Integra Insights - Issue 02 - January 2023

Integra Insights “as they should be”

INSIDE THIS ISSUE:

Integra Welcomes Two New Physicians Introduction to our ENT, Aesthetics and Cosmetic Surgery Services at Integra Introduction to our Midwifery Services at Integra Covid Antibody Immunity Testing Dangerous Plants in the Cayman Islands Children’s Rash that Mustn’t be Ignored PLUS MUCH MORE...

Integra Healthcare | www.integra.ky

January & February 2023

1

Introductory message...

Welcome to our bi-monthly Issue of Integra Insights: January and February edition! As we reach the end of the first two months of 2023, we have brand new articles and guides that range from explaining what happens at an annual physical at Integra to a guide on dangerous and poisonous plants in the Cayman Islands and what to do if you encounter them. Both January and February have been busy months in the world of healthcare with Cervical Cancer Awareness Month, Cancer Prevention Awareness Month, International Childhood Cancer Day and Heart Month. We have several new guides and tips - all aimed at increasing education and awareness about different cancers and promoting better heart health along with articles and information all based around our newest specialty services of ENT, Aesthetics and Cosmetic Surgery and Midwifery. We hope you enjoy reading!

2

Contents Communication Update, Preferences & Permissions

4

Integra Welcomes Two New Physicians

5

Changes to Out-of-Hours Paediatric Cover and Telephone

5

Covid Antibody Immunity Testing

6

Flu Now Rampant in the US

6

Covid-19 Updates

7

What Happens During an Annual Physical at Integra?

8

Chronic Diseases & The Importance of Early Detection

8

Have fun and get moving in 2023!

9

Children’s Rash that Mustn’t be Ignored: Meningitis Rash

10

Dangerous Plants in the Cayman Islands

10

A Guide to Hives and its Symptoms

11

Birth Plans and Delivery Choices in the Cayman Islands

12

Ovarian Cysts: Signs and Symptoms

12

January is Cervical Cancer Awareness Month

13

Demystifying Food Allergies in Children

14

Improving Your Teen’s Sleep Quality for the New Year

14

Fever Advice Sheet

15

Integra’s Otolaryngology (ENT) Service

18

Integra’s Aesthetics and Cosmetic Surgery Service

19

January’s Featured Physician is: Dr Yammine

19

Insurance: What Happens After You Leave?

20

Cayman First

21

Contact Us

22

Staff Directory

22

Patient Records App

22

Integra Healthcare | www.integra.ky

3

About Mailing: Communication Update, Preferences & Permissions Dear All It’s amazing to think that around 20% of the whole Cayman Islands population is now registered with Integra Healthcare Ltd, so firstly, thank you, thank you, thank you for the trust you place in us to assist with keeping you in tip top shape.

It also means we have to communicate better too. We are frequently exposed to comments like “oh, I didn’t realise you had a fertility specialist”, or “I didn’t realise you treated XYZ” and at the same time, all of our doctors are exposed to the problems caused by patients accessing unreliable, non-evidence-based information and spurious advice, which abounds on the internet. But everybody is different and because we are required by law to retain health records, it means people can remain in our system long after they have left the Island.

Historically, we have struggled with providing preference options that don’t also interfere with operational practice emails like appointment reminders etc. To address this, and provide you with far more choice, quite rightly, we have adopted a new Customer Relationship Management system that allows us to separate operational and functional communications from health information, notices about new services and doctors etc. and this is the second Integra Insights ‘short magazine’ from that system.

4

We’re excited, because it means we can serve you far better, keep you informed and educate too. It is currently being issued bi-monthly, so it’s enough but not overwhelming, and always close enough to the health issues of the day.

We hope you enjoy this edition. If you have moved on or just don’t wish to be included, simply unsubscribe to these (from the email) and you can do so knowing it won’t affect your normal practice emails and notifications. If you have unsubscribed to a previous system, we obviously apologise but hope you understand our desire to get this permanently right for you, which this is designed to achieve.

Welcome, once more, to Integra Insights, health information and communication… as it should be.

Warmest Regards

Andrew Vincent

Director & Data Guardian

Privacy Policy

|

Cookies Policy

C L I N I C - W I D E A NH NEOAULT NC H EAMLEENRTTSS

Integra Expands its Team!

