Hemivertebra excision in 32 Spine surgery clinics in Americas

Terrible for getting a ticket, it's a two-hour line And after that two hours to do paperwork you have to wait for them to call you, you arrive at 5 in the morning and you leave at 3 in the afternoon, if that's all.

Ok

Definitely the best pediatric hospital in the city. The attention was more than excellent from the guards, administrative staff, auxiliary nurses and doctors, from Emergencies, Surgery and Recovery. The patient treatment is 100% professional, very attentive and friendly. Thank you so much.

All good

Ok

Good.

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

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.

It was one of the best hospitals that gave me a lot of support to be able to walk since I have poliomyelitis in my right leg and they gave me a brace and treatments at no cost. I am very grateful and keep going.

The best hospital they could recommend to me, they turned to Angeles for the quality of life of my daughter who underwent surgery for hip dysplasia a year ago and today my daughter can run and jump, she still has an appointment to have her nail removed but Thank God and the doctors who operated on her, she can run. In addition, the staff is very respectful and I say this for myself because I was the one who stayed with her the day of the surgery. At no time did I receive bad treatment.

An excellent hospital, quality care and very humane. The treatment by doctors and staff, very professional. Very grateful for the care given to my daughter during her stay after surgery.

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

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

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

The only good thing about this hospital is the view because the truth is that customer service leaves a lot to be desired. I went to this hospital because it is the one that referred me to my social work. I traveled from the interior (1500kms) and arrived for my shift ON TIME to see the doctor. They attended to me 3 HOURS later. Then the doctor asked me to get an MRI done at the same hospital. Those who assisted me told me that I had to send a WhatsApp (since I was in person to request an appointment). I arrived at the place where I was staying and requested an appointment. They wanted to give me a shift almost a month later. I told them my situation and the urgency (since I had traveled many kilometers and couldn't stay that long). They cared little or nothing. They didn't give overtime shifts. After an odyssey to get the MRI, I was able to do it but in another place in the capital a day later. I already had to go back so the doctor asked me to continue the treatment by teleconsultation. I left Buenos Aires the first days of September. WE ARE ALMOST REACHING DECEMBER and it is the 5th time that I cannot have the teleconsultation with the doctor. It is a disaster!. They make excuses that my social insurance doesn't cover it when I had already told them that I had no problem paying it privately but they continue to tease me. I hope my social work changes the hospital where it refers its members because it is truly regrettable. I DO NOT RECOMMEND IT AT ALL AND MUCH LESS IF YOU ARE FROM THE INTERIOR OF THE COUNTRY BECAUSE YOU WILL WASTE YOUR TIME AND YOUR MONEY.

I've been going for years! My dad took care of her, I take her to my mom and obviously sometimes I go. From personal experience I know that the elderly are treated very well. Maybe they have some other problem in the administrative and customer service part. It can always be improved!! The one that has the most weaknesses is the administrative part of neurology. But like I said they can improve. But as for the professionals, they are very attentive and excellent, I can confirm that 🐘😁❤️☮️ I've been going for years! My dad took care of her, I take her to my mom and obviously sometimes I go. From personal experience I know that the elderly are treated very well. Perhaps they have some other problem in the administrative and customer service part. You can always improve! The one that has the most weaknesses is the administrative part of neurology. But like I said they can improve. But as for the professionals, they are very attentive and excellent, I can confirm that 🐘😁❤️☮️

Amazing staff. Doctors, nurses & admin are very professional and cozy. Thanks !

Today, November 24, 2023, I make public our experience in this hospital, we arrived with our little 1-year-old son who had dislocated his hand and it was swollen, we were admitted and the girl took care of us very well, I have no complaints, she sent us to traumatology where we lasted approximately 3 hours, after that time we returned to talk to the girl who treated them and she told me to wait for a doctor to come out of the offices and ask him if he could treat us and that's how we waited for about 1 hour and a rude, poorly educated doctor came out. And for me without a vocation, he told me that the orthopedic surgeons were in surgery that I had to wait and be ready to be grateful that they were there and lastly he asked me where I was from. He can't take it anymore and I left that place crying with my son, what a lack of empathy if they treat people like that, I don't even want to imagine how without it with children. Very bad experience and I hope that doctor doesn't have to happen because we live through it. (I am the child's mother)

Excellent attention. Unique in Argentina given the specialization of the hospital. Medical care is specialized.

