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Staged amputation needs a second operation. Prosthetic fitting follows at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check you will be fully assessed before a planned amputation, to identify the most suitable type","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"Unless you need to have an emergency amputation, you'll be fully assessed before surgery to identify the most suitable type of amputation and any factors that may affect your rehabilitation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check a thorough medical examination of your heart and lungs is included before surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"The assessment is likely to include a thorough medical examination to check your physical condition, such as your cardiovascular system (heart, blood and blood vessels) and your respiratory system (lungs 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care","scope":"procedure","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/amputee-information-patients-families-following-lower-limb-amputation","host":"ncic.nhs.uk","quote":"A discharge summary letter of your hospital care is provided to share with your GP and any visiting doctors.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A planned amputation offered with no full assessment before surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"Unless you need to have an emergency amputation, you'll be fully assessed before surgery to identify the most suitable type of amputation and any factors that may affect your rehabilitation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"An offer promising a prosthetic limb for every patient","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"Prosthetic limbs are not suitable for everyone who's had an amputation because an extensive course of physiotherapy and rehabilitation is required.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An offer describing recovery with no mention of rehabilitation","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"Physical rehabilitation is an important part of the recovery process.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pain that interferes with sleep or daily activities","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/12092-phantom-limb-pain","host":"my.clevelandclinic.org","quote":"Pain that interferes with sleep or daily activities.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Excessive swelling or bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21599-amputation","host":"my.clevelandclinic.org","quote":"With reduced resources for healing, wounds may be slow to close or may reopen, and you may have excessive swelling or bleeding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Fever or skin discoloration in the residual limb","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/diseases/12092-phantom-limb-pain","host":"my.clevelandclinic.org","quote":"Signs of infection, such as fever 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