Pacemaker replacement in 109 Cardiac surgery clinics in Americas

After entering the emergency room, they delay people up to 3 hours for a simple injection. The staff meets in the offices to talk on the cell phone and chat; Very few give priority to what is really an EMERGENCY service.

Terrible human attention, lack of humility on the part of doctors in the intensive care unit 2 floor beds from 1 to 25, especially women, my mother as a family member went to ask something, and addressed the first uniformed person calling her "woman "Do me a favor" and the lady responds, "I'm not a woman, I'm a doctor" and she leaves without saying another word. My brother, as a patient, takes too long to perform assisted position changes and personal hygiene. It lasted more than 1 hour being with him. the dirty diaper, but they do see a cell phone in the family member's hands and they run to tell them to put it away, and they use it as if nothing had happened, what a lack of respect.

For 5 consecutive days they make me fast all day waiting for a surgery around 5 pm in a rude way and without any tact that they will not operate on me, if I approach them respectfully they get indignant and respond horribly, I feel imprisoned I have been hospitalized for 12 days for some calculations .

Terrible facilities, the room we paid for without heating, the chair old and hard, the recliner broken... a 29-inch television located almost on the ceiling of the room. Not to mention that those who visited us had to wait on the street because their waiting areas do not know who they are designated for... a complete mistake to have chosen this hospital to give birth to my daughter.

The doctor is excellent, but the security personnel are disgusting, zero common sense, they treat you as if you were begging them for alms, at 8pm my sister arrived to greet my husband, but my brother-in-law was there and as he was leaving I went down to wait with her, my idea was to wait in the entrance room, which by the way was empty, and they didn't let us, they told us we had to wait outside, the truth is, that had never happened to me in a private clinic 😡 the security people were very rude

TERRIBLE SERVICE from the guards, they have ZERO empathy, AGREE in all areas, because before going I contacted them to see if they would let me in, the nurse said no problem, to mention that it is on the second floor in the short stay When the security personnel arrived, they asked me and I told them where I was going. They asked me for the name of the patient and when I told them they started searching and told me in an annoyed tone: “IT'S NOT TRUE.” A tall lady with glasses who was sitting there started rude to tell me that there was only for pregnant women, so I dialed to confirm and the RUDE lady started telling the other guards not to let me in because there was another person there that I was talking to, they really treat you like If you were committing a crime, instead of having empathy, the lady who works there is super rude, YOU KNOW WHO SHE IS because they told me that "THIS IS SHE WAS" I mean, she has several complaints, I told them that they had told me that it was possible, that I would not have gone there without asking, and they would not let me in, and they told me that the nurses and doctors DID NOT HAVE A VOICE OR VOTE, that they should dedicate themselves to their own thing, I asked them to file a formal COMPLAINT or at least a suggestion and With a mocking tone they told me: THESE ARE NOT HOURS and they passed me on to the admission card, for what? If she is the same, she told me that the only ones who had “the power” were the guards and that if they said no, it was NO, so I told her that my annoyance was that I asked if it was possible to enter, before going, and that right there they asked and told me that if the corresponding area and that I had not driven there for this to happen, she told me that she could not do anything, so AGREE IN ALL THE AREAS, so I returned and They marked me again, the nurse said to let me in, OF COURSE YOU COULD, and I told the RUDE guard again along with that lady, and another man arrived and they asked him if it was possible? And he told them yes, to let me pass... COULD NOT? They really have more empathetic and kind staff, because it is a paying hospital, and one does not go there to be treated that way, learn to have adequate service and have a complaints and suggestions department so that they can see all their areas of opportunity and improve them, do not be mediocre and stay with the complaint “that in the end nothing happens” but of course what happens, because voice in voice is the most powerful…. As for the nurses, my respects, but the guards, who are the INITIAL image of the hospital, leave you wanting to burn the bad service they have EVERYWHERE... Don't go to that hospital, there are more expensive hospitals, of better quality and you will They treat you with a lot of kindness and empathy, just like places like the IMSS where the guards have more empathy than there, not like CHRISTUS MUGUERZA, they look like police officers dealing with criminals... DISGUSTING guard staff... PS: Isn't it that you couldn't enter? I am writing this from their short stay on the second floor… INCOMPETENT

Emergency services won’t take a sick 13 years old child as a patient. So please beware of this strange rule and don’t take your youngsters there. Very strange rule. Should be advertised widely so one wouldn’t waste their time on a case sensitive situation. Be good to communicate this on company’s website.

