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"},"rating":{"rating":4.4,"google":4.4,"percent_of_satisfied_clients":75},"statistics":{"number_of_reviews":8,"doctors_number":130,"year_foundation":2008},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/62e2ea948b5d5.jpeg","name":"国際医療観光認可証明書","country_code":"TR"}]}}],"meta":{"total_count":4,"total_pages":1}},"reviews":{"reviews":[{"id":2114,"user":{"id":134534,"name":"Владислав Потруг","country_code":"MD"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"jp":"すべてが非常によく進み、担当医と医療スタッフは素晴らしく、非常にプロフェッショナルでした。","en":"Everything went very well, the attending physician and the medical staff are great fellows and super professionals."},"order":{"operation":{"id":678,"name":{"jp":"脳腫瘍に対する放射線療法","en":"Radiation therapy for brain tumor"}},"illness":{"id":446,"name":{"jp":"膠芽腫","en":"Glioblastoma"}},"diagnostic":{"id":102,"name":{"jp":"腫瘍専門医の診察","en":"Consultation with an oncologist"}}},"clinic_info":{"id":85,"name":"Medipol Mega University Hospital","alias":"medipol-mega-hastaneler-kompleksi","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2018-09-10T10:02:00.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"結果は素晴らしいです。","en":"The results are excellent."}}},{"id":2751,"user":{"id":107481,"name":"Наталья ","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"jp":"クリニックに行かなければならないと分かった時、「どこに行けばいいのか」「誰に相談すればいいのか」全く見当がつきませんでした。コーディネーターがクリニックを選ぶのをお手伝いしてくれました。そこでは医師が割り当てられました。すべてが見事に進み、医師は本当のプロフェッショナルでした。\n\n特に患者への対応を指摘したいです。空港で出迎えられ、クリニックに案内され、そこで通訳者が待っていました。まさに「手を引いて」医師のもとへ案内してくれて、すべてを通訳してくれました。その後、ホテルまでタクシーが提供されました。\n\n手術中は病室を患者と同行者用に提供され、両者の食事が手術費用に含まれていました。\n\n手術後、医師は相談に応じ、帰国が可能か確認しました。その後も遠隔で生じた質問に回答してくれました。\n\nクリニックを間違いなくお勧めします。","en":"When they learned what was needed in the clinic, they didn’t even know where to run and whom to contact. Coordinators helped to select a clinic. They gave us a doctor. Everything went great, the doctor is a true professional.\r\n Separately, I want to note the attitude to patients. We were met at the airport, brought to the clinic and there was already a translator waiting. Literally \"by the hand\" we were taken to the doctors, everyone translated. Then they provided a taxi to the hotel.\r\n  During the operation, the ward was provided for two people - for the patient and the attendant; both of them were included in the cost of the operation.\r\n  After surgery, the doctor held a consultation, making sure that you can fly back. And only then answered questions remotely that arose.\r\n Clinic definitely recommend"},"order":{"operation":{"id":140,"name":{"jp":"放射線治療","en":"Radiotherapy"}},"illness":{"id":156,"name":{"jp":"基底細胞癌","en":"Basalioma"}},"diagnostic":{"id":102,"name":{"jp":"腫瘍専門医の診察","en":"Consultation with an oncologist"}}},"clinic_info":{"id":410,"name":"Memorial Bahçelievler Hospital","alias":"memorial-bahcelievler-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-01-24T06:57:13.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"医師について: 「医師は真のプロフェッショナルです。」  クリニックについて: 「私たちは空港で迎えられ、クリニックに連れて行かれ、そこで既に通訳が待っていました。文字通り「手を引かれて」医師のもとへ案内され、すべてを翻訳してもらいました。その後、ホテルまでのタクシーを手配してくれました。」  結果について: 「手術中、病室は患者と付き添いの2人用に用意されており、両者とも手術費用に含まれていました。手術後、医師が相談を行い、帰国可能か確認しました。」  経験について: 「コーディネーターがクリニックを選ぶ手助けをし、医師を紹介してくれました。」  最も肯定的な文: 「クリニックをお勧めします。」","en":"\"Clinic definitely recommend.\" Return:  About the doctor: \"The doctor is a true professional.\"  About the clinic: \"We were met at the airport, brought to the clinic and there was already a translator waiting. Literally \"by the hand\" we were taken to the doctors, everyone translated. Then they provided a taxi to the hotel.\"  About the results: \"During the operation, the ward was provided for two pe"}}},{"id":4245,"user":{"id":99409,"name":"Максим Гришай","country_code":"UA","country_name":{"jp":"ウクライナ","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"jp":"イラーデ様、国際部門からの治療手配に感謝申し上げます。すべてが最高水準で行われました。ズルフィヤ様の翻訳に感謝します。