Rashkind procedure in 126 Cardiac surgery clinics in Americas

Dealt with this hospital for several years. No matter what day or what doctor I've always been left with the same experience; cocky doctors playing God with the absolute worst bedside manner. Never again.

My husband was a heart transplant patient here. One time they failed to give an accurate report for him to adjust his warfarin accordingly. Subsequently he suffered a stroke and had to have intracerebral hemorrhage surgery. My husband overlooked a lot of things and this hospital had the nerve to kick him off the transplant list. They called an old number and then said that since they couldn't get in touch with him he was non-complaint. I gathered so much proof to show that they were the ones who made an error. I got all the phone records and proof that we updated his information but it was evident that they just wanted to get rid of him. I wanted to sue so bad but I left them all to God. You should have been in that break up meeting. By the grace of God he got his transplant at an excellent hospital in CA.

Lynn at the gift shop was extremely helpful and made ordering flowers a seamless process. She was so kind and patient too. Thank you Lynn!

We were at Vanderbilt before transferring to Mayo. This has been an amazing experience! It’s like it’s a requirement is to be super nice; Vanderbilt, not so much. I would recommend anyone to come here, and I’m so glad we chose to switch. The doctors, nurses, and even the staff (cafeteria, welcome center, etc) were by far nicer than Vanderbilt. They are so knowledgeable, thorough, and patient. Very impressed!!!

The Mayo Clinic is such a special place! It’s a medical facility that could also be a museum of art museum, history, and architecture. People travel from all over the world to be treated here, but what makes it truly special are the compassionate, skilled, and dedicated employees. I stood outside the Mayo Building and watched bus after bus pull up to the staff entrance - and watched countless everyday heroes get off those buses and go to work performing “miracles” at a place that provides hope to people who need it most.!!

I had 7 uterine fibroids removed by Dr Khan. Well done. No complications. After six weeks I was back in gym doing great. Dr khan is the best. Great doctor. Nurse Logan day shift and Susan night took good care of me.!!

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

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

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

I’ve been in the er waiting room for 3 1/2 hrs now and haven’t been seen yet and when I got here there wasn’t any one else here. now it’s full of patients. I worked in an er for years so I understand the situation and process of seeing patients but just because I wasn’t bleeding and wasn’t screaming in pain I was put on the back burner.

My wife has been coming here for long time because she has a pacemaker/ defibrillator for over ten years. Couldn't tell there was anything wrong with other than that. September 7, she had an amulet placed in her heart because she couldn't take blood thinners. Week later she had lost 4 pints of blood. They had to repair the leak. While she was in surgery they did CPR on her. Not blaming anyone for that. On November 16 she was transferred to heart hospital because she built up with fluid. We were in there for 11 days and everyday I asked them what the game plan was. It was always still trying to get the fluid off. Nothing else was ever brought up to me about them trying to do anything different but giving her diuretics. NOTHING!! I'm not a doctor or nurse and I sure don't know every question to ask. They sure as hell didn't offer any information. Dr Lane was even going to send her home 9 days later. We told him no. Not until we knew what was going on. A day later her defibrillator shocked her because her heart rhythm went crazy. Never told us how bad her heart was. Two days later they still just said they had to get the fluid off. Did find out that my wife had stage 3 kidney failure. Also had to ask them to check her liver enzymes since they were doing blood work every day. Found out she had cirrhosis of liver but that's all the ultrasound showed. They never told me there were other options they could do to try and help her heart. I finally got my daughter-in-law up there that's a nurse practitioner. She got in and started going over everything asking questions about the other options that was never mentioned to me. She had more information in 15 minutes that they had given me in 11 days. That's just tells me that they don't care about all of their patients. Over at Baptist now and has gotten more done in 4 days than they did in 2 weeks. Got 30 pounds of fluid off in 4 days. Her heart is still real weak but getting a little stronger each day. These people actually seem like they care about their patients. Especially her cardiologist. She takes time to talk to us and explains what they can and can't do. I think GOD that my daughter-in-law came or my wife would have been dead. Don't need any excuses from anyone at heart hospital. Don't want to hear that you're sorry for what happened either. I already know how sorry you are.

My 1st appointment with Dr. Lo was on 06/28. I was given an EKG and after reading the results and consulting with me regarding my medical history, Dr. Lo listened to my heart and was able to get me approved for an Echocardiogram and lab work immediately 2 hours later. Getting 3 tests performed in 3 different departments in the same building on my 1st appointment was not only convenient but crucial. I received a call 24 hours later and was advised that I have a complete heart block and that Dr. Lo wanted me back immediately and scheduled me for surgery Monday 07/03. It's been 6 weeks since I received ER heart surgery and a pacemaker to save my life. Thank you Dr. Monica Lo and your team at the Arkansas heart hospital for going above and beyond for a new patient that was literally on borrowed time. I am truly blessed to have you as my cardiologist. I highly recommend Dr. Lo and her team at the AHH. Leicha Wilkerson

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 want to give them a 5 star because as soon as my son was checked by the emergency, nurses and doctors came and admitted him into CCU. They saved my son! Now I know where my donations can go. We can't thank doctors and nurses and all the volunteers and staff enough. Beside their professional knowledge and equipment, everyone wats to make sure parents and siblings are well taken care of. However, the emergency is as busy and not very favorable a unit as all other ones in Canada. At 2:00 am, there was only one nurse doing the reception job and checking patients. She could attend to our son sooner but she was busy with the reception.

