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Briton too overweight for NHS, not for Indian doctors
NewKerala.com ^ | 2006-04-01 14:32:13 | IANS

Posted on 04/01/2006 8:56:23 AM PST by CarrotAndStick

A Briton who was told by the National Health Service (NHS) that he was too overweight to undergo a life-changing operation has returned home satisfied after undergoing the surgery in India.

David Rogers, 62, from Abbeydale, Worcestershire, was told by the NHS that he was too overweight for the double hip and knee replacements that he desperately needed. Weighing almost 140 kg, he was told that he was about 37 kg too heavy for the surgery.

A satisfied Rogers remarked that he had been "thrown on the scrap heap by the NHS".

He reduced his weight to about 115 kg but could not go further to shed 12 more kg that was required for the surgery as his joints had made him immobile.

"I was in so much pain I couldn't lie in bed at night and had to sleep sitting in a chair. It was a vicious cycle because I couldn't do any exercise, so I struggled to lose any more weight," Rogers told the local media.

His wife saw a television programme about Britons flying to India for medical treatment and further investigations led her to a website that offers people access to top-class medical treatment in India.

The London-based manager of the website put the couple on to one Dr Nagaraj who was visiting London.

Rogers said: "I couldn't believe it - a surgeon actually came to my house, all the way from India. He put me at ease straight away and asked when I could go over for the operations."

Two weeks later, Rogers flew out to the Deepak Hospital, Dr Nagaraj's family hospital in Bangalore, for the first phase of major surgery - to reconstruct the knee and hip on the right side, at a cost of 10,000 pounds.

"I can't speak more highly of the nurses and surgeons there. The treatment I received was first class," said Rogers.

After two lengthy, complicated operations, he recuperated at a nearby retreat, and returned to Redditch recently.

"I can't believe the difference it has made to my life. I would recommend treatment over there to anyone," said Rogers, who is preparing for a return trip to India next January for work on the other hip and knee.


TOPICS: Business/Economy; Culture/Society; News/Current Events
KEYWORDS: britain; health; india; medical; medicine; nhs

1 posted on 04/01/2006 8:56:25 AM PST by CarrotAndStick
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To: CarrotAndStick

Yes, medical tourism from countries with bad medical systems to other countries can be viable when service is much better or prices are more affordable.


2 posted on 04/01/2006 9:01:07 AM PST by snowsislander
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To: CarrotAndStick
It is only good medicine to refuse hip and knee replacement surgery on obese patients.

It is well documented that there is a greater risk for failure in hip and knee replacement surgery in obese patients.
3 posted on 04/01/2006 9:02:50 AM PST by Kimmers (Liberals suck the fun out of life)
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To: snowsislander

More than that, the NHS, being a socialist entity, gave up on the patient. This is the crux of the reason socialist systems fail- they give up easy.


4 posted on 04/01/2006 9:03:19 AM PST by CarrotAndStick (The articles posted by me needn't necessarily reflect my opinion.)
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To: Kimmers
It is well documented that there is a greater risk for failure in hip and knee replacement surgery in obese patients.

Don't know about that...the guy was suffering in the first place. How "good" can it be to keep him that way?

5 posted on 04/01/2006 9:04:42 AM PST by CarrotAndStick (The articles posted by me needn't necessarily reflect my opinion.)
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To: CarrotAndStick
About 267,000 total knee replacements are performed in the United States each year. Many are performed on patients who are obese since obesity has been linked to degenerative knee joint disease. The researchers compared the outcomes of 78 total knee replacements in patients who were obese, defined as having a body mass index of 30 or more to the same number of replacements in a group of patients who were not obese. Although the success rates of knee replacement surgery are still relatively high for obese patients at 88 percent, they were still lower than that of non-obese patients at 99 percent. ...That's a fairly high success rate (88%).
6 posted on 04/01/2006 9:08:26 AM PST by Old_Mil (http://www.constitutionparty.org - Forging a Rebirth of Freedom.)
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To: CarrotAndStick

I know a guy who goes to Mexico when he needs basic treatment. When you don't have insurance and common procedures cost several hundred dollars here it begins to make it worth the risk.


