Garisha D – Spinal Surgery Medical Tourism Patient Experience

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Garisha D from Idaho, USA

She contacted Healthbase who arranged medical care trip to India to treat her Spinal condition. She underwent Spinal Surgery in Wockhardt-Fortis Hospital, Bangalore, India with Dr.Rajakumar. Her post-op recovery is going very well. She likes to share her experience.

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Garisha`s Experience

First off, I want to say a BIG thank you! Great communication from the beginning and very responsive to any questions I had, help put me at ease from the start. Quick to respond and even called. 
I could never thank you all enough for the wonderful care I received whilst in India. Everyone was wonderful, from the sisters to the people bringing and clearing my food. I had a wonderful experience and will sing praises of the staff and facilities of the Fortis Hospital in Bangalore! 
I wouldn`t hesitate in recommending the website or hospital. THANK YOU, THANK YOU, THANK YOU!!!!
Forever grateful
 
Garisha D

Viviana P – Deltamotion Hip Implant Surgery Medical Tourism Patient Experience


Viviana P from Panama suffered from right hip end stg arthritis. So she contacted Healthbase who arranged medical care trip to India to treat her orthopaedic condition. She underwent Deltamotion hip Surgery in Apollo Specialty Hospital in Chennai, Tamilnadu, India performed by Dr.Vijay Bose.

Viviana`s Comments

There are  many things that come to my mind. My medical experience was  extraordinary, I felt very well taken care of by the doctors  and in general, by the hospital personel.  Healthbase is very well organized and keep ahead of every detail, thank you.
Also I had the best opinion of indian people. all of them were very special  and kind to me.

Viviana Baker

Healthbase Customer – Paul C- Hip Resurfacing Surgery Experience


Paul C from Canada suffered from arthritis of the hip with bone on bone changes. So he contacted Healthbase who coordinated medical care trip to India to treat his orthopaedic condition. He underwent Hip Resurfacing Surgery in Apollo Specialty Hospital in Chennai, Tamilnadu, India performed by Dr.Vijay Bose.

Paul`s Experience


Just to say we are home safe and sound after a highly successful trip

I am amazed at how good my hip feels even less than two weeks out of surgery
Nothing but praise for Dr. Bose and his team – the professionalism and coordination was exemplary.
 
Thanks to you and Healthbase for all the help in setting the process into motion.
 
Thanks

Paul Connor

Healthbase Customer – Sandy S – Deltaceramic on Deltaceramic Hip Replacement Surgery Medical Tourism Patient Testimonial


Sandy S from Washington (WA), USA suffered from significant dysplasia and sec. OA. She contacted Healthbase who arranged medical care trip to India to treat her orthopaedic condition. She underwent delta ceramic on delta ceramic hip surgery in Apollo Specialty Hospital in Chennai, Tamilnadu, India performed by Dr.Vijay Bose. 

Healthbase facilitated her complete medical travel including medical records transfer, clarification of her questions with the specialist, travel arrangement like hotel room booking, airport pickup arrangement, and visa assistance.

Sandy`s Testimonial

I am doing excellent! I have never experienced any pain, still continuing with exercises for my hip . I share my story with those that know and don`t know of my trip to India and Dr. Bose and about Healthbase. I would do it all again if the need arises. The experience was diffiently life changing for me! I cannnot say enough awesome things about Sara from Healthbase,my questions were always answered in a timely  manner ,and we never felt we were alone on our journey. I would be more than willing to give my number to speak to anyone about our trip and Dr.Bose! In one word it was amazing! Thanks again!
Sandy Steele

Bloomberg recently reported a story that highlighted the recommendations of the U.S. Preventive Service Task Force on yearly mammograms for women aged 40 and above. According to the story, the guidelines released by the task force suggested that annual mammograms for most women in their 40s have more drawbacks than benefits and therefore, women should wait until age 50 to start getting breast cancer screening tests every two years.

Here is the story:

November 17, 2009

Annual mammograms for most women in their 40s have more drawbacks than benefits, said a panel of U.S. doctors that recommended women wait until age 50 to start getting breast cancer screening tests every two years.

The change in guidelines released by the U.S. Preventive Service Task Force, a government-backed physician group, said women in their 40s are more likely to get false-positive tests that can lead to unnecessary biopsies and anxiety. The recommendations, which also said that self-examinations were unnecessary, don’t apply to women who carry a high risk for breast cancer. Those women should talk to their doctors about when to get screening, the panel said.

The new guidelines, published yesterday in the Annals of Internal Medicine, pit the task force against the American Cancer Society, which insisted doctors should still advise women to undergo routine annual screening starting at age 40. About 64 percent of women ages 40 to 49 had an X-ray of their breasts during the past two years, the panel’s report said.

