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Dr. Denise Braithwaite-Tennant:  ‘Increased Patient Activity…COVID-19 Admissions Update’

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#TurksandCaicos, October 22, 2021 – TCI Hospital has recorded increased patient activity in August 2021 compared to the same period last year. The latter was due to the local onset of the COVID-19 pandemic.

  • The Emergency Department recorded 1620 patient visits in August 2021 compared to 1069 patient visits in August 2020. This reflects an increase of 52%.
  • The Outpatient Department recorded 4229 patient visits in August 2021 compared to 2953 patient visits in August 2020. This reflects an increase of 43%.
  • The Inpatient Unit recorded 170 patient admissions in August 2021 compared to 162 admissions in August 2020. This reflects an increase of 5%.
  • The Diagnostic Imaging Service performed 10,964 examinations in August 2021 compared to 7,475 exams in August 2020. This reflects an increase of 47%.
  • The Visiting Consultant Service recorded 183 patients who were seen face to face in August 2021, which is significantly larger compared to August 2020.

This is due to COVID-19 measures such as travel restrictions and other factors.

Last year, where clinically suitable, a larger number of virtual consultations were introduced across services as an alternative to in-person sessions.

Visiting Consultants mainly operate services on a monthly or quarterly basis and therefore the number of sessions can vary based on the month/time of year.

COVID-19 ADMISSIONS AT TCI HOSPITAL TCI Hospital continues to monitor the trend of active COVID-19 infections in the community and the number of patients’ admitted to the Inpatient Unit. The Inpatient Unit includes areas such as the General Ward, High Dependency Unity, Maternity Ward and Special Care Baby Unit. A total of 19 patients were admitted to TCI Hospital between the months of July 2021 to October 2021, which locally represents the third wave of the COVID-19 pandemic.

The Number of Admissions by month is as follows:

  • Two (2) patients were admitted with COVID-19 in July 2021
  • Eleven (11) patients were admitted with COVID-19 in August 2021
  • Five (5) patients were admitted with COVID-19 in September 2021
  • One (1) patients were admitted with COVID-19 in October 2021 Breakdown By Gender
  • 63% of COVID-19 admitted patients were females
  • 37% of COVID-19 admitted patients were males. Breakdown by Age
  • 10.4% of COVID-19 admitted patients were 25 years old or younger
  • 10.6% of COVID-19 admitted patients were between 26 to 40 years old
  • 47% of COVID-19 admitted patients were between 41 to 60 years old
  • 32% of COVID-19 admitted patients were older than 60 years old Epidemiological Considerations
  • 74% had Chronic Non-communicable Diseases of which the top was Hypertension, Type 2 Diabetes, High Cholesterol and Heart Disease.
  • The remaining 26% had no non- Chronic Non-communicable Diseases. Breakdown by Vaccination
  • 16% of COVID-19 admitted patients were vaccinated.
  • 5% of COVID-19 admitted patients partially vaccinated.
  • 79% of COVID-19 admitted patients were unvaccinated. Breakdown by Overseas Transfer
  • Of the total COVID-19 patients admitted during the period under review, 42% required transfer overseas for ICU care at tertiary level facilities.
  • 58% of COVID-19 admitted patients were treated at TCI Hospital, an acutesecondary level health care facility. Death Breakdown
  • 3 COVID-19 admitted patients passed away at TCI Hospital during the period under review.

This amount excludes patients who passed away after transfer overseas for medical care.

Bahamas News

Guys, Have 2 Minutes? Here’s How to Check Yourself for Testicular Cancer

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Testicular cancer is a rare form of cancer for men in The Bahamas.  It is highly curable — if you know it’s there!

 

November 30, 2021 – Men…how often do you perform a self-exam to check yourselves for testicular cancer?

While it’s a relatively rare form of cancer, young men aren’t exempt – in fact, testicular cancer occurs most often in young and middle-aged men. The good news is, it can usually be treated successfully.

The most common symptom of testicular cancer is a lump on your testicle. But that’s not the only sign of this disease.

Men who have testicular cancer may experience several different kinds of symptoms, says oncologist Timothy Gilligan, MD, a Medical Oncologist at Cleveland Clinic who specializes in treating testicular cancer.

Testicular cancer most frequently strikes men younger than age 44, and is the most commonly diagnosed cancer for men ages 15 to 34. It is almost always curable if found early, Dr. Gilligan says, and it is usually curable even when at a later stage. So it’s important to know signs and symptoms.

