Outpatient Care

Outpatient services are designed for the needs of people who want access to hospital-based technologies and expert staff, but do not require the intense resources of an inpatient hospitalisation.

BHB’s outpatient services provide convenient, high-quality patient care in many different specialty areas, such as dialysis, neurological therapy, lymphedema therapy, dietetic services, wound care and hyperbaric oxygen therapy, home care, rehabilitation services and more.

Asthma & COPD

Asthma & COPD

Our focus at BHB’s DREAM Centre is to teach self-management skills to people who have been diagnosed with asthma or COPD to help them maintain control using the least amount of medication.

Click here for more information about asthma and COPD support.

Cardiac Care

Cardiac Care

2nd Floor, Acute Care Wing, KEMH

8am to 4pm Monday to Friday

Tel: (441) 239-2440

 

When it comes to matters of the heart, we take great pride in caring for you, educating you, and supporting you every step of the way. It’s all about total care, from prevention and early diagnosis to ongoing follow up and cardiac rehabilitation. We are dedicated to providing the latest services in cardiac health with comprehensive cardiology, cardiac diagnostics, and cardiac rehabilitation services and programmes.

BHB has two full-time US Board certified cardiology specialists.

We provide inpatient and outpatient diagnostic testing and consultations for suspected or diagnosed cardiac disease.

The David & Mary Barber Cardiac Diagnostic Unit offers the latest techniques and technologies used to evaluate and treat heart disease and other heart problems.

Cardiac Rehabilitation Services are offered to patients and their families following a heart attack, heart surgery, coronary angioplasty/stents or heart failure. The main goal of this service is to assist patients in developing a healthy lifestyle plan that includes physical activity, education, stress management and nutrition counselling.

Top Ten Heart Healthy Tips

Diabetes

Diabetes

Our accredited nurses, dietitians and specialist physician will help you navigate your way to better health and control of your diabetes. Our team approach is a holistic way to manage your health.

We offer one-on-one appointments and 12-hour courses in an interactive classroom setting. You may feel frightened about your diagnosis and being here. This is normal, and we can help!

Click here for more information about diabetes support.

Dialysis

Dialysis

1st Floor, Acute Care Wing, KEMH

4am to 9pm Monday to Saturday

Tel: (441) 239-2028

 

The Dr Beresford Swan Dialysis Unit is a specialised provider of services to patients with kidney disease, including patients suffering from chronic kidney failure.

For patients with kidney failure, haemodialysis is a life-sustaining treatment. Haemodialysis removes impurities from the blood by using a dialyser, also known as an artificial kidney. We never reuse dialysers. A dedicated clinical dietitian is assigned to work with those who receive dialysis.

The Dialysis team also treats patients in the Intensive Care Unit.

Home Health Care Services

Home Health Care Services

Provided in your home

8:30am to 6pm daily

Tel: (441) 236-2345 Fax: (441) 239-2173

 

Home Health Care Services – such as medication administration and management, ulcer and wound care, stroke rehabilitation, ostomy care and amputee care – may be provided by skilled nurses to KEMH inpatients who are:

  • Medically stable and fit for discharge
  • Residents of Bermuda
  • Privately insured or elligible for Government subsidy
  • Living in a safe home environment and have family support
  • Immobile or have limited mobility but can be transferred by one person
  • Willing to try home care and participate in care giving/education as required or appropriate

Hyperbaric Oxygen Therapy

Hyperbaric Oxygen Therapy

Ground Floor, General Wing, KEMH

8am to 3pm Monday to Friday

Tel: (441) 239-2075 Fax: (441) 236-5012 Email: hyperbaric@bhb.bm

 

Hyperbaric Oxygen Therapy (HBOT) treats patients in a pressurised chamber where their entire body is exposed to 100% oxygen. This super-oxygenates the bloodstream to promote the growth of new small blood cells and support tissue re-growth.

HBOT is a life-saving treatment for medical emergencies such as carbon monoxide poisoning and gas gangrene, and is adjunctive therapy in the treatment of many types of non-healing wounds. HBOT was originally developed to treat underwater divers suffering from “the bends” (decompression sickness).

Lymphedema Clinic

Lymphedema Clinic

Occupational Therapy, 1st Floor, General Wing, KEMH

8am to 4pm Monday to Friday

Tel: (441) 239-1196

 

The Lymphedema Clinic addresses the needs of patients who have swelling in a body part (usually a limb) because of an accumulation of lymph fluid just under the skin. There is no cure for this chronic condition, which can be congenital, or caused by radiation damage or the removal of lymph nodes during breast cancer and certain other surgeries.

Physiotherapy can help relieve symptoms through manual lymph drainage and compression. Phase I treatment typically involves one hour of therapy per day for three to six weeks. Patients are also fitted with compression sleeves or stockings, which they should continue to wear on an ongoing basis.

Appointments are by doctor’s referral only.

