Left atrial appendage occlusion in 127 Cardiac surgery clinics in Americas

Please remove Cynthia Solís (plastic) from this hospital. My family and I were her patients and she almost killed one of us. She is ignorant, an extreme danger to patients and commits medical malpractice for which she is currently under investigation.

My second time here in the past month…this is one of the best Hospitals I’ve ever been in. Excellent staff, World class service. No problems whatsoever like the other reviews. Blue Cross insurance was accepted and I was taken care of around the clock. HIGHLY RECOMMENDED.

Went in to get an abscess removed on three different visits. I was scheduled at 10am but the room wasn't available until 8pm. Told to wait. I luckily asked for a written cost estimate and was told 58,000 PESOS (not including blood work, ultrasound and "hospital fees"). I said "no" and before I left, I paid the receptionist the 2,000 peso consult fee which she strangely handed over to one of the doctors. I never got a receipt for the two times that I paid. I went down the street and had the abscess removed for 2,000 pesos. BE SURE TO GET A WRITTEN COST ESTIMATE BEFORE ANY PROCEDURE. GO ELSEWHERE- THIS PLACE IS A RIP OFF! 30x more than the competition. Shady billing, accounting, payment, no receipts and handing cash to doctors?

I'm hospitalized, I'm going to spend a few days being treated for bacteria and I find myself in a filthy apartment, water leaking from the central unit into the apartment, flooding the floor, the bathroom walls and ceilings are filthy, water is leaking from the taps, the electric shower doesn't work. ..simply useless.I've already complained and nothing has been resolved.

It is very difficult to schedule an exam, whether by phone call (it dropped 5 times in the same morning), WhatsApp (you wait more than 40 minutes for an interaction with an attendant and if it takes less than 5 minutes to respond the service is terminated) or even via the app . I hope they observe the message, consider it, and try to at least adjust the messaging service.

Ok

I was in the emergency room on August 4, 2023 and I have never been so well attended. The entire nursing team is very dear, welcoming, providing humanized care. A million compliments to Dr. Thais, an excellent professional who comforted me throughout the service, did what she could and what she could not to welcome me. Thank you very much to all!

Excellent hospital, excellent facilities and top notch staff! Far superior to Rede D'or. If you have a serious medical case in your family, go there.

I had laser bladder stone removal surgery performed by Dr. Adrian Andres Jara Benitez at Hospital Pró-Cardiaco and I am extremely satisfied with my experience. From the beginning, I was impressed by Dr. Adrian's professionalism and empathy. He thoroughly explained the procedure and reassured me of any concerns I had. His clear and kind communication made me confident in his abilities as a surgeon. The Pró-Cardiaco Hospital also deserves praise. The medical and nursing staff were exceptionally attentive and helpful. The environment was clean, modern and welcoming, which contributed to my comfort and tranquility during my stay. During the surgery, Dr. Adrian demonstrated exemplary surgical skills. His dexterity and precision were remarkable, and I felt safe and confident in his skilled hands. Additionally, your attention and care before, during and after the procedure was greatly appreciated. The medical and nursing staff at Hospital Pró-Cardiaco continued to provide high-quality care throughout my recovery. They closely monitored my progress and responded promptly to all my needs. His dedication and professionalism were impressive and contributed to a smooth and peaceful recovery. I am immensely grateful to Dr. Adrian Andres Jara Benitez and the team at Hospital Pró-Cardiaco. They are true professionals who provide exceptional medical care with a humanized approach. I recommend Dr. Adrian and Hospital Pró-Cardiaco to everyone looking for quality medical treatment. I would like to express my sincere gratitude to Dr. Adrian Andres Jara Benitez and the team at Hospital Pró-Cardiaco. Your expertise and careful attention were critical to the success of my surgery and my recovery. SERGEY SERGIENKO

Clean and sophisticated hospital, sympathic and skilled people and doctors English speaking doctors Very good experience Recommend 100%

Don't go there if you don't have a brazilian plan, they will force you to pay for unnecessary insurance that is 3x the normal price.

Stellar. professional, humaine, attentive, caring and loving. My mother was admitted 3 times and used the hospital almost daily after discharged. From the valet parking to the doctors, cleaning to nursing staff, everyone was efficient albeit friendly.

