MEDICAL PROGRAMS
MEDICAL PROGRAMS

C OMERCIALIZADORA DE S ERVICIOS M ÉDICOS C UBANOS ,S.A.
September 17, 2012
Copyright c 2012 Comercializadora de Servicios Médicos Cubanos, S.A. (CSMC,S.A.)
This book is a compilation of the medical...
Taking over the Cuban tradition and experience in providing health services for international markets, foreign residents a...
MEDICAL PROGRAMS

As prices and content of these programs may change, it is advisable to ask our
specialists in CSMC, SA (...
Contents

13

1.1

Executive Medical Checkup . . . . . . . . . . . . . . . . . . . . . . .

13

1.2

Outpatient comprehens...
CONTENTS
2.3

Retinitis Pigmentosa Programs . . . . . . . . . . . . . . . . . . . . . .

24

2.4

Cataract Surgery with Im...
CONTENTS
53

6.1

7

Maxillofacial Surgery Programs

53

Orthognathic surgery Programs . . . . . . . . . . . . . . . . . ....
CONTENTS
75

10.2 Renal transplantation. Program for renal transplantation. Recipient and
living donor. . . . . . . . . . ...
CONTENTS
12.8 Continuation of rehabilitation program for infantile paralysis and other
static lesions of CNS . . . . . . ....
CONTENTS
15.1 Head and Neck Programs . . . . . . . . . . . . . . . . . . . . . . . . . 107
15.2 Peripheral tumors medical ...
Chapter 1

1.1

MEDICAL PROGRAMS

MEDICAL CHECKUPS
Executive Medical Checkup

Prevention is vital for maintaining health. ...
MEDICAL CHECKUPS
• Ultrasound Investigations: Prostate ultrasound (Men)
• Urologic Investigations: Prostate Specific Antige...
1.3 Preventive checkup for the elderly (Men and Women)

1.3

Preventive checkup for the elderly (Men and Women)

If you ar...
MEDICAL CHECKUPS
• Laboratory tests
• Cardiological investigations: Electrocardiogram Ambulatory 24 hrs Holter electrocard...
1.6 Toco-gynecological checkup

1.6

Toco-gynecological checkup

The risk in fertile women or those passing through perime...
MEDICAL CHECKUPS
• Re-Consultation with a Gynecology specialist.
• Clinical Laboratory tests
• Microbiological and Gynecol...
1.9 Medical Checkup for the diagnosis of Osteoporosis (Men)
• Dental checkup without additional cost.
Children between the...
MEDICAL CHECKUPS

1.10

Medical Checkup for the diagnosis of Osteoporosis
(Women)

This checkup is an ambulatory service a...
Chapter 2

2.1

MEDICAL PROGRAMS

OPHTHALMOLOGY PROGRAMS
Ophthalmology consultation and other related specialties

Special...
OPHTHALMOLOGY PROGRAMS
• Corneal transplantation: $ 515.00 CUC.
• Refractive surgery consultation: $ 320.00 CUC.
• Strabis...
2.2 Ophthalmological checkup

Ophthalmological checkup

Ophthalmological
Include
checkup
Retinitis Pigmentosa Specialized ...
OPHTHALMOLOGY PROGRAMS

2.3

Retinitis Pigmentosa Programs

No. Program
1
2
3
4
5
6
7

MEDICAL PROGRAMS

8
9
10
11
12
13
1...
2.5 Cataract Surgery without Implantation of an Intraocular Lens (IOL) in one eye
• Specialized Ophthalmology consultation...
OPHTHALMOLOGY PROGRAMS
• Ophthalmological tests: Refraction and autorefraction. Biomicroscopy. Keratometry. Tonometry. Bio...
2.6 Ophthalmological Surgery
• cataract surgery (Piggy Back): $ 1 600.00 CUC.
• complicated cataract surgery: $ 2000.00 CU...
OPHTHALMOLOGY PROGRAMS
• Dacryocystectomy: $ 700.00 CUC.
• Dacryocystorhinostomy: $ 900.00 CUC.
• Phimotic tear duct dilat...
2.6 Ophthalmological Surgery
• Extraction of silicone oil and cataract surgery: $ 2500.00 CUC.
• Removal of intralens fore...
OPHTHALMOLOGY PROGRAMS
• Primary Pterygium: $ 800.00 CUC.
• Recurrent Pterygium: $ 1000.00 CUC.
• Eyelid ptosis: $ 600.00 ...
2.6 Ophthalmological Surgery
• Trabeculotomy: $ 1200.00 CUC.
• Trabeculotomy with antimetabolites: $ 1250.00 CUC.
• Trabec...
MEDICAL PROGRAMS

OPHTHALMOLOGY PROGRAMS

32
Chapter 3

3.1

MEDICAL PROGRAMS

PLACENTAL HISTOTHERAPY
PROGRAMS
Treatment of Vitiligo

Due to the clinical success achie...
PLACENTAL HISTOTHERAPY PROGRAMS
The cost of medication used for treatment in Cuba is not included in the prices above.
Hav...
3.3 Treatment of Alopecia Areata Universalis
Having evaluated the case, the specialist determines the length of treatment ...
PLACENTAL HISTOTHERAPY PROGRAMS
Having evaluated the case, the specialist determines the length of treatment and
indicates...
Chapter 4

4.1

MEDICAL PROGRAMS

GENERAL SURGERY AND
GYNECOLOGY PROGRAMS
Conventional surgery and microsurgery

There are...
GENERAL SURGERY AND GYNECOLOGY PROGRAMS
No. entity
Breast
nodule
(breast cancer)

3

breast carcinoma

4

breast carcinoma...
4.1 Conventional surgery and microsurgery

15

Incisional Hernia
Medium size (5
to 10 cm)

16

Incisional Hernia
Large siz...
GENERAL SURGERY AND GYNECOLOGY PROGRAMS
No. entity
25

Genital Prolapse

26

Uterine prolapse

27

High Grade SIL
(SIL II)...
4.2 Minimally Invasive Surgery Programs
• The patient may be discharged early.
• Social life of the patient may restart a ...
GENERAL SURGERY AND GYNECOLOGY PROGRAMS
No. Entity
7
8
9

Appendicitis
Adrenal gland tumors
Recurrent Pneumothorax

Uterin...
4.3 Pregnancy termination

20

Previous Tubal
Ligation (Reversal)

21

Multiparity

22
23

Tubal pregnancy
Ectopic
pregnan...
GENERAL SURGERY AND GYNECOLOGY PROGRAMS

4.4

Evaluation of infertile couples

One of the fondest dreams of couples is to ...
4.7 Evaluation of male sexual dysfunction.
• 10 nights in hospital (as companion). (Accommodation and meals).
• tests: Cul...
GENERAL SURGERY AND GYNECOLOGY PROGRAMS
Study of cavernous bulb reflex and somatosensory evoked potentials (SSEP)
for erige...
Chapter 5

5.1

MEDICAL PROGRAMS

COSMETIC SURGERY PROGRAMS
Cosmetic Surgery Programs

The desire to give the human figure,...
COSMETIC SURGERY PROGRAMS
days after discharge, to complete its outpatient treatment, complying with the indications of th...
5.1 Cosmetic Surgery Programs
No. Surgical Intervention

Price CUC

11

1110.00

13
14
15

16

17

18

19
20
21

22

23

2...
COSMETIC SURGERY PROGRAMS
No. Surgical Intervention

Price CUC

25

1550.00

26

27

MEDICAL PROGRAMS

28

29
30

31

32

...
5.1 Cosmetic Surgery Programs
No. Surgical Intervention

Price CUC

36

1355.00

38

39
40
41

42

43

44

45

46

1940.00...
COSMETIC SURGERY PROGRAMS
No. Surgical Intervention

Price CUC

47

980.00

48

MEDICAL PROGRAMS

49

50

52

Hospitalizat...
Chapter 6

6.1

MEDICAL PROGRAMS

Maxillofacial Surgery Programs
Orthognathic surgery Programs

Dento-maxillo-facial disha...
Maxillofacial Surgery Programs
No. Entity

Dento-maxillofacial
Disharmonies

2

Dento-maxillofacial
Disharmonies

3

MEDIC...
6.1 Orthognathic surgery Programs

8

9

10

11

12

13

14

Dento-maxillofacial
Disharmonies caused by
the jaw and chin
D...
MEDICAL PROGRAMS

Maxillofacial Surgery Programs

56
Chapter 7

7.1

MEDICAL PROGRAMS

OTOLARYNGOLOGY PROGRAMS
Otolaryngology Programs

Diseases of the throat, nose and ears a...
OTOLARYNGOLOGY PROGRAMS
Hospitalization
Anesthesia
in
a
private
room
(nights)

Price CUC

2

Tonsillectomy

2

Local

958....
7.2 Sensorineural hearing loss Program for children and adults.
Hospitalization
Anesthesia
in
a
private
room
(nights)

Pri...
OTOLARYNGOLOGY PROGRAMS
• Diagnostic studies: T3, T4 and TSH. Mastoid radiograph (2 views) Erythrocyte
sedimentation rate....
Chapter 8

8.1

MEDICAL PROGRAMS

ORTHOPEDIC PROGRAMS
Orthopedic programs.

Diseases of the Osteomioarticular system are o...
ORTHOPEDIC PROGRAMS
No. Entity
5
6

7

MEDICAL PROGRAMS

8
9

10

11

12

13

14

15
16

62

Surgical Intervention

hospit...
8.1 Orthopedic programs.
Surgical Intervention

17

Kyphosis between 40
and 60 degrees

18

Correction of kyphosis
between...
ORTHOPEDIC PROGRAMS
No. Entity
35

Carpal tunnel
drome (CTS)

Surgical Intervention
syn-

Carpal tunnel release
[Median Ne...
8.3 Orthopedic Rehabilitation Program.

8.3

Orthopedic Rehabilitation Program.

Accident and its sequels have become a he...
MEDICAL PROGRAMS

ORTHOPEDIC PROGRAMS

66
Chapter 9

9.1

MEDICAL PROGRAMS

INTERNAL MEDICINE PROGRAMS
Evaluation of rheumatoid arthritis.

The espenses for the com...
INTERNAL MEDICINE PROGRAMS
Ozone (5 sessions).
Price: $ 3757.00 CUC
Excludes: Cost of biomoduline T (BT) for 6 months of t...
9.3 Systemic Lupus Erythematosus.

9.3

Systemic Lupus Erythematosus.

The espenses for the companion are not covered by t...
INTERNAL MEDICINE PROGRAMS
Includes Specialized internal medicine care.
10 Nights of hospitalization. (Hospitalization in ...
9.6 Evaluation of digestive diseases.
throcyte sedimentation rate (ESR). CBC. Uric acid. Creatinine. Complete blood gases....
INTERNAL MEDICINE PROGRAMS
This program does not include the transfer.
Includes Specialized internal medicine care.
14 nig...
9.8 Exogenous obesity. (Evaluation and treatment).
Medical consultation with psychology.
Medical consultation with rehabil...
MEDICAL PROGRAMS

INTERNAL MEDICINE PROGRAMS

74
Chapter 10

10.1

MEDICAL PROGRAMS

TRANSPLANT PROGRAMS
Renal transplantation. Assessment program (recipient and donor).

...
TRANSPLANT PROGRAMS
– Serum glutamic oxaloacetic transaminase (SGOT). Uric acid. Calcium. Urine
electrolytes.
– Phosphorus...
10.3 Autologous bone marrow transplantation (Does not required donor).
This program does not include the transfer.
Include...
TRANSPLANT PROGRAMS
If it were necessary to extend the stay, after coordination, the price will increase $
3000.00 CUC per...
10.5 Corneal transplantation and conjunctival autograft for Simple recurrent pterygium
This program does not include the t...
MEDICAL PROGRAMS

TRANSPLANT PROGRAMS

80
Chapter 11

11.1

MEDICAL PROGRAMS

REHABILITATION PROGRAMS
Rehabilitation programs for CNS, articular, rheumatic,
cardiov...
REHABILITATION PROGRAMS

MEDICAL PROGRAMS

No. Medical
Programs
5
initial rehabilitation program for
hemiplegia
6
continua...
11.2 Rehabilitation Program for pediatric cochlear implant patients

11.2

Price CUC
3849.00

hospitalizationompanion
c
n ...
REHABILITATION PROGRAMS
• AP Plan (breakfast, lunch and dinner)
Outpatient program price: 1695.00 CUC
Inpatient program pr...
Chapter 12

MEDICAL PROGRAMS

NEUROLOGICAL RESTORATION
PROGRAMS
International Center for Neurological Restoration (CIREN)....
NEUROLOGICAL RESTORATION PROGRAMS

12.1

Initial rehabilitation program for demyelinating diseases of the CNS.

Demyelinat...
12.2 Continuation of rehabilitation program for CNS demyelinating diseases.

12.2

Continuation of rehabilitation program ...
NEUROLOGICAL RESTORATION PROGRAMS
Our comprehensive rehabilitation program is aimed at reintegrating patients to a
more ac...
12.5 Initial rehabilitation program for hemiplegia.
of continuation for those patients who can stand on their own or with ...
NEUROLOGICAL RESTORATION PROGRAMS
– Chest X Ray
– Hematocrit
– Hemoglobin
– Cholesterol
– Creatinine
– Glycemia
• magnetic...
12.7 Initial rehabilitation program for infantile paralysis and other static lesions of CNS
• magnetic bed (15 sessions)

...
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.
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TABELA DE PRECOS DA CSMC S.A - COMERCIALIZADORA DE SERVICIOS MÉDICOS CUBANOS,S.A.

