Secondary Cimino arteriovenous anastomosis surgery in 163 Vascular surgery clinics in Americas

One of the best hospitals in town Good service and regular ER

Nice hospital

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Very bad service, almost two hours waiting at reception, at the time they said to be here, and there is no one in the department. They like to make the patient a clown

In March 2023, stay in the room at Jaime da Forte hospital for 5 days. Note thousand. All very good. From the cleanliness, the nurses, tasty food, for both patients and companions, the nurses score 1000. Thankful for everything.

Hospital and team of muquiranas, they are truly starving. My wife was starving from 4 pm until 8 pm, due to mistakes made by the planting team. There is a very arrogant and arrogant nurse there.

Terrible phone service. It took me more than 45 minutes for the first person to speak on the phone, adding up to more than 5 calls (as several dropped) and a lot of time listening to "little music". Whatsapp service is also non-existent. It is very difficult to have information about recovering patients, regrettable.

Lack of empathy with patients on the part of reception. We arrived at 4pm, as my husband had a procedure scheduled for 6pm, and according to the instructions received in advance via WhatsApp, we would have to be at the hospital 2 hours before the time given by the doctor to carry out the administrative procedures, the time being documented by the surgeon at 6pm. An attendant asked to wait, as they would call by name. At 6:05 pm we went to question the delay in being seen, and were informed that the surgery was scheduled for 9 pm and that it was not a priority. Therefore, my first experience at the hospital was unpleasant until they showed no interest or concern for the time we were waiting. I cannot direct the complaint to the attendant in question as they do not have identification on their uniform.

Night nurse Robson, totally unprepared, passed, my wife underwent a procedure in this hospital and was very poorly treated by this professional, even he and nurse Renata were just making fun and laughing at my wife. Total disregard. I would never recommend this rubbish.

There is perfect and amazing nurse in this hospital that make me feel wanna sick everyday, so he can caring me well everyday too for sure. With all of my love Mr. Martin Rojas. You are the best nurse ever

We're here now and we've had a wonderful experience. Remember with all these negative reviews that you're more likely to leave a review if you're upset, and less likely to leave a nice review if you're satisfied, like this one. We're foreigners on vacation here. We were treated fairly and promptly. We were able to speak English to two staff members during our time here. I guess I won't go into our personal medical records, but expect to pay around $50 USD (September 2022) for your initial consultation. The prices have been fair and reasonable. The staff was kind and helpful. Everyone did their best to make us comfortable and helped us understand what was going on.

Like any overcrowded and messy public hospital, just a bit cleaner and better equipped. Fair enough if you go private or thru a third party insurance. Sign in the Hospital's insurance system at your own peril, a shameful scam they call Health Plan (Plan de Salud). Mind the difference, it could cost your life

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

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

Good hospital services

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

I like how you treat me here at the clinic.

Good attention

Very poor attention from the staff in addition to giving the wrong diagnosis, worrying patients about illnesses that are not the case. I have had a very bad experience at this hospital.

The emergency service is relatively good, although they lack a lot of cleanliness in the waiting room, in the hallways and especially in the bathrooms of all emergency facilities, billing is too slow but I rate the medical laboratory and nursing service as efficient and professional.

Bad service, I've been trying to get in touch for two days to request an appointment but no one responds, they just listen to a recording. Please gentlemen, more human quality and user service. Do not enter phone numbers if they are never going to answer. I am at the hospital waiting to make an appointment, but the person attending has preference with friends. It's been an hour and it has only served 3 people with assigned shifts. It's a shame that the tension is under democracy

I had a bad experience. It was very difficult to find someone friendly on the administrative staff. The ladies who schedule the imaging area are rude and not at all empathetic with the patient. How sad that staff training for quality customer service is left to the end.

Incompetent in the emergency area. 2 am on Monday, October 9, insolent and very unprofessional doctor. Dirt all over the areas "that people don't see." Are they doing emergency procedures in the same way?

