In the increasingly fragmented world of health care, one thing remains constant: family physicians are dedicated to treating the whole person. Family medicine’s cornerstone is an ongoing, personal patient-physician relationship focusing on integrated care for the entire family. From scrapes to fevers, from rashes to pain, Cayman Doctors are fully dedicated to you and the health of your family.

All work permit holders in the Cayman Islands are required to have a medical done.

Where the person concerned will be working in the Cayman Islands for more than three months they will be required to undertake a medical examination (including HIV/VDRL tests) and submit a medical questionnaire at the time of applying for a work permit. Medical examinations are required with the initial work permit application. The Medical examinations are valid for three (3) years
Laboratory tests have to be repeated with each medical examination. The Laboratory Reports are valid for six (6) months
Chest X-rays are required with the initial work permit application. Chest Xrays are valid for five (5) years. Laboratory Reports have to be attached for HIV and VDRL tests. Medical practitioners are advised to perform any tests that might be desirable depending on the disease prevalence in the respective countries. The Medical Examinations Form must be signed and stamped or sealed by Physician
The Laboratory Report must be signed and stamped or sealed by Lab Technician or Physician Immigration reserves the right to require additional medical examinations at any time.

Contact Cayman Doctors for a full immigration medical report.

Dr. Else Christoffersen is a panel Physician for Immigration Canada. If you apply for permanent residence in Canada, you must have an immigration medical exam. Your family members must also have a medical exam, even if they are not coming with you. You must see a doctor on the list of panel physicians. Your own doctor cannot do the medical exam. The panel physician will do a complete medical exam. They may refer you for chest x-rays and laboratory tests. Once your exam is done, the physician will send us the results.

The panel physician does not make the final decision about your medical exam. Immigration Canada makes that decision.

The FAA (Federal Aviation Administration) and The Civil Aviation Authority of the Cayman Islands has appointed Dr. Else Christoffersen as an AME (aviation medical examiner) giving her  the and the authority to perform flight physical examinations  and issue aviation medical certificates. AMEs are practitioners of aviation medicine, although most are also qualified in other medical specialties.

The FAA (Federal Aviation Administration) has designated Dr. Christoffersen as a  “senior aviation medical examiner”. As such she may issue first-class certificates, which are required for pilots flying in air carrier operations.

Dr. Christoffersen may issue all classes of medical certificates as authorized by the above authorities.”

Spirometry is the most common of the pulmonary function tests (PFTs). It measures lung function, specifically the amount (volume) and/or speed (flow) of air that can be inhaled and exhaled. Spirometry is helpful in assessing breathing patterns that identify conditions such as asthma, pulmonary fibrosis, cystic fibrosis, and Chronic Obstructive Pulmonary Disease. It is also helpful as part of a system of health surveillance, in which breathing patterns are measured over time.
Spirometry generates pneumotachographs, which are charts that plot the volume and flow of air coming in and out of the lungs from one inhalation and one exhalation.

Ambulatory blood pressure monitoring (ABPM) is a non-invasive method of obtaining blood pressure readings over a 24-hour period, whilst the patient are in their own environment, representing a true reflection of their blood pressure.

Many studies have now confirmed that blood pressure measured over a 24-hour period is superior to clinic blood pressure in predicting future cardiovascular events and target organ damage.

Typically the machine is applied to the patient arm in the morning by the nurse or doctor and worn until the next morning around the same time. Blood pressure is measured over a 24-hour period, using a cuff around the upper arm (as in your doctor’s office) which is connected to a small recording device. The monitor takes blood pressures every 20 minutes (less frequently overnight (once-hourly).

It is typically used to:

• To detect white coat hypertension.
• Response to treatment.
• Hypotensive symptoms whilst on blood pressure medications.