  1. 1. MEDICAL PROGRAMS
  2. 2. MEDICAL PROGRAMS C OMERCIALIZADORA DE S ERVICIOS M ÉDICOS C UBANOS ,S.A. September 17, 2012
  3. 3. Copyright c 2012 Comercializadora de Servicios Médicos Cubanos, S.A. (CSMC,S.A.) This book is a compilation of the medical programs that Comercializadora de Servicios Médicos Cubanos,S.A. offers, based on the book Medical Programs by SERVIMED, Turismo y Salud, 2009. Medical review board: Dra. Sandra Cutiño Dr. Waldemar Baldoquín Rodríguez General concept and organization: MEDICAL PROGRAMS Msc. Ángela Moraima Cuesta Mola Ing. Joely Prado Alonso Bch. Anell Beatriz Lopez Bermejo Book cover design: Uniprint Latex typesetting and composition: Dr. Waldemar Baldoquín English Translation: 4
  4. 4. Taking over the Cuban tradition and experience in providing health services for international markets, foreign residents and visitors, Comercializadora de Servicios Médicos Cubanos, S.A. (CSMC,S.A.), reorients and expands its business objectives and becomes the leading organization in the country for the provision of these specialized services. Therefore, prestigious Cuban clinics and health centers -including Clínica Central Cira García (Cira García Central Clinic), Centro Internacional de Retinosis Pigmentaria “Camilo Cienfuegos” (Camilo Cienfuegos International Retinitis Pigmentosa Center), Centro Internacional de Salud “La Pradera” (La Pradera International Health Center) and Centro Internacional de Restauración Neurológica (International Centre for Neurological Restoration, CIREN), for just to name a few- have programs and medical practices based on a more articulated, organic and on a larger scale commercial activity. MEDICAL PROGRAMS In the center of the current portfolio of CSMC,S.A. converge medical, health-wellness and academic programs, along with research and technical assistance and consulting services in Cuba and abroad. Under the concept of using the experience that Cuba has won in more than two centuries of medical services, the strong infrastructure and logistics of the National Health System, the support from the pharmaceutical industry, technologies from the so-called “Scientific Pole” (a science park to the west of Havana), and the expertise of highly competitive human capital, CSMC,S.A. has created a group of programs covering high-demand specialties for the attention to conditions in the fields of Ophthalmology, Dermatology, Orthopedics, Orthopedics, Neurology and Neurosurgery, Plastic and Reconstructive Surgery, Adult and Pediatric Cardiovascular Surgery, Oncology Surgery, Bariatric Surgery, among others which can be found in this book. Comercializadora de Servicios Médicos Cubanos, S.A., enters the international market of health services, with the guarantee and support of being accredited through their institutions Clínica Central “Cira García” (Cira García Central Clinic) and Centro Internacional de Retinosis Pigmentaria “Camilo Cienfuegos” (Camilo Cienfuegos International Retinitis Pigmentosa Center). These health centers now exhibit ISO 90012008 compliance certificates issued by the most prestigious certification organizations AENOR and Bureau Veritas as a reward for the quality of their management systems. The certificates achieved by the institutions of CSMC,S.A., define and strengthens Cuba as ’Country Health’ destination. This catalog is a short preview of our medical programs. 5
  5. 5. MEDICAL PROGRAMS As prices and content of these programs may change, it is advisable to ask our specialists in CSMC, SA (smc@smcsalud.cu). You may request our services and get more information in our website http://smcsalud.cu. 6
  6. 6. Contents 13 1.1 Executive Medical Checkup . . . . . . . . . . . . . . . . . . . . . . . 13 1.2 Outpatient comprehensive medical checkup . . . . . . . . . . . . . . . 14 1.3 Preventive checkup for the elderly (Men and Women) . . . . . . . . . . 15 1.4 Cardiovascular checkup . . . . . . . . . . . . . . . . . . . . . . . . . . 15 1.5 Medical checkup for hypertensive patients . . . . . . . . . . . . . . . . 16 1.6 Toco-gynecological checkup . . . . . . . . . . . . . . . . . . . . . . . 17 1.7 Gynecological checkup for perimenopause or menopause women . . . 17 1.8 Basic Pediatric Checkup. . . . . . . . . . . . . . . . . . . . . . . . . . 18 1.9 Medical Checkup for the diagnosis of Osteoporosis (Men) . . . . . . . 19 1.10 Medical Checkup for the diagnosis of Osteoporosis (Women) . . . . . 2 MEDICAL CHECKUPS 20 OPHTHALMOLOGY PROGRAMS 21 2.1 Ophthalmology consultation and other related specialties . . . . . . . . 21 2.2 Ophthalmological checkup . . . . . . . . . . . . . . . . . . . . . . . . 23 MEDICAL PROGRAMS 1 7
  7. 7. CONTENTS 2.3 Retinitis Pigmentosa Programs . . . . . . . . . . . . . . . . . . . . . . 24 2.4 Cataract Surgery with Implantation of an Intraocular Lens (IOL) in one eye. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Cataract Surgery without Implantation of an Intraocular Lens (IOL) in one eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Ophthalmological Surgery . . . . . . . . . . . . . . . . . . . . . . . . 26 2.5 2.6 33 Treatment of Vitiligo . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 3.2 Treatment of Psoriasis . . . . . . . . . . . . . . . . . . . . . . . . . . 34 3.3 4 PLACENTAL HISTOTHERAPY PROGRAMS 3.1 MEDICAL PROGRAMS 3 Treatment of Alopecia Areata Universalis . . . . . . . . . . . . . . . . 35 37 4.1 Conventional surgery and microsurgery . . . . . . . . . . . . . . . . . 37 4.2 Minimally Invasive Surgery Programs . . . . . . . . . . . . . . . . . . 40 4.3 Pregnancy termination . . . . . . . . . . . . . . . . . . . . . . . . . . 43 4.4 Evaluation of infertile couples . . . . . . . . . . . . . . . . . . . . . . 44 4.5 Evaluation of infertility in women. . . . . . . . . . . . . . . . . . . . . 44 4.6 Evaluation of male infertility. . . . . . . . . . . . . . . . . . . . . . . . 44 4.7 5 GENERAL SURGERY AND GYNECOLOGY PROGRAMS Evaluation of male sexual dysfunction. . . . . . . . . . . . . . . . . . . 45 47 5.1 8 COSMETIC SURGERY PROGRAMS 47 Cosmetic Surgery Programs . . . . . . . . . . . . . . . . . . . . . . .
  8. 8. CONTENTS 53 6.1 7 Maxillofacial Surgery Programs 53 Orthognathic surgery Programs . . . . . . . . . . . . . . . . . . . . . . 57 7.1 Otolaryngology Programs . . . . . . . . . . . . . . . . . . . . . . . . . 57 7.2 8 OTOLARYNGOLOGY PROGRAMS Sensorineural hearing loss Program for children and adults. . . . . . . . 59 61 8.1 Orthopedic programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 8.2 Other programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 8.3 9 ORTHOPEDIC PROGRAMS Orthopedic Rehabilitation Program. . . . . . . . . . . . . . . . . . . . 65 INTERNAL MEDICINE PROGRAMS 67 9.1 Evaluation of rheumatoid arthritis. . . . . . . . . . . . . . . . . . . . . 67 9.2 Multiple Sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 9.3 Systemic Lupus Erythematosus. . . . . . . . . . . . . . . . . . . . . . 69 9.4 Diabetes Mellitus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 9.5 Chronic obstructive pulmonary disease (COPD) . . . . . . . . . . . . . 70 9.6 Evaluation of digestive diseases. . . . . . . . . . . . . . . . . . . . . . 71 9.7 Chronic liver disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 9.8 Exogenous obesity. (Evaluation and treatment). . . . . . . . . . . . . . MEDICAL PROGRAMS 6 72 10 TRANSPLANT PROGRAMS 75 9
  9. 9. CONTENTS 75 10.2 Renal transplantation. Program for renal transplantation. Recipient and living donor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 10.3 Autologous bone marrow transplantation (Does not required donor). . . 77 10.4 Allogeneic bone marrow transplantation. Evaluation program. For the patient and donor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 10.5 Corneal transplantation and conjunctival autograft for Simple recurrent pterygium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MEDICAL PROGRAMS 10.1 Renal transplantation. Assessment program (recipient and donor). . . . 79 11 REHABILITATION PROGRAMS 81 11.1 Rehabilitation programs for CNS, articular, rheumatic, cardiovascular, and pulmonary diseases . . . . . . . . . . . . . . . . . . . . . . . . . 81 11.2 Rehabilitation Program for pediatric cochlear implant patients . . . . . 83 11.3 Rehabilitation Program for adult cochlear implant patients . . . . . . . 84 12 NEUROLOGICAL RESTORATION PROGRAMS 85 12.1 Initial rehabilitation program for demyelinating diseases of the CNS. . . 12.2 Continuation of rehabilitation program for CNS demyelinating diseases. 87 12.3 Initial rehabilitation program for paraplegia. . . . . . . . . . . . . . . . 87 12.4 Continuation of rehabilitation program for paraplegia. . . . . . . . . . . 88 12.5 Initial rehabilitation program for hemiplegia. . . . . . . . . . . . . . . 89 12.6 Continuation of rehabilitation program for hemiplegia. . . . . . . . . . 90 12.7 Initial rehabilitation program for infantile paralysis and other static lesions of CNS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 86 91
  10. 10. CONTENTS 12.8 Continuation of rehabilitation program for infantile paralysis and other static lesions of CNS . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 12.9 Initial rehabilitation program for congenital brachial palsy . . . . . . . 92 12.10Continuation of rehabilitation program for congenital brachial palsy . . 93 12.11Initial rehabilitation program for rheumatic and degenerative joint diseases 94 13 CARDIOLOGY AND CARDIOVASCULAR SURGERY PROGRAMS 94 97 13.1 Cardiovacular surgery in adults. . . . . . . . . . . . . . . . . . . . . . 97 13.2 Cardiology Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 13.3 Initial Cardiovascular Rehabilitation Program. . . . . . . . . . . . . . . MEDICAL PROGRAMS 12.12Continuation of rehabilitation program for rheumatic and degenerative joint diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 13.4 Continuation of Cardiovascular Rehabilitation Program. . . . . . . . . . 100 13.5 Cardiovacular surgery in children. . . . . . . . . . . . . . . . . . . . . 100 14 CUBAN MEDICAL PROGRAM FOR THE REHABILITATION OF ADDICTIONS 103 14.1 Cuban medical program for the rehabilitation of addictions. . . . . . . 103 14.2 Cuban medical program for the rehabilitation of addictions - week evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 14.3 Cuban medical program for the rehabilitation of addictions - A month of therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 14.4 Cuban medical program for the rehabilitation of addictions - recycling. . 106 15 ONCOLOGY PROGRAMS 107 11
  11. 11. CONTENTS 15.1 Head and Neck Programs . . . . . . . . . . . . . . . . . . . . . . . . . 107 15.2 Peripheral tumors medical programs . . . . . . . . . . . . . . . . . . . 111 15.3 Lung Cancer Vaccine Medical Program . . . . . . . . . . . . . . . . . 113 15.4 CimaVax EGF vaccine. . . . . . . . . . . . . . . . . . . . . . . . . . . 113 15.5 CIMAher (nimotuzumab, generic name or hR3). . . . . . . . . . . . . 114 16 MEDICAL PROGRAMS FOR THE ELDERLY 117 MEDICAL PROGRAMS 16.1 Comprehensive evaluation for the elderly . . . . . . . . . . . . . . . . 117 16.2 Executive evaluation for the elderly . . . . . . . . . . . . . . . . . . . 118 16.3 Evaluation and geronto-vitalizing comprehensive treatment (outpatient) 119 16.4 Evaluation and geronto-vitalizing comprehensive treatment (inpatient) . 120 16.5 Psychomotor comprehensive rehabilitation (group of 10 or more people) 122 16.6 Functional rehabilitation in the elderly (10 sessions) . . . . . . . . . . . 123 16.7 Quality of life revitalizing treatment (10 sessions) . . . . . . . . . . . . 125 16.8 Comprehensive care for patients with memory disorders. . . . . . . . . 126 16.9 (Outpatient memory disorder evaluation . . . . . . . . . . . . . . . . . 128 16.10Caregivers Program (educational school for Caregiver) . . . . . . . . . 128 16.11Evaluation and treatment of depression . . . . . . . . . . . . . . . . . . 129 17 ANGIOLOGY PROGRAM 17.1 Treatment of diabetic foot ulcer with HEBERPROT-P 12 131 R . . . . . . . . . 131
  12. 12. Chapter 1 1.1 MEDICAL PROGRAMS MEDICAL CHECKUPS Executive Medical Checkup Prevention is vital for maintaining health. Periodic medical checkup, allows the diagnosis of diseases that at early stage, might have a complete cure. This deep and thorough clinical examination supplemented with other medical investigations, not only allows ratifying a good health state, but also makes it possible to diagnose clinical disorders, or early-stage diseases that might have a complete and simple medical solution. This is an ambulatory service, at a cost of $ 270.00 CUC. You only need to spend 3 hours of your time. This program includes: • Consultation with a specialist in Internal Medicine • Re-consultation with a specialist in Internal Medicine • Clinical Laboratory Studies • Cardiology Investigations: Electrocardiogram. • Imaging Investigations: Plain Chest X-ray 13
  13. 13. MEDICAL CHECKUPS • Ultrasound Investigations: Prostate ultrasound (Men) • Urologic Investigations: Prostate Specific Antigen (Men) • Ultrasound Investigations: Breast Ultrasound (Women) • Mammography (Women) A dental checkup is offered without additional cost. MEDICAL PROGRAMS 1.2 Outpatient comprehensive medical checkup By performing rigorous clinical and laboratory investigations, together with different instrumented explorations, doctors assess the true state of health, including dental diagnosis. This is an ambulatory service, at a cost of $ 575.00 CUC and includes: • Consultation with Internal Medicine, Ophthalmology and General Surgery specialists at as advised by the attending physician • Re-consultation with a specialist in Internal Medicine • Laboratory tests • Cardiology Investigations: Electrocardiogram • Imaging Investigations: Chest X-ray Plain radiography of a region of the spinal column (2 views) • Ultrasound Investigations: Upper abdomen diagnostic ultrasound Prostate ultrasound (men) Breast ultrasound (Women) • Mammography (Women) • Urologic investigations: Prostate specific antigen (men) A dental checkup is offered without additional cost. 14
