Medical Tourism
Transcription
Medical Tourism
Medical Tourism in the Czech Republic The Czech Republic Ing. Karla Šlechtová Minister for Regional Development of the Czech Republic A Medical Tourism Destination MUDr. Svatopluk Němeček, MBA Minister of Health of the Czech Republic Dear readers, Dear visitors, You are holding a medical tourism information booklet that presents the work of leading Czech medical centres, specialized clinics, and hospitals, including descriptions of the most popular and interesting procedures in this specific area of tourism. The Czech Republic is among top European countries in the area of medical tourism, not only because of its renowned spa care, but also due to the quality of care in its hospitals, its world-renowned surgery, cardiology, neurology, and research work in these areas. If you would like to travel to a country that offers not only many cultural and historical experiences, but also a pleasant and peaceful mountain environment suitable for relaxation or recuperation, the Czech Republic is the place for you. But this is not all; the Czech Republic also excels in the area of therapeutic and spa care performed by highly qualified and trained personnel. Not only do we rank among the top European countries when it comes to the quality of healthcare, but in 2006 the first quality award from the European Spas Association in Brussels went to none other than a Czech spa facility. Medical tourism is a quickly-developing segment that attracts thousands to the Czech Republic each year. Clients arriving in the Czech Republic from around the world represent a significant portion of travellers who spend an above-average amount of time here. They combine stays in spas or treatment centres with visits to historical sites, restaurants, and other touristic destinations. Interestingly, for plastic surgery the length of stay recommended by doctors is around 5 days; for infertility treatment 7-20 days; for obesity treatment it is approximately a week, and the longest amount of time is spent in the Czech Republic by tourists seeking out orthopaedic procedures in Czech clinics, such as joint replacement. In these cases, their stay is on average up to a month. On the other hand, even oneday dental procedures are becoming increasingly popular, or treatment of varicose veins or gallstones. CzechTourism has been supporting health tourism since 2011, and the booklet you have in your hands is another effort in this area. I trust that medical tourism will increase in the coming years, and will thus help boost the prestige of the Czech Republic’s “brand” abroad. Ing. Karla Šlechtová Minister for Regional Development of the Czech Republic After all, history does not reside only in magnificent architectural monuments such as the Prague Castle, the Charles Bridge, or Old Town Square with its astronomical clock, but also in the centuries-old tradition of Czech medicine that dates back to 1348, when the first faculty of medicine was established at Charles University. Important Czech personalities in the area of medicine include J. Jánský (discovered the blood groups), J. G. Mendel (laid the foundations of genetics), J. Wichterle (invented contact lenses), and J. Holý (pioneered the treatment of Hepatitis B). The Czech Republic offers a broad spectrum of medical and surgical facilities known worldwide for their excellent results. These are equipped with the latest equipment and use the latest procedures for treatment. The Czech Republic offers treatment in a broad spectrum of areas, including cardiology, neurology, oncology, orthopaedics, plastic surgery, or paediatrics. Treatment is available not only in highly specialized centres, university hospitals, and institutions, but also in other hospitals of a general or specialized nature. In one of the many spa facilities you can use combined therapy, including pre-operative and post-operative care. Czech spas were among the first to begin using not only medical science but also the healing effects of natural mineral waters and thermal springs or other natural sources, such as peat. Our worldrenowned spas include Karlovy Vary (Carlsbad) and Mariánské Lázně (Marienbad), the unforgettable atmosphere of Karlova Studánka, or Janské Lázně, specializing in children’s lung diseases. Our spas offer treatment for a broad spectrum of health problems, including back problems, gastrointestinal disease, cardiovascular disease, gynaecological problems, or muscular and skeletal afflictions. We look forward to your visit. MUDr. Svatopluk Němeček, MBA Minister of Health of the Czech Republic Medical Tourism in the Czech Republic Mariánské Lázně www.czechtourism.com 1 Why go to the Czech Republic for Medical Tourism? Recepcion Healthcare Facilities With High Standards Medical specialists The Czech Republic has very strict accreditation requirements for healthcare facilities, whether state-operated or private. Clinics and hospitals undergo regular inspections, and patients themselves have the opportunity to assess the quality of their care in national surveys. Certified Hospitals and Clinics Healthcare facilities in the Czech Republic are prepared to admit foreign clients and provide top-notch care, from initial consultation, through the procedure itself, to the discharge report and subsequent checks. Foreign clients can organize their trip themselves directly with a selected clinic, or can turn to a specialized agency. In both cases, Czech physicians along with other staff will do their utmost to accommodate all requirements. If desired, specialized agencies can arrange “turnkey” trips according to the client’s wishes to the degree that he or she does not have to worry about a thing, and can be accompanied by an individual of their choice and a translator. Prague Highly Trained Staff Quality Care at All Levels Top-notch doctors, modern equipment, the latest methods, multilingual staff at all levels – these are the foundations for a successful trip for a medical procedure, ones that the Czech Republic can guarantee. The healthcare provided is naturally comprehensive, but nevertheless there are fields that are especially sought out by foreign visitors. These include assisted reproduction and related top-notch neonatal care within the scope of preop preparations and paediatrics. Healthcare facilities specializing in helping couples conceive have excellent results, where the opportunity to relax in related spa resorts also plays a role. Spas are also useful in other fields as part of the patient’s pre-op preparations and post-op recuperation: in cardiology, orthopaedics, and neurology. Plastic surgery, dentistry, and eye surgery offer help in addressing aesthetic and of course health problems. Check-up programmes facilitate the early detection of the symptoms of more serious disease, increasing the success rate of treatment. For example, in the area of oncology, early diagnosis within the scope of preventive screening programmes is very important, as it increases the chance treatment will be successful. In all these fields, you can put yourself in the hands of top Czech doctors with absolute trust. Znojmo 8x yes to a trip to the Czech Republic for medical care What can the Czech Republic offer foreign clients? Peat compress Legend easy walking tours 1. Competitive prices 2.A high standard of care 3.Suitable treatment/surgery dates 4.The availability of the latest technologies and medical procedures 5.Strict hygienic standards 6.The highest patient safety standards during hospitalization 7.Associated spa care and natural healing sources 8.A broad spectrum of leisure activities (cultural and natural sights, rich history) for both the patient and their escort spa culinary tourism nice to see (nature, historical sites, interesting places) 2 Medical Tourism in the Czech Republic www.czechtourism.com 3 The Czech Republic Václav Havel Airport Before setting out for the Czech Republic for medical care, you will naturally have questions. Today, the most accessible source of information is the Internet, where basic information on the Czech Republic and its healthcare system is available. See for yourself that the Czech Republic is an ideal destination for medical tourism. Language is not a Problem Doctors and other staff that you will encounter speak English, German, or Russian. In order to ensure that you have all the information you need, prior to setting out on your trip, ask the clinic you have selected to consult directly with your doctor. Verify to what degree the healthcare facility and its staff meet language requirements and how they react to questions and comments. A Safe Place Where You Will Receive the Best Care Prague – Charles Bridge 4 Medical Tourism in the Czech Republic Careful Organization of Your Trip and Complete Information in Advance The organization of your trip will fully meet the requirements of the treatment or surgery you have chosen. Discuss its course in detail with the clinic or agency you have chosen, which will alert you to any related risks and restrictions. You will find out what pre-op examinations await you and how long you will be required to remain in the healthcare facility afterwards, as well as what activities you will be capable of given your condition. Certified Doctors For the client, the quality of clinics and the professional qualifications of doctors is what is most important. For this reason, you will be cared for by doctors renowned in Europe who have gained experiences and certificates not only in the Czech Republic but also abroad, who publish in their field actively, and who are trained in the latest medical procedures. Their professional CVs are available on the clinic’s website, or can be sent to you by the agency. In the case of plastic surgery and dentistry, you can ask to be sent sample pre and postop photographs. High-Quality Clinics Clinics are modern facilities that meet the most demanding hygienic and procedural requirements. All healthcare facilities are subject to strict supervision by the Ministry of Health of the Czech Republic or appropriate central, regional, or municipal authorities. Inspections ensure that requirements are being met in the area of staff qualifications, hygiene, and problem reporting. Transparent and Correct Handling of Your Money