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Health City Cayman Islands partners with OceanMed to perform first robotic surgery in the Cayman Islands

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#CaymanIslands, June 22, 2022 – Health City Cayman Islands has introduced robot-assisted laparoscopic surgery to the list of state-of-the-art medical services the tertiary care facility offers local, regional and international patients.

Adding to its long track record of surgical firsts in the region, the robotic laparoscopic surgery was performed in the Cayman Islands last month through a partnership between Health City and local health care provider OceanMed.

Dr. David Stone at the console of the da Vinci X system

The partnership will see OceanMed obstetrician and gynecologist Dr. David Stone utilize the da Vinci X robotic system to perform a variety of minimally invasive gynecologic surgeries with the assistance of Health City specialists, including gynecologist Dr. Pooja Monteiro and anesthesiologist Dr. Susan Paul.

“We recognize there needs to be a collaborative approach to health care delivery to provide the best clinical options for patients. Dr. Stone and OceanMed are the ideal partners to work with to expand the option of gynecological surgical options for our patients because of their track record of excellence,” said Health City Clinical Director, Dr. Binoy Chattuparambil.

Dr. Stone said he was delighted to expand the surgical offerings to patients using the robotic surgical system. “As a gynecologist, the robot can assist me in performing resection of endometriosis, myomectomies (uterine fibroid removal), pelvic organ prolapse repairs, and hysterectomies through incisions smaller than the width of a finger. (Robot-assisted) minimally invasive surgeries reduce the potential for bleeding, lower the risk of infection, decrease the risk of injury to other tissue organs, reduce postoperative pain and result in shorter recovery times when compared to open surgeries.”

While currently offering the ability to perform these exclusive styles of minimally invasive gynecologic surgeries, Health City is planning to broaden the scope of robot-assisted surgery to bariatric and gastrointestinal surgeries, as well as for urologic procedures.

“It is important that we continue to find innovative ways to deliver excellent patient outcomes. That is why we are investing heavily in these modern technologies and systems, which have the potential to get patients back home to their loved ones faster. We anticipate being able to announce additional specialty areas that will benefit from use of [the] da Vinci surgical system in the near future,” said Shomari Scott, Health City Cayman Islands’ Chief Business Officer.

Dr. Stone noted that while other approaches may result in successful outcomes, the da Vinci X provides another tool for the surgeon to use for completing the task. “After having performed, proctored, and assisted in hundreds of (robot-assisted) laparoscopic surgeries in the United States, I am truly grateful to have that option now here on island,” he said.

Health City has pioneered many cutting-edge surgeries and innovative procedures in the Caribbean and the Western Hemisphere, including the first left ventricular assist device (LVAD) (artificial heart pump) in the Caribbean; the first cardiac contractility modulation (CCM) device implanted in the Caribbean (a minimally invasive implantable device that treats patients experiencing symptoms of moderate to severe chronic heart failure); the first extracorporeal membrane oxygenation (ECMO) patient in the Caribbean and only ECMO Center in the Caribbean (ECMO allows blood to be pumped from outside the patient’s body into an artificial lung that adds oxygen and removes carbon dioxide); the first surgery to correct Pentalogy of Cantrell (heart outside the chest) in the Caribbean; and the first arthroscopic Latarjet surgery in the Caribbean, United States and Canada (using a unique technique to restore stability to the shoulder joint).

Health City is currently in expansion mode with construction underway on a new US$100 million super-specialty hospital at Camana Bay that will feature a specialized Cancer Care Center with comprehensive and advanced oncology offerings, a neonatal intensive care unit, an emergency pavilion and critical care unit, and a multispecialty program that expands robotic surgery options. The new radiotherapy center aspect of the project is scheduled to open in late 2022 and the complete hospital a year later.

 

Photo Caption: Dr. David Stone prepares a patient for robotic surgery with the assistance of Dr. Pooja Monteiro.

 

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. 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.

About OceanMed

OceanMed is a modern health care provider offering services in obstetrics & gynecology, pediatrics & neonatal care, general practice and medical imaging. Caring for the entire family, OceanMed delivers world-class quality health care for everyone, at all stages of life. Located in central George Town with stunning oceanfront views, the OceanMed Women’s Health facility is specially designed to promote comfort and relaxation. OceanMed’s team of highly qualified and experienced physicians includes Dr. David Stone, an American Board-certified OB/GYN and Fellow of the American College of Obstetricians and Gynecologists with over 25 years of practice experience. Dr. Stone is also a member of the American Association of Gynecologic Laparoscopists and the Society of Robotic Surgeons. For more information visit www.oceanmed.ky.

 

Source: Health City Cayman Islands

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Fighting the fungus foe of the beloved banana

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How Venezuelan farmers are learning to grow and live with a devastating plant disease

 

In the fields of Venezuela, where the banana has been for generations a symbol of sustenance and tradition, a shadow fell across the land. In 2023, Venezuela’s National Institute of Integral Agricultural Health (INSAI) declared a phytosanitary emergency: the fungus Fusarium Tropical Race 4 (TR4) (Fusarium oxysporum f. sp. cubense tropical race 4; syn. Fusarium odoratissimum) had arrived in producing areas in the states of Aragua, Carabobo and Cojedes.

This fungus, considered a devastating disease of banana and plantain (Musaceae) trees, can remain in the soil for more than two decades, threatening production and the lives of those who depend on it.

In the state of Aragua in the north of the country, the Renacer community had been growing bananas and plantains on 20 hectares since 2018. Then Fusarium arrived.