7 posted on 04/01/2006 9:11:37 AM PST by Ma3lst0rm
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To: Old_Mil

I agree.


8 posted on 04/01/2006 9:11:55 AM PST by CarrotAndStick (The articles posted by me needn't necessarily reflect my opinion.)
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To: Old_Mil

English medical journals are already speculating that the NHS can no longer economically afford to take care of many aging sick, and others such as premature infants.

It is claimed that some 200,000+ beds could be freed up if these patients were not treated (i.e., they were sent to the great beyond).

And that means better health care and more stuff left over for the younger, healthier crowd. (Another unplanned result of the acceptance of abortion on demand for the sake of the convenience of the mother)

So it's no surprise that the NHS didn't want to take on the case of an obese man whose quality of life probably didn't meet the standards required to permit him to continue to live. . .


9 posted on 04/01/2006 9:12:30 AM PST by CondorFlight
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To: Kimmers

It's good medicine to refuse treatment? How about letting the patient decide if he wants to go ahead with treatment in light of statistics?

You're statement should have been it's only good socialist medicine to refuse treatment.


10 posted on 04/01/2006 9:14:31 AM PST by kenth
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To: Kimmers

Clearly hip and knee replacement will work less well on an obese patient.

But the basic problem with socialist medicine is that it has to go by the book. Otherwise, of course, an unlimited number of people would want unlimited free treatment. So they do a kind of triage, and tell patients they are too heavy for knee surgery, or too old for by-pass surgery, and so forth.

In a free enterprise medical system, you can say, "Well, I know the odds are less favorable, but I want it anyway, and I'm willing to pay for it." That's the difference.

It's not that knee surgery is completely useless for someone who's too fat, it's just that the odds are not quite as good. But the line certainly isn't absolute. It would only be absolute by Hypocratic principles if the danger to the patient were greater than the possible benefits, in which case it would be unethical to proceed. In this case, it's simply a matter of triage, bureaucratic regulations, and cost savings.


11 posted on 04/01/2006 9:14:42 AM PST by Cicero (Marcus Tullius)
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To: snowsislander

There is quite a thriving business for dental work across the US border in Tiujana. I know many folks who get dental work done much cheaper, and just as good, by dentists who set up shop in Mexico.

I'm sure there are bad dentists who do that, but many are good. I know several San Diego residents who go to Mexico for their dental work. Cheaper and just as good.


12 posted on 04/01/2006 9:14:44 AM PST by HitmanLV (Some people like to dash it out, but they just can't take it!)
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To: HitmanLV
There is quite a thriving business for dental work across the US border in Tiujana. I know many folks who get dental work done much cheaper, and just as good, by dentists who set up shop in Mexico.

Yes, I think we will also see more medical tourism from the U.S. because our prices are out of line with those of many other countries where good medical service is available on a cash basis.

13 posted on 04/01/2006 9:18:05 AM PST by snowsislander
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To: Kimmers

I worked at UVa as a physical therapist many years back. We had a surgeon who specialized in doing the riskier joint replacements - Jehovah's Witnesses, obese, elderly. His failure rate was higher than the guys that took the safe route but he also changed the lives of a lot of folk.

The obesity is a double-edged sword. It's hard to lose the weight if you can't exercise, and bum hips make it virtually impossible to exercise.


14 posted on 04/01/2006 9:30:01 AM PST by Spyder
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To: CarrotAndStick

How many pounds is 140 kg?