Please dont ever seek treatment here you are better of at a veterinary. Went here cause my girl friend got an bladder infection and it was hurting more than it normally would. They scared us to death with all these possible rare conditions she might have and do everything they can to do as many scans and tests possible. After all the ultrasounds and MRI they tell us they did not find anything and they give her a prescription with a rare intramuscular antibiotic(she was already 2 days in to a normal penicillin cure) the doctor tells us to stop taking the cure she was on and get a shot everyday of the intramuscular one she prescribed. The fun part is after that i went with my sick girlfriend around rio to try and find a place that has this medicine and can inject her with it but no pharmacy or public hospital was willing to do it. So she went without antibiotics for 2 days, only for us to go back to this hospital for them to change it to an oral one. So long story short we spent more then a 1000 euro's and 2 days trying to get her help and she only got more sick and ended up with the normal antibiotics we started our journey with

I'm only impressed by the price. My doctor was inexperienced, replied badly to my questions. They hardly speak any English. They did not give me the x-ray I payed for. Unprofessional, but overpriced.

Good doctors, half of the nursing staff are very attentive, and the other half need a customer service course, and there are no insurance personnel on weekends... no one from the insurance takes care of you on Saturdays or Sunday. I do not recommend👎

Excellent cardiology hospital, the doctors are top notch and the staff that work there are the same. A thousand congratulations.

I am currently hospitalized in this place and the truth is that I feel that the service gives a lot to be desired, the nursing shifts go to extremes, some are good and others are bad. It's six in the afternoon and they haven't come to clean the room, I told the nurse on duty and he says that it's not up to him to file the report, so what do I do? why so "how cheap is the stay" well, no

Unprofessional! My wife went through awful experience in this hospital on Friday and Saturday "Jun 24th/25th without any doctors seeing her!!!! They just gave her IV During those two days, My wife she's with high blood pressure and other high risk issues.... We'll go back to Toronto and will share this unbelievable awful experience, Thanks for nothing.

Excellent!

me n

I visited Sta Casa on two occasions as a patient and as a visitor, they provide an excellent service with trained doctors and well-prepared staff, I was well attended to and well treated by both......

Hospital concerned with providing quality care for everyone! Excellent projects will still come to the city that will provide better health for everyone!

Many are good, but in chemotherapy there is a need for more nurses to care for us who are undergoing treatment

I have had both good and bad experiences at this hospital. More bad than good unfortunately. They are not prepared to treat neurodivergent patients and have no understand of their medical access needs. The hospital should do more research in this area. I am very grateful for the nurses though! They work so hard.

If I could rate this a zero I would. This has to be the worst hospital in this whole city. It should be shut down. The lack of care is disgusting! I know the nurses are overworked but to be rude and mean to the patients is unacceptable. I live in the neighborhood so sadly this is the hospital I'm stuck with whenever there is an issue. 30 years ago it was a good place but it has gone way downhill and is only getting worse. My mother has a broken hip and isn't ready to leave but yet they're kicking her out because they want the bed, and she has Covid but they don't care, she's been there a month and they feel she's ready to go home. It may be free healthcare but that doesn't mean it's good. If you can, beg and plead the ambulance drivers not to send you there ask to be sent to a different hospital because you'll get treated like garbage here if you get treated at all. It's a disgraceful place and I feel for anyone that has to be stuck in here. I love all these fake reviews saying they're great. What a joke!

A recent 3 day visit to this hospital for a surgery of a family member renewed my respect and appreciation in Canada Health system. A great team of doctors, nurses, support staff and volunteers provided an A1 service efficiently, professionally and with care using complex and up to date medical and IT equipment. The team included senior and younger staff from Canada and new comers to provide care for patients that have not visited the hospital by choice. The hospital offered a super clean place even during renovation. The Kitchen staff would not get a Michelin star rating but they got a 5 star from me for quality, reliability and service. Even the underground parking was safe, clean, well lit and with reasonable prices. Well done team MG. I know that such a performance takes a lot of work behind the surface. A refreshing experience that proves that dedicated, experienced and “real” people, not money and politicians, make all the difference. Sorry for the long winded review, but a big thank you. Keep up the good work.👍👏

I didn't imagine we would have such a positive experience, from reception to the surgical center staff, nursing staff, concierge. We were treated with incredible affection, the nurses took care of the patient and companion as if they were family. The kitchen maids, cleaners, what a team, there are no words to explain the amount of gratitude for all the care and affection we received.

