Shanghai Tongji Hospital es un hospital terciario afiliado a la universidad en Shanghái, China, especializado en hematología y tratamiento de enfermedades de la sangre. Es uno de los principales centros de terapia celular CAR-T con más de 1 500 infusiones realizadas y altas tasas de remisión en pacientes con linfoma. Ofrece diagnóstico avanzado y un enfoque multidisciplinario para leucemias, linfomas y mieloma múltiple.
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\n","images":[{"base_url":"clinic/6a17dee1c91e0","title":"Área de recepción en el Departamento Internacional del Hospital Tongji, interior moderno en Shanghái"},{"base_url":"clinic/6a17df3345940","title":"Habitación de paciente en Tongji Hospital International Department con cama y equipo médico"},{"base_url":"clinic/6a17dfa6db083","title":"Sala de espera en el Departamento Internacional del Hospital Tongji con decoración moderna y plantas"},{"base_url":"clinic/6a17dfbe2a67d","title":"Área de espera luminosa en el Departamento Internacional del Hospital Tongji con asientos modernos y plantas"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"China","id":203,"alias":"china","iso_code":"CN"},"city":{"name":"Shanghái","id":2015,"alias":"shanghai"},"address":"200 Renmin Ave, People's Square, Huang Pu Qu, Shang Hai Shi, China, 200003"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":24,"year_foundation":2018},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":31,"total_pages":4}},"promoSlots":[{"card":{"text":"El Prof. Dr. Mehmet Aydogan, especialista en columna vertebral con 60 artículos científicos publicados, realiza implantes de estimuladores de la médula espinal en el Hospital Memorial Şişli, el primer centro de Turquía acreditado por la JCI. El procedimiento tiene un coste aproximado de 25.000 USD e incluye habitualmente la cirugía, el implante del dispositivo, 4 noches de hospitalización, traslados y servicios de interpretación. El Prof. Aydogan es miembro de la North American Spine Society, la Scoliosis Research Society y la European Spine Society.
Memorial Sisli Hospital en Estambul es uno de los principales centros médicos multidisciplinarios de Turquía, con una superficie de 53.000 m², 252 camas, 13 quirófanos y modernas unidades de cuidados intensivos. Abierto en el año 2000, fue el primer hospital en Turquía y el 21º en el mundo en obtener la acreditación de la Joint Commission International (JCI), que confirma los estándares de calidad de clase mundial.
\n\nEl hospital es reconocido por su experiencia en oncología, trasplante de órganos y médula ósea (90% de éxito en trasplante de órganos), fertilización in vitro, neurocirugía, cirugía bariátrica, cirugía robótica y genética. Equipado con tecnología de última generación y centros especializados, el Memorial Sisli recibe cada año pacientes de 167 países, combinando atención médica de alto nivel con las únicas oportunidades culturales y turísticas de Estambul.
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\nSu ámbito abarca la artroplastia de rodilla y cadera, la meniscectomía y la reparación del manguito rotador, del LCA y de la lesión de Bankart. También trata la displasia del desarrollo de la cadera (DDC), la inestabilidad rotuliana y del hombro, la espondiloartritis axial, la enfermedad de Kashin‑Beck y la artrosis de las grandes articulaciones.
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Hospital Universitario Atlas es un centro médico privado multiespecializado en Estambul, Turquía, que se especializa en neurocirugía, ortopedia, tratamiento dental y cirugía plástica. Cuenta con altas tasas de éxito, incluyendo 98.0% para artroscopia de rodilla, 95.0% para fisioterapia y 99.0% para reemplazos de rodilla y cadera, cirugía de hallux valgus, angiografía coronaria y septoplastia.
\n\nCon 25 años de experiencia, Atlas University International atiende a pacientes de 160 países, brindando atención tanto a adultos como a niños. El hospital ofrece recepción en el aeropuerto y asistencia integral durante la estancia de los pacientes, garantizando apoyo continuo para cualquier pregunta o necesidad. Cada paciente es asignado al médico más adecuado y experimentado, sin importar su etnia o nacionalidad. Anualmente, el hospital trata a 565 000 pacientes, principalmente de Europa, la Mancomunidad de Naciones, África y los estados de la Liga Árabe.
