About Cathy Stovell

Donation brings new treatment for enlarged prostate

Wednesday 22 November 2023: Bermuda Hospitals Board (BHB) today thanks the Bermuda Hospitals Charitable Foundation for facilitating the donation of $52,500 from The Argus Group to purchase a GreenLight XPS. This equipment will bring the latest laser treatment for benign prostatic hyperplasia, more commonly called prostate gland enlargement, to Bermuda.

GreenLight’s laser technology* offers patients better outcomes compared to traditional surgery, with reduced hospital stays, fewer complications and faster recovery. Over 100 local men are expected to benefit each year. Currently, patients who require surgical intervention for an enlarged prostate only have a traditional surgical option available on the island.

The new treatment is expected to begin in January, once the required power upgrades to the operating rooms are complete and BHB nurses and theatre practitioners have been trained.

BHB Consultant Urologist Dr Jonathan Makanjuola comments: “We are so grateful for this wonderful donation from The Argus Group through the Bermuda Hospitals Charitable Foundation. This is a fantastic development for our local urology service.

“Forty percent of the patients we see in the BHB Urology Department have an enlarged prostate, which can be extremely troublesome to patients. If medications become ineffective, surgery is really the only option.

“The great news for men undergoing the GreenLight procedure is that it’s as effective as traditional, transurethral resection of the prostate, what we commonly refer to as TURP surgery, but it also brings many other benefits. Men experience less time in surgery, fewer days using a catheter, shorter post-operative recovery, and fewer complications, and 95% of cases can be done as an outpatient. This is three times higher than the traditional surgery option, where only 32% of patients can be discharged the same day. Sexual function is also less likely to be impacted.

“As it’s a shorter procedure that doesn’t require a hospital bed, we also expect that more of these surgeries can be undertaken. This should help us reduce wait times, which are currently at about six to eight weeks.”

The GreenLight treatment is already recommended by the National Institute for Health and Care Excellence (NICE) in the UK and is available in other countries, such as the US, Canada and Europe.

BHB Chief of Staff Dr Wesley Miller comments: “On behalf of BHB, thank you to the Bermuda Hospitals Charitable Foundation and The Argus Group. This new treatment will offer an improved experience and outcome for men with an enlarged prostate compared to traditional surgery. It also reduces pressure on hospital beds and so is less costly to the healthcare system. In addition, the procedure is much less likely to be postponed if there are bed capacity issues.

“We are very grateful for the donation, which helps us provide a better quality, safer and less costly service.”

Kim Pratt, executive director of the Bermuda Hospitals Charitable Foundation, comments: “We are so happy to be able to facilitate this generous donation from The Argus Group to BHB for a service that is going to make a big difference to over 100 men each year. This speaks to our vision to support BHB in enhancing health and healthcare services in Bermuda.

“Thanks to Argus’ generous donation we now only need $17,500 to completely fund the new equipment. If you would like to make a donation please email kim.pratt@bhcf.bm or visit Donate Now (bhcf.bm) to make a donation online.  Please reference that the donation is for GreenLight.”

Argus Americas Chief Executive Peter Lozier comments: “With the alarming rate of prostate cancer and benign prostate enlargement in Bermuda and its profound implications on the lives of our male population, it’s imperative that we champion technology that provides timely treatment for these conditions.

“The introduction of the Greenlight Laser XPS system marks improvement in surgical care. Through this contribution, we are facilitating quicker treatment and recovery, reducing healthcare costs, shortening hospital stays and, most importantly, saving lives.”

 

NOTES TO EDITORS

*GreenLight works by using a laser to vaporise excess prostate tissue, rather than cutting away the tissue as is done in the traditional surgery called transurethral resection of the prostate (TURP). The procedure allows rapid tissue vaporisation, resulting in a faster procedure with less bleeding and associated complications.

Clinical evidence shows that GreenLight is as effective at treating an enlarged prostate as TURP and has many benefits to patient experiences and outcomes over the older surgical procedure. Benefits to patients include:

  • 95% of cases can be completed as outpatient procedures, compared to one or two days in hospital after TURP
  • Faster recovery with less pain and discomfort and a quicker return to normal activities
  • Fewer catheterisation days
  • Reduced bleeding. The laser coagulates blood vessels, minimising the risk of bleeding and reducing the need for blood transfusions. (The need for blood transfusions in the traditional TURP procedure is six times higher than for the GreenLight procedure.)
  • Suitable for patients on anticoagulant medications
  • Sexual function more likely to be maintained after GreenLight procedure
  • Lower risk of TURP syndrome, when excessive fluid absorption during the procedure leads to electrolyte imbalance

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22 November 2023 Home Page, News

BHB resumes pre-COVID visiting hours

Friday 17 November 2023: Bermuda Hospitals Board has resumed its pre-Covid visiting hours which are slightly longer on most units.