I had orthognathic surgery last week, the entire team that attended to me during the 4 days were extremely dedicated. Mainly the nursing technicians: Juliana, Rebeca, Nice and Denise. When I was discharged I was afraid I wouldn't have the same care at home, but I needed to free up the room lol. I also thank the physiotherapist Karem (I don't know if it's K), for accompanying me during her shifts. I just have to thank you. 🙏🏻

I was very welcomed by the entire medical and nursing team. In the emergency, I particularly thank Dr. Elieber, his clinical evaluation led to a correct diagnosis even before the laboratory tests. Congratulations. For the nursing technician, Wendy, the affection and welcome made me feel protected. Thank you very much. I stayed in ward 202. Everyone was very attentive. I thank the nursing team in the Nurses. Pamela and the nursing technician Ana. I mentioned names but I was very well attended to by everyone. I would like to express my special thanks to Dr. Paula Righi Cardoso. She brought me security. Kindly explaining the treatment and clarifying all my doubts. Healthcare needs professionals like this. God bless you all. Much gratitude. I would also like to thank the nutrition, cleaning and physiotherapy teams. 🙏

My cousin has been sitting in a chair with gallstones for three days waiting for an evaluation from the surgeon. They don't even put her on a stretcher because they simply don't have one or they don't feel like it. How sad this poor service is!

The worst care, I went to the emergency room and the care was terrible, an all-day wait for a bleeding problem, an eternal wait for results all for them to only tell me - "come tomorrow and they can treat you during the day" . How sad it is for someone to seek help and be treated that way. Doctors with little empathy, they don't care about the patient's conditions, they barely pay attention to you. Many thanks to the doc. MARTHA ISABEL CORAL MAYORAL from Sura who treated me as a priority and recommended that I go to this clinic.

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Really good service for a tourist in need of a quick prescription. I was seen within 15 mins and got the medication I needed. Doctor spoke English which was helpful

They will not accept you if you don't have private insurance. They only accept payment from the insurance company, no credit or cash. If you are traveling here, go to a public hospital. The lady working there was extremely rude to me and was not willing to help me at all when I asked her where I can go to get medical help. I asked her for a hospital name and she essentially told me to F off. Luckily, I contacted a Spanish school for Spanish lessons and asked them where I can go. They gave me the name of a public hospital, and I was able to get my wound treated.

Malardo

Mmm

I found them exceedingly reassuring and reliable, efficient and engaged. It was a bit of a wait going through A&E, but they really sorted things out in a very professional way and it turned out it was only a head cold. So no blood clots or any of that sort of thing. Which I found a bit humbling for wasting their time. Still, no hard feelings which raises my esteem for the place.

