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Trusted hospital in Curitiba. I had surgery and their infrastructure is incredible. Everything very clean and organized, waiting rooms and apartment well equipped. The surgery was a success! Meals were served in generous portions with good flavor and temperature. My gratitude to the hospital's surgical team. I've needed their emergency care too, but the staff who go to an elective consultation instead of the emergency itself end up delaying the service (a problem more of the culture of the population than of the hospital), making the waiting time long, but later service, the professionals provide a great service. I will come back whenever I need to.

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I went on 11/22/23 at 11pm something (I don't remember the exact time) with a fever of 40 and discomfort throughout the body, with vomiting. To which they answer that they only attend to emergencies. Only guard is from 8am to 9pm. How can it be that a public hospital has guard duty all day and night and this hospital, which is classified as the best, only has guard duty during certain hours. The person who assists me tells me after I complained that I required medical attention that they would attend to me but I would have to wait at least 4 hours, but that it was safer in 5 hours. With terrible abdominal and body pain, I waited 1 hour and a half and left, to which they wanted to charge me for parking and with a card only. I had cash. But at night it is only with the posnet and you charge yourself. I had to go to the Lomas de San Isidro, and upon seeing my condition, they treated me in 30 minutes, where they referred me to a room and made me Urgent studies and analysis. They treated me excellently. Let's see if the hospital commission understands that the patient does not have a stipulated time to feel bad. That is why it is a guard to attend at any time. I know that the word (Guard) has a certain schedule for whoever manages the hospital. I must clarify that the hour of parking is too expensive, the hour costs more than two liters of gasoline. And the car is left out in the open. Also Sometimes to pay for parking there is a long line and there is a delay when you are in the sun or rain without shelter. It should be subsidized. But the greed is greater. I must clarify that the professionals always treated me more than well in the Austral. The issue is They give you shifts with a delay of 2 months. There are never shifts.

The hospital has excellent doctors. The serious problem that this hospital has is access to medical appointments. A patient has follow-up checks for chronic medication and the SHIFT staff, after several attempts, respond that they do not have appointments for this month and do not know when they will open the agenda for the next one. I go through the application and it doesn't schedule an appointment for that doctor and it tells me to contact me by phone. And as best as you can during your work hours, you keep trying and spend the month with the Same answer 🤷‍♀️ It's an epic to get a turn. And an almost impossible challenge to achieve medical follow-up for treatment. How to solve it 🙏🏻? How many more patients are there in this same situation? A first level hospital has to be able to solve this urgent issue.

Excellent attention from everyone, from the security person at the entrance, to the receptionists as well as the doctors, who are super professional. They treated me quickly and gave me an accurate diagnosis. There were a lot of people in the waiting room, I thought I wasn't going anymore. But the service is fast, since there are many receptionists and many doctors serving at the same time. The building is beautiful, large, clean, with coffee machines (you can pay with MercadoPago) and some things for breakfast. Highly recommended.

Good hospital but total inflated prices, they charge so high that they reach above the TOPE of your insurance. For a small one - hour surgery, they charge 7 million CLP

“Urgencia” doesn’t move with much urgency. I’m currently in the waiting room in the respiratory area of the emergency department. My mother in law arrived in bad condition and I saw no sign of triage or prioritization based on symptoms , first come first served. NONE of the alcohol hand dispensers have alcohol, staff aren’t using alcohol gel. Not just in the emergency area but also in the other buildings I passed through. Very surprised by the experience considering the cost and reputation of the hospital. Go to Clinica San Carlos de Apoquindo UC or Clínica Alemán.

I had a severe reaction to a Lyme disease infection contracted in the USA, that manifested itself when I arrived. I was hospitalized at Clinica Los Condes for 3 days. The care was superb. Since Lyme disease does not exist in Chile, the staff coordinated their care for me in coordination with the USA CDC.

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.

