- American Medical Technologists

Jamaica
Haiti
Antigua & Barbuda
Grenada
Trinidad & Tobago
Dominica
St. Lucia
The Cayman Islands
S. Kitts & Nevis
Bermuda
Suriname
Belize
Guyana
The Bahamas
Anguilla
Barbados
Volume 2 Issue 5
The Netherland Antilles
St. Vincent & Grenadines
The British Virgin Islands
Distributed: December2014
Volume 2 Issue 5
Page 1
Brief Insight on CASMET Regional Council
The Regional Council consists of the President, Vice President, President Elect, Immediate
Past President, Secretary, Assistant Secretary, Treasurer, Assistant Treasurer, Public Relations
Officer and 4 council members, from across the region.
The CASMET region extends from Bermuda in the North, to Surinam and Curacao in the
South, to Belize in the West and Barbados in the East. Included in this range are the Bahamas,
Turks and Caicos, Jamaica, Cayman Islands, Anguilla, St Kitts and Nevis, Antigua and Barbuda,
Montserrat, Dominica, St Lucia, St Vincent and the Grenadines, Grenada, Trinidad and
Tobago, Guyana and the Dutch Antilles.
The Regional Council Meets twice a year, over its two year term, one meeting being at the
beginning of the Biennial General Meeting and Scientific Symposium. We rotate these
meetings amongst as many territories as possible and we look forward to visiting Curacao at
the end of May to deliberate. We also have numerous informal meetings via all technological
means available to us at this time.
All countries are invited and encouraged to send a representative to the RCM's, if there are
no representatives already on Council. Each Branch, can elect up to four persons to represent
them on council, and everyone on council has the responsibility to take back all decisions and
plans to their respective homes so that members are up to date on happenings.
Among many other activities, is our newsletter, this year being managed by the very able
Delphia Theophane, Chairperson of the Education Committee. Please support her by offering
information, articles, photos, and any other bit of information worth sharing.
Fellow Laboratorians, jump on board! There is something for each of you to contribute as we
continue to build our beloved organization.
Jasmin M Hanley,
BSc DMT (CASMET), MT(AMT),
CMIAC (IAC) MSc (Imperial, London)
President, CASMET, 2013-2015
Volume 2 Issue 5
Page 2
Jasmin Hanley has been a member of CASMET
since the early 1980’s, and has been an AMT member since
1989. Born October 29th 1959, she is a medical technologist,
and cytologist. She is a former laboratory manager of the J
N France General Hospital, St Kitts, and has recently retired
and opened Mediserv Cytology Training School. She has
served CASMET for many years in various positions, such as
Council Member, Vice President and President Elect, and of
course as territorial representative.
Ms. Jasmin M. Hanley
President
(St. Kitts)
She is married to Dr Ladislao Taquechel, Cuban
born and trained plastic and reconstructive surgeon, and is
the stepmother of 2 adult children. Her only brother, is Captain Ashley Hanley of
LIAT.
She is on her church’s vestry, and grief and loss committee, and loves to meet
people, travel and explore other cultures, dance (the aches and pains don’t always
allow), go to the beach.
Languages include English, a little Spanish, and even less French!
She looks forward to meeting and getting to know all CASMET members.
Harry Narine has been on Regional Council
since 1999 and has served in many capacities including
Council Member, Treasurer, Assistant Treasurer and
Vice- President. He is presently the Administrator for
the Regional Account and responsible for all CASMET
printings and Branch Chairperson of the Trinidad
Branch.
Mr. Harry Narine
President Elect
(Trinidad & Tobago)
Mr. Narine is married, enjoys travelling, love
music, dancing (well I’m a Trini)! I look forward to an
active and productive biennium!
Mr. Grant Lambert has been a member of
Regional Council for many years, currently he is the
Immediate Past President.
Mr. Lambert is dedicated to the field of Medical
Technology and he devoted to raise the standard of
Laboratory Medicine in Grenada.
Mr. Grant Lambert
Immediate Past President
(Grenada)
Volume 2 Issue 5
Page 3
Dr. Sonia Richards-Malcolm hails from the
Island of Jamaica. She has served on Regional Council
for quite a few years, a true stalwart to the field of
Laboratory Medicine.
Dr. Sonia Richards-Malcolm
Vice-Chairperson
(Jamaica)
Her integrity is unmatched and her dedication is
one to be emulated as strives to continue her hard work
within the Association.
Ms. Coleen Sinclair-Mattis is a very kind, sweet
and generous person. She has served Regional Council
for many years. Currently she is the Regional Secretary, a
post she is ever willing to fill as her outstanding work is
admired by all CASMET members.
Ms. Coleen Sinclair-Mattis
Regional Secretary
(Jamaica)
Ms. Lynette Saunders is a very fun loving and
enthusiastic person. She serves on Regional Council as
the Assistant Secretary but held many other positions
and she is dedicated and works hard to improve the field
of Medical Laboratory Technology.
Ms. Lynette Saunders
Assistant Secretary
(The Bahamas)
Ms. Yvonne Mortimer is a very honest and
hardworking individual. She serves on Regional Council
as the Treasurer, a post that she is well suited for
because of her unshaken integrity and loyalty to
CASMET.
Ms. Yvonne Mortimer
Treasurer
(The Bahamas)
Volume 2 Issue 5
Page 4
Marcia Robinson-Walters has been a Medical
Technologist for 21 years and enjoys working in my
profession! She has a passion for maintaining and
improving the standards and morals of her profession
and seeks to keep the professional torch "ablaze" for its
