Category Archives: Reports,Features, Statistics

Traveling abroad for surgery? Take extra precautions

According to the Centers for Disease Control and Prevention up to 750,000 Americans travel abroad for surgery every year.

Washington  (WUSA9) :

Sun, surf, and surgery at the same time. More people are taking advantage of medical tourism. But experts say tread carefully, because a few hundred dollars of savings can cost you big bucks down the line.

According to the Centers for Disease Control and Prevention up to 750,000 Americans travel abroad for surgery every year Tenia Stuckey is one of them.

Stuckey says, “For one it’s this stigma that doctors overseas will do better procedures. Or they’ll take out more fat.”

Stuckey says her friends praised their destination surgeries, and she says they have the stunning bodies to prove it.

“So they might say, ‘I went to Columbia or the Dominican Republic or Mexico.’ Me in particular I chose to go to the Dominican Republic to get lipo. I got lipo in my thighs, my butt, hips etc. just to keep everything looking picture perfect,”

But the trip turned suspect at the point of arrival, Tenia and a close friend both went to see a specific doctor to get liposuction. But the procedure was pushed back a week resulting in a shorter recovery time.

“Because I was coming from the United States, they couldn’t keep calling me to get the procedure together,” says Stuckey.

In the weeks following the procedure, she suffered a painful infection. She couldn’t even sit down.

There was waviness, there was unevenness, they didn’t take the fat out uniformly so that one side was bigger than the other side.

She also developed bumps and discoloration on her body. For a fix, she turned to Dr. Emeka Onyewu and his team at Jamachi Plastic Surgery. First, they treated the infection.

Dr. Emeka Onyewu says, “There was waviness, there was unevenness, they didn’t take the fat out uniformly so that one side was bigger than the other side. We had to redo the liposuction anyway to even out the irregularities that she had.”

Dr. Onyewu says he performs corrective procedures often for those who get surgery abroad, “The number one risk is you have to be sure of who’s doing the surgery.”

It can be hard to get the right information about a doctor, or even know if the right person is doing your procedure. Even if you are bilingual like Tenia, you could still be in for a rude surprise when you reach your destination.

I don’t know who did the surgery, they were putting lines on me that the doctors didn’t draw on me the first day so I was like, ‘that’s not where the doctor told me the cuts would be’.

“There are people who do cosmetic procedures, who are not even trained as cosmetic surgeon,” adds. Dr. Onyewu.

Follow ups can be another issue. In Tenia’s case, this could have prevented the infection.

It’s impossible to follow up and you can’t keep flying back and forth for the slightest little things,” says Stuckey.

Her infection is treated and now Dr. Onyewu is fixing her scars.

Dr. Onyewu says, “You really get what you pay for, and sometimes you pay for it with your life. We’ve had people who have died.”

Risks of Medical Tourism (from cdc.gov)

The specific risks of medical tourism depend on the area being visited and the procedures performed, but some general issues have been identified:

•Communication may be a problem. Receiving care at a facility where you do not speak the language fluently increases the chance that misunderstandings will arise about the care.
•Doctors may reuse needles between patients or have other unsafe injection practices, which can transmit diseases such as hepatitis and HIV.
•Medication may be counterfeit or of poor quality in some countries.
•Antibiotic resistance is a global problem, and resistant bacteria may be more common in other countries than in the United States.
•The blood supply in some countries comes primarily from paid donors and may not be screened, which puts patients at risk of HIV and other infections spread through blood.
•Flying after surgery increases the risk for blood clots.