If you send a healthcare facility or agency money in advance and then change your mind, you need not be concerned about your money. You have the full right to cancel a planned operation. It may also happen that the clinic will recommend the operation be deferred due to your current state of health. In both cases, any advance payments you might have made will be refunded. The clinic will only keep sufficient funds to cover expenses related to examinations you actually underwent, such as pre-op exams or lab tests. your post-op rehabilitation at a spa treatment facility of your choice, you will visit the clinic for regular check-ups, and the doctor will recommend suitable leisure activities according to your state of health. During your final check-up, the doctor will issue a complete medical report for your doctor at home, including recommended subsequent care, and will recommend you to visit him upon returning home. The healthcare facility in the Czech Republic will remain in contact with you, and will cooperate with you and your doctor as required. Post-Operative Care and Returning Home If the doctor is satisfied with your condition, you will be released from the clinic for recuperation. If you continue Consultation www.czechtourism.com 5 Bariatrics A healthy diet is key Obesity is currently considered to be a global health problem, with one person in three being overweight. When classical nutritional and behavioural approaches fail, bariatric surgery can help. Why Choose the Czech Republic? Most Frequently Requested Procedures Czech bariatrics uses the latest methods, and holds global primacy in laparoscopic gastric banding. The gastric fundoplication method, where the stomach wall is folded in on itself and then sewn together, was even pioneered here (as well as in the USA). Prior to surgery, we recommend visiting one of the Czech spa facilities that specialize in anti-obesity and healthy lifestyle programmes. In combination with bariatric surgery, this ensures optimum results. Bariatric procedures are suitable for clients with a BMI of 35 or more. Their goal is to reduce the patient’s food intake without attendant feelings of hunger. Without a doubt, bariatric surgery has the best long-term effects in treating obesity in clients with a BMI ≥40. Czech doctors perform surgery laparoscopically (also termed keyhole surgery), as this is a less invasive method of dealing with obesity, reducing the negative effects of surgery and improving the patient’s post-operative condition and recuperation. An important consideration is the price of surgery, which is significantly less than in Western Europe and the USA. Gastric Banding One of the most popular bariatric surgery procedures is gastric banding. Here, a silicon sleeve is laparoscopically implanted around the upper part of the stomach, resulting in an hourglass shape. The upper part has a small volume (about 20 to 30 ml). After ingestion of a small amount of food, the upper part of the stomach quickly fills up and the patient feels full. A gastroscopic examination is required prior to surgery to rule out problems with the 6 Medical Tourism in the Czech Republic An operating theatre oesophagus and stomach, as well as an abdominal ultrasound scan. After the surgery, patients usually lose around 2 kg per month, for around 2 years. A major advantage of this surgery is that the band can be left in place permanently to provide an early feeling of satiety. • duration of surgery: 40 – 60 minutes • total anaesthetic: yes (depending on the procedure) • hospitalization: 1 – 4 days • suitable activities for the patient: The stomach Vertical Sleeve Gastrectomy Vertical sleeve gastrectomy or tubulisation of the stomach is another often-requested procedure. This is restrictive surgery that is performed laparoscopically, and consists of reducing stomach volume by 70-85 %. The stomach is cut longitudinally and re-sewn along its entire length to create a tube or sleeve. This not only reduced the stomach’s capacity, but also reduces or even eliminates hunger on an empty stomach. Food portions are significantly reduced, and the patient loses more weight and more quickly than with gastric banding. A gastroscopic examination is required prior to surgery to rule out problems with the oesophagus and stomach, as well as an abdominal ultrasound scan. • duration of surgery: 2 – 3 hours • total anaesthetic: yes (depending on the procedure) • hospitalization: 4 – 7 days • suitable activities for the patient: Stomach Plication Another modern treatment for obesity is LGCP – Laparoscopic Great Curvature Plication. During this operation, part of the stomach is bundled into itself so that it contains part of itself. The stomach’s volume is thus reduced to one-third to onequarter of its original size. When eating, patients fill up after eating a small amount of food and quickly feel full. During the operation, no part of the stomach is removed and the stomach is not More information is available on the following website: www.czechtourism.com/ medicaltourism opened, resulting in low risk of surgery-related complications. The operation is fully reversible because the stitches can be removed. Patients usually lose about half of their excess weight over what is optimal for their height. • duration of surgery: 1.5 hours • total anaesthetic: yes (depending on the procedure) • hospitalization: 2 – 3 days • suitable activities for the patient: Czech clinics also offer the following procedures: intragastric balloon, Roux-Y gastric bypass, and biliopancreatic diversion with duodenal switch. The choice of procedure depends on the client’s health and success of prior treatments. www.czechtourism.com 7 Diagnostics and Check-up Programmes A diagnostic examination It is a truism that one needs to take care of one’s health. This is precisely why prevention is important; it plays a significant role in preventing potential illnesses, or catches them in their early stages, improving chances of a quick recovery. Why Choose the Czech Republic? The Czech Republic has a long history of screening programmes and comprehensive check-ups that provably lead to early detection of illness and thus reduced mortality. For example, the Czech Republic was among the first countries in the world to have a cancer screening programme (breast, uterine, and cervical cancer, colon or anal cancer). Basic Check-up A basic check-up includes a comprehensive assessment of the patient’s medical history and a physical examination, an ECG, basic lab tests, a discussion of the check-up results with a doctor, a conclusion and recommended solutions for any health problems, as well as a medical report in a foreign language. • check-up duration: various • total anaesthetic: no • hospitalization: usually without hospitalization • suitable activities for the patient: Total Diagnostic Programme A total diagnostic programme consists of a comprehensive internal examination including all laboratory blood and microbiological tests, an ECG (electrocardiogram) test, X-rays, and in some cases also computer tomography (CT). This is followed by a complete and detailed assessment of 8 Medical Tourism in the Czech Republic Consultation More information is available on the following website: www.czechtourism.com/ medicaltourism Tomography (CT) the results within the context of your family medical history by a diagnostic physician. A second round involves more detailed examinations focusing on one or more specific health problems, for example the cardiovascular system, the nervous system, the muscular and skeletal system (sports diagnostics), the lungs and respiratory system, endocrine, gynaecological, urological, or optical exams. An important part of the exam is a body mass index (BMI) measurement, which helps assess the patient’s risk of obesity. • check-up duration: various • total anaesthetic: no • hospitalization: usually without hospitalization • suitable activities for the patient: Magnetic resonance (MRI) Diagnostic facilities have modern equipment such as computer tomography (CT), magnetic resonance imaging (MRI), ultrasound, X-ray, and other facilities as standard equipment. “Personalized medicine” based on a genetic analysis has become very popular in the diagnosis of illnesses such as thrombophilia, coeliac disease, lactose intolerance, ankylosing spondylitis, and others. These sophisticated diagnoses are performed in specialized laboratories and clinics, which will be searched out by the agency of your choice according to your requirements. „Second opinion“ Diagnostics can also include a second opinion regarding a specific proposed medical procedure or therapy that is already in progress, including possible complications. In this case, a diagnosis has already been made (for example a diagnosis the client already received in his home country), and top Czech experts in the given field then provide a second opinion. The client can thus assure himself that his treatment is proceeding correctly, or can decide on the most suitable course. www.czechtourism.com 9 Cardiology and Cardiac Surgery Cardiology The heart is an important organ, which is something people have known since ancient times. It is considered to be the symbol of life and of love. Thanks to preventive check-ups, you will rest assured that it is in good condition. Why Choose the Czech Republic? The Czech Republic has celebrated important milestones in cardiac surgery: in 1984 it had its first successful heart transplant, and in 2013 Czech doctors performed the first ever mitral valve surgery using a catheter to introduce tools into the heart via an artery, eliminating the need to open the chest. The primary success of Czech cardiology of the last 20 years can be considered the reduction of death rates from cardiovascular disease by 26 % in men and 21 % in women. Cardiac care in the Czech Republic is of excellent quality and is constantly evolving; endoscopic and minimally invasive procedures are coming to the fore, which allow more rapid recuperation and reduce post-operative complications. One new method is robotic surgery using da Vinci robots. This method accelerates post-op recovery even further, and substantially reduces post-operative complications. The Czech Republic is globally recognized as a country with