Saúde Medical Wellnessでは、製品の完全なトレーサビリティを確保するため、COFEPRIS認可のバンク由来の間葉系幹細胞を使用しています。ラモン・ラファルグ医師が再生医療プロトコルを主導し、再生医療認定国家委員会の講演者も務めています。初回の診察料は通常約50ドルで、ビデオ通話または対面での診察が含まれます。同クリニックでは、関節の摩耗に対するPRP療法やエクソソーム療法などを含む、個別化プログラムを提供しています。海外からの患者は、遠隔での医学的モニタリングを受けながら、3～7日間の調整済みプログラムを利用できます。
","text_type":"mt_wow_description","best_texts":{"techniques":"間葉系幹細胞療法、エクソソーム療法","good_fit_for":"非外科的アプローチを希望する軽度から中等度の関節炎患者","why_its_ranked":"COFEPRIS認定バンク由来の間葉系幹細胞が安全性を保証します。エクソソームとPRPを用いた非外科的プロトコル。再生医療専門医による画像診断に基づいた個別化計画。"},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8688,"alias":"health-medical-wellness-longevity","name":"Health Medical Wellness & Longevity","short_description":"Saúde Medical Wellness & Longevityは、メキシコのケレタロにあるブティッククリニックです。当センターは、再生医療、整形外科、および美容医療を専門としています。慢性疼痛、関節の摩耗、代謝の健康に重点を置いており、変形性関節症、スポーツ外傷、椎間板ヘルニアに対する非外科的治療を提供しています。また、パーソナライズされたプロトコルに基づき、疲労や加齢の悩みに対応する「Longevity 360」プログラムも実施しております。
医療ディレクターのラモン・ラファーグ医師は、国内の再生医療委員会の代表を務めています。当クリニックでは、COFEPRIS（メキシコ連邦衛生リスク保護委員会）の認可を受けた施設が提供する細胞製品のみを使用しており、間葉系幹細胞、エクソソーム、成長因子を用いた治療を行っています。治療プロトコルは、個別診断、画像検査、バイオマーカー分析に基づいて構築されます。長寿プログラムでは、1日から7日間の滞在型プランをご用意しています。海外からお越しの患者様には、専任のコーディネーターによるサポート、遠隔フォローアップ、および包括的なウェルネスケアを提供いたします。
","images":[{"base_url":"clinic/6ab7e5d7141bf","title":"Doctor in white coat at Health Medical Wellness & Longevity clinic"},{"base_url":"clinic/6ab7e5ddc157a","title":"Reception area at Health Medical Wellness & Longevity clinic with modern decor"},{"base_url":"clinic/6ab833938ccfc","title":"Doctor consultation room at Health Medical Wellness & Longevity clinic"},{"base_url":"clinic/6ab833d6ca7e7","title":"Doctor consultation room at Health Medical Wellness & Longevity clinic"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_parsed_from_docs","value":true},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"メキシコ","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"ケレタロ","id":1659,"alias":"queretaro"},"address":"C. Mompaní #116, Manzanares, 76226 Santa Rosa Jáuregui, Querétaro, Mexico"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":7,"year_foundation":2026},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":88},"doctors":{"doctors":[{"doctor":{"id":19799,"alias":"ramon-lafargue","name":"Ramón Lafargue","clinic_id":8688,"photo":"doctor/6ab7e684d87b9","first_year_working":2016,"created_at":"2026-09-26T15:36:35.204+00:00","short_description":"ラモン・ラファルグ医師（Dr. Ramón Lafargue）は、ケレタロのSaúde Medical Wellness & Longevityの医療ディレクターです。専門分野は再生医療、長寿医学、細胞療法です。ラファルグ医師はグランマ医科大学（Universidad de Ciencias Médicas Granma）で医学の学位を取得しました。診断結果に基づき、医学的根拠のある治療プロトコルを構築しています。
Saúde Medical Wellness & Longevityは、メキシコのケレタロにあるブティッククリニックです。当センターは、再生医療、整形外科、および美容医療を専門としています。慢性疼痛、関節の摩耗、代謝の健康に重点を置いており、変形性関節症、スポーツ外傷、椎間板ヘルニアに対する非外科的治療を提供しています。また、パーソナライズされたプロトコルに基づき、疲労や加齢の悩みに対応する「Longevity 360」プログラムも実施しております。
医療ディレクターのラモン・ラファーグ医師は、国内の再生医療委員会の代表を務めています。当クリニックでは、COFEPRIS（メキシコ連邦衛生リスク保護委員会）の認可を受けた施設が提供する細胞製品のみを使用しており、間葉系幹細胞、エクソソーム、成長因子を用いた治療を行っています。治療プロトコルは、個別診断、画像検査、バイオマーカー分析に基づいて構築されます。長寿プログラムでは、1日から7日間の滞在型プランをご用意しています。海外からお越しの患者様には、専任のコーディネーターによるサポート、遠隔フォローアップ、および包括的なウェルネスケアを提供いたします。
","images":[{"base_url":"clinic/6ab7e5d7141bf","title":"Doctor in white coat at Health Medical Wellness & Longevity clinic"},{"base_url":"clinic/6ab7e5ddc157a","title":"Reception area at Health Medical Wellness & Longevity clinic with modern decor"},{"base_url":"clinic/6ab833938ccfc","title":"Doctor consultation room at Health Medical Wellness & Longevity clinic"},{"base_url":"clinic/6ab833d6ca7e7","title":"Doctor consultation room at Health Medical Wellness & Longevity clinic"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_parsed_from_docs","value":true},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"メキシコ","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"ケレタロ","id":1659,"alias":"queretaro"},"address":"C. Mompaní #116, Manzanares, 76226 Santa Rosa Jáuregui, Querétaro, Mexico"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":7,"year_foundation":2026},"accreditations":[]}}],"meta":{"total_count":1,"total_pages":1}},"reviews":{"reviews":[{"id":18974,"user":{"id":769150,"name":"Russell Everett Whiteis Jr.","country_code":"US","country_name":{"jp":"アメリカ合衆国","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"jp":"イザベラ・ベルナスキナ医師は、私を本当に助けたいと思ってくれました。