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Spinal Cord Stimulation For Pain Treatment In India

What is Spinal Cord Stimulation For Pain?

Procedure: About the treatment

How is the Procedure Performed?

Procedure: What is involved in the procedure

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    Who is the Right Doctor for Spinal Cord Stimulation For Pain?

    Procedure: Who is the right doctor for this procedure

    What is the Usual Success Rate for this Procedure?

    Procedure: What is the usual success rate for this procedure
    Procedure: Any other special notes related to the procedure
    Medical devices called spinal cord stimulators are used to relieve persistent pain. These devices can treat a variety of pain disorders and origins, as well as distinct pain types. Spinal cord stimulators can alleviate the pain that hasn’t responded to conventional forms of treatment, but there are downsides and potential risks. When the body’s natural reaction to an injury lasts longer than it should, chronic pain begins to set in. The body is no longer protected from injury by this pain, which instead turns detrimental on its own. Problems with working, eating, exercising, or doing other daily activities can result from chronic discomfort. This can deplete someone’s energy, which can lead to additional chronic health issues including depression and weight gain, as well as problems from taking too many painkillers. Constant nerve signal transmission occurs from the body to the brain. Alerting a person to a problem helps avert injury. Unfortunately, nerve damage can cause them to send pain signals to the brain even when there isn’t an injury. These signals can be obstructed from reaching the brain by using spinal cord stimulation. Doctors in India use Spinal Cord Stimulation so that patients can find relief and help in daily activities.
    spinal cord stimulation for pain in india
    When compared to other wealthy countries, the cost of spinal cord stimulation in India is incredibly low. The success may be partially attributed to the neurosurgeon’s and physiatrist’s expertise as well as the state-of-the-art medical equipment used in Indian institutions. In addition to these advantages, India’s low costs without lowering clinical standards play a critical role in its widespread popularity.

    Spinal Cord Stimulation For Pain Cost In India

    Spinal Cord Stimulation For Pain cost in India for International patients is between USD 13500 to USD 16500.
    Patient has to stay in the hospital for 4 days and outside the hospital for 5 days. The total cost of the treatment depends on the diagnosis and facilities opted by the patient.

    What is a Spinal Cord Stimulation?

    A moderate electric current is delivered to your spinal cord by a spinal cord stimulator (SCS) device that is surgically implanted under your skin. The spinal cord’s nerve fibers get current from a pulse generator via thin cables. The SCS stimulates the nerves in the region where you experience pain when it is turned on. Because the electrical pulses alter and block the pain signal from reaching your brain, pain is minimized. Some SCS devices replace pain with paresthesia, a faint tingling sensation, using a low-frequency current. Other SCS devices disguise pain without tingling by using high-frequency or burst pulses. Most devices have a mode that is paresthesia-free.
    Not everyone responds well to stimulation. The sensation might not be pleasant to everyone. For some people, not all of their discomfort may be relieved. A trial stimulation enables you to test it out for a week for these reasons. The trial wires can be withdrawn if they don’t work for you, causing any harm to the spinal cord or nerves.

    SCS device systems come in several forms. All have three key components, though:

    • An electrical pulse generator produces the pulses with a battery.
    • A lead line transmits electrical pulses to the spinal cord along with several electrodes (8-32).
    • A portable remote control that may be used to change settings and switch the device on and off.

    What is the Purpose of Spinal Cord Stimulation?

    When nonsurgical pain management alternatives are ineffective, spinal cord stimulation is most frequently used. Different kinds of chronic pain can be managed or treated with spinal cord stimulators, including:

    • Angina that cannot be treated with other methods
    • Spine-related injuries
    • Hurting the nerves (such as severe diabetic neuropathy and cancer-related neuropathy from radiation, surgery, or chemotherapy)
    • Vascular disease of the periphery
    • Regional complex pain syndrome
    • After-amputation discomfort
    • Stomach discomfort that is visceral and perineal pain
    • back pain, especially persistent back pain following surgery (failed back surgery syndrome)
    • Pain following surgery
    • Arachnoiditis (painful inflammation of the arachnoid, a thin membrane that covers the brain and spinal cord) (painful inflammation of the arachnoid, a thin membrane that covers the brain and spinal cord)

    Spinal cord stimulation can enhance general well-being, promote restful sleep, and lessen the need for painkillers. It frequently coexists with other pain management techniques such as medicine, physical activity, physical therapy, and relaxation techniques.

    Why is India a Top Destination For Spinal Cord stimulation?

