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Advanced Life Support System at Health City saves visitor’s life

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Cayman Islands, August 28, 2017 – A family vacation in a tropical paradise turned into a life or death situation for Surjeet Kaur when an unexpected viral infection became a critical health emergency.

Advanced life support technology at Health City Cayman Islands, a tertiary care hospital located in East End, Grand Cayman, saved her life.   Health City is the only medical center in the Caribbean region offering the life-saving service, called extracorporeal membrane oxygenation (ECMO).

A stomach virus resulted in myocarditis for Kaur, who was visiting her son in the Cayman Islands from India.   Myocarditis is an inflammation of the heart muscle caused by various infections or drug toxicity.   In severe cases this can lead to heart failure and death.

Kaur was ill for five days with the viral illness, and initially on admission to a local primary care hospital her organs were showing good functionality.   However, her condition deteriorated significantly and quickly less than 24 hours later.

Her son, Simranjit Singh, who lives and works in the Cayman Islands, received a call from the hospital at 2 a.m. saying his mother was in critical condition.

Rushed by ambulance to Health City Cayman Islands, Mrs. Kaur was placed on ECMO life support, which allowed her heart to heal so she could recover.

By this time her blood pressure was dangerously low and other organs, especially her kidney and liver, started showing signs of failure.   Her failing heart would not have sustained her without life support.

The ECMO procedure involves channeling the patient’s blood into a roller pump that serves as the patient’s “heart” throughout treatment.   The ECMO machine is connected to a patient through plastic tubes (cannula) placed in large veins and arteries in the legs, neck or chest.   The pump sends blood through an oxygenator, which serves as an artificial lung, infusing the blood with oxygen and removing carbon dioxide and returning it to the patient.   During ECMO treatment, the patient’s heart continues to beat, but its work is made easier because the ECMO machine does much of the pumping.

Dr. Binoy Chattuparambil, Chief Cardiac Surgeon and Director of the ECMO program at Health City, explained the need for this procedure in Mrs. Kaur’s situation:  “We chose ECMO as it is less complicated and quick to institute.   With informed consent from her husband and family, ECMO was instituted through a vein in the groin.   She required very intense monitoring and treatment in the ICU for next few days, but the heart slowly and steadily showed signs of improvement and she was taken off ECMO.   An echocardiogram showed that the heart had recovered completely without any signs of damage. She went home with a strong and healthy heart and functional organs.”

During extracorporeal membrane oxygenation, the patient is the focus of a highly coordinated medical team and receives round-the-clock care while on the “heart lung machine”.    The length of time a patient remains on therapy depends on the diagnosis and the patient’s individual response.

An ECMO machine can help save a patient’s life, but it does not treat the patient’s disease or injury.   The machine simply provides support for a patient while the health care team works on treating the underlying disease or injury (such as an infection) or until organs for transplant become available.

Singh reported with great relief that his mother responded well to ECMO treatment.

“The treatment was successful. After 48 to 60 hours, she was out of danger … we were very thankful that she survived the treatment,” he said.

Dr. Chattuparambil noted that ECMO treatment is a team process and requires an experienced team of doctors and medical professionals.

“Health City Cayman Islands has a very strong, expert and experienced team of doctors, perfusion scientists and nurses who have managed many patients on ECMO and saved their lives.   The hospital has two ECMO machines, one of them is the most advanced design called CARDIOHELP which, being very small and compact, can be used to transport patients via road or by air,” he explained.

Dr. Binoy, as he is called, made note of the exceptional ECMO outcomes at Health City.

“During the last two and half years we have treated eight critically ill patients with ECMO, both children and adults.   With a survival rate of 90 per cent, our positive results are far better than the global average published by the ELSO (Extracorporeal Life Support Organization) registry, located in the United States,” he said.

Kaur’s family had words of thanks and praise for the entire Health City Team following her treatment.

Singh said: “We as a family want to thank Health City and all of the doctors here.   Along with the doctors, we want to thank the finance and admin team, as well as the hospitality staff.   They have been tremendous this last two weeks.   They have given us all the support we required. We have been away from our family back home, and they have come forward to be our family and treated us as a family member.   I have never seen such compassion and hospitality anywhere in the world as I have seen at Health City, so from the bottom of our hearts we wanted to thank Health City and all the staff for cooperating with us and giving us support at the time that we needed it.”

In addition to Dr. Binoy Chattuparambil, the ECMO team at Health City Cayman Islands includes cardiac surgeon Dr. Sumit Modi; Dr. Dhruva Krishnan and his team of anesthesiologists and intensivists; Perfusion scientists Lessley Christudos and Ravindra Deshpande; and Mevin Varghese and his team of Intensive Care Unit (ICU) nurses.