an excellent system of care for those suffering from acute coronary symptoms, especially the treatment of acute myocardial infarctions (heart attacks). It possesses 10 Medical Tourism in the Czech Republic The heart More information is available on the following website: www.czechtourism.com/ medicaltourism Heart surgery sufficient comprehensive cardiovascular centres as well as educated and experienced specialists in the field, who among other things focus on cardiac procedures following a heart attack, whose goal is to prevent further attacks. a special X-ray examination of the blood vessels. If you choose an agency to make your arrangements, they can supply you with precise information on what type of checkup can be requested (there are three levels of complexity) and which facilities provide these services. Preventive Check-ups Specialized centres focus on an overall cardiac diagnosis, which is why a preventive check-up of heart activity and the vascular system is popular and beneficial. It consists of a clinical examination by a cardiologist, lab tests, an ECG, an echocardiogram, and computer tomography (CT). The check-up can also be supplemented with Doppler ultrasound examinations of blood vessels, an X-ray or CT scan of the heart and lungs, or an angiograph, which is A heart check-up • check-up duration: various • total anaesthetic: depending on the nature of the procedure • hospitalization: depending on the nature of the procedure • suitable activities for the patient: What Treatments Does the Czech Republic Offer? Cardiovascular surgery clinics focus on heart operations in adults, including heart transplants and reconstruction of the aorta. At the forefront is surgical treatment of coronary heart disease. The number of patients operated on at a higher age and with risk factors is increasing. Czech clinics have also long been at the forefront of surgical treatment of heart arrhythmia, of acquired valve defects, and of large blood vessel reconstruction. www.czechtourism.com 11 Neurology and Neurosurgery Even if you have a healthy lifestyle, it still makes sense to have your blood pressure and pulse checked, to have an ultrasound of your jugular arteries done, or an ECG. After all, strokes, which can be prevented, are the second most frequent cause of death in developed countries. Why Choose the Czech Republic? Over the last few decades, neurology and neurosurgery have experienced rapid growth thanks to the development of new imaging methods: computer tomography (CT), positron emission tomography with computer tomography (PET CT), magnetic resonance imaging (MRI), and new surgical technologies and techniques. The latter are primarily stereotactic surgery, which allows surgery on deep brain structures with minimum tissue damage along the access path, endoscopic, robotic, and CyberKnife surgery, and others. These modern diagnostic tools, technologies, and methods are available in the Czech Republic for treatment of strokes, epilepsy, degenerative brain disease (Alzheimer’s disease, Parkinson’s disease), spinal disc herniation, post-traumatic disorders, degenerative spine diseases, neuropathy, and brain and spinal cord infections and tumours. There is an entirely new treatment concept for premature fusion of skull sutures. These pathological 12 Medical Tourism in the Czech Republic synotoses can be eliminated via endoscopic (keyhole) surgery to allow a newborn child’s skull to grow properly. As opposed to classical open surgery, the child is exposed to lower risk of post-operative complications. Tomography ment can be recommended, such as a device that ensures permanent overpressure in the respiratory tract. Magnetic resonance (MRI) Epileptological Centres Prevention Preventive neurology includes a comprehensive assessment of the patient’s medical history and a physical examination, neurologically-focused lab tests, the use of imaging techniques, consultation of the results with a neurologists, a conclusion, and recommended treatment of health problems and a doctor’s report in a foreign language. • check-up duration: various • total anaesthetic: depending on the nature of the procedure • hospitalization: depending on the nature of the procedure • suitable activities for the patient: Sleep Disorder Centres Another set of modern facilities available in the Czech Republic are sleep disorder centres. These are specialized facilities for the diagnosis and More information is available on the following website: www.czechtourism.com/ medicaltourism Neurons in the human brain treatment of sleep disorders focus primarily on sleeplessness, excessive daytime sleepiness, and abnormal behaviour or movement during sleep. The most significant component is treatment of patients with sleep apnoea syndrome (a breathing disorder where breathing stops during sleep). These centres perform comprehensive polysomnigraphic examinations, during which many parameters are monitored simultaneously: EEG (electroencephalography), EOG (electrooculography), EMG (electromyography) of the facial muscles, breathing patterns, breathing effort, and a number of others parameters. Analysis of this data can then differentiate individual phases of sleep and the disorder type, and the proper treat- Epileptological centres offer special outpatient and inpatient epilepsy care. They include counselling centres and monitoring units (EMU) that, among other things, perform selection of patients for treatment, and their longterm monitoring. Treatment is performed via a modern method that involves targeted removal of epileptogenic tissue using stereotactic surgery. Rehabilitation, Physiotherapy, and Spa Care The fields of neurology and neurosurgery have a close connection with the fields of rehabilitation, physiotherapy, and spa care. The best inpatient and outpatient facilities in the Czech Republic ensure follow-up rehabilitation of patients with muscular system problems, including post-op rehabilitation. Czech rehabilitation medicine has an excellent reputation and is among the best in the world. www.czechtourism.com 13 Eye Surgery An eye exam Laser eye surgery is a standard procedure whose safety and permanence is constantly increasing. Why Choose the Czech Republic? Czech scientist Otto Wichterle’s name is a prominent one in the annals of world ophthalmology. This is because he invented soft hydrogel contact lenses, on which today’s contact lenses are based. Today, Czech doctors are also achieving significant successes: in 2012, they were for example the first in Central Europe to implant a mirror telescopic intraocular lens. What Surgery Should You Choose in the Czech Republic? The most frequent eye operations in the Czech Republic are primarily cataract surgery, “smart” multifocal intraocular lens implantation, artificial iris implantation, and intraocular lens implantation. Cataract Surgery A cataract is a clouding of the normally clear lens inside the eye. Cataract surgery is the most frequent intraocular surgery in patients over the age of 65. It is performed using a micro-incision and subsequent implantation of an intraocular lens whose optical characteristics can be customized to the patient’s needs in a non-invasive manner after surgery using UV light. Implantation of a modern intraocular lens eliminates not only cataracts, but also gives clients good vision without eyeglasses, thus eliminating myopia, hyperopia, presbyopia, and astigmatism. • duration of surgery: check-up 120 minutes, surgery 15 – 20 minutes • total anaesthetic: yes (via eye drops) • hospitalization: outpatient procedure • suitable activities for the patient: 14 Medical Tourism in the Czech Republic Refractive surgery Laser Eye Surgery Lasik laser eye surgery (and its newest variant using a femtosecond laser) is very popular and currently the best way to correct eye defects. A femtosecond laser can expend all its energy in an extremely short period of time, thus safely and accurately cutting eye tissue, especially the cornea. Myopia, hyperopia, and astigmatism can also be eliminated using surgical refraction procedures, such as the latest treatment involving a femtosecond and excimer laser, implantation of phakic lenses, refractive lens exchange, or treatment of astigmatism using corneal incisions. Presbyopia (age-related deterioration of vision) is treated through the implantation of multifocal, trifocal, or toric intraocular lenses and a special post- Laser surgery surgical laser programme, eliminating the need for reading glasses. When considering this surgery, please bear in mind that doctors do not recommend that the preoperative check-up and the surgery itself be performed on the same day. • duration of surgery: check-up 120 minutes, surgery 15 – 20 minutes • total anaesthetic: yes (via eye drops) • hospitalization: outpatient procedure • suitable activities for the patient: Ophthalmological Centres Ophthalmological centres are highly specialized facilities that provide comprehensive treatment of ophthalmological problems of visionimpaired individuals of all ages. These patients have at their disposal specialists in ophthalmological fields, but also in clinical psychology, vision therapy, special education, and social and professional guidance. accompanied by increased intraocular pressure. The primary causes of increased intraocular pressure and incidence of glaucoma are many: infection, disorders in the creation of intraocular liquid, obstructions in the channels for the outflow of this liquid, and more. More information is available on the following website: www.czechtourism.com/ medicaltourism Aside from congenital childhood vision disorders such as strabismus, amblyopia (lazy eye), refractive defects, or eye infections, ophthalmological centres most often deal with patients with glaucoma, which can often cause blindness in those over the age of 40. This is caused by damage to the optic nerve, most often www.czechtourism.com 15 Oncology Consultation of a diagnosis Today, the myth that cancer can’t be beaten has been largely overcome. Early diagnosis and proper treatment significantly improve the chances of a success. Why Choose the Czech Republic? In 2013, Prague’s Proton Centre opened (one of five in Europe). Proton beam irradiation is very accurate, thus providing great benefits in the