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Большинство иностранных пациентов приезжают из стран СНГ, Европы, Содружества, США, Канады и Австралии.</p>\n","images":[{"base_url":"clinic/69e60825833e6","title":"Современное здание клиники Meliva Kardiolita Hospital в Вильнюсе, Литва"},{"base_url":"clinic/68760e8ea6ab8","title":"Зона ресепшн в Meliva Kardiolita Hospital с современными диванами и деревянными акцентами"},{"base_url":"clinic/68760edd4a0e5","title":"Палата для пациентов в Meliva Kardiolita Hospital с современной медицинской кроватью и большими окнами"},{"base_url":"clinic/68760f379dab9","title":"Врач в кабинете консультаций Meliva Kardiolita Hospital с современным оборудованием"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Литва","id":215,"alias":"litva","iso_code":"LT"},"city":{"name":"Вильнюс","id":310,"alias":"vilnus"},"address":"Laisvės pr. 64A, Вильнюс 05263, Литва"},"rating":{"rating":4.7,"google":4,"percent_of_satisfied_clients":91},"statistics":{"number_of_reviews":159,"doctors_number":510,"year_foundation":1998},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":9300,"price_to":10400,"currency":"USD","id":14813},"operation":{"id":188,"name":"Замена плечевого сустава","alias":"zamena-plechevogo-sustava"}}]},{"card_text":"<p>Д-р Римас Дариюс специализируется на ортопедических операциях, включая сложные процедуры на суставах в Медицинском диагностическом и лечебном центре.</p><ul><li>Выполняет полный спектр ортопедических операций с использованием инновационных методов</li><li>Проводит как консервативное, так и хирургическое лечение травм суставов</li><li>Включает артроскопию в свои методы лечения</li><li>Член профессиональных ортопедических организаций</li></ul>","doctor":{"id":1227,"alias":"rimas-darius","name":" Римас Дариюс","clinic_id":176,"photo":"doctor/5d6d1adc9a2d2","first_year_working":1999,"created_at":"2017-12-21T12:34:48.000+00:00","short_description":"<p>Доктор является опытным хирургом, специализирующимся на ортопедических операциях, включая операции на косточке и лодыжке, а также артроскопии суставов. С акцентом на консервативные и хирургические методы лечения, доктор применяет признанные во всем мире инновационные методы. Доктор имеет обширный практический опыт в диагностике и лечении различных заболеваний, выполнении полного спектра ортопедических операций и назначении необходимых тестов и процедур. Кроме того, доктор обладает многочисленными профессиональными квалификациями и членствами, обеспечивая комплексное лечение с покрытием страхования ответственности.&lt;\\/p&gt;</p>","specialities":[{"id":"ort.001","name":"Ортопед","illness_kind_id":3},{"id":"sur.016","name":"Хирург-ортопед","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":176,"alias":"medicinskij-centr-diagnostiki-i-lecheniya","name":"Медицинский центр диагностики и лечения (МЦДЛ)","short_description":"<p>Медицинский центр диагностики и лечения (МЦДЛ) — частная многопрофильная клиника в Вильнюсе, Литва. Доктора госпиталя специализируются на хирургии, спортивной медицине, реабилитации и диагностике организма.\n</p>\n<p>Госпиталь отмечен сертификатом качества Дипломатического совета. Здесь проходят лечение сотрудники посольств и консульств.\n</p>\n<p>В клинике работают 180 врачей, 50 из которых получили награду “Заслуженный врач Литвы”.\n</p>\n<p>Ежегодно медицинский центр принимает на лечение 81 000 пациентов.\n</p>\n<p><span style=\"font-size:12.222222328186px;\">\n\t</span>\n</p>\n<p><br />\n</p>","images":[{"base_url":"clinic/5c88c27baf303","title":"Современный фасад здания клиники Medical Diagnostic and Treatment Center"},{"base_url":"clinic/5ae9d0e407a9d","title":"room"},{"base_url":"clinic/5ae9d0dea6aea","title":"Кабинет офтальмолога в Медицинском диагностическом и лечебном центре с оборудованием для проверки зрения"},{"base_url":"clinic/5ae9d0df66a10","title":"Гинекологический кабинет в Medical Diagnostic and Treatment Center с современным оборудованием"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Литва","id":215,"alias":"litva","iso_code":"LT"},"city":{"name":"Вильнюс","id":310,"alias":"vilnus"},"address":"ул. В. Грибо, 32А,  Вильнюс, Литва "},"rating":{"rating":4.6,"google":3.6,"percent_of_satisfied_clients":84},"statistics":{"number_of_reviews":26,"doctors_number":200,"year_foundation":1995},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"Сертификат качества медицинских услуг TEMOS","country_code":"DE"}]}}],"meta":{"total_count":3,"total_pages":1}},"reviews":{"reviews":[{"id":27917,"user":{"id":1099188,"name":"Ingrid ","country_code":"MT"},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"translation","value":2},{"name":"recommend","value":9},{"name":"manager","value":0},{"name":"relative_price","value":0}],"text":{"ru":"The contact coordinator was excellent. The doctor was warm, patient, and explained everything very well, though the English support in the hospital itself could be improved. I came in for a hip problem, but it turned out well; no surgery was needed, just specific exercises. The final price matched the quote with no unexpected additional expenses. I suppose there is no further contact from the clinic now that I am home. It was a good experience."