If you have heard of medical tourism then you know it is the phenomenon that can buy you top-notch medical care at rock bottom prices with virtually zero waiting times. And you are probably also aware that India is one of the most popular medical travel destinations. What is great about India is you can get not only high quality care for low price but also certain unique treatments that not many other nations in the world offer, especially if you also factor in the unbeatable price. In the article below we talk about hip resurfacing surgery in India – a unique medical breakthrough technique for the treatment of hip pathology.

THE NEED FOR HIP RESURFACING
Your hip is a ball and socket joint. Both the ball and socket are covered by a protective layer of cartilage which makes the joint smooth and hip movements swift.

Any condition that damages this cartilage leads to pain, dysfunction and eventually arthritis. Injury, infection, rheumatoid arthritis, osteoarthritis and bone dysplasias are some reasons that can cause damage to this cartilage thereby necessitating a hip resurfacing surgery.

Traditionally, such issues have been addressed by a total hip replacement (THR) which is a surgery to replace the hip joint by a prosthetic implant. A THR removes part of your healthy bone so the implant can be fixed deeply into the femoral bone. Patients also have certain movement restrictions following a THR surgery.

By contrast, resurfacing, which is a less invasive bone-preserving technology, replaces only the worn, diseased and damaged surfaces of the hip joint, and places an all-metal “ball and socket” implant in the hip joint. Resurfacing allows return to normal and sporting activities post-surgery, reduces the risk of dislocation and makes revision easy (if at all needed).

These reasons make hip resurfacing more favourable over hip replacement in certain specific cases. The anatomy and bio-mechanics after resurfacing mimic a normal hip very closely making it an ideal choice for young or more active patients with non-inflammatory degenerative hip joint disease.

HOW IS A HIP RESURFACING SURGERY PERFORMED?

Birmingham hip resurfacing implant

Birmingham hip resurfacing implant (Image source: Smith & Nephew)


After separating the femur or thigh bone from the hip socket, your surgeon reshapes the head of the femur. Next, the diseased bone and cartilage are removed from the hip socket.

Then, the implant, which comprises of two parts – the metal shell component for the hip socket, and the metal ball component with a short stem for the thigh bone, is placed.

First, the metal shell implant is firmly pressed onto the hip socket. After this the surgeon drills a hole in the femur (so the stem of the femur implant can be fitted into it), fills the metal ball component with bone cement, and fits the ball on top of the thigh bone with its stem into the drilled hole.

Finally, the femur with its new metal head and the hip socket with its new metal shell are put together to form a new resurfaced ball and socket hip joint that looks and functions like a normal hip.

HIP RESUFACING SURGERY AND INDIA
In India, hip surgeons have been practicing the hip resurfacing procedure for over a decade while orthopaedic surgeons in most of the rest of the world are still new to this procedure.

In the United States, for instance, where this procedure is still not commonly performed, FDA approved the first hip resurfacing system only in 2006. It is no wonder then that surgeons in India are much more experienced in this procedure than their counterparts in America.

Today, the majority of hip resurfacing operations are performed in India on Indian as well as foreign patients. Each year thousands of hip resurfacing medical tourists from all across the globe head to India to not only be in safe hands but also enjoy a tremendous amount of savings.

You can find top hip resurfacing hospitals in India that are Joint Commission International (JCI) accredited. Additionally, several of the best Indian orthopaedic doctors are also either educated or trained internationally.

Taj Mahal, India

Taj Mahal, India

Hip resurfacing costs about USD8000 in India . This is so less compared to what U.S. hospitals charge for the same kind of service and quality that you can bring a companion along, spend on sightseeing and still save thousands of dollars.

OVERSEAS PATIENT TO INDIA FOR HIP RESURFACING
Richard, who hails from California, USA, had been suffering from osteoarthritis in his hips for a long time but was unable to get surgery in the United States, earlier because of unavailability of the procedure in the country and later because of the extravagant price tag it came at.

