Clinica Universidad de Navarra — перша лікарня в Іспанії, що отримала сертифікат JCI. Маючи досвід лікування понад 700 000 пацієнтів, їхня ортопедична команда спеціалізується на заміні плечового суглоба. Доктор Мікель Сан Хуліан Арангурен — фахівець з ортопедичної хірургії та травматології, який має великий досвід проведення цієї процедури.
Університетська клініка Наварри – найкраща приватна лікарня Іспанії 2018 року за версією Організації моніторингу медичної репутації MERCO .
\n\nНаварра – провідний центр лікування саркоми. 74% пацієнтів клініки виліковуються від саркоми кістки, у 90% випадках вдається зберегти кінцівку.
\n\nПрофільні напрямки госпіталю – онкологія, онкогематологія, пересадка органів, нейрохірургія, кардіохірургія.
\n\nКлініка перша у країні отримала американський сертифікат JCI за високу якість медичних послуг.
\n\nЗ моменту заснування в клініці Наварри пройшли лікування понад 700 000 пацієнтів із 70 країн світу.
\n","images":[{"base_url":"clinic/5c618b62dfba4","title":"Сучасна будівля лікарні Clinica Universidad de Navarra в Памплоні, Іспанія"},{"base_url":"clinic/5c618b62c6ade","title":"Сучасний хол рецепції в Clinica Universidad de Navarra зі сходами та арт-стіною"},{"base_url":"clinic/5c618b62d5bbe","title":"Сучасна зона очікування в Clinica Universidad de Navarra з місцями для сидіння"},{"base_url":"clinic/5c618b62ef71f","title":"Сучасна операційна в Clinica Universidad de Navarra з роботизованим обладнанням"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Іспанія","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Памплона","id":366,"alias":"pamplona"},"address":"Av. de Pío XII, 36, 31008 Pamplona, Navarra, Spain"},"rating":{"rating":4.7,"google":3.8,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":7,"doctors_number":440,"year_foundation":1962},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Акредитація Міжнародної об’єднаної комісії JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"Сертифікат Європейського товариства медичної онкології ESMO","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"Кращі клініки світу 2020 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Кращі клініки світу 2021 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"Кращі розумні лікарні світу 2021 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"Кращі клініки світу 2022 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Кращі розумні лікарні світу 2023 за версією журналу Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":147},"doctors":{"doctors":[{"doctor":{"id":946,"alias":"mikel-san-julian-aranguren","name":"Mikel San Julian Aranguren","clinic_id":339,"photo":"doctor/5acf60e5b761d","first_year_working":0,"created_at":"2017-06-27T15:03:54.000+00:00","short_description":"Лікар є спеціалістом з ортопедичної хірургії та травматології, з великим досвідом у лікуванні травм та захворювань опорно-рухового апарату. Клінічний фокус включає заміну суглобів, спортивні травми та складне лікування переломів. Лікар зробив значний внесок у розвиток хірургічних технік та брав участь у численних дослідницьких проектах, спрямованих на покращення результатів лікування пацієнтів. Акредитований провідними медичними радами, лікар визнаний за видатні досягнення в ортопедичній допомозі та опублікував численні рецензовані статті в престижних медичних журналах.<\\/p>
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":339,"alias":"clinica-universidad-de-navarra-navarra-hospital","name":"Clinica Universidad de Navarra (Navarra Hospital)","short_description":"Університетська клініка Наварри – найкраща приватна лікарня Іспанії 2018 року за версією Організації моніторингу медичної репутації MERCO .
\n\nНаварра – провідний центр лікування саркоми. 74% пацієнтів клініки виліковуються від саркоми кістки, у 90% випадках вдається зберегти кінцівку.
\n\nПрофільні напрямки госпіталю – онкологія, онкогематологія, пересадка органів, нейрохірургія, кардіохірургія.
\n\nКлініка перша у країні отримала американський сертифікат JCI за високу якість медичних послуг.
\n\nЗ моменту заснування в клініці Наварри пройшли лікування понад 700 000 пацієнтів із 70 країн світу.