},"order":{"operation":{"id":1150,"name":{"ru":"Ревизионное эндопротезирование тазобедренного сустава (артропластика)","en":"Total hip replacement (arthroplasty) revision"}},"diagnostic":{"id":354,"name":{"ru":"Консультация ортопеда","en":"Consultation with an orthopaedist"}}},"clinic_info":{"id":253,"name":"Клиника Мелива Кардиолита (Meliva Kardiolita Hospital)","alias":"chastnaya-klinika-kardiolita","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-10-21T07:32:59.464+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"coordinator_mentioned","value":true}],"client_response":{"what_like_text":{"ru":"Contact coordinator was TOP. Clinic was good and doctor was warm and patient and explained all verywell. Really recommendable"},"what_not_like_text":{"ru":"English  support in hospital must improve.\nNothing could be better"}},"summary":{"positive":{"ru":"Врач был дружелюбным, терпеливым и всё очень хорошо объяснил.","en":"The doctor was warm, patient, and explained everything very well."}}},{"id":3632,"user":{"id":80351,"name":"Helen Perry-Hughes","country_code":"GB","country_name":{"ru":"Великобритания","en":"United Kingdom"}},"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":2}],"text":{"ru":"У меня были анализы и консультация в клинике, но я не мог получить лечение, которое хотел в это время. Я вернусь в клинику через несколько недель. Люди, которых я встретил, были очень любезны, прекрасно говорили по-английски и очень хорошо заботились обо мне.","en":"I had tests and a consultation at the clinic but was unable to have the treatment I wanted at this time. I will be returning to the clinic in a few weeks. The people I met were really helpful, spoke perfect English and looked after me very well."},"order":{"operation":{"id":139,"name":{"ru":"Лечение стволовыми клетками","en":"Stem Cell Therapy"}}},"clinic_info":{"id":253,"name":"Клиника Мелива Кардиолита (Meliva Kardiolita Hospital)","alias":"chastnaya-klinika-kardiolita","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-04-20T13:36:39.000+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}],"summary":{"positive":{"ru":"Люди, которых я встретил, были очень полезными, прекрасно говорили по-английски и очень хорошо заботились обо мне.","en":"The people I met were really helpful, spoke perfect English and looked after me very well."}}},{"id":3332,"user":{"id":64468,"name":"Gennadii Mikhailov","country_code":"RU"},"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":2}],"text":{"ru":"В клинике пребывал с 18.03 до 26.03 2019г. Палата номер 210 , персонал очень внимателен , врачом в высшей степени доволен","en":"He stayed in the clinic from 18.03 to 26.03 2019. Chamber number 210, the staff is very attentive, extremely satisfied with the doctor"},"order":{"operation":{"id":671,"name":{"ru":"Замена тазобедренного сустава","en":"Hip replacement"}},"illness":{"id":3363,"name":{"ru":"Коксартроз тазобедренного сустава","en":"Osteoarthritis of the hip"}}},"clinic_info":{"id":253,"name":"Клиника Мелива Кардиолита (Meliva Kardiolita Hospital)","alias":"chastnaya-klinika-kardiolita","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-03-28T14:12:49.000+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/5c9e4e222809b_b.jpeg","preview_url":"review/5c9e4e222809b_s.jpeg"}],"summary":{"positive":{"ru":"&quot;Персонал очень внимательный, очень довольна доктором.&quot;","en":"\"The staff is very attentive, extremely satisfied with the doctor.\""}}},{"id":2763,"user":{"id":17206,"name":"Jill ","country_code":"GB","country_name":{"ru":"Великобритания","en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"После 6 разочаровывающих лет назначений NHS мы решили воспользоваться услугами Букимед","en":"The healthcare and equipment were superb. The clinic is very impressive and the staff were professional, patient and extremely attentive. All the consultants we saw provided thorough examinations, and where needed, arranged immediate tests which were either conducted on site or we were transported and escorted by the reception staff to other facilities for more complex tests. Having spent 6 frustrating years trying to get a diagnosis in the UK, we came away after 5 days at Kardiolitos finally knowing what the problems are, and how the management of those medical issues could be managed in the future. This was all made possible by Anna at Bookimed who arranged the entire trip from start to finish, together with the help of the wonderful medical coordinator, Jolita,  at the clinic.  