Exceptional Care. 

Exceptional People.

NovoClinicCayman is an advanced, multi-specialty clinic offering medical and aesthetic services in a warm, healing, personalized environment. NovoClinic providers are united by the Triple Aim: Quality, Value, Outcomes. We invite you to visit NovoClinic to experience a new model in concierge healthcare delivery.


 NovoClinicCayman is located in the Cayman Islands, a British Overseas Territory. We believe the whole is greater than the sum of the parts: wellness of the body builds wellness of the spirit. Our practice provides exceptional care and patient education through a synergistic team of providers and staff, constantly striving to exceed patient expectations.  


Orthopedics is the branch of medicine concerned with diseases, injuries, and conditions of the musculoskeletal system: the body's bones, muscles, tendons, ligaments, and nerves.


Spinal diseases often cause pain when bone changes put pressure on the spinal cord or nerves. 

Sports Medicine

Sports medicine focuses on helping people improve their athletic performance, recover from injury and prevent future injuries.


Gynaecology is the medical practice dealing with the health of the female reproductive systems and the breasts


Dermatology is the branch of medicine dealing with the skin, nails, hair and its diseases. It is a specialty with both medical and surgical aspects

Aesthetic Services

Designed to rejuvenate and cleanse your skin, our aesthetic services are non-surgical, minimally-invasive alternatives to skin enhancement surgery and other extensive treatments.



What We Do

NovoClinicCayman is a state-of-the-art healthcare facility dedicated to medical care in a private and personal atmosphere. We offer new, advanced medical solutions that have been clinically tested which may turn even the most complex conditions into success stories.

Patient Information

At NovoClinicCayman, we are dedicated to providing you with a pleasant visit to improve your health situation. Our administrative staff is available to answer questions about scheduling, insurance and financial policy.

Practice Areas


Sports Medicine


Family Medicine


Aesthetic Services



We are now offering virtual visits!

Screen Shot 2020-06-02 at 9.05.58 AM.png


Meet Our Health Professionals

Dr. Barry Richter MD

Urogynaecology and Endoscopic Surgeon


View Dr. Richter's Practice Website →

Dr Barry Richter grew up in South Africa and in New York State. He completed his undergraduate and postgraduate training in South Africa at the University of Stellenbosch. He then maintained private practices in Canada, the US and Cayman until 2013. His interest has been minimally invasive endoscopic surgery over many years. He returned to South Africa in 2013 where he headed the Gynaecological Endoscopy Unit at the University of the Free State, until 2018. He is presently in private in Port Elizabeth, South Africa and in Cayman. He has been performing and teaching advanced endoscopic surgery for deep endometriosis, laparoscopic and vaginal surgery for prolapse and incontinence (practising as a sub-specialist). He is presently studying neuropelveology, because helping women with pelvic pain has been career-long interest for him. He is also a certified aesthetic (cosmetic) gynaecologic surgeon, because he believes that women’s intimate appearance can have an important role in the way they perceive their own womanhood. He has been a speaker at gynaecological endoscopy conferences and workshops for over 10 years and speaks and performs exhibition surgeries at international conferences. He is an examiner for the College of Obstetricians and Gynaecologists of South Africa.

He maintains a private practice in South Africa and the Cayman Islands. He is convinced that a multidisciplinary approach to most women with significant gynaecological problems, like pelvic pain and pelvic organ prolapse, is the only way to improve the lives of his patients and works closely with other medical specialties and women's health physiotherapists.

Dr Richter is a life member of ISGE and served on their board from 2006 -2010. He is a member of IUGA, SAUGA, ESAG and AAGL.

Dr. Richter is a member of the following societies:

Medical and Dental Council Cayman Islands

HPCSA (Health professions council of South Africa)

Fellow of the Royal College of Surgeons of Canada (FRCS(C))

Dr. Craig Humphreys MD

Fellowship-trained Spine Surgeon

Board Certified Orthopedic Surgeon

View Dr. Humphreys' Practice Website 

View BalancedBack Program 

Dr. Craig Humphreys grew up in Alaska and attended college at the University of Notre Dame.  He completed medical school at Loyola Stritch School of Medicine. He then completed an Internship and Residency at Loyola University Medical Center while also volunteering time as an MD in other countries, including India, St. Lucia and Lithuania. Dr. Humphreys then completed a Fellowship in Orthopaedic Spine Surgery at The Medical College of Wisconsin in Milwaukee. In 1996, he joined the Center for Sports Medicine and Orthopaedics in Chattanooga, Tennessee, where he practiced for more than 15 years with a spine specialized practice attracting complex spine patients from across Tennessee and northern Georgia.

