Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Clinica Universidad de Navarra specializes in Medication therapy for Systemic Lupus Erythematosus, with a JCI-accredited facility treating over 700,000 patients from 70 countries. Dr. Jesus San Miguel, the Medical Director and Professor of Hematology, leads the team with extensive expertise in complex autoimmune treatments.
Clinica Universidad de Navarra (CUN) is the best private Spanish hospital in 2018 according to MERCO (monitoring organization of medical reputation).
\n\nNavarra is a leading sarcoma center. 74% of patients get cured of bone sarcoma; and in up to 95% of cases, an affected limb is preserved.
\n\nOncology, Onco-Hematology, Organ Transplant, Neurosurgery, Cardiac Surgery are the primary specialties in Navarra Hospital.
\n\nHospital de Navarra is the 1st in Spain that has received JCI, the US certificate for the high quality of medical services.
\n\nOver 700,000 patients from 70 countries have been treated at Navarra.
\n","images":[{"base_url":"clinic/5c618b62dfba4","title":"Clinic Universidad de Navarra modern hospital building in Pamplona, Spain"},{"base_url":"clinic/5c618b62c6ade","title":"Modern reception hall at Clinica Universidad de Navarra with glass stairs and art wall"},{"base_url":"clinic/5c618b62d5bbe","title":"Modern waiting area at Clinica Universidad de Navarra with seating and open design"},{"base_url":"clinic/5c618b62ef71f","title":"Advanced operating room at Clinica Universidad de Navarra with robotic surgery equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Pamplona","id":366,"alias":"pamplona"},"address":"Av. de Pío XII, 36, 31008 Pamplona, Navarra, Spain"},"rating":{"rating":4.7,"google":3.8,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":7,"doctors_number":440,"year_foundation":1962},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"European Society for Medical Oncology","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"World's Best Hospitals 2020 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"World's Best Smart Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"World's Best Hospitals 2022 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Hospital HM Nou Delfos offers specialized medication therapy for Systemic Lupus Erythematosus within Spain's largest hospital network. The epilepsy department is led by Dr. Rodrigo Rocamora, a neurologist with a PhD from Bonn University and over _doctor_2238_years_ of experience. He has published 100+ scientific articles on drug-resistant conditions and serves as a professor at UPF University. The clinic features advanced diagnostic tools and collaborates with Institut Guttmann for neurorehabilitation.
Hospital HM Nou Delfos is part of HM Hospitals, the largest private hospital network in Spain. This comprehensive medical-surgical center in Barcelona specializes in surgery, oncology, orthopedics, and cardiology. It holds EFQM excellence recognition and TÜV NORD ISO 9001 certification.
Dr. Jesus San Miguel is a hematologist at Clinica Universidad de Navarra in Pamplona and a professor of hematology and hemotherapy. He is the Medical Director of the clinic, which treats 140,000 patients annually and holds JCI accreditation. The facility is included in Newsweek’s list of the World's Best Hospitals.
Clinica Universidad de Navarra (CUN) is the best private Spanish hospital in 2018 according to MERCO (monitoring organization of medical reputation).
\n\nNavarra is a leading sarcoma center. 74% of patients get cured of bone sarcoma; and in up to 95% of cases, an affected limb is preserved.
\n\nOncology, Onco-Hematology, Organ Transplant, Neurosurgery, Cardiac Surgery are the primary specialties in Navarra Hospital.
\n\nHospital de Navarra is the 1st in Spain that has received JCI, the US certificate for the high quality of medical services.
\n\nOver 700,000 patients from 70 countries have been treated at Navarra.
\n","images":[{"base_url":"clinic/5c618b62dfba4","title":"Clinic Universidad de Navarra modern hospital building in Pamplona, Spain"},{"base_url":"clinic/5c618b62c6ade","title":"Modern reception hall at Clinica Universidad de Navarra with glass stairs and art wall"},{"base_url":"clinic/5c618b62d5bbe","title":"Modern waiting area at Clinica Universidad de Navarra with seating and open design"},{"base_url":"clinic/5c618b62ef71f","title":"Advanced operating room at Clinica Universidad de Navarra with robotic surgery equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Pamplona","id":366,"alias":"pamplona"},"address":"Av. de Pío XII, 36, 31008 Pamplona, Navarra, Spain"},"rating":{"rating":4.7,"google":3.8,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":7,"doctors_number":440,"year_foundation":1962},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"European Society for Medical Oncology","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"World's Best Hospitals 2020 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"World's Best Smart Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"World's Best Hospitals 2022 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"}]}},{"doctor":{"id":2238,"alias":"rodrigo-rocamora","name":"Rodrigo Rocamora ","clinic_id":422,"photo":"doctor/6037cb62da469","first_year_working":1995,"created_at":"2021-02-25T16:08:01.000+00:00","short_description":"Dr. Rodrigo Rocamora is a neurologist who leads the epilepsy department at Hospital HM Nou Delfos. In 2019, he headed the team performing Spain's first laser interstitial thermal therapy for epilepsy. He focuses on drug-resistant epilepsy, sleep relations, and complex neurological syndromes. Dr. Rocamora is a professor at UPF University and a PhD graduate from Bonn University.
