Benign bone tumor treatment in 139 Oncology and Orthopedic surgery clinics in Americas

Bad services, appointments are always delayed, the billing area is very poor. I have an appointment that I have been waiting for for more than two months because there is no agenda, it is supposed to be at 9:20, it is 9:35 and I am in line to be able to check in from 8:40 and nothing is moving forward. The tedious thing about the place is always in the billing area. The appointment is practically lost.

In the emergency room the service is complicated, especially because of the nurses, but in hospitalization things change and it is very nice, the doctors are always kind and the little angels are sweet.

The worst hospital arrived due to an emergency of a cut finger at work since 8pm and it is 330am and no doctor or anyone shows up to take the respective points, the doctors sleeping and the worst people on the floor

I had a great experience at Pam. As a patient there I was paralyzed from my belly button down and the care and respect I recieved was tremendous. I left Pam with my wounds healed and ready for rehabilitation such a great team thanks Pam!!!!

If I could give no stars I would this place is absolutely horrendous. My husband is paralyzed and they leave him in his bed no attempts at physical therapy nothing to actually care for him. They did a Foley catheter because it was too inconvenient to do his straight catheter. They leave him ignored at the end of a hallway. The environment is dark and dingy. The parking is a whole other issue on its own. It takes 20/30 minutes for him to be attended to after pushing his call button. They shouldn’t be accepting patients who they aren’t equipped to care for

My father is currently residing here after a biopsy gone wrong and over a month in a coma at the ICU. After a rough experience in the ICU, this place is like a breath of fresh air. Consistent care, kind staff and a willingness and eagerness to heal. Mariana especially is one of the most amazing healthcare staff I have ever met.

Absolutely horrible place I do not recommend sending your loved ones here. Before my dad passed we sent him there in hopes that they would take care of him and treat him well because he was very very ill to the point of needing 24/7 care. But, we were terribly wrong the rooms were absolutely disgusting and not being cleaned even the chairs had so much build up I had to deep clean them and the room. The bed they had him in as well was gross and sticky. I unfortunately had to do their job and clean his room everyday. I unfortunately had to also monitor his colostomy bag because they would let it get so full that when they would finally clean when i asked that it overflowed and spilled on the floor. I had help them clean it up because they left it for hours and took them and hour and a half just to get the bag in the first place after i asked them to remove the old filled one with a clean new one. The list goes on unfortunately. In his stay there he also got bed sores i would ask them to help move him often and put pillows under him so that he wouldn’t get bed sores and they never did. The hospital he was at before this was osu. Every hour or two like clockwork osu’s staff would turn him and put pillows under him so he wouldn’t. PAM failed to do this even when I asked especially when I would leave they slacked at taking care of him. I had to move him myself some so that he wouldn’t be uncomfortable. He was in the hospital for months unfortunately and later passed. I’m here 4 months later after his passing to share this because I don’t want this to happen to anyone again. My father didn’t deserve to be treated the way he was at PAM especially being a veteran that served for our country.

They took excellent care of my momma! In a time when time was critical the staff was very quick with their response time. My momma was able to return to her home in a very reasonable amount of time. With out the care and dedication of the staff here she would not be back home with us.

My husbands best friend has been in the Pam Unit for 2 months. Not once was the room cleaned. Floors were so dirty. They would leave their trash laying in the room and on his bed. There was one RN nurse who was meanest uncaring person I have ever seen! They have now moved him to a nursing facility over 4 1/2 hours away that has awful reviews. It is so sad how people treat sick patients 👎🏻 they don’t even deserve a 1 star

DO NOT BRING YOUR FAMILY MEMBER HERE!! If I can give this place 0 or negative I would. This guy named James is a liar, and this lady Rose will not listen to you and dismiss you! Was on hold for more than 20 minutes, since my brother didn't receive his dinner. This guy named James put us on hold and confirmed that the patient finished his dinner but did not record it, 2 CNAs couldnt remember what food was served or what the patient ate. Spoke with the visitor that was there and confirmed that there were no food. This lady named Rose, who is the charge nurse after answering the phone told us (without listening what we have to say), that she just gave him a sandwich and some fruits. Mainly to shut us up.. Why did they lie to us and confirmed just to get us off the phone??? They didn't even apologize. If they lie on this little thing, makes me wonder what else they could be lying. This place needs to be closed down or need to replace all the incompetent staff.