We wish to extend a warm welcome to Dr Yammine, Dr Robinson and Allie Campbell! Dr Yammine is Integra’s first Specialist in Otolaryngology (ENT) and Aesthetics, with 10+ years’ experience and is based at our Eastern Avenue location.

Dr Robinson is a highly experienced Family Physician and General Practitioner with over 16 years’ experience, based at our Grand Pavilion location. Allie Campbell is a our highly trained and experienced Registered Midwife with over 10 years’ experience as a Certified Doula. She has now helped us develop our low-risk maternity care and community midwifery service at Integra!

For more information on our new physicians and how you can book an appointment with them, click the button below.

READ MORE

Changes to Out-of-Hours Paediatric Cover and Telephone We have recently made some changes to our out of hour cover for paediatrics and our out-of-hours paediatric telephone number.

READ MORE

Integra Healthcare | www.integra.ky

5

H E A LT H A L E R T S

Covid Antibody Immunity Testing Accurate Antibody Level Results in just 7 minutes!

During your Attomaker Covid-19 Antibody Immunity Test Appointment, you’ll receive both your natural & vaccine immunity profile, fully explained by a qualified doctor, along with guidance on how you may best use this and other health information to ensure you can live your best life safely

READ MORE

6

H E A LT H A L E R T S

Long COVID-19: The Signs and Symptoms A majority of the people who contract COVID-19 will recover in several weeks’ time. However, there are some that may continue to experience the symptoms long after. This is called ‘long COVID-19’. We want to offer a short overview of what ‘long COVID-19’ is and the signs and symptoms to look out for.

Mayo Clinic offers an explanation of what long COVID-19 (sometimes referred to as ‘postCOVID-19 syndrome’) is stating: “Post-COVID-19 syndrome involves a variety of new, returning, or ongoing symptoms that people experience more than four weeks after getting COVID-19.

In some people, post-COVID-19 syndrome lasts months or years or causes disability.”

Some of the main symptoms of long COVID-19 include: » Fatigue » Fever » Shortness of breath, difficulty breathing » Cough Some other symptoms reported included: » Difficulty concentrating » Headache

» Joint/muscle pain » Problems with digestive system e.g. stomach cramps » Blood clot/vascular issues There are several factors which may make individuals more susceptible to long COVID-19 which include: » A severe case of COVID-19 where you were hospitalized/required intensive care » Pre-existing medical conditions » Having a condition such as multisystem inflammatory syndrome which impacted your organs while you had COVID-19 or after you had it It’s important to note that some of the symptoms listed above might not be from long COVID-19 but another illness (e.g. some symptoms are similar to chronic illnesses such as chronic fatigue syndrome). However, if you have concerns or are experiencing the symptoms above, please get in touch to book an appointment at 745-7450. In the meantime, you can start noting down the symptoms you have been experiencing, when they started and so on to give to your physician.

» Sleep problems Integra Healthcare | www.integra.ky

7

F A M I LY M E D I C I N E

What Happens During an Annual Physical?

It’s a new year meaning it’s time once again to book appointments, including your annual physical. You might say, why should I go to the doctor if I’m not currently having any problems? However, annual physicals are in fact very important.

An annual physical is required to ensure you keep healthy by having a catch-up chat with your doctor to address any questions or concerns, screen for any abnormalities and look at preventative approaches to help manage any possible conditions in the future.

In this article, we break down the reasons for an annual physical, things to do before your physical and what happens during your physical.

READ MORE

Chronic Diseases & The Importance of Early Detection Chronic diseases are defined by the CDC “as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both”. Chronic diseases consist of: cancer, diabetes, stroke and hypertension to name but a few.

This article explains what chronic diseases are, the most prominent one in the Cayman Islands and the importance of early detection of these illnesses.

READ MORE

8

Cayman Heart Fund event

February is Heart Month February is Heart Month – a month dedicated to bringing greater awareness to cardiovascular disease and overall heart health. Our lovely team here at Integra (along with some of our friends from The Grow Group) joined in to support this important cause this month by wearing red.