“Visiting hours on our Inpatient Medical-Surgical Units at KEMH have returned to 11am to 8pm allowing family and friends more time with their loved ones,” said BHB Chief of Nursing Judy Richardson. “We recognise how impactful every visitation minute is to both our patients and their friends and families, particularly in the holiday season when loneliness is often felt more strongly.”

Visiting hours for all units at King Edward VII Memorial Hospital and the Mid-Atlantic Wellness Institute are available on the BHB website bermudahospitals.bm and are listed below. General in-patient inquiries are also available by visiting or calling the KEMH main reception desk on 239-2001 or the MWI main reception desk on 236-3770.

KEMH Ward Visiting Hours

  • Inpatient Medical-Surgical Units (Acute Care Wing)
    11am to 8pm
  • Intensive Care Unit (General Wing)
    Only immediate family is allowed to visit ICU: 10am to 2pm and 4pm to 8pm
    Rest period (no visitors): 2pm to 4pm
  • Maternity Unit (General Wing)
    Mothers and fathers: 8am to 8pm
    Grandparents, siblings and general visitors: noon to 2pm and 4pm to 8pm
    Quiet time: 2pm to 4pm
    Visitors for gynaecology patients: noon to 8pm
  • Gosling Paediatric Unit (General Wing)
    Paediatric patients: 7:30am to 7:30pm
    Paediatric over-night stay: 7:30pm to 7:30am
    Adult patients: noon to 8pm
  • Long Term Care Unit (General Wing)
    noon to 8pm
  • Agape House
    Open visiting hours

MWI Ward Visiting Hours

  • Somers Annex and Somers Ward 
    noon to 8pm
  • Reid Ward:
    noon to 8pm
  • Devon Lodge:
    noon to 8pm
  • Child & Adolescent Services
    The nursing team arranges visiting times with families during these hours:
    Weekdays: 6pm to 8pm
    Weekends: noon to 8pm

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17 November 2023 Home Page, News

BHB celebrates World Stroke Day with free health screenings for everyone

Thursday 26 October 2023: Are you at high risk for having a stroke? You will be able to find out as Bermuda Hospitals Board (BHB) celebrates World Stroke Day on Monday 30 October.

“We will be offering free health screenings to the public from 11am to 4pm on Monday in the main lobby of King Edward VII Memorial Hospital (KEMH),” said BHB Chief of Staff Dr Wesley Miller. “Staff from our Primary Stroke Centre will conduct a stroke risk assessment for attendees at the health screenings and will provide each of them with a Stroke Risk Scorecard. Blood pressure, pulse testing and blood sugar are the screenings that will be done. We are pleased that the Bermuda Diabetes Association has partnered with us in respect of blood sugar testing.”

Stroke is an epidemic in Bermuda. It can have debilitating effects – not just to the person who has experienced the stroke, but also to their family. BHB Consultant Geriatrician Dr Srinath Meadipudi was Stroke Director of Stockport NHS Foundation Trust in Manchester, UK before he joined BHB last year.  He explains exactly what happens in a stroke, and details the signs and symptoms in the article below:-

Every October the world comes together to observe World Stroke Day, a day dedicated to increasing awareness about stroke risks and the critical importance of stroke prevention and timely treatment.

Stroke, often referred to as a “brain attack,” occurs suddenly when the blood flow to the brain is compromised, depriving it of oxygen. It is a condition that ranks among the leading causes of death and disability in developed countries. Mini strokes, called transient ischemic attacks (TIAs), are caused by a temporary blockage that disrupts the blood supply to a particular part of the brain. The symptoms are the same as a stroke, but fully resolve within 24-hours. The good news is that strokes are often preventable, and with swift medical intervention, their devastating effects can often be minimised.

Strokes come in two main types: ischemic and haemorrhagic. Ischemic strokes, which are the most common, occur when a blood clot blocks a blood vessel supplying the brain. Haemorrhagic strokes, although less frequent, are equally dangerous and result from bleeding within the brain tissue, typically due to a ruptured blood vessel.