My dad has been at PAM's for a little over 2 months and is set to transfer in the next few days. This facility is AMAZING, and my family and I are blessed to have had my dad here. He had a stroke after having a double bypass surgery with 2 valves replaced and was transferred to PAM's. This facility has treated him and us like family and truly taken care of him as if he were their own dad, brother, or uncle. PAM's is extremely clean and has tons of staff that are willing to help! My dad is my world, and it was extremely scary when trying to choose a facility for him to be moved to, and if PAM's is a choice, choose it!!! Some of the AMAZING staff members: Case manager: Marc Director of Rehab: Natalia Speech therapy: Genevieve Hannah Occupational therapy: Ceci Diane Brian Physical therapy: Maritta Kim Mike Respiratory therapy: Ray Lauren Wound care: Johnathon Katie Gentiva Sylvia Nurses: Rosa Ebony Mario Cayts Kelsey CNA: Cherry Yvonne Fernando Veronica Steven (Night shift) Each one of these people went above and beyond while taking care of my dad! I can't say thank you enough and am truly blessed to have met you all! Thank you all for making PAM's a second home!

This place is an absolute nightmare. One person stood out above the rest and that was Ronnie the CNA. Holly the chief of nursing is a joke and only gives false sense of security but she doesn’t follow through. Most of the nurses are nice, some of the CNAs are helpful. There is absolutely no communication with staff. When you bring up concerns they are brushed under the rug. If you ask a question no one has the answer and they point blame to the next. They bring people in here to die here. Illegal things happen in your loved ones rooms, and the so called chief of nursing is aware. If your loved one is a respiratory patient and on oxygen or a ventilator I suggest you move them to another hospital and fast. I highly suggest if you have family in this hospital you need to be there at all times and keep a close eye on everything they do. They don’t actually care about the patients or the families, they care about the money. Even the staff have made comments that it’s all about the money to this place. Absolute disgrace to the medical community and the sick patients who need actual care and kindness. Ronnie keep doing what you are doing, you are an absolute angel and do not let these people change you. We need more people like you in the world!

Im a true believer that we are all captains of our own ship. Life is what you make of it. However some circumstances are influenced by others. I was really worried when the doctors at Carolina East suggested that my brother who had been on a ventilator for 16 days and critically ill be transferred to PAM in Rocky Mt NC. Reading reviews only scared me more. However nothing there was working and he was slowly dying. After much prayer and research we ultimately made the best decision of his life. Only after 4 days he is eating and walking. A total miracle. When we first got here I was a little skeptic. Everything seemed old school and I wasn’t sure if I had made the right decision. But within hours I felt so comfortable confident and at ease. These people are so nice and caring. Like every hospital they have some that aren’t as good as others but for the most part we have not had a problem yet. The doctors and therapy teams are absolutely amazing. This is the first facility that encourages family members participation. They provide a place to sleep with your love one and meals all at no cost to the family.A shower and private bathroom was in our room for our convenience. My brother has been sick for over a month and for the first time I am hopeful. Thank you PAM y’all have been awesome 👏 😊🥰

My brother received excellent care last month. He was only there for about two or three weeks but the care and overall service he got was exceptional. During dinner time, we were offered dinner (which was delicious). His Second Floor nurses not only attended to his physical care but addressed his overall well-being too. This was instrumental at how fast he got better. Thank y'all again for taking such good care of him.

From the minute the referral was made until the successful discharge, the PAM facility and staff exceeded my expectations. I have been a nurse for over thirty years and this has been the best experience I have ever seen/had at a facility. Patient placement at PAM was the right decision. I would highly recommend it!

Our loved one was at PAM in Sarasota for over a month in respiratory rehab. The entire team was excellent. They were professional and compassionate. The environment was clean and welcoming to visitors. By the time my parent was discharged we knew a lot of staff by name and had gotten to know some of the staff through their friendly conversation. I understand that every person's experience in this type of setting will be different, but my family highly recommends this facility based on our shared experiences there.

