Pelvic lymphadenectomy in 85 Oncology clinics in Americas

Bad services, appointments are always delayed, the billing area is very poor. I have an appointment that I have been waiting for for more than two months because there is no agenda, it is supposed to be at 9:20, it is 9:35 and I am in line to be able to check in from 8:40 and nothing is moving forward. The tedious thing about the place is always in the billing area. The appointment is practically lost.

In the emergency room the service is complicated, especially because of the nurses, but in hospitalization things change and it is very nice, the doctors are always kind and the little angels are sweet.

The worst hospital arrived due to an emergency of a cut finger at work since 8pm and it is 330am and no doctor or anyone shows up to take the respective points, the doctors sleeping and the worst people on the floor

Terrible service, absurd delay at reception of more than 40 minutes. Unprepared employees with no information on service protocols. Both for scheduling by phone and in person. I scheduled an MRI and confirmed the information before making the call and when I arrived to be seen on the second attempt (as the first time I was unable to be seen because the exam was 2 hours late) the attendant gave me completely different information, stating that I would need to change the order on behalf of the council, and I confirmed it with the telephone attendant twice regarding the council. Anyway, on top of that, I agreed to take the exam because I was urgently required, but it was 1h30 late, which ended up being a little longer. The hospital used to be excellent, but it has lost its quality, I don't recommend it.

Terrible in terms of hospitalization... I arrived at the hospital with my daughter with blood in her stool... I was well looked after in the ER and, after carrying out the tests, the doctor informed me that hospitalization would be necessary. We were directed to the infirmary and here I have been ever since. I was admitted to the hospital on 11/27/23 at 7:58 pm. I signed the authorization for hospitalization on 11/28/23 at 01:48 and now it is 15:50 on 11/28/23 and we are still here in the infirmary... They should warn you before admitting you about all this! A lack of respect. My daughter has been on a stretcher for 14 hours and I was sitting in a chair for hours and after a lot of complaining, they put an armchair...

DON’T HAVE CHILDREN IN THIS PLACE😡😡 Worst experience possible, we signed a maternity plan at this unit, everything was wonderful when presented, I thought it would be a good place for my wife and daughter. My wife went into labor so we went to the hospital. Arriving at the location, my wife went to the service. There was no room available, so we did the whole process by pushing our bags around the hospital. I asked the receptionist who informed me that this is quite common at the place, as it happens every day and so I asked someone from management (both rude) and said that I would only have a room around 9 am and at that time it was around midnight. night and a half. Of course it didn't happen, he only got to the room around 2:30 pm. In short, my wife had our daughter, I continued through the hospital pushing suitcases, all of this was nothing close to what my wife went through. THEY SIMPLY LEFT MY WIFE FOR 5 HOURS IN THE RECOVERY ROOM ALONE WITH THE BABY AFTER A RACHI BECAUSE THERE WAS NO ROOM I CAN'T GET OUT OF MY HEAD HER CRYING TELLING ME Several women passed through the recovery room and went to their rooms, and they remained there with no one to help. We arrived at our room after much insistence and were poorly attended to by the staff while my wife went through what she went through. INHUMANE HOSPITAL WITH TERRIBLE ADMINISTRATIVE STAFF NOTE: Nurse GABI was incredible in providing care at all times In other words, look for another place for such an incredible moment in life.

I don't know why there are no cameras in the hospital. At least in the nurses' room. Every time I went to the pediatric emergency room the same thing happened. Nurses talking about personal matters, laughing loudly, as if they were in a bar. And when we make any requests, they are rude, rude and even mocking. I spent 14 hours there with my 3-year-old son. I didn't even see hygiene (the minimum expected in a hospital). Sheets used by patients the night before were left on the chair (until the time I left, they were still there). Children with infectious diseases (gastroenteritis, severe flu...) were discharged and the seats were not sanitized. They directed me to the resting chair, when I sat down I felt something dripping on me. It was the nebulizing mask that a child had worn during the night. I myself had to sanitize the armchair my son was in. Holding him with one hand and rubbing alcohol with the other. Chaos. I filed a complaint with the ombudsman and to this day I have not received a response. I will formalize a new complaint with the ANS with photos and videos.

Top

I think this hospital is great, I had 2 surgery there. I am from United States. The Dr used was Dr luis Eduardo Barbosa. His staff was excellent. The front desk at check in very professional. Then I was brought to a room to change and then to the OR. woke up in recovery and was feed food and released in the morning. Parking was easy. Hospital was clean, looked up to date. Excellent experience there.