Facilitated by Healthbase, Richard had both his hips resurfaced through bilateral hip resurfacing surgery at Wockhardt Hospitals (now Fortis Hospital) in Mumbai, India, 3 years ago.

Richard after his surgery in India

Richard after his surgery in India (Image source: Healthbase Online Inc., http://www.healthbase.com)

Being an avid sportsperson that he was, barely 12 weeks after his hip surgeries, Richard returned to snorkelling in the sunny Southern Californian beaches. In the past, Richard had problems walking from his car to his front door.

MEDICAL TRAVEL TIPS FOR HIP RESURFACING PATIENTS
Here are the top 5 things every medical tourist needs to do or remember for a successful medical travel trip:

  1. Verify the credentials of the foreign doctor treating you.
  2. Don’t let cost be the driving factor; focus on quality.
  3. Keep your local doctor in the loop.
  4. Don’t keep your trip too short; allow time for recuperation as well as sightseeing.
  5. Engage the services of a medical travel facilitator like Healthbase. These are specialized medical travel agents that connect you with the hospital of your choice while providing all or some other valuable concierge services like detailed information about various procedures, detailed hospital profiles and surgeon profiles, medical records transfer, free surgery quote, pre- and post-consultation with the overseas hospital, feedback and testimonials from previous patients, medical and dental loan financing, passport and visa acquisition, airport pick-up and drop-off, hospital escort, tickets, travel insurance, hotel booking, sightseeing services in the destination country, etc.

Medical tourism, which is the practice of traveling from one place to another for medical care, is no longer limited to patients seeking conventional treatments such as hip resurfacing, spine fusion, knee replacement, heart bypass, lap band, cosmetic surgeries, or dental treatments. Today, many are going overseas to seek “unconventional” medical tourism treatments such as those for cancer.

Cancer patients may be driven abroad by low prices but what remains the prime motivator is the easy accessibility to the latest technology at overseas cancer hospitals.

COMPARING THE US AND ABROAD
Without a doubt USA is the pioneer of the latest medical technologies and the country invests heavily in cancer researches. Such developments have provided remedies for previously irremediable diseases, thereby prolonging and improving the lives of the critically ill. However, these advancements remain beyond the means of those who lack health insurance, simply because of the price tag at which they come, in the US anyway.

But, in India or Singapore or Turkey, for instance, not only are the same state-of-the-art technologies being used, the treatments are offered at a much lesser price making them accessible to a greater part of the populace. It is not uncommon, therefore, to see surgeons in Asia working behind the gamma knife or the CyberKnife or the da Vinci robotic surgical system, treating patients from all over the world and offering their services at a much discounted rate as compared with US rates.

COMMON CANCERS AND THEIR TREATMENTS OVERSEAS
Cancer hospitals abroad treat all types of cancers. Though most types of cancers are suitable for overseas treatment, a patient’s candidacy can only be decided on an individual basis. The more common ones that patients go abroad to cure are prostate cancer, breast cancer and thyroid cancer.

There are several types of cancer therapies available today. Some of them are: surgery, radiotherapy (RT), chemotherapy, palliative therapy, etc. The specific treatment plan designed by the foreign doctor will depend on: (1) the type of cancer, (2) its stage, (3) whether it has metastasized to other parts of the body, (4) the patient’s overall physical health, and so on. The doctor may decide to give a combination of various types of therapies to increase the effectiveness of the treatment.

Following are some examples of cancer treatments given abroad to remove the cancer from the body and to treat the symptoms of the disease:
(1) Surgical resection of the affected organ followed by radiotherapy or chemotherapy to remove any remaining cancer cells.
(2) Depending on distant metastases state and the pathology report, the doctor might use palliative or aggressive radiation therapy.
(3) A high dose IMRT of primary and lymph nodes (LNs).

ISSUES WITH SEEKING CANCER TREATMENT ABROAD
As is well known, the quality of care offered abroad is on par with what is available in the United States. So the treatment quality is not a concern. But what might be of concern is the duration of the treatment.