“This is not a blanket recommendation not to worry until age 50,” said Diana Petitti, a disease epidemiologist at Arizona State University in Tempe, Arizona, and vice chair of the panel. “It’s a recommendation to have a discussion with your physician to better understand the trade-offs between starting exams now and starting later.”

Imaging machines for mammograms, and related supplies, are marketed by Fairfield, Connecticut-based General Electric Co., Bedford, Massachusetts-based Hologic Inc. and Munich-based Siemens AG.

Insurer Coverage

J. Leonard Lichtenfeld, the American Cancer Society’s deputy chief medical officer, said the panel’s guidelines may affect insurance payouts. ‘Our hope is that insurers will not make any change in coverage,” Lichtenfeld said.

WellPoint Inc., the top U.S. health insurer by enrollment with 34 million members, pays for annual mammograms for women age 40 in the majority of its health plans. The Indianapolis- based company periodically reviews its reimbursement policies and “doesn’t adhere to any one source” for guidance, said Jill Becher, a company spokeswoman in Milwaukee.

The new guidelines, if widely adopted by physicians and insurers, could reduce the number of U.S. mammogram screenings by 58 percent, from the current 37.2 million annually to 15.6 million under a “worst-case scenario,” Junaid Husain, a Boston-based analyst at Soleil Securities, wrote in a note to investors today.

Detecting Cancer

Mammograms, self-breast examinations, and doctor’s exams are the three main forms of detecting breast cancer. The task force said there was no evidence that self-exams reduce breast- cancer deaths, and insufficient information exists to recommend that doctors do routine physical exams.

The mammograms are used to check for breast cancer in women who have no signs or symptoms of the disease, and also to check for breast cancer after a lump or other signs of cancer have been found, according to the National Cancer Institute.

Breast cancer is the second-leading cause of cancer-related deaths among U.S. women, after lung cancer, killing 40,480 women in 2008, according to the task force report.

The task force analyzed published research and developed computer-simulation models to evaluate the likely health outcomes if mammograms were begun at certain ages and done every one or two years.

Deaths, False Positive Tests

The study confirmed earlier research that women who have mammograms die less frequently of breast cancer than those who don’t have the tests. About two deaths per 1,000 women are averted if women begin annual screenings rather than exams every two years starting at age 40, the task force estimated.

It also estimated that women who begin getting mammograms at 40 will have about 60 percent more false positive results per 1,000 exams than women who start screenings at age 50. A false positive, in which an abnormality is seen that proves not to be cancer, typically leads to additional screenings and tissue biopsies, the panel’s researchers said.

The cancer society challenged the reliability of the task force study’s methods.

“We are reluctant to recommend changing a proven program that has helped to save lives,” Lichtenfeld said. The society questions whether the task’s force computer modeling “is sufficiently sophisticated and accurate enough,” he said.

High-Risk Women

The recommendations aren’t intended for women older than 40 who have a higher risk for breast cancer. Increased risk can come from having a gene mutation linked to breast cancer or having been exposed often to chest radiation, which can raise the probability of breast cancer.

The task force said it didn’t make recommendations for these higher-risk groups because it lacked sufficient data to know the benefits of more frequent screening tests.

Women’s health groups varied in their responses to the new guidelines.

Susan G. Komen for the Cure, the Dallas-based breast cancer advocacy group, said it won’t change its recommendation that women ages 40 to 49 get annual mammograms. “We would not want to see a change in policy or reimbursement for screening mammography at this time,” said Eric Winer, the group’s chief scientific adviser, in a statement.

The task force’s recommendations were applauded by the National Breast Cancer Coalition, a Washington-based advocacy group, which said the guidelines support its position.

‘Deserve the Truth’

“Women deserve the truth even when it is complicated,” said Fran Visco, the coalition’s president, in a statement. “They can accept it.”

The American College of Obstetricians and Gynecologists rejected the task force’s recommendations, maintaining its guidelines that women in their 40s be screened every one to two years and women age 50 and older get annual exams, according to a statement issued by the group on Monday.

Researchers and physicians know that results from the X- rays aren’t as reliable in younger women as in older women. Women in their 40s typically have denser breast tissue, making it more difficult for technicians to determine if an image is normal or cancerous.

After women enter menopause, typically about age 50, the breast tissue becomes less dense and more fat, and the X-rays can be more accurately interpreted, said Susan Love, president and medical director of the Dr. Susan Love Research Foundation in Santa Monica, California.

‘Long Overdue’

The panel’s suggestions for women ages 40 to 49 are “long overdue,” said Love in a telephone interview. “Most countries in the world do not do mammography screening until age 50.”

“There is a lot of anxiety created when someone tells you that there is something that showed up in a test,” said Karla Kerlikowske, an epidemiologist at the University of California, San Francisco, Medical Center who wrote an editorial accompanying the task force report.

Subsequent exams expose women to more radiation, and although biopsies are “low risk,” some patients develop infections or experience pain and bruises, she said.

