Elbow movement disorder treatment in 161 Orthopedic surgery clinics in Americas

From the minute I got there till I left the next day (which I definitely would have stayed another night), I felt so taken care of. I had a total knee replacement. Dr Batuyong Dr Macay his assistant, the anesthesiologist George, my nurses, Jackie, Sadat, Jonah, Silver, and Denver always had a smile on their face. Everyone there seemed to love their jobs! The rooms were huge, beautifully decorated and had a huge TV. I would go here every day of the week for any treatments. I wish the nurses In the hospitals would love their jobs, but we first have to have a better system of not so much pressure, mandating over time…. Then those amazing nurses could walk in smiling to!!!! Thank you everyone for an amazing experience!!! Oh wait the food… I had a great sandwich salad and full plate of fruit. Breakfast well let’s say that was pretty much nonexistent!!! But they know you’re leaving so you can get breakfast wherever you wanted. They also didn’t offer lunch but if I wanted something I could have had a sandwich cuz that’s all they seemed to offer. Overall. Still the best hospital visit!

I had knee replacement surgery on Sept 26,2023 in Calgary. ⁃ On entrance to facility , the receptionist was welcoming and friendly ⁃ My Surgeon, Dr Fruson , was exceptional ; showed me my X-rays in the OR and made sure that I was comfortable ⁃ Operating room assistants, Dr Schachar and Dr Torfason introduced themselves and promised that they would make sure the whole team was on their best behaviour ⁃ The anesthesiologist, Dr Krause; helped me make a decision about anesthesia and explained how it would be delivered Assured me that she would be right behind my shoulder watching out for me the whole time. ⁃ I Felt like I was in good hands and they cared about me ⁃ My room for the night was spacious and clean ⁃ Food was delicious and appropriate; half a sandwich and fresh berries and yoghurt , later that night. ⁃ Physiotherapists were encouraging and fun ⁃ Nursing staff were attentive making continual checks and always asking if you needed anything ⁃ Pain was very well controlled and the drugs did not make me dizzy or feel nauseous ⁃ If you pressed your buzzer for assistance, nurses arrived very quickly ⁃ Overall impression was that it is a very well run establishment with happy employees who work well together.

I had a full hip replacement last week here. Outstanding staff and facility. They made me feel like I was spending a day or so at a luxury spa!! Just a quick update ... after a month, walking and biking regularly. Lots of mobility I didn't have before surgery! I am coming across some news stories lately about private vs public med services in Canada. Would be nice to have our political leaders look for solutions that better integrate private and public services together!

I went in for my first surgery a few days ago and everyone at the surgical centre was great. I felt well taken care of from the moment I walked in. I was extremely anxious and they did everything they could to make me comfortable, and followed up the next day. Thank you to the whole team that worked with me! And an extra thanks to the nurse who held my hand when I was scared 💜

Great staff, everyone was so nice! After a terrible experience 10 years previous at a surgical centre downtown on Burrard, I was expecting the same terrible treatment. Instead, I was so pleasantly surprised! The anesthesiologist, Demitri, gave me a local anesthetic before putting the intravenous needle into the back of my hand which I very much appreciated! All the nurses were kind to me. From start to finish, everyone was so great and treated me well.

Only ten days from diagnosis to surgery to repair my Inguinal Hernia. Dr. Scudamore and his team were amazing. The entire process with False Creek was a pleasant experience largely due to Dr. Scudamore’s ability to listen and understand my concerns, recovery objectives and how I wanted the surgery performed. Open surgery, no mesh, used my own fascia to repair the tear and he also took the time to tie off vessels rather then cauterization. Minimal tissue damage! Can’t say enough good things!

I had a surgery done here recently under the talented hands of Dr David Williamson. I was impressed by everyone I came into contact with. I was a little nervous, and very excited upon arrival. All of the nurses and doctors I talked to made me feel safe and welcome from the moment I walked in. I received amazing care from each and every one. ❤️

Had surgery today at OHSC can't say enough good was looked after extremely well from the moment I walked in and through the surgical process from staff-nurses-Anthesiologist Bruno and Doctor O'Brien. Thank you to all for the best surgical experience I could hope for. Highly recomment OHSC