\n","images":[{"base_url":"clinic/5c618b62dfba4","title":"Сучасна будівля лікарні Clinica Universidad de Navarra в Памплоні, Іспанія"},{"base_url":"clinic/5c618b62c6ade","title":"Сучасний хол рецепції в Clinica Universidad de Navarra зі сходами та арт-стіною"},{"base_url":"clinic/5c618b62d5bbe","title":"Сучасна зона очікування в Clinica Universidad de Navarra з місцями для сидіння"},{"base_url":"clinic/5c618b62ef71f","title":"Сучасна операційна в Clinica Universidad de Navarra з роботизованим обладнанням"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Іспанія","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Памплона","id":366,"alias":"pamplona"},"address":"Av. de Pío XII, 36, 31008 Pamplona, Navarra, Spain"},"rating":{"rating":4.7,"google":3.8,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":7,"doctors_number":440,"year_foundation":1962},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Акредитація Міжнародної об’єднаної комісії JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"Сертифікат Європейського товариства медичної онкології ESMO","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"Кращі клініки світу 2020 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Кращі клініки світу 2021 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"Кращі розумні лікарні світу 2021 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"Кращі клініки світу 2022 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Кращі розумні лікарні світу 2023 за версією журналу Newsweek","country_code":"US"}]}}],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":7110,"user":{"id":172274,"name":"Майя ","country_code":"BY"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"ua":"Дуже зручна клініка. Гарна територія, зручне розташування. Приємний медичний персонал. Усі доброзичливі та привітні. Перше знайомство з лікарем scype консультація, тривала з детальним обговоренням нашої ситуації. Потім повний супровід в оформленні документів та віз. Допомога кураторів у всьому із чіткими докладними інструкціями. Підбір житла на час обстеження, допомога 24/7. По приїзду особисте знайомство з професором Касаньяс, детальне обговорення майбутньої операції. Максимальна підтримка перекладача. Окрема подяка Ользі, дуже інтелектуальна та тактовна. Була з дитиною весь час доти, доки заснув( наркоз). Все, щоб мій хлопчик не боявся і не нервував. У нас було складне лікування, тривала операція. Аутотрансплантація типу Sacai, з остеосинтезем.Майже 8 годин. Чіткі та злагоджені дії всього персоналу, добрі, все робили, щоб їх пацієнту було комфортно, і не боляче. Мені всі розповідали про дитину якнайдокладніше. І я була зі своїм сином під час перебування у клініці завжди. Обхід лікаря щодня. Навіть у вихідні лікар приїжджав оглянути свого пацієнта. Спостереження, контроль, обстеження було зроблено якісно. Велике спасибі всім.","en":"Nice staff"},"order":{"illness":{"id":104,"name":{"ua":"Травми кісток та суглобів","en":"Injuries of bones and joints"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-12-04T13:45:32.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ua":"Так","en":"Yes"}},{"id":6792,"user":{"id":176267,"name":"Robert ","country_code":"KZ","country_name":{"ua":"Казахстан","en":"Kazakhstan"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":5},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":5},{"name":"relative_price","value":0}],"text":{"ua":"Skype консультація пройшла добре. Протягом години отримав відповіді на всі питання, вони, звичайно, відрізняються від тих, які отримуємо вдома, але проф. Ферран Монсеррат позитивний, загалом гарний настрій після консультації. Організували все добре, перед консультацією нам зателефонували, допомогли налаштувати Скайп.","en":"Skype consultation went well. Within an hour I received answers to all questions, they certainly differ from those that we receive at home, but prof. Ferrand Montserrat is positive, generally in a good mood after consultation. They organized everything well, before the consultation they called us and helped set up Skype."},"order":{"diagnostic":{"id":125,"name":{"ua":"Консультація ортопеда-травматолога","en":"Consultation with an orthopedist (traumatologist)"}}},"doctor_info":{"id":637,"name":"Ferran Montserrat","alias":"ferran-montserrat"},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-02-28T14:04:46.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"Протягом години я отримав відповіді на всі запитання.","en":"Within an hour I received answers to all questions."}}},{"id":6671,"user":{"id":171481,"name":"Лидия ","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ua":"Залишилися задоволені організацією візиту - оперативно, інформаційний супровід під час підготовки та перед консультацією; і результатами консультації-потрапили саме до Доктора, у якого хотіли отримати консультацію. Дякуємо представнику Bookimed","en":"We were satisfied with the organization of the visit - promptly, information support during the preparation and before the consultation; and the results of the consultation, they got to the Doctor from whom they wanted to get a consultation. Thanks to the representative of Bookimed"},"order":{"operation":{"id":671,"name":{"ua":"Заміна кульшового суглоба","en":"Hip replacement"}},"illness":{"id":170,"name":{"ua":"Коксартроз","en":"Coxarthrosis"}}},"doctor_info":{"id":1699,"name":"Rafael González-Adrio Wagner","alias":"rafael-gonzalez-adrio-wagner"},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-02-10T07:28:16.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"Вони потрапили до лікаря, у якого хотіли отримати консультацію.","en":"They got to the Doctor from whom they wanted to get a consultation."