Through a long career as a spine surgeon, Dr. Humphreys was also involved in spinal research and has contributed to more than 70 publications. In 2010, Dr. Humphreys moved back to Alaska to found Kenai Spine, a specialized spine practice focused on the treatment of back pain and neck pain, serving a large region of Alaska. Dr. Humphreys is licensed to practice in the Cayman Islands, and also performs mission surgery in Africa through CURE.

Dr. Humphreys’ practice philosophy is to explore and exhaust all non-surgical options in advance of the patient considering spine surgery. This includes the use of spine-specialized therapy and injections that can relieve pain symptoms.

Dr. Humphreys is a member of many societies including the following:

Diplomate of the American Board of Orthopaedic Surgery

American Academy of Orthopaedic Surgeons

American Spinal Injury Association

Alaska State Medical Board

Dr. Scott Hodges DO

Fellowship-trained Spine Surgeon

Board Certified Orthopedic Surgeon


View Dr. Hodges' Practice Website 

View BalancedBack Program 

Dr. Scott Hodges is a native of North Carolina and a graduate of Southern Adventist University, where he received his undergraduate degree in Biology. He went on to graduate Cum Laude from the University of Health Sciences in Kansas City, Missouri. Dr. Hodges served his Internship at Tulsa Regional Medical Center where he was awarded Intern of the year in 1993. He completed his Residency in Orthopaedic Surgery at Doctor’s Hospital in Columbus, Ohio.

Dr. Hodges served in the United States Air Force, achieving the rank of Major.  He then returned to medicine and a Fellowship in Spine Surgery at Loyola University of Chicago. He finished his training at Hinsdale Hospital in Illinois.

In 1994, Dr. Hodges returned to Chattanooga, setting up private practice with the Center for Sports Medicine and Orthopaedics. He also has a full license to practice medicine in the Cayman Islands.  Dr. Hodges has authored nearly 100 scholarly journal articles, and participates in leading research projects.

Dr. Hodges is a member of the following societies:

American Osteopathic Board of Orthopaedic Surgery

American Board of Independent Medical Examiners

American Osteopathic Association

American Osteopathic Academy of Orthopaedics

American Spinal Injury Association

American Medical Association

Society of Military Orthopaedic Surgeons

North American Spine Society

Orthopaedic Research Society

Tennessee Orthopaedic Society

American Academy of Disability Evaluating Physicians

Chattanooga Hamilton County Medical Society

Tennessee Osteopathic Medical Association

Scoliosis Research Society

Cervical Spine Research Society

International Society for the Study of the Lumbar Spine

Spine Arthroplasty Society

American College of Spine Surgery

Georgia Osteopathic Medical Association

Clinical Orthopaedic Society

American Academy of Orthopaedic Surgeons

Society Minimally Invasive Spine Surgery

AO Spine North America

Dr. Melissa Mascaro MD, CAQSM

Board Certified Family &  Sports Medicine Specialist

View Dr. Mascaro's Practice Website 

Melissa  Mascaro, M.D. completed her fellowship training in Primary Care Sports  Medicine at University of Connecticut under the direction of Thomas Trojian M.D., Giselle Aerni, M.D., Robert Arcerio, M.D.,Tom DeBeridino, Michael Joyce, M.D and the late Jeff Anderson M.D. She  served as team physician assisting  with the coverage of the University  of Connecticut athletics. She covered the UConn Huskies National  Championship Women's Basketball Team as well as the UConn Men's  Basketball Team. She has also provided coverage for various events  including MMA Fighting, freestyle ski jump competitions, the Lake Placid  Ironman, NYC Marathon, 2013 Boston Marathon, and Big East Soccer  Tournaments.

Dr. Mascaro received her residency training in  Family Medicine at Hackensack Mountainside Family Medicine residency  where she served as academic chief resident. Prior to graduating from St  Matthew's University School of Medicine, BWI, she received a Bachelor  of Science in Exercise Physiology from West Virginia University. Dr  Mascaro is a former full-scholarship Division 1 gymnast from West  Virginia University where she was co captain of her NCAA team.

Dr.  Mascaro has worked in private practice locally helping to  develop primary care sports medicine in the community over the last several years.  With the constantly changing health care models,  she believes patients deserve individualized, flexible care designed to  fit their schedule. This sometimes means prolonged visits, email  and phone access, annual physicals, and comprehensive wellness and  evaluations plans for the athletic season. With this in mind, she has  decided to enter solo practice to focus on helping her patients meet  their underlying goal of achieving competitive excellence.