ペリン・バスム医師とディレク・ウナル様の専門性とサポートに感謝いたします。","en":"Thank you Irada from the international department for arranging treatment. Everything went at the highest level. Thank you Zulfie for the translation. Thanks to Dr. Pelin BASIM and Dilek Ünal for their professionalism and support."},"order":{"operation":{"id":140,"name":{"jp":"放射線治療","en":"Radiotherapy"}},"illness":{"id":3,"name":{"jp":"乳癌","en":"Breast cancer"}},"diagnostic":{"id":102,"name":{"jp":"腫瘍専門医の診察","en":"Consultation with an oncologist"}}},"clinic_info":{"id":85,"name":"Medipol Mega University Hospital","alias":"medipol-mega-hastaneler-kompleksi","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-07-03T16:10:46.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"翻訳をしていただき、Zulfieさんありがとうございます。","en":"Thank you Zulfie for the translation."}}},{"id":2955,"user":{"id":92170,"name":"Лилия Moseichuk","country_code":"UA","country_name":{"jp":"ウクライナ","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"jp":"メディポールクリニックで治療を受けています。サービスレベルとプロフェッショナリズムが非常に高いです。","en":"I am on treatment in the clinic medipol. The level of service and professionalism is very high."},"order":{"operation":{"id":140,"name":{"jp":"放射線治療","en":"Radiotherapy"}},"illness":{"id":416,"name":{"jp":"直腸癌","en":"Rectal cancer"}}},"clinic_info":{"id":85,"name":"Medipol Mega University Hospital","alias":"medipol-mega-hastaneler-kompleksi","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-03-01T13:21:34.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"先生はとても注意深く親切です。サービスとプロフェッショナリズムの水準は非常に高いです。治療後、気分がとても良くなっています。私はメディポルクリニックで治療を受けています。","en":"I am on treatment in the clinic medipol.Return: The doctor is very attentive and friendly, The level of service and professionalism is very high, I'm feeling much better after the treatment, I am on treatment in the clinic medipol."}}},{"id":2342,"user":{"id":119286,"name":"Жамиля Sarsinbaev","country_code":"KZ","country_name":{"jp":"カザフスタン","en":"Kazakhstan"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"jp":"このクリニックにいる医師たちはプロフェッショナルと感じました。PET-CTの後（たまたまかもしれませんが）、帰宅後に突然病状が悪化しました。緊急手術が必要となりましたが、トルコの腫瘍医は手術の必要性を認めず、1ヶ月待つことを提案しました。","en":"Doctors seemed professional. Low quality translation from Turkish to Russian and vice versa. For some reason, after PET KT (perhaps a coincidence), upon returning home, it was sharply worse. We had to urgently operate, although Turkish oncologists did not see the need for an operation, but offered to wait a month."},"order":{"operation":{"id":37,"name":{"jp":"化学療法","en":"Chemotherapy"}},"illness":{"id":94,"name":{"jp":"舌癌","en":"Tongue cancer"}},"diagnostic":{"id":1,"name":{"jp":"PET-CT検査","en":"PET/CT"}}},"clinic_info":{"id":87,"name":"Anadolu Medical Center","alias":"anadolu-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2018-11-07T09:30:26.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"医師たちはプロフェッショナルに見えました。","en":"Doctors seemed professional."}}}],"meta":{"total_count":14,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"promoClinics":{"clinics":[{"text":"<p>セルカン・キティス医師は、脳神経外科における_doctor_7857_years_の経験を持ち、900件以上の脳手術を行ってきました。メモリアル・シシリ病院での脳腫瘍摘出術の費用は約22,000ドルで、通常、手術、必要に応じたニューロナビゲーション、術前MRI、術後画像診断、組織病理学、および最大12日間の入院費が含まれます。JCI認定を受けた当施設は、精密手術のためにBrainlabシステムとTrueBeam STxを備えています。キティス医師は、術中ニューロモニタリングを用いた低侵襲な顕微鏡下手術技術を専門としています。</p><doctor id=\"7857\"></doctor>","text_type":"mt_wow_description","best_texts":{"techniques":"ニューロナビゲーション、顕微鏡下手術技術、硬膜形成術、帽状腱膜移植、超音波吸引器、術中ニューロモニタリング","good_fit_for":"複雑な脳腫瘍症例","why_its_ranked":"ニューロナビゲーションや術中モニタリングなどの高度な技術を備えたJCI認定の脳神経外科部門。専門のリハビリテーションチームによる低侵襲な脳腫瘍摘出術を専門としています。"