betterment.
Ms. Marcia Robinson-Walter
Assistant Treasurer
(Cayman Islands)
Mr. Sheldon Simson
P.R.O.
(Suriname)
Ms. Delphia Theophane
Council Member
(St. Lucia)
Sheldon was born on May 3rd 1982 and has been
a Medical Technologist for the past 8 years. He is
happily married and expecting his first child later this
year. His hobbies include his job, going to the movies,
fishing, and swimming. Other activities include Member
of JCI Suriname (Unify), Board member of the political
Party Democracy and Development in Unity.
He is currently the Chairman of the Suriname
Med Tech branch and as the PRO officer for CASMET
in the 2013-2015 biennium, he hopes to serve well and
help CASMET and all Med Techs achieve the
recognition it deserves.
Delphia has been laboratory professional for 15
years, became a CASMET member in 2005 and is
presently the branch chairperson at local branch and
serving on the regional council for the first time.
She is an Aries, born March 31st 1980, mother of a
4 year old daughter (Adia)! She generally considers
herself to be the outgoing type, loves a good joke, good
music and dance, meeting new people and seeing new
places, love adventure, fun and loads of laughter!!
She is excited about serving on Regional Council
and hope that she is able to make a valuable
contribution towards the betterment of the association
and medical laboratory profession.
Khalil Lucky has been a member if CASMET for
the past 7 years. He is currently the P.R.O at his home
branch in Trinidad and Tobago and this is his fist time
serving on regional council.
Khalil is married and recently a proud dad of a
beautiful baby boy. He enjoys long distance running,
cricket and the beach.
Mr. Khalil Lucky
Council Member
(Trinidad & Tobago)
He is passionate about Medical Technology, and
dedicated to take his career into the future.
Volume 2 Issue 5
Page 5
Oseye hails from Tobago, smaller prettier sister
island of Trinidad. He is Aquarius, born in February 12th
1984, a virtual book worm, with all passions and pursuits
detailed in the warm embrace of literature but he also
likes long walks on beach.
He has been a Medical Technologist for 9 years;
however his present life is a work by night, school by
day, and sleep on chairs anytime it’s quiet as he pursues
his childhood aspiration of becoming a Medical Doctor.
His favorite quote of all time below, for a very
Mr. Oseye Andrews
simple reason, life can be seen as complex and hazy, or
Council Member
simple, as everyone makes choices, and those choices
(Trinidad & Tobago)
can bring about a multitude of effects, so live life simply,
logically, and as straight forward as one can, and trust
the path it takes you through
“Once you eliminate the impossible, whatever remains, no matter how improbable,
must be the truth.” Sherlock Holmes - Sir Arthur Conan Doyle
Ms. Cheryl Weekes is from Barbados, she is a
very hardworking person who is committed to
Laboratory Medicine. She is currently serving on
Regional Council as a Council Member.
Ms. Cheryl Weekes
Council Member
(Barbados)
Volume 2 Issue 5
Page 6
The Caribbean Association of Medical Technologists (CASMET) an affiliate of
the American Medical Technologists (AMT) is proud to bring you this Journal
biannually.
All articles appearing in this publication are the opinion of the author and do not
reflect the opinion of The Caribbean Association of Medical Technologist
(CASMET) or American Medical Technologist (AMT).
CASMET would like to thank you for your continued support and hope you
enjoy the read.
This publication is viewed by Medical Laboratory Technologists throughout the United
States and the Caribbean. To secure an advertising spot in our next issue please contact
CASMET Regional Council PRO Mr. Sheldon Simson at [email protected].
Advertising Rates for 2015
1 Issue
2 Issues
One Page
½ Page
¼ Page
$75.00
$150.00
$60.00
$120.00
$40.00
$80.00
Business
Card
$20.00
$40.00
Issue 2 vol 2
Page 7
Dear Fellow Laboratory Professionals,
Best wishes to all of you as we continue to
celebrate the theme “Laboratory Professionals Get
Results”!
Ms. Jasmin M. Hanley
President, CASMET
Let us continue to make ourselves visible by
hosting a seminar or an open house, writing an article for
the newspapers or some internet site, raising some funds
for a charity, promoting some area of wellness such as
men’s PSA checks or cervical cancer checks for our
womenfolk.
Let us make known to our fellow health care workers that “we get results” not
only from our testing but from our academic achievements, from our efforts towards
accreditation, even our planning and executing activities. We must manifest our
professionalism at all times as we contribute to a healthy society.
Let us wear our CASMET and AMT badges proudly and by our spirit we would
become more recognized and attract even more laboratorians into the fold.
We will be launching shortly a “best week of activities 2015” competition.
Listen out!
Good luck with all your endeavors.
Regards,
Jasmin M Hanley
President,
CASMET 2013 to 2015
Welcome to another issue of CASMET Education
Committee Education Newsletter. Thank you for sharing
feedback on our last issue, do continue to do so.
CASMET Newsletter February 2014 issue was submitted
and accepted for AMT Journal Review which puts our newsletter
in the running for AMT awards at the next National meeting!
Isn’t that exciting news!
Ms. Delphia Theophane
Chair, Education
Committee, CASMET
Thank you for your continued support!
Best wishes,
Delphia Theophane
Education Committee
Chairperson
Volume 2 Issue 5
Page 8
I would like to take this opportunity to thank CASMET
Regional Council for making me the recently appointed
Khalil Lucky