    The astounding successes of medical tourism in India over the past few years show how far the sector has progressed. Healthcare is one of the sectors that has contributed the most to revenue and is growing quickly. Both public and private entities support the healthcare sector.
    The best method for muffling pain signals before they reach the brain is spinal cord stimulation therapy. Spinal cord stimulator cost in India is lower than in any other country because it is a little device that is surgically implanted beneath your skin. The spinal cord receives gentle electrical pulses from it. It stimulates the pain-receiving nerves. You experience less pain when the gadget changes and conceals the pain signals. Although it doesn’t get rid of the pain’s cause, it does help you control it better. If there is no alleviation from the chronic pain you experience in your arms, legs, or back, it might be a viable alternative.
    India has an advantage over other countries in terms of medical tourism because of the following:

    • The majority of the medical professionals working in Indian hospitals have received their training at medical centers in the US, Europe, or other affluent countries.
    • The majority of medical professionals speak English well.
    • Many best hospitals in India have access to cutting-edge medical and diagnostic technology from large international enterprises.
    • The best nurses in the world come from India. Nearly 10,000 nurses graduate each year from India’s nearly 1000 accredited nurse training programs, the majority of which are affiliated with teaching hospitals.
    • Even the most frugal traveler can afford premium services and opulent facilities.

    Who is a  Good Candidate for Spinal Cord Stimulation?

    Your physical health, pharmaceutical regimen, and pain history will all be taken into consideration when determining whether your pain management objectives are suitable for SCS. The history of any prior procedures and therapies will be examined by a neurosurgeon, physiatrist, or pain expert. A psychologist will evaluate your health to increase the likelihood that a satisfactory solution will be achieved because chronic pain also has emotional impacts.

    Patients who are chosen for SCS typically have suffered lower back, leg (sciatica), or arm discomfort that is severe and incapacitating for longer than three months. Additionally, they frequently have had one or more spinal operations.

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      You might qualify for SCS if:

      • Traditional treatments have failed.
      • The discomfort is brought on by a fixable issue, so it needs to be resolved.
      • Due to the hazards and lengthy recuperation, you do not want to have any more surgery. SCS may occasionally be referred to as a significant, complex
      • Back/ Spine surgery
      • You don’t use drugs or have untreated depression, which should be addressed before getting an SCS.
      • You don’t have any health issues that would prevent you from getting implants.
      • Your SCS trial was successful.

      Prior to the onset of a cycle of pain-suffering-disability-pain, SCS is more effective in the early phases of chronic disease.

      What is the Cost of Spinal Cord Stimulation in India?

      India has significantly lower healthcare costs than other countries. Furthermore, the quality of the medical services and treatment provided there is on par with that of the best hospitals in the world. Even without taking into account the expenditures of travel, lodging, and meals, Spinal Cord Stimulation cost in India starts from USD 22000.
      The entire cost of Spinal Cord Stimulation in India  can vary depending on a number of criteria, such as

      • The price of treatment packages can depend on the hospital’s preference.
      • Doctor’s competence and experience in the subject.
      • The patient’s situation: The patient’s disease and whether additional modalities are required for comprehensive treatment.
      • Duration of hospitalization and stay in the country.
      • Need for post-operative care.
      • Hospital room classification.

      How to Choose a Hospital in India for Spinal Cord Stimulation?

      Hospitals that offer Spinal Cord stimulation treatment are well known for their services in patient care and hospitality. Some of India’s best neurosurgeons who are leaders in their fields, practice in these facilities. Choosing a reputable hospital for treatment as a foreign patient could be difficult. It is a significant decision that must be made while bearing various considerations in mind, such as:

      • Quality certificates and accreditations
      • Hospital and transportation facility location
      • Team of doctors and surgeons
      • Advanced diagnostic and therapeutic equipment
      • International patient assistance

      Q: What is the purpose of spinal cord stimulation?
      A: Spinal cord stimulation can be used to treat patients suffering from severe, chronic pain as a result of a variety of conditions such as failed back surgery/arachnoiditis, neuropathic pain/neuropathy, and complex regional pain syndrome/reflex sympathetic dystrophy.

      Q: How successful is a spinal cord stimulator?
      A: The success rate of spinal cord stimulators is determined in part by the condition being treated and the type of device used. On average, more than half of people experience a 50% reduction in pain. Spinal cord stimulators’ effectiveness can also deteriorate over time for unknown reasons.

      Q: Is a spinal cord stimulator a major surgical procedure?
      A: The implantation of a spinal cord stimulator is an outpatient procedure that can provide pain relief to patients suffering from a variety of chronic pain syndromes. Although there are few serious complications, lead migration and breakage are common.