  14. 14. 1.3 Preventive checkup for the elderly (Men and Women) 1.3 Preventive checkup for the elderly (Men and Women) If you are more than 60 year old, or suffer from high blood pressure or any cardiovascular disorder, you can choose this checkup that we have created especially for you. This is an ambulatory service, at a cost of $ 535.00 CUC, and includes: • Consultation with a specialist in Internal Medicine. • Re-consultation with a specialist in Internal Medicine • Laboratory tests MEDICAL PROGRAMS • Cardiology Investigations: Electrocardiogram • Imaging Investigations: Chest X-ray Plain radiography of a region of the spinal column (2 views) • Ultrasound Investigations: Upper abdomen diagnostic ultrasound Prostate ultrasound (men) Breast ultrasound (Women) • Urologic investigations: Prostate specific antigen (men) • Ultrasound bone densitometry. A dental checkup is offered without additional cost. 1.4 Cardiovascular checkup This checkup allows the assessment of your cardiovascular system and the estimation of the risk of suffering complications associated with cardiovascular conditions. It is offered at a price of $ 480.00 CUC and includes: • Consultation with a Cardiology specialist • Reconsultation with a Cardiology specialist 15
  15. 15. MEDICAL CHECKUPS • Laboratory tests • Cardiological investigations: Electrocardiogram Ambulatory 24 hrs Holter electrocardiogram Ergometric test. • Imaging investigations: Simple Telecardiogram. Doppler echocardiography. A dental checkup is offered without additional cost. MEDICAL PROGRAMS 1.5 Medical checkup for hypertensive patients Hypertension is a chronic disease, usually associated with a number of risk factors that can lead to various complications, including ischemic heart disease if not properly controlled. This checkup requires some complex laboratory, ultrasonographic and electrophysiologic investigations that allow highly qualified specialists, to assess your condition and make recommendations so you can enjoy life to the fullest. This service is offered at a price of $ 460.00 CUC and includes: • Consultation with a specialist in Internal Medicine. • Re-consultation with a specialist in Internal Medicine • Laboratory tests • Cardiological Investigations: Electrocardiogram. Doppler echocardiography. Blood Pressure, Ambulatory 24-hour Holter. • Ultrasound Investigations: Bilateral Renal and Adrenal ultrasound. A dental checkup is offered without additional cost. 16
  16. 16. 1.6 Toco-gynecological checkup 1.6 Toco-gynecological checkup The risk in fertile women or those passing through perimenopause or menopause require special investigations to let you know early diseases that when eradicated, will allow you to continue to enjoy life with your couple or family. Women of childbearing age (and older) need a periodical gynecological checkup. This checkup is an ambulatory service at a price of $ 320.00 CUC, and includes: • Consultation with a Gynecology Specialist. MEDICAL PROGRAMS • Re-Consultation with a Gynecology Specialist. • Clinical Laboratory Tests • Microbiological and Gynecological Investigations: Pap smear. Colposcopy. Simple vaginal discharge study. • Imaging investigations: Gynecological ultrasound Breast ultrasound and mammography A dental checkup is offered without additional cost. 1.7 Gynecological checkup for perimenopause or menopause women Any woman 45 years of age and older need a specialized checkup periodically to assess gynecological health status, in order to detect early conditions that timely treated, let you enjoy life without concerns for diseases that otherwise might affect you and your relationships. This checkup is an ambulatory service at a price of $ 600.00 CUC, and includes: • Consultation with a Gynecology specialist. 17
  17. 17. MEDICAL CHECKUPS • Re-Consultation with a Gynecology specialist. • Clinical Laboratory tests • Microbiological and Gynecological investigations: Pap smear. Colposcopy. Simple vaginal discharge study. • Imaging investigations: Ultrasound bone densitometry. Breast ultrasound and mammography. A dental checkup is offered without additional cost. MEDICAL PROGRAMS 1.8 Basic Pediatric Checkup. Children under the age of 2 The checkup of a child involves the consideration of the characteristics of each age. At this age growth and development mark and define the physical, emotional and intellectual future of human being. That’s the reason why monitoring the evolution of these aspects is of vital importance. This checkup is an ambulatory service at a price of $ 495.00 CUC, and includes: • Consultation with a Pediatric specialist. • Consultation with an ENT specialist. • Consultation with a Psychology specialist. • Reconsultation with a Pediatrics Specialist • Clinical Laboratory Investigations • Cardiology Investigations: Electrocardiogram. • Imaging Investigations: Plain chest radiograph • Ultrasound Investigation: Abdomen Ultrasound • Otorhinolaryngologic Investigation: Audix. 18
  18. 18. 1.9 Medical Checkup for the diagnosis of Osteoporosis (Men) • Dental checkup without additional cost. Children between the ages of 2 and 12 years In addition to the consultations and investigations described above the medical checkup for children between the ages of 2 and 12 years include a psychological study. Psychological study, includes: • Terman. • Bender. MEDICAL PROGRAMS • Wise. Price: $ 580.00 CUC. 1.9 Medical Checkup for the diagnosis of Osteoporosis (Men) This checkup is an ambulatory service at a price of $ 740.00 CUC, and includes: • Consultation with a Specialist of the Osteoporosis Group. • Consultation with an Endocrinology Specialist . • Consultation with an Orthopedics Specialist. • Reconsultation with an Osteoporosis Specialist • Laboratory investigations: Determination of T3, T4, TSH Insulin. Erythrocyte sedimentation rate. Glycemia. Creatinine. Blood calcium and phosphate. Lipids. Urates. HIV. Urine calcium and phosphate. CBC. Quantitative serology (VDRL). • Cardiology Investigations: Electrocardiogram. • Imaging investigations: Chest X-Ray Bone study (Survey). • Ultrasound investigations: Ultrasound bone densitometry. 19
  19. 19. MEDICAL CHECKUPS 1.10 Medical Checkup for the diagnosis of Osteoporosis (Women) This checkup is an ambulatory service at a price of $ 1208.00 CUC, and includes: • Consultation with a Specialist of the Osteoporosis Group. • Consultation with an Endocrinology Specialist . • Consultation with an Orthopedics Specialist. • Consultation with a Gynecology Specialist. MEDICAL PROGRAMS • Re-consultation with a Specialist of the Osteoporosis Group • Laboratory investigations: Determination of T3, T4, TSH Determination of LH, estradiol, FSH. Basal cortisol. Insulin. Erythrocyte sedimentation rate. Glycemia. Creatinine. Blood calcium and phosphate. Lipids. Urates. HIV. Urine calcium and phosphate. CBC. Quantitative serology (VDRL). • Microbiological and Gynecological investigations: Pap smear Colposcopy Simple vaginal discharge testing • Imaging investigations: Chest X-Ray Bone study • Ultrasound: Ultrasound bone densitometry Transvaginal diagnostic ultrasound Breast ultrasound and mammography 20
  20. 20. Chapter 2 2.1 MEDICAL PROGRAMS OPHTHALMOLOGY PROGRAMS Ophthalmology consultation and other related specialties Specialized Consultations: • Consultation with the professor (on Request): $ 80.00 CUC. • Consultation with specialists: $ 25.00 CUC. • Ophthalmology: $ 40.00 CUC. • Retina consultation: $ 130.00 CUC. • Low Vision consultation: $ 100.00 CUC. • Glaucoma consultation: $ 270.00 CUC. • Lacrimal System consultation: $ 70.00 CUC. • Contact lens consultation: $ 60.00 CUC • Cataract surgery consultation: $280.00 CUC. • Keratoconus surgery evaluation: $ 285.00 CUC. • Keratoprosthesis evaluation: $ 285.00 CUC. 21
  21. 21. OPHTHALMOLOGY PROGRAMS • Corneal transplantation: $ 515.00 CUC. • Refractive surgery consultation: $ 320.00 CUC. • Strabismus consultation: $ 60.00 CUC. • Evaluation with the optometrist: $ 15.00 CUC. • Initial neurological assessment: $ 80.00 CUC. • Migraine consultation: $ 50.00 CUC. MEDICAL PROGRAMS • Neuro-ophthalmology consultation: $ 385.00 CUC. • Radiation planning and treatment: $ 500.00 CUC. • Weekly consultation with the radiotherapist: $ 20.00 CUC. • Dental implants evaluation : $ 175.00 CUC. • Podiatrist consultation: $ 15.00 CUC. • Emergency Medical Consultation: $ 25.00 CUC. • Emergency Dentistry Consultation: $ 50.00 CUC. • Reconsultation with the professor (on Request): $ 50.00 CUC. • Interconsultation with medical specialist: $ 25.00 CUC. • Consultation with Multidisciplinary medical staff: $ 100.00 CUC. • Medical consultation requested from abroad: $ 100.00 CUC. • Refractive surgery consultation: (Excimer Laser): $250.00 CUC. 22
  22. 22. 2.2 Ophthalmological checkup Ophthalmological checkup Ophthalmological Include checkup Retinitis Pigmentosa Specialized Retinitis Pigmentosa consultation inCheckup cludes ophthalmologic medical examination: biomicroscopy, tonometry, fundus¡, Visual acuity, refraction, electrophysiological studies, perimetry, optical coherence tomography. Myopia, Hyperopia Specialized Refractive Error consultation includes and Astigmatism ophthalmologic medical examination : biomiCheckup croscopy, tonometry, fundus. Refraction, Corneal Topography, Perimetry, pneumotonometry, aberrometry, endothelial microscopy. Retina Checkup Specialized Retina Consultation includes ophthalmologic medical examination : biomicroscopy, tonometry, fundus. Indirect ophthalmoscopy. Glaucoma Checkup Specialized Glaucoma Consultation includes ophthalmologic medical examination : biomicroscopy, tonometry, fundus. Refraction, computed perimetry, gonioscopy, ocular tomography, Central perimetry and pneumotonometry. Cataract Checkup Specialized Cataract surgery consultation includes ophthalmologic medical examination: biomicroscopy, tonometry, fundus. Endothelial microscopy, Calculation of intraocular lens, refraction, pneumotonometry Cornea Checkup Specialized Cornea consultation includes ophthalmologic medical examination : Biomicroscopy, tonometry, fundus. Refraction, endothelial microscopy, tachometer, corneal topography, Aberrometry, pneumotonometry Oculoplasty Evalua- Specialized Oculoplasty consultation includes ophtion thalmologic medical examination : biomicroscopy, tonometry, fundus. Refraction, Schirmer test, ocular ultrasound, Biometrics, exploration of tear ducts, exophthalmometry and Visual Field. Price (CUC) 276.00 200.00 MEDICAL PROGRAMS 2.2 130.00 216.00 224.00 412.00 236.00 23
  23. 23. OPHTHALMOLOGY PROGRAMS 2.3 Retinitis Pigmentosa Programs No. Program 1 2 3 4 5 6 7 MEDICAL PROGRAMS 8 9 10 11 12 13 14 15 16 2.4 Hospitalization Ophthalmologic evaluation program 7 Retina evaluation program 7 Ophthalmologic evaluation program for patients with retinitis pig- 7 mentosa Retinitis pigmentosa treatment. First time 21 Retinitis pigmentosa treatment. Second time. 14 Retinitis pigmentosa treatment. Third time. 14 Chronic open angle glaucoma. Trabeculectomy for an eye opera- 10 tion. Treatment of chronic simple glaucoma. Trabeculectomy for an 10 eye operation. Chronic narrow angle glaucoma. Trabeculectomy. Gonio-surgery 10 for an eye. Outpatient Program Chronic narrow angle glaucoma. Trabeculectomy. Laser irido- 10 tomy surgery for an eye operation. outpatient Program Excimer laser refractive surgery (both eyes) 14 Cataract surgery (with intraocular lens). Program for operation of 10 an eye. Cataract surgery (without intraocular lens). Program for operation 10 of an eye. Treatment program Corneal transplant. Lamellar keratoplasty op- 10 eration of an eye. Treatment program Corneal transplant. Perforating keratoplasty 10 operation of an eye. Pterygium surgery. Autologous corneal-conjunctiva transplanta- 10 tion (one eye). 7040.00 3040.00 3040.00 1510.00 2610.00 1510.00 1010.00 1010.00 1636.00 1286.00 3668.00 3868.00 1485.00 Cataract Surgery with Implantation of an Intraocular Lens (IOL) in one eye. This program includes: 24 Price CUC 1400.00 1775.00 1410.00
  24. 24. 2.5 Cataract Surgery without Implantation of an Intraocular Lens (IOL) in one eye • Specialized Ophthalmology consultation • Preoperative checkup: Hemoglobin. Hematocrit. Glycemia. Differential white blood cell count. HIV. Serology. Chest X-Rays. Electrocardiogram. • Ophthalmological tests: Refraction and autorefraction. Biomicroscopy. Keratometry. Tonometry. Biometrics. Intraocular lens (IOL) calculation Ocular diagnostic ultrasound. Cataract Surgery with Implantation of an Intraocular Lens (IOL) in one eye One eye operation, local anesthesia applied by anesthesiology specialist, right to Operating Room, Recovery after surgery, skilled nursing service, cataract surgery with IOL, sedation, medication and suture. MEDICAL PROGRAMS The program can be outpatient or with hospitalization. The cost of hospitalization is 90.00 CUC per night and the Companion of 40.00 CUC per night. • Hospitalization for 1 night / transfer: $ 1766.00 CUC with a companion: $ 1806.00 CUC. • Hospitalization for 4 nights / transfer: $ 2036.00 CUC with a companion: $ 2196.00 CUC. • Hospitalization for 7 nights / transfer: $ 2156.00 CUC with a companion: $ 2436.00 CUC. • Hospital for 14 nights / transfer: $ 2436.00 CUC with a companion: $ 2996.00 CUC. 2.5 Cataract Surgery without Implantation of an Intraocular Lens (IOL) in one eye This program includes: • Specialized Ophthalmology consultation • Preoperative checkup: Hemoglobin. Hematocrit. Glycemia. Differential white blood cell count. HIV. Serology. Chest X-Rays. Electrocardiogram. 25