I went here to ask for Lazer skin care surgery for moderate to medium severe unknown facial scarring… I paid $6,000 for 1500 Needles to be punctured into my skin with some sort of medicine that must have just been sterile water… it actually looks ten times worse than it did before I started; had I not mentioned I had an inheritance; I might not have been sent to a random room…. They might have actually given me the first possible treatment too work for my skin, instead they figured I’d go back for the rest of the 14 other rooms of mechanical devices they had to offer for skin care. WHEN I SPECIFICALLY ASKED FOR LAZER TREATMENT… when I arrived she just grabbed this huge machine with a needle device (PUHHHWOOOPHTSHHHHHUUUUHHHGHAHGHAGHA) it was a retarded puncture device with a huge needle going in and out of your cheeks and such, completely missing my nose which was half of my worry to begin with. I’m thinking of sueing concidering that treatment isn’t even listed on their website!!! I’m very upset. It looks way worse and with more puncture marks than before :,( HANDS DOWN THE STUPIDEST PLACE TO GO FOR ACNE TREATMENT IN THE WORLD… have fun guys. Get ripped off then!!!

Doctors and nurses were extremely helpful and had a lot of patience with me . Only thing that was an issue was on papers they said arrive at 6am but they didn’t let us in until 6:30 am

I would NOT recommend this place for anyone to go to. Be AWARE if you have a sleep machine, they WILL not take you. This is not a place I will EVER recommend. They are not even worth the 1 star they just received.

The front desk staff was super friendly and the nurses and surgeon were all very kind the day of surgery. Excellent . Thank you

Excellent hospital. Excellent urologist Mario Gonzales rooms to perform glass-glass and others🤗

I’m providing a unbiased and true experience of my most recent hospital visit at UNIBE in Costa Rica. I travel frequently to Costa Rica and had the most pleasant and professional experience on two previous occasions while be admitted to the hospital for long term stays from the doctors to the staff members this is why I chose to return. Unfortunately my most recent experience was negative to say the least from my initial checkin to being discharged as I was appalled with the treatment and level of service provided. The intake personal have absolutely no business being placed into these positions as they lack the customer service skills interacting with the public as it appeared they are unhappy providing even the most basic questions to the patient. Upon being released from my procedure the doctor or not even a staff members took a minute of there time to discuss my diagnosis or even medications if required in person. I was just given a piece of paper which I had so many questions as I was unfamiliar with the medications required and diagnosis provided. I have been acclimated in other hospitals throughout the world upon completing a procedure the doctor or staff member would meet you in person afterwards and discuss there findings also any medications if required even if it’s a minute or two unfortunately this didn’t happen. That particular weekend I had been enduring many unpleasant symptoms as I drove two hours to visit the hospital thinking I would have a positive interaction unfortunately this didn’t become to fruition as I was deeply disappointed. I then asked the admitting personal upon being discharged if I can discuss my results with the doctor or any staff member they said I would need to set an appointment with the doctor and pay additional fees for another date. I was beyond disappointed and infuriated as I would need to return another day to drive another 4 hours in total. Once again the behavior displayed by the admitting personal was unacceptable and discourteous. This will be my last time visiting this establishment as the level of service provided was unacceptable especially of a paying patient. I recommend future travelers or foreigners utilize other hospitals in the area which hopefully would have more of a bedside manner when someone is ill and can conduct themselves in a professional manner.

It is the first time in my life that I pay for parking in a hospital where I am already paying for the service of the place.

My review is solely basednon the eait in the ER , as that is the only place we have seen after 3 hours of waiting. It is dirty, gross and the staff all hate humanity. They also have one restroom for the entire ER waiting room which currently houses 20 or so people waiting to be seen.

ZERO STARS IF I COULD!!! Worst experience ever. Father arrived to ER by ambulance around 1 PM for a heart attack!! No doctor sees him until 5 PM. Labs were done, notes taken for a cardiac consult and an echo cardiogram. Notes were taken but orders were never submitted! So the next day was spent in a hospital room with NOTHING being done. Echo finally done at 3PM. Doctor show up later and hasn't reviewed any notes or tests! He tells us now that they can't do the cath until Monday (this is currently Friday!!). If they had treated his heart attack as the emergency it was, they would have done the cath right away. Nurse comes in at night with only 2 of the 6 medications needed for my father. Dosage is wrong! ER miswrote the notes for his medication!! Something very wrong is happening here!! Hoping this place doesn't kill my dad!! Avoid at all costs!! Cleveland Clinic has ruined the hospital!!