Strokes result in reduced oxygen supply to the brain causing brain cells to die very quickly. There are billions of brain cells and when stroke occurs, approximately 2 million of them are lost every minute. The window of opportunity for effective stroke treatment is narrow but crucial. Prompt medical attention is the key, as a life-saving procedure called thrombolysis can dissolve the clot and restore blood supply to the brain. However, this therapy must be administered within 4.5 hours of the onset of symptoms, with better recovery if given as early as possible.

A major risk factor for strokes is atrial fibrillation (AF), a condition characterised by an irregular heartbeat. AF can predispose individuals to the formation of blood clots in the heart, which may travel to the brain and cause blockages in blood vessels there. Notably, some AF patients experience palpitations, while others may not have noticeable symptoms until an electrocardiogram (EKG) reveals the condition. Therefore, regular pulse checks are essential, particularly for individuals at risk.

People with heart conditions and overactive thyroid gland problems are at increased risk of developing AF. They should make regular medical check-ups and heart health management a priority.

Strokes are often preventable through adopting a healthy lifestyle. This entails quitting smoking, moderating alcohol intake, maintaining an ideal weight, being physically active, adhering to a healthy diet, managing stress and effectively controlling health conditions like diabetes, high blood pressure and high cholesterol. For individuals with AF, proper medication management to prevent developing a clot is crucial.

While strokes are commonly associated with older age, they can affect individuals of any age. Where there is a family history of strokes under the age of 60, genetic factors may play a role, necessitating proactive measures and careful risk assessment in younger individuals presenting with stroke symptoms.

BHB has established a Primary Stroke Centre at KEMH, which offers state-of-the-art facilities and clot-dissolving treatment to eligible patients arriving within 4.5 hours of experiencing stroke symptoms.

Additionally, for those patients who are not suitable for clot busting treatment, the Stroke Centre has a clinical affiliation agreement with The Johns Hopkins Hospital in Baltimore, Maryland where our patients are considered for a specialised procedure known as thrombectomy. Thrombectomies are aimed at removing clots from blood vessels in the brain.

Early recognition of stroke symptoms is of paramount importance. Even if the symptoms seem to resolve, medical evaluation is still vital, as the risk of a subsequent stroke remains high.

 

BE FAST campaign: A Life-Saving Acronym

The BE FAST campaign provides a valuable tool for remembering the signs of a stroke and the urgency of action. BEFAST stands for:

  • Balance: Is there a sudden loss of balance or coordination?
  • Eye movements: Are there problems with vision, like double vision or partial blindness?
  • Facial weakness: Does the face droop on one side when smiling?
  • Arm weakness: Can both arms be raised equally?
  • Speech difficulty: Is speech slurred, or can a simple sentence be repeated correctly?
  • Time: If any of these signs are observed, it’s time to call 911 without delay.

Strokes are life-altering and all too often, life-threatening events. Yet, with knowledge and timely action, they can be prevented, and their impact reduced. By embracing a healthy lifestyle, understanding the risks, and being vigilant about stroke symptoms, we can collectively reduce stroke incidence and improve outcomes for those affected.

As we observe World Stroke Day, let us remember that knowledge is our most powerful tool for creating a healthier future and time is of the essence in stroke treatment. Together, we can make a significant impact on stroke prevention and care.

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26 October 2023 Home Page, News

BHB Traffic Advisory: KEMH main entrance closed on Saturday

Wednesday 18 October 2023: King Edward VII Memorial Hospital’s main Point Finger Road entrance will close on Saturday 21 October to enable minor excavation works. The Point Finger Road entrance to the hospital’s staff parking area (located near Berry Hill Road) should be used.

Personnel will be at the scene to advise drivers. Please follow their directions.

Weather conditions may see the closure extended to Sunday 22 October.

Below is a map of the traffic plan.

Traffic Plan 21Oct2023

18 October 2023 Home Page, News

BHB turns on pink lights

Friday 29 September 2023: The entrance to the King Edward VII Memorial Hospital (KEMH), Acute Care Wing will be bathed in a pink glow in celebration of Breast Cancer Awareness starting tomorrow, 1 October. The exterior lighting will turn on automatically at dusk every evening for the duration of the month.Terricca Smith

“These lights are a reminder to manage your breast care and to book your routine mammogram,” said Terricca Smith, Bermuda Hospitals Board (BHB) Acting Manager, Diagnostic Imaging and Cardiac Diagnostic Unit.