},"additional_data":{"advertising_id":"96:illness_kind:63"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":20000,"price_to":30000,"currency":"USD","id":14654},"operation":{"id":101,"name":"脳腫瘍摘出術","alias":"removal-of-the-brain-tumor"}},{"prices":{"price_from":160,"price_to":160,"currency":"USD","id":37636},"diagnostic":{"id":523,"name":"オンライン相談（腫瘍専門医）","alias":"online-consultation-with-oncologist"}},{"prices":{"price_from":240,"price_to":240,"currency":"USD","id":13648},"diagnostic":{"id":42,"name":"脳神経外科相談","alias":"consultation-neurosurgeon"}}],"reviews":[],"clinic":{"id":96,"alias":"memorial-healthcare-group","name":"Memorial Şişli Hospital","short_description":"<p>メモリアル・シシュリ病院はイスタンブールに位置するトルコを代表する総合医療センターの一つであり、53,000㎡の敷地に252床・13室の手術室・高度集中治療ユニットを備えています。2000年に開設され、JCI（Joint Commission International）認定を取得したトルコ初・世界21番目の病院となり、世界水準の医療を証明しています。 当院は腫瘍内科・臓器および骨髄移植（臓器移植成功率90%）・体外受精（IVF）・脳神経外科・肥満外科・ロボット手術・遺伝医学における専門性で高く評価されています。最先端技術と専門センターを完備したメモリアル・シシュリは毎年167か国からの患者様を受け入れており、最高水準の医療ケアとイスタンブールならではの文化的・観光的魅力を兼ね備えています。</p>\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":"トルコ","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"イスタンブール","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":436,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"国際標準化機構","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"}]}},{"text":"<p>エルトゥールル・ピナル医師は_doctor_9704_years_の脳神経外科経験を持ち、複雑な脳腫瘍症例を専門としています。パッケージ費用は約14,625ドルで、通常、ニューロナビゲーションを用いた手術、CUSA吸引器、ICU 1泊＋一般病棟4泊、術前MRI、通訳サービスが含まれます。ヒサール病院はJCI認定を受けており、年間25万人の患者を診療しています。高度な設備には、術中ニューロモニタリングや内視鏡手術アプローチが含まれます。</p><doctor id=\"9704\"></doctor>","text_type":"mt_wow_description","best_texts":{"techniques":"前頭蓋窩、側頭蓋窩、蝶形骨、斜台などを含む腫瘍基部の切除、ガレア移植を用いた硬膜形成術、内視鏡的摘出、低侵襲な眉毛切開（眼窩上）、ニューロナビゲーション、CUSA（超音波吸引）、術中ニューロモニタリング","good_fit_for":"複雑な脳腫瘍症例","why_its_ranked":"ニューロナビゲーションやCUSAなどの高度な技術を用いた複雑な脳腫瘍摘出を専門としています。JCI認定病院であり、高リスク症例を扱う経験豊富な脳神経外科医が在籍しています。"},"additional_data":{"advertising_id":"426:illness_kind:63"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":9500,"price_to":14000,"currency":"USD","id":14895},"operation":{"id":101,"name":"脳腫瘍摘出術","alias":"removal-of-the-brain-tumor"}},{"prices":{"price_from":890,"price_to":900,"currency":"USD","id":46621},"diagnostic":{"id":190,"name":"全身MRI検査","alias":"whole-body-mri"}},{"prices":{"price_from":130,"price_to":130,"currency":"USD","id":42200},"diagnostic":{"id":604,"name":"オンライン皮膚科相談","alias":"online-consultation-with-dermatologist"}}],"reviews":[],"clinic":{"id":426,"alias":"hisar-intercontinental-hospital","name":"Hisar Hospital Intercontinental","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/426-6abe204028557.png","short_description":"<p>Hisar Hospital Intercontinentalは、イスタンブール（トルコ）に位置する多診療科医療センターであり、治療の質と安全性の高い基準を満たすとして国際医療機能評価機構（JCI）の認定を受けています。</p>\n\n<p>同院は、腫瘍科、血液科、心臓血管外科、整形外科、ならびに胃スリーブ切除術・バイパス術・バルーン療法を含む肥満外科手術を専門としており、総合的な健康診断も提供しています。</p>\n\n<p>毎年50万人を超える患者がHisar Hospital Intercontinentalで医療を受けています。ヨーロッパ、アメリカ、アフリカ、独立国家共同体（CIS）、およびバルカン諸国からの患者が、専門的かつ高水準の治療を求めて同院を選択しています。</p>","images":[{"base_url":"clinic/611f4d5aafd19","title":"Hisar Intercontinental Hospital modern clinic building exterior in Istanbul"},{"base_url":"clinic/611f4c3ef37e9","title":"Reception area at Hisar Hospital Intercontinental, modern design in Istanbul clinic"},{"base_url":"clinic/611f4cd5d0bb5","title":"Patient room at Hisar Hospital Intercontinental with modern hospital bed and monitor"},{"base_url":"clinic/611f4cac5600f","title":"Patient room at Hisar Hospital Intercontinental with modern hospital bed and equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"トルコ","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"イスタンブール","id":107,"alias":"istanbul"},"address":"Saray Mah. 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Rigid-frame fixation for radiosurgery, if used, requires local anesthetic.","preparation":["Treatment planning MRI and/or CT simulation","Custom thermoplastic mask fabrication for head immobilization","Multidisciplinary review and dose planning","Side-effect discussion and supportive medication plan"],"recovery_timeline":[{"phase":"During course (about 6 weeks)","description":"Daily outpatient fractions; fatigue, scalp redness and mild headache gradually build.","restrictions":["Driving only if cleared by team","Gentle scalp care, no hot styling","Rest as needed"]},{"phase":"Early recovery (weeks 1-4 after)","description":"Fatigue and scalp reactions peak, then ease; hair loss in the treated area may persist.","restrictions":["Avoid strenuous exercise","Protect scalp from sun"]},{"phase":"Late recovery (months 2-6)","description":"Energy returns gradually; first follow-up MRI assesses response.