Horrible. Horrible experience!! If at all possible avoid this ER. Thought I was doing the right thing by calling 911 for my mother in order to have her seen asap.that might have been the case… but don’t plan on going back to be with your family member. Seriously! Insane the way I was treated. I begged everyone I could to please let me back there to be with my 78 yo mother. “Sorry.. not protocol” zero care from anyone I spoke to. No one cared that my mom was crying for me. They all just kept telling me it’s protocol to wait for an assigned doctor, that they were extremely busy. Well.. I keep pressing the issue and was finally allowed back. To an empty room, almost empty ER.. zero doctors around. Not busy as all. Disgusting the way I was treated. Horrible They literally coukd care less. I’m sick to my stomach over how bad it went down

This hospitals hiring practices are down right racist the hr department is deceptive and i see why this campus has a high turnover rate. If you are a person that speaks up for yourself and don't fit the so called culture don't apply you won't last long they will gaslight, be dismissive and show down right racism in you're face. Look at the rating on culture look at the rating on mangement?. People of color be Forwarned

This review is more from an employment perspective and how the hospital operates behind the scenes. There’s a reason why UCLA is popular… they have money, mostly state of the art equipment, the hospital is clean and well designed but what happens behind the scenes is just plain scary. I worked here for about 3 years and was regularly dealing with high school drama, backstabbing colleagues, and abusive management. When you’re working somewhere that has a reputation, everyone will try to throw you under the bus in order to lift themselves up in front of management. Lies, deceit, manipulation, etc. UCLA is no exception and they did nothing to prevent this. I’ve worked for 4 major hospitals and UCLA is low on that list as one of the worst hospitals I’ve worked in. The culture here is very toxic and I know a handful of people who have also quit for similar reasons to the ones I cited.

ER -great Nurse-amazing Clean hospital -great One problem they are here to make money. All three doctors didn't review meds. I complained about side effects. They don't care. They take 10min and they run away. Complete fraud!!!! Doctors upstairs do not take time to study and you can't locate them. They hide!!! This is not right. doctors need to be available all the time on each floor!!!! All doctors are new. No experience

Staff are friendly, courteous and very helpful. I was discharged from other hospital and was advised to wait for call after 18 hours of excrutiating pain, I was sent home with nothing just that re-assuring words from not-so-friendly nurse that "doctor will just call me" and Leukocytes already almost doubling, CT and UTZ both showing abnormalities, as a healthcare provider myself, knowing something is already wrong, decided to go to Sunnybrook. The moment you enter ER, you will greeted by friendly old lady who will assist you on their process of registration. ER nurses are very friendly and doctors will let you feel you're human with feelings. They're all efficient and knowledgable. I was admitted shortly after and did not wait long. I will be forever be grateful.

September 6, 2023 ⭐️⭐️⭐️⭐️⭐️ Today, I had an appointment with my MS doctor at Sunnybrook. Having been here for appointments in the past, I've always been impressed with the high-quality service they provide. Parking is conveniently located near the front entrance, and there are nearby pay stations for easy access. Inside, they have hand sanitizing stations and provide masks, and you'll find plenty of helpful staff to answer any questions and guide you through the hospital. Wheelchairs are also readily available at the entrance. I have the utmost satisfaction with Dr. Lee, who consistently takes the time to address all my questions and ensures I have a clear understanding of my medical plan. I feel incredibly fortunate to have access to such excellent healthcare services.

Visited Sunnybrook Hospital as a guest of a patient. Volunteer staff was very helpful and able to guide us to the correct wing of Hospital. There is an ATM on the 1st floor close to the information desk. There are hand sanitizing throughout the hospital and at the main entrance there is also a self dispensing mask station which was very convenient. Gift store had very friendly staff and there was such a wide variety of toys, puzzles, t-shirts, stationary, greeting cards and everything in between alongside some gadgets. The areas of the hospital visited were very well kept.

Going there for the first time, getting information and seeing the Doctor was fast and easy.

Went to see a doctor who claimed he had been trained at Johns Hopkins. His degrees were completely fake. Unreal. Avoid this hospital at all costs.

The worst service when I was going out from an ambulatory surgery. The person from collection apartments and invoice was rude and unprofessional. The service was very good.