15 posted on 04/01/2006 9:32:32 AM PST by A knight without armor
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To: HitmanLV

My husband has seen Mexican dental work (he's a dentist) and in general it's a POS. You get what you pay for. You also don't have many regulations and the regulations are "negotiable" depending on who you bribe. Several of his friends have had folk go to Mexican dentists because they didn't want to pay US rates - guess what? Now they've not only spent for the trip to Mexico but they now have to pay US prices to get the lousy stuff fixed.


16 posted on 04/01/2006 9:32:58 AM PST by Spyder
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To: A knight without armor

140 kilograms = 308.647167 pounds


17 posted on 04/01/2006 9:33:52 AM PST by CarrotAndStick (The articles posted by me needn't necessarily reflect my opinion.)
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To: A knight without armor

308 pounds


18 posted on 04/01/2006 9:34:18 AM PST by Spyder
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To: CarrotAndStick; Spyder

Thanks!


19 posted on 04/01/2006 9:36:09 AM PST by A knight without armor
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To: CarrotAndStick
I know an American doctor who's dad was refused a pacemaker due to his age. His dad was a retired doctor in Indonesia (of Chinese descent). He was able to get him here alive and then had the pacemaker done. His dad had many more years.

If your over 65 your not getting open heart surgery, kidney dialysis or pacemakers in GB.

20 posted on 04/01/2006 9:41:37 AM PST by AmericaUnite
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To: HitmanLV
Wife and I go to a real nice clinic in Juarez.All the dentists live in the USA but have their practice there.Inexpensive,clean,warranty their work.They don't have big brother and huge malpractice payments.They will even pick you up in El Paso and drop you back off at the same spot.One day service for most procedures.Washington Dental Clinic,its on the web.Warning.There are a lot of bad clinics so be careful.
21 posted on 04/01/2006 9:48:10 AM PST by xarmydog
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To: CarrotAndStick
Thanks for the translation.

Why can't the Brits just speak english? ; )

22 posted on 04/01/2006 9:50:20 AM PST by freedomson (Tagline comment removed by moderator)
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To: Cicero
"Otherwise, of course, an unlimited number of people would want unlimited free treatment."

This is the part I find objectionable. "an unlimited number of people would want" those of us who have led productive lives to pay their bills. It really irks me to see fat people on food stamps. Eating a salad for lunch must be unheard of in their community. Walking for exercise must be forbidden.

I won't get into any of the supposed prejudices they have towards soaps.

So now that they are 100 or 200 lbs overweight and their major organs and skeletal structure can't handle the load they want us to pay for their medical costs to keep them alive. Horsepucky!
23 posted on 04/01/2006 9:57:18 AM PST by B4Ranch (Immigration Control and Border Security -The jobs George W. Bush doesn't want to do.)
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To: Spyder

I don't know but I would imagine that there are dentists of the same caliber as your husband in Mexico. I've had some poor dental work performed by Yankee dentists that caused me to change who I went to for my dental work.


24 posted on 04/01/2006 10:00:36 AM PST by B4Ranch (Immigration Control and Border Security -The jobs George W. Bush doesn't want to do.)
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To: Kimmers

My grandson, who is a sales rep for DePuy...a Johnson & Johnson company, told me that surgons hated to replace joints in seriously obese patients because it was a nightmare cutting through all the fat.


25 posted on 04/01/2006 10:05:09 AM PST by Carolinamom (I don't believe in a government that protects us from ourselves. ---Ronald Reagan)
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To: snowsislander

Yes and the quality is rising quickly in these developing nations. For a lot of people the choice is either go to foreign clinics or have nothing. Either their commie system won't do anything.. or in our system of malpractice, limited supply, regulations and so on they simply can't afford it.


26 posted on 04/01/2006 10:13:40 AM PST by ran15
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To: B4Ranch

There probably are some of good caliber there - and agreed there are some bad ones (especially in the NE) here. However, how does the average Joe Schmoe determine quality and which to choose? If your odds of getting a good guy in Mexico are say 1 in 10 but your chances here are 9 in 10, is it worth the money you save?


