Back pain treatment in 154 Neurosurgery, Orthopedic surgery, and Spine surgery clinics in Americas

They are thieves, I paid to schedule an MRI for which they never gave me an schedule for which I requested a refund of my money and this is the time that they have not returned it. They make excuses and excuses but do not return it. thugs!

To consider It is not a clinic! It seems more like a medical union... I only saw one for a nurse with secretarial functions, they are offices with office furniture and diplomas on the walls. Better to evaluate if it is the appropriate place for the need for care; personally, even the insurance company is wrong to send a patient to this place.

Very complicated for attention. They send wrong schedules. It was a holiday... they say it started at 8 and then at the last minute at 9. People's time is valuable... improve that!

BEWARE: Don’t send your family here and if Dr.Simon of Lakeview is the doctor get another doctor. Keep my brother on restraint and lots of medication and keep him in ICU My brother was sent here without our consent on 10/16/2023, plus we had informed admissions there and Lakeview case manager that he was not to come there by any means necessary weeks before the 16th. My brother was sent Monday and family had no idea & died that Tuesday morning about 6am.No one has reached out to the family to explain what happened and why he was sent there. What Rea happened at Pam Rehab ? I have been calling Scott with Pam , want call back . Also been calling Gretchen with Lakeview No answer and will not return calls. We just want to know what happened. Answers , but look like a cover up is happening here.

Pam was indeed a life saving facility for my husband. After suffering a severe stroke leaving him paralyzed on one side PAM took him into their Ltac unit where with their professional, knowledgeable and caring team got him to the point that he was moved to the rehab unit. There the team worked daily to get him started back on the road to an independent life. All the team from the front desk, front office, maintenance personnel, especially the nurses, therapist, aides and PA Lisa made us feel like family. We are forever grateful for our time there.

I started there in February of 2023 with my first surgery and had a wound vac, I was so scared , but I met Ashley, Amber , Amanda, Natalie , Kim and Chris and I knew I was going to be well taken care of and all my fears went away. They are all amazing then and now I’m back with second surgery . I was asked if I wanted home health nurse and i said”NO”that I wanted to go back to wound care. They are amazing I would highly recommend to anyone to go there. From the receptionist, the staff and everyone there , all are friendly and professional.

My experience with Clearpoint Surgical solutions was amazing! Its been 4 weeks post op and I am recovering as planned. Its not just one person that I salute, but a team of professionals that address every need you have during the process. The level of care and expertise I received was top notch and I would highly recommend you give them a call if you are in need.

My arrival at the clinic was a little confusing but as soon as I was in it went well. Once the IV was in it seemed like a very short time until I woke up in post op. The helpful post-op staff got me moving and eating. (Don't get the nachos) From then it seemed the key was to keep moving and healing. I was back on skis in about 14 weeks and the hip works great. Attached photo was at about 16 weeks.

The clinic provided excellent professional service, they took the time to explain in detail all the steps required in a timely and structured manner. All my many questions were answered to my satisfaction. The pre, actual and post surgery care was beyond reproach and I'd recommend them to anyone interested.

This is an excellent hospital! I don’t understand how they get low star ratings. People should really stop & think about how fortunate we are to have such an amazing facility and their amazing staff! I had Breast cancer and the quality of care I received was way amazing and I honestly couldn’t ask for more. They far exceeded my expectations!

We visited a family member in the Humber River hospital. The place was extremely clean and tidy, well maintained with well lit areas. Very modern building and design and layout. The staff were very friendly, helpful, and professional. Lots of parking available both regular and handicap accessible. See pictures!!!

The process was transparent, and the staff was highly responsible. Despite the staffing and medicine shortages in the Toronto healthcare system, these dedicated professionals provided excellent support and clear explanations of the process. They efficiently communicated through email and text messages with the accompanying person. Additionally, the availability of paid parking was convenient.

Well, I did have very good care in every aspect, my procedure was outpatient but delicate and from the nurses, my anesthesiologist, my Dr, they were all very attentive, the orderly, the care was at its best, everyone was very nice 🙏🏼🙏🏼🥹🥰🥰🥰🥰thanks to everyone 🙏🏼🙏🏼🙏🏼

Very grateful to the hospitalization staff, I took the opportunity to tell Alejandro and the other nurses on his shift (the two girls who kindly said goodbye to my baby) it's a shame the emergency room wasn't many patients and the wait was exaggerated for a 5-year-old baby. months . The clinic should have other pediatricians. I don't know why the one that was there took so long.