treatment of tumours near important structures, such as tumours of the brain, head, neck, eyes, lungs or pancreas, and in the treatment of children. The main advantage of a proton beam is that it transfers the majority of its energy only to the tumour tissue, thus sparing healthy tissue surrounding it. The Czech Republic has achieved significant successes in the area of medical research in the area of oncology. Czech scientists have found a way to get cancer treatment drugs directly to the tumour: a newly-discovered protein called apoferitin is capable of binding therapeutic substances to itself and of delivering them directly to the affected tissue without the toxic compounds affecting healthy organs. In 2013, research was in the phase of preparations for practical testing, and treatment may be available to patients in a few years. What Treatment is Available in the Czech Republic? Czech oncological centres can offer clients highly advanced treatments based on the latest medical research. A comprehensive range of cancer treatment includes radiotherapy, chemotherapy, and hormonal and biological treatment. Oncological centres also provide treatment of symptoms. In many cases, a combination of several types of treatment is used. 16 Medical Tourism in the Czech Republic More information is available on the following website: www.czechtourism.com/ medicaltourism Radiotherapy Preventive Oncology Preventive oncology is a comprehensive assessment of the patient’s medical history and a physical check-up, oncology lab tests, use of imaging technologies, consultation of the results with an oncologist, a conclusion and recommendations, as well as a medical report in a foreign language. • duration of surgery: depending on the nature of the treatment • total anaesthetic: depending on the nature of the treatment • hospitalization: depending on the nature of the treatment • suitable activities for the patient: A mammogram A visualization of the human brain Oncological Surgery Oncological surgery is a basic part of treatment of solid malignant tumours. Here, mini-invasive surgical techniques come into their own, such as robotic surgery and the CyberKnife, which minimize the impact on the patient’s body. Robotic surgery provides its greatest benefit during prostate cancer surgery, but favourable results have also been reported during selected surgery of the digestive tract. The surgery is more accurate, there is minimal loss of blood, and patients can return to work earlier. The CyberKnife, the only robotic irradiation device in the world, permits the application of high doses of radiation into very small volumes in the body. It is a non-invasive alternative to surgery for some types of terminal and benign tumours. The treatment is pain-free, and provides a non-surgical alternative for patients without tumours that cannot be operated on in a standard fashion. • duration of surgery: depending on the nature of the treatment • total anaesthetic: depending on the nature of the treatment • hospitalization: depending on the nature of the treatment • suitable activities for the patient: www.czechtourism.com 17 Orthopaedics A check-up Flexible surgery or treatment dates, pre-operative preparations, subsequent care, and a broad range of related spa care are significant reasons for considering orthopaedic care in the Czech Republic. Age need not be a factor, with patients frequently being over the age of 80. Why Choose the Czech Republic? The Czech Republic’s advantages in the area of orthopaedics, aside from highly qualified doctors and the latest equipment, also include implants from renowned manufacturers and followup rehabilitation medicine. Czech doctors use modern methods The aim is to shorten the patient’s hospital stay and to give preference to less invasive surgical procedures that help reduce post-operative pain and complications. Czech orthopaedists and physiotherapists are worldrenowned for their excellent results in sports injury treatment. Czech rehabilitation medicine also has an excellent global reputation, specializing primarily in children’s movement pathology. Surgery and Procedures Performed in the Czech Republic Czech orthopaedic centres offer a complete range of orthopaedic operations and related care: pre-operative check-ups performed by an internist and anaesthesiologist, pre-operative preparation, surgery, and subsequent treatment including specialized rehabilitation. The latter 18 Medical Tourism in the Czech Republic Rehabilitation can take place during the client’s stay at the clinic, or on an outpatient basis. Doctors are trained in the use of alloplastic surgery (replacement of tissue with artificial material) of the major joints using the latest methods, including guided surgery or miniinvasive methods. Foreign clients and those paying their own way will also appreciate short ordering times. Selected orthopaedic clinics and plastic surgery clinics specialize in endoprostheses of the shoulder and elbow joint, and of the small hand joints. Preventive Check-ups Preventive orthopaedics is a comprehensive assessment of the patient’s medical history and a physical checkup, orthopaedics-focused lab testing, use of imaging methods, consultation of the Knee surgery results with an orthopaedist, a conclusion and recommendations, as well as a medical report in a foreign language. • duration of check-up: various • total anaesthetic: no • hospitalization: none • suitable activities for the patient: Hip Joint Replacement Total hip joint replacement is one of the most successful and frequent operations, not only in orthopaedics, but in medicine as such. In 2005, Czech Republic was among the first countries of Central and Eastern Europe to use a new mini-invasive method for hip joint surgery. This unique surgical procedure minimizes tissue damage and bears no risk of damage to muscles or ligaments. For patients, this means less pain, little swelling, lower blood loss, reduced risk of infections, and thus also early mobility, as soon as the day after the operation. Compared to all other minimally invasive methods, this type of operation can be used on almost all patients. It requires only one additional skin incision, without the need for repeated X-rays during surgery. • duration of surgery: 3 – 5 hours • total anaesthetic: yes (depending on the procedure) • total hospitalization time: 8 days • suitable activities for the patient: More information is available on the following website: www.czechtourism.com/ medicaltourism Follow-up Orthopaedic Care Sports orthopaedics, sports medicine centres, and sports trauma centres are other areas in which Czech orthopaedists can offer their experience. In the area of sports orthopaedics, they can treat a wide range of injuries and post-injury conditions incurred during sports such as fractures, bruises, swellings, dislocations, joint, tendon, and ligament pain, and so on. Sports traumatology focuses on eliminating pain as quickly as possible and returning the athlete to his sport. www.czechtourism.com 19 Paediatrics Paediatrics When a child with a small or nonexistent vocabulary falls ill, doctors are faced with a tough task. This is why cooperation between parents and children’s doctors is extremely important. Why Choose the Czech Republic? Children’s medical care in the Czech Republic is excellent, and has a good international reputation as well. The Czech Republic has one of the lowest neonatal mortality rates (0.15 %) in Europe as well as in the world. A decline in infant mortality rates is one of the major successes of Czech paediatrics and of Czech medicine in general since 1989. Over the past twenty five years, it has declined to one quarter of its value back then, which is something unique in the world. they could begin: these are primarily skin problems, growth pains, etc. A basic check-up can be supplemented with further examinations stipulated by the doctor (e.g. immunological, allergy, or genetic examination), with consultations with specialists, and the use of imaging methods. • duration of check-up: various • total anaesthetic: depending on the nature of the problem • duration of hospitalization: various • suitable activities for the patient: Children’s Diagnostics The most frequently requested type of care is a basic comprehensive checkup and consultation with a paediatrician. Diagnostics are required when the child has some health issues or symptoms indicating that Children’s Ophthalmology Treatment of eye disorders in children cannot be postponed, because delays could cause permanent consequences. Children’s ophthalmology in the Czech Republic is at an excellent level. Children’s eye 20 Medical Tourism in the Czech Republic A paediatric check-up More information is available on the following website: www.czechtourism.com/ medicaltourism A paediatric ward centres offer treatment to patients with congenital eye defects, strabismus (crossed eyes), amblyopia (lazy eye), refractive defects, or frequent eye infections. • duration of check-up: various • total anaesthetic: depending on the nature of the problem • duration of hospitalization: various • suitable activities for the patient: Children’s Cardiology In some cases, heart defects in children require “only” careful monitoring, but other times surgery is required. Children’s cardiology deals with both diagnostics and non-surgical therapy of the heart and vascular system. At this age, the main problems Children‘s orthopaedics are congenital defects of the heart and large blood vessels, which are assessed and operated on by respected teams of children’s cardiologists and heart surgeons in modern cardiology centres. • duration of check-up: various • total anaesthetic: depending on the nature of the problem • duration of hospitalization: various • suitable activities for the patient: Children’s Orthopaedics Most childhood orthopaedic defects are not painful, so they must first be found, for if caught early, they can be treated with a high degree of success. Children’s orthopaedics offers a wide range of treatment and surgical techniques and equipment. Specialized children’s orthopaedic centres focus on reconstructive orthopaedics as well as on limb-lengthening surgery. Doctors specializing in the area of children’s orthopaedics usually work at