It was founded by Cleto Aguirre from Salta. The origins of the current Hospital de Clínicas date back to 1877, when its construction began. A year later -and still unfinished- it was the scene of the conflict over the federalization of the city of Buenos Aires by functioning as a rifle barracks and a hospital for the concentration of wounded. Attention to the community began shortly after the conflict of 1880, at which time Buenos Aires ceased to be a large village and developed to become the capital city of Argentina, which was experiencing the first waves of immigration and urbanization. A significant number of patients came from the interior, referred by doctors graduated from the Faculty of Medicine who kept a special memory of the aptitudes of their teachers in medicine. The tenured professor was the cone of attraction of the chairs and of the activity of the Hospital rooms. He was an ethical example to be emulated by his students, who supported him, shared his studies, sometimes his table, and even established kinship through marriages based on that relationship of admiration. Important feats of medicine took place in the pavilions of the Hospital de Clínicas: the first application of insulin, the description of Ayerza's Disease, Tobías syndrome, Castex syndromes, the first cardiac catheterization, the first medical residencies, the first Ethics Committee, experimental surgery, the first kidney punctures and the first thoracotomies, among others. The first filmed operation in the history of medicine occurred in this hospital. It was in 1899 and was in charge of the Argentine doctor Alejandro Posadas. The film is seven minutes long and was found in 1971, when the old building was preparing for demolition. It was exhibited on December 14, 2001 to celebrate the 120th anniversary of the hospital. [1] Built according to the models of its time, the design was inspired by the Friedrichshain Hospital in Berlin and the lazaretto in Karlsruhe. Since 1927, due to the deterioration of the old hospital and according to the emerging needs in previous years, several projects were planned to build a new hospital, a fact that would not materialize until 1949, the year in which the construction of the Hospital de Clínicas began " José de San Martín ”, in the block limited by Uriburu, Paraguay, Azcuénaga and Córdoba Avenue. Construction suffered numerous delays and only in 1962 offered the first services, radiology and otolaryngology. The rest of the services were gradually transferred in the following years. In the first years of the 1970s the new building became fully functional and in 1975 the demolition of the old headquarters began.In 2014 the executive power invested heavily with money from the National State to re-functionalize the Hospital de Clínicas and create a pharmaceutical plant to supply the network of university hospitals and also offer a space for practical training for students and teachers. [2]

Today, November 24, 2023, I make public our experience in this hospital, we arrived with our little 1-year-old son who had dislocated his hand and it was swollen, we were admitted and the girl took care of us very well, I have no complaints, she sent us to traumatology where we lasted approximately 3 hours, after that time we returned to talk to the girl who treated them and she told me to wait for a doctor to come out of the offices and ask him if he could treat us and that's how we waited for about 1 hour and a rude, poorly educated doctor came out. And for me without a vocation, he told me that the orthopedic surgeons were in surgery that I had to wait and be ready to be grateful that they were there and lastly he asked me where I was from. He can't take it anymore and I left that place crying with my son, what a lack of empathy if they treat people like that, I don't even want to imagine how without it with children. Very bad experience and I hope that doctor doesn't have to happen because we live through it. (I am the child's mother)

Excellent attention. Unique in Argentina given the specialization of the hospital. Medical care is specialized.

They claim they have a guardia or emergency but in reality they dont. You won't find a doc but you'll find loads of support staff. Not helpful when they've got support staff but no docs or nurses to actually help. It's claimed to be one of the best hospitals for kids but good luck trying to see a doc. My 5 year old had a fever for 3 days and convulsions so we decided to go to this hospital. Arrived and waited an hour for no one so I went banging on the guardia door, spoke to informes, admisión, orientation, etc but no help. I had to burst into their lunch room where at least 5 nurses were sitting down chatting just to get help. Screaming for help is the one way to go. You need to make a stink, bursting into rooms to get help. That's not how a hospital should run. Why must you have 5 people in informes, one in admison, one in orientation and ZERO doctorss???!!!! They've got no problem sending security at me but a doctor they don't have.

Terrible attention from the guard secretaries. From the beginning they were very rude. After having a tomography I was waiting 3 hours for the result (from images they told me that the result was already there and they had sent it to the guard) from the guard the secretaries told me that the result was not there, when in reality it was. Some RUDE. I made the claim and they laughed in my face, a real shame. I hope they review their behavior.

The on-call care is deplorable, especially from the doctors who treat you, and in imagines mdq it is not good either, at least in terms of customer service. If you feel bad, do not come urgently to this clinic. Others are convenient.

I am very grateful to all the clinic staff for their loving and willing attention. I was hospitalized and had emergency surgery for appendicitis and everything was excellent, but above all the quality of human care. The counter staff, the nurses, the maids, security and not to mention the entire surgery and operating room team, very professional, warm and humane. It is the second time we have had it, two years ago our 1-year-old son had surgery and everything was also impeccable. Thank you so much

In the offices of Patio Olmos, they scheduled me to be attended to by the guard and they NEVER called, at reception they informed me that the doctor who was going to attend to me LEFT!!! HE NEVER CALLED ME!!! A TOTAL LACK OF RESPECT. They take care of me at the guard and they don't have items to clean a wound!!!! Terrible attention!!! Physiological solution and gauze...they have nothing.

