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Hospitals open probe into graphic photos of American tourist

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By Dana Malcolm 

Staff Writer 

 

 

#TurksandCaicos, May 30, 2023 – An internal investigation has begun at the TCI Hospitals into how photos of a victim who lost her foot in a “reported Shark Attack” last week surfaced on social media as the possibility of legal action looms.

“The Turks and Caicos Islands Hospital is extremely concerned about the photos being circulated and have commenced an immediate investigation into the source of the photos,” they said in a statement to Magnetic Media.

The investigation will determine whether graphic photos of the injured woman came from within the TCI Hospital, it’s a slip up that if confirmed, could lead to a possible lawsuit.

Reports from official agencies confirmed that on Wednesday May 24th the young woman was carried from the waters of Grace Bay, where she was attacked.  Medics were awaiting the trauma patient at the Leeward Marina; those aiding the American tourist inform she was taken straight to shore and picked up in minutes by emergency workers. She was then taken swiftly to the Cheshire Hall Medical Centre before being airlifted some hours later.

Within hours, photos of the recent Yale University graduate who completely lost her foot, surfaced all over social media. The images were not only of her severed foot but the bloody stump appeared online.

It is believed a Caribbean Reef Shark mistook the young woman for prey and bit her as she snorkeled a popular reef near Providenciales.

However it is the behavior of people on land drawing concern about how much is too much and possible breaches in confidentiality.

In those photos, viewers can see several things:

  • An arm with blue gloves on holding the young woman’s severed foot over what appears to be a medical container of ice
  • Two sets of arms holding the severed body part while another photo is taken from a different angle and;
  • The young woman’s mutilated leg as hands reach to wrap in it medical gauze

Based on the photographs they had to have been taken with the knowledge of at least three people present, in addition at least one had to have been taken while the young woman lay bleeding on a gurney.  It’s not clear yet whether the confidentiality breach happened inside the medical centre.

Hospital officials are well aware of the gravity of the situation, when we questioned them on whether it was normal to take photos of patient;’ injuries they said

“This investigation is still ongoing.  There are times when it is appropriate for health and forensic professionals to take photos for plan of care and injury documentation, however, such photos are subject to strict professional ethics and patient confidentiality standards.”

Those professional standards likely do not include sharing images via social media or outside the hospital at all.  The photos have now been spread via whatsapp and posted on Facebook.

The young woman was medically evacuated to the US late on Wednesday night, we are told by the TCI Hospitals.

It is less clear if doctors abroad were able to reattach her foot.

Caribbean News

Health City Surgeon Provides Hope for Critically Ill Cardiac Patients

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KINGSTON, Jamaica (August 10, 2023) – There is hope for patients suffering from critical cardiovascular issues in the Caribbean, reports one of the region’s leading cardiac specialists.

Addressing the 36th Caribbean Cardiac Society Conference last month in Kingston, Jamaica, Dr. Binoy Chattuparambil, Senior Consultant, Cardiovascular & Thoracic Surgery and Clinical Director at Health City Cayman Islands, highlighted the life-saving ECMO or extracorporeal membrane oxygenation process, a form of life support for patients, successfully and consecutively performed at the Caymanian facility.

“There is no reason for patients with reversible cardiac diseases (to) die because you can put them on ECMO and the technology is very good and our understanding (of it also) is very good,” Dr. Binoy told his peers, explaining that ECMO provides time for the body to rest and recover by doing the work of the heart and lungs.

Having saved countless lives with this technology at the Cayman Islands hospital, the respected surgeon cited a case of a child who is doing well following treatment with ECMO and transfer to the United States for a heart transplant: “Whether it is reversible pulmonary reasons or cardiac reasons, just put them on ECMO and the recovery is usually very good and we can save lives.”

In 2017, the hospital became the Caribbean’s first regional center to provide the advanced form of life support (ECMO). The hospital also installs artificial hearts or left ventricle assist devices (LVAD) for chronic or advanced heart failure patients for whom a transplant is unlikely to be readily available in the mainland United States. Health City anticipates that transplant services will be available in the Cayman Islands in the near future following the establishment of transplant laws and regulations.

The theme of the Kingston conference was “Serving and Saving the Hearts of our People Today, Tomorrow and Beyond!” and Dr. Binoy presented on “Enhancing Cardiac Surgery in the Region – Updates and Perspectives”.

The surgeon expressed his joy at seeing greater collaboration between cardiac surgeons and cardiologists throughout the region. “Now I see my cardiologists more often in our hybrid cath lab rather than outside,” said Dr. Binoy, who established the adult and pediatric cardiac programs at Health City Cayman Islands in 2014 and has overseen thousands of successful cardiac surgeries and procedures at the tertiary care hospital.

He revealed that there were no deaths or reinterventions from elective Coronary Bypass Surgery at Health City Cayman Islands and minimally invasive surgery has been successfully completed for most mitral valve defects. Additionally, aortic valve surgery has evolved over the past two decades from an open incision with a large scar to that of no incision and no scar.

Pulmonary thromboendarterectomy to treat chronic pulmonary thromboembolism is also another achievement at the Joint Commission International (JCI)-accredited institution. This procedure has been more frequently performed since the COVID-19 pandemic where patients often present with acute pulmonary embolism which can later present as chronic thromboembolic pulmonary hypertension.