Editor, CASMET
Editor of this publication. As with any new experience I was
excited to get to work and produce this publication for your
reading pleasure. Hope you enjoy.
As the year comes to an end and we are all consumed in this happy
and joyous season, I would like to urge you to reminisce on the good and bad
times this past year. Learn from your mistakes and enjoy your successes.
Cherish family time, and always remember “You can kiss your family and
friends good-bye and put miles between you, but at the same time you carry
them with you in your heart, your mind, your stomach, because you do not
just live in a world but a world lives in you.” – Frederick Buechner.
Finally I would like to wish you Happy Holidays and Merry Christmas.
Embrace the New Year as a new chapter in life and make the most of it, in
Trinidad we say ‘take the bull by the horns’ and go out in to the world with
high integrity and respect making sure you live everyday to the fullest with no
regrets.
Best,
Khalil Lucky
Council Member
CASMET 2013-2015
Volume 2 Issue 5
Kaye A. Tschop, MT
AMT Southern District Councilor
Page 9
A great big thank you to the Illinois State Society for
th
hosting AMT's 76 Educational Program and National Meeting
at the Drake Hotel Chicago, Illinois. Great speakers and very
interesting educational topics was the perfect recipe for 303
attendees to enjoy an outstanding week of education and
fellowship. It was very fitting for AMT to celebrate 75 years of
Certifying Excellence in nine different Allied Health Profession
Fields in their city they call home, Chicago, Illinois. The new
hardbound AMT History book was available for purchase for $
59. I hope you picked up your copy in Chicago. If not, you can
order from the AMT store on-line.
AMT national board welcomes two new AMT board members: Ken Hawker, MT and
Deborah Westervelt, RMA. Everett Bloodworth, MT was re-elected to a three year term. The
officers are Everett Bloodworth, MT President; Jeffery Lavender, MT Vice-President; Heather
Herring, MT, RMA Secretary; and Jeanette Hobson, RMA Treasurer. New AMTIE Board
Members: Kay Fergason, MT and Arthur Contino, RMA.
For those of you who wanted a national meeting in Hawaii, your wish has come true!
Hawaii will be the site of the 2015 National Meeting at the Hapuna Beach Prince Hotel in Kohala
Coast, Hawaii June 22-25, 2015. Room rates are $ 169 plus tax brings your room rate to $ 191.67
per night. Make sure you make those flight reservations to fly into Kona International airport.
Every room has an ocean view and your very own lanai. Rooms are spacious and beautifully
decorated and include marble bathrooms with separate tub and walk-in shower. Each room
includes a coffee maker, mini-refrigerator, iron and ironing board, hair dryer and safe.
Complimentary internet in guestrooms, admission to the fitness center and self parking. There is
an outdoor pool with cabanas and a heated whirlpool. Attire is casual wear for the entire week.
No formal attire please! For you golfers there is the 18 hole Hapuna Golf Course designed by
Arnold Palmer and Ed Seay. There are 10 restaurants to choose from on the premises! Free
transportation to the sister resort or for a $ 5-$10 fee you can hop on the shuttle to the Hilton
Waikoloa and shop till you drop at the connected shopping mall. State gift baskets will be taking a
hiatus for the 2015 Hawaii meeting due to shipping logistics. Visit Volcano National Park or the
Kona Coffee Plantation. There is so much to see and do. There will be more information coming
soon so watch your AMT Events magazine and start saving those pennies!
If you are interested in taking a seven day cruise to neighboring Hawaiian islands after
AMT's National Meeting, then this cruise is for you. This cruise is not affiliated with AMT in any
way so if you are interested, please contact Marty Hinkel, MT (Wyoming) for all information and
costs at (h) 307-347-4835, (c) 307-272-5087 or email [email protected].
The Southern District proudly presents Magnolia Educational Treasures Meeting at the
beautiful Edgewater Hotel in the heart of Gatlinburg, Tennessee October 17-18, 2014. Make your
reservations now by calling 1-800-423-9582 or visiting the web at www.edgewater-hotel.com. Be
sure to mention reservation code Magnolia to get the special room rate of $ 109.00 /night plus
12.75 % tax for single or double occupancy. Room rate includes complimentary continental
breakfast and free parking. Information is available on TN, NC, SC, FL, AL, GA & KY websites.
Volume 2 Issue 5
Page 10
This is a special time for me to say how very proud I am of the Southern District and to
congratulate all my district award winners:
Honor Roll States:
Alabama, Florida, Georgia, Kentucky, North Carolina, South
Carolina, Tennessee, and Virginia.
Publication Award:
Kathleene Hardy, RMA from Florida for 2 place newsletter.
nd
Distinguished Achievement Award: Catherine Brock, RMA from North Carolina, Marvin
Matthews, MT from Georgia, and Kay Burnett, MT from
Tennessee.
Exceptional Merit Award:
Jerry Hudgins, MT from Tennessee
Pillar Award:
Jose Guethon, MT from Florida
Silver Service Award:
Pearl Campbell, RMA from Florida, Hattie Gallon, MT from
Georgia and Kaye Tschop, MT from Tennessee
GEM Award:
Kay Fergason, MT from Florida, Mary Midkiff, MT from North
Carolina, Peggy Oiler, MT from Georgia and Shannon Newman,
MT from Virginia
Friend of AMT Award:
David Brown, Alabama
Legacy Tribute:
Carole Miller, MT from Virginia
President's Award:
Kay Fergason, MT from Florida
Special Recognition Award:
Charlotte Hudson Boe, Ph.D. from South Carolina
Technologist of the Year:
Kaye Tschop, MT from Tennessee