Terrible hospital! The reception on the first floor is the worst I have ever seen. Disgraceful service and attitude from employees. I spent almost an hour waiting to be seen by reception and it was after the exam time. The receptionist told me very harshly that I wouldn't be served and I showed her the time I got the password, 58 minutes before! She got up, stamping her foot and only answered me because she had no choice. The service for booking exams is even worse, if anything.

Failed to admit me, despite my being covered by my international insurance. It seems they are pricey for walk-ins, and the experience is not exactly awesome. I went over to Hospital Beneficiencia Portuguesa for a way faster, cheaper, more attentive care. Recommend you do the same.

Very good hospital!! From parking, reception and emergency room service. Polite and willing people to help and practice their profession well. My father was in the ICU surrounded by a multidisciplinary team who welcomed him very well. Everything clean and organized. It wasn't difficult to talk to the doctors, as they were there when they visited the ICU and then in the room. Dr. Giaseni (sorry if I got the name wrong, cardio), Adriana, psychologist (I suggest she explain it to the companions in the auditorium, she is great)., Gildazio, Bruna, Rodrigo, Fernanda (proactive nurse on the 6th floor), Adriana (a nurse affectionate and very professional on the 6th floor), Dr Flávia and Dr Luiz Fernando among other names that I did not identify. They were precious, attentive and precise. May you continue your missions and be rewarded accordingly. My father left and will continue his appointments with a neurologist at the hospital. I hope that the hospital preserves this organizational climate and focus on the well-being of those who seek health and human comfort there.

The structure of the building is good, but the service is lacking. In the office building there is no air conditioning and it is 35ºC hot. It is absurd that a private hospital environment does not have a decent structure to serve its clients!

I underwent a total thyroidectomy surgery on 08/17 and I was very well taken care of, from the time I arrived until I left (08/18). I would like to thank the entire team of Dr. Reginaldo Fujita, all the nurses and doctors in the recovery sector and all the nurses, physiotherapists and other employees in the hospitalization sector, for their love, care and patience. The structure of the hospital is wonderful (bedroom, operating room, recovery room)!!! My only complaint is about parking…..absurdly expensive. My mother paid 122.00 to stay 1 day with me!

I had septum surgery at this hospital and it went smoothly. Nurse Roberto took care of me with care. I stayed in room 509 where everything was organized and clean. Dr. Moacir's surgical team is very careful.

I had my children at the hospital, I had other procedures and today I am hospitalized having a tubal ligation. My biggest disappointment!! The other times I had no problem, but now. Simple surgery that ended at 9:00, I stayed in the recovery room for more than three hours, nurses passed in front of me They ignored my questions, my husband had no news (they said they had warned me) a total disregard. I came to the room and got something to eat for another 9 hours after the surgery. I was in pain and it took more than an hour to take medication. Total disrespect towards me.

I do not recommend the maternity ward at this hospital to anyone. I went through a traumatic process on the day of birth. They induced my labor without my permission, after the birth they left me in the waiting room for more than 10 hours, and hungry. I paid for the most expensive apartment, as the agreement covered everything. When I went to the room, a doctor asked me to take off my underwear and open my leg in front of more than 5 residents (I was bleeding). The experience was so bad that a year passed and I'm still angry about it to this day.