Medical Social Workers

Medical Social Workers

8am to 4pm Monday to Friday
On call nights, weekends and holiday holidays

Tel: (441) 239-1453

 

Medical social workers (MSWs) provide supportive, confidential counselling to patients and their families to help them cope with the many problems that can accompany illness and disability. They identify needs and connect clients to community resources that may be able to help with day care and financial or emotional problems.

Medical social workers often coordinate arrangements for home care and equipment needed after discharge. When patients need to go abroad, MSWs arrange for air evacuations and help relatives make plans for accommodations.

Oncology

Oncology

The BHB Oncology Department is a restful, naturally sunlit area where patients receive chemotherapy treatments and meet with their oncology specialist and nurses. Our priority is your comfort and your care. Our staff members are highly trained and experienced.

Click here for more information about Oncology.

Orthopaedic (Fracture) Clinic

Orthopaedic (Fracture) Clinic

Ground Floor, General Wing, KEMH

7:30am to 3pm Monday to Friday

Tel: (441) 239-1408

 

The Orthopaedic (Fracture) Clinic provides exemplary patient care, playing an important role in providing you with comprehensive care for fractures and trauma of the musculoskeletal system. Patients are usually referred to the fracture clinic from the Emergency Department and occasionally by their physician.

Led by orthopaedic surgeons, the multidisciplinary healthcare team ensures that you have the right treatment for your injury. In addition to fractures, we also care for patients with soft tissue injuries such as damage to tendons and ligaments, and orthopaedic post-operative follow-up visits. Almost all patients are seen within a week of their injury. If you have an injury that needs to be treated by a particular specialist, you may be asked to attend on a specific day.

Our services:

  • Orthopaedic post-operative follow-up visits
  • Clinical review of patients with acute fractures and injuries of the ligaments, referred by the Emergency Department

Appointments by doctor’s referral only.

Outpatient Dietetic Services

Outpatient Dietetic Services

Rehabilitation Day Hospital, 1st Floor, General Wing, KEMH

8am to 4pm Monday to Friday

Tel: (441) 236-3770 ext 3432

 

Registered clinical dietitians are involved in programmes throughout the hospitals. They provide nutrition screening, assessment, intervention and counselling for both outpatients and inpatients, helping patients adapt to diets appropriate to their individual and medical needs.

Outpatient Dietetic Services provides support to individuals who want to develop healthy eating habits or have concerns about:

  • Digestive system diseases
  • Cardiovascular diseases (e.g. high cholesterol, high blood pressure)
  • Food allergies and intolerances
  • Obesity
  • Underweight
  • Cancer
  • Kidney disease
  • Enteral or parenteral feeding (patients who are fed through a tube)
  • Diabetes or high blood sugar (located at the DREAM Centre)

A doctor’s referral is not necessary for a consultation with a dietitian unless there is a medical issue, however it is required if you wish to use your insurance. Outpatient Dietetic Services are covered as a standard hospital benefit depending on the type of insurance policy you have. You are responsible for any outstanding amounts. Please check your individual policy for details.

Initial appointments are usually 90 minutes long, and follow-up appointments are usually 30 minutes.

 

Focusing on Your Health and Wellness: BHB Nutrition

BHB Nutrition is a personalised online nutrition system you can use to manage your nutritional goals. It is available 24 hours a day through this website.

BHB Nutrition:

  • Track your daily intake to ensure you meet your nutritional targets
  • As well as calories, carbohydrates, protein and fat, you can also monitor your intake of 22 other nutrients
  • Create and track your personalised goals and view your successes
  • Improve your eating habits and follow food suggestions to improve nutrient deficiencies
  • Create custom meal plans and recipes
  • Print yourself a grocery list before you head to the store

There are two different rates for the BHB Nutrition service. The stand-alone rate allows full access to the BHB Nutrition programme for self monitoring. The coaching rate includes the monitoring of your meal tracking by a clinical dietitian and monthly emails with advice and tips to help improve your success.

Activation Time Stand-alone Rate Rate with Coaching
1 month $20 $30
2 months $40 $50
3 months $60 $70
4 months $80 $90
6 months $90 $95
9 months $135 $140
1 year $180 $185

In order to access BHB Nutrition, you will need to:

  1. Pay the relevant fee at the cashier’s office by the Emergency Department. Alternatively you can call the cashiers office on 239-1384 to pay by card over the phone.
  2. Provide a copy of your receipt to the outpatient dietitian, who will provide you with an individual access code to set up your account.
  3. Ensure you provide copies of all future receipts to the outpatient dietitian to ensure your account remains activated.

Outpatient Surgery

Outpatient Surgery

Modern technological advances and medical techniques have changed the way many illnesses and injuries are diagnosed and treated. Lasers, specialised scopes, microsurgical instruments and sophisticated radiologic equipment make it possible for many diagnostic and surgical procedures to be performed on an outpatient or same-day basis.

