SLAP tear treatment in 149 Orthopedic surgery clinics in Americas

If you have a true emergency, this may not be your best choice. Waited 3.5 hours and still not seen except to check in. Other patients with really serious issues (which we hear about because there is no privacy at check-in) have also been waiting and I’m worried about them. Good luck.

Worst emergency room I’ve been to. It’s been 3 hours since anyone said anything to my husband and that was only to draw more blood. Nurse was exceptionally rude and dismissive. It’s 11:45 pm and we got here at 6 pm. They aren’t telling anyone a thing! I will not recommend this emergency room ever.

If I could give this hospital a 0 I would. The nursing care here on the 4th floor so far has been awful for my daughter. Just basic care and concern for patients would be appreciated. Hoping the night crew is better. The nurses are all out at the desk laughing it up and sharing their phone pics. No that I care about that but shouldn’t the patients come first? I’m afraid to leave my adult daughter here and go home because I’m not sure they will even check on her. Seriously. There are 2 people in this room. The patient next to my daughter hasn’t moved in the 3 hours we’ve been in here and no one has checked on her either. I asked for a pillow multiple times and they keep saying they’ll bring it but no one does. It’s not like I’m asking for an extra pillow. She has NO pillow. She needs her arm(that she had surgery on) elevated and I used a blanket. Really? I had to put a blanket behind her head. Thank goodness there are plenty of those on this desk by her bed. A stack of probably 8 blankets for some reason. Very disappointed Cleveland Clinic.

Majority of our experience here has been great, however since we spend most of our time in the Nicu with our baby boy, you would think that the nurses who are watching them follow some type of guide to respectfully work quietly so that the babies who needs rest can rest peacefully, but no! That’s not the case, they gossip out loud with one another, they slam drawers, trash lids, and more. Our kid has a heart condition so resting is the best thing for him to get him where he needs to be for his surgery. He is always startled or woken up by all of the noises going on. All I ask is that you guys respect the needs of the kids who needs to rest and try not to make so much noise or talk so loud, especially if is just about gossip. Thanks

UCLA should be ashamed to call itself a hospital . I placed a negative review of UCLA, Ronald Reagan Hospital A few days ago and I see it it has been removed. First of all upon my arrival at the ER, after requesting That all of my doctors be within my network I was told by the person checking me in ( cold As a bottom of a rock ) it is against the law for him to tell me if the doctors are within network. Which I know is against the law in California. This place is basically not any better, and has lower standards than any Third World country hospital. If I was able to give it a zero or even minus I would. There was basically a dozen seats in the ER for waiting so as you are exposed to any illness. I was seen after five hours for a heart problem There is nowhere to charge your phone, so as to keep in touch with loved ones. People are spread out and strewn throughout the hallways ( including tents, just outside the ER ) with no privacy and total humiliation. The ER is full of homeless, looking for a place to sleep. I will continue to post continuously, until my experience is not deleted. If you have or care for your loved ones, do not bring them here like I said, this is below third world healthcare standards

I gave birth to my daughter here in early 2022 & will be giving birth here in early 2024. I wouldn’t want to go anywhere else for OB care. I live in Tarzana so the drive while in labor was not fun & I could have gone to a much closer hospital but I trust UCLA Westwood more than any other ER/OB department & can’t imagine having gone elsewhere. The labor & delivery nurses are compassionate, informative & kind. My Dr. Is Dr. Zapata but she wasn’t on call when I gave birth so I saw another Dr, so sorry I don’t remember her name, but she was amazing and I felt in very capable & caring hands. I recommend this hospital for anyone I know who’s pregnancy for maternal & postpartum care. I’m very surprised the rating isn’t higher as overall the doctors are wonderful, up to date, the nurses are very capable & always warm in my experience. Also, it’s such a well maintained campus with updated equipment & very clean overall.

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

Very positive experience. Dr Davies was extremely professional, listened to my concerns, reviewed and explained the MRI and dedicated the necessary time without being rushed. Very pleased with him and all his staff from scheduling, checking-in, radiologists, nurses and doctor assistant. 👍🏻

Went in for a full left hip replacement with Dr Jacob Drew. My interactions with him and his staff were always positive. He took the time to explain the procedure and answer any questions that I had. He even called to check in the night before my surgery. I would highly recommend him for anyone needing a hip or knee replacement.

Great Doctor and Staff to work with. Removed my cancer and still cancer free 3 years later. Extremely helpful and has answered all my questions and then some. She is a doctor who actually cares about her patients unlike my PCP . I would Highly Recommend Dr Megan E. Anderson and her staff.

