August 15, 2019

Neurological Rehabilitation: Choosing Phase and Healthcare Facility


Neurological rehabilitation in Germany is the obligatory part of treatment in patients with injuries of spinal cord or brain. In the acute phase of the pathology every effort is made in order to save patient’s life, and this is natural. However, only the subsequent rehabilitation will restore patient’s quality of life, which is significant as well.


When the neurological rehabilitation is suitable

  • Tumors of brain and spinal cord.
  • Stroke.
  • Traumatic brain injuries.
  • Polyneuropathy due to the alcohol intoxication, diabetes, etc.
  • Cerebral palsy.
  • Amyotrophic lateral sclerosis.
  • Multiple sclerosis.
  • Parkinson's disease and essential tremor.

Phases of neurorehabilitation

  • Phase A – treatment in the acute phase of the pathology (e.g. stroke) when a patient stays in the intensive care unit of a hospital.
  • Phase B – early rehabilitation that is carried out in patients with the Barthel index < 25. It includes inpatient procedures, but the patient stays in a usual room (not in the ICU).
  • Phase C – follow-up rehabilitation that is recommended to patients with the Barthel index of 35-65. In phase C a patient does not need to stay in the hospital or rehabilitation center.
  • Phase D – supportive rehabilitation that is carried out in patients with the Barthel index of 70-100. It consolidates results of the previous therapy and is followed by the maintenance therapy at home.

Leading healthcare facilities for the neurological rehabilitation in Germany

  1. Neurological Rehabilitation Clinic Godeshöhe, Bonn, with over 30 years of experience in the rehabilitation of phases B, C and D.
  2. St. Mauritius Therapy Clinic, Meerbusch, that offers individualized pediatric, general and gerontological neurorehabilitation.
  3. Neurological Rehabilitation Clinic RehaNova, Cologne, with the international certificate DIN EN ISO 9001:2008 in the relevant medical field.
  4. Rehabilitation Clinic Benedictus Krankenhaus, Feldafing, that offers the whole spectrum of measures (phases A, B, C, D) and has certificate EN ISO 9001-2008.

Undergoing treatment abroad with Booking Health
Neurological rehabilitation in Germany is the obligatory part of treatment in patients with injuries of spinal cord or brain. In the acute phase of the pathology every effort is made in order to save patient’s life, and this is natural. However, only the subsequent rehabilitation will restore patient’s quality of life, which is significant as well. Rehabilitation restores or improves ability to walk, speak, fulfill activities of daily living and be engaged in social life. It is also a helpful addition to the pharmacotherapy in patients with Alzheimer's disease and Parkinson's disease.

Neurorehabilitation is the significant part of recovery after surgeries on the nervous system (brain and spinal cord). It is also performed in autoimmune and traumatic pathologies:

Restorative rehabilitation programs are typically used in adults. Neurorehabilitation in children and teenagers pursues somewhat different aims, as doctors primarily focus on physical growth and intellectual development. Young patients acquire basic skills, not restore them. This process is challenging and has certain peculiarities. Fortunately, child's brain is plastic enough to cope with it successfully.

Based on the neurological examination, neurophysiological examinations, CT and MRI data, and Barthel index calculation, neurorehabilitation is divided into several phases:

Restorative treatment in Germany is carried out in specialized healthcare institutions that collaborate with relevant departments of university or academic hospitals. According to the annual qualification profile, success rates, equipment, doctors’ qualifications and level of comfort, list of the best hospitals include:

Travelling abroad may be difficult for a person with a nervous system pathology or acute neurological disease in the anamnesis. For such patients it is more convenient to undergo neurological rehabilitation in Germany with the help of the certified medical tourism provider – Booking Health.

Certified doctors of Booking Health will help to choose rehabilitation center and explain to you the preliminary program. Travel specialists will facilitate visa issuing, book the appointment, take care about accommodation, flight and transfer. While staying in the hospital, you will be accompanied by medical interpreter. Medical reports will be translated into your native language as well.

