We have already spoke but good for you to refer them my way! I just had a call today....it is hard to know what is available at the time of need! I did speak to physician and he said mostly TPA if they have it, is used for heart attack protocol in Montego Bay. Interesting! Keep my number handy! We never know what physician is available....I sent a physician to apartment today on a Sunday! It was a good day! Nurse Beth