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Parkinson","alias":"parkinson-s-disease"},{"name":"Enfermedad neurodegenerativa","alias":"neurodegenerative-disease"},{"name":"Dolor de columna","alias":"spinal-pain"},{"name":"Dolor de cabeza","alias":"headache"},{"name":"LEQEMBI® (lecanemab-irmb) for Alzheimer's","alias":"leqembi-lecanemab-irmb-for-alzheimer-s"},{"name":"Enfermedad de alzheimer","alias":"alzheimer-disease"},{"name":"Dolor crónico","alias":"chronical-pain"},{"name":"Epilepsia","alias":"epilepsy"},{"name":"Rehabilitación después de una lesión de la médula espinal","alias":"spinal-cord-injury"},{"name":"Disco herniado","alias":"herniated-disk"},{"name":"Malformación arteriovenosa","alias":"arteriovenous-malformation"},{"name":"Lesión cerebral traumática","alias":"t-brain-injury"},{"name":"Retraso en el desarrollo","alias":"developmental-delay"},{"name":"Siringomielia","alias":"syringomyelia"},{"name":"Lesiones de huesos y articulaciones","alias":"injuries-to-bones-and-joints"},{"name":"Escoliosis","alias":"scoliosis"},{"name":"Enfermedad degenerativa de la columna vertebral","alias":"degenerative-spine-disease"},{"name":"Hombro congelado","alias":"shoulder-stiffness"},{"name":"Artrosis","alias":"arthrosis"},{"name":"Lesión de la médula espinal","alias":"spine-injury"},{"name":"Osteoartritis","alias":"osteoarthritis"},{"name":"Esclerosis múltiple","alias":"multiple-sclerosis"},{"name":"Síndrome de la cola de caballo","alias":"cauda-equina-syndrome-ces"},{"name":"Cirugía de la mano","alias":"hand-surgery"},{"name":"Desgarro de menisco","alias":"torn-meniscus"},{"name":"Luxación habitual del hombro","alias":"habitual-shoulder-dislocation"},{"name":"Coxartrosis","alias":"coxarthrosis"},{"name":"Fractura de cadera","alias":"hip-fracture"},{"name":"Deformidad en valgo","alias":"valgus-deformity"},{"name":"Halyus valgo","alias":"halyus-valgus"},{"name":"Displasia del desarrollo de la cadera","alias":"developmental-dysplasia-of-the-hip-ddh"},{"name":"Artrosis de cadera","alias":"osteoarthritis-of-the-hip"},{"name":"Osteoartritis de rodilla","alias":"knee-osteoarthritis"},{"name":"Lesión del tendón de Aquiles","alias":"achilles-tendon-trauma"},{"name":"Espolón calcáneo","alias":"heel-spur"},{"name":"Desgarro del manguito rotador","alias":"rotator-cuff-tear"},{"name":"Osteoartritis del hombro","alias":"shoulder-osteoarthritis"},{"name":"Tendinitis calcificada","alias":"calcific-tendinitis"},{"name":"Hueso navicular accesorio","alias":"accessory-navicular-bone"},{"name":"Pinzamiento anterior del tobillo","alias":"anterior-ankle-impingement"},{"name":"Espondilitis anquilosante","alias":"ankylosing-spondylitis"},{"name":"Síndrome del túnel carpiano","alias":"carpal-tunnel-syndrome"},{"name":"Pies planos","alias":"baby-flat-feet"},{"name":"Deformidad del tórax en embudo","alias":"funnel-chest-deformity"},{"name":"Deformidad de Haglund","alias":"haglund-s-deformity"},{"name":"Parálisis de Déjerine-Klumpke","alias":"klumpke-s-palsy"},{"name":"Osteoporosis","alias":"osteoporosis"},{"name":"Pinzamiento posterior del tobillo","alias":"posterior-ankle-impingement"},{"name":"Osteoartritis del tobillo","alias":"osteoarthritis-of-the-ankle"},{"name":"Desgarro del ligamento del hombro","alias":"shoulder-ligament-tear"},{"name":"Sindactilia","alias":"sindakteliya"},{"name":"Desgarro del ligamento cruzado anterior (LCA)","alias":"torn-acl-anterior-cruciate-ligament-injury"},{"name":"Temblor esencial","alias":"essential-tremor"},{"name":"Aneurisma de la arteria cerebral","alias":"cerebral-artery-aneurysm"},{"name":"Cavernoma","alias":"cavernoma"},{"name":"Quiste cerebral","alias":"brain-cyst"},{"name":"Quiste de la columna vertebral","alias":"spine-cyst"},{"name":"Neuroma acústico","alias":"acoustic-neuroma"},{"name":"Absceso de la médula espinal","alias":"spinal-cord-abscess"},{"name":"Rehabilitación de la parálisis 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arteriovenosa","alias":"arteriovenous-malformation","type":"illness","id":606}],"operationPrices":{"operation_prices":{"1365":{"operation":{"name":"Estimulador medular (EME)","alias":"spinal-cord-stimulator-scs","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":68000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12900,"max_amount":25900,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":18500,"max_amount":29500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":22000,"max_amount":28500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":true,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"AZ":true}}}},"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":21657}},"responsibleDoctor":{"id":645,"alias":"ali-zirh","name":"Ali Zirh","photo":"doctor/6a5e1b08044b5","advisory_text":"Más de 1500 intervenciones quirúrgicas exitosas para la enfermedad de Parkinson y otros trastornos del movimiento; más de 1000 procedimientos de estimulación cerebral profunda (DBS).","linkedin":"","specialities":[{"id":"nrs.001","name":"Neurocirujano","illness_kind_id":2},{"id":"nrs.005","name":"Neurocirujano estereotáctico y funcional","illness_kind_id":2}]},"direction":{"id":2,"name":"Neurocirugía","alias":"neurosurgery"},"illness_kind":{"id":2,"name":{"en":"Neurosurgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local_sedation"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Counted from permanent implant, not trial. Desk work often possible after about 2 weeks; physical work takes longer."