Financial specialists of Booking Health will protect you financial interests – exclude additional fees for the foreigners, double-check final calculation and cost of medical services. Should you leave the request on the Booking Health website, qualified specialist will contact you the same day and guide through further steps.
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July 28, 2019

The Lion King (2019)

It was 1994 when the animated The Lion King movie was released. After twenty-five years, Disney made a remake of the movie, but this time, in real-life action.
the lion king, lion king 2019, lion king, Movie Sharing,

Since we made a promise to our little boy, we watched the film last Sunday.

I must admit, I was excited since I wanted to see if there are changes from the original story.

As the movie goes, I carefully reminisce the scenes and the story. Nothing has changed. Even the soundtracks are still the same – Can You Feel the Love Tonight, Hakuna Matata, Circle of Life and others.

Here is a summary of the story:

Simba admires his father, King Mufasa, the leader of the Pride Lands of Africa. He wanted to be like his father when he grows up and become the king. But behind all the excitement, there is one that is not happy with the arrival of Simba. Scar, Mufasa's brother, who happens to be the former heir to the throne, is doing plans to take the lead.

Scar made connivance with the hyenas to kill Mufasa and put all the blame to Simba. He forced Simba to leave the Pride Land and never return.


Simba collapses in the dessert where Timon (meerkat) and Pumba (warthog) saved him. Simba grew up in the jungle with his friends.

One day, Simba saved his two friends from a hungry lioness, Nala, Simba’s childhood friend.

Nala, escaped from the Pride Land to seek help to save their home. She encouraged Simba to return and take back the throne.

Simba refuses but he was urged by Rafiki. He told Simba that his father’s spirit lives in him. Without a second thought, he runs and returns to Pride Land.

With the help of Simba's friend, he reached the Pride Rock and confronts Scar and saved his mother, Sarabi, from Scar’s attack.

During the fight, Scar, reveals that he saw the same scenario at the edge of the rock where he killed Mufasa. Scar tried to defend himself and blame the hyenas in Mufasa’s death.

With the help of Timon, Pumba, Rafiki, Zazu, Nala and the rest of the lioness, they managed to out thrown the hyenas.

Scar was cornered by Simba. He tries to beg and ask what he can do to forgive him. Simba ordered him to leave the Pride Land and never return.

Scar tries to attack Simba but he was thrown from the top of the rock. He survived but was attacked and killed by hyenas.

Simba became the king and made Nala his queen.

Later in the Pride Rock, Rafiki presented Simba and Nala’s cub to the other animals in the Pride Land.

After watching the movie, our little boy keeps on singing Hakuna Matata. He cannot forget the funny duo of Timon and Pumba.


Have you watched The Lion King too?
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July 5, 2019

Sectoral Resection Of Breast Cancer


clinic image 2

Breast cancer (BC) is an extremely common disease, the causes of which are well studied. According to the WHO, the total morbidity with of all types of breast cancer is 25% of all female cancer diseases.

Breast cancer (BC) is an extremely common disease, the causes of which are well studied. According to the WHO, the total morbidity with of all types of breast cancer is 25% of all female cancer diseases.


Heredity plays a large role in the emergence of a dangerous disease, so patients with an unfavorable family history are at high risk.

Predisposing factors are also obesity, hormonal imbalance, organ trauma, old age, the bad condition of the immune system.

Many forms of the disease respond well to treatment at their early stages, so mammography has great importance for women over 35 years old. The best prevention of breast cancer is a healthy lifestyle, sports, high-quality nutrition, lack of stress, well-chosen underwear.

Breast Cancer Symptoms

Symptoms of BC can manifest themselves in different forms, depending on the form and stage of the tumor process. There is an urgent need to register an appointment with a doctor in such cases:
● development of nodules under the skin;
● changed breast shape;
● red areas of skin;
● secretions from the nipples.

In the initial stages of BC there is no pain, so you should carefully monitor the slightest changes.
There are four classified stages of breast cancer with taking into account zero cycle characterized by minimal tissue damage and the absence of the fully formed tumor lesion.

Stages of Breast Cancer


The main stages are: 


1. New growth up to 2 cm in diameter.
2. Growth from 2 to 5 cm in diameter, possible spread of the process to the nearest lymph nodes.
3. The affection of the nearest and distant lymph nodes, the size of the tumor exceeds 5 cm.
4. The process has spread to other organs and tissues, the patient has signs of severe intoxication.