When you go overseas for a surgery such as a hip resurfacing or a heart surgery, you usually need to spend no more than 2 to 3 weeks in the host country. That’s true for most of the procedures you seek abroad. But in the case of cancer treatment, the duration of the treatment is a big concern. The treatment plan that the oncologist or the doctor designs can run over a period of several months. This means longer stays for the international patient and his companion which in turn translates to higher expenditure on accommodation. To resolve this and to generate more savings, Healthbase recommends seeking long-term accommodation in service apartments instead of hotels as the former cost much less.

Even with higher expenses on accommodation factored into the cost, the resulting savings on treating cancer abroad can amount to approximately 40-80% when compared with the cost of treatment in the United States. For an accurate cost estimate and arrangement of cancer treatment abroad, check out the Healthbase website.

Vermont leads the nation in the delivery of its health care, while Mississippi is rated the worst, according to a non-partisan study that compares all 50 states and the District of Columbia.

Vermont, Hawaii, Iowa, Minnesota, Maine and New Hampshire ranked 1 to 5 in 38 indicators of health care.

At the bottom were Mississippi, along with Oklahoma, Louisiana, Arkansas, Nevada and Texas.

The Commonwealth Fund Commission’s “Scorecard on Health System Performance,” rated the states on access, quality, costs and health outcomes in a follow up to their 2007 report.

Overall, the states which did best on the Commonwealth scorecard were in New England and the upper Midwest, and the worst states were in the South.

Vermont, with only 640,000 residents, has nearly universal health care coverage with 93 percent insured. Its innovative “Blue Print for Health” focuses on prevention of chronic diseases.

“We’re small. There are 19 cities larger than the state of Vermont,” said Susan Besio, director for health care reform and Medicaid for Vermont.

“But I believe there is something unique about Vermont in terms of its culture,” she told ABCNews.com. “We want to take care of each other and we are a healthy state.”

In Mississippi, however, about 20 percent are uninsured despite having some of the highest rates of hypertension, diabetes and asthma.

According to the report, only 35.7 percent of adults 50 or over in Mississippi receive recommended screening and preventive care.

“When you compare Mississippi on almost any socio-economic profile, we are a struggling population that has a large percentage of low-income individuals, high unemployment rates, low rate of education,” said Robert Pugh, director of the Mississippi Primary Health Care Association.

The scorecard “paints a picture of health care systems under stress, with deteriorating health insurance coverage for adults and rising health care costs,” according to co-author Cathy Schoen, who is senior vice president of the commission.

“Where you live matters for access, quality of care and whether you live a long and healthy life. These wide and persistent gaps among states highlight the need for national reforms and federal action to support states.”

For example, 32 percent of working-age adults in Texas are uninsured, compared to only 7 percent in Massachusetts in the most recent survey.

“It’s very hard to have a high performing health care system and hospitals that do well for everyone if you have a high rate of uninsured in the state,” said Schoen.

In 1999-00, there were only two states with 23 percent or more of adults uninsured. But by 2007-2008 there were nine.

Children fared much better, due in large part to the Children’s Health Insurance Program (CHIP) under Medicaid. The number of states with 16 percent or more of children uninsured dropped from nine to three during the same time period.

Other findings of the report were that in a, costs rose and quality improved in areas where outcomes were reported to the public.

Vermont’s ‘Blue Print For Health’ A Model

The Green Mountain state was cited for its model “Blue Print” program. Launched by Republican Gov. Jim Douglas, it covers everything from teaching children healthy eating to helping seniors stay in their homes rather than going to costly nursing homes.

“You betcha, I feel good about the reforms we put in place,” Douglas told ABCNews.com. “It’s centered on quality and containing costs. Care shouldn’t start in the emergency room.”

All Vermonters are encouraged to have yearly exams and adults are notified when they are due for check-ups.