They claim they have a guardia or emergency but in reality they dont. You won't find a doc but you'll find loads of support staff. Not helpful when they've got support staff but no docs or nurses to actually help. It's claimed to be one of the best hospitals for kids but good luck trying to see a doc. My 5 year old had a fever for 3 days and convulsions so we decided to go to this hospital. Arrived and waited an hour for no one so I went banging on the guardia door, spoke to informes, admisión, orientation, etc but no help. I had to burst into their lunch room where at least 5 nurses were sitting down chatting just to get help. Screaming for help is the one way to go. You need to make a stink, bursting into rooms to get help. That's not how a hospital should run. Why must you have 5 people in informes, one in admison, one in orientation and ZERO doctorss???!!!! They've got no problem sending security at me but a doctor they don't have.

Have been passed around from test to test for 3 months trying to get clearance for surgery without any treatment for my condition. Seems like all they want to do is test and not treat problems. Impossible to contact doctors offices by phone. Ordered tests without telling me. Asked for referral to hand surgeon and they sent me to shoulder specialist. Asked for referral to ear doctor and they sent me to throat doctor. Did multiple tests on heart and all good but they are ordering more tests. Think they are more interested in generating revenue than healthcare

My first bad experience, I have been admitted here several times and my stay had always been good, until today that I already have 6 days admitted with my son here we had a double room where the first nights I was touched by very decent and respectful people, the last two nights I have been touched by a couple with their son who leave the light on until late at night, they spend the day in phone calls and with a very inadequate tone of voice, the husband stays to sleep and has an awful snoring because those that are very difficult For me and my baby to have rest time! I talked to the manager who didn't do anything, I don't talk to people or take the delicacy to even see if she could move us to another room I don't care if it was with another person maybe they weren't as indecent as these which the sick people have told her that please if they can keep their composure and they don't even change! The truth is that I would have liked to have another person to help me and be more condescending with the situation, because I have seen empty rooms since last night even double, but according to the person I spoke they were not available! I'm still here and I can't take a break! As a hospital you need to put some rules like do not let man stay at least in double bedrooms, do not permit loudly noise in the room and for the residents on the rooms to keep respect to others and peaceful space appropriate for recovering!

My sister had surgery at Columbia Presbyterian Hospital. Her surgeon called me at 11:14 to report that she was out of surgery, and that the recovery room staff would be in touch when we could see her. I did not hear from the recovery room, so I called them. The desk clerk rudely told me that the nurse would call. It is now 2:50 - almost 4 hours since my sister left the OR, and I still have not heard a thing from the recovery room nurse. It is inexcusable to treat family members in this way. In addition - they have a one way texting app for communicating with family members - useless, apparently, because they don't use it. I understand nurses can be extremely busy, but it only takes seconds to communicate to worried, waiting loved ones.

Last summer I ended up in the ICU for 6 days with a pulmonary embolism. All the staff were wonderful, especially the nurses who changed my chux pads. Multiple doctors came to talk to me about my options, and I felt reassured that I was in good hands. I was put in a catheter-directed thrombolysis study. My medical team explained the procedure in ways that my oxygen-deprived lungs could understand, and before I knew it I was rushed to the OR. My follow-up care at MGH has been exceptional. I see a cardiologist and hematologist regularly now, but I am grateful to be alive thanks to the wonderful staff at MGH. You all rock!

My wife was operated on 10/19. Our stay from then on and through the weekend was the best hospital experience to date. We especially want to comend the staff. Our nurse Lauren Schmidt was the happiest and most cheerful which flowes right to the patients making us feel great. All the staff was great.

Boston was going to be just a port of call on our cruise, but we had a medical emergency while we were here. We spent some time in a very busy emergency room, but they got us in for surgery within 24 hours. All the medical professionals who helped us were kind and very informative and caring.

The attention from the nursing staff left much to be desired, it is supposed to be a first-class hospital for such poor service. Omission of analgesics, failure to follow instructions left in writing by the doctor. They ask about food preferences and allergies so they can ignore them. Violation of patients' rights, even though all staff have them attached to their chests on their identification. Not a cheap bill (>200k) for such bad service.

It is a very clean, beautiful hospital, obviously also in the area, the consultations are a little expensive, but they take great care of you. I fully recommend Doctor David Mazza 🫰🏼

A modern, clean, well-located and very well-equipped hospital. The rooms are spacious, well-organized and the facilities are of excellent quality. Very large parking lot, the signs in the hallways are very clear, but the staff is also very friendly and helpful, they are happy to help you if you can't find something. At the entrance there is a Starbucks Coffee with fresh and tasty food and on the other side a grocery and drinks store. From the entrance there is a very nice view.

I tried to set an appointment to see a surgeon. Front desk hang up on me cuz my spanish is not great.

