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rather than clinicians is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The surgeon you consult may not be the one who performs the operation","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Swelling or pain in your legs","urgency":"emergency","general":false,"source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3677-gynaecology-leaflet-how-to-recover-from-an-abdominal-myomectomy","host":"ashfordstpeters.nhs.uk","quote":"Please seek urgent medical attention if you experience swelling / pain in your legs, sudden shortness of breath or chest pain","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Sudden shortness of breath or chest pain","urgency":"emergency","general":false,"source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3677-gynaecology-leaflet-how-to-recover-from-an-abdominal-myomectomy","host":"ashfordstpeters.nhs.uk","quote":"Please seek urgent medical attention if you experience swelling / pain in your legs, sudden shortness of breath or chest pain","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Severe abdominal pain","urgency":"contact_clinic","general":false,"source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3677-gynaecology-leaflet-how-to-recover-from-an-abdominal-myomectomy","host":"ashfordstpeters.nhs.uk","quote":"Please inform your doctor/nurse if you experience severe abdominal pain, temperature or are not passing any urine.","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":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","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 English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare 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":"You would rather avoid surgery to treat your fibroids","name":"Uterine artery embolization","source":{"url":"https://my.clevelandclinic.org/health/treatments/15448-myomectomy","host":"my.clevelandclinic.org","quote":"Other treatment options include uterine artery embolization or radiofrequency ablation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":870},{"id":"A2","text":"You are willing to have your uterus 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