We unfortunately had a five night stay at the NICU over the Thanksgiving holiday. The staff provided excellent care to our kid and were extremely compassionate to us as parents. We were grateful for the private sleep rooms and shower, and they even had a free Thanksgiving dinner for everyone. The parent / family lounges have places to grab coffee and store food, and everything is very clean and organized. The doctors and nurses were very communicative and kept us in the loop the entire time.

Absolute terrible service , my child who has a seizure disorder and potential c- diff was made to wait in the ER for 3 and half hours plus without even being properly triaged . She didn’t receive a wrist band , at any point & we can run the cameras back , no one was alerted to her allergies , there was no band received for that as it typically is .. and she begin to have diarrhea thru the long wait due to the virus she’s had the past week and in turn she begin to get worked up and her fever returned . I asked how much longer the wait would be abd for an approximate timeline .. as I’ve observed plenty of patents come in after one in which I knew personally with less servere circumstances… literally come and go and my child was still suffering in the ER … the Nurse on duty was unaccomidating and almost seemingly unwilling to engage .. as I waited for some kind of answer on when my severely sick child would be seen . I asked if it would be more then another 30 mins and he said he couldn’t promise but shouldn’t be . Well it was . After 45 mins of them calling more then 3 patients who arrived after us .. I reluctantly decided it best to take my fevering , baby who now was covered in feces home.. as she was in her 3rd bowel movement and we had difficulty changing her in the nasty public restroom . I ultimately watched them call two more patients who had come after us exhibiting no signs of eminite health scares then I ordered our ride so I could take my child home to change her and give her medicine to help reduce fever and prevent seizure . I am pissed and very upset that my child and I spent. 3 plus hours we can’t get back in the ER after already being across the street at the Berger building for 3 hours prior this was wayy less then pleasant This is the second poor experience in this particular Emergency Dept but this is the first time it was so horribly handled that I had to leave with not only an even sicker baby then I arrived with . She still now will have to go to another ER to be seen .. because she did infact have a seizure once we got home from her fever that arose& I informed them but that did nothing to medicate the situation or get her seen. Now my kid is home fevering still sick potentially has c-diff and I am skeptical to return her to this terrible hospital because they haven’t even returned my call. I called to speak with charge nurse after filing formal complaint and was told by Jennifer in WR I could not speak to any charge nurse and then she took my information and said a nurse on duty would call back and it’s been an hour with out a returned call. This is negligence and unprofessionalism tht promoted us to leave in the first place and CHOP is looking at a pretty decent lawsuit if we do go to another practice and something is severely wrong with my child with so much documented instances of me trying to get her helper seen and have a team leader consult about next steps. This place wasted my time , cash as it’s costed money I didn’t have to travel to and from and I felt like the poor treatment was racially motivated , as as kid who came in after us was pulled to the back cuz her mother told them she was seizing but I was looking at the child. Who literally just had woke out her sleep. This place is incompetent , and of all the amazing experiences we’ve had here . Today ultimately casted a shadow on them all and I will be contacting the PA board of insurance aswell to file a formal complaint because they need to do better on managing and transparency in the ER wait times. We got there at 12:15 and didn’t receive a text saying my child’s room was ready until 4:15 pm that’s 4 freaking hours for a child who had 2 seizures in past week, has a virus, and cold and caught fever while there … when she has a history of febrile seizures … 0/10 would not recommend. Shame on u all

Very friendly staff and amazing doctors. The information desk is very helpful. The front lobby is well designed and honestly fun to be in due to it's design: there is a meandering ramp that goes up several stories with interesting interactive stops on the way. The lobbies on each floor are also all well laid out: they have great views outside and inside were designed with children and comfort in mind. The plaza out front and the cafeteria/Cafe are both relaxing places to recharge.

My brother was in this hospital because he had appendicitis and had to get surgery and He said the nurse was nice! I think this place is really nice because it's clean and Its nice looking, I know that because I was there to visit him in the hospital. I also want to thank you for saving my Brother before more consequences happened to him and that he could've died.. but thank God this hospital was there! Once again, thank you for saving him🙏🤍 Also I definitely Recommend this place if you want nice doctors and want to feel less anxious and comfortable here.👍

