Kohinoor Hospitals is an NABH-accredited multi-specialty hospital in Mumbai, India. Its strongest areas include pediatric neurosurgery, neurology, and dentistry. Treatment costs are 3–4 times lower than in the United States.
Kohinoor Hospitals is an NABH-accredited multi-specialty hospital in Mumbai, India. Its strongest areas include pediatric neurosurgery, neurology, and dentistry. Treatment costs are 3–4 times lower than in the United States.
Hospital Zambrano Hellion is a private clinic in Monterrey offering procedures at 3–4 times lower prices than US clinics. It specializes in neurology, dentistry, and otorhinolaryngology (ENT). Medical staff are English-speaking.
Hospital Zambrano Hellion is a private clinic in Monterrey offering procedures at 3–4 times lower prices than US clinics. It specializes in neurology, dentistry, and otorhinolaryngology (ENT). Medical staff are English-speaking.
Aster Medcity is a JCI and NABH-accredited hospital in Kochi, India. Its strongest specialties are pediatric neurosurgery, neurology, and dentistry. Prices here are 3-4 times lower than in US clinics.
Aster Medcity is a JCI and NABH-accredited hospital in Kochi, India. Its strongest specialties are pediatric neurosurgery, neurology, and dentistry. Prices here are 3-4 times lower than in US clinics.
Sarvodaya Hospital and Research Center is a NABH-accredited hospital in Faridabad. It specializes in pediatric neurosurgery, spinal surgery, and obstetrics and gynecology. The hospital draws patients from the United States, Canada, and the UK.
Sarvodaya Hospital and Research Center is a NABH-accredited hospital in Faridabad. It specializes in pediatric neurosurgery, spinal surgery, and obstetrics and gynecology. The hospital draws patients from the United States, Canada, and the UK.
Hospital Real San Jose offers dialysis in a modern facility with hotel-like amenities. Treatment costs around $800–$1,100. The clinic is accredited by Consejo de Salubridad General and serves international patients.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":700,"alias":"hospital-real-san-jose","name":"Hospital Real San Jose","short_description":"Hospital Real San Jose offers prices up to 4 times lower than US hospitals for the same procedures. Patients from the United States, Canada, and the UK choose this Guadalajara hospital for neurosurgery, mammology, and gastroenterology. Its quality is certified by the Consejo de Salubridad General (CSG).
Dialysis at Hospital San José Tecnológico de Monterrey typically runs $800–$1,100, provided in a JCI-accredited facility. The hospital offers dialysis services with high hygiene and quality standards, ensuring patient safety and effective treatment.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":719,"alias":"hospital-san-jos-tecnolgico-de-monterrey","name":"Hospital San Jos Tecnolgico de Monterrey","short_description":"Hospital San José Tecnológico de Monterrey is a JCI-accredited multispecialty hospital with top specialties in neurology, dentistry, and weight loss surgery. Prices run 3–4 times lower than US clinics. Patients come from the United States, Canada, and the UK.
Medicana Bahçelievler Hospital – part of the Medicana Health Group – provides dialysis in its JCI-accredited facility with full medical support. A session may cost around $300, typically covering the treatment, physical examination, and hospital fees. Additional blood tests for first-time patients run about $250. The internal medicine and nephrology team offers interpreter services for international patients.
","text_type":"mt_wow_description","best_texts":{"techniques":"Hemodialysis","good_fit_for":"Patients requiring kidney dialysis","why_its_ranked":"Specialized dialysis department with dedicated nephrology services. Offers comprehensive pre-session blood tests and follow-up care. Provides free transfer and interpreter services for international patients."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":1319,"alias":"medicana-bahcelievler-hospital","name":"Medicana Bahcelievler Hospital","short_description":"Medicana Bahcelievler Hospital is a JCI-accredited facility and part of one of Turkey's largest hospital groups. Its core strengths include the Organ Transplant Center, Cardiovascular Surgery, and Cardiology.
Dr. Jose Horacio Cano Cervantes has performed 1,100+ dialysis treatments over 13 years, specializing in nephrology with training at National Institute of Medical Sciences and Jiménez Díaz Foundation. Each 4-hour hemodialysis session may cost around $250, typically covering new filters and translator services. The clinic maintains strict safety standards with fresh equipment per treatment.
