In your edition dated 23/05/2015 entitled “ Allegations surface of deliberate move to shut down CHI” I wish to clear up some misconceptions
1. Representatives from the Cardiac team CHC Medcorp from Trinidad went to visit the facilities of CHI at GPH and the CEO informed us we had to obtain permission from Dr. Gary Stevens. We then met with his Secretary who phoned him for the necessary permission but he refused, although the facility is owned by the People of Guyana.
My information about CHI leads me to believe that CHI is being managed as a private concern and if one does not have the necessary funds cannot elicit any treatment there. Some cases are however paid for by the Ministry of Health.
2. We sought to have a relationship whereby anybody can have evaluation and treatment regardless of affordability as obtains in Trinidad, but got no response from the Minister of Health and former President Ramotar.
3. A hybrid machine is to do peripheral arteriogram and if necessary the required peripheral by pass not coronary (heart) bypass. This is a waste since there is no vascular surgeon in Guyana.
4. A HYBRID CATH LAB HAS NOTHING TO DO WITH HEART SURGERY
Cardiac surgery is done in a specialised unit and is not meant to be done in a hybrid theatre. All you need is a good operating theatre which would have, a good cardiac catherization laboratory with attachments for assist devices and a good cardiac team which comprises, cardiac surgeons, cardiac anaesthetists, perfusionists , intensive care specialists, cardiologists invasive and non invasive.
A cohesive team is necessary and not one or two individuals with sporadic visits catering for only a section of the population who can pay which is untenable.
Hughley H. Hanoman, FRCP, FESC
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