Appalling! They don't have an emergency laboratory! I went at 3 in the morning to perform some emergency tests and there was no one in the laboratory! They kept me waiting for about 15 minutes… I had to go to another hospital because of the situation I was in!

Hands down, one of the best hospitals I've ever been to. Within minutes of bringing my dad here, the entire team was assisting him with his high blood pressure and symptoms of a stroke. The staff is very friendly and attentive. It's important to keep in mind that this is a private hospital, so if you don't have insurance, they will ask you to deposit a certain amount of money into the account. Make sure to mention that you are self-pay. So they can bundle everything up into one packet. I was so impressed with the ability to be able to just walk down to the administrative office and ask what my balance was and get that information within seconds. It is worth every single penny they charge.

I was a patient her for 2 nights and it had truly been one a the better experiences of being at a hospital ever. Staff was attentive, cleanliness was amazing and the over all experience with my surgeon was amazing! Highly recommend! Coming from the USA, this is like being at a 5 star hotel!

I can’t begin to express how much I enjoyed my visit here. From Admission, medical, food service everyone was so kind! Also, food was a 10/10!

My sister was treated for kidney stones in August and we signed a document agreeing to pay $13,800. When we got home, our credit card was charged $38,000. We have made numerous attempts to speak to the hospital, no one has responded. They sent a credit card receipt that clearly shows that they forged our signature and are still demanding payment. Stay away from this hospital, they will scam you out of lots of money.

Terrible money scam. People were nice, but not professional. My mom had a heart issue and was sent here by Xcaret Hotel Mexico (this is a partner hospital with the hotel, says something about the hotel too). She was given EKG and blood test, which was charged 1300USD. The emergency doctor couldn't give any diagnosis with these results and wanted to refer an internal medicine doctor to continue with more procedures (for more charges). The whole time we were there there was no monitor of vital signs, the IV stopped working. We ran away without continuing with any procedure. Stay away from this hospital if you can!

My son hurt his knee pretty bad after landing awkwardly trampolining at our resort. He couldn’t bare weight on it and had a lot of pain so we researched a few local hospitals and decided on Amerimed based on some of the Google reviews. We were not disappointed and so glad we picked this one. The staff were friendly, knowledgeable and got us in, x-rayed, meds and a knee brace for 6,500 pesos/ $400usd. We were out within 90 minutes. Great experience. Thank you Amerimed.

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.

One word: GRATITUDE!!! I have gratitude, a feeling of recognition. I want to thank you for EVERYTHING. Receptionists, Doctors, Nurses, Cleaning Assistants, Cafeteria, Physiotherapists, Radiologists, everyone in general who gave and is giving us support in a difficult phase, which makes it a little lighter...... GOD BLESS THEM, ALWAYS.

Apart from the reasonable delay for the first pain medication (renal colic) and the first nurse who pierced my arm 3 times (skinny with bulging veins) until she was able to access it), the service was good, everything else.

I would like to thank all the staff at Hospital São Lucas for their service and care. I arrived with what seemed like a simple cough and had to be hospitalized. I am extremely grateful to Dr.Thiago Soares Gomes for his diligence and prevention in decision-making, and to Dr.Filipe Miranda Bernardes for his constant monitoring. When an X-ray was not enough to detect the true cause of that cough, they did their best to clarify the picture so that today I am better and continue with the necessary care. Know that my family, people who love me and I greatly appreciate the professionalism and so much humanity of all of you.