","text_type":"mt_wow_description","best_texts":{"techniques":"Hemodialysis, vascular access surgery, nephrology consultation","good_fit_for":"Complex kidney failure cases","why_its_ranked":"Specializes in transplant nephrology with 1,100+ treatments performed. Offers comprehensive care including vascular access surgery. Uses only new filters for hemodialysis."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":1601,"alias":"renium","name":"Renium Hemodialysis Clinic","short_description":"Renium Hemodialysis Clinic is a private multi-specialty center in Mexico City built around complete kidney failure care. It treats over 2,000 patients each year with hemodialysis and related services. The clinic also handles nephrology, vascular access surgery, and renal nutrition.
Burjeel Medical City (BMC) is a quaternary care hospital in Abu Dhabi, United Arab Emirates. The hospital treats adults and children across 60 medical specialties. Key areas include complex organ transplants, oncology, orthopedics, and neurosurgery. BMC performed the first living donor pediatric liver transplant in the UAE. The facility has over 350 beds and 1.2 million square feet of capacity.
The hospital was founded in 1989. Its team includes over 200 Western-board-certified physicians. Dr. Dror Paley, a consultant orthopedic surgeon, has performed over 25,000 surgeries. BMC holds JCI and ESMO accreditations for high care standards. Diagnostics include PET-CT, SPECT-CT, and HOLOGIC 3D mammography. The Global Patient Services team offers concierge support for travel and translation.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":2739,"alias":"burjeel-medical-city","name":"Burjeel Medical City (BMC)","short_description":"Burjeel Medical City (BMC) is a quaternary care hospital in Abu Dhabi, United Arab Emirates. The hospital treats adults and children across 60 medical specialties. Key areas include complex organ transplants, oncology, orthopedics, and neurosurgery. BMC performed the first living donor pediatric liver transplant in the UAE. The facility has over 350 beds and 1.2 million square feet of capacity.
The hospital was founded in 1989. Its team includes over 200 Western-board-certified physicians. Dr. Dror Paley, a consultant orthopedic surgeon, has performed over 25,000 surgeries. BMC holds JCI and ESMO accreditations for high care standards. Diagnostics include PET-CT, SPECT-CT, and HOLOGIC 3D mammography. The Global Patient Services team offers concierge support for travel and translation.
","images":[{"base_url":"clinic/6a726cc3c18a0","title":"Modern facade of Burjeel Medical City hospital in Abu Dhabi, UAE"},{"base_url":"clinic/6a726cc57daac","title":"Burjeel Medical City modern clinic exterior in Abu Dhabi, UAE"},{"base_url":"clinic/6a726cc746bc8","title":"Reception area at Burjeel Medical City, modern design with patient seating"},{"base_url":"clinic/6a726cc878d95","title":"Burjeel Cancer Institute modern glass facade in Abu Dhabi"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"United Arab Emirates","id":242,"alias":"united-arab-emirates","iso_code":"AE"},"city":{"name":"Abu Dhabi","id":2059,"alias":"abu-dhabi"},"address":"Burjeel Medical City, Mohammed Bin Zayed City, Abu Dhabi, United Arab Emirates"},"rating":{"rating":4.4,"google":4.5,"percent_of_satisfied_clients":66},"statistics":{"number_of_reviews":3,"doctors_number":200,"year_foundation":1989},"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/61779fac22b09.jpeg","name":"Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9bd0f432af.jpeg","name":"European Society of Human Reproduction and Embryology","country_code":"BE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Uniqacare Clinic is a private multi-specialty medical center in Istanbul, serving 433,000 patients every year. Its main specialties are neurosurgery, cardiology, oncology, and transplantology. The clinic treats both adults and children and is accredited by the Turkish Medical Association.
Uniqacare Clinic is a private multi-specialty medical center in Istanbul, serving 433,000 patients every year. Its main specialties are neurosurgery, cardiology, oncology, and transplantology. The clinic treats both adults and children and is accredited by the Turkish Medical Association.