I'm really upset with the hospital because before I was discharged they gave me the antibiotic and painkiller medication many hours before I was due to make my bill bigger and they went over the insurance budget and they didn't let me see the breakdown Disastrous administrative staff

What a lack of professionalism: - nurses calling each other “amiga” while tending patients in their rooms - residents and nurses rushing into the patients rooms disregarding any privacy and without any education to greet anyone in the room - nurses setting up a workstation in the rooms hallway, meaning they have no respect for patients or visitors need for peace and quiet - poor facilities and lack of maintenance

In general, it is a good service that is provided, with the exception of a nurse who, without having any idea of ​​how to channel, gave my wife her arm with a huge bruise. The staff is very friendly and the facilities are clean and comfortable. The dark one in the rice is the cashier staff, who get annoyed just because, after almost five hours of having discharged a patient, they go to ask them if the documentation to pay is already there. Without any kindness they answer curtly: we are checking, we will call you.

That day they had the refrigeration at a very low temperature making it uncomfortable to wait for the doctor's attention.

Excellent care from the medical staff who work in this public hospital

Good service from the staff, but it is very slow. They should make the way they serve donors more agile, something that is not so easy to achieve.

It was a great experience! From the gate to medical care, I was treated very well. Initially, I received information that the expected wait would be two hours and I decided to stay calm, settle in and wait. The important thing was to have already gotten there. After all, everything that seems bad can certainly get worse! So, everything worked out! The doctor on duty is super TOP, attentive, very assertive for her young age. The nursing technician Arnaldo with the hand of an angel that I didn't even feel the discomfort of access. For the laboratory exam I was seen by Jefferson and when I thought it was going to be horrible, he was already done!🫠 The doctor who took the shift and discharged me was also great!!! What professionalism, what a high level of this team! Thank God everything was perfect! And my plan is no diamond!!! Thank you, God, Congratulations Emergency Hospital Santa Joana! November 2023

I went to the hospital a few times, both for consultation and emergency. What I can say is that the Hospital is very organized, has very well trained staff, I have always received very good service on the phone. I saw a lot of people criticizing here and I decided to tell my positive experience, it doesn't mean that I didn't encounter problems, such as a consultation that took 2 hours to wait, but in this case it was an isolated professional, I don't believe that the hospital itself is bad, but Like everywhere, there are good people and others not. The rating I give is 5 stars, as most of the staff are attentive, careful and the structure is excellent! In short, Hospital Santa Joana is of excellent quality, has very well-trained staff, they answer the phone and answer your questions very carefully. I attributed my bad waiting experience to a specific doctor, the others were excellent, so a very good hospital, congratulations!

I had to take my 3 year old daughter to the pediatric emergency room and unfortunately I experienced racism from the first contact with the doctor asking me if I was the mother, because my daughter was white. I've never seen a children's professional not interacting with the child, not conditioning, nothing... Super rude, cold, indifferent. I observed her serving a white family and it was totally different. I felt violated. I don't recommend Santa Joana!

I had surgery with DR Cláudio Kawasaki on my knee at the hospital, I was hospitalized for one night, the food at dinner and snacks were excellent, but not the same as the attention given by the girls and boys, nursing technicians and nurses, super attentive and patient surreal, even with a lot of pain they did everything they could to minimize it and give it all their attention. I recommend it 100%

Excellent physical structure, reception service, wonderful attentive and human nursing team, in the cafeteria in the afternoon the attendant was very polite, calm, super human, I watched and she even knows who the patients are.

My experience was undoubtedly a wonderful show, everything was impeccable from the entrance to the exit, I believe that I will hardly have a treatment like this anywhere else, congratulations to the entire team for a high-end humanized service.

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

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

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

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

Nice hospital

Top

Bad place to go to an emergency... They pick you up whenever they want and they don't attend to you... I arrived at 10 pm... I was left waiting for 2 hours on the stretcher with the curtain closed so that in the end no doctor would arrive. check me... They only told me that they would come and check me out but that wasn't the case... I had to leave...

On Friday, October 27 at approximately 8:00 pm, we came to the emergency room to check my daughter who had a throat infection and urinary tract infection. Dr. Jesús María Hernández Reyna did not test her with the reagent strip and so I He prescribed an antibiotic, and I asked him if he was not going to take a test, and very bleeding and sharp, he answered that there was the medicine for both infections. I was very upset and dissatisfied, we had to return again today because my daughter still has the discomfort of the urinary infection 😡 Seriously, I don't know why they study medicine if they aren't going to treat their patients well, it's too bad that some of them take it all because it's not the first time we've come and other times they've treated us well.

Reception staff, terrible service, thanks to the fact that you go to that hospital, they have work, they should improve, no, it's up to anyone to put things in order, not because they pay, they treat you well, nothing to do with it. My best opinion is that they better use social security. I think they give better service. that you are clinical.