Order of the Golden Microscope: Nancy Barrow, MT from Virginia
Thanks for all your hard work and dedication to AMT.
I also wanted to inform everyone that state societies can nominate anyone for the
Friends of AMT Award. There are no forms to fill out. All you need to do is write a letter
explaining why the individual is deserving of the award and send it to the AMT office.
Remember to record all your continuing education credits in AMTRAX. Make sure you
retain your documentation in case of an audit. The program is free to all AMT members. Those
AMT members that fall under Certification Continuation Program (CCP), please make sure you
have the proper points to remain certified.
Let’s not forget to recognize and celebrate Medical Assistants week. This year the
,
National Medical Assistants Recognition Week (NMARW) is October 20-24 2014.
I want to remind everyone to complete your award nomination forms in plenty of time
and send them to the AMT office to ensure they arrive prior to the deadline date of December 1,
2014. Forms that arrive after the December 1 deadline date will not be considered for the award.
Every year deserving members are not considered for awards simply because their nomination
form arrived after the deadline.
In closing, I would like to say thank you to each of you for all your hard work and
dedication to AMT throughout the year and making the Southern District shine. Each of you truly
are the "Pride of the Profession". I look forward to working with each of you in the coming year
and visiting your state. If I can be of service in any way, please do not hesitate to contact me at
[email protected] or phone me at (h) 615-833-3427 or (c) 615-424-0550.
Respectfully submitted,
Kaye A. Tschop, MT
AMT Southern District Councilor
Volume 2 Issue 5
Page 11
Greetings colleagues,
Wow!! Another year is coming to an end. What a year it has
been. We are still talking about the RCM in Curacao. The group
was so hospitable. With each and every meeting, I am really
appreciative of our Caribbean colleagues. We are truly looking
forward to hosting the RCM in my home state of Tennessee.
Chris Seay, MT (AMT)
CASMET/AMT Liaison
Although, it is doubtful that anyone will visit Memphis, Gatlinburg should give the
attendees a taste of Tennessee hospitality. I am so proud to be in the allied health
profession. Most of the glamour goes to those running tests but I just have to give kudos to
Medical Assistants. They do so much and get so little glory. I am just amazed at how they
are on the front lines and get little recognition. Registered Medical Assistants (RMA) and
the American Medical Technologists (AMT) will be celebrating National Medical Assistants
Recognition Week (NMARW) in October. Please join AMT in promoting this important event
that recognizes medical assistant’s vital role, contributions and efforts in health care and
help us begin raising awareness of the profession today. So, let’s lift a glass and salute those
unselfish and underappreciated members of the allied health profession.
By all measures, the AMT national meeting in Chicago was quite a success. Hawaii is
expected to be an even bigger event and success. Everyone can begin making flight and
hotel reservations. Even with the meeting in Hawaii, I am also looking forward to the BGM
in Suriname. Sheldon Simon is working hard lining up speakers and facilities to make this a
great venue. CASMET should be proud of this forthcoming event.
Colleagues, let us all continue to work at making the allied health profession shine
brightly and bring pride to our profession. Tomorrow will be our brightest day.
Best wishes,
Chris Seay
MT(AMT)
Volume 2 Issue 5
ACROSS
Page 12
DOWN
3 Cleaning solution in the lab
1 Lets B.Cereus
6 Think Green
2 Additive in tube used for PT/INR
10 Transfers tiny amounts
4 Needed for blood separation
11 Items that can cut or pierce
5 Suffering from arthritis possibly
13 Let’s hope you don't find this in your urine 7 Elevates PT/INR's
15 Department cholesterol testing takes
8 Another word for blood collection
place
16 Specialized department for cellular
9 Department where CBC's are
investigation
performed
17 Computer system used in Labs
12 You are so sweet
18 You will get the point
14 Stain used for tissue differentiation
Volume 2 Issue 5
Page 13
Dixella N. Martha has been a Medical
Technologist for eight years. After finishing her
education in Holland she immediately returned home to
the lovely island, Curacao, where she is dedicated to
Laboratory Medicine.
Ms. Dixella Martha
Country Representative
Curaçao
Ms. Martha has been a member of CASMET
since April 2014, and is looking forward to a fruitful future
with CASMET.
Civianny Reina-Axson is a young vibrant Medical
Technologist who takes pride in her job. She is a new
member of CASMET and is enthusiastically working to
build the Association in Curacao.
Ms. Civianny Reina-Axson
Country Representative
Curaçao
Island spot of Curaao: Willemstad
The capital city of Willemstad is
divided in two sections, the Punda and
Otrabanda sites, connected by the Queen
Emma pontoon Bridge. Willemstad is
charactarized by it’s unique “Handelskade”,
The National Flag of Curaçao
it’s natural harbours and the wellknown
floating market.
Volume 2 Issue 5
Page 14
The “ Handelskade”
The “Handelskade” is defined by its unique architecture consisting of bright colorful
Dutch-style buildings on the water in the middle of Willemstad. What once was used as a
commercial platform nowadays is one of the biggest attractions for tourists and locals due
to its authentic ambiance and phenomenal views.
The modern town consists of several distinct historic districts whose architecture
