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I'm super satisfied, clearly waiting in the rescue center cannot be avoided. But the nurses and the doctor were very nice and competent. I went there with a severe earache and received gentle treatment.
Kudos to the outpatient surgery station, everything was explained, very nice team, I felt very well looked after. I was met by very friendly nurses at Ward 15. The further care on the ward is also very, very pleasant.
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A liver biopsy is a medical procedure performed to collect a small piece of liver tissue, so it can be examined closely under a microscope for signs of disease or damage. This procedure is usually carried out to detect the presence of abnormal cells in the liver, such as cancer cells. Your doctor may suggest a liver biopsy if the result of your blood tests or imaging studies shows that you might have a problem in your liver. Although biopsies are usually associated with cancer, it does not necessarily mean that you have cancer if your doctor recommends this test.
A liver biopsy is most often used to:
Identify the cause of unexplained jaundice (yellowing of the skin), persistent abnormal liver blood tests (liver enzymes), a liver abnormality found on CT scan, ultrasound, or nuclear scan, as well as unexplained enlargement of the liver
Determine the severity of the liver disease
Grade and stage hepatitis B and C
Monitor the liver after a liver transplant
Help develop the best treatment for liver damage or disease.
Laparoscopic biopsy
Laparoscopic biopsy uses a laparoscope, which is a tube-like instrument with a tiny camera attached to it, to collect the sample.
Before the laparoscopic biopsy, you will be given a general anesthetic. Your doctor will create several tiny incisions in your abdomen. The laparoscope and special surgical tools are inserted through these incisions. The camera within the laparoscope projects images on a monitor. Your doctor uses these images to guide the surgical tools to your liver to take some tissue samples. When the samples are taken, the tools are removed and the incisions are closed with stitches.
Transjugular biopsy
To start the procedure, a small numbing medication is applied to one side of your neck. Your doctor will then create a small incision at the numbed area and then inserts a thin, flexible tube through the incision into your jugular vein. The tube is then guided through the jugular vein and into the hepatic vein (the large vein in your liver). Once the tube reaches your hepatic vein, your doctor will inject a contrast dye into the tube and creates a series of X-ray images. The contrast dye will show up in the vein, which enables your doctor to clearly see the hepatic vein. Afterward, a biopsy needle is inserted through the tube to take the liver sample.
Percutaneous biopsy
Percutaneous biopsy, also known as a needle biopsy, is the most common type of liver biopsy. It involves the use of a thin needle through your abdomen and into the liver. To start the procedure, your doctor will tap your abdomen or use ultrasound images to locate your liver. Ultrasound is sometimes used to guide the needle into the liver. Your doctor will apply a numbing medication and then creates an incision near the bottom of your ribcage. The needle is then inserted through the incision and your doctor will remove a small tissue sample.
You can leave the hospital on the same day as the procedure. However, since it takes around a week until the result of your biopsy comes back from the pathology lab, plan to stay in Berlin for about 7 days. Once the result is ready, you will have to attend a follow-up appointment to discuss the results with your doctor. If everything is fine, you will be allowed to travel home afterward.
You need to take it easy and rest for at least 1 day. You should be able to resume your normal activities after a few days. However, avoid strenuous activities and heavy lifting for a week following your liver biopsy.
Your doctor will give you detailed aftercare instructions that you need to follow. In general, you need to avoid taking aspirin or products that contain aspirin for a week. Your doctor will prescribe pain medication to help with your discomfort, make sure to take them as directed.
A liver biopsy is a safe procedure with high success and accuracy rates. Although it is safe, there are still some possible risks and side effects that you will need to be aware of. These include:
Bleeding
Pain
Infection
Injury to a nearby organ.
A transjugular biopsy carries very rare risks of hematoma in the neck, puncture of the lung, temporary voice problems, and temporary problems with the facial nerves.
In some cases, your doctor may be able to make a diagnosis of liver disease based on physical examination, medical history, and blood testing. Doctors may also use imaging techniques as an alternative to liver biopsy. The simplest imaging technique that’s used is elastography (mostly known as FibroScan), which is similar to an ultrasound and can measure the stiffness of a liver.
