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Taking a Kidney Test, Doctor shares What Happens

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By Dana Malcolm

Staff Writer

 

 

#TurksandCaicos, March 13, 2023 – You may have skipped the recent TCI Hospitals Kidney Screening Drive in Providenciales last Tuesday, but we have spoken with the local expert who may convince you of why you should make the time to attend the next one or even better, schedule a test on your own.

It is ‘alarming’ how Dr. Vancelee Forbes, Nephrologist at the TCI Hospitals, is describing the amount of TCI residents coming down with kidney disease. It is what sparked the screening drive, which had residents lining up an hour early.

For understanding, as many still fear attending doctor, here is what actually happens.

Whether you stop by the physical clinic or get your test done on the go by a mobile clinic, you will be administered a kidney function test, and this can come in many forms.

The US based Cleveland Clinic says most measure glomerular filtration rate (GFR), which simply refers to how efficiently your kidneys remove waste from your system.

In some cases, only blood is needed, and your healthcare provider will use a needle to collect a sample from you. A quick jab and it is all over. Your sample will then be tested and your results will be given to you.

Some tests use urine and in these cases, you may have to go to the bathroom and urinate in a cup. This may happen once or repeatedly throughout the day.

These can be take-home tests or on the spot. For take-home tests, you will get several containers that you will have to use when you go to the bathroom. You will then be required to drop them off at the Healthcare Provider’s office after 24-hours.

Same day results are typical.

If your tests are concerning then you may need to meet with a nephrologist like Dr. Forbes, who can monitor you and provide treatment options including lifestyle changes which can keep your kidneys functioning at a high level, eliminating the time-consuming need for dialysis; it’s also a very costly procedure.

You may have also skipped the drive because you are not convinced that you need a test. Even if you are not high risk for kidney disease, as it is with other non-communicable, there are symptoms to look out for, such as:

  • Blood in your urine.
  • Painful urination.
  • Frequent urge to urinate.
  • Problems when you start to urinate.

This is extremely important along with removing waste from your body and expelling urine, as your kidneys also produce red blood cells and help maintain your blood pressure. Kidney failure can affect multiple parts of your body in life-threatening ways.

“The good news is that kidney disease if detected early, can be treated to avoid the risk of progressive condition to kidney failure,” Forbes said.

If you are diabetic or hypertensive, it is really important to keep up with your tests, the TCI Hospitals doctor explained, as those two diseases are the number one and number two causes of kidney disease.”

Aldora Robinson, Director of the Health Promotions and Advocacy Unit of the Ministry of Health said they were extremely pleased with the initiative, “We have been looking at kidney disease as it increases in the Turks and Caicos islands,” she said “Dialysis is very expensive and as we move forward we want to encourage persons to eat healthier to exercise and live better lives.”

Robinson adds, in order to further that initiative the Ministry was happy to partner with agencies like InterHealth Canada and help raise awareness. She emphasized it was something that they should look at making part of their outreach efforts to prevent kidney disease across the country.

Bahamas News

Government is Moving to Protect the Rights of Older Persons

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NASSAU, The Bahamas — The Government is moving to protect the rights, privacy, independence, and dignity of older persons throughout the Commonwealth of The Bahamas.

The Hon. Dr. Michael Darville, Minister of Health and Wellness tabled The Older Persons Rights, Protections, Care and Support Bill (2026), in the House of Assembly on Wednesday, September 16, 2026.

“This is legislation whose time has come. It is rooted in a very simple thought that growing older must never mean becoming less valued, less visible, less protected or less entitled to dignity.

“Ageing is not somebody else’s issue. It is one of the few public policy matters that, if we are blessed with longevity, will eventually touch every one of us,” Dr. Darville said.

He noted that The Bahamas, like the world, is experiencing a clear demographic shift. According to the 2022 Census, the number of persons aged 65 years and older rose by 28.2 percent since 2010.

In The Government’s Blueprint for Progress, it made a commitment to strengthening protections for older persons. And, this Bill gives practical expression to that commitment. But there is also a wider context.

Furthermore, in 2025, the United Nations Human Rights Council established an Intergovernmental Working Group charged with developing a legally binding international instrument on the human rights of older persons. Its first substantive negotiating session was held in Geneva in July of this year.
In this vein, Dr. Darville said that The Bahamas brings this Bill at an important moment.

“While the international community is negotiating what a future global legal instrument should contain, The Bahamas is moving now with legislation that goes beyond a declaration of principles,” he said.

“This Bill recognizes older persons as rights-holders. But it also recognizes that rights written on paper mean little if there is no machinery to make them real.”

Provisions under the Bill establish in law the rights of older persons, including dignity, equality, privacy, autonomy, participation, financial self-management and access to healthcare and public services.

Secondly, it confronts abuse and abandonment, physical abuse, sexual abuse, psychological and emotional abuse, neglect and abandonment.

“These are expressly prohibited. For far too long older persons have been abandoned at hospitals with no recourse. This ends today,” Dr. Darville stated.

The Bill also permits anonymous reporting of suspected abuse and protects persons who make reports in good faith. Certain healthcare, social service, law enforcement and other professionals will have a statutory duty to report where
they reasonably suspect that an older person requires care and protection.