Worst experience of my life I had in this hospital. I was 23 weeks pregnant + 5 days pregnant, a high-risk and cerclated pregnancy, when my water broke on Sunday night, 17/09/23, I went straight to the maternity ward at the mater dei hospital, where they immediately came in with a medication and I did not remain hospitalized there, because my obstetrician assured me that in Vila da Serra I would have better care, especially because she works in that hospital. He guaranteed that my place in the bed, along with that of my baby who would later be born, were guaranteed at the hospital, and so I left the house and went straight to the village, who already received me with the news that they knew nothing and that there would be no No bed was available, but, due to my partner's position in the situation, they freed up a bed for me, even so, with my water broken, no medication was given to me. After a long wait, I was seen by 2 doctors who explained that I could get an infection that would pose risks to my life and that my baby would have to be born anyway, even so, I went to an observation room to wait for a bed and no medication. When it was the next day, 09/18/2023, they started taking medication due to the discharge that was coming out of me, which by the way hurt my entire arm due to the inexperience of the nursing team. When it was afternoon, they took me to the emergency room and found that the umbilical cord was out (cord prolapse). The doctors immediately sent me to the surgical suite, but when I got there, I was surprised by the information that I I didn't want to invest in my baby's survival, since I would never say that and that was not said by me or my partner, in that moment of tension I had to take a stand saying that I wanted a cesarean section and I would like to invest in my baby and I wanted the same to be true for uterine birth, given that 3 years ago I had a natural birth at 22 weeks and my baby was stillborn, I wanted to have a different experience! They performed an emergency cesarean section, my baby was born and went to the neonatal ICU, I went to bed to recover and receive medication. I underwent tests and they medicated me saying that I had an infection in the uterus, but then the torture show began, I felt very ill with the strong medications, I was barely willing to see my baby in the ICU, every time the team was asked to None of them were attended to by the doctor, the nursing team often didn't come, I even registered a police report while still in a hospital bed in the situation I was in, all the treatment coming from the nursing staff was grotesque and inhumane, they even hurt me at the time of doing an ultrasound on my stomach, when the nurse went to take off my pants and shaved my pants on my scar which was swollen with a seroma. After being discharged and spending a few days, on one of the days that I went to visit my baby in the ICU, I was feeling ill with a seroma in the cesarean section scar and I could barely move, we kept moving back and forth in search of care and nothing. meet! On 09/28/23 I received the news that my baby had died in the neonatal ICU, the responsible doctors only issued the death certificate and did not want to give us a verbal and personal explanation, all the doctors hid it, it was very painful to have to Facing this chaos at the most difficult time of my life, even when they reported the death of my baby they were completely rude and inhumane, I am disgusted with this hospital, I will never set foot in it again and I will not recommend it to anyone! But justice will be done!

I was seen super quickly at the doctor..When it was time to do the dressing..I was waiting for 45 minutes..Shift change..No one to be seen, just me and one other person..I thought it was disrespectful..And I had to pay plus an hour of parking..

The structure of the hospital looked great after the renovation. Access and exit very well organized. But in the emergency embarkation and disembarkation part, it was abandoned. I stopped to disembark a friend there. Very close to the zebra area. She moved slowly. It was then that an Uber, with a damaged Kwid, stopped close to the left side of my car, almost hitting my mirror. I stared at him. So I rolled down the window to explain that he couldn't go through there. The citizen still wanted to criticize me, saying that he was in a wheelchair, he went wherever he wanted and that I was completely lost. I think you should paint that zebra area better, as it's a little faded. As far as I know, you can't go over it. It would also be interesting to get someone to instruct these Ubers that are completely lost, because if he had damaged my car, he would charge the hospital!

The hospital in general is good, so far I have received good care in consultations and exams, but today in the ENT the attendants at 217 are to be congratulated for their incompetence. I've been waiting more than 1 hour to be answered, as I couldn't find a location for the website, I came here on Google, I will reformulate this evaluation after receiving an answer and make my next query here.

We have been waiting for two hours to be seen in the emergency room by Unimed. My son is classified as “blue”. This is considered not serious. All, I repeat: all the people who have arrived so far have been attended to before him. Does this mean: we arrive, register and wait for new patients to come in and go before them??? That's right? Knowing that we will always wait a long time, because another color gets in front of it. ABSURD.

I went to the obstetric emergency because I'm 13 weeks and there was bleeding. Another pregnant woman and I waited for 2 hours of service, we went to ask and the girl said that it was protocol according to the assessment, finally I arrived at 7:35 and was seen at 9:41 pm and the chairs were empty and they weren't even attending!

Rgy

I accompanied my husband for knee surgery, we were very well looked after in all sectors, the nurses were extremely attentive, the rooms were very well equipped. We were satisfied.

I have always received very good care at Hospital Estrela, I am immensely grateful!

TERRIBLE ATTENDANCE! I was admitted due to a fall, with acute pain in my leg and the professional who was pushing my wheelchair pressed my foot, the leg that couldn't handle the pain, against the wall and without even apologizing, left. He returned with medication, applied it without any guidance or explanation and left. The doctor barely assessed it, he just said that I didn't have a fracture and sent me away without even referring me to a specialist and requesting tests such as MRI. And I still had to put up with a rude professional when I asked to leave. I went in with acute pain and came out worse.