Below are some great ways to start improving your heart health this month and beyond: » Get moving! There are several fundraising walks coming up in the next

few months including Cayman Islands Breast Cancer Foundation’s Light Up The Night Beach Walk on 4th March. A great cause and great way to get moving. » Deep breathing and mindfulness: Taking a few minutes each morning to practice deep breathing can reduce stress and anxiety, which can lower blood pressure and improve heart health. » Eat more food that makes your heart happy! Nuts, berries, beans, fresh greens, salmon, tuna and even dark chocolate are all great for your heart!

Meet Dr Andrew Robinson

Family Physician & General Practitioner 16+ years’ experience in the Cayman Islands as a Family Physician & General Practitioner with a BMedSci and MBBS from the University of the West Indies (Mona).

Dr Robinson cares for adult and paediatric patients in a primary care setting offering: » General & Family Medicine » Treatment for Acute & Chronic Illnesses » Preventative Medicine » Urgent Care & Advice and more...

Integra Healthcare | www.integra.ky

VISIT PROFILE

9

World Cancer Day and Cancer Prevention Awareness Month February is World Cancer Day (4th February) and Cancer Prevention Awareness Month.

To raise awareness and increase education, we asked some of our physicians for Cancer Prevention Tips & Advice:

» Wearing UV protective clothes, hats, and sunglasses » Avoiding sun lamps and sunbeds”

Cervical Cancer Prevention Advice:

Skin Cancer Prevention Advice:

Dr Madhavi Manoharan, one of our expert Obstetricians and & Gynaecologists at Integra explains: “…my tips would be:

Dr Alison Duncan, also one of our Specialist Dermatologists reiterates the importance of sunscreen and UV protection and adds some further recommendations:

» Be up to date with pap smears » Ensure that your children have had the HPV vaccine”

Skin Cancer Prevention Advice: Dr Davide Altamura, one of our Specialist Dermatologists provides some preventative measures for melanoma: “…there is no definitive way to prevent melanoma although there are strategies of prevention that can help to reduce the overall risk:

10

» Using appropriate sunscreens prior to sun exposure

» One of the best ways to look after your skin is to wear a broad-spectrum sunscreen SPF 30 and higher when out and about. » If you struggle with the reapplication of sunscreen every 2 hours, then UV protective clothing is available, and you can look good, and sun protected at the same time!”

15th February was International Childhood Cancer Day At Integra, we join in with supporting efforts to raise awareness and increase education on childhood cancer.

Cancer in children is rarely due to environmental factors or lifestyle choices but mainly changes in cell DNA either before birth or in early childhood.

In children (0-14 years), the two main types of cancer are leukemia and brain cancer: » Leukemia (cancers of the bone marrow and white blood cells) can present with: bone and joint pain, tiredness, weakness, pale skin, bleeding or bruising, fever, weight loss and other symptoms. » Brain tumors can cause: headaches, nausea, vomiting, blurred or double vision, dizziness, trouble walking or handling objects, and other symptoms.

Fortunately, most children (more than 80%) with cancer today survive because of high quality clinical treatment trials and centralization of care in childhood cancer.

However, despite these great advances, cancer remains the 2nd largest cause of death in children, after accidents.

Increasing education on childhood cancer, regular checkups and contacting your physicians for any concerns (particularly if you child has a higher chance of developing a cancer, due to certain genes) is important in helping with early intervention and greater awareness of this disease.

We’ll be publishing a series of short articles or guides on early symptom recognition and you’ll be first to know if you follow us on Facebook:

CLICK TO FOLLOW

Integra Healthcare | www.integra.ky

11

A D U LT A N D PA E D I AT R I C D E R M AT O L O G Y & D E R M AT O S U R G E R Y

Children’s Rash that Mustn’t be Ignored: Meningitis Rash Nearly three quarters of patients diagnosed with meningitis are young children ages five and below. Therefore it is fundamentally important for parents to stay aware of ways to check whether their child’s rash or spots is not an indicator of something more serious such as a meningitis infection.

This article breaks down how parents can test whether their children’s rash is a sign of meningitis through the ‘rolling glass method’.

