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language","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that you are satisfied with the facilities and standards of the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell before booking treatment abroad is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Pressure to make a quick decision is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No discussion of possible complications is a warning 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breathing","urgency":"emergency","general":false,"source":{"url":"https://umc.edu/Healthcare/ENT/Patient-Handouts/Adult/Voice_Swallowing/Laryngoscopy.html","host":"umc.edu","quote":"If you have any difficulty breathing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Severe sore throat not relieved by medicine","urgency":"contact_clinic","general":false,"source":{"url":"https://umc.edu/Healthcare/ENT/Patient-Handouts/Adult/Voice_Swallowing/Laryngoscopy.html","host":"umc.edu","quote":"A severe sore throat that is not relieved by the Extra-Strength Tylenol or other pain medicine prescribed for you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Worsening difficulty swallowing","urgency":"contact_clinic","general":false,"source":{"url":"https://umc.edu/Healthcare/ENT/Patient-Handouts/Adult/Voice_Swallowing/Laryngoscopy.html","host":"umc.edu","quote":"Difficulty swallowing that gets worse instead of 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out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your symptoms may improve with conservative treatment","name":"Voice therapy","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10836248/","host":"pmc.ncbi.nlm.nih.gov","quote":"Conservative treatment includes voice therapy, medication, lifestyle 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days","source":{"url":"https://my.clevelandclinic.org/health/diagnostics/24071-microlaryngoscopy","host":"my.clevelandclinic.org","quote":"Most people can return to normal activities within a few days.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"laser-assisted-microsurgical","name":"Laser-assisted microsurgical excision","how_it_works":{"text":"A laser beam vaporises and cuts the polyp under a suspension laryngoscope","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10836248/","host":"pmc.ncbi.nlm.nih.gov","quote":"CO 2 laser resection is a relatively new surgical method that uses a CO 2 laser beam to vaporise and cut the polyp under a suspension laryngoscope [ 10 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":3,"max":7,"unit":"days","label":"3–7 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