I had my baby last 10/6/2023 and the experience was excellent. I highlight the attention and professionalism of the staff, the attention to detail, the special way they have of making the mother and the family feel good and making things easy. The facilities are comfortable although in some areas they are under construction. To improve 3 things: the cafeteria (the food is really not very good, I opted for delivery), the Internet (I was never really able to connect, but with the data plan it was solved), and it would be ideal if it could be done in one time the civil registration of the newborn at the clinic so as not to have to go around searching where and waiting in lines later. But most importantly, the clinic is a 10/10. Many thanks for everything.

They should give users a racket to kill the mosquitoes inside 🤨

Of all the clinics and hospitals that I have visited inside and outside of Colombia, I dare to assure you that they have incredible human talent.

I am from out of country and my son fell off a chair and had a huge incision on his head. as soon as we got there they brought him in and attended to him. We were there for 10 hours for observation and had given amazing attention and care to my boy

Where to start . My son connor 10 years old had seizures while on cruise ship and was sent to hospital in bermuda named king edward VII memorial . Thats when he was admitted and taken over by dr fulton. Let me just tell you how lucky as parents we were to have this doctor watching over our son. He was calming relaxed and had everything under control the whole time . When your away far from home and somwrhing bad happens your scared as a parent and dont know what to expect. Thats were dr fulton came in and made my family feel at home a++++++++ doctor. The nurses great also and social work we appreciate everything you did for my son and family and also got my son safely home back to NY. The mihalyo family thanks everyone at this hospital for their patience and professionalism in everything they did. Again Dr Fulton we thank You so much...

This was my first bad experience in a very long time. I arrived 1145pm was put in a bed in hallway at 12 by 1245 no one even acknowledge my presence. I wS in pain my face was swelling up even more and hard to swallow and breath 100% . But guess not an emergency...so I have decided to go home take my pain meds and sleep it offf...yes I walked out and no one even acknowledge that...

After 7 days in this hospital & having been in ER for 12 hours, the Acute Care wing for 46 hours & now on day 5 in the Intensive Care Unit, I must say I am not surprised by the numerous 1 star reviews. As with many silent 1 star reviews, I hate to dwell on the negative in a time when all my energy is directed toward supporting my loved one, nonetheless it is important to dedicate a few minutes to avoid further “inhumane” (as another person put it) treatment from the staff here toward me & more importantly my loved one. Suffice to say for all to BEWARE of illness on a holiday where poor care & treatment in the Acute Care Wing ended in a seizure & moving my loved one to ICU. Also BEWARE of INHUMANE nurse Havareta Burnett in ICU -Refusing to clean after 2 requests & being informed of wet bedding, & whom responded by sedating my loved one & going to lunch without informing the replacement nurse. She is as the definition states: without compassion for suffering; cruel. This is just one of several more incidents that I can no longer bear to repeat as informed to at least 3 staffers before improvement was attained. Unfortunately it did not stop the inhuman treatment which continued for a tortuous 36 hours, as another review states: robbing my tears away. That being said I must praise the ICU nurse who calmly & kindly received & reassured us of her care: Nurse Winsome Williams; Dr James -whom you are instantly blown away by his big heart & outstanding professional care; Neurologist dr Gayle -so kind, clear & concise in her communication explaining the situation, saving time, energy & confusion; We wouldn’t have made it thru the horrific day without the swift love & light of RN Polly Longmire -who somehow knew exactly what to do to give exceptional comfort, as with RN Myriam Hook who with her gentle wise care was able to read the needs of my loved one to unstrap him, allowing him peaceful freedom, a godsend. RNs Abigail Bakasa, & Karen Gooden were of immense help in providing assuring action creating a safe environment for my loved one's survival. RT Taniece & guy who provides personal hygiene are simply rays of sunshine that brightened up the room whenever around. My deepest appreciation for these true medical professionals, especially Nurse Abigail and Nurse Antoinette -after 3 days in their care my loved was discharged. Unfortunately it has now been over 3 weeks since discharged & after 6 hours of attempting to collect medical records & discs (& plenty of interdepartmental confusion) I had to leave without the complete file. after returning to the hospital days later, still incomplete. We now have more doctor appointments for continued care & the medical records have still not been faxed or shipped as promised by hospital quality office. I wish I could have saved posting this review, but feel best to warn future patients :(