She works with multiple local gyms to provide  preventative and management of chronic injuries to recreational and  elite athletes alike.

She is  a Clinical Assistant Professor at Seton Hall University and St. Georges School of Medicine. She has published book chapters, and articles in  peer-reviewed journals, as well as presented research and given  instructional lectures at sports medicine meetings both nationally and  internationally. Dr. Mascaro's research interests include the female  athlete as well as injury prevention in the adolescent athlete.

Dr.  Mascaro performs diagnostic and theraputic ultrasound guided injections  and manages the conservative non operative treatment of sports medicine  injuries.

Dr. Mascaro is a member of the following societies:

American Academy of  Family Physicians,

American Medical Society for Sports Medicine 

American Registry for Diagnostic Medical Sonography

American College of  Sports Medicine

American Institute of Ultrasound Medicine

Medical and Dental Council Cayman Islands

Dr. Marcella Madera MD, FAANS

Board Certified Neurological Surgeon

Fellowship-trained Spine Surgeon


View Dr. Madera's Practice Website 

​Dr. Madera is an expert in surgical treatment of conditions of the spine including degenerative spine disease, spine tumors, and degenerative deformity. Being fellowship trained under world-renowned spine surgeons at Johns Hopkins, Dr. Madera has expertise in all spinal approaches and techniques including both open and minimally invasive surgery (MIS), endoscopic spine surgery, and regenerative/stem cell procedures for spine disease. She is board certified by the American Board of Neurological Surgery.

She entered practice prepared to take care of all serious spine diseases, equipped to care for patients with back pain, leg pain, arm pain, and neck pain from any spinal condition.  Yet in clinical practice, she soon felt that something was missing, as she saw many patients who could benefit from more than conventional surgery offered. She traveled to Europe and domestically to learn cutting-edge endoscopic techniques and regenerative medicine.  Additionally, she studied health and wellness including advanced energy medicine modalities, natural pain management, and holistic medicine as she deepened her own personal wellness practices.

As she grew, she focused on finding ways to make the pre- and post-surgical process easier on her patients.  Austin Integrative Spine is the culmination of her training in conventional surgery, advanced, cutting-edge therapies, and a holistic, personal approach to every patient.

As an Assistant Professor of Surgery at University of Texas Dell Medical School, Dr. Madera is a leader in the spine community. Having authored several articles and textbook chapters, Dr. Madera continues to participate in the academic community as a member of AOSpine, North American Spine Society, the American Association of Neurological Surgeons, the Congress of Neurological Surgeons, and Women in Neurosurgery

Dr. Madera is a member of the following societies:

American Board of Neurological Surgery

Texas State Medical Board

Medical and Dental Council Cayman Islands

Assistant Professor University of Texas Dell Medical School



North American Spine Society

American Association of Neurological Surgeons

Dr. Julia Kirschke MD/PhD

Board Certified Dermatologist & Dermatologic Surgeon

Dr. Julia Kirschke is a fully qualified medical doctor and as a Specialist Dermatologist. Dr. Julia Kirschke graduated in Medicine in Germany. After many years of post-graduate Specialist training, the Medical Council of Westfalen-Lippe passing the rigorous German specialization exam awarded her the title of Specialist in Dermatology and Venereology. The German medical system is highly regarded globally and seen by many as one of the best in the world. Dermatology in particular has a strong tradition in Germany. It takes a thoroughly comprehensive view of skin care and includes not only General Dermatology, but also Venereology (Sexual Health), the diagnosis and treatment of allergies as well as Cosmetic Dermatology.

Dr. Julia Kirschke has gained extensive clinical experience in Germany and has undertaken research in a number of German University and hospital departments before being employed at NovoClinicCayman, Grand Cayman.

She is author and co-author of numerous scientific articles, book chapters and abstracts and frequently spoke at European conferences. Dr. Julia Kirschke has acted as a consultant for the book “Aesthetische und Plastische Operationen in der Dermatologie – Curriculum Aesthetik”.

Dr. Julia Kirschke has been fortunate enough to be quoted as an expert in a variety of European magazines and newspapers including “Hautarzt”, “Aktuelle Dermatologie”, “Journal der Deutschen Dermatologischen Gesellschaft”, “Dermatologie in Beruf und Umwelt”,  “Phlebologie”, “Clinical and Experimental Dermatology” and “Archives of Dermatology”.