They were more than happy to help with information about local accommodation and local logistics. I would thoroughly recommend this service and the Kardiolitos Clinic."},"order":{"illness":{"id":34,"name":{"ru":"Болезнь Бехтерева","en":"Ankylosing spondylitis"}}},"clinic_info":{"id":253,"name":"Клиника Мелива Кардиолита (Meliva Kardiolita Hospital)","alias":"chastnaya-klinika-kardiolita","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-01-26T09:40:01.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"Я очень рекомендую эту услугу и клинику Кардиолитос. О докторе: Все консультанты, которых мы видели, провели тщательное обследование. О клинике: Медицинское обслуживание и оборудование были превосходными. Клиника очень впечатляет, а персонал был профессиональным, терпеливым и чрезвычайно внимательным. О результатах: Потратив 6 разочаровывающих лет, пытаясь поставить диагноз в Великобритании, мы уе","en":"I would thoroughly recommend this service and the Kardiolitos Clinic.About the Doctor: All the consultants we saw provided thorough examinations.About the Clinic: The healthcare and equipment were superb. The clinic is very impressive and the staff were professional, patient and extremely attentive.About the Results: Having spent 6 frustrating years trying to get a diagnosis in the UK, we came awa"}}},{"id":16577,"user":{"id":636843,"name":"Mark Groder","country_code":"LV","country_name":{"ru":"Латвия","en":"Latvia"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":4},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":8},{"name":"manager","value":5}],"text":{"ru":"Все прошло отлично, смутила скорость бюрократии, но ничего критичного","en":"Everything went fine, confused by the speed of the bureaucracy but nothing critical"},"order":{"illness":{"id":689,"name":{"ru":"Воронкообразная деформация грудной клетки","en":"Funnel chest deformity"}}},"clinic_info":{"id":253,"name":"Клиника Мелива Кардиолита (Meliva Kardiolita Hospital)","alias":"chastnaya-klinika-kardiolita","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-08-31T10:52:16.604+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":false},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"Все прошло хорошо","en":"Everything went fine"}}},{"id":6854,"user":{"id":176504,"name":"Richard ","country_code":"GB","country_name":{"ru":"Великобритания","en":"United Kingdom"}},"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":2}],"text":{"ru":"Brilliant! За мной хорошо ухаживали.","en":"Brilliant! I was well looked after."},"order":{"operation":{"id":667,"name":{"ru":"Терапия стволовыми клетками при повреждении коленного сустава","en":"Stem cell therapy for knees"}}},"clinic_info":{"id":253,"name":"Клиника Мелива Кардиолита (Meliva Kardiolita Hospital)","alias":"chastnaya-klinika-kardiolita","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-03-07T12:43:51.000+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":{"ru":"Отличный сервис","en":"Excellent service"},"summary":{"positive":{"ru":"Великолепно!","en":"Brilliant!"}}},{"id":20989,"user":{"id":695655,"name":"Viktor Besarabchuk","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"relative_price","value":1},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":2},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"ru":"Понравилось сама компетенция врача. Рекомендую к посещению данную клинику. Не понравилась сама регистрация моего посещения клиники администратором клиники, так как она указала неактуальную дату посещения. Пришлось самостоятельно на месте регистрировать свое следующее посещение клиники. Сопровождение от от от нашего сайта Bookimed.com- отличное","en":"I liked the competence of the doctor. I recommend visiting this clinic. I did not like the registration of my visit to the clinic by the clinic administrator, as she indicated an outdated date of visit. I had to register my next visit to the clinic on the spot. Support from our website Bookimed.com is excellent"},"order":{"diagnostic":{"id":125,"name":{"ru":"Консультация ортопеда-травматолога","en":"Consultation with an orthopedist (traumatologist)"}}},"clinic_info":{"id":253,"name":"Клиника Мелива Кардиолита (Meliva Kardiolita Hospital)","alias":"chastnaya-klinika-kardiolita","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-08-01T16:02:52.708+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":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"ru":"Понравилось сама компетенция врача. Рекомендую к посещению данную клинику. Не понравилась сама регистрация моего посещения клиники администратором клиники, так как она указала неактуальную дату посещения. Пришлось самостоятельно на месте регистрировать свое следующее посещение клиники. Сопровождение от от от нашего сайта Bookimed.com- отличное","en":"I