“When the disease hit, the entire plantation began to deteriorate. We refused to ‘die’ with the trees because that was our livelihood. The visits of INSAI confirmed that we had to chop down the banana trees. I cried a lot because I had worked with my banana trees for years,” recalls woman farmer, Lesbia Margarita García, with a broken voice.

In response, INSAI implemented measures to eliminate the affected plantations and improve the soil health by changing to other crops that allow agricultural production to recover. The Food and Agriculture Organization of the United Nations (FAO) offered assistance by providing corn seeds, tools, biosecurity inputs and training, with teams of experts helping farmers to start again.

“Planting corn, thanks to the INSAI-FAO programme, gave us a harvest that benefited everyone. We have been improving the soil,” says Lesbia Margarita with a smile. “Now we rotate crops, observe soil health and have learned how to use natural fertilizers. Expert assistance has been key.”

The pilot project works directly with affected producers in high-risk areas, promoting alternative crops such as cereals and vegetables, delivering inputs and tools to mitigate damage and applying biosecurity measures for safe and effective containment.

“Beyond the corn received, we have already planted cassava, chili peppers, beans and pumpkin. We hope that by the end of the year [2025] we will be diversified and that each season we will have something to sell. These lands do not give up,” says Lesbia Margarita with conviction.

The Renacer community is beginning to see fruits. Their products are reaching local markets, generating income and rebuilding their livelihoods.

Key actions to manage Fusarium TR4 are ongoing, including regular monitoring, continuous training, inter‑institutional coordination, updates to the national plan, information campaigns and producer impact assessments. INSAI is sustaining regulatory, surveillance measures and training —with FAO support—as part of a comprehensive long‑term strategy.

At the global level, FAO supports awareness raising, capacity building and international collaboration in the fight against Fusarium TR4 by facilitating the World Banana Forum and its Global Network on TR4.

“The objective is for countries to strengthen their operational and technical capacity, articulating actions between the public sector, the private sector and family farmers,” says Raixa Llauger, FAO Agriculture Officer in Mesoamerica. “FAO and local partners have promoted this approach in Venezuela.”

As an essential part of the activities, a comprehensive training programme was developed with activities that taught farmers how to identify the disease contain it and protect crops. In addition, FAO has distributed laboratory equipment, biosecurity tools and a multispectral drone to INSAI. Drones are an efficient and cost‑effective tool for phytosanitary surveillance, offering rapid, high‑resolution monitoring and early detection of plant pests and diseases.

Overall, the project strengthened biosecurity measures against the Fusarium fungus through the adoption of the National Action Plan and the establishment of partnerships with national and international institutions. In addition, the pilot initiative supporting smallholder farmers in key production areas and a nationwide awareness campaign with broad outreach improved surveillance, diagnosis and phytosanitary response capacities across the country.

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Widow’s Testimony Recounts Night Haiti President Was Killed

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MIAMI, Florida — Emotional testimony from Martine Moïse, the widow of assassinated Haitian President Jovenel Moïse, has given jurors in a U.S. federal courtroom a chilling account of the night gunmen stormed the presidential residence and killed the country’s leader.

Martine Moïse took the stand this week in Miami as part of the ongoing trial of several men accused of helping plan and finance the July 7, 2021 assassination, a crime that plunged Haiti into political crisis and remains only partially solved.

She told the court that armed men forced their way into the president’s private home in the hills above Port-au-Prince during the early morning hours, firing multiple shots at her husband while she lay beside him. She testified that she was also wounded in the attack and survived by pretending to be dead until the gunmen left the room.

According to prosecutors, the plot involved a group of foreign mercenaries, including former Colombian soldiers, along with Haitian and Haitian-American suspects. Investigators say some of the men believed the mission was to detain the president, but the operation turned into an assassination.

The Miami trial is focusing on the alleged role of South Florida businessmen and others accused of organizing or financing the plan, part of a wider international investigation that has stretched across several countries.

More than four years after the killing, the question of who ultimately ordered the assassination remains unanswered, with suspects still in custody in both Haiti and the United States as the case continues to unfold.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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Jamaica Joins Afreximbank Agreement, Strengthening Africa–Caribbean Partnership

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CARIBBEAN — Jamaica has become the 13th CARICOM member state to accede to the African Export-Import Bank Establishment Agreement, further strengthening economic ties between Africa and the Caribbean.

The development was confirmed during the 50th CARICOM Heads of Government Meeting, where an Afreximbank delegation led by George Elombi and Kanayo Awani met with Jamaica’s Prime Minister Andrew Holness to advance cooperation.

Prime Minister Holness thanked the bank for its support following Jamaica’s recent hurricane, noting that Afreximbank financing helped restore critical infrastructure including water, electricity, sewage systems and roads, while also assisting reconstruction efforts aimed at building stronger resilience to future disasters.

The meeting also focused on broader development opportunities tied to Jamaica’s membership in the agreement. Discussions included rebuilding and modernising infrastructure such as railways, hospitals and other public facilities, while strengthening regional transportation and trade networks to improve the movement of people and goods across the Caribbean.

Afreximbank has been expanding its presence in the Caribbean as part of its strategy to connect Africa with the region often referred to as “Global Africa.” The bank has already committed billions of dollars in financing and trade support to Caribbean economies in recent years, including funding for infrastructure, trade facilitation and private sector investment.

By joining the agreement, Jamaica gains expanded access to Afreximbank’s financial instruments, technical support and trade networks designed to promote commerce between Africa and CARICOM states.

Regional leaders say the growing partnership could unlock new opportunities in areas such as trade, logistics, tourism, manufacturing and cultural exchange, strengthening economic cooperation between the two regions with deep historical and diaspora ties.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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