university hospitals and offer mini-invasive as well as classical orthopaedic surgery. The Czech Republic has a very well developed centre for children’s spinal surgery. • duration of check-up: various • total anaesthetic: depending on the nature of the problem • duration of hospitalization: various • suitable activities for the patient: www.czechtourism.com 21 Plastic Surgery The desire to look healthy, beautiful, and still young is as old as mankind itself, and common to all cultures and nations. Cosmetic and plastic surgery can fulfil this desire. Why Choose the Czech Republic? The Czech Republic belongs among pioneers in the field of plastic surgery. In 1932, it was the first country in the world to recognize plastic surgery as an independent branch of medicine. About 30 years later, plastic surgery became a licensed field. The Czech Republic has qualified doctors and an extensive network of clinics. Czech doctors have achieved international acclaim: for example, Bohdan Pomahač led the team that performed the first complete facial transplant in the USA, and the third-ever total face transplant in the world. Czech clinics are equipped with the latest equipment, with the use of a harmonic scalpel to prevent tissue damage being common. It is used during various types of abdominal plastic surgery, breast modelling or reduction, and in facelifts. The goal of plastic surgery is to rejuvenate and improve the shape of selected areas practically anywhere on the body. Plastic surgery can of course also fix deformities or abnormalities that can have a negative impact on one’s health. Be it liposuction, a facelift, eyelift, or breast enlargement, surgical procedures are constantly improving, anaesthetics are gentler on the organism, and the latest instruments have significantly reduced surgery time and increased its effectiveness. General and Reconstructive Plastic Surgery Today, cosmetic and aesthetic plastic surgery is commonplace in all developed countries. The Czech Republic holds primacy in this field, as it was co-founded by Professor Burian and Sir Gillies of Great Britain. In this field, surgery is used to correct con- 22 Medical Tourism in the Czech Republic Pre-surgery consultation genital defects of the upper and lower extremities (for example syndactyly), cleft lips and palates, post-cleft deformations, etc. It also focuses on post-traumatic reconstruction of all parts of the body, or on reconstruction of defects following oncological surgery, including breast reconstruction using the body’s own fat stem cells, correction of burn scars, and of extremity contractions. Further specializations include hand surgery, including artificial prostheses/replacements of deformed finger and hand joints. In these specialized centres, the use of microsurgery in the reconstruction of any congenital or acquired defects is of course commonplace. Eyelifts One of the most popular operations in the area of cosmetic and plastic surgery are eyelifts (blepharoplasty), which address the problem of sagging eyelids or the formation of fat deposits under the eyes. This is minor surgery performed under local anaesthetic. • duration of surgery: approx. 1 hour • total anaesthetic: yes (depending on the procedure) • hospitalization: 0 – 1 day • suitable activities for the patient: Excess fat removal: liposuction, cryolipolysis A pre-surgery check-up Liposuction is another popular treatment, involving surgical removal of excess fat in problematic body parts (chin, arm, stomach, thighs, buttocks). The treatment involves the use of laser technology. Fat elimination can also be achieved in a non-invasive manner by freezing fat cells (cryolipolysis). Facelift A facelift is facial surgery where excess skin and subcutaneous fat are removed and the firming of underlying tissues, tightening the skin of the face or neck (neck lift). • duration of surgery: 1.5 – 3 hours • total anaesthetic: yes • hospitalization: depending on anaesthetic, 1 – 2 days • suitable activities for the patient: • duration of surgery: liposuction 2 – 3 hours • total anaesthetic: yes (depending on the procedure) • hospitalization: none • suitable activities for the patient: Breast Remodelling Breast remodelling is another popular procedure, especially breast augmentation. It can be performed with implants filled with saline solution, silicon gel, or a combination of both materials. Czech clinics use the latest implants that have both European and American safety certification. An alternative method is increasing breast size using one’s own fat (auto-augmentation), during which liposuction is also performed. The body receives its own material, a concentrate of stem and fat cells. An advantage of this procedure is that it can be done on an outpatient basis under local anaesthetic without the need for hospitalization, during a spa stay in the Czech Republic. • duration of surgery: 1 – 2 hours • total anaesthetic: yes (in the case of implants) • hospitalization: 1 – 2 days • suitable activities for the patient: Abdominal Plastic Surgery Abdominoplasty, or plastic surgery of the abdomen, is popular with both men and women. Its purpose is to flatten the abdominal area by removing excess fat and skin, and firming the musculature of the abdominal wall. Causes of a protruding stomach can be pregnancy, significant weight loss, or the parting of vertical stomach muscles and relaxation of the abdominal wall. More information is available on the following website: www.czechtourism.com/ medicaltourism • duration of surgery: 2+ hours • total anaesthetic: yes • hospitalization: 2 – 4 days • suitable activities for the patient: www.czechtourism.com 23 Reproductive Medicine Assisted reproduction Many couples dream of having a child, nurturing it, and watching it grow up. When traditional conception methods fail, reproductive medicine centres and clinics are there to lend a helping hand. Why Choose the Czech Republic? The Czech Republic was among the first in this respect – in 1982, a mere four years after the world premiere of assisted production, the first child conceived in this manner was born. The quality of infertility treatment in Czech clinics is among the best in the world. Specialized healthcare facilities provide comprehensive services in the fields of assisted reproduction and gynaecology, andrology, urology, and embryology. Thanks to a broad spectrum of methods, adherence to strict criteria important for successful treatment, and long-term experience, Czech IVF (invitro fertilization) teams are among the best in the world, and success rates are also very high: 70 % in cases involving donated eggs. Czech comprehensive IVF centres can help up to 90 % of couples, often even those whose situation seems to be hopeless. Clinics can offer extensive experience in all assisted reproduction procedures available in the best centres around the world. Anonymous Donation Czech legislation also plays an important role when it comes to assisted reproduction. This is because it permits anonymous donation and the ability to choose the physical characteristics of the donated egg or sperm. As opposed to other countries, donation of eggs and sperm is legal, voluntary, and safe. It is based on anonymity, and is not paid, nevertheless, donors are reimbursed for any provable and reasonable directly related expenses they have incurred, as well as receiving compensation for any donation-related inconvenience. 24 Medical Tourism in the Czech Republic More information is available on the following website: www.czechtourism.com/ medicaltourism IVF laboratory What Treatments Does the Czech Republic Offer? One assisted reproduction method is in-vitro fertilization (IVF), which is based on stimulating a female patient’s ovaries with hormones. As a result, extra oocytes mature in the ovaries, and are then collected and fertilized in an embryological lab. The collection is performed on an outpatient basis and lasts no longer than 20 minutes. After the procedure, the woman relaxes in bed in a pleasant environment, and after a check-up can return to her family. Foreign clients can combine a visit to a reproductive clinic with a stay at a Czech therapeutic spa located near the selected clinic. An infant directly into the prepared egg. This method can also be improved by selecting higherquality sperm used to fertilize egg cells (PICSI). The embryotransfer (ET) technique is often used in combination with IVF, where embryos are placed in the womb so that pregnancy in the mother’s body can commence. Preimplantation genetic diagnostics (PGD) are an important part of assisted reproduction, which permit examination of the egg or embryo prior to it being introduced into the womb. • procedure duration: various • total anaesthetic: no • hospitalization: none • suitable activities for the patient: Laboratories The quality of lab work is very important to the IVF process. Labs in Czech centres quickly implement new findings into their practice, and embryos are genetically analyzed or constantly monitored in an embryoscope, an incubator where they develop while being monitored by a camera. This allows for timely discovery of any developmental irregularities, and to select embryos from which a healthy child will be born. Labs also monitor other parameters that can indicate impending permanent loss of or interference with fertility. To prepare an egg for fertilization, intracystplasmic sperm injection (ICSI) is used, where one sperm is introduced www.czechtourism.com 25 Dentistry A dental clinic In the Czech Republic, you can obtain a first-rate bright smile, straight teeth, or invisible braces quickly and for a reasonable price. Why Choose the Czech Republic? Czech dentists are all mandatory members of the Czech Dental Chamber, which has a 25-year tradition and guarantees a professional approach and high-quality treatment. Czech clinics use top-notch equipment and place emphasis on the procedure’s concept, quickness, and the use of mini-invasive methods. The goal is always to ensure the patient’s comfort during the procedure, and an effort to preserve his or her own healthy teeth for as long as possible. If clients are afraid of pain, they can choose a pain-free dental procedure that takes place under local anaesthetic. Some procedures require total anaesthetic. CEREC Czech clinics use the latest tooth reconstruction methods such as the CEREC system (CEramicREConstruction). The CEREC system combines the latest IT technology and computer-assisted CNC milling. This allows the dentist to produce ceramic fillings, crowns, or facets during a single visit. • duration of the procedure: outpatient procedure • total anaesthetic: no (paediatrics dentistry total anaesthetic: yes) • hospitalization: none • suitable activities for the patient: Braces Crooked teeth are a frequent and visible problem. This can be corrected with the use of “invisible” braces; these thin, transparent aligners that fit over the teeth can straighten them in an absolutely discreet manner, and results can be seen within several weeks. 