READ MORE

Dangerous Plants in the Cayman Islands There are a range of dangerous plants in the Cayman Islands to be aware of, such as Manchineel which is especially dangerous and possibly life threatening. More recently, the Cayman Islands Department of Environment (DOE) has also warned about a new plot of the Brazilian Peppertree, a poisonous South American plant that has recently been found in Grand Cayman. In this article, we break down four common yet dangerous plants in the Cayman Islands and information on how to properly identify them

12

from the DOE. We also note how to know whether your skin has come into to contact with these plants based off of the reaction that has occurred and remedies you can use to help ease the symptoms - given from both DOE and our dermatologists here at Integra.

READ MORE

A Guide to Hives and its Symptoms Hives, also known as urticaria, are red itchy bumps on the skin, usually caused by exposure to an allergen. Additionally, these can also be red and become very painful for some. Hives deem to be a temporary issue that can usually clear up by themselves. But in some cases, they may have chronic hives that can last for months or even years.

Look out for welts as small as a pea or as large as a dinner plate that are round, oval, or worm-shaped. The skin around the welts is normally reddish on lighter skin, and purplish on darker skin.

The causes of hives vary besides being associated with allergies can include:

The risk factors of hives are common if you have had hives, had other allergic reactions, or had a history of hives in your family. To lower the risk of having flare-ups or experiencing hives, be sure to avoid any triggers, take showers, and change clothing, especially if exposed to an allergen.

Enlisting help from a dermatologist can be very important in getting to the root of the problem. At Integra, we have two Specialist Dermatologists Dr Alison Duncan and Dr Davide Altamura.

If you have concerns or something does not feel right, we encourage you to get in touch:

» Clothing that may be too tight » Stress » Working out

READ MORE

» Illnesses » Infections

Integra Healthcare | www.integra.ky

13

O B S T E T R I C S , G Y N A E C O L O G Y, F E R T I L I T Y & M E N O PA U S E

Birth Plans and Delivery Choices in the Cayman Islands Vaginal delivery is the most well-known and familiar way to give birth. Babies are primarily born in the head-down position.

The baby moves down into the birth canal when the mother starts pushing on her contractions. A lot of the time, vaginal birth is the safest birthing method for both mother and baby.

But there can indeed be risks for some women that vaginal birth is unsafe. Assistance may be needed to deliver the baby vaginally, or a caesarean section may have to be done.

So, what are the choices available to women in the Cayman Islands regarding their birthing plan?

READ MORE

Ovarian Cysts: Signs and Symptoms In our last article on gynaecological conditions we looked at PCOS (to refresh your memory you can read our article here). In this article, we will be looking at Ovarian Cysts. Many people often confuse PCOS and ovarian cysts. However, the main difference between the two is that PCOS has to do with hormonal imbalance and Ovarian Cysts do not.

We will be breaking down what ovarian cysts are and the signs and symptoms of larger ovarian cysts or possible complications.

READ MORE

14

Choosing Your Paediatrician Parental Rights Our Paediatrician & Neonatologist, Dr Sara Watkin has offered some guidance regarding choosing a paediatrician in Cayman.

Choosing a paediatrician in Cayman is much like choosing a family doctor in that you would generally want to maintain that relationship throughout your child’s childhood. It’s obviously not a decision taken lightly and many parents find it one of the more stressful ones they make. Therefore, we hope this small guide will take some of the stress out of the decision and provide some useful considerations.

READ MORE

January is Cervical Cancer Awareness Month January was Cervical Cancer Awareness Month.

While the month has now past, promoting ways to help prevent cervical cancer is not limited to one month!

We encourage you to attend your cervical screening (pap smear test) once you become eligible and ensuring your child receives the human papillomavirus or ‘HPV’ vaccination, a vaccination to prevent HPV, the virus in which almost all cases of cervical cancer are linked to.

These are effective steps you can take to help prevent cervical cancer and HPV.

Integra Healthcare | www.integra.ky

Our expert gynaecology team has a combined 50 years of experience between them. Get in touch and book your screenings and vaccinations today. Remember, early detection saves lives.

Book your cervical screening today by visiting:

www.integra.ky/services/gynaecology-services

For more information on the HPV vaccination get in touch with our Paediatrics team here: www.integra.ky/services/paediatrics

15

Midwife Services

Led by Integra’s Registered Midwife Allie Campbell

What is a Midwife?

A midwife is a knowledgeable and skilled professional who compassionately cares for childbearing people, babies and families across the continuum of pregnancy, birth, postpartum and the early days of parenthood. A midwife provides support and unbiased and evidence-based information so that you can make informed decisions that are right for you and your baby.