Hospital HM Nou Delfos is part of HM Hospitals, the largest private hospital network in Spain. This comprehensive medical-surgical center in Barcelona specializes in surgery, oncology, orthopedics, and cardiology. It holds EFQM excellence recognition and TÜV NORD ISO 9001 certification.
This therapy targets symptoms, not causes, to alleviate discomfort and aid quick recovery for a more comfortable life.
"},"761":{"operation":{"name":"Medication therapy for Systemic Lupus Erythematosus","alias":"medication-therapy-for-systemic-lupus-erythematosus","use_for_listing":true},"country_price":{"US":{"amount":9000,"max_amount":20000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":900,"max_amount":2300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":800,"max_amount":1600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2400,"max_amount":5600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":1100,"max_amount":2600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":true,"TR":false,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false},"description":"This therapy aims to control lupus symptoms via medication, tailoring treatment according to patient needs, offering symptom relief.
"},"796":{"operation":{"name":"Gendevra","alias":"gendevra","use_for_listing":false},"country_price":{"US":{"amount":3500,"max_amount":8000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1800,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1400,"max_amount":3600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2800,"max_amount":6000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":2400,"max_amount":4300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false},"description":"This therapy utilizes genes to treat or prevent disease, offering potentially revolutionary treatments for various conditions.
"},"797":{"operation":{"name":"Tivicay and Truvada","alias":"tivicay-and-truvada","use_for_listing":false},"country_price":{"US":{"amount":2700,"max_amount":3900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":380,"max_amount":700,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1300,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":1800,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false},"description":"This therapy involves two medications, used to control and manage HIV infection effectively.
"},"798":{"operation":{"name":"Truvada and Rezo","alias":"truvada-and-rezo","use_for_listing":false},"country_price":{"US":{"amount":2400,"max_amount":5000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":480,"max_amount":750,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":370,"max_amount":550,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":700,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false},"description":"This therapy is a proven HIV prevention method using specific medications, offering low side effects and high protection.
"},"799":{"operation":{"name":"Eviplera","alias":"eviplera","use_for_listing":false},"country_price":{"US":{"amount":3100,"max_amount":3900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":750,"max_amount":1200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":500,"max_amount":700,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":4500,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":800,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false},"description":"This therapy uses a combination medication to treat HIV-1 infection, enhancing patients\" immune response.
"},"846":{"operation":{"name":"Conservative treatment","alias":"conservative-treatment","use_for_listing":false},"country_price":{"US":{"amount":2500,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1200,"max_amount":2800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":900,"max_amount":2400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2200,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":1400,"max_amount":2800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false},"description":"This therapy aims to manage health issues non-surgically, employing medications or physical therapy, focusing on natural healing.
"},"847":{"operation":{"name":"Drug treatment","alias":"drug-treatment","use_for_listing":false},"country_price":{"US":{"amount":2500,"max_amount":6000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":980,"max_amount":1100,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1300,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1200,"max_amount":3800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":1100,"max_amount":2200,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"The procedure assists in combating diseases using medications to relieve symptoms and potentially cure ailments.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":2236}},"responsibleDoctor":{"id":3065,"alias":"kayhan-turan","name":"Kayhan Turan ","photo":"doctor/612e235a45616","advisory_text":"Dr. Kayhan Turan is an orthopedic surgeon specializing in robotic-assisted joint replacement and sports medicine. He performed Turkey's first robotic knee and hip replacements and has completed over 3,500 robotic surgeries.","linkedin":"https://www.linkedin.com/in/drkayhanturan/","specialities":[{"id":"sur.016","name":"Orthopedic surgeon ","illness_kind_id":33}]},"direction":{"id":29,"name":"Rheumatology","alias":"rheumatology"},"illness_kind":{"id":29,"name":{"en":"Rheumatology"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Oral or injectable therapy needs no downtime; depends on disease activity and infusion schedule."},"complication_rate_pct":{"min":15,"max":40,"unit":"percent","qualifier":"Any drug-related adverse event over 12 months, mostly infections and steroid effects; serious events about 5-10%."},"contraindications":["Known hypersensitivity to the prescribed drug","Active serious infection","Pregnancy or planned pregnancy with mycophenolate or cyclophosphamide","Severe liver or kidney impairment for certain agents","Pre-existing retinopathy with hydroxychloroquine","Live vaccines during immunosuppression","Untreated hepatitis B or tuberculosis"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Assessment and regimen setup are done as outpatient visits without overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity continues as tolerated; depends on disease activity and fatigue."