26 Medical Tourism in the Czech Republic A dental check-up • duration of the procedure: depends on the age of the patient • total anaesthetic: no • hospitalization: none • suitable activities for the patient: Facets Aesthetic tooth defects (spaces between teeth, abnormal tooth position, enamel discolouring that cannot be eliminated in any other way), especially in visible areas, can be corrected with ceramic facets. These are thin ceramic pieces shaped to conceal any imperfection and provide a perfect aesthetic appearance. Their advantage is that the teeth do not need to be ground down significantly, as is the case with regular crowns. Ceramic facets look An X-ray Dentistry tools very natural and are easily applied, the effect is immediate, and they usually require only one visit. • duration of the procedure: outpatient procedure • total anaesthetic: no • hospitalization: none • suitable activities for the patient: Dental Implants More information is available on the following website: www.czechtourism.com/ medicaltourism of titanium with a bioactive surface that the body does not perceive as a foreign material. Under optimum conditions, implants can be used immediately, meaning you can immediately return to work and your social life. • duration of the procedure: outpatient procedure • total anaesthetic: no • hospitalization: none • suitable activities for the patient: The DIRECT IMPLANT system offers a groundbreaking solution for what was once a difficult, painful, and timeconsuming implantation procedure. Digital imaging technology and new methods and materials allow these implants to be applied during the course of a single visit without painful surgery, including crown installation. Modern implants are made www.czechtourism.com 27 Other Important Fields A check-up An operating theatre General Surgery In the past, surgery was performed by opening the abdomen. In recent years, many procedures are performed exclusively via laparoscopy, which is very advanced in institutions in the Czech Republic. For example gall bladder removal or surgical repair of groin, umbilical or other abdominal hernias are common laparoscopic procedures performed safely and with quick recovery. Some centres specialize in vascular surgery, where they repair aneurysms of large abdominal blood vessels, or blood vessel grafts in order to remove blood flow obstructions. Laparoscopic surgery is also used for removal of kidney tumours (in cooperation with a urologist), or tumours of the large intestine, ovary tumours (in cooperation with a gynaecologist), removal of the stomach (gastrectomy), and other surgery as required. Sleep Disorders The Czech Republic has a long tradition of development of sleep laboratories. Using the latest technology, such as the online “BrainLabSchwarzer” system, the “POLYMESAM” device or the “CPAP” automatic device, these centres provide comprehensive differential diagnostics and treatment of disorders such as nightmares, epileptic seizures, dyspnea, insomnia, narcolepsy, and other sleep and breathing disorders. These centres work with neurological and surgical specializations such as otolaryngology and maxillofacial surgery offering appropriate surgical treatment of sleep disorders that can be eliminated or treated in this manner. Gynaecology Gynaecology has developed into a field that aside from routine gynaecology also offers highly specializes services. These include gynaecological endocrine centres providing treatment of hormonal gynaecological disorders, urogynaecological centres dealing with urinary tract disorders with associated gynaecological disorders, oncological gynaecology centres for treatment of benign and malignant tumours, and last but not least, myoma treatment centres, where Czech gynaecologists were the first in the world to develop a method for removing these benign tumours while preserving fertility and full function of the womb. Urology Many new procedures have been developed in this field to treat urinary tract disorders, especially for the removal of stones in the urinary tract, including in the renal pelvis, where mini-invasive and 28 Medical Tourism in the Czech Republic transurethral approaches and modern technologies are used, including shape memory metals, etc. This is another field where in specialized oncological centres mini-invasive procedures have been developed for the removal of malignant tumours, including robotic surgery, in order to achieve the best possible results. Gastroenterology and Hepatology This is a relatively new field that deals with diagnosis and treatment of disorders of the entire digestive tract and associated organs, including liver and pancreatic disorders. This is another field that has undergone extensive specialization, and today offers treatment in specific centres for the diagnosis and treatment of liver and hepatobiliary system disorders (include focal liver disorders), neuroendocrine tumours, pancreatic disorders, oesophageal varices, or inflammatory bowel disease. Diabetology Focusing on Treatment of Diabetic Complications Diabetes treatment in the Czech Republic is very advanced and offers the latest methods. Diabetes centres, which often cooperate with endocrinology centres, have teams of associated specialists that treat complications frequently accompanying diabetes such as diabetic nephropathy, retinopathy, vascular disorders, or diabetic cardiovascular disorders. Methods used to treat diabetic ulcers of the lower extremities, which often lead to minor or major amputations on the affected extremity, include ozone therapy and stem cell therapy, which often prevent amputation. Timely and expert treatment of diabetic retinopathy can, and in most cases does prevent loss of sight. (congenital or acquired, using implants), balance disorders, acoustic and other benign or malignant tumours, and correction of voice disorders or of nose and upper respiratory tract obstructions. When removing a cranial tumour impinging upon the face, these centres often work with maxillofacial surgeons. Endocrinology In Prague, there is a maxillofacial surgery centre specializing in surgical correction of congenital and post-traumatic facial and jaw deformations, offering orthognathic surgery of the jaw combined with pre-operative or postoperative orthodontic treatment, which can take place in the client’s home country under online supervision by the centre’s specialists. Here, in cooperation with plastic reconstruction surgeons, they also correct defects following resection of the jaw or other facial structures during the elimination of benign, but mainly malignant tumours. In the past, this field concerned itself mainly with disorders of the thyroid gland. Today, specialists primarily deal with metabolic disorders and illnesses of all hormonal systems in adults and children. For example, a growth hormone disorder can lead to a condition called acromegaly, but proper treatment can stop or even prevent this disorder. These specialized endocrinology centres treat disorders of glands and organs responsible for biosynthesis and biochemical and physiological function of all important hormones. A check-up More information is available on the following website: www.czechtourism.com/ medicaltourism Maxillofacial Surgery Otolaryngology (ORL) A consultation This term is often used to describe management of common illnesses of the middle or inner ear, which is treated in every small hospital or clinic. The Czech Republic has highly specialized otolaryngology centres for the treatment of hearing disorders www.czechtourism.com 29 Royal Treatment in Czech Spas Františkovy Lázně Nowhere else in the world will you find such a concentration of curative springs as in western Bohemia’s spa triangle, formed by three famous spa towns: Karlovy Vary (Carlsbad), Mariánské Lázně (Marienbad), and Františkovy Lázně (Franzensbad). Our set of unique Czech spas would not be complete without the spas at Jáchymov and Jeseník as well. But what makes the Czech spa industry so unique? Above all, it is a combination of high-quality medical care with progressive therapeutic and rehabilitative methods that use natural curative resources: mineral water, therapeutic peloids (clay, peat, and mud), natural gases, and also positive climactic effects. Therapeutic spas focus on selected illnesses according to their natural curative resources. Spas that do not have their own source of treatment cannot be accredited as therapeutic spas. Spa Programmes for Seniors and Managers A tradition spanning several hundred years, almost 40 spa locations, hundreds of therapeutic springs, and rich peloid deposits – all this places the Czech Republic among global spa “superpowers”. Today, spas are frequently also used by people who are well aware of the significance of prevention, and are looking for regeneration and relaxation. Aside from therapy, spa facilities also offer various regenerative and relaxation programmes. Available are for example custom-tailored managerial, anti-stress, weight loss, detox, and wellness & beauty programmes. The main advantages of medical wellness are long years of experience with traditional treatment, the ability to consult with a doctor during your stay, and especially the presence of natural curative resources. The primary mission of wellness is harmony that stems in a natural manner from emotional and physical balance. A fast-paced lifestyle, long work hours, and stressful situations all have a negative effect on our state of mind and physical condition. Wellness is one