In the specialized areas of pediatric and neonatal surgery, a variety of life-saving surgeries to correct defects in the heart, in collaboration with a pediatric interventional cardiologist, have been achieved at Health City Cayman Islands. Children from over 25 countries have been treated, including those families who have insufficient funds and are supported by various charities.

A broad spectrum of vascular surgery options with successful outcomes are also provided, including repair of major arteries in the chest and abdomen to treat aneurysms, and replacement of major arteries in the chest through minimally invasive or no-incision procedures.

Dr. Binoy concluded that Healthy City has “significantly contributed to the enhancement of the scope and landscape of cardiovascular surgery in the region”, and commended the Health City team for the excellent service that they have provided over the past nine years.

 

 

Photo Captions

Header: Dr. Binoy Chattuparambil addressing the cardiac conference in Jamaica.

Insert: Health City’s team at the conference included (from left): Sales and Marketing Specialist Ingrid Harris, Dr. Binoy and Rebekah Anne Brooks, Head of Marketing & Sales.

 

About Health City Cayman Islands

Health City Cayman Islands is a medically advanced tertiary hospital located near High Rock in the district of East End in Grand Cayman. The brainchild of internationally renowned heart surgeon and humanitarian Dr. Devi Shetty, it features a unique model of health care, built with a focus on the patient and rooted in innovative business models that allow the delivery of high-quality, affordable care. It is the largest hospital in the Caribbean to have earned the prestigious Gold Seal of Approval from Joint Commission International (JCI), the worldwide leader in accrediting the quality of health care. For more information visit www.healthcitycaymanislands.com.

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Caribbean News

Kidney transplant surgeries to be offered in St.Kitts and Nevis

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Rashaed Esson

Staff Writer

 

 

#St.KittsandNevis, August 5, 2023 – Kidney transplant surgeries will soon be offered in St. Kitts and Nevis as announced by Prime Minister Terrance Drew.

This development is a big one for the country’s health system and so it will provide kidney transplant services to citizens who are unable to travel overseas to acquire said services.  This was emphasized by Drew during the announcement at the Freedom FM’s Issues program held on Wednesday July 26th, 2023.

“These people are dying sooner than they should because they don’t have access to transplants.  I cannot allow our people to die when we have an opportunity to save their lives,” he highlighted.

Additionally, despite the country’s efforts to enhance health services for kidney patients, he urged residents to make better choices and take better care of their bodies adopting healthier habits such as frequent exercise, having balanced diets, maintaining blood pressure  and sugar levels etc.

But for those who fail to do so and fall victim to kidney ailments, he expressed that the aim is to have a something in place to help them.

“We want to make sure that they have an option for renal transplant and we are going to launch the renal transplant program.”

The kidney transplant surgeries will be provided at the country’s principal healthcare facility, the Joseph N France General Hospital.

In continuation, Drew further spoke to a team which will at some point in the near future, visit St. Kitts and Nevis from Canada to provide specialized training to the Haemodialysis Unit’s staff, to up the use of the recently acquired dialysis machines, further strengthening the nation’s fight against kidney diseases.

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Caribbean News

CARPHA Receives Automated Instruments to Assist in Gene Surveillance

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Port of Spain, Trinidad and Tobago, August 2, 2023 –  The Caribbean Public Health Agency (CARPHA) has received laboratory equipment to support genomic surveillance at its Medical Microbiology Laboratory for its  Member States.

The equipment was procured through the New Variant Assessment Platform, led by United Kingdom Health Security Agency (UKHSA).  This marks another milestone in CARPHA’s mission to strengthen its systems to better detect and respond to emerging diseases in the Caribbean region.

The items received are two liquid handling instruments namely, the Mosquito® HV, and the Dragonfly Discovery.

Dr. Joy St. John, Executive Director of CARPHA.  “Our overall collaboration with UKHSA has been very supportive to our work with our Member States. These devices have ensured further strengthening of CARPHA’s  gene sequencing capabilities, maintaining the cutting-edge array of laboratory services we provide to our Member States.”

“The acquisition of the instruments will serve to advance our laboratory productivity, shorten turnaround times, and reduce costs per sample.  Overall, the instruments will improve sample processing accuracy,” stated Dr. Michelle Hamilton, Head, Laboratory Services and Networks.

The Mosquito® HV is a highly accurate and precise multichannel pipetting system.  The Dragonfly Discovery enables innovative, low volume liquid dispensing that is compatible with a wide range of applications including molecular biology and genomics, and biochemical assays.

“Both devices will be used together to increase sequencing capacity by automating some of the preparation steps. These instruments will allow CARPHA to carry out multiple sample runs,  and switch between applications with minimal setup required,” explained Ms. SueMin Nathaniel, Manager of Laboratory Services at CARPHA.

The acquisition also included a supply of consumables. Laboratory staff at the CMML will receive training in the use of the instruments.

During the first half of 2023, CARPHA signed a Memorandum of Understanding with the UKHSA.  The agreement builds on a long-term collaboration to improve regional health security across the Caribbean. The MoU includes commitments to define strategies for combatting  infectious disease threats, non-communicable diseases, strengthening outbreak response, building laboratory and workforce capacity, and improving healthy safer tourism. There is specific emphasis on genomic surveillance of high priority pathogens which emerged as a new service during the COVID-19 pandemic.

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