About Health City Cayman Islands

Health City Cayman Islands, the vision of renowned heart surgeon and humanitarian Dr. Devi Shetty, is supported by two major health-care organizations, Narayana Health and the U.S.-based Ascension, which is America’s largest faith-based and nonprofit health system, providing the highest quality care to all, with special attention to those who are poor and vulnerable.    Health City, only the second hospital in the Caribbean to receive the Joint Commission International’s “hospital accreditation”, provides compassionate, high-quality, affordable health-care services in a world-class, comfortable, patient-centered environment. Offering health care to local, regional and international patients, Health City Cayman Islands delivers excellence in adult and pediatric cardiology, cardiac surgery, cardiac electrophysiology, medical oncology, orthopedics, sports medicine, pediatric endocrinology, gastrointestinal and bariatric surgery, neurology, interventional neurology and neuro-diagnostics, neurosurgery, minimally invasive spine surgery, gynecology, urology, colorectal surgery, dental, sleep lab and pulmonology services.

For further information, visit www.healthcitycaymanislands.com.

Release: Health City Cayman Islands

 

 

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Caribbean News

The $3 Billion Handshake

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By Deandrea Hamilton | Editor

 

September 28, 2026 – Wall Street initially flinched at the $3-billion handshake. But in a matter of days, it was smoother sailing.

Perhaps the bigger Caribbean business story is not what Sandals Resorts International is getting from the deal. It is who is writing the cheque — and what that says about what Gordon “Butch” Stewart built.

As reports of Royal Caribbean Group’s Sandals deal circulated Tuesday, RCL shares plunged 6.14 percent from Monday’s $250.25 close to $234.89, on sharply elevated trading.

When the agreement became official Wednesday — approximately $3 billion for a 50 percent equity interest in Sandals and Beaches Resorts — shares slipped another 1.95 percent to $230.30 and touched $222.22 intraday. Investors were digesting both the size of the investment and committed debt financing secured through Morgan Stanley.

But by Thursday, RCL rebounded 3.77 percent, with shares continuing their recovery Friday to finish the week around $243. Analysts were also looking ahead: JPMorgan reportedly raised its RCL price target from $345 to $394, while Citi placed the company on a 90-day positive catalyst watch.

And just who is RCL?

Royal Caribbean Group is a global vacation giant, publicly traded on the New York Stock Exchange with a market value of roughly $65 billion. Its portfolio includes Royal Caribbean International, Celebrity Cruises and Silversea, alongside private destinations and an expanding vacation platform.

So when a company of that scale commits $3 billion for only half of Sandals and Beaches Resorts, the transaction puts a striking financial marker on one of the Caribbean’s greatest home-grown hospitality success stories.

The deal, expected to close in early 2027, creates a 50-50 partnership with the Stewart family and takes Royal Caribbean deeper into the all-inclusive resort business.

Butch Stewart started Sandals in Jamaica in 1981 believing a Caribbean company could compete with the world’s best.

Forty-five years later, one of the world’s biggest vacation companies is prepared to pay $3 billion just to own half of what he built.

Now that’s the handshake that does more than seal a deal — it cements a legacy.

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Caribbean News

Royal Caribbean Group and Sandals Resorts Announce Landmark Partnership to Accelerate Their Leading Vacation Experiences

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Royal Caribbean Group Investment to Advance Sandals and Beaches’ Growth and Broaden the Group’s Vacation Portfolio

Montego Bay, Jamaica and Miami, September 24, 2026 – Royal Caribbean Group (NYSE: RCL) and Sandals Resorts today announced the signing of an agreement to form a partnership in the all-inclusive resort space with a 50% investment from Royal Caribbean Group.  Building on Sandals and Beaches Resorts’ more than four decades of leadership in Caribbean hospitality, the joint venture will create new opportunities for continued resort growth while broadening the experiences across Royal Caribbean Group’s vacation platform.

The partnership brings together two of the travel industry’s most celebrated vacation companies, pairing Sandals and Beaches’ all-inclusive resort expertise with Royal Caribbean Group’s vacation platform, including industry-leading brands – Royal Caribbean, Celebrity Cruises and Silversea – a portfolio of private destinations, new river cruising offering, and an industry-first loyalty program. United in a shared history in the Caribbean and connected by a love for their communities, the companies will offer travelers an unparalleled collection of cruise, private destination and resort experiences, serving guests across more vacation occasions and establishing their undisputed leadership in Caribbean vacations.