reflects not only European urban-planning concepts but also styles from the Netherlands
and from the Spanish and Portuguese colonial towns with which Willemstad engaged in
trade.
In 1997, the historic city center of Willemstad was awarded UNESCO World Heritage
Site status. It is one of just six Caribbean sites chosen because of its outstanding value and
integrity, which illustrated the organic growth of a multicultural community over three
centuries, and preserves to a high degree significant elements.
Volume 2 Issue 5
Page 15
Natural Harbours
Curaao has six natural harbours. The largest is the Schottegat harbour of
Willemstad, with the necessary infrastructure, facilities and services for all port- related
activities serving as a location for the largest dry dock ans oil refinery in the region. It’s also a
very famous terminal for cruiseships. This particular habour is achieved via the St. Anna Bay,
a canal that runs through the capital city and is connected to the Caribbean sea.
This is a one of a kind harbor not only because of its distictive feature of being a
natural harbour, but also because of it’s accessibility. You may access the harbour only if the
“Old Swinging Lady” allows it. The ‘Old Swinging Lady’ or commonly called the “Queen Emma
bridge” is a pontoon bridge that besides connecting both sides, serves for it’s specifically
designed purpose of gating the harbour.
Volume 2 Issue 5
Page 16
The Floating Market
Just around the corner from the “ Handelskade”, you will find one of Willemstad’s
most famous and picturesque sights. From their fishing boats Venezuelan merchants sell their
fresh produce like fruit, vegetables, tamarind delicacy, fish and many more. Their authentic
fishing boats double as living quarters during the days they spend in Willemstad.
Reference pictures:
1. http://www.travelnext.nl/gezocht-ambitieuze-mbo-studenten-voor-reiswerk-topclass-op-curacao.html
2. http://www.allposters.com/-sp/St-Anna-Bay-Willemstad-Curacao-Netherlands-Antilles-West-IndiesPosters_i6067116_.htm
3. http://www.harveyimages.com/curaca52.jpg
4. https://www.pinterest.com/pin/124904589640040165/
Te despues,
Civianny and Dixella
Volume 2 Issue 5
Page 17
Dr David Brathwaite is a UK trained Urologist and a
consultant urologist at Tapion Hospital and St. Judes Hospital, St.
Lucia.
A University of the West Indies Graduate, he has attained his
Certificate of Completion of Training and is on the General Medical
Council specialist register as an Urologist.
He is a Fellow of the Royal College of Physicians and Surgeons of Glasgow (Urology)
and a Fellow of the European Board of Urology.
He has a passion for teaching and has completed a post graduate certificate in
medical education.
Dr. David Brathwaite
M.B.B.S, M.R.C.S, M.Med. Sci.,
F.R.C.S, P.G.C.M.E and F.E.B.U.
What can adults do to prevent recurrent cystitis?
Cystitis (bladder infection) is the most common localization of a urinary tract
infection (UTI).UTI is a common problem amongst adults with E.Coli bacteria the usual
culprit. UTI is defined as the inflammatory response of the urothelium to bacterial invasion
and is more common in women than in men. Symptoms include dysuria (burning when
passing urine), frequent small voids, suprapubic pain or discomfort, urgency (inability on
hold onto your urine) and foul smelling urine. Women are more prone to UTI’s due to the
short length of the urethra (water pipe) and the anatomical proximity of the urethra to the
anus. These factors lend to the higher risk of ascending infection with bacteria from the
rectum.
Volume 2 Issue 5
Page 18
Recurrent UTI’s is defined as 2 mid stream urine (MSU, urine culture) proven UTI’s in
a 6 month period or 3 MSU proven UTI’s within 1 year. 20-30% of women who have a UTI will
develop recurrent UTI’s. Urine dipstick testing for a UTI (looking for leucocytes and nitrates)
has its limitations with sensitivities of the combination of both tests varies between 68 and
88%. It therefore is not the best way to diagnose a UTI and a MSU should be performed
whenever possible. Furthermore, urine culture allows your doctor to know which bacteria
caused the infection; the best antibiotics to use and to ensure your symptoms are indeed
due to a UTI and no other urological condition e.g. overactive bladder syndrome.
Once the diagnosis of recurrent UTI is made, the investigations performed are
targeted to look for an anatomical abnormality within the urinary tract (kidneys, ureters,
bladder, urethra and prostate), the presence of urinary tract calculi (stone) and voiding
abnormalities or dysfunction. Tests such as Ultrasound of the urinary tract with post void
residual, Intravenous Urogram (IVU/IVP) , kidney ureter bladder (KUB) X-ray ,Computerized
Tomography (CT scan) and renal function blood test are part of the investigative tools your
doctor may use .The lower urinary tract itself needs to be investigated by cystoscopy (flexible
or rigid) . Cystoscopy allows direct visualization of the urethra and bladder using fibrotic
instruments. A Flow test (an objective measurement of the flow of urine obtained by passing
urine into a funnel) is vital in men to look for prostatic obstruction or signs of a urethral
(water pipe) narrowing.
In young women the risk factors for recurrent UTI are:
1. Use of spermicides
2. Family history (genetic factors)
3. Sexually active
4. Age of 1st UTI <15 years
Volume 2 Issue 5
Page 19
In post menopausal women
1. Bladder prolapse
2. Large post voiding residual ( incomplete bladder emptying)
3. Incontinence
All men with a MSU confirmed UTI should be investigated as UTI’s in men are
uncommon. Pregnant women with asymptomatic bacteriuria (no symptoms but bacteria on