Came here as an international student. Best and most thorough care I have ever received for an acute condition that I regularly get admitted for. Nurses are very friendly. Clean facility. If i get sick in Córdoba again I'll go here!

I would strongly advice foreign tourists against this hospital. I made an appointment with a gastroenterologist and was immediately contacted by the International Patient Service. They're supposed to make your life easier but are actually an excuse to overcharge you without ever helping when needed. I've ended up paying over 500 USD to see a doctor and get some exams done, probably double of what I'd pay in Germany. They're very blunt about it and wrote to me they apply different tarifs to foreigners. We've all got a travel insurance, and I'm totally ok with a bit of a mark-up, but here I feel like a cow that's being milked to the very last drop.

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.

I had a day surgery in this hospital. It was my first time to have a surgery with general anesthesia, so I was quite nervous. However, it didn't take much longer to figure out that there was no need to be anxious at all, as all the medical staff who treated me were so kind and friendly. They naturally eased my anxiety. Each time I interacted with each of them, I was quite impressed by their professionalism. After detailed explanation of what would happen, my surgery started on time and went well. I am so greatful for their dedication and hard work. Thank you so much.

My dad just had a quadruple bypass, the care and attention he receiving is incredible and putting us all at ease. The surgery went perfect and he's doing very well. We can't thank you enough, after a few not so great experiences earlier after his stroke at other hospitals in the east end (not all their fault staffing issues are brutal) this has been a night and day difference. Thank you from the bottom of our hearts 🙏🏽🙏🏽

We are having our first baby here. We've been going frequently(due to our high risk pregnancy). They are amazing, and accommodating!! They have helped so much....every need, and question has been addressed and taken care of. In my opinion, one of the best labor delivery floors, ever!!! Keep up the fantastic work! Oh...and see you in a few, on our way to have our daughter....today!!!!❤

Hosp de la familia (Terror story) Hospital de la familia : Do not go here unless you want yo die!! My experience at the hospital : Right as we walked In they take us into a small room asked for the money! Our money got taken, immediately . I mean as soon as we walked in $5,950 +580. We were sent to the waiting room, the fear kicked in immediately as we were left in the waiting room watching this woman Maritsa leaving with our money. I was in tears ! Scared out of my mind thinking we had just been scammed! Soon they came to get us to bring us into room 212. The dresser was old and faded , so was the blanket and the dinner tray. I was so terrified that every time they took my blood pressure it was extremely high! My blood pressure continued to be high as Martiza kept getting defensive, talking over us and defending her unprofessionalism and her greedy actions . She did not try to be sympathetic or understanding. She made sure to talk over us, making sure we didn’t get heard , and that only what she wanted to say and wanted done being the only thing was being accomplished. My constant fear of being scammed I asked for receipts for all the money that had been given to her, she was annoyed at the fact, and stormed out! I was taken to a room where more test were done . The surgeon came in poked at where he wanted to work on. They wheeled me into the operating room. I woke up with no surgery done at all! When I woke up I was asked by a man in the operating room with a terrifying look on his face if I couldn’t remember what happened? I told him no! The other doctor in the room with the almost same look but more of fear & concern, said SO YOU REALLY CANNOT REMEMBER WHAT HAPPENED?? Once again , I told him no, I wasn’t being told what happened instead they all were terrified!! I was wheeled back into the room where my husband was waiting for me. There my husband asked me if I knew what happened? I told him no, but he had the same look of terror in his eyes. He then told me I had died . The surgeon told the nurses to get him where he proceeded to tell my husband that there was a complication and that my heart stopped after my larynx closed on me and that they had to preform chest compressions and that I was brought back and was stable , that as soon as I could get enough of the anesthesia to ware off , I would be brought back to my room to him. They then told him they only got to make the holes for the operation but no operation took place and they could not operate due to the “ complications “ They brought me back to room after that my surgeon Dr. Sariana disappeared completely! We never saw him again. There was another surgeon called in and he was the one we delt with . The consultation service group disappeared with my money . Sent me charges that now doubled my original quote. Now I have no surgery and my money’s been stolen due to their negligence. But I’m being charged due to the hospital not wanting to discharge us and said we must stay a extra nights here! Even though we wanted to leave we were told we would not be able to be discharged until the surgeon discharged us and he refused to do so and left us there accumulating charges for extra nights. When I was finally discharged the nurse said they had destroyed the vein where I had my IV and said no fluid was even going in anymore it was just all accumulating in my body. I was able to make a stop payment for the cashiers check that the consultation company wanted to keep even though they didn’t preform my surgery. They kept $850. Dollars I payed them in cash . But now they are charging me for the hospital stay I didn’t have a choice on, and I want the hospital to know that this whole experience has been a night mare. These people that you have working in your hospital are scam artist and I hope you think twice before you let portofino consulting do this to any other poor women who put their trust in this company. Please reach out to me and let me know what you plan on doing about this company’s terrible service, bill and what’s going to be done here.