Compassionate and sensitive care Highly Trained & Experienced Non-judgmental and evidence based midwifery

Community Midwifery Services

Antenatal Package

Postnatal Package

Infant Feeding Consult

1-1 sessions to ease your fears and/or concerns of birth. Support to empower you and help create a positive birth experience.

A 1:1 session in hospital to help you get off to the best start possible with breastfeeding. Allie provides assistance with positioning and latch.

Book a consultation to see Allie at Integra Grand Pavilion or at home.

34-36 weeks Individualised private antenatal class: have a relaxed and in-depth discussion at home around realistic expectations of labour and birth.

Additional home visits include:

36 weeks Birth preferences: a 1-1 session to help write a clear personalised, easy to read birth preferences sheet for your health professionals.

36-38 weeks Colostrum harvesting and antenatal breastfeeding/chest-feeding education: A step-by-step guide and hands on help to harvest your own colostrum.

16

• Help to overcome breastfeeding challenges • Customized feeding plans to increase your own confidence • Identifying issues that might be affecting your baby's ability to regulate themselves and sleep • Bath demos • Baby weigh in • General wellbeing midwifery check for you and your baby

She can offer: • Help overcoming breast feeding challenges • Responsive feeding (bottle and breast) • Latch, attachment and positioning • Soothing, burping and handling your baby • Breast care and ways to avoid mastitis • Storing breast milk and formulaincluding sterilisation and making up of bottles • Help to maximize milk production • Advice and help with bonding with your baby

Meet our midwife, Allie Campbell

Additional general antenatal package information

Additional general postnatal package information

• General help with being prepared for the first couple of weeks postpartum:

• Expert help and guidance managing mastitis, sore nipples, under/over production of milk

• Expectations of sleep

• Help to build customised feeding plans to increase your own confidence, maximise your own rest and help baby gain weight in line with expectation

• Physical and emotional healing • How to feed in the first few days to maximize milk production • Normal baby blues • When to seek help if necessary • Tools to help set boundaries to avoid feelings of being overwhelmed

• Learn to trust your own power of intuition!

• Ways to soothe baby and keep calm yourself • Baby weigh in at home, provide clear parameters of normal weight loss and when to seek additional support • Check for jaundice • Assessment of baby and quick referral if results are out of normal parameters • A check in with mothers mental well being- referral system in place if mother is not coping or needs additional support • Wound check if required and/or wanted

For more information or to book midwifery services please contact Allie:

Integra Healthcare | www.integra.ky

Allie Campbell

Midwife & Lead for Antenatal & Postnatal Support

allie@integra.ky

+1 (345) 745 7475

17

PA E D I AT R I C S , N E W B O R N A N D N E O N ATA L C A R E

Demystifying Food Allergies in Children For the past several decades, parents have been encouraged to not give children and babies these particular foods. While in some cases babies do develop allergies and intolerances at a young age to food or drinks such as cow’s milk and may need to avoid these, the majority of parents preventing their babies from trying these foods is what researchers argue has had adverse affects.

Researchers who have studied food allergies in children concluded from the

18

results that the longer infants are kept away and not exposed to these common food allergies, the more likely they are to have allergies to these foods beyond infancy and into childhood. This article breaks down these findings and explains the importance of exposing children to these at a young age.

READ MORE

Improving Your Teen’s Sleep Quality School holidays are a time for family, friends, and fun activities; and teens can stay up as late as there’s no school! After holidays like the recent half-term break, our teens become sluggish and low on energy. They go to bed late and must wake up early for school. Yup, a thrown-off sleep schedule.

Experts have said that from puberty up until the age of 22 that 9 hours of sleep is required to be mentally, physically, and

Integra Healthcare | www.integra.ky

cognitively healthy. A teenager being a teenager, will debate this theory.

But paediatricians have declared that insufficient sleep is a public health issue.

There are some ways in which sleep schedules could get back on track after the holidays.

READ MORE

19

Fever Advice Sheet Fever is a normal response of the body when fighting an infection. All children will experience fever during childhood at some point, especially in pre-school years. Our Specialist Neonatologist and Paediatrician, Siobhan Jaques has created a fever advice sheet for you which offers information and advice on what to do when your child has a fever.