My husband and I rushed our son to the hospital last week cos he had a seizure. It was at midnight and they had just one doctor attending to so many people before us so we had to wait for about 7hrs. We were attended to in-between by nurses but the last nurse who came to us started asking some questions that we had already answered over and over again but before she started, she looked at both my husband and I and asked “which one of u can communicate with me better?” We didn’t understand what that meant so my husband asked “what do you mean?” And she said “I need to ask a few questions to whichever one of you can communicate with me better in English” I couldn’t speak out of shock, my husband just walked out of the room cos he didn’t want to get upset, she asked the questions again before I could bring myself to answer her. This was after 6hours of waiting for a doctor. Shortly after, a doctor came in, we were attended to and we left there. The other nurses were sweet but I was disgusted by that nurse thinking we used to live in trees and caves and only spoke gugugaga before coming to Canada.

ACH is so nice that makes me being a kid again, minus sickness. This was my first visit at ACH for my son and we enjoyed the environment.

My son had a very long procedure done in endocrinology, and the nurses there were awesome! They gave my son $15 Apple card for good behavior😄

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!

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.

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.

There is no appointment assignment because "there is no agenda." But the EPS does make the punctual collection. Edit: The clinic is still terrible. Nurse Jeimy Oviedo, from the emergency room, is extremely rude and does not even see people to take signs. Edit 2: EPS Sanitas should consider ending the contract with this IPS, THEY NEVER HAVE AN AGENDA FOR ANYTHING. If I could I would give them 0 stars.

This clinic is now Christus Sinergia, according to the 3 hours I spent on the phone line waiting for one of those who answered me and went from one line to another to tell me how many hours they offer vaccinations, they have the best specialists and the best technology but they have the worst customer service or telephone service that I have ever had to endure for 3 hours without any response, just frustrated... they should have communication with palmira-cali and not throw the ball around

It is an institution with good facilities but poor reception of both patients and communication. For them to treat you urgently is deplorable, you have to be almost dead. When scheduling appointments, they do not give complete information. Apart from the girls at the reception who are kind on the phone, but in person they believe that, being despots, they do a lot; If someone arrives unwell it is due to the actions of the entries.

Terrible service as health officials from the doorman to the nurses, most lacking in humanity. Do not bring your families here because the sick must have a complementary plan or be prepared to be cared for on their own because one pays to be cared for like others because there must be discrimination, they need a lot of humility and empathy so that it is not noticeable that They work only for the salary. This career is about love and patience and serving.

That clinic is a complete hell, they leave the emergency patients in chairs, on the floor, they are not attended to, they lose their papers, there is overcrowding of patients in hydration, men and women, in the emergency room observation, please if you love your family member, don't take him there, the eps famisanar is rubbish, we need to transfer a patient from that hell, my son @supersalud, @famisanar. I attach photos that I was able to take in the terrible places that prohibited me from taking photos.

Foreign and locals please abstain from attending these very old and outdated hospital facilities. I've been a patient in the US, Spain, Germany and Colombia. This is by far one of the most frightening hospitals sub standard even for a tiny 3rd world town. Readers beware. Avoid at all cost, unless of course you happen to be a malpractice attorney. 1. Patient surgery intake. Expect a minimum of 2 hours 2. Nursing and Patient Information Systems. Pre and post surgical nursing staff use notebooks and handwritten notes as a the regular protocol for patient care. Despite revealing allergies with 5 different people and 5 different notebooks, the staff failed to write patient allergies in the surgical board and also failed to place the standard red bracelet. It had to be bluntly requested by the patient in the OR. The nursing staff laughed it off as normal noting it was goog "they" caught it on time. OMG. The nerve. 3. Institutional tardiness. Expect 3-4hour delay past scheduled surgical start time. Do not expect an apology nor a justification for tardiness. 4. During surgery expect nurses to answer questions to family at 8am, 11am 3pm. Should your family happen to run into a nurse and ask a question expect nurses to raise their voice rudely, only to be reminded to wait until the scheduled time. If your family receives a call from the OR team with a request (for information or supplies) and wish for you to ring the door, expect no responses to either of the two doors and one window. A family member witnessed a lady who could not find her father for 2 hours. Whiled the nursing staff dissed her, she had to appeal to a surgeon that was leaving the area. The information systems could not locate the patient. Frightening. Very Frightening. 5. After surgery expect 2 nurses to handle patient care for all 16 ORs. OMG. Frightening very frightening. Little help, fend for yourself. 6. Patient out-take. Expect the process to last a few minutes. But by all means do not expect it dignified changing room and or patient lockers. It's pretty gross 6. One week surgery follow up. Expect two hours wait on the 3rd floor of a brand new building just for check-in. Expect rude and insufficient check-in staff. Then expect another hour for the doctor to see you. I hope my comments help you make an informed decision. I hope my comments save lives and hardship. Steer clear if you can. Colombia has great hospitals. This is by fas substandard even for small towns in a 3rd world country.