Screening women ages 50 to 74 every two years “achieves most of the benefit of annual screening with less harm,” the task force said. Now women in the older age group get a mammogram, on average, every 14 months, according to the report.

In forming its guidelines, the task force’s “biggest concern” was that women would be confused by conflicting advice from health experts or wrongly interpret the panel’s message as a blanket recommendation for those ages 40 to 49 to forego screening until they turn 50, Petitti said.

Risks, Preferences

Instead, decisions by women younger than 50 and their doctors should be based on “the risk for breast cancer and preferences about the benefits and harms” the task force wrote in the study.

Although the recommendations are “very clear and thoughtful,” women are likely to be confused by the different advice of health experts, Kerlikowske said.

It may be difficult to persuade many women in their 40s who have been told by their doctors for years that annual screenings are beneficial to accept the panel’s recommendations, said the cancer society’s Lichtenfeld.

“The task force is saying you can get 70 percent of the benefit if you get a mammogram every two years compared with every year,” Lichtenfeld said. “There will be women who say, ‘I want 100 percent of the benefit.’”

Source: Bloomberg

FREE cost estimate for surgery in any of the 18 countries supported by Healthbase

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Healthbase, the leading US-based medical tourism provider, has partnered with a JCI accredited German hospital in order to bring wider options and greater convenience to Americans, Canadians, Europeans and others looking for affordable, timely and high quality medical and dental treatments.

Healthbase Online Inc., the leading and award-winning medical tourism facilitator based in Boston, MA, has announced partnership with a Joint Commission International accredited hospital in Germany. With the addition of this JCI accredited hospital, Healthbase now has a network of over 100 health care and dental care providers spread across 18 countries. For the medical tourist it means more choices, wider variety and greater convenience.

According to Saroja Mohanasundaram, CEO of Healthbase, “With growing demands from our consumer base for a quality tertiary medical care center in Europe, we are excited to have our newest Germany-based healthcare provider onboard. Our new member provider is JCI-accredited thereby giving the peace of mind to our patients regarding the high standards of quality that will be delivered by it. Our German provider offers a full complement of services and is an excellent choice for patients looking for orthopedic, spinal and bariatric treatments at a much discounted rate compared to USA and much faster access to service compared to that offered by public health care systems in Canada or the UK.”

For patients from Europe, especially from the European Union (EU), this would be as good as going to a local hospital with the advantage of high or higher standard of service and without the inconvenience of the infamous waitlists as seen in government-sponsored healthcare systems such as the National Health Service or NHS in the United Kingdom.

The hospital offers procedures like joint replacement procedures (such as hip replacement surgery and knee replacement surgery), spinal procedures (such as spine fusion surgery and artificial disc replacement surgery), and weight-loss procedures (such as lap band surgery, gastric bypass or RNY procedure and gastric sleeve surgery), among hundreds of other procedures.

The favorable geographical location of Germany means that for patients coming from North America the flight times are shorter compared to other famous medical tourism destinations such as those in Asia. For those traveling from other European countries it is at a stone’s throw.

Mohanasundaram adds, “We have carefully chosen our German provider after a rigorous selection process keeping in mind all aspects of affordable, safe and top quality medical tourism care. Patients can expect as much as 50 to 70% less cost compared to the cost of care in other developed countries such as the United States. Also, the staffs at our German provider speak English, thus, making communication easy.”

Healthbase has the biggest and geographically most expanded network of healthcare and dental care providers in the industry. Patients have a wide selection of destinations to choose from for their low cost high quality medical care and dental care needs. These include Germany, India, Thailand, Singapore, South Korea, Malaysia, Philippines, New Zealand, Jordan, Turkey, Hungary, Belgium, Spain, Costa Rica, Panama, Brazil, Mexico, and USA.

Healthbase serves the American, Canadian, European, African, Asian, Middle-Eastern and Asia Pacific markets, and offers more than 200 procedures.

About Healthbase Online Inc.:
Healthbase, an award-winning US-based medical tourism and dental tourism facilitator, is a one-stop source for global medical and dental choices, connecting patients to leading internationally accredited healthcare providers in 18 countries including India, Thailand, Singapore, South Korea, Turkey, Germany, Panama, Costa Rica, Mexico and USA. Healthbase caters to individual consumers, self-funded businesses, insurers, benefits plan consultants, third party administrators and those using Consumer Directed Healthcare Plans (CDHPs) or voluntary benefit plans. Healthbase coordinates over 200 procedures in various categories like orthopedic, spinal, cardiac, bariatric, urology, oncology, dental, cosmetic and general surgery. Some of the common procedures offered are Birmingham hip resurfacing, total hip replacement, knee replacement, ACL repair, rotator cuff surgery, spinal fusion, spinal disk replacement, heart bypass surgery, lap band, gastric bypass, cancer treatment, liposuction, dental implants, crowns, bridges, etc. for a fraction of the cost in the US with equal or superior outcomes. To ensure that patients receive the best care possible, Healthbase works mainly with hospitals that have international accreditations like JCI. To learn more, call 1-888-691-4584, email info.hb @ healthbase.com or visit http://www.healthbase.com.