Being in the medical field for 40 years world wide Absolutely the Best Hospital overall I have ever visited! Facilities A+ Staff A+ Communication A+ Value A+

Excellent. Both our daughters were born here and care was absolutely great. Thanks. :)

Excellent in every measure. Was admitted for an emergency surgery and they diagnosed other ailments that needed emergency care. All the staff at the hospital are the best trained and competent I've seen. I owe my life to them.

A good hospital with a VERY SERIOUS issue! There is no information on food for patients and companions with restrictions! The Marieta restaurant offers ABSOLUTELY NOTHING without gluten and milk. The person spending the whole day there is hungry, because not even the PURCHASED coffee has a nutritional sheet with information! We are talking about a hospitaaaaal! How does a celiac patient spend the day in a place like this?

Bad experience! We arrived with my 78-year-old mother in the emergency room. Super slow service. When we arrive at the doctor, he informs us that we can leave because there is no room, no box or even an armchair to receive medication. Avoid this place!

Terrible, zero service, an absurd delay in the emergency room, I waited 50 minutes until I lost patience and left. I do not recommend!!!

I'm amazed by the outstanding service we're receiving here, from the entire staff and doctors at every stage. Despite its simplicity, hygiene is a top priority everywhere, and both doctors and nurses have displayed not only humility but also a profound understanding of their fields. They have been readily available to explain all the details that might be important for our peace of mind, with patience and zero condescendence. The interior design of the entrance is exceptional and is worth a quick visit, even if you're not here to use the hospital facilities.

I'm amazed by the outstanding service we're receiving here, from the entire staff and doctors at every stage. Despite its simplicity, hygiene is a top priority everywhere, and both doctors and nurses have displayed not only humility but also a profound understanding of their fields. They have been readily available to explain all the details that might be important for our peace of mind, with patience and zero condescendence. The interior design of the entrance is exceptional and is worth a quick visit, even if you're not here to use the hospital facilities.

One of the best hospitals even been in, from the reception to the surgery room. Very well organized, punctual, super clean rooms, respectful staff, and great doctors. They have well preserved the mission of Santa Catarina, since 548 A.D.

Great and fast service. English speaking Doctor and nurses were available. Recommendation for Expats.

The hospital is good, but in my opinion it can improve more. There are doctors and others not so nice and thoughtful. The reception is good, some people (receptionists) are polite, friendly ... The same in relation to the security guards. There should be more integration, communication among the coworkers. As I told you it could be better, even in its standard procedure, being more effective,

Excellent service and support regarding many domains. We had a undergo and the whole staff was extremely supportive (from the first approach, passing by intensive care and ending on maternity domain). Its definitely one of the best hospitals in Sao Paulo.

I found cordiality and care all the time in my hospitalization

Took us 3 hours to get treated with a basic appointment (ear infection) and sort out the insurance stuff, very slow

Hospital is not well equipped to attend cold symptoms at the emergency. You will have to wait for the arrival of an specialist at 10 AM so that he can look inside your ear canal with an otoscope. Even my throat was looked with a cellphone light. A disappointment. See images of equipments that should be part of the emergency below at the national manual of emergency.

I broke my finger on 11/19/23 and went to the HSVP emergency on 11/20/23, I went in and was seen, the fracture was confirmed by the RX and the doctor, he directed me to another doctor and asked to come in the next morning, With a broken finger, the doctor told me to buy a wrist glove that holds the finger at the pharmacy. The next doctor asked me to do an MRI and it was also found that the ligaments were broken! OK! But until now the finger is doing nothing...lol and just asking me to go there, and look, like UPA, health center or even on the island of Marajó, where I lived for years, I went through this situation of being attended to entering through the emergency door and solving the problem of a simple broken finger in installments..."Break your arm with an open fracture? Come by tomorrow!" ...or... "Have you broken your head?, come by tomorrow!" ...it's not a joke because I've already been through this and received immediate care! I'm going to another hospital today, 11/26/23 because the finger is still purple and swollen and very painful!

Very clean and structured hospital, but there is a chance that the doctor who attends to you makes a mistake and the delay is certain! We had such an experience that the doctor did not see the bacterial plaque in my relative's throat, which was very visible... which made it worse and the other doctor confirmed the mistake. There is a lack of quality management, but the structure and service are effective. It takes a few days unnecessarily and that's hell! Good for gentlemen, they at least have patience because they also don't have much commitment lol. There is a King of Mate and parking.

