Dreams remain huge for Community Hospital of Seventh-day Adventists in Port of Spain, Trinidad. The new seven-story patient tower is up and waiting for construction to complete the inside and allow for services to begin. This imposing structure has raised many hopes across the island for expanded services to our patients. The new and greatly expanded dialysis unit is functioning well due to the dedicated service of Dr. Robert Soderblom, who spent 10 years traveling to Trinidad for a long weekend each month to establish this program. Bob deserves our accolades for this herculean task. Dr. Eva Ryckman has accepted a call to anchor diagnostic radiology at the hospital, along with her husband Mark, and moved there this April. Drs. Richard and Marlene Spann continue their inspired leadership of the hospital, carrying both clinical and administrative responsibilities. They are greatly appreciated for their commitment, hard work and political insights on navigating the politics and financial challenges required to expand this hospital.