Douglas talks to children about “getting off the couch” and set an example just this week by joining elementary students on a walk to school.

With the second oldest population in the nation, Vermont subsizes care for seniors and the disabled to defray the costs of home care. Nursing home beds were reduced by 200 last year.

In one pilot program, electronic medical records can avert expensive tests like MRIs and x-rays. One emergency room doctor seeing a woman with stomach pains discovered in her online medication history that she had not filled her prescription for ulcer medicine.

“It takes time and so a lot of the fruits come from years of work and planning and cooperation,” said Douglas.

Health Care Affects a State’s Economy

But Mississippi, with the highest infant mortality and low birth rates in the nation, makes access to these Medicaid programs more difficult, according to Roy Mitchell, director of the Mississippi Health Advocacy Program (MHAP).

“I am not at all surprised we were 51st on the list,” he told ABCNews.com. “We are last on several health indicators. Our policy makers work hard at being last.”

Despite one of the highest matches of federal to state dollars in Medicaid funding, the state mandates “face-to-face” eligibility, requiring all new applicants and those reapplying for benefits to come in for an interview.

“As a direct result, 65,000 children have fallen off the rolls,” Mitchell said.

“Mississippi does virtually no outreach at all. They don’t publish where these face to face stations are and what times,” he said. “It’s a bureaucratic maze even to find out where to go. And when they get there they don’t have a certain document.”

Of those, about 77 percent would be eligible, he said. “It’s touted as fraud prevention.”

These disparities between the highest and lowest ranked states could be alleviated with national reform, according to Commonwealth.

The report emphasizes the need for insurance reform that rewards good outcomes, payment reform with an emphasis on prevention and advanced information systems that travel with the patient from physician to physician, saving time, money and preventing errors.

“What the scorecard is showing is that we have a system under stress, no matter where we live,” said co-author Schoen. “The costs are rising more than people’s incomes. We need to act.”

Schoen said she has hope for reform. “There is real leadership and people are taking reform seriously.”

Source: ABC News

Log on to Healthbase to learn about medical tourism or to get a FREE quote for any surgery in the United States or abroad.

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ROSE Procedure, a weight loss revision surgery

Traditionally those who needed a revision bariatric surgery following a gastric bypass (also known as Roux-en-Y procedure) have had to resort to another open or laparoscopic gastric bypass surgery involving more cutting of the internals of the body. Such a revision obesity surgery is quite complicated and therefore surgeons and patients frequently avoided it for the high risks associated with it.

Today patients have a better choice which not only involves NOT opening up the patient, as it is done edoscopically, but is also less complicated and has minimal risks.

Need for the ROSE procedure

The ROSE procedure is a weight loss surgery (WLS), needed as a revision for a gastric bypass surgery. So let’s first understand what a gastric bypass procedure does.

The aim of a gastric bypass surgery is to make the stomach and stoma very small so that the stomach can now hold much less food and the feeling of satiety is achieved after the consumption of a very small amount of food. This makes the person eat less and thus lose weight.

Most people lose their excess weight to a great extent following a gastric bypass procedure. However, the stomach pouch and the stoma may expand/stretch over time causing the capacity of the stomach to increase. So the stomach can now hold more food and the feeling of fullness is now achieved after consumption of a larger amount of food than before. This results in weight regain.

A revision weight loss surgery is therefore required to once again reduce the size of the stomach pouch and the stoma. The ROSE (Restorative, Obesity Surgery, Endolumenal) procedure is a revision weight loss surgery for patients who have had gastric bypass surgery previously (at least 2 years ago) and lost 50% of excess weight but regained at least 15% of it back.

In a ROSE procedure, the surgeon pleats/folds the stomach with sutures to reduce its size back to about the size at the time of the original gastric bypass surgery. This is achieved through an endoscope (a long narrow tube carrying a camera and surgical instruments) which the surgeon inserts into the patient’s stomach pouch through a natural opening in his body, in this case his mouth and down the esophagus. The surgical tools in the endoscope are then used to gather together sections of stomach tissue to create a pleat which is then sutured together. With this process, the stomach volume and stoma diameter can be reduced to increase restriction and help weight loss. The procedure takes about an hour to complete.

