l tourism–high quality, low cost medical care away from one’s home country–has given many North Americans a new lease on life by helping them get treatment they either couldn’t get access to or couldn’t afford near home.

This digest of six patients shows how far medical tourism has come since its popular roots in North America as an inexpensive alternative for cosmetic and dental procedures.They all saved thousands of dollars and many avoided life-threatening years on a waiting list for nearby health care.

[b]Florida Landscaper: First American Liver Transplant Patient in India[/b]

Kevin Stewart’s liver was failing, and no one was sure he could hold out for a liver to become available anywhere in the U.S. Kevin was sure of one thing: “The $350,000 quote for a new liver in the U.S. would wipe me out,” he said. Stewart is a self-employed landscaper, and with the cost of insurance for small businesses, he took the risk to forego health insurance several years earlier. Little did he know then that in August 2007, he’d become the first American to have a liver transplant in India.

Stewart searched the internet for options when it became clear that both the expense and the long waiting list for a liver transplant were prohibitive, but without it, he would die. He found a reliable, reputable medical travel facilitator and immediately sent them an e-mail saying little more than “I need a liver transplant.”

The global health care facilitator contacted Stewart to get more information, and within days, sent Stewart a set of carefully researched options for having his transplant overseas. Stewart’s sister, Jo-Ann Hall from Ottawa, Canada, generously offered to donate a lobe of her liver to save her brother’s life.

In June 2007, Stewart and Hall departed for India. The total cost of the surgery for both donor and recipient: $55,000–a savings of $295,000.

Both Kevin and Jo Ann returned to their homes, eager to return to the rhythms of life, much earlier than they’d expected. They’re still singing the praises of what they dubbed their “dream team” of surgeons, medical team and their facilitators back home, who stayed in constant contact from initial contact through full recovery.

[b]Ohio Media Producer: Travels for Heart Surgery Overseas with U.S.-Trained Doctor[/b]

When Henry Konczak first learned that his heart’s mitral valve had been seriously damaged, he had no idea his condition would lead him to have heart surgery at Apollo Hospital in India.

Any reservations about leaving the U.S. for surgery were quickly allayed when his U.S. cardiologist told him he could do no better anywhere in the world than with Dr. Naresh Trehan in Delhi. A medical tourism facilitator transferred all Konczak’s medical records to Dr. Trehan, and then set up a conference call so he could get his few remaining medical questions answered. The minute Konczak said, “let’s get going,” his facilitators scheduled his surgery, booked flights and his hotel,and even arranged for his visa.

Konczak and his partner spent less than $20,000 for all his medical expenses and their combined travel and lodging bills. In the U.S. he’d been quoted $130,000 just for the hospital stay, and he knew by the time the surgeon’s fee and other add-ons were totaled, the bill would be well beyond his means.

As soon as Konczak arrived at Apollo Hospital, Dr. Trehan began with a battery of tests. “During the angiogram, he discovered his mitral valve was beyond repair and would need to be replaced because bacteria had eaten a hole through it. The surgery was a matter of a few small incisions—he didn’t have to cut me open. I was walking around by the fifth day and back home in less than three weeks.”

Konczak acknowledged that excellent care is available in the U.S., but his experience in India was unlike anything he’d have expected at home. An entire team of doctors, nurses, administrative and housekeeping staff, plus his team of facilitators, were all at his beck and call, frequently checking on his progress and making sure all his needs were met.

When Konczak was bidding his farewells and thanking his Apollo team, Dr. Trehan told him he should include the U.S. in his thanks: “I learned everything in the U.S., and now I’m propagating all the knowledge I acquired there from my very accomplished teachers.”

[b]New Orleans Telecom Installer Has Hip Resurfaced in Belgium by World Renowned Surgeon[/b]

Maurice Moreau, an uninsured self-employed phone systems installer, flew home to New Orleans after his hip resurfacing surgery in Belgium, with none of the chronic hip pain he’d suffered for two years. While researching hip replacement in the U.S., he discovered the alternative procedure of hip resurfacing, but learned that because the procedure had only been approved by the FDA in 2006, U.S. doctors did not have a solid enough track record to instill him with confidence.

In looking for a company to handle his arrangements, he settled on the one whose website had the most detail about hip resurfacing. Moreau chose Belgium as his destination, then learned his surgeon is a world renowned expert who’d performed more than 2100 hip resurfacings. “The doctor was great. A fellow patient from Belgium told me he’s the best in the world, and I believe it! I give both the hospital and the recuperation villa five stars,” said Moreau.

The total cost including travel and lodging both for him and his wife was less than $20,000—about a third the U.S. price.

[b]British Columbia Retiree: Saves Three Year Waiting Line For Gastric Bypass[/b]

Bill Moore finally reached the point where he knew he could not solve his weight issues with traditional methods. He told his doctor in Canada that he had some money coming due and was researching overseas alternatives to the three-year wait it would take to get gastric bypass surgery at home.

