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Meant keep their noses "out" of where it don't belong

Posted By: me on 2009-05-22
In Reply to: That would be a huge NO - see message - me

sorry bout the type.


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Would you trust "out-of-the-USA" surgery?

Next year alone, an estimated 6 million Americans will travel abroad for surgery, according to a 2008 Deloitte study. "Medical care in countries such as India, Thailand and Singapore can cost as little as 10 percent of the cost of comparable care in the United States," the report found.


Next year alone, an estimated 6 million Americans will travel abroad for surgery, according to a 2008 Deloitte study. "Medical care in countries such as India, Thailand and Singapore can cost as little as 10 percent of the cost of comparable care in the United States," the report found.


=============================


NEW DELHI, India (CNN) -- "I was a walking time bomb. I knew I had to get on that plane if I wanted to be around to see my grandkids."


Sandra Giustina is a 61-year-old uninsured American. For three years she saved her money in hopes of affording heart surgery to correct her atrial fibrillation. "They [U.S. hospitals] told me it would be about $175,000, and there was just no way could I come up with that," Giustina said.


So, with a little digging online, she found several high quality hospitals vying for her business, at a fraction of the U.S. cost. Within a month, she was on a plane from her home in Las Vegas, Nevada, to New Delhi, India. Surgeons at Max Hospital fixed her heart for "under $10,000 total, including travel."


Giustina is just one of millions around the world journeying outside their native land for medical treatment, a phenomenon known as "medical tourism." Experts say the trend in global health care has just begun. Next year alone, an estimated 6 million Americans will travel abroad for surgery, according to a 2008 Deloitte study. "Medical care in countries such as India, Thailand and Singapore can cost as little as 10 percent of the cost of comparable care in the United States," the report found.


Companies such as Los Angeles-based Planet Hospital are creating a niche in the service industry as medical travel planners. One guidebook says that more than 200 have sprung up in the last few years. "We find the best possible surgeons and deliver their service to patients safely, affordably and immediately," said Rudy Rupak, president of Planet Hospital. "No one should have to choose between an operation to save their life or going bankrupt."


Planet Hospital, which works with international clients as well as Americans, books patients' travel and arranges phone interviews with potential surgeons. Patients are greeted by a company representative at the airport in the country where they've chosen to be treated; a 24-hour personal "patient concierge" is also provided, a level of service that's standard among many of the top medical travel planning companies.  Watch Dr. Sanjay Gupta meet some medical tourists »


"Our patient concierge was amazing," said Giustina. "He came to the hospital every day, gave us his personal [telephone] number and after my operation, he arranged private tours of India." Just two days post-op, Giustina and her husband, Dino, toured local markets and landmarks including the Presidential Palace and the Taj Mahal.


"I was able to fix my heart and tour India, which is something I thought I'd never do."


Walk through a patient wing at Max Hospital in New Delhi on any given day and you're likely to see people from around the world. In one visit, CNN met patients from the United Kingdom, Nigeria, Jordan, Afghanistan and the United States. They're alike in choosing surgery abroad, but their reasons differ.


Many South Asians and Africans said they travel abroad because they do not have access to care in their homeland.


Some Canadians and Europeans said they chose to travel aboard, despite having national health plans, because they are tired of waiting -- sometimes years -- for treatment.


Patients from the Middle East said they come to India because the technology as well as the staff is more advanced.


For most Americans CNN spoke to, it came down to finding the best value. "If I could have afforded my procedure in the United States, I would have taken it, but that was not my option," Giustina said. "I had to get online and look for a Plan B." Read about hot destinations for medical tourism


The private hospitals in India market themselves as having upscale accommodations, Western-trained surgeons and state-of-the-art medical equipment.


CNN spent time at Max Healthcare in New Delhi and saw operating rooms similar to those in many U.S. hospitals. If fact, Max's neurosurgery room had an inter-operative MRI scanner, which is technology hardly seen at hospitals in the United States.


The lobby had marble floors, a book café, coffee station and a Subway sandwich shop. The patient suites were equipped with flat screen TVs, DVD players and Wi-Fi. This hospital also catered to families traveling together. The suites had adjoining rooms with a kitchenette, coffee maker and a sofa bed.


Max neurosurgeon Dr. Ajaya Jha said the hospital can provide high-quality care at low prices because the staff work hard to cut waste.  Watch Dr. Gupta visit an Indian spice market »


"I've seen hospitals in the U.S. where they open up something costing $10,000 and say, 'Oh it's not working. OK, give me another one.' We would never do that here. Even for 100 rupees (about $2) -- we would say, "Do we need to open this suture? Do we need to open this gauze?' We are very conscious of cost."