Memorial Şişli Hospital reports a 90% success rate for living donor kidney transplants and offers robotic nephrectomy procedures. The JCI-accredited nephrology department combines transplantation expertise with minimally invasive techniques.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":437,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}},{"card":{"text":"Liv Bona Dea Hospital Baku is JCI-accredited and offers kidney transplants, nephrectomies, and dialysis services in its Nephrology department.
Liv Bona Dea Hospital Baku is a JCI-accredited hospital with 100% compliance. It is part of the Turkish Liv Hospital brand. The hospital specializes in heart surgery, plastic surgery, transplantology, and medical check-ups.
Specialist in Nephrology trained at top institutions in Mexico and Spain, including the National Institute of Medical Sciences and Nutrition.
Dr. Jose Horacio Cano Cervantes is a nephrologist and transplant surgeon in Mexico City. He graduated with honors from the Autonomous University of Chiapas. Dr. Cervantes specializes in kidney transplant and hemodialysis at Renium Hemodialysis Clinic. He completed intensive training at the Jimenez Diaz Foundation in Madrid, Spain.
Renium Hemodialysis Clinic is a private multi-specialty center in Mexico City built around complete kidney failure care. It treats over 2,000 patients each year with hemodialysis and related services. The clinic also handles nephrology, vascular access surgery, and renal nutrition.
Hemodialysis sessions are personalized by duration, ranging from 2 to over 4 hours. Dr. Farhad Shirinov, a nephrologist, provides care at the Liv Bona Dea Hospital Baku, part of the established Liv Hospital Group. The initial consultation and treatment start at approximately _offer_price_, requiring recent blood tests for assessment. The clinic's International Patients Services offers free airport transfers and language interpretation for a seamless experience.
","clinic_entity_text":"Liv Bona Dea Hospital Baku provides JCI-accredited dialysis services with flexible session durations. Hemodialysis may cost around $300–600 depending on treatment time, typically including the session, doctor consultation, airport transfers, and interpretation services. The hospital is part of the respected Liv Hospital Group with modern dialysis technology. Nephrologist Farhad Shirinov oversees treatments with transparent pricing and personalized care plans.
","package_price":600,"actual_price":600,"calculated_price":{"from":0,"to":0},"currency":{"code":"USD","symbol":"$","name":"Доллар","rate":1},"doctors":[{"id":5045,"name":"Farhad Shirinov","alias":"farhad-shirinov","photo":"doctor/6392bcdabce26","first_year_working":2003,"specialities":[{"id":"nph.001","name":"Nephrologist","illness_kind_id":24}],"statistics":{"review_count":0,"review_score":0}}],"clinic":{"id":3325,"alias":"liv-bona-dea-hospital-baku","name":"Liv Bona Dea Hospital Baku","short_description":"Liv Bona Dea Hospital Baku is a JCI-accredited hospital with 100% compliance. It is part of the Turkish Liv Hospital brand. The hospital specializes in heart surgery, plastic surgery, transplantology, and medical check-ups.
This package offers a range of dialysis modalities – bicarbonate, HDF online, and AFB-K with biocompatible membranes – for tailored treatment at about _offer_price_. The fee includes a required consultation with a nephrologist before starting sessions. Dr. Maria Doria provides care at the San Donato Hospital, an IRCCS Scientific Institute for Research and Healthcare. This research-driven facility in Milan is recognized among World's Best Hospitals and schedules sessions on patient-requested dates.
","clinic_entity_text":"IRCCS-accredited Policlinico San Donato Hospital offers dialysis at around $610 per session, including the procedure, erythropoiesis support, and anticoagulation. The clinic is recognized among World's Best Hospitals and maintains a 4.8/5 patient rating. Dr. Maria Doria specializes in dialysis therapy and chronic kidney disease management, providing personalized treatment plans. Initial consultation costs $240 before starting sessions.
","package_price":576,"actual_price":576,"calculated_price":{"from":0,"to":0},"special_price":{"expires":"2032-06-04T22:13:20.000+00:00","price_usd":0},"currency":{"code":"USD","symbol":"$","name":"Доллар","rate":1},"doctors":[{"id":7645,"name":"Maria Doria","alias":"maria-doria","photo":"doctor/663b4d6ac9c27","first_year_working":2001,"short_description":"Dr. Maria Doria directs the Nephrology and Dialysis Unit at San Donato Hospital in Milan. She oversees a unit that performs approximately 11,000 dialysis treatments every year. Dr. Doria specialize in clinical nephrology with a focus on conservative and pre-dialysis therapies. She works at a facility ranked among the World's Best Hospitals by Newsweek.