The joint venture expands Royal Caribbean Group into an adjacent vacation category, growing its participation in the approximately $2 trillion global vacation market, and meets the growing global demand for Sandals and Beaches Resorts by accelerating their expansion. The partnership will include Sandals and Beaches’ collection of premier all-inclusive properties across the Caribbean, and the companies will explore opportunities to broaden distribution, deepen guest engagement, and make it easier for travelers to discover vacation experiences offered across both portfolios.

“For nearly 60 years, we’ve reimagined what a vacation can be, constantly expanding the ways we inspire our guests to explore, connect and create lifelong memories,” said Jason Liberty, Chairman and CEO, Royal Caribbean Group. “We have been building a vacation platform that brings joy to millions of people around the world and creates meaningful relationships that last with our guests. Our partnership with Sandals and Beaches Resorts is an important next step on that journey – bringing together two iconic leading vacation companies to further strengthen and grow one of the most admired resort portfolios in the world. The Stewart family has created powerful and beloved brands, and we are honored to build on that legacy. Together, we see tremendous opportunity to expand the reach of Sandals and Beaches Resorts and continue turning the vacation of a lifetime into a lifetime of vacations.”

“My father, Gordon ‘Butch’ Stewart, founded Sandals Resorts with the belief that a company built in the Caribbean could stand on the world stage alongside the most respected names in hospitality. Today is proof of how far that vision can go,” said Adam Stewart, Executive Chairman of Sandals Resorts and Beaches Resorts. “This partnership is the natural next step in building on that conviction. It gives us the ability to grow faster with a partner that shares our values of exceptional hospitality, long-term investment, and the power of enduring brands. Together, we will introduce more guests to Sandals and Beaches Resorts while creating even more extraordinary experiences for those who have made our resorts part of their lives for decades.” Stewart added, “As we continue to grow, we will remain true to what has always defined us: delivering authentic vacations that exceed expectations while creating opportunities for our team members, travel advisor partners and the communities we call home. The future has never been brighter, and I know this moment would make my father incredibly proud.”

The joint venture will be governed by a board under the shared leadership of Stewart and Liberty. Stewart will maintain a leadership role in guiding the company’s long-term strategic growth as Executive Chairman of Sandals and Beaches Resorts. Existing reservations, loyalty programs, resort operations and cruise operations will continue as usual, with the partnership bringing additional resources to support future opportunities.

Under the terms of the agreement, Royal Caribbean Group will acquire a 50% equity interest in Sandals and Beaches Resorts for approximately $3 billion, representing a forward EBITDA multiple of approximately 10x.  Royal Caribbean Group has secured committed debt financing from Morgan Stanley to fund the investment.  The transaction is expected to close in early 2027, subject to customary approvals and closing conditions, and is expected to be accretive to earnings next year.

BofA Securities and PJT Partners acted as financial advisors, and Latham & Watkins and Jones Day acted as legal advisors to the Sandals Group. Perella Weinberg Partners and Morgan Stanley acted as financial advisors and Kirkland & Ellis LLP acted as legal advisor to Royal Caribbean Group.

PHOTO CAPTION: Jason Liberty, Chairman and CEO of Royal Caribbean Group, and Adam Stewart, Executive Chairman of Sandals Resorts, mark the signing of an agreement to form a landmark partnership that expands Royal Caribbean Group into the all-inclusive resort space and supports the future growth of Sandals and Beaches Resorts. The signing took place at Royal Caribbean Group’s new headquarters in Miami, with the city’s skyline in the background.

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Royal Caribbean Signs US$3-Billion Deal for Half of Sandals and Beaches

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The Caribbean tourism deal first reported as a possibility on Tuesday is now a signed agreement. Royal Caribbean Group plans to pay approximately US$3 billion for a 50% stake in Sandals and Beaches Resorts, putting the value of the business at about US$6 billion. The purchase is expected to close in early 2027, subject to approvals.

Founded in Jamaica by the late Gordon “Butch” Stewart in 1981, the resort business has a presence across nine Caribbean destinations, including Jamaica, The Bahamas and Turks and Caicos. Sandals has described its workforce as nearly 20,000 people, most of them Caribbean nationals.

“My father, Gordon ‘Butch’ Stewart, founded Sandals Resorts with the belief that a company built in the Caribbean could stand on the world stage alongside the most respected names in hospitality,” said Adam Stewart in the announcement carried by PR Newswire. He will remain executive chairman, while the Stewart family retains a stake. The companies say existing reservations and resort operations will continue as usual.

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