Candidacy for the ROSE procedure

In order to be eligible for the ROSE surgery you must have:

  • had the gastric bypass procedure at least 2 years ago,
  • lost 50% of your excess body weight following the surgery, and
  • regained 15% of it back.

In some cases, a patient may also be a candidate if he underwent gastric bypass surgery but failed to lose weight.

Advantages of the ROSE procedure

  • Incisionless i.e. no external incisions or cuts therefore lower risk of infection and associated complications, and also no scarring
  • Quick procedure (takes about an hour)
  • Causes little or no discomfort to the patient
  • Minimal post operative pain/symptoms (mild sore throat, hoarseness, swollen lip, and lip pain due to the endoscopic instruments that were inserted into the mouth)
  • Fast recovery time

Cost of a ROSE procedure

For a FREE estimate of the cost of ROSE procedure in the United States or cost of ROSE procedure abroad visit Healthbase.

For more information about affordable surgery, read about international medical tourism and domestic medical tourism.

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Whether you are 18 years old or 74 years old, living with a bad set of teeth is like going through a living hell. But, thanks to the miracles of modern dentistry, now dental patients can turn their horrible experiences into life-changing ones – and that too at an affordable price.

Examples of some commonly sought dental treatments include:

  • dental crowns – examples, porcelain fused to metal or PFM, full porcelain, etc.
  • full dentures
  • partial dentures – upper partial dentures and lower partial dentures
  • root canals
  • dental bridges
  • dental implants
  • etc.

These dental works can be done as individual treatments or be part of a complete makeover.

See below for before and after photos of some of Healthbase dental patients from the US whom we assisted to get their dental treatment overseas in Costa Rica at an affordable price.

Below are before and after pictures of Claude V, a 74-year old dental patient from Florida. He had extensive dental work done in Costa Rica, facilitated by Healthbase
Before dental treatment in Costa Rica

Claude, after his dental treatment in Costa Rica

Following are before and after photos of an 18-year old dental patient from Texas who had a complete makeover with 24 porcelain crowns in Costa Rica, coordinated by Healthbase

Before his dental work in Costa Rica

After his dental work in Costa Rica

For more information about affordable medical and dental treatments in the United States or abroad, check out medical tourism and dental tourism.


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Today, medical tourism is a widely accepted and proven formula for top quality care at low cost. Given the manifold increase in the number of patients traveling overseas for medical and surgical care from the US, the American College of Surgeons (ACS) has recognized that surgical care has become more readily available in a wider global market, and that this phenomenon is here to stay. So, the College recently developed an official “Statement on Medical and Surgical Tourism”, which according to ACS are “consistent with the College’s longstanding advocacy position of promoting an environment of optimal care for the surgical patient”.

The College has developed several key principles (listed below) for those who choose to seek surgical care abroad. The College:

  • encourages patients to seek care of the highest quality and supports their rights to select their surgeons and health care institutions without restriction.
  • encourages its Fellows to assist all patients in reaching informed decisions concerning medical care, whether at home or abroad.
  • advises patients to consider the medical, social, cultural, and legal implications of seeking medical treatment abroad prior to deciding on a venue of care.
  • encourages patients electing to receive treatment abroad to seek care at health care institutions that have met the standards for accreditation established by recognized accrediting organizations.
  • encourages patients electing treatment abroad to seek care from surgeons and anesthesiologists certified in their specialties through a process equivalent to that established by the member boards of the American Board of Medical Specialties.
  • encourages patients receiving treatment abroad to obtain a complete set of medical records prior to returning home so that the details of their care are immediately available to their physicians and surgeons in the U.S. Follow-up care at home should be organized prior to travel whenever possible.
  • encourages patients contemplating medical tourism to understand the special risks of combining long international flights and certain vacation activities with anesthesia and surgical procedures.
  • opposes the imposition of provisions for mandatory referral of patients by insurers to health care institutions outside the U.S., unless such provisions are clearly and explicitly stated in the insurance contract and accepted by the subscriber.
  • supports the view that payors referring patients for mandatory treatment abroad should be responsible for the coordination and reimbursement of follow-up care in the U.S., including the management of postoperative complications, readmissions, rehabilitation, and long-term care.