San Donato Hospital is an IRCCS-accredited cardiology and cardiac surgery center. It performs over 9,400 heart and blood vessel operations each year – the most in Italy. Core specialties include cardiology, cardiac surgery, arrhythmology, and rehabilitation.
This therapy helps purify blood when kidneys can\"t, using a machine to remove toxins and manage water balance.
"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":3,"days_in_country":10,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":2332}},"responsibleDoctor":{"id":7253,"alias":"gokhan-temiz","name":"Gokhan Temiz","photo":"doctor/65cc977a0034c","advisory_text":"Prof. Dr. Gökhan Temiz is a nephrologist specializing in kidney transplantation, dialysis, and glomerular diseases. He has published more than 60 scientific articles and is a member of the European Renal Association (ERA-EDTA).","linkedin":"https://www.linkedin.com/in/gökhan-temiz-4b02a9153/","specialities":[{"id":"nph.001","name":"Nephrologist","illness_kind_id":24}]},"direction":{"id":24,"name":"Nephrology","alias":"nephrology"},"illness_kind":{"id":24,"name":{"en":"Nephrology"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":1,"unit":"days","qualifier":"Established patients can do desk work on non-dialysis days or the day after. New patients may need longer."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any session-related complication, mainly intradialytic hypotension and cramps; serious events such as access infection or bleeding are under 5%."},"contraindications":["No feasible vascular access for hemodialysis","Severe hemodynamic instability","Uncontrolled active bleeding or heparin contraindication","Severe allergy to dialyzer components"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Typical maintenance in-center hemodialysis session; no overnight stay. Acute kidney injury in hospital is a different scenario."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":2,"unit":"weeks","qualifier":"Light activity is fine early. Strenuous sport needs clearance; access arm restricted after new fistula surgery."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Symptom relief starts in early sessions; stable dry weight, blood pressure and clearance take months. Not a cure."},"fly_home_after_days":{"min":14,"max":28,"unit":"days","qualifier":"After initial sessions and stable dry weight; next sessions booked near home."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":14,"max":42,"unit":"days","qualifier":"At home dialysis unit; early review of dry weight, blood pressure and prescription"}},{"purpose":"result_review","requirement":"conditional","after":{"min":28,"max":90,"unit":"days","qualifier":"At home dialysis unit, about monthly; blood tests and adequacy (Kt/V or URR)"}}],"indications":["End-stage kidney disease (kidney failure)","Severe acute kidney injury with hyperkalemia, acidosis or overload","Certain dialyzable poisonings or drug overdoses","Symptomatic uremia (e.g., pericarditis, encephalopathy, nausea) with advanced kidney failure","Refractory volume overload or uncontrolled hypertension due to kidney failure","Severe acidosis or electrolyte abnormalities unresponsive to medication"],"main_risks":["Low blood pressure during or after sessions","Muscle cramps, nausea, headache","Vascular access problems: infection, clotting, stenosis","Bleeding at needle sites","Fatigue and post-dialysis tiredness","Electrolyte or fluid imbalance","Cardiovascular events","Rare air embolism or allergic reaction to the dialyzer","Long-term: anemia, bone-mineral disorders, amyloidosis","Blood-borne infections, including bloodstream infection from a central venous catheter"],"pain":"Mild discomfort from needle insertion into the fistula or graft; the session itself is usually painless, though cramps may occur.","preparation":["Nephrology assessment and confirmation of the dialysis plan","Vascular access (fistula/graft) creation or dialysis catheter placement","Baseline blood tests and infection screening (hepatitis B/C, HIV)","Dietary and fluid guidance from a renal dietitian","Review of current medicines with the dialysis team","Weight and blood pressure check before each session","Shared choice of hemodialysis or peritoneal dialysis, with patient education","Dialysis prescription planning (dry weight, duration, dialysate, anticoagulation)"],"recovery_timeline":[{"phase":"During session (about 3-5 hours)","description":"Blood is circulated through a dialyzer to remove waste and excess fluid while vital signs are monitored.","restrictions":["Limited movement of the access arm"]},{"phase":"Immediately after session","description":"Needles are removed and pressure applied to stop bleeding; blood pressure and weight are checked. Fatigue is common.","restrictions":["No heavy lifting or access-arm pressure for hours","Avoid driving if dizzy"]},{"phase":"Between sessions","description":"Usual activities resume as energy allows, with fluid and diet restrictions and the next session usually 1-2 days later.","restrictions":["Follow fluid, potassium and phosphate guidance","Protect the access site"]},{"phase":"At any time","description":"Seek urgent care for access bleeding, fever, redness or pus, lost fistula thrill, chest pain, breathlessness or fainting. Never miss dialysis.