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Disease control builds gradually; hydroxychloroquine and immunosuppressants take months, nephritis response longer."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After assessment, regimen setup and baseline laboratory results; no medication-related flight restriction."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":90,"unit":"days","qualifier":"Disease activity and laboratory monitoring, usually with home rheumatologist."},"requirement":"routine"},{"purpose":"result_review","after":{"min":180,"max":365,"unit":"days","qualifier":"Review of response, flares and drug toxicity; periodic eye screening on hydroxychloroquine."},"requirement":"routine"}],"indications":["Systemic lupus erythematosus with mild, moderate or severe activity","Lupus nephritis","Cutaneous and musculoskeletal lupus manifestations","Neuropsychiatric or hematologic lupus involvement","Flare prevention and organ damage limitation in established SLE"],"main_risks":["Drug-specific risks: infections from immunosuppressants and glucocorticoids.","Glucocorticoid effects: weight gain, glucose, blood pressure, bone loss, mood.","Drug toxicities needing lab monitoring (blood count, liver, kidney).","Hydroxychloroquine retinal toxicity with long-term use; eye screening required.","Pregnancy risks with some agents (mycophenolate, cyclophosphamide)."],"pain":"The therapy itself is painless apart from injection or infusion site discomfort. Treatment reduces joint and disease-related pain over weeks.","preparation":["Bring rheumatology records and recent laboratory results","Screen for hepatitis B, hepatitis C and tuberculosis","Baseline blood count, liver and kidney tests","Baseline eye examination for hydroxychloroquine","Review current medications and vaccination status","Pregnancy plan discussed with doctor"],"recovery_timeline":[{"phase":"Days 1-10: assessment and setup","description":"Examination, laboratory tests and regimen start with dose adjustment and teaching.","restrictions":["Report fever or infection signs promptly"]},{"phase":"Weeks 2-12: response","description":"Symptoms gradually improve; steroids tapered as disease control allows.","restrictions":["Avoid sun exposure without protection","Avoid live vaccines"]},{"phase":"Months 3-6 onward: maintenance","description":"Lowest effective doses continued with regular laboratory monitoring.","restrictions":["Keep monitoring schedule"]}],"rehabilitation_days":{"min":0,"max":0,"unit":"days","qualifier":"No rehabilitation needed; normal function continues during drug therapy."},"result_longevity":"Benefit lasts only while therapy continues; lupus is lifelong and flares may occur if treatment is stopped or reduced.","revision_rate_pct":null,"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"One assessment trip sets up regimen; ongoing therapy is continued at home."},"stages":[{"code":"assessment","label":"Rheumatology assessment and baseline tests","after":{"min":0,"max":3,"unit":"days","qualifier":"At arrival."}},{"code":"regimen_start","label":"Start and adjust drug regimen","after":{"min":3,"max":10,"unit":"days","qualifier":"After results are reviewed."}}],"qualifier":"Lifelong maintenance therapy follows at home with periodic monitoring."},"success":{"metric":"Low disease activity or remission (SLEDAI-2K ≤4 or LLDAS) achieved","value":50,"unit":"percent of patients","horizon":"6-12 months","population":"Adults with active SLE on hydroxychloroquine-based therapy with or without immunosuppressants or biologics","evidence_status":"limited"},"techniques":[{"name":"Hydroxychloroquine","suits_whom":"Nearly all SLE patients as baseline therapy","recovery":"Oral daily; effect over 3-6 months; periodic eye screening."},{"name":"Glucocorticoids","suits_whom":"Flares and organ involvement, short-term at lowest dose","recovery":"Rapid effect within days; taper over weeks."},{"name":"Immunosuppressants (methotrexate, azathioprine, mycophenolate)","suits_whom":"Moderate to severe disease or steroid sparing","recovery":"Effect over 2-3 months; laboratory monitoring."},{"name":"Biologics (belimumab, anifrolumab)","suits_whom":"Active disease despite standard therapy","recovery":"Infusion or injection; response over 3-6 months."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Initial consultation and tests; infusion visits longer; oral drugs taken daily at home."},"initial_assessment_documents":["Rheumatology diagnosis report with SLE classification criteria","Recent ANA and anti-dsDNA antibody results","Recent complement C3 and C4 levels","Complete blood count and creatinine results","Urinalysis and urine protein-to-creatinine ratio","Current immunosuppressant and steroid list with doses"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip covers assessment and regimen setup in 5-10 days; lifelong therapy continues at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the clinic plans regular checks and tests, such as blood and urine tests, after diagnosis. Why: these catch anaemia and kidney problems","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/lupus/","host":"nhs.uk","quote":"If lupus is confirmed, you'll be advised to have regular checks and tests, such as blood tests to check for anaemia and urine tests to check for kidney problems.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the clinician's qualifications and the facility's credentials for this procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check how you will communicate with your clinician and carers before treatment","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Staff cannot communicate with you in a language you speak fluently","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Receiving care at a facility where you do not speak the language fluently could lead to misunderstandings about your care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","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":"F3","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Swollen throat or tongue with difficulty 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