liked the competence of the doctor. I recommend visiting this clinic. I did not like the registration of my visit to the clinic by the clinic administrator, as she indicated an outdated date of visit. I had to register my next visit to the clinic on the spot. Support from our website Bookimed.com is excellent"},"what_like_text":{"ru":"Компетенция врача","en":"Competence of the doctor"},"what_not_like_text":{"ru":"Взаимодействие администрации данного заведения","en":"Interaction of the administration of the institution"}},"comment_about_bookimed":{"ru":"Рекомендую пользоваться услугами Bookimed, так как они удачно подберут Вам клинику, которая удовлетворит ваши потребности","en":"I recommend using the services of Bookimed, as they will successfully select a clinic that will meet your needs"},"summary":{"positive":{"ru":"Поддержка нашего сайта Bookimed.com превосходна","en":"Support from our website Bookimed.com is excellent"}}}],"meta":{"total_count":12,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"<p>День 1: Прибытие и подготовка к операции</p><ul><li> Прибытие в аэропорт.</li><li> Трансфер в отель.</li><li> Консультация ортопеда травматолога.</li><li> Первичные медицинские анализы и обследования.</li><li> Обсуждение процедуры, рисков и плана восстановления.</li></ul><p> День 2: Замена плеча</p><ul><li> Трансфер из гостиницы в клинику.</li><li> Подготовка к операции, включая анестезию.</li><li> Операция по замене плеча (продолжительность: 2-3 часа).</li><li> Послеоперационный мониторинг в послеоперационной палате.</li></ul><p> День 3-7: послеоперационный период и пребывание в больнице</p><ul><li> Послеоперационный уход в стационаре.</li><li> Регулярные осмотры медицинским персоналом.</li><li> Начало лечебной физкультуры для восстановления подвижности плеча.</li><li> Трансфер обратно в отель по окончании пребывания в больнице.</li></ul><p> Неделя 1-6: Реабилитация</p><ul><li> Продолжение лечебной физкультуры дома.</li><li> Постепенное увеличение активности плеч.</li><li> Регулярные повторные консультации ортопеда.</li></ul><p> Неделя 6-12: Возвращение к обычной деятельности</p><ul><li> Постепенное возвращение к работе и повседневным делам.</li><li> Продолжение лечебной физкультуры по мере необходимости.</li><li> Полное выздоровление и конечный результат виден.</li></ul><p> <i>Обратите внимание: сроки восстановления каждого пациента могут варьироваться в зависимости от индивидуального состояния здоровья и прогресса.</i></p>"}}},"relations":{"countries":[{"name":"Австрия","alias":"austria","iso_code":"AT"},{"name":"Азербайджан","alias":"azerbajdzhan","iso_code":"AZ"},{"name":"Венгрия","alias":"vengriya","iso_code":"HU"},{"name":"Германия","alias":"germany","iso_code":"DE"},{"name":"Греция","alias":"greciya","iso_code":"GR"},{"name":"Доминиканская 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lower in first 2 years."},"scars":"A single scar about 10-15 cm, usually along the front of the shoulder (deltopectoral approach); fades over many months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for a primary one-sided shoulder replacement."},"stages":[{"code":"surgery","label":"Shoulder replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single-stage primary replacement of one shoulder."},"success":{"metric":"Patients with significant pain relief and improved function","value":90,"unit":"percent of patients","horizon":"2 years after surgery","population":"Adults with end-stage glenohumeral arthritis undergoing primary shoulder replacement","evidence_status":"limited"},"techniques":[{"name":"Anatomic total shoulder arthroplasty","suits_whom":"Arthritis with intact rotator cuff and adequate glenoid bone","recovery":"Sling about 4-6 weeks, progressive rehab over 3-6 months"},{"name":"Reverse total shoulder arthroplasty","suits_whom":"Cuff tear arthropathy, deficient rotator cuff, complex fractures, older patients","recovery":"Similar timeline; sling about 4-6 weeks, with specific motion precautions"},{"name":"Hemiarthroplasty","suits_whom":"Selected fractures or avascular necrosis with intact glenoid","recovery":"Similar to total replacement; rehab may be slower if tuberosities need healing"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operative time for a primary shoulder replacement, excluding anesthesia and recovery."},"initial_assessment_documents":["Shoulder X-rays","Shoulder MRI or CT scan report","Orthopedic clinic notes on shoulder","List of blood thinners","Previous shoulder surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; 1-2 nights in hospital, then about 10-14 days in country until wound check. 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 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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 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