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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":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a nonsurgical treatment for your overactive thyroid","name":"Anti-thyroid medicines","source":{"url":"https://www.nhs.uk/conditions/overactive-thyroid-hyperthyroidism/treatment/","host":"nhs.uk","quote":"Medicines called thionamides are commonly used to treat an overactive thyroid.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your thyroid nodules are not cancerous and need no treatment now","name":"Monitoring for thyroid nodules","source":{"url":"https://my.clevelandclinic.org/health/diseases/13121-thyroid-nodule","host":"my.clevelandclinic.org","quote":"If the nodules aren’t cancerous, you and your healthcare provider may decide that you don’t need to be treated at this time.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"conventional-open-total-thyroidectomy","name":"Conventional open total thyroidectomy","how_it_works":{"text":"The surgeon removes all or most of the thyroid gland","source":{"url":"https://my.clevelandclinic.org/health/articles/thyroidectomy","host":"my.clevelandclinic.org","quote":"A total thyroidectomy is the removal of all or most of your 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