  25. 25. OPHTHALMOLOGY PROGRAMS • Ophthalmological tests: Refraction and autorefraction. Biomicroscopy. Keratometry. Tonometry. Biometrics. Ocular diagnostic ultrasound. Cataract Surgery without Implantation of an Intraocular Lens (IOL) in one eye. local anesthesia applied by anesthesiology specialist, right to Operating Room, Recovery after surgery, skilled nursing service, cataract surgery with IOL, sedation, medication and suture. The program can be outpatient or with hospitalization. The cost of hospitalization is 90.00 CUC per night and the Companion of 40.00 CUC per night. MEDICAL PROGRAMS • Hospitalization for 1 night / transfer: $ 416.00 CUC with a companion: $ 1,456.00 CUC. • Hospitalization for 4 nights / transfer: $ 686.00 CUC with a companion: $ 1846.00 CUC. • Hospitalization for 7 nights / transfer: $ 1,806.00 Accompanied CUC: $ 2086.00 CUC. • Hospitalization for 14 nights / transfer: $ 2,086.00 Accompanied CUC: $ 2646.00 CUC. 2.6 Ophthalmological Surgery • Ahmed Valve implantation: $ 3000.00 CUC. • Ahmed Valve implantation with antimetabolites: $ 3050.00 CUC. • Pneumatic retinopexy: $ 2500.00 CUC. • Canaliculotomy: $ 400.00 CUC. • Laser posterior capsulotomy: $ 300.00 CUC. • Chalazion surgery: $ 100.00 CUC. • Cyclophotocoagulation: $ 600.00 CUC. • Combined surgery: Scleral buckle / Cerclage and vitrectomy : $ 4000.00 CUC. 26
  26. 26. 2.6 Ophthalmological Surgery • cataract surgery (Piggy Back): $ 1 600.00 CUC. • complicated cataract surgery: $ 2000.00 CUC. • Pediatric cataract surgery without IOL with posterior capsulotomy and anterior vitrectomy: $ 1500.00 CUC. • Pediatric cataract surgery with IOL with posterior capsulotomy and anterior vitrectomy: $ 2000.00 CUC. • Pediatric cataract surgery with IOL: $ 1500.00 CUC. • Pediatric cataract surgery without IOL: $ 1000.00 CUC. • Eyelid surgery of congenital malformations: $ 600.00 CUC. MEDICAL PROGRAMS • Retina surgery and scleral buckle: $ 3500.00 CUC. • Plastic Surgery (Lower eyelid blepharoplasty): $ 750.00 CUC. • Plastic Surgery (Lower eyelid blepharoplasty) with CO2 laser: $ 900.00 CUC. • Plastic Surgery (Upper eyelid blepharoplasty): $ 650.00 CUC. • Plastic Surgery (Upper eyelid blepharoplasty) with CO2 laser: $ 800.00 CUC. • Phaco Refractive Surgery : $ 1500.00 CUC. • Excimer laser refractive surgery (Lasek): $ 800.00 CUC. • Excimer laser refractive surgery (Lasik): $ 1000.00 CUC. • Cystotomy of Tenon’s capsule with needle using antimetabolites: $ 400.00 CUC. • Placement ocular conformer: $ 70.00 CUC. • Creation of individualized prosthetics: $ 550.00 CUC. • Cryotherapy: $ 500.00 CUC. • Lens dislocation into anterior chamber : $ 1000.00 CUC. • Cross Linking: $ 1200.00 CUC. • Intrastromal corneal foreign body: $ 600.00 CUC. • Superficial corneal foreign body: $ 60.00 CUC. 27
  27. 27. OPHTHALMOLOGY PROGRAMS • Dacryocystectomy: $ 700.00 CUC. • Dacryocystorhinostomy: $ 900.00 CUC. • Phimotic tear duct dilatation: $ 25.00 CUC. • Ectropion, Entropion of other causes: $ 600.00 CUC. • Senile Ectropion and Entropion : $ 500.00 CUC. • Endolaser: $ 500.00 CUC. • Excimer laser assisted Endo-keratoplasty: $ 5000.00 CUC. • Enucleation or Evisceration with implant: $ 1200.00 CUC. MEDICAL PROGRAMS • Enucleation or Evisceration without implant: $ 500.00 CUC. • Non-penetrating deep sclerectomy: $ 2500.00 CUC. • Non-penetrating deep sclerectomy with antimetabolites: $ 2550.00 CUC. • Non-penetrating deep sclerectomy with scleral implant: $ 2800.00 CUC. • Strabismus surgery (cosmetic in adults): $ 700.00 CUC. • Strabismus surgery on horizontal muscles: $ 300.00 CUC. • Strabismus Surgery on vertical muscles: $ 600.00 CUC. • Excision of benign conjunctival lesions: $ 300.00 CUC. • Excision of malignant conjunctival lesions: $ 500.00 CUC. • Excision of iris lesions: $ 500.00 CUC. • Excision of benign eyelid tumors and / or cysts with primary closure: $ 300.00 CUC. • Excision of malignant eyelid tumors with primary closure: $ 600.00 CUC. • Excision of malignant eyelid tumors reconstruction: $ 800.00 CUC. • Excision of retro orbital tumor with preservation of the eyeball: $ 2500.00 CUC. • Exploration and lacrimal probing: $ 150.00 CUC. • Extraction of silicone oil: $ 1500.00 CUC. 28
  28. 28. 2.6 Ophthalmological Surgery • Extraction of silicone oil and cataract surgery: $ 2500.00 CUC. • Removal of intralens foreign body: $ 1700.00 CUC. • Extraction of intraocular foreign body: $ 2500.00 CUC. • Phacoemulsification with Trabeculectomy : $ 4000.00 CUC. • Phacoemulsification with Trabeculectomy and antimetabolites: $ 4050.00 CUC. • Gonioplasty: $ 500.00 CUC. • Goniopuncture: $ 300.00 CUC. • Goniotomy: $ 1200.00 CUC. MEDICAL PROGRAMS • Corneal surgical wound: $ 1000.00 CUC. • Injury of ocular adnexa: $ 200.00 CUC. • Injury of eyelid with section of lacrimal canaliculus : $ 600.00 CUC. • Intrastromal ring implantation: $ 1500.00CUC. • Phakic lens implant: $ 1500.00 CUC. • Secondary IOL implantation: $ 1000.00 CUC. • Blocked Tear Ducts Intubationl: $ 250.00 CUC. • Intravitreal injection of antibiotics: $ 500.00 CUC. • Intravitreal injection of anti-inflammatory agents: $ 500.00 CUC. • Subconjunctival injection of antiangiogenic agents: $ 150.00 CUC. • Subconjunctival injection of antimetabolites: $ 100.00 CUC. • Sub-Tenon’s injection of anti-inflammatories: $ 100.00 CUC. • Iridectomy: $ 500.00 CUC. • Laser Iridectomy : $ 250.00 CUC. • Lensectomy: $ 1000.00 CUC. • Nystagmus: $ 2500.00 CUC. 29
  29. 29. OPHTHALMOLOGY PROGRAMS • Primary Pterygium: $ 800.00 CUC. • Recurrent Pterygium: $ 1000.00 CUC. • Eyelid ptosis: $ 600.00 CUC. • Punctoplasty: $ 200.00 CUC. • Laser punctoplasty: $ 200.00 CUC. • Keratoplasty with lens extraction and IOL : $ 6000.00 CUC. • keratoplasty with combined procederes : $ 6000.00 CUC. • Anterior lamellar keratoplasty: $ 1500.00 CUC. MEDICAL PROGRAMS • Lamellar keratoplasty - predescemetic: $ 4000.00 CUC. • Perforating keratoplasty: $ 4500.00 CUC. • Reconstruction of late leaking of filtering bullae: $ 600.00 CUC. • Complex reconstructions of atypical cavities: $ 1000.00 CUC. • Reconstruction of atypical anophthalmic cavity: $ 600.00 CUC. • Coating with conjunctival or amniotic membrane: $ 350.00 CUC. • Resuturing of cornea: $ 200.00 CUC. • Symblepharon: $ 1000.00 CUC. • Lysis of Synechiae : $ 200.00 CUC. • Lysis of Sutures: $ 200.00 CUC • Trabeculectomy: $ 1000.00 CUC. • Trabeculectomy (reoperation) with antimetabolites: $ 1500.00 CUC. • Trabeculectomy (reoperation) with scleral implant: $ 1700.00 CUC. • Trabeculectomy with antimetabolites: $ 1100.00 CUC. • Trabeculectomy with scleral implant: $ 1300.00 CUC. • Selective laser trabeculoplasty: $ 500.00 CUC. 30
  30. 30. 2.6 Ophthalmological Surgery • Trabeculotomy: $ 1200.00 CUC. • Trabeculotomy with antimetabolites: $ 1250.00 CUC. • Trabeculotomy with scleral implant: $ 1400.00 CUC. • Limbal cell transplantation: $ 1500.00 CUC. • Trichiasis treated with electrofulguration : $ 200.00 CUC. • Trichiasis treated with graft: $ 400.00 CUC. • Use of silicone oil in vitreous surgery: $ 600.00 CUC. • Use of gas in vitreous surgery: $ 600.00 CUC. MEDICAL PROGRAMS • Use of heavy liquids in vitreous surgery: $ 600.00 CUC. • Viscocanalostomy: $ 2500.00 CUC. • Viscocanalostomy with antimetabolites: $ 2550.00 CUC. • Viscocanalostomy with scleral implant: $ 2800.00 CUC. • Pars plana vitrectomy: $ 3500.00 CUC. • Vitreolysis: $ 300.00 CUC. • Surgery of oblique muscles: $ 300.00 CUC. • Torsional torticollis Surgery: $ 400.00 CUC. • Full muscle transpositions with posterior fixation suture: $ 600.00 CUC. • Partial muscle transpositions: $ 500.00 CUC. • Superior oblique silicon tendon expander: $ 500.00 CUC. • Surgical Rehabilitation for macula: $ 1500.00 CUC. • Retroecuatorial Myoscleropexy : $ 300.00 CUC. 31
  31. 31. MEDICAL PROGRAMS OPHTHALMOLOGY PROGRAMS 32
  32. 32. Chapter 3 3.1 MEDICAL PROGRAMS PLACENTAL HISTOTHERAPY PROGRAMS Treatment of Vitiligo Due to the clinical success achieved in Cuba with the use of Placenta Histotherapy in the treatment of different conditions, a specialized therapy with highly satisfactory results was developed by a group of prestigious scientists, led by Professor Dr. Carlos Miyares Cao. Today you can get these treatments in both the clinic of Placenta Histotherapy and in Residential Tarara, long-standing institutions providing these health services. This is an ambulatory service and includes: • General Conference on this disease. • Specialized medical consultation Treatment sessions: Duration: Daily treatment with diagnostic tests 4 days 1 treatment session for training with diag- 4 days nostic tests Daily treatment without diagnostic tests 2 days 1 treatment session for training without 2 days diagnostic tests Price: $808.00 CUC $726.00 CUC $409.00 CUC $169.00 CUC 33
  33. 33. PLACENTAL HISTOTHERAPY PROGRAMS The cost of medication used for treatment in Cuba is not included in the prices above. Having evaluated the case, the specialist determines the length of treatment and indicates the number of bottles of the therapeutic product to be used. Our experts recommend the suspension of all skin treatments 45 days before the arrival to Cuba. The price of a bottle of Melagenina Plus (235ml) is $36.00 CUC, and it is provided after evaluation and prescription at the Clinic of Placenta Histotherapy. MEDICAL PROGRAMS 3.2 Treatment of Psoriasis This is an ambulatory service and includes: • General Conference on this disease. • specialized medical consultations. Treatment sessions: Duration: Daily treatment with diagnostic tests 4 days 1 treatment session for training with diag- 4 days nostic tests daily treatment without diagnostic tests 2 days 1 treatment session for training without 2 days diagnostic tests Price: $ 808.00 CUC $ 726.00CUC $ 409.00 CUC $ 169.00CUC The number of sessions of treatment will be determined by the specialists at the time of personalizing the program. If you don’t have the result of skin biopsy, then it will be done at the clinic for an additional fee of 150.00 CUC with regards to the price of the program. The cost of medication used for treatment in Cuba is not included in the price above. Our experts recommend the suspension all skin treatments 45 days before the arrival to Cuba. 34
  34. 34. 3.3 Treatment of Alopecia Areata Universalis Having evaluated the case, the specialist determines the length of treatment and indicates the number of bottles of the therapeutic product to be used. The value of each product is as follows: • Coriodermina (250g) $33.30 CUC. • Piloactive Lotion (200ml) $13.25 CUC. • Piloactive Shampoo (200ml) $5.10 CUC. • Bioactivating Dermal Soap (120g) $5.25 CUC. 3.3 MEDICAL PROGRAMS • Dermal Hydrating Gel (250ml) $21.00 CUC. Treatment of Alopecia Areata Universalis This is an ambulatory service and includes: • General Conference on this disease. • Specialized medical consultation. Treatment sessions: Treatment sessions: Duration: Daily treatment with diagnostic tests 4 days Daily treatment without diagnostic tests 4 days 1 treatment session for training with diag- 2 days nostic tests 1 treatment session for training without 2 days diagnostic tests Price: $866.00 CUC $747.00 CUC $550.00 CUC $190.00 CUC If you don’t have the result of skin biopsy, then it will be done at the clinic for an additional fee of $150.00 CUC with regards to the price of the program. The cost of the medication used for treatment in Cuba is not included in the price above. 35
  35. 35. PLACENTAL HISTOTHERAPY PROGRAMS Having evaluated the case, the specialist determines the length of treatment and indicates the number of bottles of the therapeutic product to be used. The value of each product is as follows: • Piloactive Lotion (200ml): $13.25 CUC. • Piloactive Shampoo (200ml): $5.10 CUC. MEDICAL PROGRAMS Our experts recommend the suspension all skin treatments 45 days before the arrival to Cuba. 36
  36. 36. Chapter 4 4.1 MEDICAL PROGRAMS GENERAL SURGERY AND GYNECOLOGY PROGRAMS Conventional surgery and microsurgery There are several diseases where the only treatment option is surgery. Advances in medical sciences and in particular Surgery and Anesthesiology, allow a quick and effective solution with minimal risk, so you can achieve a happy recovery and return to your usual activities. We have highly skilled human resources and advanced technology to help you recover your health and improve your quality of life. All these programs include: hospitalization, doctor fees, pre-operative screening, basical tests, surgery, right to the operating room, surgical specimen biopsy when indicated, right to anesthesia and recovery. Exclude: Medicines, disposables, blood derivatives or substitutes and artificial supporting materials when indicated. No. entity 1 breast nodule Surgical Inter- Hospitavention ization Excision of 3 the nodule and biopsy Anaesthesia Price CUC General 2163.00 37
  37. 37. GENERAL SURGERY AND GYNECOLOGY PROGRAMS No. entity Breast nodule (breast cancer) 3 breast carcinoma 4 breast carcinoma 5 Gastric Tumor 6 10 Right Colon Tumor Left Colon Tumor Thyroid Nodule hyperfunctioning goiter Epigastric Hernia 11 Umbilical Hernia 12 Inguinal Hernia 13 Inguinal Hernia reproduced once 14 MEDICAL PROGRAMS 2 Inguinal Hernia reproduced more than once 7 8 9 38 Surgical Inter- Hospitavention ization Quadrantectomy 10 with axillary dissection Radical mastec- 14 tomy Radical mas- 10 tectomy with axillary dissection Sub-total11 Gastrectomy Bilroth II Right hemicolec- 12 tomy Left hemicolec- 14 tomy Hemithyroidectomy7 Subtotal thy- 11 roidectomy Epigastric 3 herniorrhaphy Umbilical Regional herniorrhaphy Inguinal hernior- Regional rhaphy Inguinal hernio- 4 plasty with mesh (Not including the cost of the mesh) Inguinal hernia 6 repair with mesh (Not including the cost of the mesh) Anaesthesia Price CUC General 2970.00 General 3170.00 General 4313.00 General 4623.00 General 4503.00 General 4713.00 General General 2773 3378.00 General 1433.00 3 1333.00 3 1533.00 Regional 1853.00 Regional 2283.00