This hospital isn't what it used to be! It seems to be loosing patient focus and fast. We've been a CHLA family for 11 years and I think it's time to switch. My autistic son was SCHEDULED for Dental Surgery. Originally it was supposed to be at 1pm and us be here at 11am. When we got the call from the nurse last night that we needed to be here at 530 AM we were like no one told us! But we got here right on time. We'll let me tell you that they took him upstairs to Surgery PreOp it took over 4 hours to get him into the the surgery room, because he needed to be admitted after surgery and no beds were available. This hospital needs to have better planning for these types of things OBVIOUSLY there will be emergencies that come in over night THAT SHOULD'VE ALREADY BEEN ACCOUNTED FOR!!! Maybe you need more staff and more beds!!! Because to have a child basically starving because you couldn't plan Accordingly is just plainly ridiculous! Then when I spoke to the Charge Nurse in the Surgery Dept she tells me that if my autistic son has an outburst that the anesthesiologist and nurse are there to help give him something to calm down. So basically if my son has an autistic outburst they will just drug him up. I'm like realistically drugging my son just to calm him down because your hospital didn't plan accordingly is uncalled for and unnecessary! Again I am seriously contemplating switching hospitals even though my son is on the Heart Transplant List!!! -A Frustrated Autistic Heart Mom

Ok so I had open heart surgery 20 years ago. I was well cared for and was in icu for three days and then went to a step down room where I was later discharged home after only three days at the hospital. My team was so amazing and so supportive and loving. And a picture of me twenty years later.

I found some english speaking doctors here and they have an international office to help you translate if you dont speak spanish. Thank you very much Carolina 🙏

Horrible! Dont go to this clinic. The most unfriendly employees I have experienced in this Hospital. Yes I do speak spanish but once I didnt understand smth the lady just ignored me! Errors start already in front of the Clinic. Apparently they don't know the difference between a Swiss flag and a medical (red!!!) cross. So my question: is this a Swiss Clinic??? Of course not...

My mom got a well planned surgery in this Clinic. Excellent outstanding service what a relief. Fast service, very diligent and well trained all staff. Great place to get well and get some recovery. If you get sick go there you will be fine quickly. Do not visit Los Nogales clinic or La Colina. Marly is the best! Thank you all for your service! Mom is doing great. The doctor was very profesional!

What a slow clinic! They make him come on time but he is late in his shifts, no one comes out to give a reason. The only redeemable thing is the girl at the reception, the rest is a terrible service, the air conditioning in the surgery waiting room does not work. If you can avoid using their services, almost 8 hours for a simple surgery. The worst thing is that EPS SURA has an agreement with them but it is horrible!! Better care has a neighborhood pharmacy than a private clinic

The waiting room is horrible. There are patients lying everywhere on the floor. The runners. There is no decent place for the elderly while they undergo examinations and remain under observation. There is one bathroom for many people. And they don't clean it. This is in the emergency room. It is a site where all rights are violated

I hae been there a few times, because my insurance has them as a provider. Once I managed to secure an appointment, all works; however setting up an appointment can be a formidable task, as they dont answer the phone and if they do they pass the buck to sumeone else, or worse they ask you to call a bunch of wrong numbers. The whatsup useless. Today I spent 4 hours trying to get an apointment without any luck. I will soon go in person with a spy camera and will publish my experience on all available social media. What a shame, good doctors and deplorable IT and customer service. Management is unreachable for some strange reason (NOT !!!)

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

They do not do their job well, 7 hours in the emergency room and do not attend and then say that they cannot attend to a patient

Undoubtedly one of my best experiences, location in the center of the city, excellent medical and administrative staff, old but well-kept infrastructure, spacious with gardens.

This opinion is directed to block 6 of the hospital, which is in an area where you can see people who consume drugs, although there is surveillance and once inside the hospital it is safer, if it is scary, at least walk to the hospital at dawn, and block 6 is opened at 6 in the morning and meanwhile everything is dark or with little light, a perfect place for homeless people, you have to travel with great caution and at least if you are patient and come from somewhere other than Medellín, it is not advisable to be in line before 6 in the morning to check in at block 6, arrive with 5 minutes left or at 6:00 am, there a guard opens the door and when you are already inside the place is much more pleasant and neat, there is a waiting room with chairs where you can wait for them to call you for the billing card, there are elevators, there is natural ventilation in that waiting room, almost all the staff there are friendly to the extent they should be. I give it a 3 star rating, for a not very pleasant event that I had to go through in there, I think that of all the possible days in which that bad event had to happen, it happened just on the day of my appointment, I don't know who it was from the fault of that negligence but thanks to a call to my eps I was able to quickly solve that difficulty so as not to continue in that unpleasant situation in that hospital block.

Excellent...!

3 days waiting in que for gallbladder surgery to be scheduled! Why does the patient get to wait? And why doesn't the clinic approach and explain what's going on to the patient's children.?

Customer service people on their cell phones while helping zero people in the que. The pictures say it all. Look at the customer service people chatting on the phone and the video board showing zero people in the que.