The attention was terrible, I had to be there from 4 o'clock to reach a shift of 40 that they gave for a panoramic x-ray of the spine (goniometry and orthogram) 14" x 36" format (adults) and despite getting up so early there were already people queuing, additional They did not inform me that the numbers to make x-ray appointments do not work, no one is going to answer you and I found out about the appointments because I missed the first trip that I made at 1 in the afternoon so I got my appointment this time but I did not know that it was time to take copy of the history and if you have more than one exam in the order you must also make a copy, in short photocopy everything up to the ID so as not to be running if you do not have the order at the time they give you your turn they will not give it to you And even if you get up early and your turn is delivered at 6 in the morning, they begin to distribute them because customer service starts at type 7 or 8 so you have to wait and wait, there are very few who pay good and human attention, almost no one gives you gives reason for nothing and it's up to the users themselves to look for solutions, the photocopier in the cafeteria will be type 6 and there is another one inside where you wait your turn according to what they informed me on the second floor, if you still need to print something it is better to do the queue to receive your turn and after you enter, go up to the second one to make copies. It happened to us that together we sent someone else to make the copies and we kept him in place and when the time came for the turn to be handed over, the guard refused to wait and without order there was no take a turn! Another thing is that you have to line up for everything for the laboratory, for MRIs or diagnostic images, to make appointments with specialists for everything! Before standing in such long lines, ask carefully where it is your turn, many arrive and lose their turn for being where they should not be, where the photo public is where you have to line up for the laboratory, x-ray and in front is for appointments with specialists.

This hospital has modern facilities and good qualified and humane staff who provide good care to their patients.

I arrived at 10 when they say they open, no one. A girl arrived at 10:10 and they couldn't open the door for 10 minutes. We went in and another 10 minutes waiting to be attended to. I ask to be shaved and a boy who looks like he is 16 attends to me. I cut myself 3 times; He leaves the sideburns different and finishes them with a shaver. I could do better at home. Horrible service…. Avoid this site!

My gratitude to all the professionals who work in this hospital. It is a sacrificed job, my admiration goes to the entire team, who carry out their work with professionalism, patience and a good attitude. God bless you.

Terrible service, it is a clinic of low quality and deficient medical care without professional ethics. Due to malpractice, a great doctor died when he was only admitted for an appendicitis operation, the operation went wrong and it became complicated. All for a hospital without a well-sterilized and clean room to do their operations.

Very professional in patient care and attention. Currently they are one of the few hospitals that has prostheses for knee arthroplasty. They have a very good rehabilitation service. The facilities are very clean and permanently disinfected.

Just was released yesterday after being admitted last Thursday in need of a pacemaker. My husband and I were so pleased with our experience. Dr Marlon and Dr Francisco from the cardiology department were amazing. I was treated very well. I will be forever grateful.

Such an amazing experience! I went to the emergency with a stomach issue and they immediately took me in for checks and tests. Super professional - totally recommend!

Terrible (i.e. no) pain management after severe accident. Got also pain chock due to rush in changing linnen. As I chose to be operated at my home hospital (one of the top three hospital in pelvis operations in the whole World) they got upset and delayed my ambulance flight with a day (by not filling in papers on time). You can imagine the cost of having an ambulance flight waiting for you one extra day..

Great Service, Doctors are so respectful of patients times. Very clean hospital. Quite a different experience from other hospitals. Very pleased.

I went in with back pain. Got excellent care ,x-rays, diagnosis in less than 2 hrs.