  38. 38. 4.1 Conventional surgery and microsurgery 15 Incisional Hernia Medium size (5 to 10 cm) 16 Incisional Hernia Large size (of + 10 cm) 17 Incisional Hernia Small size (- 5 cm) 18 Varicocele 19 Spermatic ducts ligation Uterine Myoma. Uterine fibromyoma Bicornate uterus (Uterine septum) Rectocistocele 20 21 22 23 24 Rectocistocele with Urinary Incontinence Surgical Intervention Incisional hernioplasty with Prosthesis (surgical mesh) (not including the cost of the mesh) Large hernioplasty (+10 cm diameter) with Incisional prosthesis (surgical mesh) (mesh not included) Incisional hernioplasty with Prosthesis (surgical mesh) (not including the cost of the mesh) Spermatic veins ligation Vasectomy Myomectomy Abdominal Hysterectomy Metroplasty Anterior and posterior colporrhaphy Anterior and posterior colporrhaphy and Kelly plication Hospitaization 7 Anaesthesia Price CUC General 2203.00 10 General 2793.00 5 General 1713.00 3 Regional 1513.00 2 Local 775.00 7 7 General General 2648.00 2868.00 7 General 2848.00 5 Regional 1998.00 7 Regional 2178.00 MEDICAL PROGRAMS No. entity 39
  39. 39. GENERAL SURGERY AND GYNECOLOGY PROGRAMS No. entity 25 Genital Prolapse 26 Uterine prolapse 27 High Grade SIL (SIL II) Bartholin’s gland cyst 28 Bartholin’s gland cyst 30 MEDICAL PROGRAMS 29 up to 12 weeks Pregnancy Pregnancy over 12 weeks to 20 weeks. 31 32 33 4.2 Dysfunctional Uterine Bleeding (DUB) Ongoing, deferred or incomplete Abortion Surgical Intervention Anterior and posterior colporrhaphy. Vaginal cervical amputation Vaginal Hysterectomy Conization and curettage Exeresis of Bartholin’s gland cyst Marsupialization of Bartholin’s gland Termination of pregnancy Termination of pregnancy. Therapeutic curettage Diagnostic endometrial curettage Therapeutic Curettage Hospitaization 3 Anaesthesia Price CUC Regional 2378.00 5 Regional 2648.00 2 Regional 1201.00 0 General 656.00 1 General 686.00 0 General 449.00 4 General 1649.00 0 General 756.00 0 General 456.00 Minimally Invasive Surgery Programs In the last decade, the techniques of Minimally Invasive Surgery have developed very much. This involves doing surgery through small holes to remove organs and perform several surgical procedures, avoiding large wounds. These techniques have the following advantages: • Less invasive and more esthetic. 40
  40. 40. 4.2 Minimally Invasive Surgery Programs • The patient may be discharged early. • Social life of the patient may restart a few days after surgery. • Patients have fewer complications than with traditional techniques. We have multidisciplinary medical teams composed of endoscopy surgeons, specialized radiologists, experienced anesthesiologists, nursing staff and technicians with expertise and high quality instruments. MEDICAL PROGRAMS All these programs include: hospitalization, doctor fees, pre-operative screening, basic diagnostic tests, surgery, right to the operating room, surgical specimen biopsy when indicated, right to anesthesia and recovery. Exclude: Medicines, disposables, blood derivatives or substitutes and artificial support materials when indicated. No. Entity Price CUC 1 2963.00 2 3 4 5 6 Surgical inter- Hospitalization Anesthesia vention Peptic Ulcer Vagotomy 3 General Post.C. Anterior highly selective vagotomy Recurrent peptic Transthoracic 4 General ulcer with incom- vagotomy plete vagotomy. Splenectomy. Videolaparoscopy 6 General with splenectomy Hiatal hernia. Antireflux Tech- 3 General Gastroesophageal nique (valvuloreflux disease. plasty of Nissen or Toupet’s ) Esophageal acha- Heller’s my- 4 General lasia. otomy of subsequent with posterior and selective anterior vagotomy Varicocele Ligation of sper- 3 General matic vessels 3458.00 3062.00 3593.00 3463.00 1983.00 41
  41. 41. GENERAL SURGERY AND GYNECOLOGY PROGRAMS No. Entity 7 8 9 Appendicitis Adrenal gland tumors Recurrent Pneumothorax Uterine diseases of various causes. 11 Paraovarian Cyst 12 MEDICAL PROGRAMS 10 Polycystic ovaries. Ovarian tumor. 13 14 Pelvic dometriosis 15 Castration 16 18 Unilateral Hydrosalpinx Bilateral Hydrosalpinx Tubal Infertility 19 Tubal Infertility 17 42 En- Surgical intervention Appendectomy videoendoscopy. Adrenalectomy videothoracoscopy. Resection of bull. Parietal pleurectomy. Laparoscopic Assisted Vaginal Hysterectomy Exeresis of the cyst by laparoscopic unilateral Section of ovaries by laparoscopy Unilateral oophorectomy Contrasted videolaparoscopy. Vaporization of the endometrium foci by Argon plasma B¡lateral oophorectomy Unilateral salpingectomy Bilateral salpingectomy contrasted videolaparoscopy with unilateral tubal plasty surgery contrasted videolaparoscopy with bilateral tubal plasty surgery Hospitalization Anesthesia Price CUC 2 12 General General 1923.00 5673.00 8 General 3628.00 7 General 3493.00 3 General 1983.00 3 General 1883.00 General 3 1983.00 3 General 1803.00 3 General 2183.00 3 General 1983.00 3 General 2183.00 3 General 2253.00 3 General 2353.00
  42. 42. 4.3 Pregnancy termination 20 Previous Tubal Ligation (Reversal) 21 Multiparity 22 23 Tubal pregnancy Ectopic pregnancy 24 Study of infertility in female Study of infertility in male infertility 25 4.3 Surgical intervention Contrasted Laparoscopy. End-to-end tubal anastomosis by microsurgery Sterilization by laparoscopy 2 videolaparoscopy with unilateral salpingostomy contrasted videolaparoscopy – Hospitalization Anesthesia Price CUC 7 General 2713.00 2 General 1378.00 Salpingectomy General 3 General 1723.00 1813.00 5 3036.00 General Ambulatory General MEDICAL PROGRAMS No. Entity 540.00 Pregnancy termination This program includes: • Specialized Medical Consultation in Gynecology. • Laboratory tests Hemoglobin. Hematocrit. Erythrocyte sedimentation rate. Differential white blood cell count. Determination of blood type and RH factor. Quantitative serology (VDRL). HIV. Cyturia. Glycemia. Creatinine. • Microbiological tests: Vaginal discharge. Endocervical exudate. • imaging investigations: Gynecological ultrasound. • Interruption of Pregnancy Right of operating room (minor surgery), right to anesthesia and post-operative resuscitation. 43
  43. 43. GENERAL SURGERY AND GYNECOLOGY PROGRAMS 4.4 Evaluation of infertile couples One of the fondest dreams of couples is to give continuity to the family. In case of difficulty the cause can be determined and dreams may become true. These programs can be made within 10 days of hospitalization or as ambulatory service. For this, the woman must come before the 5th. day of her menstrual cycle with her partner. MEDICAL PROGRAMS The program fee for couples is 2615.00 CUC with hospitalization, and 1515.00 CUC for the outpatient variant. The description of the programs is listed below, with the names of: Evaluation of female infertility and Evaluation of male infertility. 4.5 Evaluation of infertility in women. include: • 10 Nights of hospitalization. (Accommodation, nursing care and physician care, appraisal and preparation of medical history, meals). • Laboratory Tests Erythrocyte sedimentation rate. Differential white blood cell count. Blood type and RH factor Complete coagulation. CBC. Quantitative serology. VDRL HIV. Cyturia. Glycemia. Creatinine. FSH (Follicle Stimulating Hormone) and LH (Lutenizing Hormone) Estrogen. Progesterone and prolactin. • Other tests: Vaginal discharge and vaginal cytology. Sperm penetration test and cervical Test • imaging studies: Hysterosalpingography. Skull and Sella radiography. Transvaginal ultrasound. • Instrumentation and diagnostic examination: Contrasted Laparoscopy . 4.6 Evaluation of male infertility. include: 44
  44. 44. 4.7 Evaluation of male sexual dysfunction. • 10 nights in hospital (as companion). (Accommodation and meals). • tests: Cultures and antibiograms. Testosterone. Spermatic vein Doppler examination. Semen analysis. 4.7 Evaluation of male sexual dysfunction. This program can also be performed as an outpatient service. This program include: MEDICAL PROGRAMS • 4 nights of hospitalization (Accomodation, medical and nursing care, initial evaluation and preparation of medical history, meals). • Specialized medical Interconsultation of psychology • Clinical laboratory studies: hemoglobin. hematocrit. erythrocyte sedimentation rate (ESR). differential Leucogram. quantitative serology. HIV. Glycemia. Cholesterol. triglycerides. Testosterone. FSH. LH. Prolactin. Penile-brachial index at rest and after exercise. Penile Doppler with prostaglandin. conduction velocity of dorsal penile nerve. 45
  45. 45. GENERAL SURGERY AND GYNECOLOGY PROGRAMS Study of cavernous bulb reflex and somatosensory evoked potentials (SSEP) for erigens nerve stimulation. • specialized medical consultation and prescription of treatment. MEDICAL PROGRAMS Price: $ 1425.00 CUC. 46
  46. 46. Chapter 5 5.1 MEDICAL PROGRAMS COSMETIC SURGERY PROGRAMS Cosmetic Surgery Programs The desire to give the human figure, the profiles closest to perfection, has been from the earliest times endeavors of mankind. The esthetic issue has at the present time, and related to the increasing life expectancy, an impressive force that motivates our specialists to develop and create solutions to these problems. Plastic surgery today, with the incorporation of technological advances, guarantees improving the quality of life of individuals, providing solutions, not only to disorders associated with skin aging, but also to congenital or acquired deformities. For those looking for a better quality of life, we offer the latest techniques and programs developed and implemented by experienced teams of specialists at competitive prices. All these programs include: hospitalization, pre-operative check-up, right to the operating room, anesthesia, surgery and medical fees. Exclude: drugs, blood or blood products if needed. According to the type of surgery the patient must remain in the country for several 47
  47. 47. COSMETIC SURGERY PROGRAMS days after discharge, to complete its outpatient treatment, complying with the indications of the doctor that includes the time to be spent on the island. Hair implants requires 3 to 4 implant sessions with 3 to 4 months of waiting between each session. The costs for the companion are not covered by this program. It represents and addional cost of $ 40.00 CUC a day, comprising: accomodation and meals. No. Surgical Intervention Price CUC 1 1430.00 MEDICAL PROGRAMS 2 3 4 5 6 7 8 9 10 48 Hospitalization Anesthesia in private room (nights) Mastopexy. Remodeling of 3 General the shape of the breasts Augmentative Mastoplasty 2 General (excludes price of the prosthesis). Increasing volume of breasts by prosthesis Abdominoplasty (abdominal 5 General lipectomy, tummy tuck). Skin stretching and abdominal fat removal Abdominoplasty (abdominal 5 Regional lipectomy, tummy tuck) Skin stretching and abdominal fat removal Dermolipectomy of arms. 3 General Skin tightening and fat removal of the arms Dermolipectomy of thighs. 5 Regional Stretch fat removal and skin of the thighs Neck and jowl liposuction. 0 Local Submental fat aspiration Liposuction of arms. Aspira- 1 Local tion of fat arms Abdominal liposuction. As- 1 General piration of abdominal fat Abdominal liposuction . As- 1 Regional piration of abdominal fat 1390.00 2340.00 2040.00 2085.00 1700.00 890.00 900.00 1570.00 1410.00
  48. 48. 5.1 Cosmetic Surgery Programs No. Surgical Intervention Price CUC 11 1110.00 13 14 15 16 17 18 19 20 21 22 23 24 1090.00 1110.00 890.00 2295.00 MEDICAL PROGRAMS 12 Hospitalization Anesthesia in private room (nights) Hip liposuction. Aspiration 1 Regional of fat from the hips Thigh Liposuction . Aspira- 2 Regional tion of fat in the thighs Buttocks liposuction. Aspira- 2 Regional tion of fat in the buttocks Liposuction of knees. Aspira- 1 Local tion of fat knees Liposuction of thighs, hips 3 General and abdomen. combined aspiration of fat Liposuction of buttocks and 2 Regional hips. combined aspiration of fat Liposuction of thighs and 2 General hips. combined aspiration of fat Regional Liposuctionof thighs and 2 hips. combined aspiration of fat Lumbar Liposuction. Aspira- 0 Local tion of lower back fat Lumbar Liposuction. Aspira- 1 General tion of fat in the lower back Lumbar and abdominal lipo- 2 General suction. combined aspiration of fat Mini liposuction of hips. suc- 0 Local tion of small fat deposits from hips Mini liposuction of butt. suc- 0 Local tion of small fat deposits from buttocks Miniabdominoplasty. Min- 2 General imal stretching of skin and minimal fat removing from abdomen 1495.00 1675.00 1495.00 750.00 905.00 1650.00 750.00 750.00 1550.00 49
  49. 49. COSMETIC SURGERY PROGRAMS No. Surgical Intervention Price CUC 25 1550.00 26 27 MEDICAL PROGRAMS 28 29 30 31 32 33 34 35 50 Hospitalization Anesthesia in private room (nights) Miniabdominoplasty. Min- 2 Regional imal stretching of skin and minimal fat removing from abdomen Punch grafts hair trasplants. 1 Local Autologous hair transplantation for baldness Blepharoplasty, removal of 1 Local loose skin and fat from the eyelids Frontal glabellar rhytidec- 2 General tomy. Stretch wrinkles on the forehead and between eyebrows Frontal rhytidectomy. Stretch 0 Local forehead wrinkles facial frontoglabellar 4 General rhytidectomy. Stretch facial, forehead and frown wrinkles Rhytidectomy cervico facial 4 General (excludes eyelids). Stretch facial and neck wrinkles, excluding eyelids Rhytidectomy cervico facial 5 General (including eyelids). Stretch facial and neck wrinkles, including eyelids Neck Rhytidectomy. Stretch 3 General neck wrinkles Neck Rhytidectomy. Stretch 3 Local neck wrinkles Lower Mini-Rhytidectomy. 2 General Stretch wrinkles of the lower of the face 1050.00 990.00 1475.00 850.00 2540.00 2270.00 2600.00 1635.00 1410.00 1500.00