      Q: Is it possible to live a normal life while wearing a spinal cord stimulator?
      A: Living with a spinal cord stimulator will take some getting used to, but it can help you live a fully functional life. Your doctor is the best source of information on how to assist your body in healing. During this recovery period, always follow our instructions and keep all of your scheduled appointments.

      Q: Do you have to stay in the hospital after having a spinal cord stimulator?
      A: Recovery from Spinal Cord Stimulator Removal Most patients stay in the hospital for one night for monitoring and then go home the next day. Surgical pain subsides faster (after about a day) in patients who have had percutaneous leads removed than in patients who have had paddle leads removed (around a week).

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        IBS Hospital

        IBS Institute of Brain and Spine, New Delhi

        Number of beds:   50
        ICU Beds:                  12
        Airport Distance: 15 Km

        Brief about :

        • Established in 2011, IBS Hospital specializes in advanced neurosurgery, neurology, spine surgery, and joint replacement surgeries.
        • The hospital receives more than 600 international patients per year.
        • It has world-class infrastructure and a dedicated team of specialists and qualified staff.

        • Accredited with NABH, Institute of Brain and Spine offers a wide range of non-surgical interventions, diagnostics, and minimally invasive surgical treatments.
        • The hospital provides comprehensive treatments for Parkinson’s disease, tremors, gastroparesis, spasticity, dystonia, bowel control and other unique treatments such as spinal cord stimulation, neuromodulation therapy, deep brain stimulation, sacral neuromodulation, peripheral nerve stimulation, high cervical stimulation, nerve stimulation, brachial plexus nerve stimulation, electrical cortical stimulation and drug pump insertion.
        • Its rehabilitation department offers post-surgical and other treatments for a healthy and speedy recovery.
        • It has collaborated with SPINE MED to provide Neuroscience facilities in TOSHKENT (Uzbekistan.)

        Medanta-Hospital-Gurgaon

        Medanta The Medicity Hospital

        Number of beds:  1250
        ICU Beds:                300
        Airport Distance: 18 KMs

        Brief About:

        • Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
        • Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
        • The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.

        • The team of Medanta has performed over 15,000 cardiac surgeries and 2500 joint replacement surgeries.
        • It Has performed over 500 living donor liver transplants. It is the highest number of liver transplants done in India and the 2nd highest in the world.
        • Further to its credits, the doctors at Medanta are highly trained experts with international repute and have contributed in making world records and claimed many firsts not only in India but on a global scale.
        • It has all kinds of procedures like Liver transplant, intestine,transplant and Knee Replacement surgery.
        • The hospital maintains a high standard of quality clinical care and is operational with the latest technologies like 256 Slice CT, Brain Suite with Intraoperative MRI Imaging, Da Vinci a surgical system with Robot for Minimally Invasive Surgery, Artis- Zeego Endovascular Surgical Cath Lab- with combined operating room.

        Max Hospital Saket

        Max Super Specialist Hospital Saket

        Number of beds:   500
        ICU Beds:                 267
        Airport Distance: 13 KM

        Brief About :

        • Max Super Speciality Hospital at Saket is one of the topmost healthcare service
        • Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
        • With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.

        • Max Hospital, Saket aims to provide the highest standard of medical care to the patients, right from admission and all the way to the patient discharge.
        • Max Smart Super Speciality Hospital, Saket, offers the advantage of integrated medical care in a multidisciplinary setting provided by a faculty of highly qualified doctors, nurses, & healthcare professionals.
        • Max Smart Super Speciality Hospital, Saket, is a regional hub for complex procedures such as neurovascular intervention, targeted cancer treatments, heart surgeries, orthopaedic surgeries, liver & kidney transplant, and fertility treatments.
        • With over 35 Speciality units, this renowned hospital caters to many patients from different parts of India as well as abroad on an everyday basis.
        • The super specialty hospital is well known for having Asia’s first and the world’s third BrainSUITE technology.
        • It is an advanced Neurosurgical operation theatre, which allows the medical team to use MRI during the surgery. This sophisticated technology can be used for various kinds of brain surgery.
        • Max Hospital group is also the first super speciality tertiary care centre that has the facility for advanced cardiac life support ambulances and air evacuation service.

        BLK_Super_Specialty_Hospital

        BLK-Max Super Speciality Hospital

        Number of beds: 700
        ICU Beds:               175
        Airport Distance: 13 Km

        Brief About:

        • BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
        • BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
        • BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.