I appreciate the hospital's efforts in managing a high volume of patients, and I understand the initial wait time for a bed. However, after securing a bed, there was an additional four-hour wait to see the doctor. While I recognize the challenges, it was disheartening to wait for a medical consultation only to be informed that we were cleared to go home after the doctor's brief checkup. In order to enhance the overall patient experience, I would like to suggest that the hospital consider increasing the number of doctors available, and if possible, encourage doctors to start their checkups a bit earlier. This adjustment could potentially help free up beds more promptly for patients in need of urgent care.

One of the Best Hospital in the world, best patient care, The doctors are very friendly , professional and using advanced methos to detect the problems, I visit this hospital frequently with my nephew for his sickness. The hospital is very clean and well maintained. Parking is available in underground $20.

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!

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

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

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

Terrible admin care. There is no real patient ownership and each unit blames the other. There is deep lack of coordination among stakeholders. Patient has been to the hospital 3 times now to get surgery and something always fails because there is lack of coordination and communication between staff. There is need for a real overhaul. Very sad to see this historically best-in-class hospital treat patients this way.

First off this is the best hospital in Bogota according to the locals and my Colombian friends. I came here on a work trip and had an emergency operation to remove my appendix. I came in at 2am, got the diagnosis at 3:30am and they didn’t operate on me until 12pm. The delay was due to the incompetent hospital admin people dealing with my work insurance. I offered to pay out of pocket to get things rolling but they refused. They told me they don’t want double payment incase the insurance goes through. I definitely suggest bringing a Spanish speaker here if you don’t speed to local language because most of the staff don’t speak english. Before the surgery, I had to sign a bunch of disclaimers and waivers which were all in Spanish. My surgery was great. The surgeon spoke good english and was very professional. He reassured that I’m not going to die. As far as hygiene goes, the facility looks clean except there were a few times I caught my nurses taking my blood and iv out without wearing any gloves. Make sure you have money before coming to the hospital. They wont operate on you until payment is confirmed. Last but not least bring a blanket and pillow so you can sleep on the bench while you wait to be seen. Overall I’m grateful for the nurses and Drs that saved my life. My appendix was on the verge of bursting. I would like to give this place a 5 stars had it not been for the front desk admin people.

I had to get a covid antigen test prior to flying back to the US, and was reading reviews at labs all over Bogota, stating the antigen test took 5-7 days to come back. I was worried that would be the case here, so when we went in, I asked, and they said only 4 hrs at the most (it took about 2 hrs, yay!). The staff was so kind and helpful, even though we understood hardly any Spanish. They were very patient with us and we were able to get all the paperwork filled out without any problems. Also, the antigen test was only 120,000 COP, which was better than anywhere else I had found at the time.

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

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

Good hospital services

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

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

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

Excellent...!

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

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

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

Terrible 😣

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

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

I like how you treat me here at the clinic.

Good attention

The emergency service was not able/ willing to apply an intramuscular injection. Clowning.

My recent experience at this medical facility was incredibly disappointing. Despite paying for the premium plan, the service was incredibly slow and disorganized, and the communication was almost non-existent. The nurses and security staff were consistently rude and unhelpful, making the already stressful situation even worse. We had to ask multiple times for updates on the patient's health status, and even then, we were met with angry faces and a lack of information. It took hours before we were given a decent status update, which was an awful experience. I hope that this facility can improve their customer service and communication skills to better serve their patients in the future.

It was a horrible visit. The nurses and stuff are not professional at all. Went in to get some exams done and just because they did want to they didn’t do it correctly. I don’t recommend this clinic.

It is a place where I have had several experiences. More good than bad. It has good transportation, access roads. Good facilities with the different equipment and logistics that a medical center must have and qualified personnel to care for the different patients who are referred there. Hopefully more will be invested in the sector to improve the quality of life of patients.

What a disgusting clinic, terrible, how sad, I entered the page to request an appointment with a cardiologist, he never entered, I went there to request the appointment, I missed the trip, I put a PQR, they gave me the appointment after three months, I went to the appointment and 40 minutes queuing to make the payment, I went up to wait for them to call me and it took another hour to attend me. INCREDIBLE!

With great sadness and disappointment, I need an appointment for my dad and they say they have to call! And do you think they have? I waited because I know that not everything is on time but more than a month, sorry but my dad can't wait for disrespect

It is a terrible service from the Vigilante, who brought two dogs to the Hospital (what a hygiene thing) they serve you in waiting chairs where they give you medicine and they are not waiting to remove it when they are finished, even where they place the serum there were more medicines other patients who were no longer in the Hospital and do not pick them up to leave them in the trash. Most of the doctors and nurses, if not all, are inexperienced. I was treated by Doctor Walter Antonio Lopes Torres who diagnosed me with a kidney infection and pneumonia (with pneumonia but he sent me home) despite continuing my bad condition, I came to Barranquilla of my own free will, feeling very little improvement after the medications where, surprise, I have dengue. And then what kind of service do they provide in this clinic?

The facilities are spacious, illuminated, with air conditioning and with staff always ready to help. The parking lot is large and free.

Everything went pretty fast and the team seemed Professional, the doctor came to check on me couple of times and I could really feel she cares. It’s a pretty good hospital for South America standards .