  50. 50. 5.1 Cosmetic Surgery Programs No. Surgical Intervention Price CUC 36 1355.00 38 39 40 41 42 43 44 45 46 1940.00 1715.00 1710.00 MEDICAL PROGRAMS 37 Hospitalization Anesthesia in private room (nights) Lower Mini-Rhytidectomy. 2 Regional Stretch wrinkles of the lower of the face Lower Mini-Rhytidectomy 3 General with blepharoplasty. Stretch wrinkles of the lower third of the face and eyelid Minirritidectomía lower ble- 3 Local pharoplasty. Stretch wrinkles of the lower third of the face and eyelid Rhinoplasty. To reshape or 5 General resize the nose Otoplasty. To reshape or re- 0 Local size the ears Perfiloplasty (excludes price 5 General of the prosthesis). Esthetically enhancing of nose and chin Augmentative Mentoplasty 2 Local (excludes price of the prosthesis), chin augmentation with prosthesis Nose tip reshaping. Estheti- 0 Local cally enhancing the tip of the nose Mechanical facial dermabra- 3 General sion. Treatment of irregularities of the facial skin (acne, scars. Surface wrinkles) Mechanical facial dermabra- 3 Local sionl. Treatment of irregularities of the facial skin (acne, scars. Surface wrinkles) Facial chemical peel. Treat- 2 Local ment of skin irregularities with chemicals 810.00 2170.00 1390.00 750.00 1390.00 1225.00 1095.00 51
  51. 51. COSMETIC SURGERY PROGRAMS No. Surgical Intervention Price CUC 47 980.00 48 MEDICAL PROGRAMS 49 50 52 Hospitalization Anesthesia in private room (nights) Mechanical perioral der- 3 Local mabrasion. Treatment of irregularities (wrinkles) of the lips Chemical perioral dermabra- 2 Local sion. Treatment of irregularities (wrinkles) of the lips with chemicals Cervicofacial rhytidectomy 5 General and reductive mastoplasty. Stretching of wrinkles of the face and neck with reduction of breast size Reductive Mastoplasty. Re- 4 General duction of breasts size 890.00 3045.00 2010.00
  52. 52. Chapter 6 6.1 MEDICAL PROGRAMS Maxillofacial Surgery Programs Orthognathic surgery Programs Dento-maxillo-facial disharmonies are frequent disorders produced by alterations of anatomical bone structures such as the jaw, maxilla and mandible, or combinations of these, which sometimes causing serious mechanical limitations and even aesthetical problems to patients. Our centers have highly qualified professionals and diagnostic tools for the evaluation of these patients, and also plan the surgical treatment and even predict the results in any kind of dento-maxillo-facial disharmony. If you decide to be treated in any of our institutions for a dento-maxillo-facial disharmony, first you must choose one of two proposed evaluation programs (inpatient or outpatient). Upon completion of the evaluation, a surgical program is designed according to the type of disharmony diagnosed. 53
  53. 53. Maxillofacial Surgery Programs No. Entity Dento-maxillofacial Disharmonies 2 Dento-maxillofacial Disharmonies 3 MEDICAL PROGRAMS 1 Dento-maxillofacial Disharmonies caused by Chin Dento-maxillofacial Disharmonies caused by maxilla Dento-maxillofacial Disharmonies caused by Jaw Dento-maxillofacial Disharmonies caused by maxilla and Jaws 4 5 6 7 54 Dento-maxillofacial Disharmonies caused by the jaw and chin Surgical vention Inter- hospitalization anesthesia in private room (nights) Evaluation, 2 General planning and prediction of Dentomaxillo-facial Disharmonies (Inpatient) Evaluation, 420.00 planning and prediction of Dentomaxillo-facial Disharmonies (Ambulatory) Outpatient Mentonoplastia 7 General with Osteotomy Lefort I teotomy Price CUC 540.00 2663.00 Os- 9 General 5003.00 Intraoral sagittal osteotomy 9 General 4503.00 Lefort I osteotomy, Intraoral Sagittal Osteotomy, Mentonoplastia Lefort I osteotomy, plasty of chin 9 General 6993.00 9 General 5813.00
  54. 54. 6.1 Orthognathic surgery Programs 8 9 10 11 12 13 14 Dento-maxillofacial Disharmonies caused by the jaw and chin Dento-maxillofacial Disharmonies caused by maxilla and mandible Dento-maxillofacial Disharmonies caused by Maxillary Dento-maxillofacial Disharmonies caused by Jaw Dento-maxillofacial Disharmonies caused by Jaw Dento-maxillofacial Disharmonies caused by Jaw Dento-maxillofacial Disharmonies caused by Jaw and Chin Surgical vention Inter- hospitalization anesthesia in private room (nights) intraoral Sagit- 9 General tal Osteotomy. plasty of chin Price CUC 5133.00 Lefort I osteotomy, Intraoral sagittal osteotomy 9 General 6363.00 Lefort I Osteotomy with segmentation 9 General 5683.00 upper segmental osteotomy 9 General 3503.00 lowers segmental osteotomy 9 General 3003.00 upper+ lower segmental osteotomy 9 General 4143.00 Upper, Lower segmental osteotomy, plasty of chin (mentoplasty) 9 General 4773.00 MEDICAL PROGRAMS No. Entity All theses programs include: Hospitalization, medical fees, pre-operative screening, surgery, use of operating room, anesthesia and recovery right. Exclude: Blood, derivatives or blood substitutes, medicines, disposables and other expenses. 55
  55. 55. MEDICAL PROGRAMS Maxillofacial Surgery Programs 56
  56. 56. Chapter 7 7.1 MEDICAL PROGRAMS OTOLARYNGOLOGY PROGRAMS Otolaryngology Programs Diseases of the throat, nose and ears are common and occur in different stages of life, affecting children, young people and adults. When an individual has any of these diseases, important functions for life like hearing, breathing, voice, taste, etc. are affected too to a greater or lesser extent. Besides, this represents a real threat to other organs that sometimes are also involved. Early treatment is important for all ENT conditions, especially when many of them have a curative treatment in early stages through novel surgical techniques, which in short time restores the health status. These programs exclude: medicines, or blood derivatives. Include: hospitalization, pre-operative check-up, right to the operating room, anesthesia, surgery and medical fees. No. Entity 1 Surgical vention Inter- Hospitalization Anesthesia in a private room (nights) Chronic Tonsilli- Tonsillectomy 2 General tis Price CUC 1193.00 57
  57. 57. OTOLARYNGOLOGY PROGRAMS Hospitalization Anesthesia in a private room (nights) Price CUC 2 Tonsillectomy 2 Local 958.00 Adenoidectomy 2 General 1063.00 Adenotonsillectomy3 General 1323.00 Endoscopic antrotomy 3 General 1733.00 4 General 1523.00 3 General 1333.00 3 General 1553.00 4 General 1948.00 3 General 1733.00 7 General 3663.00 2 General 1383.00 3 General 1533.00 3 4 MEDICAL PROGRAMS 5 6 7 8 9 10 11 12 13 58 Chronic Tonsillitis Chronic Adenoiditis Chronic Adenotonsillitis Chronicle Maxillary Sinusitis. Senomaxilar cyst Unilateral Maxillary Sinusitis Chronic Hypertrophic Rhinitis Chronic Hypertrophic Rhinitis unilateral CadwellLuc Turbinotomy with Laser turbinate reduction with argon plasma Nasal Polyposis Simple endoscopic polypectomy Septal deformity Septoplasty (nasal septum) Chronic Otitis AtticoMedia anthrotomy and Tympanoplasty Serous Otitis Me- Transtympanic dia Drainage Chronic Pseu- Direct laryndomyxomatous goscopy lesion Laryngitis. exeresis by Polyps, nodules, microsurgery (inetc ... cluding biopsy)
  58. 58. 7.2 Sensorineural hearing loss Program for children and adults. Hospitalization Anesthesia in a private room (nights) Price CUC 14 Myringoplasty Transtympanic perforation 2 General 1463.00 MEDICAL PROGRAMS All these programs include: hospitalization, pre-operative check-up, right to the operating room, anesthesia, surgery and medical fees. Exclude: medicines, blood or derivatives. 7.2 Sensorineural hearing loss Program for children and adults. Disease: sensorineural hearing loss. Sensorineural hearing loss is due to a damage of the cochlea in the inner ear, which may be congenital or late, often leaving remains of hearing. The hearing loss is caused by metabolic failures, usually oxygen deficit in several parts of the inner ear. Ozone and Lasers have the property of acting on the metabolism of oxygen, causing a beneficial stimulus in the neuroendocrine system, improving the metabolic conditions in the affected areas that are dependent on oxygen and need it to produce an appropriate response. The combination of these procedures produce a recovering effect of the damaged functions. Include: • 21 nights of Hospitalization • Otolaryngology Specialty Care 59
  59. 59. OTOLARYNGOLOGY PROGRAMS • Diagnostic studies: T3, T4 and TSH. Mastoid radiograph (2 views) Erythrocyte sedimentation rate. Hemoglobin. Differential white blood cell count holesterol and Triglycerides. Pre-and post- pandrial glycemia IGG, IGA, IGE, IGM. C3 and C4. Potenciales evocados auditivos de tallo encefálico. auditory evoked potentials of brain stem. Audiometry (2) and Logoaudiometry Tympanometry.. Sisi’s test. • Laserpuncture (15 sessions) • Language Rehabilitation (10 sessions) MEDICAL PROGRAMS • Ozone therapy (15 sessions) 60
  60. 60. Chapter 8 8.1 MEDICAL PROGRAMS ORTHOPEDIC PROGRAMS Orthopedic programs. Diseases of the Osteomioarticular system are one of the most common causes of disability making it difficult, to those who suffer, the enjoyment of a fruitfull and useful life, personally and in the family or work environment. These Orthopedic programs exclude: Blood, derivatives or blood substitutes and medication. According to the intervention it might require surgery prosthesis or osteosynthesis material whose cost is not included in the program. Includes: Hospitalization, medical fees, pre-operative screening, surgery, use of operating room, anesthesia and recovery right No. Entity Surgical Intervention 1 Total Hip Arthroplasty 2 3 4 Degenerative Arthropathy of hip Hip Deformity Hip Flexion Contracture Lumbar disc herniation hospitalization AnesthesiaPrice * CUC 20 Regional 12420.00 Hip Corrective Os- 14 teotomy Hip flexors Stretching 21 General 3930.00 Lumbar Discectomy General 3865.00 10 Regional 6975.00 61
  61. 61. ORTHOPEDIC PROGRAMS No. Entity 5 6 7 MEDICAL PROGRAMS 8 9 10 11 12 13 14 15 16 62 Surgical Intervention hospitalization AnesthesiaPrice * CUC 14 General 4770.00 Lumbar disc herniation Discectomy and Liber(recurrent) ation of roots, Lumbar Lumbar disc herniation Lumbar Discectomy + 10 Posterior Lumbar Interbody Fusion (PLIF) with titanium implant (1 space) Lumbar disc herniation Lumbar Discectomy + 10 Posterior Lumbar Interbody Fusion (PLIF) with titanium implant (2 spaces) Cervical Herniated Cervical Discectomy 7 Disc Dorsal [thoracic] spinal Anterior decompres- 13 cord compression sion and stabilization of dorsal [thoracic] column Dorsal [thoracic] spinal Posterior decompres- 13 cord compression sion and stabilization of dorsal [thoracic] column Lumbar spinal cord Anterior decompres- 13 compression sion and stabilization of lumbar column Lumbar spinal cord Posterior decompres- 6 compression sion and stabilization of lumbar column Cervical spinal cord Anterior decompres- 9 compression sion and stabilization of Cervical Spine Cervical spinal cord Posterior decompres- 9 compression sion and stabilization of Cervical Spine Scoliosis - 60 degrees Correction of Scoliosis 14 - 60 degrees Scoliosis + 60 degrees Correction of Scoliosis 27 + 60 degrees General 4363.00 General 4863.00 General 6977.00 General 6518.00 General 6518.00 General 6238.00 General 6238.00 General 5160.00 General 5660.00 General 5750.00 General 7920.00
  62. 62. 8.1 Orthopedic programs. Surgical Intervention 17 Kyphosis between 40 and 60 degrees 18 Correction of kyphosis between 40 and 60 degrees Correction of kyphosis 27 of + 60 degrees Knee Arthroplasty with Regional Unilateral Prosthetic Implant Knee Arthroplasty with Regional Bilateral Prosthetic Implants Elbow Arthroplasty 7 Kyphosis of + 60 degrees Degenerative osteoarthropathy of the knee Bilateral degenerative osteo-arthropathy of the knee Degenerative osteoarthropathy of Elbow Degenerative osteo- Shoulder Arthroplasty 7 arthropathy of Shoulder Hip osteoarthropathy Endoprosthetic Hip Re- 7 placement Angular deformity of Unilateral Knee correc- 21 the Knee tive osteotomy Angular deformity of Bilateral Knee Correc- Regional the Knee tive Osteotomy Deformity of humerus corrective osteotomy 7 humerus Bilateral deformity of Bilateral Tibia correc- 7 tibia tive osteotomy Deformity of femur Femur Osteotomy 7 Knee Flexion Contrac- Stretching of Knee 14 ture Flexors Internal unilateral Unilateral Therapeutic 3 patellar disarrangement Arthroscopy Internal unilateral Unilateral Therapeutic 3 patellar disarrangement Arthroscopy Internal bilateral patel- Bilateral Therapeutic 4 lar disarrangement Arthroscopy Internal bilateral patel- Bilateral Therapeutic 4 lar disarrangement Arthroscopy Deformity of Foot Arthrodesis of the rear- 10 foot 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 hospitalization AnesthesiaPrice * CUC 14 General 5750.00 General 7920.00 14 4615.00 14 9420.00 Regional 8040.00 MEDICAL PROGRAMS No. Entity Regional 9705.00 Regional 12430.00 Regional 3815.00 21 4940.00 Regional 4675.00 Regional 8270.00 Regional 5500.00 General 3240.00 Regional 1923.00 General 2113.00 Regional 3063.00 General 3465.00 Regional 2820.00 63
  63. 63. ORTHOPEDIC PROGRAMS No. Entity 35 Carpal tunnel drome (CTS) Surgical Intervention syn- Carpal tunnel release [Median Nerve decompression] hospitalization AnesthesiaPrice * CUC ambulatoryRegional 1170.00 * Hospitalization in private room (nights). 8.2 Other programs hospitalization 1 MEDICAL PROGRAMS No. Entity 7 AnesthesiaPrice CUC Regional 6040.00 7 Regional 10535.00 7 Regional 7730.00 7 7 General General Club-hand 7 Regional 5017.00 6977.00 7 7 General 9875.00 Regional 4735.00 9577.00 7 1475.00 2 3 4 5 6 7 8 9 10 11 Bilateral avascular necrosis of Femoral Head Perthes and joint conditions with Hyperbaric Chamber Spondylolisthesis - transpedicular screw fixation Bilateral tibial bone elongation Exploration of Lumbo Sacral Spine and posterior lumbar fusion 7 Evaluation and Treatment of Cervical Herniated Disc Brachial Plexus Pollicization of the index finger Evaluation for Scoliosis Surgery (Child) Comprehensive Orthopedic Medical Checkup 14615.00 7312.00 In every case, the hospitalization correspond only to the first stage of evaluation, diagnosis and surgery. 64