One of the best hospitals in town Good service and regular ER

Nice hospital

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Terrible phone service. It took me more than 45 minutes for the first person to speak on the phone, adding up to more than 5 calls (as several dropped) and a lot of time listening to "little music". Whatsapp service is also non-existent. It is very difficult to have information about recovering patients, regrettable.

Lack of empathy with patients on the part of reception. We arrived at 4pm, as my husband had a procedure scheduled for 6pm, and according to the instructions received in advance via WhatsApp, we would have to be at the hospital 2 hours before the time given by the doctor to carry out the administrative procedures, the time being documented by the surgeon at 6pm. An attendant asked to wait, as they would call by name. At 6:05 pm we went to question the delay in being seen, and were informed that the surgery was scheduled for 9 pm and that it was not a priority. Therefore, my first experience at the hospital was unpleasant until they showed no interest or concern for the time we were waiting. I cannot direct the complaint to the attendant in question as they do not have identification on their uniform.

Night nurse Robson, totally unprepared, passed, my wife underwent a procedure in this hospital and was very poorly treated by this professional, even he and nurse Renata were just making fun and laughing at my wife. Total disregard. I would never recommend this rubbish.

There is perfect and amazing nurse in this hospital that make me feel wanna sick everyday, so he can caring me well everyday too for sure. With all of my love Mr. Martin Rojas. You are the best nurse ever

We're here now and we've had a wonderful experience. Remember with all these negative reviews that you're more likely to leave a review if you're upset, and less likely to leave a nice review if you're satisfied, like this one. We're foreigners on vacation here. We were treated fairly and promptly. We were able to speak English to two staff members during our time here. I guess I won't go into our personal medical records, but expect to pay around $50 USD (September 2022) for your initial consultation. The prices have been fair and reasonable. The staff was kind and helpful. Everyone did their best to make us comfortable and helped us understand what was going on.

Like any overcrowded and messy public hospital, just a bit cleaner and better equipped. Fair enough if you go private or thru a third party insurance. Sign in the Hospital's insurance system at your own peril, a shameful scam they call Health Plan (Plan de Salud). Mind the difference, it could cost your life

Super-delayed patient care, I don't want to imagine where a calamity happens and more than 30 people arrive, they will die here, I have a pain in my stomach since 4 in the morning, diarrhea, vomiting, fever and chills, I arrived at 3:00 pm and it's 6:00 pm and they don't attend to me, I have to writhe in pain to be attended to.

God bless every health worker in this hospital, those in surveillance, those in cleaning, those in the nutrition department, and especially the ophthalmological doctors, the retinologist, and resident doctors, and Yenny at the reception. And social work. Excellent service, in care and procedures, hospital, and control. Thank you very much for the great service you provided us on the two occasions we came. Thanks to the timely intervention they gave my mom, she is doing very well. We didn't do well in the children's cardio, nor in the clinic at the national university. They have a long way to go to know that the patient deserves respect and timely attention. THANK YOU HOSPITAL SAMARITANA, FOR YOUR EXCELLENT SERVICE. VERY GOOD ADMINISTRATION OF THE HOSPITAL, AND VERY GOOD CARE AND DIAGNOSIS BY THE SPECIALISTS. Since you are admitted for emergencies, the attention is very fast and timely. GOD CONTINUE BLESSING YOU 🙏.

Good hospital services

Bad bad. The treatment is derogatory towards low-income people. If you want to receive good treatment, dress well and show that you are of good economic standing. And if the patients are "eps" things get worse.

I like how you treat me here at the clinic.

Good attention

I had a bad experience. It was very difficult to find someone friendly on the administrative staff. The ladies who schedule the imaging area are rude and not at all empathetic with the patient. How sad that staff training for quality customer service is left to the end.

Incompetent in the emergency area. 2 am on Monday, October 9, insolent and very unprofessional doctor. Dirt all over the areas "that people don't see." Are they doing emergency procedures in the same way?

Appalling! They don't have an emergency laboratory! I went at 3 in the morning to perform some emergency tests and there was no one in the laboratory! They kept me waiting for about 15 minutes… I had to go to another hospital because of the situation I was in!