27 posted on 04/01/2006 10:14:24 AM PST by Spyder
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To: AmericaUnite
If your over 65 your not getting open heart surgery, kidney dialysis or pacemakers in GB.

If you are retired, then you are of no further use to the State. If you are no longer of use, then it is not in the interests of the State to keep you alive

28 posted on 04/01/2006 10:22:28 AM PST by SauronOfMordor (A planned society is most appealing to those with the hubris to think they will be the planners)
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To: A knight without armor; CarrotAndStick; Spyder

308 Pounds, huh? How many dollars is that?


29 posted on 04/01/2006 10:26:21 AM PST by Triggerhippie (Plus ça change, plus c'est la même chose.)
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To: Spyder
My husband has seen Mexican dental work (he's a dentist) and in general it's a POS.

When picking somebody to do work, you get good people and bad people. There is no substitute for getting references from satisfied customers, preferrably people you know

I can see US practitioners opening offices in Mexico, where they would be immune from US malpractice laws and regulations, and in exchange offering lower fees in exchange for that.

30 posted on 04/01/2006 10:27:45 AM PST by SauronOfMordor (A planned society is most appealing to those with the hubris to think they will be the planners)
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To: Spyder
I think a lot of it would depend on the type of work a person needs done and how convenient it is to go across to Mexico.

I know lots of false teeth are done in Mexico for dentists in Tuscon who charge full American dollar.

31 posted on 04/01/2006 10:31:27 AM PST by B4Ranch (Immigration Control and Border Security -The jobs George W. Bush doesn't want to do.)
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To: freedomson
454 grams to the pound. Think of it in water terms: 454 ml must therefore equal a pint (a pint's a pound the world around).

Anyway, 140kg = 140,000 grams;

140,000 grams / 454 grams per pound = 308 pounds

32 posted on 04/01/2006 11:06:08 AM PST by conservatism_IS_compassion (The idea around which liberalism coheres is that NOTHING actually matters but PR.)
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To: kenth
"How about letting the patient decide if he wants to go ahead with treatment in light of statistics? "

Exactly, but not all Md's want to present statics nor do they pay attention to them and not all patients want to hear them.

Patients need to ask their surgeons questions. How many surgeries have you done? What is your rate of failure? What is your rate of infection? what is the rate of infection withing the hospital? Do you have any patient satisfaction scores?

I do not think we should be denying health care but with the shrinking health care dollar this may our future reality.

Medicare and Medicaid do not cover basic costs of joint replacement surgery so it may be increasingly more difficult for people to find surgeons to do that type of surgery.
33 posted on 04/01/2006 11:44:21 AM PST by Kimmers (Liberals suck the fun out of life)
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To: SauronOfMordor
You already see that in the United States where adjacent states have vastly different liability caps ~ for example, there's Illinois. The legislature there holds the needs of the trial lawyers to outweigh the needs of the people. In adjacent Indiana, the needs of the people for medical care are held to be paramount (or relatively so compared to Illinois).

The consequence is that in Southern Illinois ALL the babies are born in hospitals in Indiana. Up in the Chicago area heart and other surgeons are rapidly relocating their activities to Gary, Indiana.

Small Indiana towns that would ordinarily not be able to justify the expense of a hospital, have new hospitals, and so on.

Again, you do not need to go to Mexico to check out this phenomenon.

34 posted on 04/01/2006 1:05:32 PM PST by muawiyah (-)
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To: CarrotAndStick
Two weeks later, Rogers flew out to the Deepak Hospital, Dr Nagaraj's family hospital in Bangalore, for the first phase of major surgery - to reconstruct the knee and hip on the right side, at a cost of 10,000 pounds.

My son had an emergency appendectomy in the US, using laparoscopic surgery, which involved a total hospital stay of about 36 hours. The total charge was quite close to this.

35 posted on 04/01/2006 1:20:27 PM PST by wideminded
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