  64. 64. 8.3 Orthopedic Rehabilitation Program. 8.3 Orthopedic Rehabilitation Program. Accident and its sequels have become a health problem worldwide as well as musculoskeletal diseases, associated with increased life expectancy. This program offers the possibility of performing a treatment of physical medicine with the primary aim of relieving pain and improving the quality of life in a non-hospital setting of comfort and natural beauty. • Phase I: Evaluation (3 days) Consultation with specialists in medicine, psychology, orthopedics, and/or Rheumatology and Physical Medicine and Rehabilitation. Psychological Evaluation. MEDICAL PROGRAMS • Phase II: Treatment. Physiatric treatment which may include: – Gymnasium. – Hydrotherapy. – Lasertherapy. – Magnetotherapy. – Analgesic Electrotherapy. – Infrared Heat. – Partial Massage. – Psychotherapeutic treatment. – Reconsultation with physiatry. • Includes: Accomodation at the Centro Internacional de Salud La Pradera (International Health Center La Pradera). AP Plan (breakfast, lunch and dinner) Duration (days) Single room 15 2590.00 CUC 21 3670.00 CUC 30 4960.00 CUC Double room (*) 3220.00 CUC 4570.00 CUC 6265.00 CUC * Patient with a companion 65
  65. 65. MEDICAL PROGRAMS ORTHOPEDIC PROGRAMS 66
  66. 66. Chapter 9 9.1 MEDICAL PROGRAMS INTERNAL MEDICINE PROGRAMS Evaluation of rheumatoid arthritis. The espenses for the companion are not covered by this program, representing an additional cost of $ 40.00 CUC daily that comprises: accomodation and meals. This program does not include the transfer. Includes: Specialized care internal medicine 21 Nights of hospitalization. (Hospitalization in private room, air conditioning, medical and nursing care, scheduled diagnostic tests and poliphysiotherapy). Medical interconsultation with rehabilitation Additional consultation with rehabilitation (2) Diagnostic tests: Erythrocyte sedimentation rate (ESR). Antinuclear antibodies. Complete coagulogram. Quantitative Serology. (VDRL). HIV. Addis count. 24-hours proteinuria . Glycemia. Creatinine. SGOT and SGPT. Electrophoresis of Proteins. alkaline phosphatase. Chest X ray. Articular radiographic Survey. Upper abdominal ultrasound (inc. Photo). Urate. Electrocardiogram. poliphysiotherapy (24 sessions). 67
  67. 67. INTERNAL MEDICINE PROGRAMS Ozone (5 sessions). Price: $ 3757.00 CUC Excludes: Cost of biomoduline T (BT) for 6 months of treatment: $ 2864.00 CUC 9.2 Multiple Sclerosis MEDICAL PROGRAMS The espenses for the companion are not covered by this program, representing an additional cost of $ 40.00 CUC daily that comprises: accomodation and meals. This program does not include the transfer. Includes Specialized Internal Medicine care. Medical Interconsultation with neurology. Medical Interconsultation with rehabilitation. Additional consultation with rehabilitation (2). 21 Nights of hospitalization. (Hospitalization in private room, air conditioning, medical and nursing care, scheduled diagnostic tests and poliphysiotherapy.) Diagnostic tests: ALAT test Electrocardiogram. Chest X ray. Cyturia Glycemia. Creatinine Erythrocyte sedimentation rate (ESR).. Quantitative Serology. (VDRL). Stool. Nuclear Magnetic Resonance of skull. Electrophoresis of Proteins. Electrophoresis of cerebrospinal fluid (CSF). Lipids. IgG, IgA and IgM. Anti-DNA antibodies. Antinuclear antibodies. HLA-D. Short latency median nerve SSEPs (Somatosensory evoked potentials ). Posterior tibial nerve SSEP (Somatosensory evoked potentials ). Auditory evoked potentials. Magnetic stimulation-motor evoked potential MEPs Visual evoked potentials. Poliphysiotherapy (22 sessions). Ozone therapy (15 sessions). Price: $ 4256.00 CUC Excludes: Cost of biomoduline T (BT) for 6 months of treatment: $ 1,850.00 CUC. 68
  68. 68. 9.3 Systemic Lupus Erythematosus. 9.3 Systemic Lupus Erythematosus. The espenses for the companion are not covered by this program, representing an additional cost of $ 40.00 CUC daily that comprises: accomodation and meals. This program does not include the transfer. Includes Specialized internal medicine care. 14 Nights of hospitalization. (Hospitalization in private room, air conditioning, medical and nursing care, scheduled diagnostic tests and poliphysiotherapy.) MEDICAL PROGRAMS Diagnostic tests: Simple skin biopsy (2). Electrocardiogram. Doppler echocardiography. Chest X ray. Upper abdominal ultrasound Minimal coagulogram. Erythrocyte sedimentation rate (ESR).. CBC. Uric acid. Creatinine. Protein electrophoresis. Glycemia. Urea. Anti-DNA antibodies. Antinuclear antibodies. LE Cells test (2). Quantitative Rheumatoid factor . Circulating immune complexes Cyturia. H.I.V. Serology (V.D.R.L.). C-reactive protein. Glomerular filtration rate by endogenous creatinine clearance. 24-hour proteinuria. Price: $ 2,532.00 CUC. Excludes: Cost of biomoduline T (BT) for 6 months of treatment: $ 1,850.00 CUC. 9.4 Diabetes Mellitus. Diabetes Mellitus is one of the most common diseases in the world. It is of chronic nature and inadequate management leads to serious disorders of systems and organs that are vital to maintain a useful and productive life. Once under control you will be able to perform daily activities by yourself and avoid risks associated with other chronic noncommunicable diseases that may lead to serious complications avoidable. The espenses for the companion are not covered by this program, representing an additional cost of $ 40.00 CUC daily that comprises: accomodation and meals. This program does not include the transfer. 69
  69. 69. INTERNAL MEDICINE PROGRAMS Includes Specialized internal medicine care. 10 Nights of hospitalization. (Hospitalization in private room, air conditioning, medical and nursing care, scheduled diagnostic tests and poliphysiotherapy.) Medical Interconsultation with endocrinology. Medical Interconsultation with ophthalmology. Diagnostic tests: Electrocardiogram. Glycated [Glycosylated] Haemoglobin (HbA1c) Chest X ray. Upper abdominal ultrasound CBC. Uric acid. Creatinine. Glycemia (6). Full lipid panel. Urea. Cyturia. Microalbuminuria. Insulinemia. Motor and sensory nerve conduction of the 4 members. MEDICAL PROGRAMS Price: $ 4,256.00 CUC. 9.5 Chronic obstructive pulmonary disease (COPD) This disease of chronic nature, may progressively lead to fatal complications of vital organs and even organ systems. We offer you the knowleadge of your real health condition and learn a number of measures to reduce the levels of risk associated with this disease. The espenses for the companion are not covered by this program, representing an additional cost of $ 40.00 CUC daily that comprises: accomodation and meals. This program does not include the transfer. Includes Specialized internal medicine care. Medical Interconsultation with rehabilitation. Additional Medical consultation with rehabilitation (2). 21 Nights of hospitalization. (Hospitalization in private room, air conditioning, medical and nursing care, scheduled diagnostic tests and poliphysiotherapy.) Diagnostic tests: Electrocardiogram. Doppler echocardiography. Chest X ray. Ery70
  70. 70. 9.6 Evaluation of digestive diseases. throcyte sedimentation rate (ESR). CBC. Uric acid. Creatinine. Complete blood gases. Glycemia. Full lipid panel. Cyturia. Pulmonary function tests. Rectal ozone therapy (15 sessions). poliphysiotherapy (15 sessions). Price: $ 3,099.00 CUC. 9.6 Evaluation of digestive diseases. MEDICAL PROGRAMS Dyspeptic syndrome may be the expression of various diseases referred to the upper digestive system such as chronic gastritis, gastric or duodenal ulcer and liver diseases. Diagnosed early, it will be possible to take the necessary measures to prevent major complications. The espenses for the companion are not covered by this program, representing an additional cost of $ 40.00 CUC daily that comprises: accomodation and meals. This program does not include the transfer. Includes Specialized internal medicine care. 10 Nights of hospitalization. (Hospitalization in private room, air conditioning, medical and nursing care, scheduled diagnostic tests and poliphysiotherapy.) Diagnostic tests: Electrocardiogram. Duodenal smear. Helicobacter pylori test Chest X ray. Upper abdominal ultrasound Stools. Erythrocyte sedimentation rate (ESR). CBC. Uric acid. Creatinine. Alkaline phosphatase. Gamma-glutamyl transferase Glycemia. Full lipid panel. ASAT. ALT. Pancreatic amylase. Biliary drainage. Elective Video esophagogastroduodenoscopy (EGD) (includes room and sedation). Price: $ 1779.00 CUC 9.7 Chronic liver disease. The espenses for the companion are not covered by this program, representing an additional cost of $ 40.00 CUC daily that comprises: accomodation and meals. 71
  71. 71. INTERNAL MEDICINE PROGRAMS This program does not include the transfer. Includes Specialized internal medicine care. 14 nights of hospitalization. (Hospitalization in private room, air conditioning, medical and nursing care, scheduled diagnostic tests and poliphysiotherapy.) Medical Interconsultation with gastroenterology. MEDICAL PROGRAMS Diagnostic tests: Electrocardiogram. Chest X ray. Upper abdominal ultrasound Minimal coagulogram. Erythrocyte sedimentation rate (ESR). CBC. Uric acid. Albumin. Bilirubin (2). Creatinine. Protein electrophoresis. Alkaline phosphatase. Gammaglutamyl transferase Glycemia. Full lipid panel. Total proteins. ASAT. ALT. H.I.V. Serology (V.D.R.L.). Hepatitis B antigen (HBsAg). Hepatitis C antigen (HCV-AC). Videolaparoscopy with liver biopsy (including biopsy). Right to the operating room. Right to anesthesia. Price: $ 2,935.00 CUC. 9.8 Exogenous obesity. (Evaluation and treatment). Obesity is the excessive weight gain by accumulation of fat. It is an important risk factor for many diseases to the extent that it may limit quality of life and it have an adverse effect on health. The aesthetics of the human being is essentially based on biotype and obesity is what most threatens adequate physical appearance. Includes Specialized internal medicine care. 7 Nights of hospitalization and 21 night stay. (Hospitalization in private room, air conditioning, medical and nursing care, scheduled diagnostic tests and poliphysiotherapy.) Medical consultation with nutrition. 72
  72. 72. 9.8 Exogenous obesity. (Evaluation and treatment). Medical consultation with psychology. Medical consultation with rehabilitation. Medical consultation with endocrinology. Additional medical consultation with nutrition (2). Additional medical consultation with psychology (11). Additional medical consultation with rehabilitation (2). MEDICAL PROGRAMS Diagnostic tests: Electrocardiogram. Ergometer test. Doppler echocardiography. Chest X ray. Liver Ultrasound. Erythrocyte sedimentation rate (ESR). Hematocrit and hemoglobin. Leucogram differential. Uric acid. Albumin. Creatinine. Glycemia. Full lipid panel. Benedict’s test, Imbert test (2). Cyturia. Nitrogen in urine (3). Physiotherapy (33 sessions). Price: $ 2,700.00 CUC. We recommend continuing a cycle of 28 additional nights, 4 consultations with the following specialties: Nutrition, Psychology and Physical Medicine and 44 additional sessions of applied physiotherapy and diet therapy. Additional cycle: $ 2000.00 CUC 73
  73. 73. MEDICAL PROGRAMS INTERNAL MEDICINE PROGRAMS 74
  74. 74. Chapter 10 10.1 MEDICAL PROGRAMS TRANSPLANT PROGRAMS Renal transplantation. Assessment program (recipient and donor). The espenses for the companion are not covered by this program, representing an additional cost of $ 40.00 CUC per day that comprises: accomodation and meals. This program does not include the transfer. Includes: • 14 Nights of hospitalization (recipient and donor). (Accomodation, medical and nursing care, initial evaluation and preparation of medical history, meals). • Diagnostic tests: – Hemoglobin. Platelets. Creatinine. Coagulogram – Transferrin. Serology. HIV. Surface Antigen. – Blood Group and RH factor. Toxoplasma. – Cytomegalovirus. Glycemia. Electrophoresis of Proteins. Study of HLA. – Glomerular filtration. Anti-Granulocyte Antibody for toxicity. – Cross Match. Serum glutamic pyruvic transaminase (SGPT). Bilirubin. Urea. 75
  75. 75. TRANSPLANT PROGRAMS – Serum glutamic oxaloacetic transaminase (SGOT). Uric acid. Calcium. Urine electrolytes. – Phosphorus. Cyturia. – Proteinuria (24-hours). Alkaline phosphatase – Addis count. Metabolic Study – Lipids. Nasal exudate. – Throat exudate. – Instrumental exploration – Chest X-ray. (Recipient and Donor). Descending urogram (Donor). – Bone Survey (Recipient). Voiding cystography (Recipient). – X-ray of sinuses. (Recipient). Renal arteriography Femoral Puncture (Donor) MEDICAL PROGRAMS – Simple Urinary Tractus (Recipient) X-ray of the esophagus, stomach and Duodenum (Receiver) – Electrocardiogram (Recipient). Renal ultrasound photo (Recipient and Donor). – Echocardiogram (Recipient). Selective Angiography: Renal Mesenteric (Recipient). • Specialized assessment and treatment prescription. Price: $ 5000.00 CUC 10.2 Renal transplantation. Program for renal transplantation. Recipient and living donor. (The donor must be a compatible relative ) Dialysis are not included in the price of this program. In order to perform the transplant it is essential that the patient comes with a compatible family donor. Expenses for the companion are not covered by this program, representing an additional cost of $ 40.00 CUC per day per day which includes: accommodation and meals. 76