urine culture) should be treated due to the risk of developing pyelonephritis (an UTI that
involves the kidney and is characterized by fever and loin/flank pain) and low birth weight
babies. An MSU proven UTI in a pregnant woman should be treated with the appropriate
antibiotics ensuring the drug used carries no risk to the developing fetus.
Lifestyle changes
Without doubt, a high fluid intake is by far the most important lifestyle modification
to reduce the chances of a recurrent UTI. It changes the volume of urine produced, the
urinary composition and the frequency of voiding. Frequent voids flush bacteria from the
bladder and limits bacterial proliferation.
Women who use spermicides and a diaphragm are recommended to change their
method of contraception. If anal sex is being practiced, the risk of transferring bacteria from
the rectum into the vagina is stressed. Passing urine after sexual intercourse (postcoital
void) is encouraged as it serves to flush any potential bacteria from the bladder.
Cranberry juice/ tablets decrease the adhesiveness of bacteria to the bladder wall and
change the pH of urine. These two properties reduce the chances of having a UTI. Tablets
and juice are equally effective but the tablets have been shown to be a more cost effective
intervention.
Volume 2 Issue 5
Page 20
Probiotics in the form of live yoghurts protect the vagina from colonization by
organisms that would cause a UTI. The mechanism for this is multifactorial.
The use of low dose prophylactic antibiotics (preventative) dramatically reduces the risk of
recurrent UTI’s. However, once the antibiotics are stopped, 60% of women will become reinfected within a 3-4 month period (6). Postcoital (after sexual intercourse) prophylaxis (a
single postcoital dose) may be a more efficient and acceptable method of prevention than
continuous prophylaxis in women who’s UTIs appears to be temporally related to sexual
intercourse. Postcoital prophylaxis is also effective when women with recurrent UTIs
become pregnant. However, the choice of drugs is more limited. The preferred regimen is a
single postcoital dose of either cephalexin (250 mg) or nitrofurantoin (50 mg) (7). One of the
concerns of being on low dose antibiotics for a protracted period of time is the development
of bacterial resistance. Fortunately, the incidence of this is very low. Women should note
that some antibiotics alter the efficacy of the oral contraceptive pill e.g. Rifampicin.
Postmenopausal women may be offered topical oestrogen in the form of vaginal
cream/ointment. This helps to restore the normal vaginal flora and increases the presence
of good bacteria like lactobacilli which help to prevent UTI’s (8).
In conclusion, the prevention of recurrent UTI’s is essential limit its enormous
personal impact (quality of life) and the wider economic impact on society. The typical
cystitis episode confines patients to bed for an average of 0.4 days, restricts activity for 1.2
days and symptoms last about 6.2 days.
Tips to help prevent recurrent UTI’s in women
High fluid intake (water is best)
Cranberry tablets/juice
Probiotic yoghurts
Avoid spermicides
Pass urine after sexual intercourse
Take showers instead of tub baths
Always remember to wipe from front to back
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In this edition of the road to Suriname we would like to share more information
about our country; things you can do in Suriname and our diverse cuisine. As you may know
Suriname is not an island so we don’t have white sandy beaches with clear blue water.
Although we have the Atlantic Ocean in the north the water is not clear, our muddy coast
causes the water to be brown. We also have mud banks instead of coral reefs. This only
means that the activities in Suriname will be different than most people are used but none
the less worth the experience.
Suriname was divided into 10 districts in 1985:
1 Brokopondo
2 Commewijne
3 Coronie
4 Marowijne
5 Nickerie
6 Para
7 Paramaribo
8 Saramacca
9 Sipaliwini
10 Wanica
Each district is divided into resorts, which is led by a district commissioner. Each district has
its own special sights and places of interest.
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Language
The official language of Suriname is Dutch, due to Dutch colonial history. Suriname
also recognizes about twenty other languages. The colloquial tongue is Sranan
Tongo with words originally from Africa, English, Portuguese, and Dutch. The first
words learnt when visiting Suriname are “Fa Waka?” (which is Sranan Tongo for
“How are you?”). The different cultures use their native tongue to communicate
with members of the same culture. For example a group of maroons may be heard
speaking Saramacaans with each other. Nevertheless, most people speak and
understand English well.
The interior of Suriname is one of the most exotic experiences you could have during
your trip in Suriname. Walking through the jungle is a multi-sensory adventure: the
wild noises caress your ears; monkeys swing from the top of the trees and birds sing
their most beautiful songs. You are inclined to forget the worries of everyday life
especially when the soela (rapids) entrain you to later on immerse in the cool
refreshing water of the popular Suriname river.
The typical Surinamese hospitality can also be experienced in the interior. The
language barrier does not stand in the way of the inland residents to welcome you
into their village and even into their home. To earn some extra funds the residents
sell artwork made from local raw materials.
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To be well prepared for a trip to the interior, we advise you as follow:

Flashlight and enough batteries (limited recharge ability in the villages)

Binoculars

Photo, film and/or video equipment

Enough film (this is not available in the villages)

At least two trousers

A pair of long socks

Two long sleeve shirts

Headgear, cap or hat

Light clothes

Towels (2)

Swimwear

Cosmetics

Raincoat

Comfortable walking shoes and swim sandals

Insect repellant (cheaper in Suriname)

Sunscreen

Small notes of Surinamese dollars for buying souvenirs

Waterproof bag for important stuff
Suriname is earning its place on the map by promoting the country as an eco-tourism
destination. With 11 nature reserves, 1 nature park and 4 special nature areas, our country
has become a true nature destination. The primeval forest forms a part of the largest rain
forest in the world, the Amazon Rain Forest. With the Central Nature Reserve of
approximately 2,000,000 hectares, this is the largest protected tropical rain forest in the
world. The UNESCO has had this reserve on its World Heritage List since 2000. 80% of the
country is still comprised of tropical rain forest.
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It is also with much pleasure that we introduce you to a safe and comfortable resort
in the midst of the jungle:
BERGENDAL Eco & Cultural River Resort
Located amidst breathtaking tropical rainforest on the banks of the Suriname River,
at approximately 85 km from Suriname’s capital city of Paramaribo, lies the BERGENDAL Eco
& Cultural River Resort. Accessible by road and river within one and a half hour and set
within a total area of 2400 hectare, the Resort with its adjacent BERGENDAL Heritage Village
and Adventure Centre, encompass a spectacular nature rich playground offering visitors
numerous educational and adventure packed activities.
With the long involved history of the previous Berg en Dal plantation, its wealth of
intriguing stories, legends and myths, the close proximity to the Brownsberg Nature Park
and many other key tourist attractions in the area, the Resort is destined to become the
exotic new alternative destination and the best quality eco-cultural resort in the region.
Comfortable accommodation, first rate amenities and our exquisite restaurant, tastefully
blended in with the natural surroundings of the tropical rainforest and amazing river view,
providing guests with ample opportunity to relax and connect with the essence of nature. As
a resort focused on eco-cultural activities, Bergendal takes their responsibility with regards
to conservation and sustainable development of the valuable ecological resources and
exotic biodiversity in and around the resort, very seriously. Local communities with their
unique cultural heritage, proud traditions and intriguing folk legends, are actively involved in
every aspect of the resort and contribute greatly to the charm and hospitality of
BERGENDAL.
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Guests at the BERGENDAL Eco & Cultural River Resort will be delighted by the
unique blend of adventure, nature, culture, history, education and entertainment which
make this resort a one of a kind, unforgettable vacation destination.
So whether it’s adventure you’re looking for in your next eco tourism experience, or simply
peace and tranquility in a comfortable nature rich destination.
The BERGENDAL Eco & Cultural River Resort is the perfect choice for a unique Amazonian
Caribbean experience.
Historical City
Paramaribo is a unique example of the contact between the European culture of the
Netherlands and the indigenous cultures and environment of South America. The gradual
fusion of European architecture and construction techniques with indigenous materials and
crafts led to the creation of a new architectural idiom which is seen all over Paramaribo.
From the beginning of the 17th century, colonization was directed towards the
cultivation of sugar cane and tobacco. The Dutch, in search of tobacco and hardwoods, had
settled as early as 1614 on the banks of the Suriname River. Suriname remained a Dutch
possession for the next three centuries.
Paramaribo began when Fort Zeelandia was built in 1667 on the left bank of the
Suriname River. In 1683 Van Sommelsdijck, the first governor and joint owner of the colony,
laid out a planned town. In addition to Fort Zeelandia, Paramaribo was also protected by the
Nieuw-Amsterdam. Due to these strong defensive works, it was not necessary for the town