Here, Dr. Gilligan says, are five possible signs of testicular cancer you might not know about:

5 Testicular Cancer Symptoms That Aren’t a Lump  – Know what to look for and catch it early

  1. A feeling of heaviness or pressure in your scrotum.
  2. Change in testicle size or firmness.Certain types of testicular tumors can reduce testosterone or increase estrogen in the body, which can result in a change in testicle size or firmness.
  3. Swollen legs.When a tumor spreads to the lymph node, it can constrict blood flow in the veins and result in a blood clot. The clots often occur in the legs, which causes them to swell. You might even experience blood clot symptoms such as pain and difficulty breathing.
  4. Lower back pain and shortness of breath.These are symptoms of advanced testicular cancer, meaning the cancer has spread to lymph nodes behind your stomach. Shortness of breath also may signal that the cancer has spread to your lungs, which may make it harder for air to move in and out.
  5. Breast growth or tenderness.In rare cases, hormone changes also can cause breast tenderness or growth of breast tissue. Some tumors can secrete high levels of a hormone called human chorionic gonadotropin (HCG), which stimulates breast development.

If you experience any of these symptoms, make an appointment with your doctor right away, Dr. Gilligan says. If your physician diagnoses you with epididymitis or orchitis and the symptoms do not resolve quickly with antibiotics, request an ultrasound to evaluate for a testicular tumor.

“While up to 95 percent of men with testicular cancer are cured, it’s important to get care quickly if you’re experiencing symptoms because testicular cancers usually grow fast,” Dr. Gilligan says. “If there is disease, the earlier it is treated, the greater than chance for success.”

 

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Health

Dental Digits; Health Minister gives Update on Great Shape Inc & Sandals Foundation partnership

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By Sherrica Thompson

Staff Writer

 

#TurksandCaicos, November 30, 2021 – Minister of Health and Human Services, Honorable Jamell Robinson, announced in the House of Assembly on Monday November 22 that three thousand six hundred and sixty-eight persons in Providenciales benefited from the 1000 Smiles Dental Clinic’s two weeks project.

The programme, which was started on October 15, by Great Shape! Inc., a non-profit based in the United States and facilitated by the Sandals Foundation Beaches Resorts, provided free dental care and education to citizens.

Minister Robinson said the project was valued at $1,1400,701, and 5,431procedures were provided. These included cleanings, extractions, sealants, and fluorides that involved three dentures and 18 root canals.

He said that 103 volunteers, including 45 dentists and hygienists, visited and worked with the Department of Dental Staff.

The Oral Health Education team visited most schools in Providenciales, where 400 children were impacted. The team provided interactive sessions and lessons on nutrition, home care prevention and professional dental care. Most children were also given a toothbrush, floss, and toothpaste.

Minister Robinson thanked Joseph Wright and the volunteers for the visit that he described as impactful and said he looks forward to similar partnerships in the future.

 

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US Deaths to COVID higher, Dr. Fauci floundering on Fully Vaccinated definition

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#UnitedStatesofAmerica, November 24, 2021 – Vaccine manufacturers are predicting that booster shots for Covid 19 will be needed every six months for years to come, and Dr. Anthony Fauci, US infectious disease expert and advisor to the president has gone on record with the hope that this will not be the case.  But anytime Dr. Fauci says he hopes something won’t happen in relation to the vaccines… it always certainly does.

“We’ll continue to follow the data, because right now when we’re boosting people, what we’re doing is following them,” Fauci said. “We’re going to see what the durability of that protection is, and as we always do, you just follow and let the data guide your policy and let the data guide your recommendations.”

The vaccine is not working to keep Covid-19 deaths lower; more Americans have died in 2021 due to Covid 19, than in 2020.  CDC data says 14,700 more people have died in 2021 than last year due to COVID-19 — and there’s still more than a month left in the year for that number to grow.

Overall, the US has lost 770,000 people to the coronavirus.

Dr. Fauci is also floundering on the definition of fully vaccinated; saying people who have taken the third shot are being monitored to see how long efficacy holds up; he simply does not know if it will wear off again in six months.

“…fully vaccinated right now, by definition, is the original two doses… of the Pfizer and Moderna and a single dose of J and J.”

Media reports indicate there are plans to redefine fully vaccinated as having received three shots, evidence however could prove that in six months, the inoculated are back to square one.

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