In NovoClinicCayman, she not only treats the entire spectrum of skin diseases and troubled skin, micrographically monitored surgery, but also practices Cosmetic Dermatology, ensuring the highest quality and safety standards.

Dr. Julia Kirschke is fully trained, certified and very experienced in micrographically monitored surgery for the treatment of different kinds of skin cancer. Dr. Julia Kirschke has successfully been preforming these types of surgery for several years and this is where her special interest lies.

As a Medical Doctor, a Dermatologist and a Dermatologic Surgeon, Dr. Julia Kirschke is in a unique position to combine her in-depth knowledge of micrographically monitored surgery, skin biology and troubled skin with her expertise in aesthetic procedures and skincare.

Dr. Kirschke is a member of the following societies:

German Society of Dermatologic Surgery (DGDC)

International Society of Dermatologic Surgery (IDGDC)

American Society for MOHS Surgery

American Association of Dermatology

American Academy of Aesthetic Medicine

International Society of Dermatology

German Society of Pediatric Infectiology

Aerztekammer (Medical Council) Westpahlen – Lippe/Germany (AKWL)

General Medical Council United Kingdom

Medical and Dental Council Cayman Islands

Sonia Sajnani RN

Advanced Aesthetic Nurse

View NovoAesthetic Website 

Sonia is originally from Edmonton Alberta, Canada, where she graduated from the University of Alberta with a BScN.

After nine exciting years working in the Operating Theatres at the U of A, she decided to pursue Cosmetic and Anti-Aging Medicine full-time.

In 2012, after completing advanced training in Medical injectables and Dermal Fillers in Toronto, Ontario, Canada, her cosmetic practice began to grow. Sonia has had the honour of reaching the status of top advanced nurse injectors in Canada, and has been invited to Allergan’s annual Faces meetings since 2014 where top plastic surgeons and key leaders in cosmetics around the globe discuss and share new techniques and advances in the industry.


Sonia is a member of the following societies:

Nursing and Midwifery Council of the Cayman Islands

College and Association of Registered Nurses of Alberta

Canadian Association of Aesthetic Specialty Nurses

Shawna Friesen


View NovoAesthetic Website 

Shawna is a result driven highly skilled aesthetician and PlasmaLift technician with successful experience specializing in all types of skincare including facialsdermaplaning, and aquapeels.  Shawna also specializes in eyelash lifts and tints.

Shawna has distinguished strength in enhancing her clients’ appearance using the latest technology. After graduating from the Spa Academy located in Saskatoon, Canada, she now possesses a special skill for analyzing skin whilst performing excellence in treatment protocol and determining a successful skin enhancement plan.

With a pleasant personality and a proven track record of practicing safe, effective, and hygienic services, Shawna is able to determine the appropriate treatments for all of her patients.  Using the highest level of guest service she delivers a personalized experience that is undeniable and driven by her passion for the industry. She is highly trained and is someone who listens well to specific client requests and provides high level of customer service excellence.

Dr. Don Duff DC MSN APRN

Advanced Practice Nurse

Dr. Duff is licensed as a Doctor of Chiropractic and Nurse Practitioner in Tennessee / USA and as Advanced Practice Nurse with NovoClinicCayman .

Dr. Duff has practiced as a doctor of chiropractic in the Ooltewah area since 1990. He holds a Doctor of Chiropractic degree from Life University, a Bachelor's degree in nursing from Southern Adventist University, as well as a Master's degree in nursing from Southern Adventist University. Dr. Duff has over 25 years of experience dealing with spine & back pain patients.


Dr. Duff is a member of the following societies:

American Association of Nurse Practitioners (AANP),

American Chiropractic Association (ACA)

Tennessee Chiropractic Association (TCA)

North American Spine Society

Nursing and Midwifery Council Cayman Islands (NMC)



For appointment requests, please email the clinic at:

clinic@novocayman.com or call 746 6082

NovoClinicCayman would be very grateful for your feedback

so we can improve our services, please email:


BritCay House

236 Eastern Avenue

P.O. Box 717

George Town, Grand Cayman KY1-9006

Cayman Islands

Phone: +1.345.746.6080

Fax: +1.345.746.6089

Follow Us:

  • Instagram Social Icon
  • Facebook - Black Circle
  • Facebook - Grey Circle

BritCay House- 236 Eastern Avenue, P.O. Box 717

George Town, Grand Cayman KY1-9006, Cayman Islands

Phone: +1.345.746.6080

©2020 NovoClinic Cayman