Arteriovenous malformations (AVMs) treatment in 114 Vascular surgery clinics in Americas

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.

After waiting for 2 hours, our daughter was called to help and, to my surprise, they didn't allow the father to go up, they let the mother go up alone with a 10-month-old baby and three bags. Lack of space, lack of planning, lack of training or lack of humanism? Unfortunate...

Terrible hospitalization, few employees, they make the patient do the work, you need to call or ask for sheets, pillowcases, bath towels via QRCOD, I asked for a bathtub so I could bathe my baby, it took more than an hour to arrive, the employee who brings it the bathtub cannot bring towels, the patient needs to use the hospital system to request towels, sheets, pillowcases, hygiene items... and 1 item at a time, in an order you cannot, for example, request sheets, towels and blanket, you have to order one item at a time for the companion and the patient. I am the companion responsible for my 5 month old baby, I also have the flu, I requested hot water to make tea at 10 pm and they told me that the kitchen in a HOSPITAL does not work at night, I have never seen this, an emergency room, a patient in hospitalization and not having hot water. They serve 3 meals a day, breakfast at 7:00 am, lunch at 1:00 pm and dinner at 7:00 pm, during these intervals if you want to order something via app, you cannot go down to reception to receive it, no one at reception can go up to bring your food and no staff can look at your child who is hospitalized for you to go down to reception for 3 minutes to receive the food, you are forced to go hungry or buy it at the hospital cafe. My rating for hospitalization is terrible, if I need it again I won't come back here, good accommodation but the system is terrible service, not even a public hospital is that bad.

Super-fast screening and registration. Examination and medication expedited. However, when they send us to that little room to go back to the doctor, you forget about life because it seems like they will never see you. And it's not the first time. Today I ordered to cancel and left. I arrived before 8pm, it was around 7:30pm, everything would have ended quickly, if it weren't for the wait to see the doctor again. They should monitor these doctors who keep the door closed with no one inside, while mothers and fathers are waiting for a report. It is, at the very least, a lack of empathy and respect for the health of little ones. Now with these traumas, I probably won't take it anymore. If I need it again, I will go to São Luiz. But, I congratulate Dr Daigo, who once, when I was being seen by him and needed to return, as soon as he saw me, he immediately called me and immediately released us, since there was no one else in the waiting room. Super attentive, agile and helpful.

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’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

I had an excellent experience! I was admitted for knee surgery and the hospital staff were wonderful to me. Committed, welcoming and willing to help with so much affection, in all sectors. One point of attention: the room I stayed in had a musty smell, the only negative point of my stay.

I've been a patient at Centro Médico da Cardio for years and I really like it, but today I needed to be treated in the hospital's emergency room and I thought it was terrible! Despite there being only 2 people in front of me when I arrived, I was only seen by the doctor more than an hour later. Furthermore, the doctor on duty said he would do a blood test and a CT scan. Hours after taking the collection, the employee told me that he was going to send me for reevaluation. At this point, I asked about not having done the tomography. After much confusion, it was discovered that the doctor had not made the request. When the two results finally came out, another doctor assisted me in the reevaluation, gave me the diagnosis, walking down the corridor, directing me to the exit. When I arrived at reception to leave, I realized that the access was still in place at the time of the contrast injection. And the employee even asked me why I hadn't reminded the staff to remove it... Right at a time and place where I needed attention and support, I was treated this way. I don't intend to go back!

My father was hospitalized for 5 days there last year. The hospital structure was more modern than before. The staff are generally attentive, but I had a few problems: 1. The corridors where the hospitalization rooms are located looked like a fair because of so much commotion. The employees talk loudly, laugh loudly without respecting patients and companions. We're not going to the hospital for a vacation. It's stressful for the family and it's not comfortable to sleep in a hospital!!! Even at 2:00 in the morning I could hear the staff laughing and talking at the ward reception in the corridor. Absurd. Lack of education and compassion for those who are suffering. 2. Companions also have to reduce the volume of their voices in the corridors. They need to put up notices in the hallways or guide them. If you want to talk loudly, go home! 3. My father spilled water on the floor so I asked someone to come and mop it up, but no one came. I asked again and nothing. I ended up throwing the bathroom towels on the floor to dry off. My father could be at risk of slipping at night. I have already spoken to the administration and I hope that these situations have improved.

I have never been ignored in a hospital, not even in the same unit, but this time it was different. I was seen by the doctor Raphael Augusto Travernard Neves de Oliveira CRM 119677, he asked about my symptoms, I explained that last year I had a migraine attack for 2 months (I was even admitted to the same hospital, in addition to undergoing several tests), finally I was diagnosed with anxiety and chronic sinusitis due to low immunity. After I explained my entire case, according to the doctor and my clinical condition in his eyes, I was “just having a cold”. I didn't agree, and asked us to do the tomography, detailing that I had done the last tomography in less than 2 months, as it was exactly the same. I left there with a prescription for antibiotics, 2 types of corticosteroids, painkillers and nasal wash, as I had a cyst preventing drainage. But to the doctor it was just a cold. DETAIL: the doctor always laughed when I said that my pain was a grade 7.