What You Can Do

•If you are planning to travel to another country for medical care, see a travel medicine practitioner at least 4–6 weeks before the trip to discuss general information for healthy travel and specific risks related to the procedure and travel before and after the procedure.
•Check for the qualifications of the health care providers who will be doing the procedure and the credentials of the facility where the procedure will be done. The Joint Commission International (US-based) certifies health care facilities according to specific standards.
•Make sure that you have a written agreement with the health care facility or the group arranging the trip, defining what treatments, supplies, and care are covered by the costs of the trip.
•Determine what legal actions you can take if anything goes wrong with the procedure.
•If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your doctor and other people who are caring for you.
•Obtain copies of your medical records that includes the lab and other studies done related to the condition for which you are obtaining the care and any allergies you may have.
•Prepare copies of all your prescriptions and a list of all the medicines you take, including their brand names, their generic names, manufacturers, and dosages.
•Arrange for follow-up care with your local health care provider before you leave.
•Before planning “vacation” activities, such as sunbathing, drinking alcohol, swimming, or taking long tours, find out if those activities are permitted after surgery.
•Get copies of all your medical records before you return home.

source: http://www.wusa9.com / WUSA9.com / Washington (WUSA9) / EDT – September 18th, 2014

Sri Lanka to push medical tourism

September : (LBO)
Sri Lanka to push medical tourism in order to support the 20 billion dollars export target in year 2020 an official of Export Development Board said.
“Professional service exports present a tremendous opportunity and can speed up government’s ’20 billion dollars exports by 2020’ goal,” Sujatha Weerakoone, Director General of Export Development Board (EDB) said.“Medical Tourism is one of the most promising sub-sectors in this,”“We are ready to work with any and all stakeholders to get this off the ground.”Weerakoone was addressing session of EDB’s 2015-20 National Masterplan Initiative on Medical Tourism held at EDB last week.Medical tourism or health tourism is the travel of people to another country for the purpose of obtaining medical treatment in that country.

Sri Lanka has about 1084 government hospitals including teaching hospitals, district hospitals, special hospitals, divisional hospitals and medical care units. The island also has number of private hospitals.

“With only a per capita healthcare expenditure of 175 dollars, at first, Sri Lanka does not appear to have an advanced healthcare infrastructure similar to the developed countries,” Weerakoone said.

“But due to the support of well-trained, high quality healthcare professionals, availability of treatment centers as well as pharmaceuticals, we are witnessing the emergence of a new sector that is medical tourism contributing to our service exports,”

“Studies show that around 15 percent of patients in Sri Lanka are foreign patients, such as from Maldives.”

According to the data of the global medical tourism report 2014, the Asian medical tourism industry has been growing at a double-digit growth rate for the past few years and the top three medical tourism markets in Asia are Thailand, Singapore and India.

The report also reveals that although the demand for medical tourism is fundamentally driven by cost and quality considerations relative to domestic treatment options, the choice of destination depends on many factors, including proximity, brand value, and the range of available healthcare services.

Global Medical Tourism industry annual turnover is not definitive but Patients Beyond Borders, the oft-referenced consumer information source about international medical and health travel estimates that by 2014, the worldwide medical tourism market to be 47 billion dollars, growing 20 percent annually with 11 million cross-border patients worldwide, and 4250 dollars median spending per visit, the statement said.

Weerakoone said Sri Lanka should look in to develop more private public partnership to tap the medical tourism.

“EDB, which strongly believes in private public partnership approach, has decided to make the first ever national initiative to rally the healthcare providers as well as stakeholders and formulate a common voice for 2015-20 National Masterplan Initiative on Medical Tourism,”“We need to map out such factors as availability of hospital facilities, accreditation, specialisations, ‘center of excellence’ areas, post-surgery and wellness packages, packages medical tourism as well as tie ups with global medical travel facilitators.”

“The EDB can shape the future roadmap of this sector based on the collective voice healthcare operators.” Weerakoone said.

She said establishing a formal link between the Medical Tourism Committee of Sri Lanka and Private Health Association (PHA) could be priority steps in this effort.

“EDB is ready to allocate prominent space in its web portal’s “service exports” section for this initiative.” Weerakoone said.

PHA hosts the majority of Sri Lanka’s private hospitals, nursing homes and private healthcare providers as its members. 55 percent of country’s outpatients and 15 percent of the country’s in-house patients, are treated by members of PHA while the rest being treated by state sector hospitals and healthcare facilities.