},"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any device-related complication (lead migration, infection, pain at pocket, hardware issues) within 1-2 years; serious ones under 5%."},"contraindications":["Active systemic or local infection at the planned implant site","Uncorrected bleeding disorder or unmanageable therapeutic anticoagulation","Failed trial stimulation (insufficient pain relief)","Untreated significant psychological conditions or substance use disorder","Pregnancy (relative, case-dependent)","Anatomy preventing safe lead placement, e.g., severe spinal stenosis (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Per procedure (trial or permanent percutaneous implant); usually same-day discharge, with an occasional overnight observation stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"From permanent implant; avoid strenuous activity, bending, twisting and heavy lifting while leads anchor. Light walking earlier."},"final_result_months":{"min":2,"max":4,"unit":"months","qualifier":"From permanent implant; reflects healing, lead anchoring and programming optimization. Stimulation settings may keep adjusting."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After permanent implant, depending on wound check and surgeon clearance; avoid strain and carry device ID card."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":5,"max":14,"unit":"days","qualifier":"After trial lead placement (day 0); assessment of pain relief to decide on permanent implant."}},{"purpose":"wound_check","requirement":"routine","after":{"min":14,"max":56,"unit":"days","qualifier":"14-56 days from trial day 0; about 7-14 days after permanent implant, which follows trial by 7-42 days."}},{"purpose":"assessment","requirement":"routine","after":{"min":21,"max":84,"unit":"days","qualifier":"21-84 days from trial day 0; programming review about 2-6 weeks after permanent implant."}}],"indications":["Refractory neuropathic back/leg pain, including failed back surgery syndrome","Complex regional pain syndrome","Painful diabetic peripheral neuropathy","Refractory angina pectoris","Chronic limb ischemic pain"],"main_risks":["Infection of the device pocket or leads","Lead migration or fracture with loss of pain coverage","Epidural hematoma or bleeding","Dural puncture with headache or cerebrospinal fluid leak","Nerve or spinal cord injury (rare)","Pain at the generator pocket or seroma","Hardware malfunction, battery depletion or need for revision/explant","Uncomfortable stimulation sensations"],"pain":"Procedure is done under local anesthesia with sedation. Moderate incision-site and back pain is expected for the first 1-2 weeks, managed with oral analgesics.","preparation":["Specialist pain assessment, imaging review and psychological screening","Successful trial stimulation before permanent implant","Review of medications and blood-thinning treatment by the surgical team","Infection screening and skin preparation","Fasting as instructed for sedation","Discussion of MRI compatibility and device-driving/activity limitations","Arrange for an adult to accompany the patient home"],"recovery_timeline":[{"phase":"Trial phase (about 5-14 days)","description":"Temporary percutaneous leads connected to an external stimulator to test pain relief.","restrictions":["Keep dressing dry","Avoid excessive bending, twisting and lifting","Avoid driving while stimulation is on, as advised"]},{"phase":"First 2 weeks after permanent implant","description":"Incision healing; discharge usually same day.","restrictions":["Avoid lifting heavy objects","Avoid bending and twisting","Keep wounds dry until cleared"]},{"phase":"Weeks 2-6","description":"Gradual return to light work and daily activities; programming optimization begins.","restrictions":["Continue lifting, bending and twisting limits"]},{"phase":"Weeks 6-12","description":"Lead anchoring stabilizes; progressive return to exercise as cleared by the surgeon.","restrictions":["Increase activity gradually"]}],"rehabilitation_days":{"min":28,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after permanent percutaneous implant, with gradual return to daily activity; full activity restrictions last longer."},"result_longevity":"Depends on the device type: non-rechargeable batteries typically last a few years and rechargeable systems often longer before generator replacement. Pain relief may decline over time in some patients.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Surgical revision, repositioning or explant within 2 years, mainly for lead migration, hardware issues or infection."},"scars":"Small incision(s) at the lead entry site in the midline lower back and a pocket incision for the generator (buttock, flank or abdomen), typically a few centimetres each.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Two procedures: trial lead placement and permanent implant."},"stages":[{"code":"trial_lead_placement","label":"Trial: temporary percutaneous lead placement and external stimulation test","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial procedure (day 0)."}},{"code":"permanent_implant","label":"Permanent percutaneous lead and implantable pulse generator placement after successful trial","after":{"min":7,"max":42,"unit":"days","qualifier":"From trial lead placement, after the trial period and review."}}],"qualifier":"Standard two-stage course (trial then permanent) with percutaneous leads; some centres implant permanent leads for the trial."