Came in with Zika and they weren't surprised

Got first-rate care, had a great experience and a positive outcome! Kudos to the Nurses, Doctors/Surgeons/Anasthesioligists, Physical Therapists, Dieticians/ Food Service, Fellows, Interns and Students.Special shout-out to my postoperative caregiver- Karina Valentine. She kept me going through the most challenging part of my surgical journey- enduring procedures to facilitate the OUT in outpatient. Lest we forget the unsung heroes that keep the hospital so hygienically safe and superior- I must now sing my praises to the custodial technicians: 🎶We could eat off of the floors But we don’t have to They give plates and forks Don’t spill dessert (I got strawberry shortcake 🍰)

Duke has reached a new low in Health Care. I'd give them stars in the minus categories if I could. My son had eye surgery and every time we went for an appointment we waited over 2 hours to be seen. I can tell you I read 150 pages of a book on one visit. We actually saw people leave without being seen because they had waited so long. My son objected to the long wait one day and was told by the surgeon that he was ruining her day. Because of the wait he asked to talk to the manager or an administrator. While waiting the police came made him leave because they said he raised his voice. He was not allowed to talk to the administrator and was escorted out. This is not the first problem we have had with Duke. My son was in the emergency room waiting for the specialist on call when the Emergency Doctor came in and told him that the specialist on call was already home and refused to come in to see him. We were told he should go to the specialist's off the next day. We did that and he was seen for less than 10 minutes and told to go back to another doctor. Seems the specialist could have cut through the chase and just told us that to begin with. My impression is that almost every one in the hospital system is very impressed with themselves and seems to think it below them to interface and deal with patient who have some real problems. I can, in no way, recommend any Duke Service. I could continue with examples but it would sound repetitive. I practiced Nursing for 45 years and never came up against any care that is this poor in quality. Giving them -5.

There is good and bad. I recently gave birth at Duke University Hospital and I want to say that my experience with Doctor Clifford, and nurses Lexi, Brenna, Tabitha, Josephine among others was phenomenal. I was blown away by the care and compassion I received so I will say it was a four star experience. However, I have one major complaint about the experience and feel it's important enough to try to voice it. The postnatal recovery rooms are terrible. They are the size of walk in closets and if you have a support person such as your husband staying with you, they have to sleep on what is essentially an airplane chair. My husband could not do it, and it made the end of my experience at Duke hard because I needed him there with me. I felt like me and my baby were locked in a cell and I was going crazy by the time I was discharged. Thank god I was discharged early. There were many people coming in and out of my closet those last few days and nights, and it was definitely too many people. After receiving an emergency C section, I felt I was improperly educated on the repercussions. I had no idea I would have trouble producing milk after my blood loss in surgery and I was not informed about any of the medication I was prescribed. Again, it would have helped if my husband could have been there because maybe I actually was given information but was too out of it for it to sink in.

They have a terrible Surgeon, is name is José Antonio Soriano, he was my surgeon and the results of the operation were disastrous, he only cares about money , and not about his patients. I filed a complaint at the hospital and the didn’t do nothing

Terrible experience. I tested positive for COVID three days ago, and began Paxlovid and fever reducers immediately. After three days, I am still having symptoms and testing positive. I called the ambulance to bring me to the hospital. My oxygen was 81 (after a dexamethasone injection and tablet today). The paramedic gave me oxygen right away in the ambulance. The doctor was useless. He refused to prescribe remdesivir. In nonhospitalized patients with mild to moderate COVID-19 who are at high risk of progressing to severe disease, remdesivir should be started within 7 days of symptom onset and administered for 3 days. The doctors name was Dr. Diego Lecona. I showed proof of my asthma and low oxygen saturation from prior attacks. He did nothing to help me and didn’t give me the medicine. All he did was charge me over $300 for a useless consult. Never again

Unfortunately I became quite I’ll on a recent trip to Mexico City. The physician on call for the hotel direct me to this hospital. My care in ER was efficient, caring and appropriate. Lilliana and Mezil in Er were so caring and great communicators. I was admitted and again impressed with the care of the team. Very professional and respectful. When called received prompt response. My physician, Dr Jessica was knowledgeable, great personality and did follow thru with communication upon my return home. Highly recommend and hope in US we can rid our staff of the EMR demands that take them away from the bedside. Perhaps then we can be as attentive as the team in this hospital. Thank you to the nurses, housekeeping and residents as well!