A family member had surgery a few days! At de financial desk, I paid the amount that they charged! I asked, with this payment, all medical services are covered! They said Yes!! After 24 hrs, my family member was ready to check out! The nurse's desk told me that I need to go to the financial desk to pay, before the patient can go! I was upset, due to the fact I paid enough for 24 hrs! They told me that all services such as: gloves, medications, Hygiene, food, etc, have to be paid! This hospital is old! I paid more than I should have! My recommendation is, not to use this hospital Climic Catolic

Very good service and support. I called them one day before for an appointment. Nex day At 11 am I met the doctor (on time!). Very good conversation in english, very fast service. You have to pay in advance. People were very friendly and helpful! Appointment costs about 80 dollars, other things on demand. you can pay by credit card easily. i highly recommend the clinic.

Our children's pediatrician, Dr. Nora Padron sees them here. She has been their doctor since they were born. There is no other pediatrician anywhere that can measure up to this great, kind, caring and thoroughly knowledgeable professional.

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

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

Worst ER I have seen, the nurses show zero compassion, waiting time is endless, no proper process for taking patients in is in place, not clean, every time I go there’s blood on the floor which is not cleaned right away. People are left to die, some bleeding some in pain & no one cares. Twice now that I go & I wait hours even before I make it to Triage to get my information taken & i end up leaving.

I was delighted with the treatment I got at Joe Brant last Wednesday, the 18th of October. I arrived around 4PM with a finger I had cut off (I had it with me) and one that was basically dangling. It was a table saw accident. I was greeted immediately and directed to the waiting room. I did have to ask if they should put my finger on ice with the hopes it could be reattached. That was done. The triage nurse was great (sorry, I didn’t get her name) and the person who wrapped my hand the first time equally as great. I eventually got to the back (it was a busy time) and Dr. Terry Hatch came in and assessed my fingers. He told me exactly what was happening and what was going to happen. And then set the wheels in motion. I was re bandaged, sent for X rays given tetanus shots, and then Dr. Hatch came back in and began to work on shaving the bone etc and stitching up my fingers. It was decided that the one would not be reattached, but the other one was to be repaired. I felt very well looked after by the main nurse assigned to me, Dr. Hatch and pretty much everyone else. Dr. Hatch was calm, professional, pleasant and excelled at what he did. All my questions were answered simply and calmly, no matter how silly they may have been. I had some prescriptions for pain and antibiotics, and a referral for an appointment for a plastic surgeon (follow up) before I left. I can’t say enough about Dr. Hatch and the nursing team in Emergency. Thank you so much for what you do, and the way you do it. David

Had the greatest if you can say at the ER today. Great people, hard working. Taking care of the sick. Me included. Nurses were awesome, triage fast and friendly. Finally ER, Dr MacDonald great knowledgeable, patient and offer a solution. A referral. Something I couldn't get from my GP who I've known for 20+yrs. Thank you Joe Brant Hospital

They should burn this place and build a real hospital with real doctors. If you enter this hospital on a holiday, you will be left to die.

The international clients WhatsApp line is the worst I have experienced within the business in Medellin. I was trying to get an appointment for an MRI and responses were just like automatic system that left you for hours with no responses. If you call nobody answers. When finally someone responds your multiple messages, leaves again with no answers. I never expected such a poor service from such a reputable institution. I started around 10:00 AM and at 2:48 PM still wasn't able to get any availability for the appointment. I told them never mind and they respond to that message at 5:35 PM! I understand if the people is to busy, but so that means they need to hire more people for the job.

I paid for an Antigen COVID test and haven't received the results from the examination even as they promised to send them within 3 hours to my email address and provide access on there website! On requests I couldn't reach anyone. Thats fraud and should be a 0 Star Rating!

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

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

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

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

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

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

Dr. Bartlett and his staff were timely, professional, and courteous. The procedure was performed flawlessly and he kept the mood positive and humorous.

Want to give a shout out to the nurses and staff on the 17th floor. I was briefly there this past Thursday to pick up my uncle Juan who received treatment. It felt very welcoming and calm on the floor. I am assuming that they were nurses (I apologize if they’re not) as they were sitting in the central location and also running around taking care of patients. When we asked for a wheelchairs, they processed the request with a smile. One of the folks even asked how my day was going and asked about the Buffalo Bills. I know this may sound small but it’s the little things that can make a difference. I had some anxiety coming to visit and was exhausted from my 8 hour drive to get here, but all that went away when I entered the 17th floor of this hospital.

