Dr Lisa Joels

(OBGYN in Cayman Islands)

MB ChB, MD, FRCOG, FHEA
OBSTETRICIAN & GYNAECOLOGIST (OBGYN)

Tel: +1 (345) 745 7450 (clinic)
Email: [email protected]

I arrived as an OBGYN in Cayman Islands with 34 years’ experience in obstetrics and gynaecology including 19 years as a Consultant working in Swansea (2001-11) and subsequently at the Royal Devon & Exeter NHS Foundations Trust in the UK (2011-20). These are both University teaching hospitals, each having more than 4,000 deliveries a year and providing tertiary obstetric and neonatal services. Being a tertiary consultant obstetrician, I have a long experience in management of complex pregnancies, obstetric issues and working closely with related specialties such as midwifery, neonatology, paediatrics and anaesthetics. I firmly believes in a woman-centred, holistic, safe approach to care and am a strong advocate for patient choice and shared decision making. I am also proud mother of two daughters, both at University in the UK.

Read more about Dr Lisa Joels, OBGYN in Cayman Islands

Dr Lisa Joels OBGYN in Cayman Islands

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My Practice Information

Obstetrician & Gynaecologist – OBGYN in Cayman Islands

Tel: (345) 745-7450
Fax: (345) 745-7460

Location: Grand Pavilion (Hibiscus Way Entrance), 802 West Bay Road
Mailing Address: Box 934, 10 Market Street, Camana Bay, George Town, Grand Cayman, KY1-9006

Clinic Fees Information: https://obgyn.ky/clinic-fees-information/

 

Clinic Times

Monday to Friday: 9am to 5pm
Saturday: 9am to 1pm

Although I am available for walk-in appointments, to see me personally it is always better to book. However, as I am supported by my excellent colleagues Dr Madhavi Manoharan, Obstetrician & Gynaecologist, and Midwife Allie Campbell, you will almost always be able to see somebody.

 

Finding My Clinic

We are very easy to find!

Full OBGYN Clinic Location & Contact Details

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About Me – OBGYN in Cayman Islands

I moved to the Cayman Islands in early 2020, on one of the last flights before the pandemic closed air travel and immediately went into quarantine, before starting in Grand Pavilion at our Women’s, Children’s & Family Medicine Practice, including Dermatology, joining a group of clinicians bound by a passion for quality and genuinely patient-centred care, the very reason I was attracted in the first place. I came to practice medicine in an environment where I could really give my patients time, as well as ensure that their views and care wishes were taken into account. I believe that’s especially important in pregnancy and as a woman-centred obstetrician, I am a very strong advocate for shared decision-making in care.

My privileges include full admitting rights at George Town Hospital (HSA)  and at CTMH Doctors Hospital.

Immediately prior to Cayman, I moved from the UK, where I was Consultant Obstetrician & Gynaecologist at Royal Devon & Exeter NHS Foundation Trust, a Regional Centre and one of the South West of England’s largest. Additionally, I was Chief of Service (called Responsible Clinician) for the highly respected service called Fertility Exeter, a very large fertility service affiliated with the same hospital trust. As you can see, my passion for pregnancy stretches from pre-conception to postnatal care, all geared towards a wonderful pregnancy journey along the way.

I gained nearly 20 years experience at consultant-level in UK, before moving to the Cayman Islands, all of which was at tertiary level, but in hospitals that also had significant local populations. In many respects, it was perfect preparation for Grand Cayman, where I see both routine and complex patients.

GMC REGISTRATION: Full registration December 1986. No: 3090192

SPECIALIST REGISTER: 1998 Obstetrics & Gynaecology

Dr Lisa Joels Career Highlights
(From prior to being an OBGYN in Cayman Islands)

  • Nearly 20 years as a UK Consultant Obstetrician and Gynaecologist working at tertiary level.
  • Fellow of Royal College of Obstetricians and Gynaecologists (RCOG).
  • Postgraduate Examiner, then Chairperson for the RCOG Examination and Assessment Committee (2015-18).
  • MOET Course prize-winner (course in obstetric safety & management of emergencies).
  • Doctorate in Medicine, University of Bristol, awarded for Fertility Research
  • Clinical Lead for Fertility in Exeter (2014-20)

Obstetrician vs OBGYN in Cayman Islands

It’s something even I have to get used to! In the UK, I am an Obstetrician & Gynaecologist and nobody uses the term OBGYN. In the Cayman Islands, I am OBGYN and very few use the term Obstetrician. They are the same. Having got used to my new title, I am starting to realise what a mouthfull Obstetrician & Gynaecologist is though!