way to replenish energy. Aside from elegant spa facilities, wellness procedures can also be experienced in a number of selected designer wellness hotels, romantic chateaux, and modern centres with corresponding services. A Spa Visit as a Social Event High-profile social events are certainly not a thing of the past. Each year at the beginning of May, the main spa season is ceremonially commenced, and natural curative resources are symbolically reopened and blessed. No matter when you are at a spa, don’t forget to take home some typical souvenirs. Delicious spa wafers, herbal liqueurs, or mineral water cups will remind you of your relaxing spa stay long after your return home. Active Forms of Relaxation Are Popular If you like combining spas and golf, the Czech Republic is the place to be. After all, the oldest and best-known Czech golf courses are to be found near Karlovy Vary and Mariánské Lázně. The course at Mariánské Lázně began its operation in 1905, with Edward VII, the King of England present at the opening ceremony. Based on this fact, in 2003 Queen Elizabeth II granted it the right to use the title of “Royal”. Golf courses can be found near almost all spa locations, as well as paths for lovers of bicycling, hikes, or the popular sport of Nordic walking. Another form of relaxation is fishing, which you can try out at spas in Třeboň or Toušeň. The arrival of winter does not mean you shouldn’t think of spas. Ski hills and cross-country trails are within reach of Jeseník, Janské Lázně, or the Libverda Spa. Karlovy Vary – The Largest Czech Spa The best-known Czech spa, Karlovy Vary (Carlsbad) is a popular relaxation spot for clients from around the world. Treatments focus Mariánské Lázně 30 Medical Tourism in the Czech Republic www.czechtourism.com 31 Mariánské Lázně on metabolic and digestive system disorders, or recuperation after oncological illnesses. Thirteen hot springs with temperatures ranging from 41 °C to 73 °C originate at depths of 2 to 2.5 km, and the temperature of two cold springs is around 15 °C. These springs are located in charming colonnades that provide shelter for pleasant conversation with cup in hand. The spa town’s attractiveness is further increased by important cultural events. Each year at the beginning of July, stars of the silver screen and film fans arrive to experience the unique atmosphere of the Karlovy Vary International Film Festival. The town’s name is also inseparably linked with production of crystal glass and porcelain, the world-famous Becherovka herbal liqueur, and bottling of mineral water. www.karlovyvary.cz Mariánské Lázně – Where Famous Guests Have Stayed Mariánské Lázně (Marienbad) only commenced its first spa season in 1808, but very quickly became a popular destination for Europe’s elites. Guests have included the King of England, Edward VII, Polish composer and pianist Frédéric Chopin, and German author J. W. Goethe. Architectural gems including a Neo-Baroque colonnade, Luhačovice Empire buildings, or the Singing Fountains give this town a unique atmosphere. The spa itself specializes mainly in treating the musculoskeletal system, the urinary tract and kidneys, and gynaecological disorders. Treatments are based on the utilization of the effects of natural curative resources – cold iron-rich acidulous mineral water, natural CO2, and healing peat. www.marianskelazne.cz Františkovy Lázně – An Intimate Atmosphere Františkovy Lázně (Franzensbad) is considered among the most picturesque of Czech spas. Uniformly Classicist architecture and a large forest park instils in spa guests a feeling of time having stopped at the turn of the eighteenth and nineteenth century. However, its treatment of cardiovascular and gynaecological disorders is fully modern. Here too, natural sources are used during treatment – be they baths in mineral water rich in carbon dioxide, or baths and wraps in healing peat. www.flinfo.cz Teplice in Bohemia – A Famous Spa Tradition Teplice is among the oldest of Central European spas, and there is proof that its hot springs were known to Celts as far back as 2000 years ago. This is supported by extensive discoveries of not Celtic as well as Roman jewellery and coins. Teplice’s hot springs 32 Medical Tourism in the Czech Republic are used to treat circulatory, cardiovascular, and musculoskeletal disorders. www.lazneteplice.cz Jeseníky and Jáchymov, Holders of Global Primacy The first hydrotherapy spa in the world – Jeseník Spa, was founded in a pristine natural setting. Jeseník is a destination for patients with disorders of the nervous system, pulmonary illnesses, or circulatory problems. Jáchymov is the site of the world’s oldest radon spa. The local radioactive hot springs with their high content of rare elements are unique in the world, making this spa in the foothills of the Krušné hory (Ore Mountains) a sought-after destination for patients with musculoskeletal illnesses, including Ankylosing spondylitis (Bechterew’s disease). www.priessnitz.cz www.laznejachymov.cz Luhačovice – A Spa Set Among Forests Luhačovice, the largest spa in Moravia, specializes in treatment of the respiratory tract and gastrointestinal tract. Each minute, 15,000 litres of mineral water flows to the surface, which due to its high mineral content and free carbon dioxide content is considered one of the most effective in Europe. The town’s location in the forested hills of the White Carpathian protected landscape area. Thanks to Slovak architect Dušan Jurkovič, Luhačovice has a unique set of folk-inspired Art Nouveau buildings, admired equally by spa guests and lovers of architecture. www.luhacovice.cz Other spas that deserve at least a mention are Karlova Studánka, the spa with the cleanest air in Central Europe, the Velké Losiny hot springs, one of the oldest spas in Moravia, Darkov, focusing among other things on burns and post-operative care, Třeboň, whose healing peat relieves arthritis and rheumatism, the “heart spa” in Poděbrady, Konstantinovy Lázně and Teplice nad Bečvou, Lázně Kynžvart (Bad Königswart), which focuses exclusively on children, or the peat spa in Bělohrad, which boasts the first EuropeSpa med certificate awarded by the European Spas Association. Karlovy Vary What do Czech Spas Treat? Spa Location A B C D E Bechyně Bludov x Františkovy Lázně xo Hodonín x Jáchymov x x xo 2 xo 1 xo xo 1,2,3 x x x x x 1 xo xo x x Klášterec nad Ohří x x x xo xo x x xo xo xo x x x 1 xo 1, 4 xo xo 4 x x 1,4 1,3 x x xo xo x x xo xo xo Konstantinovy Lázně x x x x Kostelec u Zlína x x x x Lázně Bělohrad xo xo xo Lázně Bohdaneč x x Lázně Kundratice x x xo xo x x x x Lázně Libverda x xo xo x x xo xo xo x 1 Klimkovice Lázně Kynžvart PLZ* xo Jeseník x K xo xo xo J xo x x I x xo Karlovy Vary H x Janské Lázně Karviná G x xo Buchlovice Karlova Studánka F xo x Lázně Toušeň x 1 1 1 1 1 xo 2 xo xo x 2 x 1 x x x xo xo xo xo xo o Mariánské Lázně x x x x x x x x x x xo xo x x xo xo xo xo xo xo 1 x x 2 xo Slatinice x Teplice Teplice nad Bečvou xo Třeboň Velké Losiny x x Adults o Children 1 1,3 2 x 1 1 x 1 1 xo xo Velichovky x x 2 Vráž x x 2 Source: Ministry of Health x xo Natural curative resources Mineral water Peloid (clay, peat, mud) Spring gas Climactic spa 1 x x Poděbrady PLZ* 1 2 3 4 1, 4 xo x I J K 2 xo Luhačovice Ostrožská Nová Ves E F G H Oncological illnesses Circulatory system illnesses Digestive tract illnesses Metabolic and endocrine illnesses Respiratory system illnesses Nervous illnesses Musculoskeletal illnesses Kidney and urinary tract illnesses Mental illness Skin disease Gynaecological illnesses 1, 2 Lednice Mšené-lázně A B C D xo 1 More information on Czech spas is available on the following specialized websites: www.lecebne-lazne.cz www.jedemedolazni.cz www.czechtourism.com 33 Prague – Vrtbovská garden Do you like classical music? Then visit the Prague Spring, an international music festival that features top artists, symphony orchestras, and chamber music ensembles from around the world. It takes place annually starting on 12 May, the anniversary of the death of Czech composer Bedřich Smetana. Come sample an amazing musical experience! www.festival.cz The Karlovy Vary International Film Festival – come see the stars of the silver screen Come touch the stars! The International Film Festival in Karlovy Vary is among those prestigious film festival with an excellent reputation. Each year at the beginning of July, you can see actors and filmmakers walk the red carpet with your own eyes – and of course attend excellent films. www.kviff.com The Czech Republic The Picturesque Heart of Europe Český Krumlov 34 Medical Tourism in the Czech Republic It is said that the Czech Republic is not a country, but a garden. Surrounded by a chain mountain ranges along its borders, their slopes covered with deep, contemplative forests, lies the Bohemian basin – here beset with the silver coins of fishponds or interwoven with threads of rivers, there undulating with playful rolling hills, and in the east, in the historical lands of Moravia and Silesia, lit with endless golden fields. History, both ancient and quite recent, has left this blessed land with a vast quantity of priceless and breathtaking landmarks – historical towns and cities, castles and chateaux, monasteries, churches, and cathedrals, true gems of architecture and urban development of all periods that have preceded us. The City of a Hundred Towers is a mysterious labyrinth, where history mingles with the present day, a magical place where the most powerful men of Europe once met: rulers, military commanders, alchemists, Jewish scholars… It was here that Rabbi Löw once long ago brought to life the clay Golem, it is here that Arcimboldo created his opulent portraits from fruit and vegetables, it was here that masters of alchemy sought the Philosopher’s Stone in the court of Rudolf II, it was here that Franz Kafka wrote his dark and ominous works, it was here that not only Smetana and Dvořák, but also Mozart and Liszt heard the tumultuous applause of an ecstatic audience, it was here that the Church reformer Jan Hus preached, it was here that Copernicus, Kepler, Galileo, Giordano Bruno, and Tycho de Brahe peered into their telescopes… Genius Loci To walk these streets today means to be part of all the magic and mysteries of the past. Prague simply