And thirdly, this Bill confronts an abuse that can sometimes remain hidden behind family relationships — financial exploitation, Dr. Darville said.

He added, “Taking an older person’s pension. Misusing their bankcard. Coercing them to transfer property. Manipulating a will. Using their National Insurance benefit for purposes other than their welfare. Preventing them from accessing their own money. These matters are specifically addressed in this legislation, with financial exploitation attracting serious penalties.”

The Bill is about support, by providing for the development of a National Older Persons Policy within 12 months, with priority given to a National Dementia Strategy.

“It promotes community nursing, home-based care and older persons’ day-care services, because where it is safe and appropriate, we should help our older persons remain independent, connected to their communities and supported in familiar surroundings,” Dr. Darville said.

The Bill further recognizes the tremendous responsibility carried by caregivers and provides for caregiver training and support, among other things. “It incorporates the needs of older persons into disaster preparedness, response, relief and recovery. And importantly, it rejects the idea that retirement means irrelevance,” Dr. Darville said.

 

By Lindsay Thompson
Bahamas Information Services

(BIS Photo/Ulric Woodside)

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Government

Government Outlines New Healthcare Vision as Interhealth Exit Accelerates Reform  

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By Magnetic Media Newsroom

 

PROVIDENCIALES, Turks and Caicos Islands — The Turks and Caicos Islands Government says the breakdown of its relationship with InterHealth Canada presents an opportunity to reshape healthcare delivery, with plans to expand local medical services, strengthen primary care and reduce dependence on overseas treatment.

During a national briefing following InterHealth Canada’s notice terminating its hospital contract, Premier Charles Washington Misick acknowledged publicly for the first time that Government and InterHealth had been negotiating an exit from the arrangement for more than a year after what he described as an “irretrievably broken down” relationship.

Despite the contractual dispute, Misick and Health Minister Kyle Knowles stressed that healthcare services will continue uninterrupted during the transition.

“Allow us to do our job,” Knowles appealed, assuring residents that Government is actively managing the transition and safeguarding patient care.

The Premier outlined what amounts to a broader healthcare transformation built around four connected levels of care: strengthened community-based primary healthcare; expanded polyclinic services; enhanced hospital-based secondary care with greater specialist capacity; and overseas tertiary treatment only for cases that cannot be managed locally.

Among the proposals are the long-discussed establishment of intensive care units, expanded use of currently unfinished hospital space, recruitment of more resident specialist physicians and stronger contract management to oversee future healthcare agreements.

Knowles said the new polyclinic model will broaden services available outside the hospitals, including dentistry, ophthalmology, laboratory services, diagnostic imaging, gynaecology and preventative screening, helping to reduce pressure on emergency departments while improving early intervention.

Misick also acknowledged that while the hospital system significantly improved healthcare access after opening in 2010, Government believes further reform is necessary to improve affordability, sustainability and the range of services available within the Turks and Caicos Islands.

The briefing marked the Government’s most comprehensive explanation to date of its plans beyond the InterHealth contract, signalling that officials now see the transition as an opportunity to redesign healthcare delivery rather than simply replace one operator with another.

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Government

Parnell Urges Premier to Step Aside, Proposes Bipartisan Board to Guide Healthcare Transition

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By Magnetic Media Newsroom

 

PROVIDENCIALES, Turks and Caicos Islands — Opposition Leader Douglas Parnell is calling on Premier Charles Washington Misick to step aside, arguing that the Government has failed to provide the leadership, transparency and public engagement needed as the Turks and Caicos Islands prepares for one of the most significant changes in its healthcare system.

Responding to Government statements following InterHealth Canada’s contract termination notice, Parnell said residents were only now learning officially that negotiations with the hospital operator had been underway for more than a year, despite several previous opportunities for Government to inform the public.

He questioned why no detailed explanation was provided during the State of the State Address, Budget Debate or recent healthcare announcements, including the opening of the new polyclinic.

Parnell argued that while the PDM supports reforming or replacing the existing hospital arrangement, the process must be transparent and centred on the public interest.

The Opposition Leader reminded residents that the PDM had challenged the InterHealth agreement while in government, pursuing arbitration and preparing further legal action over concerns about the contract before leaving office following the General Election.

To guide the next phase, Parnell proposed establishing a bipartisan Health Transition Board comprising Government and Opposition representatives to oversee the transition, monitor public accountability and manage the procurement process for any future healthcare provider.

He also outlined what the PDM believes should form the foundation of the next healthcare system, including guaranteed continuity of care, automatic employment protection for hospital workers, recruitment incentives for specialist physicians, expanded intensive care services, comprehensive mental health care, enhanced geriatric services and accelerated efforts to attract qualified Turks and Caicos Islanders in the medical profession back home.

Parnell also presented ten questions for Government covering outstanding payments, borrowing plans, legal implications, transition arrangements and the future structure of healthcare delivery.

He said the changes now unfolding require decisive leadership, openness and a carefully managed transition that places patients, healthcare workers and the long-term interests of the Turks and Caicos Islands first.

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