Source: Statement on Medical and Surgical Tourism by ACS

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Healthbase is the trusted source for global medical choices, connecting patients to leading hospitals around the world, through secure and information-rich web portal. To learn more, visit: http://www.healthbase.com Login to get FREE quote. Access is free.Healthbase Logo

007 TOP SECRETS OF MESSING UP YOUR MEDICAL CARE OVERSEAS

Ever heard of botched cosmetic jobs in Brazil or crappy dental work in Mexico? Such situations are very real. Here are the 007 top secrets of messing up your medical care overseas.

Top Secret # 001: Not doing research
Don’t do any research and you will successfully fail in your quest for achieving safe and healthy medical treatment overseas. However, if you do want to go abroad and get quality health care while saving some bucks then consider doing thorough homework and collecting enough information. Some sources of information are: websites offering medical tourism services like Healthbase, news, articlestestimonials, etc. Satisfied medical tourists claim proper research to be a sure-fire way of happy and healthy medical tourism.

Top Secret # 002: Going abroad for a wrong procedure
Your ambulance will not drive you to India during an emergency (or even otherwise). Reasonably, only non-emergency treatments can be considered for medical tourism but not all such treatments fit the criterion as sometimes the travel costs can outweigh the possible savings achievable by going abroad.

Top Secret # 003: Choosing the wrong place
How about going to Thailand for your half-yearly dental cleaning? Superb idea? Not exactly. How about going there for dental implants? Maybe. And for full mouth restoration? Definitely. Choose a wrong place and you will waste your money on medical tourism instead of saving some. Wise medical tourists consider travel cost, lodging cost and number of visits required for full treatment when calculating potential savings.

Top Secret # 004: Choosing an unqualified doctor
Thanks to the power of the Internet, it’s very easy to choose a doctor qualified at accomplishing botched jobs. If you wish to not fall prey to them, better do your homework properly. Check your doctor’s credentials, ask people around and get recommendations from reliable sources to avoid scheduling an appointment with “Dr. Quack”.

Top Secret # 005: Not doing proper planning and preparation
Allowing time for surgery but not for recovery and recuperation? That will require you to modify your itinerary. As a medical tourist you should prepare yourself to stay longer/shorter than expected. If you have travel or tourism on mind, allow time for that as well. A word on arranging your essential documents: Put together your medical records and financial records, acquire passport and visa, and have the information of your important contacts handy. Also, book your travel tickets and hotel rooms well in advance.

Top Secret # 006: Working with a substandard medical tourism agency
There are new agencies cropping up each day. Some of them are there to genuinely help you while others are affiliated with “Dr. Quack”. A good medical tourism agency like Healthbase will have partners that are certified by international or domestic accrediting organizations. It will offer a variety of medical travel services, it will offer numerous medical procedures in many countries, it will have patient testimonials on its website, it will have been covered by media, and much more. Your research will help you identify the good ones.

Top Secret # 007: Failing to follow the right aftercare
Planning to play football the day after your total knee replacement surgery? Ouch, that will hurt! Physical therapy, rest, diet, medication, etc. are all as important as the surgery. Your local doctor might be able to help you with your aftercare so always keep him informed. You might also need his help, for example, for removing sutures or for taking X-Rays.

Remember to avoid the above 7 mistakes and your medical tourism abroad will be happy, healthy and successful.

Register to get your FREE personalized quote for any medical procedure abroad.

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