Our skilled professional staff, including nurses specialising in surgery, post-anaesthesia care and ambulatory surgery, work as a team with your physician and anaesthetist to individualise your care and recovery programme. Our goal is to make your visit to our hospital as easy and convenient as possible.

Click here for more information about Outpatient Surgery.

Rehabilitation Services

Rehabilitation Services

The Rehabilitation Services staff at KEMH and MWI are dedicated to providing innovative rehabilitation programmes that optimise patient outcomes. Patients receive specialised care from a highly-skilled interdisciplinary team of physicians, nurses, psychologists and therapists.

Click here for more information about Rehabilitation Services.

Wound Care Clinic

Wound Care Clinic

Ground Floor, General Wing, KEMH

8am to 3pm Monday to Friday

Tel: (441) 239-1896 Fax: (441) 236-5012

 

For most people, wound healing is a natural, uneventful process. A minor scratch or cut normally heals within a week, leaving only a faint scar or no trace at all. For some individuals, however, it becomes a complex medical problem requiring specialised treatment and care.

The Wound Care Clinic provides a multidisciplinary programme of treatment and support services for the cost-effective management of acute and chronic problem wounds. The most common conditions evaluated and treated include chronic, non-healing wounds resulting from:

  • Arterial ulcers
  • Venous stasis ulcers
  • Compromised skin grafts and flaps
  • Non-healing diabetic wounds
  • Pressure ulcers
  • Problem surgical wounds
  • Burns
  • Trauma wounds

The goals of our team of highly trained professionals include:

  • Providing continuity of wound care
  • Preventing or controlling infection
  • Optimising drainage and removing necrotic tissue
  • Preventing premature wound closure
  • Educating patients and care givers on treatment and prevention
  • Decreasing hospitalisations

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Sam Mir MD FACC
Director of Cardiology
Cardiology, Echocardiography, Nuclear Cardiology

Dr Sam Mir is Bermuda Hospitals Board's Director of Cardiology. Appointed in November 2013, Dr Mir is responsible for inpatient and outpatient cardiology services at the hospital. Since March 2011, he has worked as BHB's Attending Cardiologist, helping to develop a clinical cardiology and cardiovascular imaging programme, as well as creating a high-quality device implantation/management programme for pacemakers. He earned his Doctor of Medicine from the University of Maryland School of Medicine in Baltimore and went on to complete an internship and residency in Internal Medicine from Harvard's Brigham and Women's Hospital. He completed a Cardiology fellowship at the Hospital of the University of Pennsylvania in Philadelphia. He is US Board certified in Cardiology, Echocardiography and Nuclear Cardiology.

Bermuda Hospitals Board, King Edward VII Memorial Hospital, 7 Point Finger Road, Paget, DV04
Tel: (441) 239-2440 - Email: Sam.Mir@bhb.bm

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Sam Mir MD FACC
Director of Cardiology
Cardiology, Echocardiography, Nuclear Cardiology

Dr Sam Mir is Bermuda Hospitals Board's Director of Cardiology. Appointed in November 2013, Dr Mir is responsible for inpatient and outpatient cardiology services at the hospital. Since March 2011, he has worked as BHB's Attending Cardiologist, helping to develop a clinical cardiology and cardiovascular imaging programme, as well as creating a high-quality device implantation/management programme for pacemakers. He earned his Doctor of Medicine from the University of Maryland School of Medicine in Baltimore and went on to complete an internship and residency in Internal Medicine from Harvard's Brigham and Women's Hospital. He completed a Cardiology fellowship at the Hospital of the University of Pennsylvania in Philadelphia. He is US Board certified in Cardiology, Echocardiography and Nuclear Cardiology.

Bermuda Hospitals Board, King Edward VII Memorial Hospital, 7 Point Finger Road, Paget, DV04
Tel: (441) 239-2440 - Email: Sam.Mir@bhb.bm

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Joseph Yammine MD FACC
Consultant Cardiologist
Cardiology, Electrophysiology, Echocardiography

Dr Joseph Yammine joined the Bermuda Hospitals Board as a Consultant Cardiologist in 2014. He is tasked with providing outpatient consultations to people with heart diseases, and delivering specialised cardiac care for hospitalised and emergency patients. He received his post graduate training at Brigham and Women's hospital, Brown University and State University of New York. Before joining BHB, Dr Yammine was in academic clinical practice as a member of the Brigham and Women's Cardiovascular Associates at Care New England in Rhode Island. Additionally, he was a full-time clinical faculty with the rank of Assistant Professor of Medicine at the Warren Alpert Medical School of Brown University. He holds six American board certifications in Internal Medicine, Cardiovascular Diseases, Clinical Cardiac Electrophysiology, Echocardiography, Cardiac Computed Tomography and Nuclear Cardiology.

Bermuda Hospitals Board, King Edward VII Memorial Hospital, 7 Point Finger Road, Paget, DV04
Tel: (441) 239-2440 - Fax: (441) 239-1037 - Email: Joseph.Yammine@bhb.bm