Patient Care Pathway

From first contact to recovered —
every step with you

Dr Kabiye's practice handles a broad range of general surgical and endoscopic conditions. This page shows how each patient type moves through the system — from how they reach us, through triage and treatment, to post-operative care.

1 · How patients reach us

Four ways to reach Amise Medical Services — each feeds the same triage and scheduling system.

🌐
Website Booking
Online booking form
●Routine self-booking
●Referral submission
💬
WhatsApp / SMS
Tapion: 758-284-0557 Rodney Bay: 758-720-7111
●AI intake assistant
●Staff-reviewed reply
📋
GP / Specialist Referral
Structured referral form
●Structured referral form
●HL7 FHIR R4 API
📞
Telephone
758-284-0557 / 758-720-7111
●Staff manual booking
●Urgent direct access

2 · Clinical triage

Every contact is triaged against three priority tiers. Urgency drives slot allocation — urgent patients always get a slot, even if a squeeze is needed.

⚡Urgent
Same day — within 48 hours
  • Hernia that cannot be pushed back in (irreducible / strangulated)
  • Biliary obstruction with fever and jaundice (possible cholangitis)
  • Post-operative complication: fever, wound breakdown, severe pain
  • Acute abdominal pain requiring urgent surgical assessment
  • ERCP for acute biliary sepsis
  • Rapidly enlarging neck or breast lump with systemic symptoms
Action: Call 758-284-0557 directly. Staff will arrange same-day priority.
📋Priority
Within 7 days
  • GP or specialist referral for any surgical condition
  • New symptomatic hernia (reducible, not acute)
  • Symptomatic gallstones — biliary colic, cholecystitis
  • New breast lump requiring assessment
  • Thyroid nodule identified on imaging
  • Rectal bleeding requiring colonoscopy
  • Obstructive jaundice (non-acute) for ERCP workup
Action: Submit via /refer (GP) or book online. Confirmed within 24 hours.
📅Routine
Within 21 days
  • Screening colonoscopy (age 45+ or family history)
  • Screening / surveillance gastroscopy
  • Elective hernia repair (asymptomatic)
  • Diabetic foot annual review
  • Follow-up or post-operative review appointment
  • Telephone review / results discussion
Action: Book directly online at /book. Slot confirmed immediately.

3 · Surgical care chains

Clear surgical conditions with defined pathways from first assessment to discharge.

Surgical
Hernia Repair
priority
Step 1
Surgical Consult
Clinical assessment, imaging if needed
Step 2
Pre-op Assessment
Blood tests, anaesthesia review
Step 3
Lap / Open Repair
Tapion Hospital
Step 4
Post-op Review
Tapion Hospital, 2-4 weeks
Surgical
Gallbladder (Cholecystectomy)
priority
Step 1
Surgical Consult
History, ultrasound review
Step 2
Pre-op Assessment
LFTs, bloods, anaesthesia
Step 3
Lap Cholecystectomy
Tapion Hospital, day case / overnight
Step 4
Post-op Review
1–2 weeks, low-fat diet advice
Surgical
Colorectal Surgery
priority
Step 1
Consult + Scope
Colonoscopy + histology
Step 2
MDT / Staging
CT / MRI if indicated
Step 3
Colonic Resection
Tapion Hospital
Step 4
Oncology / Review
Coordinated follow-up
Surgical
Breast Surgery
priority
Step 1
Breast Clinic
Rodney Bay — clinical assessment
Step 2
Imaging
Mammogram / ultrasound / MRI
Step 3
Biopsy if needed
Core needle or excision biopsy
Step 4
Surgical Plan
Lumpectomy / mastectomy / discharge
Surgical
Thyroid Surgery
priority
Step 1
Consult + USS
Thyroid ultrasound, TFTs
Step 2
FNAC / Biopsy
Fine needle aspiration cytology
Step 3
Thyroidectomy
Tapion Hospital — total or hemi
Step 4
Post-op Review
Calcium + TFT check, thyroxine if needed

4 · Endoscopy care chains

Procedure-based pathways — preparation instructions sent automatically by email on booking.

Endoscopy
Colonoscopy
routine
Step 1
Booking
Online or WhatsApp
Step 2
Bowel Prep
Instructions emailed automatically
Step 3
Procedure
Tapion Hospital — 30–60 min
Step 4
Results + Plan
Follow-up or discharge
Endoscopy
Gastroscopy (OGD)
routine
Step 1
Booking
Online or WhatsApp
Step 2
Fast from midnight
Instructions emailed automatically
Step 3
Procedure
Tapion Hospital — 15–30 min
Step 4
Results + Plan
H. pylori / biopsy review
Endoscopy
ERCP
urgent
Step 1
ERCP Workup Clinic
Imaging review, medication adjustment
Step 2
Pre-procedure Prep
NBM, bloods, anaesthesia consent
Step 3
ERCP Procedure
Tapion Hospital — 60–90 min
Step 4
Recovery + Review
Overnight if needed, biliary follow-up

5 · Clinic pathways

Outpatient and specialist clinic pathways.

Clinic
New Consultation
routine
Step 1
Book Online
Rodney Bay — 45 min slot
Step 2
Assessment
History, examination, referral review
Step 3
Investigations
Blood tests / imaging if required
Step 4
Treatment Plan
Surgery / endoscopy / discharge
Clinic
Diabetic Foot Clinic
priority
Step 1
Book Clinic
Rodney Bay — bring glucose diary
Step 2
Foot Assessment
Vascular, neurological, wound grading
Step 3
Investigations
Doppler, HbA1c, cultures if wound
Step 4
Treatment Plan
Wound care / surgery / DM team liaison
Clinic
Post-operative Review
routine
Step 1
Scheduled at Discharge
Tapion Hospital or Rodney Bay
Step 2
Wound Check
Suture removal / dressing review
Step 3
Recovery Assessment
Activity, diet, return to work
Step 4
Discharge or Plan
Pathology results / further care
Ready to get started?
Book online, or ask your GP or specialist to send a referral — our team will take it from there.
Book an Appointment →Refer a Patient →