I put five stars just so everyone can see this Dr. Jorge Eugenio Valdez Garcia who works at el Zambrano hellion is doing research with an implant in my eye and he is harassing and threatening to have some one shoot me and has hired someone to stalk me and that person has been breaking in to my truck and has been stealing from me he is trying to scare me they grafted the implant in my eye without my consent and he has been doing research with my eye for several years now!

Great service and awesome doctors, we visited Dr José Ángel Garza Cantu

What a shame that in a Hospital like San José you cannot buy a catheter and emergency medicine at the Pharmacy. As a town pharmacy, it was closed at midday because the person in charge “went out to eat.” AND THERE WAS NO ONE TO ATTEND. And the people I asked saw everything as very logical… “he went out to eat and was probably late.” How little brains. A Pharmacy in a hospital in broad daylight must be open so it is a good idea to have another person stay to serve while someone else goes out to eat. It really took a long time and I had to go look somewhere else (CUAN) because the medicine and the tube were URGENT.

woke up there after a slosh of a sesh, now missing my left nut, right kidney and both my big toes and pinky toes. i have no ballence now

Best hospital in the world!!

Terrible service, I needed to perform a procedure with anesthesia, I had to ask God and everyone for permission, and on the day of the procedure they said that it wasn't in their documents that there would have to be anesthesia. I had to do the procedure without it and it was horrible.

I had a Coronary Angiotomography on 11/28/23, excellent service since my arrival, the doorman who opened the car door for me to get out, the reception had excellent service, a 10 for the girls at the service and the interview and at the location of the exam I was very well looked after by the Nursing Team and the Doctor who carried out the exam. Mother of God Hospital Congratulations on the service, excellent.

Hospital Mãe de Deus was once a reference hospital in Porto Alegre, but it is currently in terrible condition. Nursing technicians unprepared to care for people, too long waiting times, information that exam machines - resonance, x-ray, are "damaged" (which would be a reason for delays and rescheduling of exams), structure is very bad (broken tables, beds that don't work), poor hygiene (hospital waste on the floor in the medication room, such as bloody gauze and used cotton), hospitalization schedules are not followed (meals are delivered many hours late to patients ), between others. Hospital Mãe de Deus currently leaves something to be desired and any possible inspection of minimum requirements should even be able to penalize them. Relatives of patients talk to each other there and the vast majority are perplexed by what they are doing with Hospital Mãe de Deus, which was once a reference entity. Currently, Hospital Moinhos de Vento and Complexo da Santa Casa de Porto Alegre are far ahead in every way.

We unfortunately had a five night stay at the NICU over the Thanksgiving holiday. The staff provided excellent care to our kid and were extremely compassionate to us as parents. We were grateful for the private sleep rooms and shower, and they even had a free Thanksgiving dinner for everyone. The parent / family lounges have places to grab coffee and store food, and everything is very clean and organized. The doctors and nurses were very communicative and kept us in the loop the entire time.

Absolute terrible service , my child who has a seizure disorder and potential c- diff was made to wait in the ER for 3 and half hours plus without even being properly triaged . She didn’t receive a wrist band , at any point & we can run the cameras back , no one was alerted to her allergies , there was no band received for that as it typically is .. and she begin to have diarrhea thru the long wait due to the virus she’s had the past week and in turn she begin to get worked up and her fever returned . I asked how much longer the wait would be abd for an approximate timeline .. as I’ve observed plenty of patents come in after one in which I knew personally with less servere circumstances… literally come and go and my child was still suffering in the ER … the Nurse on duty was unaccomidating and almost seemingly unwilling to engage .. as I waited for some kind of answer on when my severely sick child would be seen . I asked if it would be more then another 30 mins and he said he couldn’t promise but shouldn’t be . Well it was . After 45 mins of them calling more then 3 patients who arrived after us .. I reluctantly decided it best to take my fevering , baby who now was covered in feces home.. as she was in her 3rd bowel movement and we had difficulty changing her in the nasty public restroom . I ultimately watched them call two more patients who had come after us exhibiting no signs of eminite health scares then I ordered our ride so I could take my child home to change her and give her medicine to help reduce fever and prevent seizure . I am pissed and very upset that my child and I spent. 3 plus hours we can’t get back in the ER after already being across the street at the Berger building for 3 hours prior this was wayy less then pleasant This is the second poor experience in this particular Emergency Dept but this is the first time it was so horribly handled that I had to leave with not only an even sicker baby then I arrived with . She still now will have to go to another ER to be seen .. because she did infact have a seizure once we got home from her fever that arose& I informed them but that did nothing to medicate the situation or get her seen. Now my kid is home fevering still sick potentially has c-diff and I am skeptical to return her to this terrible hospital because they haven’t even returned my call. I called to speak with charge nurse after filing formal complaint and was told by Jennifer in WR I could not speak to any charge nurse and then she took my information and said a nurse on duty would call back and it’s been an hour with out a returned call. This is negligence and unprofessionalism tht promoted us to leave in the first place and CHOP is looking at a pretty decent lawsuit if we do go to another practice and something is severely wrong with my child with so much documented instances of me trying to get her helper seen and have a team leader consult about next steps. This place wasted my time , cash as it’s costed money I didn’t have to travel to and from and I felt like the poor treatment was racially motivated , as as kid who came in after us was pulled to the back cuz her mother told them she was seizing but I was looking at the child. Who literally just had woke out her sleep. This place is incompetent , and of all the amazing experiences we’ve had here . Today ultimately casted a shadow on them all and I will be contacting the PA board of insurance aswell to file a formal complaint because they need to do better on managing and transparency in the ER wait times. We got there at 12:15 and didn’t receive a text saying my child’s room was ready until 4:15 pm that’s 4 freaking hours for a child who had 2 seizures in past week, has a virus, and cold and caught fever while there … when she has a history of febrile seizures … 0/10 would not recommend. Shame on u all