彼女はとても効率的で、様々な症状に対する幹細胞の使用についてかなりの経験を持っています。彼女は自分のしていることを信じていますし、過去に自分も幹細胞を使ったことがあります。また、彼女はとても健康的なライフスタイルを送っており、治療の効果を最大限に引き出すために健康的なライフスタイルを推奨しています。 幹細胞やその他の治療法を患者の健康に役立ててきた長い歴史があります。私は彼女の方法と知識にとても満足しており、さらなる治療が必要な場合はまた彼女に診てもらうつもりです。これ以上の献身的な対応は望めません。彼女は治療後も私の体調を気にかけてくれ、治療後の私の気持ちを心から心配してくれているようでした。","en":"Dr. Isabella Bernaschina was very interested in truly helping me. She was very efficient and she has considerable experience in the use of stem cells for many different conditions. She believes in what she is doing and has used stem cells herself in the past. She also lives a very healthy lifestyle and encourages a healthy lifestyle to gain the most benefit from treatment. She simply practices what she preaches and she has a long history using stem cells and other modalities to benefit the health of her patients. I was very pleased with her methods and knowledge and I plan to see her again if i need further treatment. I could not ask for more dedicated attention. She followed up after treatment to see how i was feeling and seemed to sincerely care about how I felt after treatment."},"order":{"operation":{"id":139,"name":{"jp":"幹細胞療法","en":"Stem Cell Therapy"}}},"doctor_info":{"id":7454,"name":"Isabella Bernaschina ","alias":"isabella-bernaschina"},"clinic_info":{"id":5335,"name":"Juventa Regenerative Medicine ","alias":"juventa","flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}]},"created_at":"2025-03-03T04:29:43.244+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"Bookimedはとても仕事がしやすく、治療予定やアメリカからクリニックへの渡航の詳細について、私が満足しているか何度も確認してくれました。メキシコに行く直前にも何度も確認してくれました。彼らは私の渡航や醜態をチェックし、私が渡航や治療のすべての面で満足しているかどうか、心から興味を持っているようでした。","en":"Bookimed was very easy to work with and checked with me numerous times to be sure i was happy with the treatment scheduled and the details of travel to the clinic from the US. They checked on me more than once and right before my travel to Mexico for treatment. They checked on my travel and abominations and seemed to be sincerely interested if I was satisfied with all aspects of the travel and treatment."},"summary":{"positive":{"jp":"彼女の方法と知識に非常に満足しており、さらなる治療が必要な場合は再度彼女にお世話になる予定です。","en":"I was very pleased with her methods and knowledge and I plan to see her again if i need further treatment."}}},{"id":19418,"user":{"id":688635,"name":"Paul ","country_code":"CA","country_name":{"jp":"カナダ","en":"Canada"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":4},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"jp":"Bookimedのアンナと助け合える関係になれたことを嬉しく思います。私たちの話し合いは数カ月に及んだが、彼女はいつも親身になって時間を惜しみなく使ってくれた。ジュベンタによる残りの治療に関しては、すべてが計画通りに進んだ。初日、私は1億2500万個の細胞と60億個のエクソソームを点滴で投与され（予定通り）、変形性関節症でいっぱいだった親指の関節には2500万個を投与された。日目にはNADの点滴とプラセンタの皮下移植を受けた。ベルナスキアさんは親身で有能な人です。仕事は、親しみやすく、プロフェッショナルで、敬意を持って行われました。","en":"I am pleased to be in a helping relationship with Anna from Bookimed. Our discussions lasted several months and she was always very accommodating and generous with her time. As for the rest of the treatment with Juventa, everything went according to plan. On the first day, I received 125 million cells and 6 billion exosomes in the IV (as planned), and 25 million in the joint of my thumb, which was full of osteoarthritis. On the second day, I received IV NAD and a subcutaneous placenta implant. Mrs Bernaschia is empathetic and competent. The work was carried out in a relational, professional and respectful manner."},"order":{"operation":{"id":139,"name":{"jp":"幹細胞療法","en":"Stem Cell Therapy"}}},"clinic_info":{"id":5335,"name":"Juventa Regenerative Medicine ","alias":"juventa","flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}]},"created_at":"2025-04-05T10:08:37.682+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"Bookimedはプロフェッショナルなサービスです。BookimedのAnnaと一緒に、私は最善の決断をするために必要なすべての情報を受け取りました。異なるクリニックから複数の見積もりを受け取り、十分な情報に基づいた選択をすることができました。Bookimedでは、ウェブ上の詐欺の可能性から守られていると感じました。