has an atmosphere that no other city in the world can offer. Even the most succinct list of all historical monuments, museums, and galleries, breathtaking places and buildings would exceed the volume of this entire booklet. To best experience Prague, one must meld with it, allow it to affect you, become part of it, if only for a while – perhaps then it will reveal some of its secrets to you too. www.prague.eu Prague – The Centre of a Magic Labyrinth No Czech city has had so much written and recounted about it as has Prague, the country’s capital. To stand on one of the most beautiful stone bridges in the world, Charles Bridge, and to gaze past the silhouettes of silent statues at the Prague Castle and the St. Vitus Cathedral gleaming on a hilltop, is an experience that does not cease to amaze even those who have lived here their entire lives. Don’t miss a tour of the Castle Museum and its unusual exhibits. You will see a model of the castle as it looked in the sixteenth century, a lapidarium, examples of life in olden times, and even a cinema. The museum is open yearround. www.zamek-ceskykrumlov.eu Prague – The Municipal House and the Powder Gate www.czechtourism.com 35 Brno – Villa Tugendhat Český Krumlov - A Medieval Pearl on a Ribbon of a River One of the most beautiful historic European cities, included on the UNESCO World Heritage List, Český Krumlov lies in southern Bohemia, and from its ramparts, one can see the forests of Šumava and the Czech sea – the Lipno Dam. This labyrinth of narrow and mysterious medieval streets developed in a gully between cliff walls on a space that would fit in the palm of a well-intentioned giant. This gothic town of alchemists and stonemasons, jugglers and proud nobility, crowned with a beautiful Renaissance castle, the Czech Republic’s largest after the Prague Castle, is filled with wondrous magic and secrets. Crooked streets run from its picturesque square, their direction governed by the ever-present Vltava River, which winds through the town, spanned in a number of places by bridges and walkways. www.ckrumlov.cz Pilsen – City of Beer and Culture Every Czech will proudly declare that the best beer in the world has been brewed since 1842 in the largest city in western Bohemia, Pilsen. But this brewing metropolis is also renowned for its rich cultural tradition, which resulted in its being named European Capital of Culture for 2015. Pilsen Olomouc To be in Pilsen and not take a tour of its brewery, to not taste its world-famous Pilsner beer, that would be an omission that cannot be forgiven. But the same mistake would be to not get to know the city’s true spirit, which lives in the walls of its buildings and its streets and squares, and can be felt literally with every step. For Pilsen has an artistic and joyous spirit, and it gives it out by the handful. www.plzen.eu Litomyšl – A Renaissance Jewel Full of Music In the east of Bohemia, nestled amid sunlit rolling hills, lies the small town of Litomyšl, surrounding a chateau that is on the UNESCO World Heritage List. Here, history left a remarkable historical complex that elicits wonder with its harmony and picturesque appearance. Warm air quivers under the pillared arcades of Renaissance houses on Litomyšl’s main square. Litomyšl is a pearl set in a Renaissance necklace. This impressive complex of historical houses, churches, and monasteries culminates with a gorgeous, fragile palace, the sun shining on its sgrafitto walls and a fresh breeze blowing through its arcades. Inside lies concealed an enchanting courtyard, a Baroque theatre, exquisite chambers, an exhibition of historic pianos, mysterious subterranean passages, and a palace tower that rises to the sky. The palace is surrounded by a breathtaking 36 Medical Tourism in the Czech Republic its size, it is an intimate and friendly city. Its dominant features are the Gothic Špilberk Castle and the NeoGothic Cathedral of St. Peter and Paul – yet all of 650 years separate these structures. An Encounter Across the Centuries Valtice We recommend a tour of the Pilsner Urquell brewery, or a visit to the Brewery Museum, located in the city centre. Experience the story of beer from antiquity to modern times! www.prazdrojvisit.cz Litomyšl Brno is an excellent starting point for discovering noteworthy locations in southern Moravia. You can for example follow in the footsteps of the Napoleonic Wars! In 1805, the Battle of the Three Emperors took place near Slavkov (Austerlitz), during which the French army, led by Napoleon, defeated the allied armies of Russia and Austria. The memorial to the battle is located by the village of Prace near Slavkov. The Baroque chateau in Slavkov where a peace treaty was signed is also worth a visit. www.zamek-slavkov.cz The Haná Region is notable not only for its favourable climate, but also for regional delicacies produced in a healthy natural environment. Its most famous local culinary product is a cheese called Olomoucké tvarůžky. This delicious low-fat cheese with a pungent aroma is offered by local restaurants in all manner of variations, and is even available from unique vending machine in the information centre at Olomouc City Hall. www.tvaruzky.cz English park and a French garden. And there is music everywhere. In 1824, Bedřich Smetana was born here, one of the most important Czech composers, and the town, proud of its famous native son, has been hosting the prestigious Smetana’s Litomyšl opera festival for six decades now. www.litomysl.cz Brno – A Living Treasure Trove of Architecture The Czech Republic’s second largest city lies in the fertile lowlands of southern Moravia. In the past, this Moravian metropolis has played an important role in the life of the Czech Republic, and continues to do so today – each era left its shining architectural mark. Its most noteworthy structure is not even a hundred years old yet. Brno is a place where one never feels lost, for despite And so it is a magical experience to encounter ornate Baroque churches alongside modernist exhibition halls (for Brno is the Czech Republic’s foremost trade fair location), marble columns, fountains, and nobles’ palaces, a monumental Neo-Renaissance theater, and many jewels of functionalist architecture, with the most invaluable one at the fore – one of the most notable villas in the world, built in 1930 according to a design by world-famous architect Ludwig Mies van der Rohe, a sovereign jewel of modern architecture protected by UNESCO – Villa Tugendhat. www.gotobrno.cz Olomouc – Moravia’s Millennial Spiritual Centre A visit to Olomouc is like meeting a wise and respected old man who has passed over many roads, and his each word is worth a stack of books. At each step, one is taken aback by the unexpected number of important and magnificent historical architecture – imposing cathedrals, charming chapels, sumptuous burghers’ mansions, monumental monasteries. The breathtaking Romanesque Bishop’s Palace, a supreme work of European Romanesque architecture, a Gothic cathedral and churches, Renaissance palaces with richly decorated facades, but above all – Olomouc Baroque. Gorgeous fountains, the Archbishop’s Palace, the Hradisko Convent, called the “Moravian Escorial”, a basilica on the Svatý Kopeček (Holy Hill) pilgrimage site, and above all – the imposing plague column, the largest Baroque sculpture in Central Europe, protected by UNESCO. Plus one curiosity – a proletarian astronomical clock from 1955. tourism.olomouc.eu In the very heart of Moravia, amid the most fertile fields in the country, located in a region called Haná, proudly stands the old city of Olomouc, from times immemorial one of the most important seats of the Kingdom of Bohemia. It is imbued with a peculiar solemnity and spiritual force, and is a city full of history, a city of Baroque beauty and respect for God. www.czechtourism.com 37 Contemplation amidst celestial calm We relished our solitude while soaking in a hot bath and emerged thoroughly rejuvenated. After relaxing spa treatments that washed away our stresses, aches and fatigue, we found inner peace nestled in the arms of nature. Perhaps that’s just what the ancient hermits were hoping to find in these mountains. www.czechtourism.com Beskid Mountains If you would like to receive additional or particular information about any of the following: medical treatment stays and your country’s related visa requirements for a visit to the Czech Republic healthcare services availability in the Czech Republic GERMANY Lázně Libverda POLAND Lázně Kundratice Teplice Jáchymov Klášterec nad Ohří Karlovy Vary Mšené-lázně Lázně Kynžvart Lázně Bělohrad Velichovky Lázně Toušeň Františkovy Lázně Mariánské Lázně Mladá Boleslav Janské Lázně PRAHA Poděbrady Kolín Konstantinovy Lázně Lázně Bohdaneč Kostelec nad Orlicí Jeseník Karlova Studánka Velké Losiny Litomyšl Bludov Kutná Hora Ostrava Plzeň contact information for particular medical facilities and/or hospitals in the Czech Republic Please contact: medical treatment options for your diagnosed medical condition and/or a planned surgery in the Czech Republic Ministry of Health of the Czech Republic, Tel: +420 224 972 573, E-mail: [email protected] Klimkovice Žďár nad Sázavou Chotoviny Vráž Olomouc Slatinice Telč Holašovice Teplice nad Bečvou Prostějov Bechyně GERMANY Karviná Třebíč Brno Kroměříž Kostelec u Zlína Zlín Buchlovice Luhačovice Ostrožská Nová Ves Třeboň Český Krumlov AUSTRIA Hodonín Lázně Lednice Lednicko-valtický areál SLOVAKIA Lázně Darkov Medical Tourism in the Czech Republic Published by the Czech Tourist Authority – CzechTourism CzechTourism, Vinohradská 46, 120 41 Praha 2 [email protected] www.czechtourism.com Prague 2015, 1st edition © Medical information consultant: MUDr. Oldřich Pospíšil, Ministry of Health of the Czech Republic Text: Tomáš Tulinger Photos: CzechTourism archive, Pavel Hroch, COex.cz, Milan Jaroš, Libor Sváček, Ladislav Renner, www.fotky-foto.cz, cz.dollarphotoclub.com Typesetting, graphic design: Grafické studio GTN, www.gtn.cz We take great care in ensuring that the information offered is accurate. Despite these efforts, errors may still occur. www.czechtourism.com/medicaltourism An official tourist presentation of the Czech Republic ISBN: 978-80-7513-058-7
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