Tag: Costa Rica

  • Medical Tourism Marred By Middlemen Doctors.

    As the world has shrunk, people now go out of their country for Treatment .

    The treatment outside their country of birth my be cheaper.

    The reasons are,

    • Government and private sector investment in healthcare infrastructure
    • Demonstrable commitment to international accreditation, quality assurance, and transparency of outcomes
    • International patient flow
    • Potential for cost savings on medical procedures
    • Political transparency and social stability
    • Excellent tourism infrastructure
    • Sustained reputation for clinical excellence
    • History of healthcare innovation and achievement
    • Successful adoption of best practices and state-of-the-art medical technology
    • Availability of internationally-trained, experienced medical staff.
    • The top destinations are, according to patients without borders,

    Top destinations are, according to Patients beyond Borders,

    “Brazil, Costa Rica, India, Korea, Malaysia, Mexico, Singapore, Taiwan, Thailand, Turkey, United States,

    for the reason stated.

    The Global Market for Medical Tourism .

    Medical Tourism Germany
    Sarkis Sargsyan (back) stands at the Klinik rechts der Isar, in Munich, with his wife and brother: Like the Sargsyans, hundreds of thousands of people receive treatment in a foreign country every year. This medical tourism earns German hospitals and doctors roughly €1 billion ($1.35 billion) in annual revenues. In 2011, 82,854 foreign patients were treated in Germany on an inpatient basis and about 123,000 on an outpatient basis.

    the market size is USD 24-40 billion, based on approximately eight million cross-border patients worldwide spending an average of USD 3,000-5,000 per visit, including all medically-related costs, cross-border and local transport, inpatient stay and accommodations. We estimate some 900,000 Americans will travel outside the US for medical care this year (2013).”

    India is a major destination for Medical Tourism, mainly because of the quality of Doctors ad Treatment and of course, cost.

    The cost is low because of the weak rupee against the Dollar and when compared to the cost of treatment in the US, India is cheaper cost-wise.

    For the other third world countries the quality of treatment is better .

    However even this low-cost Medical Treatment is because of the greedy Corporate Hospitals and some greedy medical professionals and medical Test Centers.

    The Doctors prescribe a host of tests not warranted because they get a standard 15% of the cost of the tests.

    Surgery cost depends on your purse and is determined whether you are covered under Medical insurance, have a credit and your financial standing.

    Please read my posts filed under health on this subject.

    In Medical Tourism the touts come into operation.

    All Corporate Multi-Specialty  Hospitals have Agents posted abroad like Dubai.

    They literally trap patients.

    What they are promised as treatment cost is a fraction of what the patient is ultimately charged .

    The patient can not protest as the treatment is complete and he/ she will not be discharged unless the Bill is settled.

    Added to this is the illegal practice of the Hospitals’s practice of collecting the patient’s passport, which will not be returned unless the Bill is settled in full.

    If some one complains about the Passport, it will be conveniently lost, the Hospitals do not issue receipts for the passports.

    But the racket in medical Tourism in the world is ramapant and criminal.

    Read this from Der Spiegel.

    Sargsyan, his wife and brother landed in Munich on Sept. 16, 2012. They had already paid €3,500 to the IMZ agency as an advance for the treatment and visas, the Sargsyans say.

    According to their account, soon after their arrival, they went to the IMZ broker’s office at the Sheraton München Arabellapark Hotel.

    There, they allege they were greeted by a man in a suit, Arsen B., whose business card listed an exotic combination of titles: “Prof. Dr. med. Dr. h. c. med., neurosurgeon – orthopedics, Director – Senior Physician.” B. allegedly promised to make the necessary arrangements for Sargsyan with a network of private clinics and doctors’ offices. The family felt like they had met their knight in shining armor.

    However, IMZ disputes this account, saying that Arsen B. was abroad on this date and that it does not have an office at this location.

    Sargsyan is sitting in a furnished, two-room apartment in northern Munich as he describes his first few days in Germany. He has just returned from radiation treatment, and the blue mask is lying in his lap.

    He was a karate fighter and strong as lightning, says his wife, Nelly, a petite, friendly woman. The couple has been married for 21 years. Nelly’s description of her husband is a far cry from the person sitting on the sofa. He has dark bags under his eyes, and he looks depressed and exhausted. It’s hard to imagine that this man has ever laughed.

    Sargsyan talks about how the first appointment took him to the Arabella Clinic, where another colonoscopy was performed. The diagnosis described “a coarse tumor that is not passable.” A tissue sample revealed that the tumor was malignant. Doctors also found metastases in Sargsyan’s liver and lungs. An interpreter with the agency translated for the patient. “The news was bad,” says Sargsyan, “but I trusted the doctors.” He also trusted Arsen B., who seemed to have a plan for everything.

    To prevent intestinal obstruction, Sargsyan was given a colostomy. Local doctors performed the first cycle of chemotherapy, followed by radiation therapy. The brother handled financial matters, paying €10,000 to the IMZ office for the initial treatment. Because he paid with a credit card, he was also charged a 5 percent surcharge. “Thank you for your confidence,” the customer receipts read.

    Source:

    http://www.spiegel.de/international/germany/german-health-care-system-cashes-in-on-foreign-patients-a-933517.html

    http://www.patientsbeyondborders.com/medical-tourism-statistics-facts

     

  • Dengue Fever,Symptoms,Treatment Facts

    Neither vaccine nor drugs for preventing infection are available. The bite of one infected mosquito can result in infection. The risk of being bitten is highest during the early morning, several hours after daybreak, and in the late afternoon before sunset. However, mosquitoes may feed at any time during the day. Aedes mosquitoes typically live indoors and are often found in dark, cool places such as in closets, under beds, behind curtains, and in bathrooms. Travelers should be advised to use insecticides to get rid of mosquitoes in these areas and to select accommodations with well-screened windows or air conditioning when possible. Additionally, travelers should take measures to avoid being bitten by mosquitoes. Long-term travelers and expatriates can take extra precautions to reduce mosquito-breeding sites around their accommodations by emptying and cleaning or covering any standing water (such as in water storage tanks and flowerpot trays).