Fever Advice

Fever is a body temperature over 38oC or 100.4oF Fever is a normal response of the body when fighting an infection. All children will experience fever during childhood at some point, especially in pre school years.

Please use our traffic light system below to guide your response...

Urgent

Danreview ger needed Signifsyour child has fever and:

• Is Mottled or pale, not respond ing normally • Is Blue around the lips or tongue • Is less than 3months old (unless has had immunisations in last 48h) • Has a rash that does not go away when pressed • Is too breathless to talk or feed • Has not peed in the last 12h • Has a fit (convulsion) or violent shaking • Is crying inconsolably

Please arrange review within

You can manage your child’s

READ MORE

24h if your child:

• Is between 3 and 6 months old with a fever over 39oC or 102.2oF. • Has had a fever for more than 48h and is not getting better • Has had a fever for more than 5 days in a row • Is drinking and peeing less than usual • Is getting worse or you are worried

fever at home if they are:

• Eating and drinking ok • Peeing as normal • Behaving normally when the temperature settles with medication • There are no features from the red or orange lights.

Integra Healthcare Ltd The Grand Pavilion Commer cial

Centre, Hibiscus Way, 802 West

www.integra.ky | team@in tegra.ky | +1 (345) 745 7450

20

Bay Road

Fever with spots or rashes that do not fade under pressure is a

MEDICAL EMERGENCY

Did You Know?

The most reliable way to measure your child’s temperature is using a digital thermometer in the armpit or under the tongue. Try to avoid using forehead thermometers as these are less reliable.

Facts about Fever Can be caused by bacteria or viruses (most childhood infections are viral and therefore do not need antibiotic s).

Treat fever with medicine if it is making your child feel unwell- you can use paracetamol (also known as tylenlol/calpol/acetoaminop hen) or ibuprofen (also known as nurofen/a dvil).

It is safe to give both types of medicine together, but we recomme nd giving one, allowing an hour or so to have an effect and then giving the other one if needed.

Always read the directions.

Make sure your child is drinking or feeding, little and often to stay hydrated.

A low temperature can also be concerning- especially under 6 months. If your baby has a temperature of less than 36.0oC (96.8oF) then they need an urgent review.

Booking Appointments Appointment Availability: If you cannot see an Integra appointment slot available, please call us on (345) 745 7450 within office hours, and we will do our best within our capacity.

Sick Children Specifically: Please call us on (345) 745 7450 within office hours or on the Paediatric Outof-Hours Service (345) 326 4370 (Note: Calls only, Out-of-Hours Only) as we carry specific sick child capacity to help ensure your child can be seen when necessary.

BOOK APPOINTMENT

Integra Healthcare | www.integra.ky

21

Otolaryngology (ENT) a New Integra Speciality Service Integra’s Otolaryngology (ENT) Service is truly unique: Bringing several new services to the island

Minimally Invasive/ Modern Approaches

Integra is the only practice on island to offer Voice and Dysphagia and Endocrine Surgery

Dr Yammine offers minimally invasive procedures and modern approaches for various ENT services including paediatric ENT and endocrine surgery

Specialist and highly-experienced Otolaryngologist Dr Yammine have over a decade of experience working in the area of ENT and completed specialty training in Head and Neck Surgery at McGill University

What is Otolaryngology?

Otolaryngology is a branch of medicine that involves treating the ears, nose and throat. Therefore it is sometimes referred to as an ear, nose and throat (ENT), or otolaryngology - head and neck surgery due when physicians are trained and experienced in both the general ENT and ENT surgical procedures.

22

Otolaryngology Services Pediatric ENT

Endocrine & Salivary Gland Surgery

» Acute and chronic ear infections

» Thyroid Nodules

» Acute and chronic sinusitis

» Thyroidectomy

» Acute and recurrent Tonsillitis

» Parathyroid Adenoma

» Adenoid hypertrophy

» Parathyroidectomy

» OSA » Myringotomy and PE tube insertion » Adenoidectomy » Tonsillectomy » Pediatric Voice and Airway » Congenital Ear Tags, Dermoid and skin lesions » Tongue Tie and frenulectomy » Otoplasty