I came to this hospital in October 2021 to get a tubal reversal. We made the decision to go to Mexico for surgery because of the cost compared to the U.S and I don’t regret my decision! It was clean, professional, and comfortable. The doctor who performed my surgery explained everything to my husband and I thoroughly and even showed us pictures. Although I do recommend taking someone with you if you can, who is bilingual because some of the nurses and I had trouble communicating since I don’t know Spanish, luckily my husband does and was able to translate things though. Maritza was the person who facilitated the appointment and was very responsive, she even met us at the hospital on a Saturday (the day of my appointment) to check us in. Most importantly though my tubal reversal was successful! I’ve had an hsg procedure back home in San Diego which confirmed this. I have not gotten pregnant yet though but I’m hopeful it will happen soon.I just wanted to share my experience to any other person it may help.

I highly recommend anyone who is thinking of having a sort of medical procedure this is the place to have it done. I am over the moon with how well I was treated by not only the nurses and hospital staff but Dr. S, Dr. Mariana, Penelope and Maritza were exceptionally wonderful to work with. I had weight loss revision surgery and could not be happier. I will be going back at some point for plastics. Thank y’all for being so good to me and my mom.

If you have the opportunity to be treated at this hospital MISS IT!! The service leaves a lot to be desired, admission, cash and public relations are extremely inefficient, they do everything wrong No They are empathetic with patients and do not provide solutions of any kind. The facilities are being remodeled and they have no qualms about drilling you in the Head at 2:00 am, they have no respect for the patients nor do they give a damn about their peace of mind and rest. Terrible service!! In addition to their times being ridiculous to deliver an account, register and charge you: more than 8 hours and they can't do it!!!

Without a doubt, one of my worst experiences, from the hospital...everything is super neglected and mistreated, even the staff, especially the person: ROSARIO LAGOS, she is supposed to be the head of public relations, she was asked several questions and she never knew how to answer adequately. a person who does not have tact or sense to be a head of public relations, the hospital should pay more attention to the people it hires in its positions, not just out of friendship, handing over positions with great positions to people who are too big for the position…. Do not waste time and do not contract the service provided by this hospital, TAKE THE ANGELES DEL PEDREGAL HOSPITAL AS AN EXAMPLE

My experience with the doctors, anesthesiologists and nurses was very human. Super nice and attentive nurses. They were always on the lookout. The doctors are very professional and explained everything to me in detail. Those who complain about the insurance and that the income is late. You should see this with your manager, but it is normal, even upon admission, they mention that the insurance takes 4 to 6 hours to respond and this has nothing to do with the hospital.

The place is large and they have excellent patient care from the beginning to the end of your stay. The hospital has all types of rooms but the one I got was a junior suite and it is very nice. The truth is that the staff is very attentive and the nurses do their work with pleasant attention, nothing rude and always very polite, the cleaning staff are also very friendly.

I had no issues, but my doctor helped with registration and with getting an accurate bill. Room was clean, nurses were all responsive, and food was good ( and they were accommodating to my preferences). If my doctor had not helped to smooth the process with registration etc.. I might have had a different experience. They also fixed the medical issue that I had so no complaints from me.

Unfortunately the hospital staff seem to have the only goal of making as much money off you as possible, recommending exams and treatments that are not needed or very, very excessive. On top of that, their professional knowledge is so poor I had a X ray technician and a doctor telling me I have a condition by which my organs are on the opposite side of where they should be because they were looking at my X rays flipped the wrong way around. In short avoid if you can!