},"success":{"metric":"Patients with at least 50% pain relief","value":50,"unit":"percent of implanted patients","horizon":"12 months after permanent implant","population":"Adults with chronic neuropathic back and leg pain and a successful trial","evidence_status":"limited"},"techniques":[{"name":"Percutaneous lead implantation with implantable pulse generator (primary approach)","suits_whom":"Most patients with a successful trial.","recovery":"Same-day discharge typical; return to light work in about 2-6 weeks."},{"name":"Surgical paddle-lead implantation (laminotomy)","suits_whom":"Patients with lead migration, failed percutaneous coverage or anatomy needing a paddle lead.","recovery":"Usually under general anesthesia; longer recovery, possible overnight stay."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"For the permanent percutaneous lead and generator implantation procedure only; the trial lead placement is usually shorter."},"initial_assessment_documents":["Lumbar or cervical spine MRI report and images","Pain diagnosis and duration summary","Previous spine surgery operative reports","Pain treatments tried and outcomes","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Trial and implant 1-6 weeks apart; one trip needs 2-3 weeks' stay. Follow-up checks can be local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether a trial of stimulation is done before the full system is implanted","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/spinal-cord-stimulator-implant/","host":"cuh.nhs.uk","quote":"Following your successful trial of spinal cord stimulator (SCS) therapy you have now had the full system implanted.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask whether a pain specialist and a spinal surgeon will both be involved in your care","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/spinal-cord-stimulation-scs-frequently-asked-questions-faq/","host":"cuh.nhs.uk","quote":"The procedure may involve both a pain specialist and a spinal surgeon.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Ask whether X-ray guidance will be used to position the leads","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/spinal-cord-stimulation-scs-frequently-asked-questions-faq/","host":"cuh.nhs.uk","quote":"X-ray guidance is used to ensure accurate positioning.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask where the battery will be placed and when this will be discussed with you","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/spinal-cord-stimulation-scs-frequently-asked-questions-faq/","host":"cuh.nhs.uk","quote":"The most suitable position will be discussed with you in clinic.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask the surgeon about the risks of fitting the stimulator before you book","scope":"procedure","source":{"url":"https://www.dgft.nhs.uk/pil/spinal-cord-stimulation/","host":"dgft.nhs.uk","quote":"As with any surgical procedure, the insertion of a spinal cord stimulator has some risks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Confirm that follow-up appointments are arranged after implantation","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/spinal-cord-stimulator-scs-single-stage-implant-going-home/","host":"cuh.nhs.uk","quote":"When you and the team are happy, you will be able to go home with follow-up appointment(s) arranged.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Carry it at all times so staff know about the implant","document":"implant identification card","source":{"url":"https://www.cuh.nhs.uk/patient-information/spinal-cord-stimulation-scs-frequently-asked-questions-faq/","host":"cuh.nhs.uk","quote":"You should carry this with you at all times, especially when travelling.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Lists warning signs and actions to take after the implant","document":"going-home information leaflet","source":{"url":"https://www.cuh.nhs.uk/patient-information/spinal-cord-stimulator-scs-single-stage-implant-going-home/","host":"cuh.nhs.uk","quote":"The information below tells you what to avoid, what to look out for and what action to take if you think that you have any problems.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Sets out safe activities and exercises during recovery after the implant","document":"physical activity advice leaflet","source":{"url":"https://www.cuh.nhs.uk/patient-information/cuh-spinal-cord-stimulator-scs-cervical-spine-physical-activity-advice/","host":"cuh.nhs.uk","quote":"The leaflet explains what activities are safe for you to do following your implant what to avoid while the wounds heal and which physiotherapy exercises can support your recovery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","text":"Shows the scheduled review that the home doctor can follow up","document":"follow-up appointment details","source":{"url":"https://www.cuh.nhs.uk/patient-information/spinal-cord-stimulator-scs-single-stage-implant-going-home/","host":"cuh.nhs.uk","quote":"When you and the team are happy, you will be able to go home with follow-up appointment(s) arranged.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T5","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T6","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your pain has not yet been treated with nonsurgical options","name":"Physical therapy","source":{"url":"https://my.clevelandclinic.org/health/treatments/24237-spinal-cord-stimulator-scs","host":"my.clevelandclinic.org","quote":"Your healthcare provider will usually suggest other, nonsurgical treatments, like physical therapy and medications, before a spinal cord 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