Hands down, one of the best hospitals I've ever been to. Within minutes of bringing my dad here, the entire team was assisting him with his high blood pressure and symptoms of a stroke. The staff is very friendly and attentive. It's important to keep in mind that this is a private hospital, so if you don't have insurance, they will ask you to deposit a certain amount of money into the account. Make sure to mention that you are self-pay. So they can bundle everything up into one packet. I was so impressed with the ability to be able to just walk down to the administrative office and ask what my balance was and get that information within seconds. It is worth every single penny they charge.

I was a patient her for 2 nights and it had truly been one a the better experiences of being at a hospital ever. Staff was attentive, cleanliness was amazing and the over all experience with my surgeon was amazing! Highly recommend! Coming from the USA, this is like being at a 5 star hotel!

I can’t begin to express how much I enjoyed my visit here. From Admission, medical, food service everyone was so kind! Also, food was a 10/10!

My sister was treated for kidney stones in August and we signed a document agreeing to pay $13,800. When we got home, our credit card was charged $38,000. We have made numerous attempts to speak to the hospital, no one has responded. They sent a credit card receipt that clearly shows that they forged our signature and are still demanding payment. Stay away from this hospital, they will scam you out of lots of money.

Terrible money scam. People were nice, but not professional. My mom had a heart issue and was sent here by Xcaret Hotel Mexico (this is a partner hospital with the hotel, says something about the hotel too). She was given EKG and blood test, which was charged 1300USD. The emergency doctor couldn't give any diagnosis with these results and wanted to refer an internal medicine doctor to continue with more procedures (for more charges). The whole time we were there there was no monitor of vital signs, the IV stopped working. We ran away without continuing with any procedure. Stay away from this hospital if you can!

My son hurt his knee pretty bad after landing awkwardly trampolining at our resort. He couldn’t bare weight on it and had a lot of pain so we researched a few local hospitals and decided on Amerimed based on some of the Google reviews. We were not disappointed and so glad we picked this one. The staff were friendly, knowledgeable and got us in, x-rayed, meds and a knee brace for 6,500 pesos/ $400usd. We were out within 90 minutes. Great experience. Thank you Amerimed.

Good afternoon!! My name is Taynara, and I was admitted to the unit on 11/3/2023... with severe headaches and vomiting, and was soon sent for exams and measurements. I was immediately taken to the ICU, with full medical supervision from Dr Giuliano and his emergency team. On the 4th (Saturday), after more tests, a tumor was seen requiring surgery, which was carried out last Thursday, 11/24. The surgery was a success, the entire tumor was removed without any further complications. Today Monday, 11/27, I left the ICU and am recovering in the room. I would first like to thank God for the entire process, and for the Dona Helena team... from the nurses in the emergency, ICU and maternity ward. Thank you for all the love and care, to everyone I had the pleasure of meeting, they made this struggle easier, they all brought me a lot of confidence and serenity. Thanks mainly to Dr Giuliano, for all his professionalism and clarity. By ICU Techniques morning and afternoon (Karina, Karen, Carol, Larissa, Paula, Ângela, Anderson, Roberto) Amanda for all the braids in her hair before and even after cutting her hair for the surgery she took great care to wash , hydrate and make everything feel lighter after surgery. Night technicians and on-call technicians, physiotherapists Rose, Milena and Najara. The maternity nurses, technicians, kitchen maids and the entire team!! Thank you very much, and may God bless each one of you greatly!!!

I've been with my grandmother at HDH twice in the last 30 days. The first time on October 21st in orthopedics, service provided by the doctor Barbara Miroski de Oliveira Pinto. The second appointment was today, a clinical appointment by doctor Murilo Melocra. In both appointments, the doctors were very clear, detailed and were excellent in their consultations. Even though consultations were carried out in the emergency room, the service was very complete and all possible information was provided. Service at reception and screening was also very good and courteous.