The KEMH mammography department offers full breast health screening and diagnostic exams using GE’s Pristina 3D mammography unit. It provides optimum images to aid in detecting breast diseases.

Women do not require a physician referral to have a mammogram at BHB (men do). “Members of the public 40 and over are advised to have a scan annually,” said Ms Smith. “If you have a family history of breast cancer, we invite you to contact our KEMH Mammography Unit directly on 239- 1223 for advice on when you should be scanned.”

A yearly mammogram is covered as a standard health benefit for those with local health insurance. There is no co-pay at BHB associated with this service.

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29 September 2023 Home Page, News

BHB to host free Falls Prevention Mini Expo

Monday 18 September 2023: Falls can be a serious health risk, particularly for the elderly. On Thursday, Bermuda Hospitals Board (BHB) will celebrate international Falls Prevention Awareness Week with a mini expo for staff and the public.

BHB addresses falls risk proactively for all our patients, with internationally recognised screening assessments. While we do not have local statistics, the UK’s National Health Service reports that one in three people over 65 falls each year, with half of seniors over 80 falling. In the US, the Centers for Disease Control and Prevention says more than one in four adults over 65 fall each year, with one in five falls resulting in serious injury.

At Thursday’s Falls Prevention Mini Expo, the BHB Long Term Care unit-based quality and safety teams invite the public to learn about the risks of falling and what they can do to prevent it.

“Falls are a very common cause of injury,” says registered nurse Maxine Simmons. “As clinical manager of Gordon Unit, one of our four long-term care units at BHB, I am aware of the impact a fall can have on our patient’s health and recovery. As our clients are older adults, their risk of falling is greater than the general population.

“Our units have come together this year to raise awareness and encourage the public to protect themselves from falling.”

“The theme for Falls Prevention Awareness Week this year is From Awareness to Action,” says Christine Bogle-Meinzer, clinical manager of Curtis Long Term Care Unit.

“We will be equipping the public with actions they can take to help prevent them from falling.

“We also know that many older people may not tell their doctor or family members when they’ve experienced a fall. We will share why it’s important not to hide these events.”

The Falls Prevention Mini Expo will take place on Thursday 21 September from 2-5:30pm in The Resource Centre on the ground floor of King Edward VII Memorial Hospital’s General Wing. The event is free to the public and light refreshments will be provided.

“We encourage the public to attend our mini expo, speak with the doctors, nurses and allied health professionals, watch the short videos, and take the factsheets to have the information close at hand for easy reference,” said Lynnette Bean, vice president of quality and patient safety. “Falls prevention is an important part of maintaining good health.”

 

Falls Prevention Mini Expo – FLYER SEP2023

18 September 2023 Home Page, News

Public Advisory: Lamb Foggo Urgent Care Centre open over Cup Match

Friday 28 June 2023: The Lamb Foggo Urgent Care Centre (UCC) will open from 12pm to 8pm on Thursday 3 August and Friday 4 August 2023. It will also be open on its regular weekend hours of 9am to 9pm on Saturday 5 August and Sunday 6 August 2023.

Bermuda Hospitals Board wishes the public a safe and happy Cup Match holiday. We remind you not to drink and drive, and advise you to adhere to the rules of the road.

“In particular, we implore you to observe the speed limit and always wear your seat belt,” said Chief of Emergency Dr Chikezie Dean Okereke.

If you are in the East end and sustain a minor injury, you should attend the UCC. If you have a major injury, a suspected heart attack and/or stroke, you should attend the Emergency Department at King Edward VII Memorial Hospital (KEMH) or call 911.

Clinicians at both the UCC and the KEMH Emergency Department attend to people based on the severity of their condition. The chart below gives some guidance on approximate wait times.

Image of wait times chart based on acuity level.
28 July 2023 Home Page, News

Multiple myeloma support group joins international foundation

Tuesday 25 July 2023: A local support group for people diagnosed with multiple myeloma, a type of blood cancer, plans to expand its assistance to the community next month.

Pamela Shailer started the Bermuda Multiple Myeloma United Support Group in 2015 after someone newly diagnosed with the illness approached her for advice and support.