いくつかの見積もりをもらい、担当のAnnaと交渉して、最もお得な価格で購入することができました。","en":"Bookimed is a professional service. With Anna from Bookimed, I received all the information I needed to make the best possible decision. I received several quotes from different clinics and was able to make an informed choice. With Bookimed, I felt protected against possible scams on the web. I was given several quotes and was able to negotiate with Anna, your representative, to get the best value for money."},"summary":{"positive":{"jp":"ベルナスキア夫人は共感力があり、有能です。","en":"Mrs Bernaschia is empathetic and competent."}}},{"id":14655,"user":{"id":541074,"name":"Vijaya ","country_code":"CA","country_name":{"jp":"カナダ","en":"Canada"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":1},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"jp":"この場所が大好きです。Bookimedは私を適切な病院に導いてくれ、現在回復期間中です。この治療に非常に満足しており、痛みのない治療でお金と時間の価値がありました。GIOSTARメキシコでのこの細胞移植治療により、脊髄小脳失調症が改善されることを望んでいます。再びBookimed社とGIOSTAR病院のスタッフの皆様に感謝いたします。","en":"I love this place. Bookimed direct me to the correct hospital and I’m on recovery period now. I’m very much satisfied with this treatment.pain free treatment and worthy for my money and time. Hope my Spine cerebral ataxia will reverse from this cell transplant treatment from GIOSTAR Mexico.. Thank you again to Bookimed company and GIOSTAR hospital staff s."},"order":{"operation":{"id":139,"name":{"jp":"幹細胞療法","en":"Stem Cell Therapy"}}},"clinic_info":{"id":1687,"name":"Giostar Stem Cell Therapy | Cancun Clinic","alias":"giostar-stem-cell-therapy-mexico","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2024-03-21T13:58:29.754+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"what_like_text":{"jp":"治療","en":"Treatment"},"what_not_like_text":{"jp":"価格","en":"Price"}},"comment_about_bookimed":{"jp":"ブックイメッドは私を適切な病院に案内しました","en":"Bookimed directed me to the correct hospital"},"summary":{"positive":{"jp":"この場所が大好きです。","en":"I love this place."}}},{"id":11627,"user":{"id":472800,"name":"Terence ","country_code":"GD"},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2},{"name":"nps","value":7},{"name":"manager","value":5}],"text":{"jp":"一般的には不満はありません。医療チームはプロフェッショナルで、とても注意深かったです。施設は清潔で、高い衛生基準が維持されていました。ホテルからの送迎はいつも時間通りでした。全体的な経験は素晴らしく、良い結果を楽しみにしています。","en":"Generally I have no complaints.The medical team was professional and very attentive The facility was clean and maintained high hygienic standards.Pickup from the hotel was always punctual. The overall experience was great and I look forward to good results."},"order":{"operation":{"id":139,"name":{"jp":"幹細胞療法","en":"Stem Cell Therapy"}}},"clinic_info":{"id":1687,"name":"Giostar Stem Cell Therapy | Cancun Clinic","alias":"giostar-stem-cell-therapy-mexico","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2023-05-19T16:04:20.908+00:00","flags":[{"name":"would_recommend","value":true},{"name":"is_anonymously","value":false},{"name":"is_approved","value":true},{"name":"is_notification_sent","value":false},{"name":"has_client_feedback","value":true},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"全体的な経験は素晴らしかったです。","en":"The overall experience was great"}}},{"id":13543,"user":{"id":542389,"name":"Lucas Trifunovski ","country_code":"AU"},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"jp":"クリニックは空港の送迎から始まり、その間のすべてにおいて素晴らしかったです。 クライアントサポートも素晴らしく、医師と看護師は非常に注意深く、サポートを惜しまず、非常にプロフェッショナルでした。","en":"The clinic was great from stary to finish. from the airport collection and everything else in between Client support was great, the doctors and nurses were very attentive, supportive and very professional."},"order":{"operation":{"id":139,"name":{"jp":"幹細胞療法","en":"Stem Cell Therapy"}}},"clinic_info":{"id":3702,"name":"Immunotherapy Regenerative Medicine","alias":"immunotherapy-regenerative-medicine","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2023-11-30T14:39:39.627+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"jp":"クリニックは空港からの送迎から始まり、全体を通して素晴らしかったです。 