Hospital officials negotiate hard to keep costs low for high-tech medical machinery and other supplies, Jha said. "In the U.S. people are making careers out of carrying laptops and documenting things that are not really useful in the long term for the patient."


The salary of a U.S. surgeon is five times that of a surgeon in India. "We [surgeons in India] want to make a profit, but we don't want to profiteer. We don't want squeeze people and I think American industries should also think that way," Jha said.


Critics of medical tourism warn patients to be diligent when researching treatment aboard. "I've found that industry voices tend to crowd out those of us who are more cautious about the legal risks," said Nathan Cortez, assistant law professor at Southern Methodist University, who is conducting a case study investigating what legal recourse patients have outside America.


Patients don't think about their legal vulnerabilities, Cortez said. "Some countries limit patient access to medical records so they can't really learn what happened during the surgery. And a lot of practitioners in other countries just refuse to give you your medical records. So people have to weigh the risk versus benefits."


While most tourism patients from America are uninsured, major U.S. insurance companies are considering providing "medical tourism" coverage to their customers. Several have already launched pilot programs.


"I think what's really important about medical tourism is that you make the choice for what's right for you and what's important to them," said a spokesman for U.S. health insurer WellPoint Inc.


Experts say that every patient considering traveling abroad for surgery should inquire about postoperative care, legal rights and the safety standards and certifications of the hospital. Foreign health care providers should be willing to discuss the procedure and answer question ahead of time.


"What really helped me feel good about the process was that my doctor in the U.S. spoke to the cardiologist in India prior to my trip," said Giustina. "They were so open about everything; I knew I'd be in good hands."


Just weeks from returning from abroad, Giustina says she has only one regret, "I shouldn't have waited so long! I feel like a new person again, no more pain."


Hubby said they throw lips and noses in there!

Don't know if he was kidding, but lost my appetite. Would love to see Spamalot, love Ben Gazzara, he was in it in NY.


 "Bring out your Dead." "But I'm not dead yet!" "Shut up, stop being a baby!!" Something like that. Too funny. Crazy is good these days.


All kinds were turning up their noses when I posted below and yet
this post I guess is considered very professional. What a big laugh.
All kinds were turning up their noses when I posted below and yet
this post I guess is considered very professional. What a big laugh.
Ours attend local college PT and still live at home. Hard to make ends meet "out there" on
s
You don't have to belong to
organized religion to have a relationship with God. But I do believe he gave us the Bible to learn about Him. It says he wants our undivided devotion. That is a point that is very, very clear, but extremely out of style. In fact, it has always been out of style!

I think our human nature wants to know God, but unfortunately also wants a god we can control and whose story we can write. I am guilty of those longings to have the power to control all things at times, but I do believe there is only one God and he is holy and righteous and all-knowing, and we are just the creations who don't have the right to decide what the Creator should be like from our tiny little perspectives. So I repent from that pride, and we humans come with a nature that doesn't want to do that. And that's why it's so hard to be a human, I believe.
house cats do NOT belong outside...

they got hit by a car or disappeared.....or brought a bird (dead) to my pillow...*lol* -


nothing really good happens when you let house cats become outdoor cats......


I blame the OP as much as the SIL....take responsibility and don't let your (future) cats out of doors EVER.....especially since you KNOW the situation with the dogs of hers.


2+2=4 


I belong to several horse "boards"...(sm)

All are local to either here in Maine or New England though...However, for a start you can visit:


http://www.equinesite.com
http://www.mainehorse.com
http://www.equichat.com
http://www.chronofhorse.com
http://www.perin.org (my personal favorite--wink wink)


Feel free to e-mail me personally if there's anything I can help ya with!  (just click on my name).  Best wishes!


 


Those PETA chicks all belong in
Or better yet, cages.
She was a stray. I did not realize she did not belong to anyone

until after she was pregnant.  We adopted her or she adopted us.  I do plan on getting her fixed. 


Did you check the registratio you think maybe it did not belong to her? borrowed to sm
shop?  Shame on you for judging without knowing.
Um, kids don't belong on a 3-hour TS tour
in the first place. I'm sure everyone else there was cringing when they saw your brood in tow. One in diapers, no less. Unreal. I think these tours are meant more for wealthy people who can afford these things, not for people looking for freebies for the whole family. And I'm suprised the guy was bothering you at all, and just didn't say, "NEXT!"...lol
Good mother and enabler do not belong in same
x
Does this post not belong on the political board?
NM
AGAIN: Christianity-based threads belong on appropriate board. SM

Keep all Christianity discussions and debates on the Christianity board.  I cannot move them there so they are deleted from other boards if they appear.