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":1,"unit":"days","qualifier":"Post-dialysis tiredness usually resolves within hours to the next day; daily activities resume between sessions."},"result_longevity":"Hemodialysis replaces kidney function only while treatment continues, typically three sessions weekly. It continues unless transplant, kidney recovery or a change in care goals occurs.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Vascular access needing intervention or replacement (stenosis, thrombosis) within first year; fistulas lower than grafts or catheters."},"scars":"Dialysis itself leaves no scar. Fistula or graft surgery leaves a small arm scar; tunneled catheters leave small neck or chest scars; needle marks may show over the fistula.","sessions_or_stages":{"sessions":{"min":12,"max":13,"unit":"visits","qualifier":"First four weeks at about 3 sessions per week."},"stages":[{"code":"initiation","label":"Initiation: first sessions, often shorter or gentler; provisional dry weight","after":{"min":0,"max":7,"unit":"days","qualifier":"From the first session"}},{"code":"stabilization","label":"Stabilization: adjust dry weight, session length, dialysate and therapies; first adequacy check","after":{"min":14,"max":84,"unit":"days","qualifier":"From the first session"}},{"code":"maintenance","label":"Ongoing maintenance: usually 3 sessions weekly of 3-5 hours, with regular monitoring","after":{"min":28,"max":90,"unit":"days","qualifier":"From the first session; no fixed end"}}],"qualifier":"Open-ended maintenance with no cure; session counts cover only the first weeks."},"success":{"metric":"All-cause survival of adults starting maintenance in-center hemodialysis","value":40,"unit":"percent","horizon":"5 years after starting dialysis","population":"Incident adults with kidney failure on maintenance dialysis; varies widely with age and comorbidity.","evidence_status":"limited"},"techniques":[{"name":"In-center hemodialysis","suits_whom":"Most medically stable adults with kidney failure and established access; typically 3 sessions weekly of 3-5 hours","recovery":"Tiredness for some hours after sessions; usual activities between sessions"},{"name":"Home hemodialysis","suits_whom":"Trained patients with a suitable home setup and a care partner if needed","recovery":"Shorter, more frequent sessions are possible; recovery is often quicker"},{"name":"Peritoneal dialysis","suits_whom":"Patients preferring home therapy with an intact peritoneal cavity","recovery":"Daily exchanges at home; no post-session recovery period"}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Per single maintenance in-center hemodialysis session, excluding travel and setup."},"initial_assessment_documents":["Latest nephrology report with kidney diagnosis","Current dialysis prescription and recent session records","Recent creatinine, potassium and hemoglobin results","Hepatitis B, hepatitis C and HIV results","Dialysis access type and placement report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip covers the first four weeks of sessions; later care continues at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether a fistula or graft can be used instead of a central line catheter","scope":"procedure","source":{"url":"https://www.cdc.gov/dialysis/patient/","host":"cdc.gov","quote":"Ask staff if you can use a fistula or graft for treatment if you have a central line catheter.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Check that all staff clean their hands before and after caring for you or your access","scope":"procedure","source":{"url":"https://www.cdc.gov/dialysis/patient/","host":"cdc.gov","quote":"Make sure all staff clean their hands before and after caring for you or your access.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that the treating doctor speaks a language you understand well","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure your surgeon speaks English or another language you speak well enough.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you have a named doctor's contact for complications, not just a helpline","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure you have the contact details of a named doctor who can deal with any complications rather than a helpline.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","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 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