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Follow-up can be done remotely or at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how the surgeon plans to remove the cyst intact if cancer is suspected, because that is important","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/ovarian-cysts","host":"acog.org","quote":"If cancer is suspected, it is important to remove the cyst intact.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask whether the planned approach is laparoscopic or open, since open surgery can be needed for large cysts or suspected cancer","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/ovarian-cysts","host":"acog.org","quote":"Open surgery may be done if cancer is suspected or if the cyst is too large to be removed by laparoscopy.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","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":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the 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decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/ovarian-cyst/treatment/","host":"nhs.uk","quote":"heavy bleeding severe pain or swelling in your abdomen a high temperature (fever) dark or smelly vaginal discharge","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Severe pain or swelling in your belly","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/ovarian-cyst/treatment/","host":"nhs.uk","quote":"heavy bleeding severe pain or swelling in your abdomen a high temperature (fever) dark or smelly vaginal discharge","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Dark or smelly vaginal discharge","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/ovarian-cyst/treatment/","host":"nhs.uk","quote":"heavy bleeding severe pain or swelling in your abdomen a high temperature (fever) dark or smelly vaginal discharge","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Severe difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/laparoscopy/","host":"nhs.uk","quote":"you have a very fast heartbeat you have pain in your chest you have severe difficulty breathing – you're gasping, choking or not able to get words out","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"A high temperature (fever)","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/ovarian-cyst/treatment/","host":"nhs.uk","quote":"heavy bleeding severe pain or swelling in your abdomen a high temperature (fever) dark or smelly vaginal discharge","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for 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