“This initiative can also help bring high net worth tourists instead of budget tourists and the ‘wellness medical tourism’ is a huge growth area,” Dr Lalith Peiris, Chief Executive of Lanka Hospital of Sri Lanka said,

“Through EDB we can make the stakeholders to understand how important medical tourism is.”

source: http://www.lankabusinessonline.com / Lanka Business Online / Home> Tourism / September 19th, 2014

Invest in health tourism

Dr Clarence McGaw of the Faculty of Medical Sciences at the University Hospital of the West Indies and consultant anaesthetist attached to the Tony Thwaites Wing.

Dr Clarence McGaw of the Faculty of Medical Sciences at the University Hospital of the West Indies and consultant anaesthetist attached to the Tony Thwaites Wing.

CONSULTANTS attached to the Tony Thwaites Wing of the University Hospital system have called for greater attention to the development of health tourism as a way to solve several of the island’s productivity issues. Drs Joesph Blidgen and Clarence McGaw believe that the first-world standard of care by surgeons in Jamaica coupled with private sector partnership can create a subsector to the tourism industry that would earn increased foreign exchange for the country and retain the best and brightest medical minds.

Dr Blidgen, one of only three cardiothoracic surgeons in the country, asserted that the level of care offered for major medical surgery in Jamaica is on par with that of North America at 15 per cent of the cost.

“Let me explain, the cost of major heart surgery in North America is approximately US$100,000,” said Dr Blidgen. “Here in Jamaica, with the same quality of surgical care and access to amenities, the cost is US$15,000.

“What does that mean? It means that Jamaicans abroad and tourists can come here and have their surgery. Our visitors can have a relaxing environment to recuperate. For our fellow Jamaicans, they can be in the company of their family while they are in recovery. It is a win-win for all.”

Dr McGaw, senior lecturer at the Faculty of Medical Sciences, notes that in addition to attracting tourists and the Diaspora, residents of the country can also benefit from the development of health tourism.

“At this point in time there are Jamaicans who are going overseas for certain kinds of surgery. So when you talk about health tourism, I am thinking first of retaining Jamaicans who would go abroad, so they don’t have to use up valuable foreign exchange,” Dr McGaw said.

Dr McGaw admitted though that there would be advanced medical treatment that would at times require a trip abroad, such as bone marrow transplant or liver transplant. However, “there (are) many procedures that people go overseas for that they shouldn’t have to, so we could save them from that”.

The private wing of the University Hospital system, known as the Tony Thwaites Wing, is said to be modelled to the concierge hospital model that characterises the main feature of health tourism. Dr Blidgen, however, noted that greater private sector involvement can improve the model that currently exists.

He stated: “What we have had in Jamaica is doctors with medical training go into management. However, for the health tourism industry to grow in this country, we need managers with private sector experience to get involved and lead the way to develop the sector into a viable business sector.”

“In my experience at Tony Thwaites, we have had patients there from the Cayman Islands, Belize, Turks and Caicos Islands, and other Caribbean countries, as well as the Diaspora,” said Dr McGaww. “We need to build on that and make it more of an established, rather than a few trickling of patients; we need a flood.”

source: http://www.jamaicaobserver.com / Jamaica Observer / Home> News / Sunday – September 21st, 2014

Medical travel aids Lufthansa in resuscitating bottom line

LufthansaCT03oct2014

New York : 

When an airline executive proudly announces, “It’s better to get a heart attack on Lufthansa than any other place,” you know right away she has a different perspective and isn’t ready to dismiss the profit-making potential of the airline’s medical and health division.

While sun and fun is nice and business travel is rebounding from the global economic downturn, medical tourism is growing by 15-20 percent a year according to PatientsBeyondBorders.com.

Stefanie del Signore, manager of Lufthansa’s leisure, medical and health division knows that better than most. She spends her time traveling the world, demonstrating a menu of health-related special services offered by the German carrier. From 18 different ingredient-restricted meals and supplemental oxygen to larger seats and flexible tickets for people traveling to or from medical treatments, del Signore is touting medical companions, physician services, a stretcher in a curtained off area or even a full and private onboard ICU.

You read that right. With 48 hours notice and for between 32,000 to 68,000 euros, Lufthansa can install what it calls its Patient Transport Compartment (PTC) in the center of some of its widebody Boeing 747-400s and Airbus A340s. Here, ill or recuperating travelers, their doctor and a medically trained escort have the equivalent of an intensive care unit for the duration of the flight.