Goldbird


Are you as 'funny' ? as this joke? BTW they belong on the Comedy Board...nm
nm
All prayer requests/topics belong on Prayer board only. NM
Goldbird
Sorry.. I meant
to say that they will assess a penalty on you this year. If you are unable to pay back the loan amount, prior to the end of the calendar year, the IRS will expect penalty fees. Your 401K company is obligated by law to turn this information over. If you close out your account, expect to have up to 40% withheld.
Meant to add
It seems as though almost all treatments for cancer have side effects which include a possibility of cancer later in life.
Oh, meant to say
I was going for guardenship of my father - set to be filed in court on Monday and he was killed going to see this woman over the weekend. I had no qualms about having the courts to step in, wanted them to because he did not want to listen to me, his only living child and next of kin.
I don't think she meant this towards the OP, but to --sm
the poster above her.
OMG! Meant SIL!!! LOL!!!
x
Meant to say IS IT POSSIBLE? NM
!
Meant to put JW, not JV
s
Meant to ask you below
Could you tell me what an M-team and an S-team are? Also, do you know what an LEA is? It may be that we are in different states and the terms are interchangeable with something I have heard of (I think I read something about an SST team, may not be the correct letters though).

Glad you were able to get things to go your way! We have always been pleased in the past and our son has always progressed very well in their programs, receiving A's and B's on his report cards and major behavior improvements, but they missed the mark on this one, and when my husband signed acceptance of their plan after their refusal to try what we thought would be best for him, he told them what would happen and his prediction has come true.
Perhaps this was meant for OP?
Not sure why you would intend it for moderator--didn't see anything in mods post that you had to stop.
Sorry, I meant --looking at it the right way--- no msg

LOL -Yep, what is what I MEANT to say - sm
Running on no sleep and just not making sense. I stand corrected!
it's exactly what she meant, you know.
nm
Well.....I meant....sm
the time before the first ice age. Kinda of hard to believe that we are heading to an ice age when temperatures around this part of the country can top 100+ degrees in the summer and stay up as high as 70 in the winters. Weird weather.....

Anyhoo.....I also like to melt about a half block of the big block of Velveeta and add a can of chili to it and heat through until bubbly. Really good with Fritos, too!
I meant...
I know someone with a dog that gets loose often, and sometimes it is beyond your control.
Well it is according to how he meant...sm
how he meant it. If he wasn't playing around and was serious then I would be mad. I mean you never want to call your child names.
yes, that's what I meant - Thanks!
nm
(I meant, " CAN'T see...")
.
What I meant was...sm
There's no debate because I am not arguing against ESC research.
All she meant
was please don't put it in the subject line...I didn't watch either show until this afternoon, so when I scrolled down and saw "Talking about AI" (or whatever the OP said) I just skipped it and came back tonight and read it after I had watched. That's all.


I meant to say

When I looked back at my post, I meant to say my mom is the only person we will leave a sick child with if we absolutely have to go somewhere, not that if we absolutely have to leave them with her.  My mom is a retired nurse, as well as having great mom common sense after raising 4 kids with all the mumps, measles, chicken pox, colds, flu, etc that goes along with it.  She's also close enough to pick them up from school if need be.  It's just worked out really good for all of us.  Like I said, I think she and the kids would have missed out on a lot if she had lived far away.


Thank you! That's what I meant. nm
nm
Don't be dumb. I'm sure others got what I meant ;)
x
meant to say other children not other other. nm
x
Fibromyalgia, meant to say
in the above post. Thanks again.
I said I competed when I meant to say He...sorry!
No way in this world could I stand in front of a crowd and make an impromptu speech. Give me something to read or act out and I am there but just flying by the seat of my pants, never.
You know what the poster meant
by spelling it wrong and who really cares. There is always someone out there to nit pick. GEEZ
sorry, meant 2 southerners
nm
I meant Tanmama - why do they have to (sm)
make everyone else think they are so good but have us to treat badly? Do they thing God doesn't know??
I dont think she meant anything...sm
rude towards you by what she said. I think she was just letting you know how some doctors feel. I did work as a nurse for 15 years prior to transcription and she is right. Some doctors just hate it when a suggestion is made by someone other than themselves even a nurse, they do not like it and also will not listen or suggest the same thing. Some, not all seem to think only they know best. I do agree with one of the other posters that a good doctor is a doctor that listens to you. Good luck and I do hope you feel better soon.
I meant lives near me - sorry. NM
/
I meant by her emotions...everyone knows.
She is very moody. I do keep very close tabs on my daughter. I don't feel the need to put her under a microscope as of yet, but as she gets older I may have to do that.
LOL! That's what I meant....should've
kept my kitty instead of getting married....too late schmart!   
meant *my* generation......
x
I knew what you meant
You know I did not even notice that, and I knew what you meant! I work third shift so believe me, I was in tune with what you were thinking...I get up too early every day.