Areas Covered

OBGYN is a title that covers many disciplines. I am trained, accredited and experienced (at tertiary level) in the following:

  • Obstetrics i.e. Pregnancy, including High Risk Prgenancies
  • Fertility (I have a Doctorate degree in Fertility)
  • Gynaecology
  • Gynaecology Surgery (including minimal access or laparoscopic surgery)
  • Child & Adolescent Gynaecology (for which is was a Lead)

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Pregnancy Services in Grand Cayman

Here are the services I offer as an obstetrician or OBGYN in Cayman Islands, out of Grand Pavilion, West Bay Road, Grand Cayman. It’s not comprehensive, so please ask if you don’t see.

OBGYN Services Cayman Islands - Pregnancy
OBGYN Services Cayman Islands - Newborn
OBGYN Services Cayman Islands - New Dad

Pre and Antenatal Care

Pre-conception care

  • Advice about pre-existing medical conditions prior to pregnancy working with specialist colleagues as necessary

Antenatal care

  • Holistic management of antenatal care throughout pregnancy including screening for complications of pregnancy, monitoring fetal growth and advice about vaccinations and medication as appropriate
  • Management of pregnancy related conditions and complications
  • Joint decision making regarding birth plans
  • Referral on to specialist services as necessary

Labour, Delivery & Postnatal

Care in labour and delivery

  • Intrapartum care including active management of labour and working with midwifery colleagues
  • Normal vaginal delivery
  • Instrumental delivery including Ventouse (vacuum) and forceps delivery)including repair of perineal tears or episiotomy
  • Caesarean sections both as a planned procedure and as an emergency if complications arise in labour
  • Management of delivery of placenta and bleeding after delivery

Care after birth

  • Postnatal care until discharged home
  • Six week postnatal check and contraceptive advice
  • Support for problems arising after delivery

High Risk Pregnancies

  • Comprehensive risk-sensitive care of higher risk pregnancies
  • Care to Mums with pre-existing conditions e.g. diabetes, kidney disease, thyroid issues, autoimmune diseases
  • First pregnancies after the age of 35
  • Family history of complications
  • Multiple gestation
  • Gestational diabetes
  • Preeclampsia & eclampsia
  • Previous birth issues, including preterm birth
  • Blood pressure issues

Fertility Services

  • Diagnostic assessment of both female and male partners experiencing a delay in conceiving
  • Investigations including ultrasound and laparoscopic assessment of the woman’s pelvis and tubal patency
  • Assessment and treatment of hormone disorders
  • Onward referral to assisted conception services where appropriate
  • Understanding of the psychosocial consequences of a delay in conceiving

You can find more information about our Pregnancy Service here: https://obgyn.ky/obstetrician-cayman/

Important information about our High Risk Pregnancy Service is here: https://obgyn.ky/high-risk-pregnancies/

Pregancy Team Matters

Appointment Booking with Dr Lisa Joels, OBGYN in Cayman Islands

Instructions

Please simply work through the steps on screen. If you have seen one of our our team previously, it is likely we have your  details in the system. Please use the following information when prompted to do so:

  • Your own email
  • Your name (or child’s name, if booking for them)
  • Date of Birth (mm/dd/yyyy) (or Child’s…)
  • Your Gender (or Child’s)

Booking on Mobile

If you are using a smartphone, it helps to turn your screen sideways (landscape).

Urgent Care/ Sick Appointments

If you cannot see an appointment slot available, please call us on (345) 745 7450 within office hours or on the Out-of-Hours Service (345) 326 4370 (Note: Calls only, Out-of-Hours Only) as we can almost always see urgent cases.

Online booking with instant confirmation

Please simply work through the steps on screen. On mobile, try turning your phone sideways.

Education, Training & Experience

Qualifications
Dr Joels has the following qualifications:

  • MB ChB – Bachelor of Medicine and Surgery
  • MD – Doctorate of Medicine
  • FRCOG – Fellow of the Royal College of Obstetricians and Gynaecologists
  • FHEA – Fellow of the Higher Education Academy

In addition to her explicit qualifications, Dr Joels has extensive additional training in the following areas:

  • Advanced laparoscopic surgery
  • Hysteroscopic surgery
  • MOET (Management of Obstetric Emergencies and Trauma)
  • Paediatric and adolescent gynaecology
  • Reproductive medicine and surgery including assisted conception
  • Contraception including insertion of contraceptive coils and implants
  • Clinical governance and risk management
Obstetric Experience

I have obstetric experience spanning 34 years, with 19+ years at consultant level, including the majority at tertiary level, with a heavy emphasis on obstetric safety, including being the Prize Winner on the Internationally-recognised obstetric safety course (called MOET).