Very friendly staff and amazing doctors. The information desk is very helpful. The front lobby is well designed and honestly fun to be in due to it's design: there is a meandering ramp that goes up several stories with interesting interactive stops on the way. The lobbies on each floor are also all well laid out: they have great views outside and inside were designed with children and comfort in mind. The plaza out front and the cafeteria/Cafe are both relaxing places to recharge.

My brother was in this hospital because he had appendicitis and had to get surgery and He said the nurse was nice! I think this place is really nice because it's clean and Its nice looking, I know that because I was there to visit him in the hospital. I also want to thank you for saving my Brother before more consequences happened to him and that he could've died.. but thank God this hospital was there! Once again, thank you for saving him🙏🤍 Also I definitely Recommend this place if you want nice doctors and want to feel less anxious and comfortable here.👍

This hospital isn't what it used to be! It seems to be loosing patient focus and fast. We've been a CHLA family for 11 years and I think it's time to switch. My autistic son was SCHEDULED for Dental Surgery. Originally it was supposed to be at 1pm and us be here at 11am. When we got the call from the nurse last night that we needed to be here at 530 AM we were like no one told us! But we got here right on time. We'll let me tell you that they took him upstairs to Surgery PreOp it took over 4 hours to get him into the the surgery room, because he needed to be admitted after surgery and no beds were available. This hospital needs to have better planning for these types of things OBVIOUSLY there will be emergencies that come in over night THAT SHOULD'VE ALREADY BEEN ACCOUNTED FOR!!! Maybe you need more staff and more beds!!! Because to have a child basically starving because you couldn't plan Accordingly is just plainly ridiculous! Then when I spoke to the Charge Nurse in the Surgery Dept she tells me that if my autistic son has an outburst that the anesthesiologist and nurse are there to help give him something to calm down. So basically if my son has an autistic outburst they will just drug him up. I'm like realistically drugging my son just to calm him down because your hospital didn't plan accordingly is uncalled for and unnecessary! Again I am seriously contemplating switching hospitals even though my son is on the Heart Transplant List!!! -A Frustrated Autistic Heart Mom

Ok so I had open heart surgery 20 years ago. I was well cared for and was in icu for three days and then went to a step down room where I was later discharged home after only three days at the hospital. My team was so amazing and so supportive and loving. And a picture of me twenty years later.

My husband and I rushed our son to the hospital last week cos he had a seizure. It was at midnight and they had just one doctor attending to so many people before us so we had to wait for about 7hrs. We were attended to in-between by nurses but the last nurse who came to us started asking some questions that we had already answered over and over again but before she started, she looked at both my husband and I and asked “which one of u can communicate with me better?” We didn’t understand what that meant so my husband asked “what do you mean?” And she said “I need to ask a few questions to whichever one of you can communicate with me better in English” I couldn’t speak out of shock, my husband just walked out of the room cos he didn’t want to get upset, she asked the questions again before I could bring myself to answer her. This was after 6hours of waiting for a doctor. Shortly after, a doctor came in, we were attended to and we left there. The other nurses were sweet but I was disgusted by that nurse thinking we used to live in trees and caves and only spoke gugugaga before coming to Canada.

ACH is so nice that makes me being a kid again, minus sickness. This was my first visit at ACH for my son and we enjoyed the environment.

My son had a very long procedure done in endocrinology, and the nurses there were awesome! They gave my son $15 Apple card for good behavior😄

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

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

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

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 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.