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

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

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

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

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

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

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

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

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

One word: GRATITUDE!!! I have gratitude, a feeling of recognition. I want to thank you for EVERYTHING. Receptionists, Doctors, Nurses, Cleaning Assistants, Cafeteria, Physiotherapists, Radiologists, everyone in general who gave and is giving us support in a difficult phase, which makes it a little lighter...... GOD BLESS THEM, ALWAYS.

Apart from the reasonable delay for the first pain medication (renal colic) and the first nurse who pierced my arm 3 times (skinny with bulging veins) until she was able to access it), the service was good, everything else.

I would like to thank all the staff at Hospital São Lucas for their service and care. I arrived with what seemed like a simple cough and had to be hospitalized. I am extremely grateful to Dr.Thiago Soares Gomes for his diligence and prevention in decision-making, and to Dr.Filipe Miranda Bernardes for his constant monitoring. When an X-ray was not enough to detect the true cause of that cough, they did their best to clarify the picture so that today I am better and continue with the necessary care. Know that my family, people who love me and I greatly appreciate the professionalism and so much humanity of all of you.

Absolutely horrible service. My father broke his arm and we had to wait like 10-15 minutes just checking in. And then they gave him a terrible cast and diagnosis. We had to come back to the US and go to our local Kaiser Permanente to get actual care for my dad. Please avoid this place, especially if you are visiting from the US. Por favor, nunca buscas ayuda aquí, especialmente si vienes extranjero de los Estados Unidos.

We have used the services of Valmar Hospital, including surgery and emergency care. Could not ask for better service and care. Having so many specialists at one location is so helpful. Received excellent care from Doctors , nurses and staff.

Horrible service. Showed up here with a case of Food Poisoning and was turned away because my symptoms were "similar" to Covid-19. The front desk person told me to wait outside, didn't even ask me simple questions such as if I had a cough or shortness of breath and after "speaking with her supervisor" told me I had to go to the General Hospital because Velmar was "full". Such a lie! If it was full, why wasn't I turned away when I first showed up? I went to Clinica San Fernando after and was seen by a great doctor there. My cardiologist and urologist have their offices at Velmar and I will let them know I won't be able to attend our appointments anymore at this hospital, because they deny service to people in need.

I wasn't going to write a review (I'm so over all this), but I feel compelled to after reading a review that was extremely similar to what I experienced here for COVID-19 treatment. I tested COVID-positive on January 3rd and started Paxlovid. I saw my neighborhood doctor on January 4th. I am vaccinated (and boosted) but am at high risk with asthma. I was given steroids and breathing medicine. I was instructed to go to the hospital if I got worse. I got worse. The following evening, my oxygen dropped below 80. Scared, I called an ambulance and requested to be taken to this hospital as it was supposed to be the best. They took my oxygen in the ambulance and immediately gave me oxygen. I was on oxygen the whole time in the ambulance. I was taken off oxygen when I arrived as my saturation reached the high 90s. I requested the antiviral remdesivir. The doctor refused to give me the medicine. I explained how my condition worsened despite days on Paxlovid, steroid injections, oral steroids, bronchodilators, and rescue inhalers. He could not have cared less. I requested to leave as the doctor was not going to treat me (he charged me, though). The doctor told me there were other ID specialists. I requested to speak to one of them, and the doctor left. While waiting, someone else came in and said there were no other ID specialists there, so I paid and left. It should be noted my saturation had fallen to 92% by that time. I struggled at home with symptoms for the next few days. I continued testing positive after completing Paxlovid. My condition worsened, and I returned to the neighboring doctor about a week after leaving the hospital. Still symptomatic and COVID-positive, he examined me and found pneumonia. My labs were also abnormal, showing evidence I had developed blood clots due to COVID-19. He prescribed medicine for pneumonia and clots (which worked). All this could have been prevented. Trying to get my medical records from this hospital afterwords (for insurance) was like pulling teeth. It took forever to get my records, and when I finally did, I was shocked. The doctor noted that I said things I never did. My signature was forged on the documents. Worst hospital experience ever. Very expensive and received no treatment. The administration is a nightmare as well. Avoid it if possible.

We have been living In 3 different countries for the past 9 years, never experienced anything as bad. We have a a top insurance but they “suddenly” only excepts credit card payment. Stayed for additional 5 hours because they did not let’s leave. No one speaks English except the doctors. However, doctors are very competent and reason for not one but two stars.

Absurdly (like, for real) expensive for a very mediocre level of service. I went to the urgency center, and i found it very useless that on every stage (reception, triage, first and second doctor) they asked me the same questions. The doctor took more than half an hour to arrive. The receptionist has misinformed me and I did a very expensive (since I’m traveling abroad) call which wasn’t necessary at that moment. Also, several times there were several people coming in at a time, also unnecessary, certainly didn’t create a feeling of comfort. The room in which I was attended was small and the door was never closed.