The nurses, admin team, patient care team I have no complaints about. I dread thinking how the doctors here have handled my Dads care since the very beginning of his AML diagnosis in April. To begin when he was initially admitted, he received his chemo and was discharged with oral meds that he was told to keep taking upon going home. Doing some basic internet research we discovered he was taking the meds for 20 days longer than he was supposed to. We had a teledoc visit with his doctor, she described it as a “misscommunication” and that he indeed took it weeks longer than he was supposed to. Also during this period, he was doing outpatient in New Jersey and never had any follow up from his doctor until weeks after discharge his initial diagnosis. I do not think this is standard. He was discharged with no Oncology follow ups scheduled or anything. When we finally did talk to his Doctor she said to move to a clinical trial that had not been successful on anyone, nor was it even available. She gave him more chemo that did not make any progress towards treating his disease. To say she was hands off is an understatement. I personally messaged about clinical trials that had success with patients with similar diagnosis and subtypes. We were told to reach out to hospitals that had them while she continuously kept stringing my father along without any real plan besides what was already not working. I asked about transplants she said it could kill him, now they have no viable plan as the chemo and lung issues (related) are too much to overcome. I continue to seek treatments for him. In short, I feel like we experienced a 1980s treatment plan, with no creativity or critical thinking applied to treating my Dad. He is a number to (most) of the doctors. They also will scheduled him for blood transfusions once a week on outpatient when he got them daily in the hospital. Extremely frustrating. Their bedside manner was also… abysmal. Offered little hope this whole time and didnt give confidence to other centers that would have been more capable in treating him. I would not recommend MSKCC and wished he went somewhere like Mayo or MD Anderson. Maybe they can be helpful for more straightforward treatment plans, but my Dad has a very rare subtype that made it complicated. Several doctors come off as thinking they are the end all be all of what is known about my father’s disease. Newsflash - we’re all capable of reading studies that show efficacy of treatments but your heads are too far up your own you know wheres to listen to family. They also give off a vibe of thinking they are the Almighty as well and it breaks my heart to see how they spoke to him and how it affects his mood, graces, and personal outlook.

Excellent hospital. Excellent urologist Mario Gonzales rooms to perform glass-glass and others🤗

I’m providing a unbiased and true experience of my most recent hospital visit at UNIBE in Costa Rica. I travel frequently to Costa Rica and had the most pleasant and professional experience on two previous occasions while be admitted to the hospital for long term stays from the doctors to the staff members this is why I chose to return. Unfortunately my most recent experience was negative to say the least from my initial checkin to being discharged as I was appalled with the treatment and level of service provided. The intake personal have absolutely no business being placed into these positions as they lack the customer service skills interacting with the public as it appeared they are unhappy providing even the most basic questions to the patient. Upon being released from my procedure the doctor or not even a staff members took a minute of there time to discuss my diagnosis or even medications if required in person. I was just given a piece of paper which I had so many questions as I was unfamiliar with the medications required and diagnosis provided. I have been acclimated in other hospitals throughout the world upon completing a procedure the doctor or staff member would meet you in person afterwards and discuss there findings also any medications if required even if it’s a minute or two unfortunately this didn’t happen. That particular weekend I had been enduring many unpleasant symptoms as I drove two hours to visit the hospital thinking I would have a positive interaction unfortunately this didn’t become to fruition as I was deeply disappointed. I then asked the admitting personal upon being discharged if I can discuss my results with the doctor or any staff member they said I would need to set an appointment with the doctor and pay additional fees for another date. I was beyond disappointed and infuriated as I would need to return another day to drive another 4 hours in total. Once again the behavior displayed by the admitting personal was unacceptable and discourteous. This will be my last time visiting this establishment as the level of service provided was unacceptable especially of a paying patient. I recommend future travelers or foreigners utilize other hospitals in the area which hopefully would have more of a bedside manner when someone is ill and can conduct themselves in a professional manner.

It is the first time in my life that I pay for parking in a hospital where I am already paying for the service of the place.

All good

Ok

Good.

My review is solely basednon the eait in the ER , as that is the only place we have seen after 3 hours of waiting. It is dirty, gross and the staff all hate humanity. They also have one restroom for the entire ER waiting room which currently houses 20 or so people waiting to be seen.