Voice and Dysphagia » Voice disorders

Rhinology » Septal Deviation & Septoplasty » Turbinate hypertrophy & turbinoplasty » Chronic Sinusitis » Endoscopic Sinus Surgery

Head & Neck Skin Disorders » Oral Lesions » Benign & Malignant Skin Lesions

General ENT » Salivary Gland disease and lithiasis

» Professional voice (screening and treatment)

» Salivary Gland tumors

» Vocal Cord Augmentation for vocal cord atrophy and paralysis

» Ear Cleaning

» Laryngeal Surgery

» Parotidectomy » Otitis & Ear Debridement

» Dysphagia Clinic » Flexible Endoscopic Evaluation of Swallowing (FEES)

BOOK AN APPOINTMENT

Integra Healthcare | www.integra.ky

23

Aesthetics and Cosmetic Surgery a New Integra Speciality Service Integra’s Aesthetics and Cosmetic Surgery Service is truly unique: Bringing several new services to the island

Minimally Invasive/ Modern Approaches

Integra’s Aesthetics and Cosmetic Surgery team brings a host of new services to the island including dysport/botox, laser treatment and TruScuplt treatments to name a few.

Dr Yammine offers minimally invasive procedures and modern approaches for various Aesthetics and Cosmetic Surgery services including scar revision and excision of facial lesions.

Highly-experienced physician in Aesthetics and Surgical Facial Plastics Dr Yammine has 10+ years as a specialist in surgical facial plastics.

What are Aesthetics and Cosmetic Surgery?

Aesthetics and Cosmetic Surgery falls under the branch of medicine called Aesthetic Medicine. Aesthetic Medicine involves services and surgeries that aim to enhance an individuals’s physical appearance and attributes. Many of the procedures are minimally invasive and modern with some procedures needing only local anaesthesia and others none at all.

The Cosmetic Surgery and Aesthetics specialty at Integra is run by Dr Yammine who is highly experienced in this field. Dr Yammine and Integra’s aim for individuals who receive our Aesthetic services is to help you to feel more confident and happier in your own skin!

24

Cosmetic Surgery and Aesthetics Services Dysport/Botox: » Facial wrinkles » Gummy smile » Facial asymmetry » Facial dyskinesia » Migraines » Hyperhydrosis

Restylane dermal fillers: » Facial dermal fillers for volume loss and lifting » Softening of nasolabial folds » Softening of jowls » Treating marionette lines » Lip augmentation » Acne scar » Hand volume loss

Restylane skin boosters +/- canula: » Acne scar » Perioral lines » Accordion lines » Smile line » Dimples

Medical Grade facial peel (no down time): » Treatment of acne, blackheads, open pores and oily skin » Reduction of skin pigmentation and sun damage » Decrease appearance of fine lines

Laser Treatments: » Laser Hair Removal » Laser Genesis » Laser Limelight » Laser Titan » Laser Vein and vascular lesions Therapy » 2D & 3D Laser Treatments

Body Sculpting: » TruSculpt ID

Surgical Procedures: » Scar revision » Excision of moles and head and neck skin lesions » Ear and ear lobe repair » Otoplasty

BOOK AN APPOINTMENT

Integra Healthcare | www.integra.ky

25

F E AT U R E D P H Y S I C I A N

January’s Featured Physician is:

Dr Yammine

Specialist Otolaryngologist (ENT), Aesthetics and Cosmetic Surgeon

Dr Yammine is a Specialist in Otolaryngology (ENT) Head & Neck Surgery, Laryngology & Cosmetic Surgery, with over a decade over experience and is based at Integra’s Eastern Avenue location in the Cayman Islands.

Prior to working at Integra, she ran a successful practice in Ontario, Canada where she specialised in Otolaryngology and Laryngology services along with refined aesthetics and cosmetic surgery.

She then moved to the Cayman Islands where she first worked with ENT in Cayman, as one of the clinical leads who helped launch voice and swallowing therapy services in Cayman, a particular area of interest for her.

Dr Yammine now joins us at Integra Healthcare with an aim of optimising patient care and safety to achieve the best natural results and passion for helping you to feel more confident and happier in your own skin!