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An excellent article appeared recently in Dallas News that talked about the health care systems in other Western countries and what America can learn from them to resolve its health care woes. Here is the article for a good read…

Tackling the high cost of health care is politically bruising and difficult work around the world. Among developed countries, only the Norwegians rival our level of spending. The French wrestle with rising costs every year. The Canadians are searching for a better model, and have had their eyes on France. But for all their troubles, the French and the Canadians – two bogeymen in the American reform debate – spend much less and live longer than we Americans.

In the last five years, I’ve spent time reporting on health care in 10 other countries to see what they might offer in the way of suggestions to improve the American way of medicine. No one has a perfect system. No one has a permanent solution. But medical spending can be slowed without sacrificing quality. Some do it with government price controls and government doctors, while some do it with government acting as a referee. Neither approach is fatal to medical quality.

The Swiss, the French and the Canadians all use very different approaches to get at the problem, but they get there. And when all else fails, there’s still medical tourism. You can get heart bypass surgery, with a tour of the Taj Mahal, in India for less than 10 percent of the U.S. cost – plus a year’s supply of pharmaceuticals.

I met Carlo Gislimberti, a New Mexico restaurateur, in New Delhi in 2005 while he was waiting for a coronary bypass at the Escorts Heart Institute and Research Centre. He’d had three heart attacks. He had no health insurance. His Albuquerque hospital wanted $120,000 for the operation.

Escorts did the job for less than $12,000.

“It was an absolutely wonderful experience with wonderful results,” Gislimberti said last week when I called him in Santa Fe.

“There was only one thing – the luxury is not there. But the knowledge, the quality of nursing, it was absolutely beyond belief. … I would still today recommend to all the people in my predicament to go abroad.”

Medical tourism is no longer a quirky answer for the desperate and uninsured. The health-consulting arm of Deloitte estimates 1.6 million Americans will seek medical treatment in another country this year. U.S. health insurers, looking for ways to lower costs, are exploring policies that cover such travel.

Gislimberti, now 64, sold his restaurant and paints for a living. His heart ailments qualified him for disability under Social Security, and last year he was accepted under Medicare. He had a pacemaker installed by his Albuquerque hospital in an operation last May.

One thing he learned: “If you have insurance, this country is the greatest. But it you don’t have insurance, this is a Third World country.”

Another lesson: Price competition is coming. A study by the McKinsey Global Institute consulting group last fall found that Americans pay 50 percent to 60 percent higher charges for pharmaceuticals, health insurance overhead and physician services than anyone else in the world. That could make medical tourism irresistible, and a competitive risk to the U.S. medical establishment.

Switzerland is intriguing because employers have gotten out of the insurance business. The Swiss government mandates personal health insurance. Everyone shops among scores of insurance companies to buy a policy. The insurers must offer everyone a basic policy and can’t exclude anyone. The government offers subsidies to people who can’t afford a policy, and fines people who don’t get one.

Swiss medical fees are set in annual negotiations between health care providers and insurers that must win the approval of the canton parliament. (Insurers and hospital chains do the same thing here, but those negotiations are seldom among equals and don’t have a referee like the canton parliament.)

One result of the Swiss approach is that consumers gravitate toward high-deductible policies – insurance that costs less per month, but takes more out of your wallet when you see a doctor. And because they’re paying for it, the Swiss are more cost-conscious health consumers. The Swiss spend about a third less than Americans for medical care.

France and Canada both have national health insurance. In France, this is like Medicare for all. There’s a gap of 30 percent to 40 percent between what the government insurance covers and what health care costs, so a lively market exists for private, supplemental insurance policies.

Doctors can choose compensation under a government schedule revised every year, or they can charge what they like – and forgo a government pension.

Canadians may, famously, wait for nonurgent treatments and surgeries. But they’re quicker to rally around a public health issue like obesity, because the insurance mechanism is part of the provincial government.

“Our wait lists are coming down, but they’re still substantially more than yours,” said Canadian health economist Steven Lewis. “But your system is twice as expensive. It doesn’t insure 45 million people, it underinsures another 45 million, and overall you have a less healthy population. Is that worth sustaining?”

In the current health care debate in Washington, no one argues that we should throw out the U.S. health care model for an import. There are models closer to home – like Temple’s Scott & White – worth emulating.

But there are plenty of places that spend less for equal or better care. It can be done.

By Jim Landers

Further reading:
Medical tourism
Domestic medical tourism
FREE surgery quote

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