クライアントサポートは素晴らしく、医師や看護師は非常に丁寧で、親身で、非常にプロフェッショナルでした。","en":"The clinic was great from stary to finish. from the airport collection and everything else in between Client support was great, the doctors and nurses were very attentive, supportive and very professional."},"what_like_text":{"jp":"すべてのスタッフによる細部への注意","en":"Attention to detail by all staff"}},"comment_about_bookimed":{"jp":"治療オプションを十分に提供し、全体のプロセスを非常にスムーズにしてくれました。","en":"Gave me.plenty of treatment options, and made the whole process very seamless"},"summary":{"positive":{"jp":"そのクリニックは初めから終わりまで素晴らしかったです。","en":"The clinic was great from start to finish."}}},{"id":15428,"user":{"id":612770,"name":"Jeffrey Wolf","country_code":"US","country_name":{"jp":"アメリカ合衆国","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":0},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"jp":"すべてが素晴らしかったです。医師は素晴らしい人格者であり、彼女の専門知識は期待を超えていました。","en":"Everything was excellent. The dr. Was a wonderful person and her expertise was beyond expectations."},"order":{"operation":{"id":139,"name":{"jp":"幹細胞療法","en":"Stem Cell Therapy"}}},"clinic_info":{"id":5335,"name":"Juventa Regenerative Medicine ","alias":"juventa","flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}]},"created_at":"2024-05-20T23:06:40.567+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"優れたコミュニケーションとフォローアップ。","en":"Great communication and follow through."},"summary":{"positive":{"jp":"先生は素晴らしい方で、彼女の専門知識は期待以上でした。","en":"The dr. 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physician"]},{"phase":"Weeks 1-2","description":"Gradual return to daily activity and gentle range-of-motion exercises.","restrictions":["No running or impact sports","Avoid heavy loading of the treated joint"]},{"phase":"Weeks 2-6","description":"Progressive strengthening and low-impact exercise.","restrictions":["Return to high-impact sport only when cleared"]},{"phase":"Months 3-6","description":"Pain and function reassessed at follow-up; any benefit may emerge gradually.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to everyday activity after a single knee injection; structured strengthening may continue longer."},"result_longevity":"Symptom relief often lasts several months to about 1-2 years; some patients get no lasting benefit.","revision_rate_pct":{"min":5,"max":25,"unit":"percent","qualifier":"Repeat injection or joint replacement within about 2 years"},"scars":"Minimal scarring; tiny puncture or small incision marks at harvest and injection sites.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single treatment session with same-day harvest, processing and injection."},"stages":[{"code":"harvest_and_inject","label":"Harvest of autologous cells, processing and intra-articular injection","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day as the start of treatment."}}],"qualifier":"Typical protocol for one knee; repeat injections are optional."},"success":{"metric":null,"value":null,"unit":null,"horizon":null,"population":"Adults with mild to moderate knee osteoarthritis, single autologous injection","evidence_status":"not_proven"},"techniques":[{"name":"Bone marrow aspirate concentrate (BMAC) knee injection","suits_whom":"Adults with mild to moderate knee osteoarthritis, specialist-assessed","recovery":"Iliac crest harvest-site soreness for several days; everyday activity resumes over 1-2 weeks."},{"name":"Adipose-derived stromal vascular fraction knee injection","suits_whom":"Adults with knee osteoarthritis and adequate fat for mini-liposuction","recovery":"Abdominal or thigh harvest-site soreness and bruising for about 1-2 weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"One session for one joint, including harvest, processing and injection."