Telemedicine continues to expand into the Caribbean with the Cayman islands utilising telemental health which is counseling conducted by video conferencing. What is more intriguing is that the counseling incorporates the use of a robot as the interface between the client and the counselor. The robot will not be restricted to mental health services but can be utilised for other specialist services not available in the islands. The robot allows doctors on island and overseas to monitor patients remotely. This will be a huge cost savings by allowing the patient to be treated locally instead of sending them overseas for care.