The prognosis of treatment depends not only on the stage of the cancer, but also on its type (there are highly aggressive and moderately aggressive forms of the disease).

According to the histological classification of tumors, there are two types of cancer, namely highly differentiated and low-differentiated cancers. In the first case, the cure is more favorable.

In case of the non-invasive process a tumor does not affect the surrounding tissue for a long time, whereas the invasive one spreads rapidly by affecting the nearest organs and lymph nodes.

The rapidly progressing types of breast cancer include:
● Hypothyroid. It is mostly diagnosed in young women up to 35 years. Patients with endocrine diseases, obesity are at high risk of disease. The disease is rapidly developing by forming metastasis in all organs.
● Ovary. It develops with appendage dysfunction, very often occurs due to the ovarian cysts, during the postpartum period. Like hypothyroid cancer, the disease is characterized by high aggressiveness and rapid development.
● Hypertension-adrenal cancer develops after the age of 48–65 years when the level of cortisol is too high. The pathology is as dangerous as the previous two.
● Tumors during pregnancy and lactation are the result of strong hormonal changes. They develop rapidly and require urgent treatment.


Types of Treatment
Like all cancers, breast cancer is treated according to this complex scheme:
● surgery;
● chemotherapy;
● postoperative radiotherapy;
● hormonal therapy;
● immunotherapy.

The main strategy is the removal of the tumor and the affected lymph nodes, destruction of residual cancer cells with the help of medicines and radiation.

The selection of the surgical technique depends on the form and stage of cancer. Today, along with radical mastectomy, doctors widely use sector resection, in the course of which they remove the tumor mass, part of the mammary gland (one quarter of the organ) and axillary lymph nodes.
The use of sectoral resection provides a high percentage of successful treatment and allows for the achievement of an acceptable aesthetic result.

For example, German hospitals offer the simultaneous remodeling (reconstruction) of the mammary gland or planned plastic surgery in the long-term period, with a persistent absence of relapses

Individual Treatment Programs for Breast Cancer
The bookinghealth.com service will help ease the selection of a medical center abroad, which treats cancer on the basis of the individually developed schemes. Therapeutic programs are compiled on the received diagnostic data from leading oncologists and doctors of related specialties. This approach leads to high chances of cure and reduction of the recovery period.

Sectoral resection relieves women from severe stress, which favorably affects the psychological condition of the patient in the postoperative period.

Attentive staff and comfortable living conditions in the hospitals are the additional benefits of treatment abroad.

The average cost of the operation is 6,000 euros, a course of chemotherapy costs 8,000 euros, while the price of radiation therapy reaches 10,000 euros. The prices are approximate, in different hospitals of the same country they vary in a wide range. The cost of treatment can be influenced by the stage and form of the disease, the types of surgical techniques used, the number of additional medical services selected by the patient in the postoperative period.
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June 20, 2019

Lutetium PSMA Therapy: Cost, Indications, and Specialized Centers


Prostate-specific membrane antigen therapy with Lutetium-177 (Lutetium-177 PSMA therapy) is the easily administered targeted therapy for metastatic prostate cancer. The procedure was elaborated by a group of urologists, oncologists, and radiologists from the University Hospital Heidelberg and German Cancer Research Center.

Lutetium PSMA Therapy, health, prostate cancer, therapy,

Prostate-specific membrane antigen therapy with Lutetium-177 (Lutetium-177 PSMA therapy) is the easily administered targeted therapy for metastatic prostate cancer. The procedure was elaborated by a group of urologists, oncologists, and radiologists from the University Hospital Heidelberg and German Cancer Research Center.

As a result of the coordinated scientific work, specialists have created the unique molecule – PSMA-617. PSMA-617 is able to recognize prostatic cells, delivering the radiopharmaceutical exactly to the necessary location. Clinical trials show that over 80% of patients with advanced cancer have demonstrated significant response to therapy.