  76. 76. 10.3 Autologous bone marrow transplantation (Does not required donor). This program does not include the transfer. Includes: • 28 Nights of hospitalization (Recipient) (Accomodation, medical and nursing care, meals). • 14 Nights of hospitalization (Donor). (Accomodation, medical and nursing care, meals). • Right to the operating room, anesthesia, surgery, postoperative resuscitation. 10.3 MEDICAL PROGRAMS Price: $ 15000,00CUC Autologous bone marrow transplantation (Does not required donor). Evaluation program includes: • 14 Nights of hospitalization for evaluation. (Accomodation, medical and nursing care, initial evaluation and preparation of medical history, meals). • Comprehensive medical examination. • Highly specialized diagnostic tests: Hematologic tests. Immunologic test. Cytogenetic tests. Molecular tests. Microbiological tests. Price of evaluation: $ 6000.00 CUC. Transplant program: This procedure involves extraction of bone marrow of patient (in the operating room under anesthesia), processing and subsequent transfusion under specific conditions with the required hemotherapy, drug administration and monitoring by the team of specialists. 45 nights of hospitalization. (Accommodation, medical and nursing care, meals). Price : $ 60000.00 CUC. 77
  77. 77. TRANSPLANT PROGRAMS If it were necessary to extend the stay, after coordination, the price will increase $ 3000.00 CUC per month. Expenses for the companion are not covered by this program, representing an additional cost of $ 40.00 CUC per day which includes: accommodation and meals. This program does not include the transfer. 10.4 Allogeneic bone marrow transplantation. Evaluation program. For the patient and donor. MEDICAL PROGRAMS • 14 Nights of hospitalization (recipient and donor). (Accomodation, medical and nursing care, initial evaluation and preparation of medical history, meals). • Comprehensive medical examinations for recipient and donor. • Highly specialized diagnostic tests: Hematologic tests. Immunologic test. Cytogenetic tests. Molecular tests. Microbiological tests. ( for the patient, and whene required also the donor) Studies of Histocompatibility (recipient and donor). Price of evaluation: $ 6000.00 CUC. Transplant program: 45 Nights of hospitalization (recipient) y 3 Nights of hospitalization (donor). (Accomodation, medical and nursing care, meals). Transplantation performed by specialized medical team Price $ 60 000.00 CUC. If it were necessary to prolong the stay, after coordination, the price will increase at: $ 3000.00 CUC per month. Expenses for the companion are not covered by this program, representing an additional cost of $ 40.00 CUC per day which includes: accommodation and meals. 78
  78. 78. 10.5 Corneal transplantation and conjunctival autograft for Simple recurrent pterygium This program does not include the transfer. 10.5 Corneal transplantation and conjunctival autograft for Simple recurrent pterygium This program includes transfer and 7 to 15 Nights of hospitalization. Specialized medical attention by specialists of Ophthalmology, diagnostic tests, right to the operating room, anesthesia and postoperative recovery. MEDICAL PROGRAMS Price: $ 2900.00 CUC to 4000.00 CUC (depending on the stay). 79
  79. 79. MEDICAL PROGRAMS TRANSPLANT PROGRAMS 80
  80. 80. Chapter 11 11.1 MEDICAL PROGRAMS REHABILITATION PROGRAMS Rehabilitation programs for CNS, articular, rheumatic, cardiovascular, and pulmonary diseases No. Medical Programs 1 initial rehabilitation program for demyelinating diseases of CNS 2 continuation of Rehabilitation Program for demyelinating diseases of CNS 3 initial rehabilitation program for paraplegia 4 continuation of Rehabilitation Program for paraplegia Price CUC 4006.00 hospitalizationompanion c nights 28 28 Price x companion 5126.00 1900.00 28 28 3020.00 5423.00 42 42 7103.00 1920.00 28 28 3040.00 81
  81. 81. REHABILITATION PROGRAMS MEDICAL PROGRAMS No. Medical Programs 5 initial rehabilitation program for hemiplegia 6 continuation of rehabilitation program for hemiplegia 7 initial rehabilitation program for infantile paralysis and other static lesions of CNS 8 continuation of rehabilitation program for infantile paralysis and other static lesions of CNS 9 initial rehabilitation program for congenital brachial palsy 10 continuation of rehabilitation program for congenital brachial palsy 11 initial rehabilitation program for rheumatic and degenerative joint diseases 12 continuation of rehabilitation program for rheumatic and degenerative joint diseases 82 Price CUC 4344.00 hospitalizationompanion c n ights 28 28 Price x companion 5464.00 2200.00 28 28 3320.00 3496.00 28 28 4616.00 1920.00 28 28 3040.00 3459.00 28 28 4579.00 1900.00 28 28 3020.00 4381.00 28 28 5501.00 2100.00 28 28 3220.00
  82. 82. 11.2 Rehabilitation Program for pediatric cochlear implant patients 11.2 Price CUC 3849.00 hospitalizationompanion c n ights 28 28 Price x companion 4969.00 2020.00 28 28 3140.00 2899.00 21 21 3739.00 2100.00 28 28 3220.00 MEDICAL PROGRAMS No. Medical Programs 13 initial rehabilitation program for cardiovascular diseases 14 continuation of rehabilitation program for cardiovascular diseases 15 initial rehabilitation program for chronic obstructive pulmonary disease (COPD) 16 continuation of rehabilitation program for chronic obstructive pulmonary disease (COPD) Rehabilitation Program for pediatric cochlear implant patients Includes • Logopedics and Phoniatrics consultations • hearing evaluation • Protocol of hearing and language • Intensive auditory and speech rehabilitation • Transfer in / out from Airport • Room accommodation (Centro Internacional de Salud La Pradera) 83
  83. 83. REHABILITATION PROGRAMS • AP Plan (breakfast, lunch and dinner) Outpatient program price: 1695.00 CUC Inpatient program price: 5145.00 CUC Excludes: other procedures deemed necessary by the physician (always with the explicit consent of the client), drugs and other medical services that could apply to both patient and companion. Telephone service, fax, mail, laundry and dry cleaning, safety box, change date of flight tickets, visa updates, departure tax, taxis. MEDICAL PROGRAMS 11.3 Rehabilitation Program for adult cochlear implant patients Includes • Logopedics and Phoniatrics consultations • hearing evaluation • Protocol of hearing and language • Intensive auditory and speech rehabilitation • Transfer in / out from Airport • room accommodation (Centro Internacional de Salud La Pradera) • AP Plan (breakfast, lunch and dinner) Outpatient program price: 1520.00 CUC Inpatient program price: 4970.00 CUC Excludes: other procedures deemed necessary by the physician (always with the explicit consent of the patient or [family] representative), drugs and other medical services that could apply to both patient and companion. Telephone service, fax, mail, laundry and dry cleaning, safety box, change date of flight tickets, visa updates, departure tax, taxis. 84
  84. 84. Chapter 12 MEDICAL PROGRAMS NEUROLOGICAL RESTORATION PROGRAMS International Center for Neurological Restoration (CIREN). The center provides care based on neuro-restorative principles to patients with the following diagnoses: • Parkinson’s Disease and other movement disorders • Cranioencephalic trauma • Spinal Cord injuries • Cerebral disorders related to aging • Alzheimer’s Disease • Central Nervous System tumors • Sequelae of cerebral anoxia • Cerebral palsy • Neuromuscular and peripheral nerve disorders • Other diseases of the nervous system. 85
  85. 85. NEUROLOGICAL RESTORATION PROGRAMS 12.1 Initial rehabilitation program for demyelinating diseases of the CNS. Demyelinating diseases of the central nervous system (CNS) are characterized by the presence of foci or plaques of demyelination (loss of myelin) in some areas throughout the neuraxis, leaving motor, visual, speech, and bladder control sequelae, affecting independence in basic daily life activities. The program we propose will help improve many functions with a system of comprehensive and intensive rehabilitation. MEDICAL PROGRAMS Includes • 28 Nights of hospitalization; 8 Nights of accomodation for companion: (accomodation, nursing care and medical assistance, meals). • specialized medical care and physiotherapy • neurology medical Interconsultation • neuropsychology medical Interconsultation • Diagnostic tests: – Hematocrit – Hemoglobin – ALT – Cyturia • Poliphysiotherapy (38 sessions) • Ozone therapy (10 sessions) If the patient does not require companion and can take care of him/herself the price is: $ 4006.00 CUC Price: $ 5126.00 CUC 86
  86. 86. 12.2 Continuation of rehabilitation program for CNS demyelinating diseases. 12.2 Continuation of rehabilitation program for CNS demyelinating diseases. The program we propose will help improve many functions, through a system of comprehensive and intensive rehabilitation. Includes • 28 Nights of hospitalization; 28 Nights of accomodation for companion: (accomodation, nursing care and medical assistance, meals). MEDICAL PROGRAMS • specialized medical care and physiotherapy • reconsultation with rehabilitation (3) • Poliphysiotherapy (36 sessions) Price: $ 3020.00 CUC If the patient does not require companion and can take care of him/herself the price is: $ 1900.00 CUC Most patients require 28 additional days of rehabilitation treatment to consolidate the progress made in the initial program. For this reason we propose a second program of continuation for those patients who can stand on their own or with the help of his companion without requiring nursing care. 12.3 Initial rehabilitation program for paraplegia. There are many causes of paralysis or loss of muscular strength of the lower limbs (paraplegia). The most common are the spine trauma, tumor, infectious, vascular, autoimmune, among other causes. Depending on the causative agent and the time elapsed since the onset of paralysis, the patient undergoing an intensive rehabilitation regimen can achieve greater independence in basic daily life activities and, in some cases, a full or partial recovery of motor functions and of the often accompaning bladder and anal sphincter control. 87
  87. 87. NEUROLOGICAL RESTORATION PROGRAMS Our comprehensive rehabilitation program is aimed at reintegrating patients to a more active and independent social life. Includes • 42 nights in hospital; 42 Night of accomodation for companion: (accomodation, nursing care and medical assistance, meals). • Neuropsychology medical Interconsultation • Urology medical Interconsultation • Diagnostic tests: MEDICAL PROGRAMS – Electrocardiogram – Simple chest X rays – Erythrosedimentation – Hematocrit – Hemoglobin – Creatinine – Glycemia – Cyturia – Uroculture – Cystometry with flowmetry and electromyography (EMG) Poliphysiotherapy (38 sessions) Price: $ 7103.00 CUC 12.4 Continuation of rehabilitation program for paraplegia. Most patients require 28 additional days of rehabilitation treatment to consolidate the progress made in the initial program. For this reason we propose a second program 88
  88. 88. 12.5 Initial rehabilitation program for hemiplegia. of continuation for those patients who can stand on their own or with the help of his companion without requiring nursing care. Includes • 28 Nights of hospitalization; 28 Night of accomodation for companion: (accomodation, nursing care and medical assistance, meals). • Specialized medical care and physiotherapy • Reconsultation with rehabilitation (3) MEDICAL PROGRAMS • Poliphysiotherapy (36 sessions) • Price: $ 3040.00 CUC 12.5 Initial rehabilitation program for hemiplegia. Hemiplegia, or paralysis on one side of the body, may be due to various causes, including stroke, tumor, trauma and other causes. It may be accompanied by language disorders depending on the affected cerebral hemisphere and limitations for basic activities of daily living, grooming, feeding and dress. Our comprehensive and intensive rehabilitation program is aimed at a full or partial recovery of lost functions and return patients to a more active and independent social life. Includes • 28 Nights of hospitalization; 28 Night of accomodation for companion: (accomodation, nursing care and medical assistance, meals). • neuropsychology medical Interconsultation • Diagnostic tests: – Electrocardiogram 89
  89. 89. NEUROLOGICAL RESTORATION PROGRAMS – Chest X Ray – Hematocrit – Hemoglobin – Cholesterol – Creatinine – Glycemia • magnetic bed (15 sessions) • Poliphysiotherapy (38 sessions) MEDICAL PROGRAMS • Ozone therapy (10 sessions) Price: $ 5464.00 CUC If the patient does not require companion and can take care of him/herself the price is: $ 4344.00 CUC 12.6 Continuation of rehabilitation program for hemiplegia. Most patients require 28 additional days of rehabilitation treatment to consolidate the progress made in the initial program. For this reason we propose a second program of continuation for those patients who can stand on their own or with the help of his companion without requiring nursing care. Includes • 28 Nights of hospitalization; 28 Night of accomodation for companion: (accomodation, nursing care and medical assistance, meals). • specialized medical care and physiotherapy • reconsultation with rehabilitation (3) • Poliphysiotherapy (36 sessions) 90
  90. 90. 12.7 Initial rehabilitation program for infantile paralysis and other static lesions of CNS • magnetic bed (15 sessions) Price: $ 3320.00 CUC If the patient does not require companion and can take care of him/herself the price is: $ 2200.00 CUC Initial rehabilitation program for infantile paralysis and other static lesions of CNS MEDICAL PROGRAMS 12.7 Static Injuries of Central Nervous System in Children also called cerebral palsy, produce different effects in the intellectual spheres of language and psychomotor hindering the child’s interaction with the external environment and family. The program we propose will help patients incorporate and improve, not just some of the functions, but also to achieve greater independence and communication with family members. Includes • 28 Nights of hospitalization 28 Night of accomodation for companion: (accomodation, nursing care and medical assistance, meals). • Specialized medical care and physiotherapy • Interconsultation with Speech and Language specialists • neuropaediatrics medical Interconsultation • medical reconsultation with Speech and Language specialists (2) • Diagnostic tests: – Electrocardiogram – Chest X Ray – Hematocrit – Hemoglobin 91

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