As a tertiary-trained and experienced consultant, I have a considerable experience in the management of complications of pregnancy including managing obstetric haemorrhage with Rusch balloons and B Lynch sutures, caesarean hysterectomy, severe pre-eclampsia and eclampsia.

I have managed antenatal and postnatal care throughout my career and I believe in supporting women in shared decision-making about mode of delivery and encourage aiming for normal vaginal delivery and vaginal birth after caesarean section. I am experienced in caesarean section, instrumental vaginal delivery including ventouse, Neville Barnes forceps and rotational delivery with manual rotation and Kiellands forceps. I have experience of vaginal breech deliveries and vaginal twin deliveries.

High Risk Obstetrics

As a tertiary service, both in Exeter and Swansea, we were referred difficult cases and we can active high-risk pregnancy clinics or services focused on a heightened degree of monitoring, active multidisciplinary working with our fetal-maternal medicine colleagues, as well as the medical genetics service to ensure genetic abnormalities were picked up and managed accordingly. I also have a personal interest in obstetric safety.

Consequently, that have given me an extensive background in high risk pregnancies, regardless of aetiology, including underlying conditions such as diabetes, to lifestyle choices such as having children later in life.

Fertility Experience
For the last 6 years in the UK, I have been Clinical Lead for Exeter Fertility, a tertiary standalone service under the umbrella of Royal Devon & Exeter NHS Foundation Trust, a service renowned throughout the region. I was awarded a Doctorate of Medicine for my research into fertility issues, from University of Bristol.

In reproductive medicine I am experienced in diagnosis and management of infertility and manage patients undergoing ovulation induction, IVF and IUI. I have been trained to perform open tubal microsurgery including reversal of sterilisation, tubal surgery and cuff salpingostomy. I now carry out most of the tubal surgery laparoscopically.

  • Diagnostic assessment of both female and male partners experiencing a delay in conceiving
  • Investigations including ultrasound and laparoscopic assessment of the woman’s pelvis and tubal patency
  • Assessment and treatment of hormone disorders
  • Onward referral to assisted conception services where appropriate
  • Understanding of the psychosocial consequences of a delay in conceiving
Gynaecology Experience

NOTE: I HAVE A WHOLE PAGE ON MY GYNAE EXPERIENCE & SERVICES

Throughout my career, I have trained in and delivered gynaecology services, including as a tertiary consultant in University Hospital settings for the last 19 years.

I am confident in both abdominal and vaginal hysterectomy, open myomectomy, vaginal repairs and hysteroscopic resection of polyps and fibroids. I am trained in advanced laparoscopic surgery, including a focus on treating infertility and chronic pelvic pain. I currently undertake surgery for grade 4 endometriosis including, excision of endometriosis, ovarian cystectomy, bowel and ureteric dissection and other operative laparoscopic procedures including adhesiolysis, salpingo-oophorectomy and ectopic pregnancy. I have carried out LAVH and laparoscopic subtotal hysterectomies and total laparoscopic hysterectomies.

Additionally, I am trained in gynaecological ultrasound scanning and conduct this routinely in clinic. I can also carry out HyCoSy (tubal patency) scanning for appropriately selected patients.

Furthermore, I was the clinical lead for paediatric and adolescent gynaecology, a member of BritSPAG and I saw babies, girls and adolescents in the joint PAG clinic with a paediatric consultant colleague.

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Meet Our Unique Cayman OBGYN Team

Our Team covers Obstetrics, Fetal Medicine, Gynaecology, Nursing & Midwifery
100% female, true-multidisciplinary, tertiary medical team, including working alongside a full paediatric/neonatal team, supported by highly experienced nursing & midwifery team.

Meet the Women's Health (OBGYN) Team

Dr Lisa Joels

Dr Lisa Joels

Consultant Obstetrician & Gynaecologist

Dr Madhavi Manoharan

Dr Madhavi Manoharan

Consultant Obstetrician & Gynaecologist

Allie Campbell

Allie Campbell

Practice Midwife & Enhanced Support

Cindi Roper

Cindi Roper

Clinic Nurse

Choosing an OBGYN in Cayman: Making Intelligent Choices