He too sought the help of a medical travel facilitator, and settled on one that completely understood he didn’t want a frilly vacation, and needed to get the surgery and get home quickly. Two weeks after the initial discussion with his facilitator, Moore was on a plane to India. The much slimmer Bill Moore today praises every aspect of his experience.

[b]Two Americans Strike Up An Unlikely Friendship in India While Getting Hips Replaced[/b]

Jerry Mead and Robert Lupo both made their careers in construction, but apart from that, had little else in common. Until April, that is, when they found themselves next door neighbors at internationally accredited Wockhardt Hospital in Bangalore, India, both recuperating from Total Hip Replacement surgery in India. They both chose the same facilitator, who netted them a combined savings of $130,000. The two became tight friends during their stay.

“They’re as different as night and day,” said Wouter Hoeberechts who facilitated their trips. “Robert is a funny, out-there guy; Jerry is someone who is very interested in the spiritual traditions of India. Who’d have guessed they’d become friends in a hospital in India, a place that only a few months earlier neither had imagined as a destination for surgery.”

Lupo had never been on an airplane; Mead had never been in a hospital; and a trip to a hospital in India had never entered their minds. Mead learned about medical tourism through an NPR segment and jumped on the internet to find a facilitator as soon as his hip pain made construction work impossible. After carefully researching the options they provided, he chose Wockhardt Hospital and was on a plane two weeks later for bilateral hip replacement in Bangalore India.

Lupo discovered the value a medical tourism facilitator can provide after spending months investigating international options on his own. “It’s too hard to try to do it alone,” he said. “There are too many variables–country, hospital, doctor, flights, hotels. Both men sing high praises for Dr. Sanjay Pai, who had done more than 3500 joint replacements before they arrived.

Despite the 2300 miles separating their hometowns, Lupo and Mead have stayed in touch since their return, and are equally sold on the benefits of working through a reputable medical travel company to get high quality, affordable surgery outside the U.S.

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A word of advice: there is no such thing as paranoia while traveling !Crucial during travel is the possession of a passport and visa or permit to visit the country which should have at least a six month validity just to be on the safe side.

New Zealand has strict visa schemes (most recently a woman was denied a resident’s visa because the government felt her obesity would ‘put a strain on the country’s resources’) However, there are a number of countries the residents of which do not require a visa permit to travel or stay in Kiwi land for a period of three months or less as long as they have valid passports. Some of those countries are France, Brazil, Ireland, Greece, Belgium, Chile, Mexico, Argentina, and Malaysia etc.

Keeping copies of all documents ready in case the originals are misplaced or stolen is a necessary precaution. Inform a relative or friend to be ready to fax or e-mail you copies of any documents necessary in case the situation arises. Traveler’s insurance is a must and can be claimed in case any luggage is lost or stolen. As a side note there is no need to worry about snakebite kits, as the country has no snakes!

People wishing to travel the length and breadth of the country are well advised to backpack across it and stay at the simple yet affordable youth hostels of the International Youth Hostel Federation located in most areas (and can be booked via the Internet). Rent a caravan or other inexpensive vehicle to drive across if walking won’t suit you (though be warned that the cost of petrol does add up) since looking to public transport to travel everywhere will cause quick cash outflow.

There are beaureaux de change and foreign exchange kiosks in most places. Major credit cards and traveler’s checks are accepted across the country so carrying cash isn’t necessary. For students the possession of an international student I card will get you discounts on entry fees at a large number of museums, theatres, movies etc.

Eating well especially if you’re on an adventure holiday or backpacking is recommended but having every meal at a restaurant is not .It will cost approximately$25-$45 a head per meal. Preparing your own food is the best option. Youth hostels generally allow guests to cook for themselves in their kitchens. Shop for necessities at small local shops, not big department stores where rates are higher. In case there isn’t a kitchen to cook your own meals in the vicinity buying snacks off roadside vendors is another good way to eat well within a budget while experiencing local flavor. The country is very clean and any such food is reasonably hygienic. Avoid expenditure on alcohol, Internet, camera film etc as it adds up substantially.

Summertime is the busiest and most expensive. It’s smarter to visit during the off seasons. The climate is cool so carrying warm clothes (but not too many) is a good idea. Remember, while traveling packing light is the golden rule especially if backpacking or any kind of walking is on the agenda. Heavy trunks and suitcases full of unnecessary accessories are not the way to go. Do not carry pair upon pair of shoes. Wear a sturdy pair and your feet (and back!) will thank you.

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Even if “self-catering” is an unfamiliar term to you, you may at least be familiar with the concept. The idea became mainstream in the 2006 movie “The Holiday,” however; self-catered travelling has actually been around in one form or another for decades.