        • Spread on five acres of land, with a capacity of 700 beds,
        • BLK Super Speciality Hospital is one of the largest tertiary care private hospitals in the country,
        • BLK has consistently ranked amongst the Top 10 Multi Super Specialty Hospitals in Delhi NCR.
        • The outpatient services are spread on two floors with 80 consultation rooms. All ambulatory services have been designed with the intent to create dedicated aides for all specialities, with their interventional services in close vicinity.
        • The hospital has 17 state-of-the-art well equipped modular operation theatres with three-stage air filtration and gas scavenging system to ensure patient safety. All the Operation Theatres are fitted with best in class pendants, operating lights, anaesthesia workstations and advanced information management system.
        • The Hospital has one of the biggest critical care programmes in the region with 125 beds in different intensive care units viz Medical, Surgical, Cardiac, Paediatrics, Neonatology, Neurosciences and Organ Transplant.
        • Each Critical care unit is equipped with high-end patient monitoring devices, ventilators and dedicated isolation rooms.
        • Liver and Renal Transplant Centres have been equipped with dedicated ICUs with individual HEPA filters, specialized instruments and equipment.
        • Awarded the Prestigious Gold Award at Hospital Management Asia (HMA), Bangkok (2013) and HMA Awards 2014.

        Artemis Hospital

        Artemis Hospital Gurgaon

        Number of beds:  600
        ICU Beds:                185
        Airport Distance: 19 Km

        Brief About:

        • Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
        • Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
        • Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.

        • Artemis has around 400 + best doctors. It has put modern technology in the hands of renowned  doctors from across the country and abroad to set new standards in healthcare.
        • The medical practices and procedures followed in the hospital are research-oriented and benchmarked against the best in the world.
        • Top-notch services, in a warm, open patient-centric environment, clubbed with affordability, has made us one of the most revered hospitals in the country.
        • Most Promising Start-Up of the Year 2007 award – Express Healthcare magazine
        • Best IT Implementation for the Year 2008 – PC Quest magazine for Hospital Information System
        • Best institute for Medical Value Year 2010 – The CNBC Awaaz travel awards
        • Asia Pacific Hand hygiene excellence Award Year 2011 – World Health Organisation (WHO)
        • The patient base is 400000
        • 750000 surgeries conducted since the inception

        Sanar International Hospital Gurugram, Delhi NCR

        Sanar International Hospital

        Number of beds:   130
        ICU Beds:                  35
        Airport Distance:  20 Km

        Brief About :

        • Sanar International Hospital was established in 2018.
        • Sanar International Hospital founded by Mr. Naresh Kapoor.
        • Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.

        • It establishes itself as a center of excellence with world-class infrastructure, a team of experienced surgeons, doctors, and nursing staff.
        • Sanar International Hospitals is not only leaving a mark amongst domestic patients but also making it a preferable choice for patients from other countries.
        • Sanar International Hospital offers comprehensive advanced surgical care in over 15 Specialties.
        • The hospital’s skilled faculty is on numerous medical clinical & advisory boards and lectures nationally & internationally on a regular basis.
        • It focuses on High-End Complex Surgeries with cutting-edge technology to enable the carrying-out of the most complex surgical procedures with clinical excellence at par with anywhere in the world.
        • All facilities are based on the latest revolutionary and technological advancements of global standards particularly in radio diagnosis, research, clinical and surgical practices.
        • Hospital technology & Radio Diagnostic foray is of the latest generation of MRI, CT, Digital X-Ray, Ultrasound, pharmacy, ambulance & 24 hrs Transfusion Medicine, Laboratory & Emergency services.

        Treatments

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          FMRI

          Fortis Memorial Research Institute

          Number of beds:    1000
          ICU Beds:                  298
          Airport Distance:  17 KMs

          Brief About:

          • Fortis Memorial Research Institute was established in 2001.
          • It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
          • Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.

          • JCI & NABH Accredited Hospital, NABL Accredited Lab, NABH Certified Nursing Excellence, NABH Accredited Blood Bank
          • FMRI is a 1000 bedded and 15 Operation theaters and over 400 diagnostics centres (including JVs).
          • Medical facility endowed with a dedicated team of 200 world-renowned doctors, covering a number of specialities, who aim to provide the best quality medical care to all the patients, national as well as international.
          • This hospital is well set up with the latest technologies and equipment throughout all the specialties and research labs, which are accredited by NABL.
          • This ensures that the patients at FMRI receive diagnostic results and treatment with high accuracy and in minimum time.
          • With a vision for the community, FMRI operates various speciality clinics such as, for Paediatrics, Nephrology, Neurology, Gynecology, Orthopedics, Oncology and many more, which provide long term healthcare management and follow up care.
          • FMRI is the premium healthcare provider and endeavours to be known as the “Mecca of Medicine” – the ultimate healthcare destination.

          indraprastha apollo hospital

          Indraprastha Apollo Hospital

          No. of beds: 900
          ICU Beds:     262
          Airport:        20kms

          Brief About:

          • Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
          • The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
          • A team of highly trained medical professionals work under all the 52 specialities at the hospital.