    SOURCE: CDC”

    Dengue Fever Facts.

    Main symptoms of dengue fever. To discuss imag...
    Main symptoms of dengue fever. To discuss image, instead see Talk:Human body diagrams (Photo credit: Wikipedia)
    Dengue Fever.
    • Dengue fever is a disease caused by a family of viruses that are transmitted by mosquitoes.
    • Symptoms such as headache, fever, exhaustion, severe joint and muscle pain, swollen glands (lymphadenopathy), and rash. The presence (the “dengue triad”) of fever, rash, and headache (and other pains) is particularly characteristic of dengue fever.
    • Dengue is prevalent throughout the tropics and subtropics. Outbreaks have occurred recently in the Caribbean, including Puerto Rico, the U.S. Virgin Islands, Cuba, and in Paraguay in South America, and Costa Rica in Central America.
    • Because dengue fever is caused by a virus, there is no specific medicine or antibiotic to treat it. For typical dengue fever, the treatment is purely concerned with relief of the symptoms (symptomatic).
    • The acute phase of the illness with fever and myalgias lasts about one to two weeks.
    • Dengue hemorrhagic fever (DHF) is a specific syndrome that tends to affect children under 10 years of age. It causes abdominal pain, hemorrhage (bleeding), and circulatory collapse (shock).
    • The prevention of dengue fever requires control or eradication of the mosquitoes carrying the virus that causes dengue.
    • There is currently no vaccine available for dengue fever.

    Dengue fever is a disease caused by a family of viruses that are transmitted by mosquitoes. It is an acute illness of sudden onset that usually follows a benign course with symptoms such as headachefever, exhaustion, severe muscle and joint painswollen glands (lymphadenopathy), and rash. The presence (the “dengue triad”) of fever, rash, and headache (and other pains) is particularly characteristic of dengue. Other signs of dengue fever include bleeding gums, severe pain behind the eyes, and red palms and soles.

    Dengue (pronounced DENG-gay) can affect anyone but tends to be more severe in people with compromised immune systems. Because it is caused by one of four serotypes of virus, it is possible to get dengue fever multiple times. However, an attack of dengue produces immunity for a lifetime to that particular serotype to which the patient was exposed.

    Dengue goes by other names, including “breakbone” or “dandy fever.” Victims of dengue often have contortions due to the intense joint andmuscle pain, hence the name breakbone fever. Slaves in the West Indies who contracted dengue were said to have dandy fever because of their postures and gait.

    Dengue hemorrhagic fever is a more severe form of the viral illness. Symptoms include headache, fever, rash, and evidence of hemorrhage in the body. Petechiae (small red or purple splotches or blisters under the skin), bleeding in the nose or gumsblack stools, or easy bruising are all possible signs of hemorrhage. This form of dengue fever can be life-threatening and can progress to the most severe form of the illness, dengue shock syndrome.

    Reviewed by Melissa Conrad Stöppler, MD on 9/9/2011

    The transmission of the virus to mosquitoes must be interrupted to prevent the illness. To this end, patients are kept under mosquito netting until the second bout of fever is over and they are no longer contagious.

    The prevention of dengue requires control or eradication of the mosquitoes carrying the virus that causes dengue. In nations plagued by dengue fever, people are urged to empty stagnant water from old tires, trash cans, and flower pots. Governmental initiatives to decrease mosquitoes also help to keep the disease in check but have been poorly effective.

    To prevent mosquito bites, wear long pants and long sleeves. For personal protection, use mosquito repellant sprays that contain DEET when visiting places where dengue is endemic. There are no specific risk factors for contracting dengue fever, except living in or traveling to an area where the mosquitoes and virus are endemic

    Treatment;

    Because dengue fever is caused by a virus, there is no specific medicine or antibiotic to treat it. For typical dengue, the treatment is purely concerned with relief of the symptoms. Rest and fluid intake for adequate hydration is important. Aspirin andnonsteroidal anti-inflammatory drugs should only be taken under a doctor’s supervision because of the possibility of worsening bleeding complications. Acetaminophen(Tylenol) and codeine may be given for severe headache and for joint and muscle pain (myalgia).

    Further Information at

    “Dengue,” Centers for Disease Control and Prevention
    http://www.cdc.gov/Dengue/

    REFERENCES:

    Canada. Public Health Agency of Canada. “Dengue Fever: Global Update.” June 3, 2011. <http://www.phac-aspc.gc.ca/tmp-pmv/thn-csv/dengue-eng.php>.

    Canada. Public Health Agency of Canada. “Dengue in South East Asia.” Aug. 23, 2007. <http://www.phac-aspc.gc.ca/tmp-pmv/2007/dengue070823_e.html&gt;.

    “Dengue Fever in Key West.” Florida Department of Health. <http://www.doh.state.fl.us/Environment/medicine/arboviral/Dengue_FloridaKeys.html&gt;.

    Hendrick, Bill. “FDA OKs Test for Dengue Fever.” WebMD.com. Apr. 13, 2011. <http://www.webmd.com/news/20110413/fda-oks-test-for-dengue-fever&gt;.

    Switzerland. World Health Organization. “Dengue and Dengue Hemorrhagic Fever.” Mar. 2009.<http://www.who.int/mediacentre/factsheets/fs117/en/&gt;.

    http://www.medicinenet.com/dengue_fever/page6.htm#where_can_people_get_more_information_on_dengue_fever

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