“Lufthansa is the only airline offering this service, it’s like a hospital in the air,” del Signore, said of the PTC which is complete with high tech gadgets and monitors. Developed by Lufthansa Technik, the unit and seating meets regulatory crashworthiness standards even with a traveler in a lie-flat position and unconscious.

“The bulk of our business is coming from Arabic and Russian countries,” del Signore told me. Still, of all the medical products Lufthansa offers, the PTC is the least used. More common is the stretcher that can be ordered with 48 hours advance notice, and is placed in an area of about 8 seats in the back of the economy section. One need not be rich or suffering from some exotic illness to need it. In fact, a number of elderly cruise customers having injured themselves at sea have paid about 18,000 euros to fly prone from Miami to Frankfurt.

“Sometimes people do risky sports outside during holidays, para gliders, motorcycles and they have serious accidents,” said Dr. Raoul Breitkreutz, the airline’s Medical Director. Lufthansa used the stretchers to evacuate 3,600 Germans in need of medical care following a tsunami in December 2004, an operation that took four days and one that Dr. Breitkreutz called the most difficult of his career at the airline.

Most of Lufthansa’s customers are taking advantage of the less sophisticated medical paraphernalia, including a 24-hour call center staffed by medical professionals, oxygen on board and access for people with limited mental or physical abilities. But it is the Technik-designed specialized stretcher and flying ICU that took millions of dollars in development money that show great promise. Dr. Breitkreutz points out that because big airliners can fly long distances without refueling, flying a patient on an airliner is a faster alternative to transport by private jet.

Several of the PTCs have been sold to the US military, 12 are on Army Lockheed C-130 Hercules aircraft, Dr. Breitkreutz said. A few have been installed on the airplanes of private citizens in the Middle East.

There are rumors that both Gulf carriers, Etihad and Emirates have been working on their own version though neither airline responded to questions on this subject.

“This is the heart of our medical product because we are the only airline that shows to the public we are really unique and we really care,” del Signore told me enthusiastically at the end of a meeting explaining it all to slack-jawed reporters. Here is where, from del Signore’s perspective, medical travel can do its part to resuscitate Lufthansa’s bottom line.

source: http://www.runawaygirlnetwork.com / RunAwaygirlNetwork / Home / by Christine Negroni / New York

$100 billion reasons wellness tourism feels good

Spa Relaxing

The global spa and wellness tourism has grown from a $68 billion (US$60b) industry in 2007 to a whopping $107 billion (US$94b) in 2014, up 12.5% from 2013 figures, according to the latest Global Spa and Wellness Summit research.

The spa travel market’s growth of 58% in the past six years has contributed to a 47% rise in spa locations, now topping over 100,000 worldwide according to SRI International – the body behind the research. Much of the leap has been attributed to the years post the global financial crisis.

The growth has been attributed to an increasing global middle class market, predominately in Asia, Middle East, Africa and Latin America.

However Europe continues to lead the region for the spa industry, pumping $34 billion (US$29.8b), up 62% into the segment, followed by Asia Pacific at $21.4 billion (US$18.8b), up 65% and North America closing in at $20.8 billion (US$18.3b), up 35%.

“It has been six long years since our first spa industry research report, and to see nearly 60% growth across years marked by global financial collapse was as impressive as it was unexpected. Also exceeding our expectations: the growth in the wellness tourism market last year and the sheer scope of the thermal/mineral springs industry,” SRI Center for Science, Technology & Economic Development, senior consultant, Ophelia Yeung said.

“And key economic and demographic trends, we predict, will continue to fuel growth for these three segments, including the rise of the global middle class (at two billion people now, but expected to skyrocket to five billion by 2030); ongoing, phenomenal momentum for tourism, generally; millions more people each year proactively seeking a ‘wellness lifestyle’; and the story of developing markets, and so many new properties, across Asia, Middle East/Africa and Latin America.”

source: http://www.travelweekly.com / Travel Weekly / Home> News / by Daisy Melwani / September 30th, 2014