPPEN
By Kenneth G. Warner, M.D.

kenneth G. Warner M.D.
When Doug Paquette was born thirty-nine years ago, he was diagnosed with an unusual congenital heart defect. Normally, the blood vessels that deliver oxygen and nutrients to the arteries of the heart originate from the aorta, the major blood vessel that supplies oxygen to all the organs in the body. But in Doug’s case one of the major coronary arteries arose from the pulmonary artery that normally supplies blood to the lungs. As a consequence of this abnormal circulatory pattern, deoxygenated, or blue blood, was being delivered to the heart muscle. This lack of oxygen to the heart resulted in congestive heart failure at a very young age. Nowadays, babies diagnosed with this particular congenital heart anomaly undergo urgent open heart surgery to establish flow of pink, oxygenated blood to the heart. This is typically performed during the first six months of life, but when Doug was born the technology and surgical expertise to treat this condition had not yet been developed. Therefore, for many years, he was treated by his pediatricians and his pediatric cardiologists with medications and careful observation. (more…)


Aaron Fay at the Massachusetts Eye and Ear Infirmary agreed to provide his evaluation and surgical services at no cost and Camille Condon of the Hospital’s International Program went all out to help Fay DeAvignon navigate the maze of government bureaucracy on both sides. The Ray Tye Medical Aid Foundation was firmly on board and it was clear that everyone was pulling together to give this little boy a chance to live. But several weeks went by before final arrangements were made and by then Peter seemed very close to death.
This story starts in Sierra Leone, a tiny country in West Africa that is the poorest country in the world according to UN figures. It is a country that has been engaged in civil war for over 11 years resulting in a deep, unrelenting humanitarian crisis that has left it devastated. As many as 75,000 people have been killed, and over 2 million forcefully displaced. It cannot be calculated how many have been victims of well-documented terror tactics like abduction, rape, torture and mutilation. Presently, trials are taking place in a UN-backed special court in which those who committed crimes against humanity are being tried. Key to these trials are the witnesses, who are under protection of the court for their safety. The court also specifies that medical treatments, as needed, be sought for these exceptionally courageous individuals who are risking their lives to bring the guilty rebels to justice.