Excellent nursing team, I had problems on a few occasions releasing the medication (bureaucratic part), but something punctual. The team was very attentive and dedicated to the patient. Very happy to recognize the quality and exceptional service of the entire team.

Great service, especially from the receptionists and customer service assistant. I didn't really like the hematologist's care, but everything else was very good.

I gave priority to starting treatment at the clinic, on the recommendation of an incredible doctor. I was received very well by Dr. Clarissa and Dr. Liliana who are accompanying me in this process, but the reception team, appointments, among others, do not have the same desire to help, I believe that they are not strongly aligned with the purpose of the institution, there is no point in having welcoming doctors and the other sectors are involved in the process . Immediately they need to go through a recycling, the clinic has to be a welcoming and harmonious place.

Hospital Paulistano is excellent, incredible professionals from reception to departure, delicious food, I was very well assisted by neurosurgeon Dr Adil Bachir and Dr Rodrigo during my anterior and posterior lumbar arthrodesis surgery, on the L4, L5 and S1 vertebrae, almost 8 hours, doctors on duty, very human and attentive, wonderful nursing technicians, excellent nurses, excellent and committed physiotherapists, it was an immense joy 1 day after the surgery to get up from the bed and walk around, without any support. My mother waited for my surgery in a room, fully assisted by the staff and nurses, thank you in advance for so much effort and care. Congratulations to everyone involved. The only negative point is the shower, which doesn't heat up very much.

Today I had it at the oncology outpatient unit with an appointment more than 30 days ago. When I got there I found out that it was no longer scheduled. Because my plan, which was Amil, changed on 11/01/23 to Bradesco and they simply didn't send me a confirmation email. In other words, lack of respect and I missed two appointments, one with the oncologist and another with the general surgery team (which has already been rescheduled 4 times since September) Today I was rescheduled for 11/24 by the oncologist and the general surgery team oncology on 12/11. I complained to customer service. What I heard was . I'm sorry ma'am, let's find out what happened. Very inhumane towards cancer patients. And on June 14th of this year, during my first surgery, they lost all my exams from the surgical center back to the room. What I heard from the Surgical Center Manager... I trust my team... This has never happened... In other words, I'm the one who fights behind the exams to continue the treatment. I had to go to the Lavosier and Tecnolab laboratories to request a duplicate of the image exams.

I had knee surgery on 6/24. The service was all polite. They always ask you to arrive two hours before surgery completely fasting. Before the surgery I spent time with nursing, with an anesthesiologist and with my doctor. All facilities clean and well organized.

How is it possible that a Hospital like this still has Rimax chairs for companions, as if one did not have the right to sleep and rest comfortably while with their patient, seems like a total lack of respect to me!!

They do not have specialists available and you must wait a long time for a medical appointment to be assigned. As for the care in the hospital, it is good.

The truth is, not a very pleasant experience in this place, and even more so if we talk about the Emergency Service☠️, poor quality of service, care that was too delayed, with more than 4 hours for "adequate care" already when the patient has succumbed to crying or in the worst case, deceased; However, the current service of this place given its triage measurement is absurd, where the doctors of said "Emergency" unit "REASSESS" patients when in other tertiary institutions the reassessments are followed by other doctors and specialists, leaving the doctors free Emergency services, in order to serve Users who are waiting!, Things that in this medical center. #System#Poor

* Good facilities * Good equipments * Bad communication * Bad attention and follow up on the patient. * Really slow process in “emergency” area. * Bad management.

Sandinista Revolution Really??? still rich ladies came in where we where all waiting for more than two hours just because they knew the doctor and were rich where overpassing a pregnant lady this is a disgrace to the honor of the memory of our great hero that kicked out twice the US marines the revolution was useless there is no such thing like equality in my beloved Nicaragua

MY FRIEND RECENTLY VISITED THIS HOSPITAL AND HE STATES HE HAD A GREAT EXPERIENCE! EXCELENTE STAFF:) BUT MOSY IMPORTANTLY DR ALTAMIRANO WAS VERY PROFESSIONAL, HUMBLE & COMPASSIONATE . VERY KNOWLEDGEABLE EXPLAINED EVERYTHING DETAILED AND MADE SURE HE UNDERSTOOD, THAT SHOWED US HOW MUCH PASSION SHE HAS FOR HER JOB SHE IS THE BEST DOCTOR HIGHLY RECOMMEND ANYONE TO SEE DR ALTAMIRANO WISH I COULD LEAVE A 10 STAR FOR HER ⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️