On Saturday, 02/08, my wife and I were admitted to the hospital through the emergency ward. We needed obstetric care. The reception was perfect. The nurses were amazing. The doctor who carried out the first assessment did well. But everything fell apart when they told us that there was NO doctor responsible for ultrasounds at the hospital, they were on alert. This specific doctor was supposed to be at the beach, as it took him over an hour to arrive. When he attended to my wife, he treated it as if it were nothing. A cretin. In a moment of total fragility. Irresponsibility on the part of the hospital for not having a team on duty (probably to save a few bucks) and the doctor is certainly from that new generation who only thinks about fundraising. Ultrasound care was vital for us, regardless of whether it changed the result or not. We just wanted an answer. The doctor (whose name I will refrain from mentioning here, but you will find out from the ombudsman) came in, gave the diagnosis and simply left. He left the rest to the other doctor who attended to us first (very well) and to the nurses. There's no point in having a hospital that prides itself on having whatever it is, with each professional identified by the color of their uniform and having emergency medical care that is rubbish. Ridiculous. Unfortunate for a hospital that was once a reference in the region. As for the doctor, I wish him no harm. I just want life to give him the same treatment he gives his patients. And I say this from the heart because there is time to change and be better.

This hospital is terrible!!!! I had an ear problem last month and I went to this hospital that charged me for a consultation without first telling me that they did NOT have an ENT doctor available who could help me (even after having gone through the screening), and now even having spoken to the ombudsman, they claim that I was notified, which is an absurd lie. What I take away from this is that in addition to having terrible service and incompetent nurses, they also lie. Don't go to Santa Paula, they won't solve your problem, and then they will claim that “you were too stunned to understand” which is an absurd lack of empathy and humanity for a hospital to say something like that.

Second time this week I spent this week in the emergency room of this hospital, because the medicines prescribed by the doctors are not relieving my pain, I have flu-like symptoms. I haven't slept almost at all this week and today in particular, I stayed up all night feeling a lot of pain. It is not possible that I will have to go to the emergency room for the third time. If I go, it won't be in this hospital. Update: I went to the emergency room for the third time this week, but in another hospital, I was howling in pain, I knew something was wrong, as I was feeling very ill and didn't get better with any prescribed medication. I was diagnosed with sinusitis in another hospital, I remember that the last doctor at this hospital said it was nothing serious and didn't even give me an antibiotic and said it was influenza. They gave me nausea dosage in the amount for a child and not for an adult and in a greater number of hours. I no longer trust this hospital and will not return again.

Good afternoon everybody. My 18 year old daughter was hospitalized on 10/06 with teratomas on her ovary. A huge scare, because we went to the emergency room with suspected kidney stones. We were very scared and very worried, but I would like to record here the excellent and extremely humanized care provided by everyone, without exception, at the hospital. My daughter had recently turned 18 and so I couldn't sleep with her in the hospital, imagine my despair and worry? So, in addition to never being hospitalized, she had to be alone. But, all (without exception) the nurses, receptionists, doctors, were very careful, loving, attentive and caring. I would really like to remember everyone's name (and I recommend that the hospital look at the days of this shift to really recognize these professionals from 10/05 to 11:20 pm to 10/08), but I was very nervous, but, I remember Carol, Kelly, Luana (in the emergency room), Dr Manoel and the team that successfully performed the surgery to remove the teratomas on my daughter. Those whose names I don't remember (especially a nurse who attended to us in the early hours of 10/06 who was so loving), please forgive me, they are no less important in my gratitude, as I said to some of you, for For me, it is not simply a profession but rather a gift of caring for others. I couldn't spend 24 hours with my daughter in the 3 days she was there, but I'm sure that God chose all the people who took care of her correctly. Congratulations to the hospital, which recognizes its team and always values ​​the people who work there. I also mention the cleanliness of the hospital and the rooms, which are cleaned constantly. My daughter continues to recover very well. I am grateful for Dr. Manoel's assertive clarifications, which left us calm and confident as my daughter continued. I noticed that all medications, all procedures that were performed, were calmly explained to her, eye to eye, realizing whether she was understanding or not. Thank you all very much, may God bless you always.

Make an appointment, it's simple... the specialist never arrived, they send you a message to ensure punctuality out of respect for the doctor's time but they do not respect yours, they left me waiting for about 30 minutes, they charge the consultation at $1500, not cheap for the service. a private clinic, anyway, thank you!

The doctor was very thorough. And a great help. Highly recommend this clinic.

I am an American on an extended vacation here in Mexico City and I saw Dr Luis Villalobos Perez. Hands down he was the best doctor I have ever seen in my fifty years of life. He truly took time to discuss my health problem and my history and he gave me a thorough physical exam, I feel like I have not had an actual physical exam since I was in high school. It is such a blessing to have found Mediland! Great staff, clean and modern facility in a beautiful neighborhood Don’t hesitate to go here if you are sick!