Thanks in large part to the Internet’s ability to considerably shrink geographical distances and make communication and the trading of services faster and easier, self-catered vacations have seen a tremendous surge in popularity in the last decade. Tourists who choose this style of travel forego the tradition of making vacation arrangements through a travel agent, who would normally perform services like booking a hotel, reserving a sight-seeing package, etc.

Instead, travelers book accommodations directly from a private owner or from a specialist villa holiday company who will put vacationers up in a home or condominium/apartment. As often than not, vacationers find their contacts through an Internet listing.

So why is the self-catered holiday the new ticket to a great vacation? The trend continues to catch fire with travellers worldwide for a number of reasons, including:

* Flexibility: Dealing directly with a private owner often means travelers get a better pick of travel dates. It’s also easier to negotiate deals when it comes to length of stay, inclusiveness of a package and other things that wouldn’t be possible with a hotel stay. It’s also a great way to accommodate large families or groups of travelers without having to separate groups.

* Privacy: Choosing self-catered accommodations means not having to worry about nosy neighbors in close proximity or the sound of the ice machine down the hall at 2:00 am. Your accommodations are yours and yours alone. You also get a much more “homey” feeling than you might with a hotel room.

* Freedom: There’s no need to worry about meal schedules because you’re cooking for yourself, or you can simply choose a local restaurant at your own convenient time.

* Cost efficiency: This is one of the biggest reasons that travellers choose self-catered holidays. Dealing with a private owner almost always means you get a better rate than you would in a hotel. Places such as Mallorca, where many of the best hotels are close to the coast, travelers will pay a prime rate for beachfront property. However, if you go inland to a self-catered private home or condominium, you’re much more likely to find a better rate; without having to sacrifice quality. Chances are, you’ll still be only minutes from major amenities, shopping and sightseeing destinations.

Since your accommodation includes a kitchen facility, you have the option of saving money by cooking at least some of your own meals during your stay. Even if you choose to eat out, you’ll probably be paying less for meals than you would at a hotel restaurant or with room service. Sometimes you can negotiate a better rate with a private owner, especially if you plan to stay for an extended period of time (a week or more). Plus, you get an entire residence for the duration of your stay rather than just one or two rooms and a restroom.

And don’t think that your choices are limited just because you’re choosing a non-traditional hotel vacation. There are self-catered accommodations all over the world with added features like a swimming pool, home gym, games room, entertainment center and many extras. Whatever kind of vacation you want, you’re sure to find accommodations that suit your desires.

Just what kind of impact self-catered holidays are having on the hotel and hospitality industry is difficult to determine. The hotel industry in Spain continues to grow, despite the rising number of travellers who are choosing self-catered accommodations.

However, since the number of vacationers who have opted out of hotel stays for their holidays has also grown over the last several years, it may be a safe assumption that the tourism industry in Spain as a whole is growing. In fact, it’s quite possible that the number of recreational tourists in Spain is on the rise because vacationers have so many options when it comes to accommodation and more people can now afford to travel than ever before. Whatever the case, it appears that self-catered holidays will continue to be a desirable and affordable way to travel and the tourism industry will be benefitted, rather than hurt, by this trend.

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There are numerous excellent multi level marketing companies and TVI Express is one of those. The MLM industry as a whole has been frowned upon because of some legitimate companies that were scamming their members. For some reason the general population thinks that means all MLM companies are scams. That is just not factual just as each corporate executive is not like those that were at Enron. The truth is that most are legitimate and very legal. Has there been some bad press about some multi-level marketing companies, yes but that frankly is not the norm. Most are legitimate and especially those that have been around for many years like most companies you see or hear.

Travel Ventures International or TVI for short has joined the travel and tourism industry with the Internet and the home based business. TVI gives the run of the mill person the ability to produce an income from their home using the Internet selling travel packages. How would you like to be able to make an on-going income from the comfort of your home without working all the time. There are 4 ways to earn income and 72% of the sales revenue is paid out to distributors.

This can be a splendid business opportunity. The frank question is how can you as a TVI distributor talk to 10,20,30 or more people a calendar day about your business. You could take the customary style and talk to all your acquaintances and relatives, chasing them down just to recognize they won’t answer the phone or just avert you like the plague. Or you can leverage lists and make cold calls, ouch. Or you go to malls and find people there That gets old as well. Frankly you can do that and many people have built large businesses doing that but frankly most people can not and will not. This course is hard to duplicate for most. You need a route that almost anyone can do so your team does what you do.

If you could have a web page that you drove traffic to which allowed you to talk to 30 or more people a day. Do you think you would be able to build your TVI business. A good marketing system will do just that. Now I am not going to tell you that everyone can do this. But If you are really serious this can be done and is done.

Additionally, of those that you do talk to about your business 95% of them will not join your business. What do you get from those that do not join your business. Normally the answer is none but with the right online system and affiliate programs you can make money off of that 95%. Does that sound like something you want to be apart of? Well, all you need is the right system and team to be plugged into and you can. If you are ready and willing to change the way you do things

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