26

Service areas and specialties: » General & Paediatric ENT » Endocrine Surgery » Chronic Sinusitis and Endoscopic Sinus Surgery » Laser Treatments » Body Sculpting » Botox/Dysport » And much more…

VISIT PROFILE

EXPLAINERS

Insurance: What Happens After You Leave?

Over the coming months, we will attempt to demystify the seemingly opaque world of health insurance. We wish to start with

helping you understand what happens after leave clinic following a visit or procedure.

FIND OUT MORE

Many individuals have raised concern about Cayman First insurance, following news articles and social media comments. We also get calls asking if people will have to pay everything up-front, which they are being asked to do in certain practices.

The problems experienced by Cayman First relate to the implementation of new computer systems and provider portal, all designed to enhance the service they offer.

Integra Healthcare | www.integra.ky

Integra has a strong relationship with and complete confidence in Cayman First and we continue to manage individuals with this insurance in the normal manner. If you have friends and family having the full care bill charged on check out elsewhere, we can assure you that this is not happening at Integra!

27

Contact Us Call us at: (345) 745-7450 Mon-Fri: 8am-5pm, Sat: 9am-1pm CLICK TO CALL US

Our physical address is:

The Grand Pavilion Commercial Centre, 802 West Bay Road We are conveniently located just across the road from Beach Suites (now Palm Heights & Tillies), slightly further up West Bay Road from what was Deckers Bar & Restaurant, in the South Entrance of Grand Pavilion, which can be accessed from the Grand Pavilion main entrance, then turning right and heading round to the South side.

M O R E I N F O R M AT I O N

28

Staff Directory Staff Directory

February 2023

Doctors Lisa Joels

Francisco Martinez

Medical Director & Family Medicine Physician francisco.martinez@integra.ky

Obstetrician, Gynaecologist & Fertility Specialist lisa.joels@integra.ky

Rebecca Deasey

Madhavi Manoharan

Obstetrician, Gynaecologist & Maternal Fetal Medicine madhavi.manoharan@integra.ky

Family Medicine Physician rebecca.deasey@integra.ky

Andrew Robinson

Alison Duncan

Family Medicine Physician andrew.robinsony@integra.ky

Dermatologist alison.duncan@integra.ky

Sara Watkin

Davide Altamura

Paediatrician & Neonatologist sara.watkin@integra.ky

Dermatologist & Dermatosurgeon davide.altamura@integra.ky

Sarah Newton

Nadine Yammine

Paediatrician & Newborn sarah.newton@integra.ky

Ear Nose & Throat Surgeon & Laryngologist nadine.yammine@integra.ky

Jasmina Marinova

Paediatrician & Neonatologist jasmina.marinova@integra.ky

Midwife

Siobhan Jaques

Paediatrician & Neonatologist siobhan.jaques@integra.ky

Allie Campbell

Midwife & Lead for Antenatal & Postnatal Support allie@integra.ky

Nurses & HCAs

Reception & Billing

Other

Dee Ryan Jaja Osuyos Laura Petch Allie Campbell (Midwife) Sarah Hoskin Patrick Ramirez Layla Aitkin Launa Cohen Latysha Powell (HCA) Tishanna Gauntlett (HCA) Ashley Swaby (HCA)

Vivian Zavala (Lead) Paola Canales Sophia Wilks Daisha Coleman Fernanda Moreda Claudia Moreda Jeimy Solomon

Matthew Pellow

Integra Healthcare Ltd

Operations Lead

Andrew Vincent

Marketing, PR & Business Development Lead

Integra | www.integra.ky TheHealthcare Grand Pavilion Commercial Centre, Hibiscus Way, 802 West Bay Road

To email any of the above, use firstname@integra.ky (firstname as listed above)

29

There’s an App for That Did you know that all patients who are part of Integra Healthcare Ltd can also have access to us and their records through an App that connects to their patient portal.

The App really adds to convenience, allowing you to organise and communicate directly from your phone, rather than just the web. You can: » Make appointments » See your appointment schedule » Message staff, including medical staff » Note and update health vitals » See your medications » Request medication refills » Upload documents » Complete forms & consents » See your billing information

How do I get the App? It is available on both the Apple App Store and Google Play and you need to search for Charm mPHR Note: You must have signed up for the Portal to have the App. If you need help with this, either ask when you next pop in or contact vivian@integra.ky to register for Portal access.

30