ZERO STARS IF I COULD!!! Worst experience ever. Father arrived to ER by ambulance around 1 PM for a heart attack!! No doctor sees him until 5 PM. Labs were done, notes taken for a cardiac consult and an echo cardiogram. Notes were taken but orders were never submitted! So the next day was spent in a hospital room with NOTHING being done. Echo finally done at 3PM. Doctor show up later and hasn't reviewed any notes or tests! He tells us now that they can't do the cath until Monday (this is currently Friday!!). If they had treated his heart attack as the emergency it was, they would have done the cath right away. Nurse comes in at night with only 2 of the 6 medications needed for my father. Dosage is wrong! ER miswrote the notes for his medication!! Something very wrong is happening here!! Hoping this place doesn't kill my dad!! Avoid at all costs!! Cleveland Clinic has ruined the hospital!!

Horrible. Horrible experience!! If at all possible avoid this ER. Thought I was doing the right thing by calling 911 for my mother in order to have her seen asap.that might have been the case… but don’t plan on going back to be with your family member. Seriously! Insane the way I was treated. I begged everyone I could to please let me back there to be with my 78 yo mother. “Sorry.. not protocol” zero care from anyone I spoke to. No one cared that my mom was crying for me. They all just kept telling me it’s protocol to wait for an assigned doctor, that they were extremely busy. Well.. I keep pressing the issue and was finally allowed back. To an empty room, almost empty ER.. zero doctors around. Not busy as all. Disgusting the way I was treated. Horrible They literally coukd care less. I’m sick to my stomach over how bad it went down

This hospitals hiring practices are down right racist the hr department is deceptive and i see why this campus has a high turnover rate. If you are a person that speaks up for yourself and don't fit the so called culture don't apply you won't last long they will gaslight, be dismissive and show down right racism in you're face. Look at the rating on culture look at the rating on mangement?. People of color be Forwarned

This review is more from an employment perspective and how the hospital operates behind the scenes. There’s a reason why UCLA is popular… they have money, mostly state of the art equipment, the hospital is clean and well designed but what happens behind the scenes is just plain scary. I worked here for about 3 years and was regularly dealing with high school drama, backstabbing colleagues, and abusive management. When you’re working somewhere that has a reputation, everyone will try to throw you under the bus in order to lift themselves up in front of management. Lies, deceit, manipulation, etc. UCLA is no exception and they did nothing to prevent this. I’ve worked for 4 major hospitals and UCLA is low on that list as one of the worst hospitals I’ve worked in. The culture here is very toxic and I know a handful of people who have also quit for similar reasons to the ones I cited.

ER -great Nurse-amazing Clean hospital -great One problem they are here to make money. All three doctors didn't review meds. I complained about side effects. They don't care. They take 10min and they run away. Complete fraud!!!! Doctors upstairs do not take time to study and you can't locate them. They hide!!! This is not right. doctors need to be available all the time on each floor!!!! All doctors are new. No experience

Staff are friendly, courteous and very helpful. I was discharged from other hospital and was advised to wait for call after 18 hours of excrutiating pain, I was sent home with nothing just that re-assuring words from not-so-friendly nurse that "doctor will just call me" and Leukocytes already almost doubling, CT and UTZ both showing abnormalities, as a healthcare provider myself, knowing something is already wrong, decided to go to Sunnybrook. The moment you enter ER, you will greeted by friendly old lady who will assist you on their process of registration. ER nurses are very friendly and doctors will let you feel you're human with feelings. They're all efficient and knowledgable. I was admitted shortly after and did not wait long. I will be forever be grateful.

September 6, 2023 ⭐️⭐️⭐️⭐️⭐️ Today, I had an appointment with my MS doctor at Sunnybrook. Having been here for appointments in the past, I've always been impressed with the high-quality service they provide. Parking is conveniently located near the front entrance, and there are nearby pay stations for easy access. Inside, they have hand sanitizing stations and provide masks, and you'll find plenty of helpful staff to answer any questions and guide you through the hospital. Wheelchairs are also readily available at the entrance. I have the utmost satisfaction with Dr. Lee, who consistently takes the time to address all my questions and ensures I have a clear understanding of my medical plan. I feel incredibly fortunate to have access to such excellent healthcare services.

Visited Sunnybrook Hospital as a guest of a patient. Volunteer staff was very helpful and able to guide us to the correct wing of Hospital. There is an ATM on the 1st floor close to the information desk. There are hand sanitizing throughout the hospital and at the main entrance there is also a self dispensing mask station which was very convenient. Gift store had very friendly staff and there was such a wide variety of toys, puzzles, t-shirts, stationary, greeting cards and everything in between alongside some gadgets. The areas of the hospital visited were very well kept.

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

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

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