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Repeat courses are optional."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Discuss how complications will be addressed with both healthcare professionals","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C2","text":"Confirm whether follow-up care is scheduled at the same facility","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C3","text":"Coordinate follow-up care after returning home","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Prior to travel, local follow-up care should be coordinated, and financing should be arranged to ensure continuity of care when patients return from medical care outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C4","text":"Check the clinician's qualifications and the facility's credentials before choosing","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":"C5","text":"Decide ahead of time how you will communicate with your clinician","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer provides no plan for addressing treatment complications","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"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":"Angina lasting more than five minutes","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/17055-heart-attack-recovery--cardiac-rehabilitation","host":"my.clevelandclinic.org","quote":"If you’re still experiencing angina after five minutes, call 911 or your local emergency number.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Shortness of breath at rest","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/17055-heart-attack-recovery--cardiac-rehabilitation","host":"my.clevelandclinic.org","quote":"Shortness of breath, especially at rest.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"New or severe swelling","urgency":"contact_clinic","general":false,"source":{"url":"https://www.orthoinfo.org/en/recovery/activities-after-knee-replacement","host":"orthoinfo.org","quote":"Tell your doctor if you experience new or severe swelling, since this may be the warning sign of a blood clot.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home clinicians need details of care received abroad for subsequent care","document":"care documentation","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Remind medical tourists to request copies of their overseas medical records in English and to provide this information to any healthcare professionals they see subsequently for follow-up.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","text":"Home clinicians need medications received abroad for ongoing care","document":"medication list","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Remind travelers to request documentation of any medical care received during travel, including a list of medications received.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T3","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}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","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":"You need short term rehabilitation and nursing care rather than intensive therapy","name":"Skilled nursing facility","source":{"url":"https://my.clevelandclinic.org/departments/rehabilitation/services/inpatient-therapy","host":"my.clevelandclinic.org","quote":"Skilled nursing facilities provide short term rehabilitation and nursing care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"neurological-rehabilitation","name":"Neurological rehabilitation","how_it_works":{"text":"Therapy rebuilds strength, balance, mobility, cognition, or speech as much as possible","source":{"url":"https://my.clevelandclinic.org/services/acute-rehabilitation-care&rut=3db32f47b050d45b04918e530c15cab0678318da83511e4ed4eaeb502a7fb01c","host":"my.clevelandclinic.org","quote":"Rebuild your physical strength, balance, mobility, cognition or speech as much as possible.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"orthopedic-rehabilitation","name":"Orthopedic rehabilitation","how_it_works":{"text":"Mobility training covers walking and moving between bed and 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