Before a liver biopsy, you may experience unexplained symptoms and your doctor may not be able to make an accurate diagnosis of your problem. After the procedure, your doctor should be able to make a diagnosis and know for sure the condition of your liver. The results will allow you and your doctor to create a treatment plan.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Berlin is the capital and the largest city of Germany and with over 3.7 million inhabitants; it is the second-most populous city of the European Union after London. It is an alpha city of culture, politics, media, and science. The metropolitan city is also a popular tourist destination, thanks to its rich history, vibrant culture, lively parties, delightful food, and incredible architecture.
Today, Berlin is one of the most popular destinations for medical tourism. The number of medical tourists coming to the city increases each year. Most of them travel from Poland, the Netherlands, France, and the Middle East. Some of the more popular treatments are oncology, cardiology, dentistry, and even tummy tuck. Although the cost is considerably higher than the neighboring countries such as Hungary, medical tourists still come for high-quality treatment with cutting-edge technology. Thousands of medical tourists prefer Berlin for the following reason:
As a famous tourist destination, Berlin has numerous attractions to see and many things to do. Whether you want to indulge in its culture, eat its food, or have a non-stop party, there will always be something for you.
Just like the rest of Germany, Berlin enjoys four distinct seasons, making it a year-round destination for tourists. Spring starts around March and ends in May. This season is characterized by the arrival of cherry blossoms and the increase of the temperature. The temperature is around 4.3 °C in early March and will get as warm as 19.4 °C in May.
Summer runs from June to August with an average temperature of 24 °C but can get as high as 30 °C in the hottest days. This season is the peak of tourism because people can enjoy outdoor activities, so prices can be a lot higher than usual.
The months of September and November are Autumn. The weather in this season is similar to summer, which is warm and pleasant. However, the temperature can drop significantly in late November. Tourists usually visit the city during autumn for the Oktoberfest.
Winter in the city can be freezing, cloudy, and wet. The temperature can plummet to -10 °C on the coldest days. The city is generally very festive during this season, thanks to the Christmas spirit.
Berlin has two main airports: Berlin Tegel Airport and Berlin Schönefeld Airport. The main international airport is the Berlin Tegel Airport located in the northwest. The airport serves domestic flights to other cities in Germany and international flights to almost every major city around the globe. Berlin Schönefeld Airport is the secondary airport that mainly serves budget airlines such as EasyJet and Ryanair. It is also an international airport that operates domestic and international flights. To get to the city center from both airport, bus, train, taxi or car are available.
To get around Berlin, there are various transportation modes to choose from. The main means of transport in the capital is the U-Bahn system, which comprises 9 metro lines and 173 stations. During peak hours, trains run every two to five minutes and every ten minutes in the evening and on Sundays. Along with the U-Bahn, the S-Bahn system is also one of the main means of transport. It has 15 lines serving 166 stations and has a longer average distance between station than the U-Bahn.
Tourists can also ride the tram and the tram lines mostly operate in the eastern neighborhoods since the tram lines in the former West Berlin were replaced by bus and U-Bahn. The tram lines operate 24 hours a day in some areas.
The bus in Berlin has around 151 lines running every 10 minutes for 24 hours. The buses also replace metro trains during closing hours. Taxis can be found easily enough around the city, with more than 7,000 taxicabs. The taxis can be identified by the beige or ivory color. The base fare is 3.90 EUR and tourists can hail the taxis from the street, by phone, or via an app. Other transportation such as Ferry, car sharing, and e-scooter is also available.
The citizens of Australia, Canada, Israel, Japan, New Zealand, Poland, the United States, and Switzerland can enter and stay in Berlin for up to 90 days. Since Germany is a member of the European Union, citizens from other European Union countries do not need to obtain a visa to enter. Citizens of other countries need a Schengen Visa. It is advisable to always check the requirements for Germany Visa Application before applying.