This hospital is amazing! My husband had to attend and I was so impressed with the staff! As we do not speak Spanish, they were all very amazing and did their best to help us. They were kind, caring and detailed to ensure that we were well taken care of. Thank you so much for taking care of my husband! You are the best!

It is a hospital with very good facilities and good medical staff. It is noticeable that they are trying to improve many aspects, but they have failures at the level of internal logistics, since they frequently drop hospitalized patients hours in advance for diagnostic imaging and other tests, clarifying that in the waiting room for Imaging diagnostic rooms have air conditioning, which ends up making some patients more sick; The truth is that in this regard there is a great deal of disregard for patients and a great lack of organization on the part of the hospital. There is also a large overpopulation of patients in the emergency room that obviously exceeds the capacity of the hospital, since even in the emergency corridors there are stretchers with patients and companions who do not even have a place to sit.

The emergencies of this hospital are chaos! The disrespect towards the patient is total, you must stay 3 to 4 days in the emergency room under undignified conditions so that they give the patients a bed there is a doctor Moros who is the head of the emergency room and the man does not appear! No one provides a solution or an answer!

Rude guards that don't know medical status but won't allow access or questions to medical personnel. This goes for guards outside and inside. Doctors do not provide status to patients and send students to relay status. Students can't answer questions. Poor communication and follow up by all personnel which have led to 3 wrong diagnosis by doctors. Once realized we asked and the staff blamed the family members of making up stories and medical visit history missing information. This review is based on the past year with various family members appointments and emergencies I am basing my rating. This rating applies to various areas: emergency room, intensive care, critical area, and maternity ward.

Without a doubt it is an incredibly efficient hospital with great human warmth. The guardian service is one of the best I have known in public institutions. I hope they continue like this, the demands of their doctors and area heads make it one of the best hospitals in the country, if not THE BEST

I really say this government hospital really awesome . One week I spend here. Stuff very friendly and helpful.

The experience I have is sitting outside on the sidewalk, my wife arrived an hour before me for emergency treatment and entered without problems, since I did not enter with her I have to wait outside, the doctor tells her that only the guard can decide if I go in or not and he tells me that only the doctor... well, there is my wife feeling very bad and unable to accompany her. I thought patients had the right to a companion... terrible!

In Sept 2023 in Cuenca, my upper arm was broken in 4 places and I needed surgery to repair the bones (titanium screws, metal plate,). I was hospitalized at Mt Sinai for two days, required a month of 6 hr/day in-home care by rotating team of Mt Sinai nurses, and had subsequent 5x/wk physicaltherapy x 2 months .The care I received was extraordinary at every level. I can't praise the competence and personal care enough.

I was just digging through some old boxes and I found the paperwork from when I had to make a visit to Monte Sinai hospital when I got sick in Cuenca back in 2017. It brought back the memories of the amazing treatment I received there. I got insanely sick while visiting Ecuador. Before I got to the hospital, I thought I was going to meet my demise and I was saying my prayers. Thank goodness to the wonderful doctors and staff at this place because they took great care of me. I didn't get to see the entire hospital, but from what I saw from my point of view, they seemed to have pretty much everything there that you would find at a regular United States hospital. Plus, all the doctor's I saw there spoke English too. The experience also really opened my eyes to make me aware of how the statesides hospital rip Americans off. I don't know if their prices have changed since then, but my entire cost with testing and treatments and medication was right around $100. No you did not read that wrong, ONLY about one hundred dollars USD. Another way Ecuador helped me to realize that the United States is good at taking advantage of their citizens, is that when you go into the pharmacies there, the medication is a fraction of the price in the United States and many of them you do not even need a prescription for. Well I just thought I would share my experience for whoever wanted to read a real review on this place.

There is only one internationally rated hospital in Ecuador and it is in Quito. After 10 days in this hospital, they are decades away from being accredited. They do not have a lot of basic equipment. Suffice it to say… it took 5 days just to find me a washcloth. Had to stay an extra 3 days due to their neglect. Ecuadorian health care is ranked 101 in the world. U.S. is ranked 32. You chose.