Terrible!! The triage staff are rude and the doctor who treated us doesn't even answer the greeting. They lack empathy. If one day they want to get certified, they should start with the staff. You can see the hatred they have for their work, which they project into customer service. The only good people are those in the goal and the laboratory!

Terrible 😣

I have blood cancer, so I get test at other testing place and than go here for treatment. Lots of waiting, I have to go down street to pay for service. Than more waiting. Not bad place, but everyone seems to be confused. Other than that, it's fine

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

The medical staff at that hospital seem more like a gang of robbers and drug addicts than professionals. Never in my life have I seen such "doctors" and "nurses" so stupid and stupid. They speak ugly, they answer people in a bad way, they morbidize the patients, or rather the little gaminitos are in the wrong place.

The truth is that it seems like a hospital with a very bad service, how is it possible that the patients who are in the ICU do not have the attention they deserve or at least what is necessary. On weekends there are no doctors to give information and the nurses who are there never know anything. In addition to this, during the week they only give one report all day and it is almost at 6 pm. The truth is that they seem very inhuman to me, they should improve this service since it is one of the main clinics in the capital.

Outpatient consultation, terrible service, at 7 AM and only one person serving more than 50 people. By saving a salary they harm us users. Terrible.

It is a clinic that does not have the slightest cleanliness requirements. Dishes, food, urine on the floor, ducks full of urine, wheelchairs remain in the hallways and inside the patients' reference room, thus generating bad odors and bad appearance. and a hostile environment. Nurses do not remain on site when patients require them. Patients have to be alert when the catheter bag is full and if they don't pick it up it overflows and makes a puddle of urine and it can go on all day and no one comes to clean it. They only allow one person to visit, but if another person arrives and the patient does not have any family members, they do not allow entry, because it is only one person per day. To enter the ICU they do not allow anything moral to be brought in with the toiletries but everything must be carried by hand. Visitors' personal belongings must be stored in a locker and do not provide any security. Once in the ICU he has to remove his rings, watch and other items. It really is a real ordeal. At the entrance door, the patient list is not updated and it can take more than 1/2 hour for the guard to communicate with the floor to verify if the patient is there or not. Don't let your patients be taken there. It seems that the service was alms. I can't explain how health allows the operation of this type of services and does not monitor the operation of the institution. When they release the patient, it takes more than 5 hours to leave because they only allow a single person to enter to do the procedures and to find the doctor who will give recommendations for the patient.

Clinical and hospital services.

I would like to thank all the staff and doctors who cared for and treated me. The care is very good and professional.

The telephone service is very poor, they never answer and do not give information. They need to improve in that regard.

A very regular clinic does not have specialized staff, such as a radiologist, not even for the endoscopy service. My experience with my father was very sad.

I want to share my experience in this clinic, I had surgery with Dr. Yobanka Prado and at first I didn't like the idea of ​​going to Palmira from Cali for surgery, but it was the best decision I made, the nurses are very attentive, they were attentive of me at all times and I listened from the observation room after the surgery how they treated people, very humane and close treatment, with empathy towards people. I really thank you very much for your attention, especially to a nurse named Olga, it's a shame that I didn't know her last name, her work is vocational for sure because her way of treating people is incredibly humane, I was feeling very bad and she was very Loving and attentive to me at all times. A thousand thanks in general to all the staff at this clinic. Great professionals with patients.

All staff member needs an urgent training to learn the meaning of empathy and serve to patients.

The best in town.

Omg I had to walk to the nurses station for everything from a blanket to medication. They have no tv in the rooms. They take for ever. You have to wait 6-8 hours to get something done. Just go to a regular clinic in Barranquilla they are not as nice but they get things done.

An amazing facility with an amazing level of care. Better than any US or German hospital I have ever been in. The office of international patients is very professional and thorough. Dr. Taboada is very thorough and professional. I can't recommend this hospital enough. Super experience.

I came to see if giving birth at Serena del Mar was an option. When I was given a tour of where the mothers and babies stay it was great. I was told to male an appointment to be seen by an obgyn so that they would have a history of me. The nurse took my info days before my appointment but apparently never followed through with setting up my profile. I showed up for my appointment and was never told who I would be seen by. Dr Maria Fernanda Toro Wils was upset that she had to wait on me because the staff had not created my profile. I finally went into my appointment with the doctor and she scolded me and told me she had no time we had to rush. I told her I did not understand whybinwas being treated this way when her staff was a mess. She told me she always does 40 minutes and she dedicated about 20 minutes if that. I left there feeling so upset and totally changed my mind about having my baby there. The treatment from Dr. MARIA Fernanda Toro Wils was terrible. I would not recommend her or her staff in a million years.