This hospital is part of the inherited Mexico, with a staff with the excellence that experience provides, but fatigue periodically takes its toll, so as a patient, everyone will talk about how the fair went. The staff makes an effort for the shortcomings they work with and for such a diverse population. More hospital centers like this are needed for this city. Abroad, dozens and even a few hundred spend hours and even days waiting for care for family members, either for medical appointments and studies, as well as those who are hospitalized for days in these facilities. There are those who already go with a folding bench, others rent chairs, umbrellas and some institutions offer a tent for those who come from afar to accompany a family member during their hospitalization period.

Excellent

Exceente

A big thank you to the staff of Galenia hospital!!! During our stay this month, my friend became suddenly ill and had to be hospitalized. Being from the US, I must say that it was a bit nerve wracking to have to seek medical help in a foreign country. However, our experience was entirely positive!!! To the concierge staff - Eric and Alfredo - I wish to extend tremendous gratitude!!! Your translation services as well as your kindness and hospitality were both indispensable and greatly appreciated!!!! I also wish to extend my gratitude to Dr. Allejandro (I don't remember your last name); not only were you genuinely gracious, you discovered the problem quickly and got my friend back on her feet in no time at all!!! Again, thank you Hospital Galenia for such a good experience!!! You took great care of my friend and went above and beyond in showing us courtesy and consideration!!!

BEWARE IF YOU ARE A TOURIST! My father was hospitalized on a family trip to Cancun. He was transported to this hospital and needed emergency surgery This hospital FAILED him. They wouldn’t even give him so much as saline or an antibiotic without payment in FULL. WE WERE CHARGED $4,000 FOR. He went 8 HOURS sitting on an emergency room bed when he should have been in surgery. THEY DEMANDED 50,000 DOLLARS PAID IN FULL BEFORE STARTING ANY CARE AND THAT WAS JUST FOR THE SURGERY. WE OFFERED TO PAY 25,000 SO THEY COULD START AND THEY REFUSED. WE OFFERED TO PAY THE REST THE NEXT DAY AND THEY REFUSED. WE TRANSFERRED MY FATHER TO THE OTHER HOSPITAL BECAUSE WE THOUGHT HE WAS GOING TO DIE. WE FELT USELESS WHILE THEY HAD ALL THE POWER TO DO SOMETHING THEY CHOSE TO DO NOTHING!!!!! THEY ARE SCAMMERS AND NOTHING MORE. ITS A MIRACLE MY FATHER SURVIVED AND ONLY BY THE HELP OF GOD WAS MY FATHER ABLE TO COME BACK HOME WITH US. JUST TO TOP IT OFF WHEN WE WERE PAST THE TRAUMA THAT THESE PEOPLE PUT US THROUGH THEY HAD THE AUDACITY TO BILL IS THE OXYGEN THAT WAS ADMINISTERED DURING THE AMBULANCE RIDE!! 2000 DOLLARS!!!!!!!! THEY WOULD RATHER WATCH YOUR FAMILY MEMBER DIE, I WILL NEVER FORGET THEIR DISGUSTING SMUG FACES

It feels very comfortable being there. Olivia is the best. She arranges everything for you when you are from outside the country of Mexico. You show up and all is prepared. Her personality is very welcoming and friendly. I love not having to worry about the stress of paper work especially since i don't know Spanish well. All her subordinates speak English as well and are all very nice. Galenia might be costly however the peace of mind you get not being stresses out with paperwork helps a lot. I don't even need to Contact my insurance. They do everything for you. Best service. The receptionist at imaging are a bit slow and don't know any English. But the staff attending to you in the radiation area are super friendly and helpful. I see many people complain about the price. This is a private hospital and will be costly. It is the same in my own country. Private hospitals cost a lot but if you have insurance and you are not from Mexico, then I highly recommend using their tourism concierge. They are a great help and speak English. They are all very nice and helpful. I have had the pleasure of meeting and being assisted by Olivia (who is the best), Ellen, Ricardo and another guy i cant remember his name. Not sure if it is Daniel or something with a D. That was over 2 years ago i met him. They arranged everything with my insurance prior to going there. I just showed up and Olivia walked me through everything. I was in and out as quick as possible. No long waiting. Use the concierge service they have. It really helps you from stressing about paperwork and payments. My journey at Galenia started September 2021 and I continue into 2023......