Mark suffered from debilitating tophi on knees, elbows, fingers. Local care failed to control uric acid. He wanted an honest roadmap.
Based on rheumatologist & orthopaedic surgeon consultation: “First complete gout‑specific workup. Then two pathways: TCM integrated therapy for smaller tophi (≈$820–1,620) vs. minimally invasive tophi removal surgery (≈$2,735–4,376). Decision depends on DECT findings and physical exam.”
Our coordination excellence: We arranged remote pre‑consult with two specialists, provided itemised hospital fee estimates, visa invitation for patient+companion, airport transfers, bilingual escort for all visits (up to 6 medical sessions), and 24/7 support. We never push one treatment – doctors decide after tests.
| Diagnostic (doctor‑ordered) | USD estimate |
|---|
| Dual-energy CT (DECT) feet/knees/elbows | $220–350 |
| HLA-B*5801 genotyping | $80–115 |
| Uric acid, renal profile, urine uric acid | $65–95 |
| Ultrasound (3 joints) | $70–130 |
Total all‑in cost for 30 days (two persons, TCM pathway): USD ~10,850–13,650. Mark will decide after face‑to‑face MDT meeting. We accompany throughout.
Mark: Which option is better for me?
Kiwi Serenity: The surgeon and TCM specialist will meet you after your DECT. The choice is yours with medical guidance.