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is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","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":"Non-stop bleeding from the piles","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/treatment/","host":"nhs.uk","quote":"you are bleeding non-stop","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"A lot of blood or large clots","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/treatment/","host":"nhs.uk","quote":"there is a lot of blood or you see large blood clots","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Pus leaking from your piles","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/treatment/","host":"nhs.uk","quote":"pus is leaking from your piles","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 the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in 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anus","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"your piles are stapled back inside your anus","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=vuppertal/procedure=terapiya-gemorroya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":28},"manualSeo":[],"updatedAt":"2026-11-11T22:13:52.000Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}