They neither answer their phones nor respond to emails seeking an appointment! Terrible customer service. I communicated in Spanish as well so not a language issue.

Malpractice. My grandmother was left to die. After an isquémic stroke. Proper measures were not taken within first 6 hours. Instead of ICU, she was put in a regular room. Nurses shifts had no records of prior shifts. Avoid at all costs.

I was supposed to have surgery in this clinic on 10/17/22. I arrived around 10:30 at the O.R floor, 4th floor in the building, and no one was there. The reception desk was dark with zero employees. While I sat waiting for someone to show up I looked at my paperwork handed to me at check-in, when I realized they had me as a Colombian citizen born in Barranquilla. I'm a U.S citizen. The address, phone number, and emergency contact provided by me earlier had been overlooked and ignored. I went downstairs and corrected it. Finally, the nurse showed up; she was a nice lady. There isn't anything negative to say about her. Around 3:30 a nurse assistant brings a wheelchair and wheels me into the OR. My surgeon, Dr. Carlos Cala was running late, she said. The O.R had a two way-in, bidirectional, restaurant style, swing door with small windows. At his point I had not been sedated, medicated, nor given a relaxant to prepared me for the cultural shock I was about to experience. There was, right in the middle of the room, an overwhelming sight of a surgical bed dressed in brown sheets ready for a bloodbath; and a dented, shallow bucket, right at my feet. The pan was wide enough for my feet to fit in. The N.A explained to me that she was going to bathe me with antiseptics and soap before surgery. I followed her with my gaze, noticing a disturbing sight of two soiled, worn out, filthy, and grotty, styrofoam coolers. There they kept the antiseptic and soap warm that she was about to use on me. She asked me to stand in the pan facing the door and those swinging doors started to open and close while medical staff came in and out. I was naked and a swing away to be seen by everyone sitting at the desk just outside the OR (recovery area). Then, as I’m looking around in dismay, I spotted a recording video camera IN the OR. All the feelings of humiliation, indignity, disrespect, and violation of privacy took over me at this point. I complained about this to the NA and she called the floor manager. The manager explained to me that the video was for liability reasons and to cover their backs, privacy wasn't a concern to them and video recording was a common practice. I requested an appointment with the clinic’s director and It seemed as if I threw a stone in a hornets nest. The floor manager called the anesthesiologist, Dr. Bernal, and he asked me what was the problem. All of this time I was still naked. I tried to explain to him that I felt my privacy was not being respected as I had never gone through anything like I was experiencing at that moment before and his replied was: “you should go back to the United States and get surgery there.” I don’t know what was more upsetting; the fact that this doctor represented COLOMBIA so poorly, not aspiring to anything beyond mediocrity as a professional, stepping over his Hippocratic Oath, and having a condescending tone towards a CUSTOMER (I’m a paying client in a private clinic, I reminded him), or the fact that his lack of character, dignity, and vulgar behavior, were an irrevocable proof of his unprofessionalism. When did lack of HYGIENE and violation of privacy became a common practice in healthcare?! Both, Dr. Bernal and the floor manager, proceeded to tell me to calm down and that if I wasn’t ready for surgery I could reschedule. I kept saying that I still was interested in an appt with the clinic’s manager. The floor manager kept hinting that there was not going to be a surgery if I insisted to see the director because that meant I was upset, while Dr. Bernal kept using my request as leverage pertaining to the final success and outcome of the surgery. Again, all of this time I was naked. Because I didn’t shut up and submissively obeyed, the surgery was canceled and I was scorted out of the OR while the nurse assistant was making signs behind me at everyone we were passing by (medical staff, patients, and their families around) that I was crazy. I did speak to the director days later. Even though he was nice, I opted to have my surgery elsewhere. Avoid at all cost unless you're dying.

Good service but they would have bigger watings rooms...

As a foreigner I was sent to Reina Sofia 4 times to solve my problem, everyone did a good job even though my problem was not solved. The biggest thanks go to Paula Rodriguez and Maria Paula Mantilla, who go extra mile and are super helpful. Paula was there for me even outside of her working time. This is really appreciated.

Wife and I had our oldest child here. Expenses out of pocket weren’t so bad, staff is somewhat lacking in knowledge. They couldn’t figure out the leg stirrups on the birthing bed, I had to put them up. Clean place, but don’t seem to have a great bedside. Very pushy on breastfeeding, I was not to thrilled with them. But one of the better options in Bogota.

Real bad service . Staff are rude. My husband get burn on his chest in the ICU. Money making clinic only. Bad bad experience from that clinic.