to be fortified, which allowed it to be laid out in spacious lots along wide streets.
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By the end of the 18th century, settlers who had lived on their plantations in the
interior of Suriname began to migrate to Paramaribo, leaving the running of the plantations
to managers. As a result, the plantations began to decline, but the town grew, with many
fine houses built along tree-lined streets. Disastrous fires in 1821 and again in 1832 led to
much of the existing town being destroyed.
The economic situation of Suriname worsened as the plantations declined, with
beet being replaced as the source of sugar. The situation deteriorated further when slavery
was abolished in 1863. Their owners and the freed slaves moved to Paramaribo, which
expanded rapidly. To replace the slaves, the government brought in laborers to work the
remaining plantations, first from China and the West Indies and later from India and Java.
This increased the cultural and ethnic diversity of Suriname and is the reason you see so
many different faces in one place today.
Despite all the historical challenges, the overall urban fabric of Paramaribo, which
dates from 1680-1800, still survives virtually intact and the authenticity of the townscape is
exceptionally high.
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Surinamese kitchen; a world kitchen!
For people with a taste for good food, Suriname is a true paradise. Every culture in
Suriname has its own cuisine, resulting in a wide variety of delicious dishes available for you
to try. The Surinamese cuisine is a combination of many international cuisines including
Hindustani (India), Creole (Africa), Javanese (Indonesia), Chinese, Jewish, Portuguese, Dutch
and Amerindian cuisine.
It is highly recommended that you try the Indonesian bami (noodles served with
meat), Amerindian ‘pepre watra (hot spicy soup), East Indian snacks like bara and samosa
(hearty curry flavored pastries) or her’heri (a dish which originates from the dark days of
slavery- consisting of plantains, cassava and roots served with salted fish).
Cassava is used in a multitude of ways. The bitter cassava is a basic ingredient in the native
kitchen. The local drink ‘kasiri’ is prepared by processing the bitter grated cassava. The
cassava flour is used by both the Maroons as well as the native Amerindians to bake the flat
cassava’ bread. In the Javanese kitchen the baked cassava is the main ingredient of ‘telo’
served with spicy peanut sauce’.
If you like sweet pastries, then you have to try ‘bojo’ also made from cassava.
Some Surinamese dishes are variants of traditional dishes that have been adjusted
to the local ingredients and taste. An example is ‘pom’, originally a Jewish recipe but
nowadays one of the favorite dishes of many.
Paramaribo has a wide range of restaurants. Most of them are concentrated in the
city centre. At the Waterfront you’ll find several stands offering a variety of local snacks
(Chinese shrimps, Javanese chicken soup, Creole viado).
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If you like Javanese food you have to visit the neighborhood of Blauwgrond (which
is at the northern part of Paramaribo) here a lot of Javanese warungs are situated. A Chinese
dim sum breakfast on Sunday is also recommended.
Besides the typical Surinamese meals you can also find a diversity of other
international dishes like sushi, Italian and other European dishes. Of course there are also
the popular fast food chains such as KFC, Burger King, Subway, Popeye’s, MacDonald’s, and
Pizza Hut. There are also local fast food chains such as Whollys, Leckies, Hesdy’s BBQ, and
Golden Wings. Good to know for those who are interested in going to a Brazilian
restaurants; here the meals are priced in kilos
Nyan Switi! – Eat sweet and enjoy Suriname
Photo Courtesy: http://worldviewmission.nl
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This Newsletter is a production of the Education Committee of the Caribbean
Association of Medical Technologists (CASMET) an affiliate of
American Medical Technologists (AMT)
All rights reserved @ December 2014
.
Education Committee of the Caribbean Association of Medical
Technologists (CASMET) Regional Council Committee Members:
Delphia Theophane: [email protected]
Dixella Martha: [email protected]
Oseye Andrews: [email protected]
Khalil Lucky: [email protected]