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 wasn't going to write a review (I'm so over all this), but I feel compelled to after reading a review that was extremely similar to what I experienced here for COVID-19 treatment. I tested COVID-positive on January 3rd and started Paxlovid. I saw my neighborhood doctor on January 4th. I am vaccinated (and boosted) but am at high risk with asthma. I was given steroids and breathing medicine. I was instructed to go to the hospital if I got worse. I got worse. The following evening, my oxygen dropped below 80. Scared, I called an ambulance and requested to be taken to this hospital as it was supposed to be the best. They took my oxygen in the ambulance and immediately gave me oxygen. I was on oxygen the whole time in the ambulance. I was taken off oxygen when I arrived as my saturation reached the high 90s. I requested the antiviral remdesivir. The doctor refused to give me the medicine. I explained how my condition worsened despite days on Paxlovid, steroid injections, oral steroids, bronchodilators, and rescue inhalers. He could not have cared less. I requested to leave as the doctor was not going to treat me (he charged me, though). The doctor told me there were other ID specialists. I requested to speak to one of them, and the doctor left. While waiting, someone else came in and said there were no other ID specialists there, so I paid and left. It should be noted my saturation had fallen to 92% by that time. I struggled at home with symptoms for the next few days. I continued testing positive after completing Paxlovid. My condition worsened, and I returned to the neighboring doctor about a week after leaving the hospital. Still symptomatic and COVID-positive, he examined me and found pneumonia. My labs were also abnormal, showing evidence I had developed blood clots due to COVID-19. He prescribed medicine for pneumonia and clots (which worked). All this could have been prevented. Trying to get my medical records from this hospital afterwords (for insurance) was like pulling teeth. It took forever to get my records, and when I finally did, I was shocked. The doctor noted that I said things I never did. My signature was forged on the documents. Worst hospital experience ever. Very expensive and received no treatment. The administration is a nightmare as well. Avoid it if possible.

We have been living In 3 different countries for the past 9 years, never experienced anything as bad. We have a a top insurance but they “suddenly” only excepts credit card payment. Stayed for additional 5 hours because they did not let’s leave. No one speaks English except the doctors. However, doctors are very competent and reason for not one but two stars.

Absurdly (like, for real) expensive for a very mediocre level of service. I went to the urgency center, and i found it very useless that on every stage (reception, triage, first and second doctor) they asked me the same questions. The doctor took more than half an hour to arrive. The receptionist has misinformed me and I did a very expensive (since I’m traveling abroad) call which wasn’t necessary at that moment. Also, several times there were several people coming in at a time, also unnecessary, certainly didn’t create a feeling of comfort. The room in which I was attended was small and the door was never closed.

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.

How is it possible that a Hospital like this still has Rimax chairs for companions, as if one did not have the right to sleep and rest comfortably while with their patient, seems like a total lack of respect to me!!

They do not have specialists available and you must wait a long time for a medical appointment to be assigned. As for the care in the hospital, it is good.

The truth is, not a very pleasant experience in this place, and even more so if we talk about the Emergency Service☠️, poor quality of service, care that was too delayed, with more than 4 hours for "adequate care" already when the patient has succumbed to crying or in the worst case, deceased; However, the current service of this place given its triage measurement is absurd, where the doctors of said "Emergency" unit "REASSESS" patients when in other tertiary institutions the reassessments are followed by other doctors and specialists, leaving the doctors free Emergency services, in order to serve Users who are waiting!, Things that in this medical center. #System#Poor

* Good facilities * Good equipments * Bad communication * Bad attention and follow up on the patient. * Really slow process in “emergency” area. * Bad management.

Sandinista Revolution Really??? still rich ladies came in where we where all waiting for more than two hours just because they knew the doctor and were rich where overpassing a pregnant lady this is a disgrace to the honor of the memory of our great hero that kicked out twice the US marines the revolution was useless there is no such thing like equality in my beloved Nicaragua

MY FRIEND RECENTLY VISITED THIS HOSPITAL AND HE STATES HE HAD A GREAT EXPERIENCE! EXCELENTE STAFF:) BUT MOSY IMPORTANTLY DR ALTAMIRANO WAS VERY PROFESSIONAL, HUMBLE & COMPASSIONATE . VERY KNOWLEDGEABLE EXPLAINED EVERYTHING DETAILED AND MADE SURE HE UNDERSTOOD, THAT SHOWED US HOW MUCH PASSION SHE HAS FOR HER JOB SHE IS THE BEST DOCTOR HIGHLY RECOMMEND ANYONE TO SEE DR ALTAMIRANO WISH I COULD LEAVE A 10 STAR FOR HER ⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️