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":28,"unit":"days","qualifier":"Return to ordinary daily function after the last fraction; depends on fatigue and tumor location."},"result_longevity":"Tumor control lasts from months to many years depending on tumor type and grade. Benign tumors often stay controlled long term; high-grade tumors may recur.","revision_rate_pct":null,"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":25,"max":30,"unit":"visits","qualifier":"Daily weekday fractions over about 5-6 weeks for conventional post-operative glioma schedule."},"stages":[{"code":"planning","label":"Simulation CT/MRI, mask fabrication and dose planning","after":{"min":0,"max":5,"unit":"days","qualifier":"Before first fraction; planning takes several days."}},{"code":"fractions","label":"Daily radiation fractions","after":{"min":5,"max":10,"unit":"days","qualifier":"Starts 5-10 days in; weekdays for about 5-6 weeks."}}],"qualifier":"Conventional fractionated course; hypofractionated schedules are shorter."},"success":{"metric":"2-year overall survival with chemoradiation","value":27,"unit":"percent","horizon":"2 years","population":"Adults with newly diagnosed glioblastoma after surgery, given radiotherapy with temozolomide","evidence_status":"proven"},"techniques":[{"name":"Fractionated external-beam radiotherapy (IMRT/VMAT/conformal, or proton therapy)","suits_whom":"Gliomas, post-operative cavities, larger or critically located tumors; delivered in daily fractions","recovery":"Outpatient; fatigue and scalp reactions develop during and after the course, varying by schedule."},{"name":"Stereotactic radiosurgery (Gamma Knife, CyberKnife, linac-based)","suits_whom":"Small, well-defined lesions such as limited brain metastases, meningioma, schwannoma, in 1 to a few sessions","recovery":"Usually outpatient with short recovery; delayed effects possible."},{"name":"Whole-brain radiotherapy","suits_whom":"Selected patients with multiple brain metastases","recovery":"Fatigue and cognitive effects may persist; varies with patient status."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"Per daily fraction, including positioning; beam-on time is a few minutes."},"initial_assessment_documents":["Brain MRI with contrast, DICOM images","Pathology or biopsy report","Molecular markers report, IDH and MGMT (if available)","Surgery operative report (if available)","Prior radiotherapy treatment summary (if available)","Latest oncologist consultation summary"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Planning and fractions done in one stay; fractionated course 5-6 weeks, radiosurgery 1-3 days. Follow-up MRI at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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}},{"id":"C2","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care 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legs.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Not being able to move arms or legs","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/17225-metastatic-brain-tumors","host":"my.clevelandclinic.org","quote":"Brain tumors increase your risk of neurological problems that require an ER visit, like seizures or not being able to move your arms and legs.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Trouble breathing","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24008-external-beam-radiation-therapy-ebrt","host":"my.clevelandclinic.org","quote":"Trouble breathing or chest pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Chest 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