On 10/23/2023 I was admitted to the hospital to have my cesarean section, so far everything was fine, everything was perfect with the service. However, my newborn was born with a lingual frenulum and no one from the medical team informed me about this. For me, A VERY SERIOUS MISTAKE, especially because the test in maternity is the law. I had a lot of difficulty breastfeeding even with a full breast in the hospital and no pediatric doctor gave me any guidance. One of the nurses told me that the pediatrician on duty was asking me for permission to take the formula, as the right-handed man was showing low blood sugar levels and NOBODY... gave me this very IMPORTANT information and obviously I didn't accept it, as my chest was sore. so full. I was discharged on Thursday 10/26 and only found out about the frenulum on 10/30 when I went to a private pediatrician, by which time my son had already lost a lot of weight. Since 10/30 I've been fighting with my little one, where he needed surgery on the lingual frenulum and only now after almost 20 days did my son start eating properly. I was extremely disappointed with this and even with the information that my son was born at 37 weeks, and the correct one was 39s and 2 d. Unfortunately, I am very hurt and disappointed with the negligence of the professional who was supposed to inform me of this very important information. The rest, such as the nursing team, cleaning and food, were all wonderful.

Great service, I was hospitalized for 3 days and received very good service from all the employees, especially Isaac, the kitchen and Fran from nursing. I recommend!

Our treatment with Alvorada was good up to a certain point, Doctors were cordial and treatment was decent. Our problem starts with some of the Administration staff that failed to inform us of the costs, and a Week after my partners X-ray exams the hospital decides to charge us extra, failing to properly explain the reason for the extra charges. It was also disappointing the lack of instruction from the admnistrative team, I felt like all it was needed from them was collecting the "payment". I understand hospital is a Business, but I still feel disappointed that my Mother was charged extra instead of my Partner and I - Let alone the charge came a week late with little explanation. We felt scammed

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Had an infection in the year with moderate to high pain. Excellent and quick service. Dr Vanessa was sweet, efficient and professional. Thank you.

Doctors unprepared to provide PA care. As it is the only hospital in the city, professionals should have more experience.

Great service with my mother who had surgery, doctor, nurses, cleaning staff all very attentive. Grade 10

We are always very well attended to, we are Unimed customers, the call center has become an extraordinary differentiator, the new hospital facilities are above expectations. Attentive clinical staff concerned with well-being.

Excellent institution. I was hospitalized and operated on twice. The entire professional staff deserves nothing but praise. For his knowledge, treatment and support of patients. Professionals and humans. Thank you!

Excellent care, medical equipment and building. They really serve you very quickly, you can request half shifts yourself without any problem. At the entrance table they welcome you quickly and explain everything to you What you need to know.

Regrettable attention. They made me come back 4 times to ask for a refund, they gave me a thousand buts. The girl in laboratory box 1, (a blonde) was disrespectful and did not help me solve the problem. I asked to speak to the supposed manager 'Diego' and he couldn't solve it for me either because 'some time had passed' and they forgot to request it from social work. Finally, they didn't give me my money back.

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.

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

The telephone service is very poor, they never answer and do not give information. They need to improve in that regard.

A very regular clinic does not have specialized staff, such as a radiologist, not even for the endoscopy service. My experience with my father was very sad.

I want to share my experience in this clinic, I had surgery with Dr. Yobanka Prado and at first I didn't like the idea of ​​going to Palmira from Cali for surgery, but it was the best decision I made, the nurses are very attentive, they were attentive of me at all times and I listened from the observation room after the surgery how they treated people, very humane and close treatment, with empathy towards people. I really thank you very much for your attention, especially to a nurse named Olga, it's a shame that I didn't know her last name, her work is vocational for sure because her way of treating people is incredibly humane, I was feeling very bad and she was very Loving and attentive to me at all times. A thousand thanks in general to all the staff at this clinic. Great professionals with patients.

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 .

Terrible service in the laboratory area…. Too long waiting time for fasting patients, which makes the results of some exams very unreliable. Two hours to care for only 25 patients. We arrived at 7:30 and we got file 82... it's 10:26 and they are only on file 57. At that rate, 6 hours waiting for a blood sample to be taken from the patient

Super

Awful service. Not recommended

My 9-year-old daughter was hospitalized for 4 days and we did very well. Very good service, we felt comfortable and calm.

The truth is I feel that it is the best clinics in the city. excellent service from doctors and nurses, I feel that it is a quality clinic and they are also very friendly, always with a big smile

Excellent service and the place is very excellent. They are efficient and are clear and transparent. I was very satisfied

Terrible

Many people. The attention is not friendly upon admission, however in external insult it improves a little and in hospitalization it improves considerably more. The medical equipment and technology are good.

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

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

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