},"initial_assessment_documents":["Knee MRI report and images","Weight-bearing knee X-rays","Orthopaedic diagnosis report","List of blood thinners","Recent blood test results","Previous knee injection and surgery records (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Same-day harvest, processing and injection; stay 2-3 days, with follow-up checks usually done remotely or at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team who 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":"C2","text":"Confirm how your aftercare will be coordinated before you commit to treatment","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}},{"id":"C3","text":"Check that you can put your questions about the treatment to the team","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 been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision is a warning sign before booking treatment abroad","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":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"No discussion of possible complications before booking is a warning sign","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":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Injection site pain not improving after two days","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mskcc.org/cancer-care/patient-education/about-hyaluronate-injections-your-knee","host":"mskcc.org","quote":"Pain at the injection site that doesn't start to feel better after 48 hours (2 days).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Warmth in or by the knee","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mskcc.org/cancer-care/patient-education/about-hyaluronate-injections-your-knee","host":"mskcc.org","quote":"Warmth in or by your knee.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Fever of 100.4 degrees or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://www.mskcc.org/cancer-care/patient-education/about-hyaluronate-injections-your-knee","host":"mskcc.org","quote":"A fever of 100.4° F (38.3° C) or higher.","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 doctor needs procedure details to assess the patient and plan follow-up","document":"procedure or treatment note","source":{"url":"https://blogs.imperial.ac.uk/medical-centre/2026/01/16/managing-complications-of-overseas-medical-procedures/","host":"blogs.imperial.ac.uk","quote":"Frequently, there is limited or no access to operative notes, discharge summaries, or detailed information about the techniques and materials used, making clinical assessment and safe follow-up difficult.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription 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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":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your knee pain persists despite conservative treatment","name":"Corticosteroid knee injection","source":{"url":"https://sportsmedicine.mayoclinic.org/condition/kneearthritis/page/1","host":"sportsmedicine.mayoclinic.org","quote":"When conservative treatments are inadequate, a knee joint injection with corticosteroid or hyaluronate (lubricant) may be recommended.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your knee osteoarthritis is widespread across the joint","name":"Total knee replacement","source":{"url":"https://sportsmedicine.mayoclinic.org/condition/kneearthritis/page/1","host":"sportsmedicine.mayoclinic.org","quote":"With more diffuse knee osteoarthritis, a total knee replacement (arthroplasty) may be the best option.","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":"bone-marrow-aspirate","name":"Bone marrow aspirate concentrate (BMAC) knee injection","how_it_works":{"text":"Bone marrow stem cells from the hip are used in the knee","source":{"url":"https://www.healthline.com/health/total-knee-replacement-surgery/alternatives","host":"healthline.com","quote":"This experimental treatment uses bone marrow stem cells from the hip to help regenerate cartilage tissue in the knee.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"adipose-derived-stromal","name":"Adipose-derived stromal vascular fraction knee injection","how_it_works":{"text":"Fat is collected by liposuction as a rich source of cells","source":{"url":"https://www.eoc.nhs.uk/research/","host":"eoc.nhs.uk","quote":"Adipose tissue is a preferred source because it is thought to be a rich source of cells and easy to access using 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