Mrs Shailer said the group has agreed to join the International Myeloma Foundation (IMF), a US charity. The suggestion came from Dr Alisha Tucker, a Bermuda Hospitals Board locum oncologist/haematologist who specialises in blood cancers. Dr Tucker has experience with the IMF through a support group for patients she was involved with in Jamaica.

Dr Tucker said: “Membership to IMF gives members of the Bermuda patient support group access to the latest research and clinical guidance on managing the illness. They can also attend conferences and seminars, and access a wealth of up-to-date information.”

Mrs Shailer said: “We welcomed the suggestion and agree that this expands the benefit we can provide to not only our current members, but also the general community. We can become more educated survivors and pass that information on to anyone who approaches us about it.

“I was diagnosed in 2013 through a routine blood test in my annual physical with my GP. I had no symptoms. I’ve had a stem cell transplant and chemotherapy, followed by medication. Today am no longer on medication for it. I’ve stressed to my friends the advantage of getting annual physicals, and I feel passionate about sharing information I learn from the IMF.”

BHB Chief of Staff Dr Wesley Miller said: “Assisting our patients this way is an example of how our care extends beyond the walls of hospital buildings. We have a strong oncology team to meet the needs of our island community. They are highly trained, supportive and sensitive physicians and nurses who are uniquely qualified to manage and treat the varied cancer presentations in our people.”

Information about the Bermuda Multiple Myeloma United Support Group will appear on the IMF website in August. This will make the group easy to find for anyone, anywhere in the world, who may be coming to Bermuda and looking for support.

“Most importantly,” said Dr Tucker, “this will ensure that our patients who are diagnosed with multiple myeloma have access to developments on the disease, and can receive support and empowerment in the community.

“We look forward to assisting them in managing and treating their conditions, and even keeping us on our toes with their latest research knowledge and questions.”

The Bermuda Multiple Myeloma United Support Group meets once a month. For more information, contact Mrs Shailer at bermuda@imfsupport.org or call her on 236-6086.

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Notes to Editors

A local study conducted in 2017 found that 7% of cancers in Bermuda were blood cancers, and of those, 23% were multiple myeloma.

Here’s a link to the published research paper.

The Bermuda Hospitals Board is a quango (quasi autonomous non-governmental organisation) established under the Bermuda Hospitals Board Act, 1970. It has a Bermuda Government-approved Board and a Chief Executive Officer, responsible for King Edward VII Memorial Hospital and Mid-Atlantic Wellness Institute. At the heart of both organisations is high-quality care to all patients.

With approximately 1,700 employees, the Bermuda Hospitals Board is Bermuda’s second largest employer. King Edward VII Memorial Hospital and Mid-Atlantic Wellness Institute are the only healthcare organisations in Bermuda accredited by Accreditation Canada, an independent organisation whose role is to help hospitals examine and improve the quality of care and service they provide to their clients. In addition to providing an extensive list of services for the community, the Bermuda Hospitals Board is part of a referral network that includes some of the world’s leading specialist hospitals.

For more information, please visit www.bermudahospitals.bm or contact the Bermuda Hospitals Board Public Relations Department at publicrelations@bhb.bm.

25 July 2023 Home Page, News

Public Advisory: Lamb Foggo Urgent Care Centre will be closed on 2 July 2023

Sunday 2 July 2023: Due to staff shortages, the Lamb Foggo Urgent Care Centre (UCC) will be closed today, Sunday 2 July 2023.

Bermuda Hospitals Board apologises for any inconvenience this may cause.

Friday 30 June: The public is advised that the Lamb Foggo Urgent Care Centre will open from 3pm-9pm on Sunday 2 July 2023. This is unfortunately due to a shortage of staff.

Bermuda Hospitals Board apologises for any inconvenience this may cause.

Update Wednesday 19 July: The UCC is open from 9am-9pm on Saturdays and Sundays.

30 June 2023 News

Traffic advisory: No through traffic at KEMH Saturday 24 June 2023

Tuesday 20 June 2023: There will be no through traffic at King Edward VII Memorial Hospital between Point Finger Road and Berry Hill Road from 8am to 4pm on Saturday 24 June 2023.

Anyone needing to access services in the Acute Care Wing should enter the hospital campus from Point Finger Road and use the visitor parking there.

Anyone needing to access services in General Wing should enter the hospital campus via Berry Hill Road and use the visitor parking there.

The access restrictions are due a crane lift of heavy equipment on the campus.

For your safety and the safety of others, please comply with erected barriers and directions of personnel at the site.

20 June 2023 News