          • Indraprastha Apollo is an accredited hospital with international standard quality services for patient care and safety norms.
          • The hospital uses its own system, called The Apollo Standards of Clinical Care (TASCC), to maintain top standards for all kinds of treatment and procedures.
          • The Apollo Organ Transplant Program is one of the most successful programs in the country that has performed over 1627 transplants (410 Liver and 1210 Kidney), including 979 transplants (289 Liver and 690 Kidney) performed at the Transplant Program in Delhi.
          • It is the First Hospital in India to perform a Paediatric Liver Transplant in 1998. They have successfully performed various kinds of liver transplant for different kinds of liver conditions.
          • Indraprastha Apollo Hospital has some world-reputed surgeons and specialists who are the pioneers of their specialities, especially in Cardiology and Neurology.
          • The hospital has won many national and international accolades and continues to be one of the top healthcare service providers in India.
          • It is the first hospital in India to get international accreditation by international (JCI) consecutively for the fourth time

          Accord Superspeciality Hospital Faridabad Delhi NCR

          Accord Superspeciality Hospital

          Number of beds:   380+
          ICU Beds:                  41
          Airport Distance:  46 Km

          About Hospital:

          • The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
          • Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
          • Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.

          • It delivers world-class patient care services.
          • Highly experienced team of super specialist available at accord superspeciality hospital
          • It believes in enhancing the expertise of doctors through the use of augmented artificial intelligence, generated through various systems and software.
          • Its smartness is the result of a super-brain that accompanies the hospital.

          aakash hospital

          Aakash Health Care Delhi

          Number of beds:  230
          ICU Beds:                70
          Airport Distance: 10 Km

          About Hospital:

          • Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
          • The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
          • Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.

          • The hospital also has a 24×7 ‘Trauma & Emergency Center’, blood bank, with state of art Neonatal and Paediatric ICU.
          • The Super Specialty Hospital is being managed by highly qualified and trained experts from their respective fields and a unified team of healthcare experts ensure 24×7 comprehensive patient care
          • The Hospital has deployed high-end technologies and smart digital systems along with robust Hospital Information Systems to address complex medical needs and convenience of patients.
          • Mr. J C Chaudhry is the chairman of Hospital and Dr. Aashish Chaudhry is Managing Director, who is also a renowned Orthopedic Surgeon in this region.
          • Total number of surgeries done is 25000+ till now.

          Jaypee Hospital, Noida

          Jaypee Hospital

          Number of beds:   525
          ICU Beds :               150
          Airport Distance: 32 KMs

          About Hospital:

          • The Jaypee Hospital was conceptualized by a revered Founder Chairman, Shri Jai Prakash Gaur in 2014, with the vision of promoting world-class healthcare amongst the masses by providing quality and affordable medical care with commitment.
          • Jaypee Hospital at Noida is the flagship hospital of the Jaypee Group, which heralds the group’s noble intention to enter the healthcare space.
          • This hospital has been planned and designed as a 1200 bedded tertiary care multi-speciality facility and has commissioned 525 beds in the first phase.

          • The Jaypee Hospital is constructed across a sprawling twenty-five-acre campus in Sector 128, Noida which is easily accessible from Delhi, Noida and the Yamuna Expressway.
          • With its best in class facilities, state-of-the-art technology, diagnostic services, and skilled doctors.

          Get Opinion From Doctor

            We offers these Services

            • Providing a doctor’s opinion and proper quotation
            • Selecting the best hospital and doctor as per your case
            • Arranging a call with the doctor (if the case required)
            • Visa assistance, Providing Visa Invitation Letter (VIL)
            • Providing full guidance how to get Visa from your country
            • Providing total cost including treatment, air tickets, accommodation, and food
            • Assitance to book flight ticket from your country
            • Arranging airport pick up/ drop
            • Providing professional language interpreter
            • Booking accommodation and guest house as per your budget/ prefrence
            • Providing help in money exchanging
            • Providing local sim card
            • Arranging video consultation with specialist doctor if case requires
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