}}},{"id":15107,"user":{"id":601401,"name":"Ol'ga Dann ","country_code":"GB","country_name":{"ua":"Велика Британія","en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":9},{"name":"manager","value":5}],"text":{"ua":"Я в захваті від наданого клінікою перекладача. Не було жодних проблем у спілкуванні з лікарем. Консультація з приводу операції тривала близько півгодини, і лікар дуже докладно і зрозуміло пояснив мені, що робити і як вирішити мою проблему.","en":"I am delighted with the interpreter provided by the clinic. There were no problems in communicating with the doctor. The consultation about the surgery lasted about half an hour and the doctor explained to me in a very detailed and clear way what to do and how to solve my problem."},"order":{"operation":{"id":478,"name":{"ua":"Операція при вальгусній деформації","en":"Surgical treatment of valgus deformity"}},"illness":{"id":121,"name":{"ua":"Вальгусна деформація","en":"Valgus Deformity"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-04-27T15:09:14.106+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ua":"Щойно я зареєструвалася на Bookined, зі мною одразу ж зв'язалися консультанти, одразу ж скинули посилання на клініки в країнах, які мене цікавлять (я вибрала 3 країни). А потім організували консультації з лікарями цих клінік. І все це швидко, чітко і без великих зусиль з мого боку... Тепер у мене є вибір і я думаю, скоро прийму рішення.","en":"As soon as I registered on Bookined, I was immediately contacted by the consultants, they immediately sent me links to clinics in the countries I was interested in (I chose 3 countries). And then they organised consultations with the doctors of these clinics. And all of this quickly, clearly and without much effort on my part... Now I have a choice and I think I will make a decision soon."},"summary":{"positive":{"ua":"Лікар дуже детально і зрозуміло пояснив мені, що робити і як вирішити мою проблему.","en":"The doctor explained to me in a very detailed and clear way what to do and how to solve my problem."}}},{"id":5350,"user":{"id":92670,"name":"Наталия ","country_code":"UA","country_name":{"ua":"Україна","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"ua":"Добридень! Враження від клініки Сан Жоан були захопленням, масштаб клініки мене вразив! Консультація лікаря тривала більше години, лікар зміг відповісти на всі запитання нам!!!!! Дякуємо Вам за консультацію!","en":"Good afternoon! Impressions from the clinic of San Joan were a delight, the scale of the clinic amazed me !! The doctor’s consultation lasted more than an hour, the doctor was able to answer all the questions asked to us !!!!! Thank you for the consultation !!!"},"order":{},"clinic_info":{"id":272,"name":"Дитячий госпіталь Сан Жоан де Деу (Hospital Sant Joan de Déu Barcelona)","alias":"sant-joan-de-déu-–-barcelona-children’s-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-09-26T09:21:19.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/5d9ff9cd5631f_b.jpeg","preview_url":"review/5d9ff9cd5631f_s.jpeg"}],"comment_about_bookimed":{"ua":"Так","en":"Yes"},"summary":{"positive":{"ua":"Дякую за консультацію!!!","en":"Thank you for the consultation!!!"}}},{"id":6171,"user":{"id":158733,"name":"Михаил ","country_code":"UA","country_name":{"ua":"Україна","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":4},{"name":"coordination","value":0},{"name":"doctor","value":5},{"name":"manager","value":0},{"name":"personal","value":5},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ua":"Дуже сподобався сам лікар Рамон Кугат. Крім того, що чудовий фахівець, ще дуже добродушна людина без пафосу.","en":"I really liked the specialist himself, a very good-natured man without pathos, n"},"order":{"diagnostic":{"id":125,"name":{"ua":"Консультація ортопеда-травматолога","en":"Consultation with an orthopedist (traumatologist)"}}},"clinic_info":{"id":279,"name":"Hospital Quiron Barcelona","alias":"hospital-quiron-barcelona","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-12-19T09:23:47.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ua":"Все досить добре, допомогли, коли скасували рейс. Допомогли і із хостелом.","en":"Everything is quite good, they helped when the flight was cancelled. 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День 2: Заміна плеча
День 3-7: після операції та перебування в лікарні
1-6 тиждень: реабілітація
Тиждень 6-12: Повернення до звичайної діяльності
Будь ласка, зверніть увагу: графік відновлення кожного пацієнта може відрізнятися залежно від індивідуального стану здоров’я та прогресу.
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Later reviews at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","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":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Worsening pain in arm, hand or wrist","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"New or worsening pain in your arm, hand or wrist","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Leaking, swelling or odor at surgery site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Signs of infection at your surgery site including leaking, swelling, discoloration, odor or a feeling of warmth","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Shortness of breath","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/reverse-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Shortness of breath (dyspnea)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever higher than 101 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Fever higher than 101 degrees Fahrenheit (39 degrees Celsius)","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":"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":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription 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