Role of PSMA therapy with Lutetium-177 in the prostate cancer treatment

Treatment of the prostatic cancer rarely starts from the PSMA therapy with Lutetium-177 administration. The initial measures usually include:
  • Surgery (i.e. radical prostatectomy) – removal of the whole tumor and neighboring tissues. Performed at the early disease stage, this is the most efficient therapy.
  • Primary radiotherapy – irradiation of the tumor that leads to its destruction.
  • Androgen deprivation therapy – deprived from the hormonal stimulation, tumor stops its progression.
  • Chemotherapy – makes tumor and its metastases shrink, giving additional months of life.

PSMA therapy with Lutetium-177 is a last-line treatment option, as it can be successfully performed is patients with drug-resistant metastatic cancer. Precisely irradiating remains of the primary tumor and metastases (including the bone ones), Lutetium-177 the same time spares healthy tissues.

Therapy is well tolerated by patients, who are already debilitated by the oncologic process. Although careful observation is required during the procedure, a patient can leave hospital on the same day or the day after.

What affects the costs of Lutetium-177 PSMA therapy?

Lutetium-177 PSMA therapy is performed according to the approved international protocols. Nevertheless, cost of the procedure is not the same in all hospitals. The final price depends on a number of factors:
  1. Preliminary diagnostic program. The patient needs PSMA PET-CT imaging, kidneys functional tests, and osteoscintigraphy.
  2. Quantity of the Lutetium-177 solution. It is calculated based on the patient’s height and weight, age, and kidney function.
  3. Duration of the course. Number of the procedures is determined by localization of metastases, size of the tumor, and response to treatment.
  4. Country and hospital. For example, medical program at the University Hospital Muenster, Germany will cost 14,083 €. Cost of the same therapy at the Charite University Hospital Berlin, Germany will reach 19,952 €.
  5. Presence of the comorbidities. A patient may need simultaneous therapy for managing cardiac symptoms, diabetes mellitus, etc.

Moreover, Lutetium PSMA therapy cost for the international patients may include extra fees and additional coefficients.

Undergoing treatment with Lutetium-177 in the world’s leading hospitals

PSMA therapy with Lutetium-177 is available in a limited number of hospitals, as the procedure is carried out in accordance with the protocol of radiation protection. In addition, radiopharmaceutical is manufactured individually for the patient, as it is unstable and cannot be stored.

Hospitals of Germany, the country-founder of the PSMA therapy, offer high-quality medical services at affordable prices. If you are not a German citizen, you still can apply for receiving the Lutetium-177 PSMA therapy in one of the leading healthcare institutions. In this case, it is better to use help of Booking Health.

Booking Health is a certified medical tourism operator that assists patients from 75 countries in undergoing therapy abroad. Specialists of Booking Health will give you the professional advice in hospital selection, book urgent appointment, exclude overpricing and additional fees, take care about accommodation and interpreter, and stay in touch with you 24/7.

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June 12, 2019

Isla Sugbu Seafood City, Cebu City


During our stay in Cebu for the Chemistry Congress, one of our suppliers invited us to a dinner in a nearby restaurant – Isla Sugbu Seafood City.
Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City

From the name itself, you can already know that foods served here are seafood.

Upon entering the place, it is not just an ordinary restaurant pala, there is fresh seafood corner where you can pick all you want and ask them to cook.

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,


Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Different kinds of fish

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Fresh Oysters

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Crabs
Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Lobsters

There are crews that will assist you while picking and they are also suggesting what dish is the best.

After picking the seafood and waiting for it to be served, there is a buffet table where you can have soup, grilled pork, fried chicken, rice and pancit.
Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,

Finally, the food is being served.
Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Spicy Crabs

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,

Calamares
Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Steamed Shrimps

Cebu, Isla Sugbu Seafood City, Isla Sugbu, Cebu City,
Adobong Pusit
The food tastes great and this is recommended for those who will visit Cebu City. Hindi masasayang ang ibabayad. The price for unlimited paluto is 799 per head.

Isla Sugbu Seafood City is located at Grand Convention Center of Cebu, Archbishop Reyes Avenue, Cebu City.

It opens at 11am to 2pm and reopens at 6pm.
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