A friend of mine recomended PAM hospital for my son who was in ICU for a week and needed an additional treatment and monitoring of his condition. From his admittion to his discharge, our experience at PAM was excellent. Staff members are professional, kind and caring. It was easy to obtain info and speak with my son's doctors, nurces and case workers. Everybody showed a great deal of concern for the well being of my son, and we both felt that he was safe and in good hands there. Everyone, without exception, was helpful and treated us with understanding, compassion and respect. In addition, my son's room was always clean and sanitised. Thank you all for your hard work and dedication to your profession, patients and their families.

I was in a coma and on a ventilator due to Covid at Sarasota Memorial last year from January 2022 until the end of March. I was transferred to PAM, where I woke up and recovered for about a month. I felt very blessed to have those on the staff there taking care of me during that life-changing event. I have gone from deaths door and not being able to talk or walk to being fully functional and back at work for over a year now. Thanks again for doing a great job!

My daughter, Katherine, was in a severe car accident in our home state of Arkansas. She was airlifted to OCHSNER LSU and then after she was stable she was moved to PAM. She had a severe brain injur, both wrists were broken, her left knee messed up. She had a feedingtube and a traciautomy even though she could breathe on her own her oxygen levels had to be monitored. The staff was very kind compassionate to us. Constantly telling us not to give up hope. We were there from October of 2022 to January of 2023. I was able to stay with my daughter overnight. I can't possibly name everyone on staff that helped us. Cheri, was wonderful in helping getting all of my daughters paperwork for her transfer to TIRR in Houston. I didn't have to worry about filling out anything, she took care of everything. The physical therapists were wonderful. Even though she really couldn't do anything they worked her muscles just about every day. Julie, Jessica, & Betty y'all are just awesome. And the nurses and nurses aids. You ladies & gentleman have all my thanks and respect. Y'all helped me as much as you took care of Katherine. Wound care y'all were awesome. The doctors that came were kind and understanding. The respiratory ladies & gentleman were wonderful. The janitorial staff were excellent, her room was cleaned everyday . I just can't thank you all enough. Y'all explained things to us and I received a mini nursing education that helped on our next journey. We were in Houston till April of 2023. Now we are home and she is walking and talking. We are truly blessed with the care & kindness we received at this facility. I thank and love them all.

This place is HORRIBLE!!!! Half the nurses & staff are horrible & just there for a PAYCHECK not because they care and have a passion for what they do!!!!! My mother was at this facility and let me just say she's worse today than she was when she went in. Observed one nurse on fb, another watching a movie, and the other one texting on her phone. When did the state board of nursing start allowing these things to go on in a facility?? Room was dirty and half way cleaned!!!! Can't tell you how many times the call light was pressed and it took them 30-45 mins to come see what was going on. My mother fell twice out of the bed. Run if you are even considering this horrible place for your loved ones. I didn't even want to give them a 1 star because they deserve a negative !!!!!!!

This place is awful understaffed and most of of staff are under qualified they were a few good ones my husband was in diapers and I could not get him changed he got blisters on his lower half I started trying to get him changed at 6:15 went to the nurses station at 7:00 after call 4 times and finally at 7:45 they came to change him and treat his blisters which made me decide to post. I was taking him outside at the hospital which help his mind after a liver transplant and I could not get anyone to help me get him in a wheelchair here. I would not leave my dog here

This specialty hospital provides no privacy for patients in that there are cameras in all rooms. Add to that: patients' visiting families are treated in a way that might be similar to visiting a prisoner. The nurses are amazing they seem to really care but management needs to take some courses in public relations.

Terrible service, absurd delay at reception of more than 40 minutes. Unprepared employees with no information on service protocols. Both for scheduling by phone and in person. I scheduled an MRI and confirmed the information before making the call and when I arrived to be seen on the second attempt (as the first time I was unable to be seen because the exam was 2 hours late) the attendant gave me completely different information, stating that I would need to change the order on behalf of the council, and I confirmed it with the telephone attendant twice regarding the council. Anyway, on top of that, I agreed to take the exam because I was urgently required, but it was 1h30 late, which ended up being a little longer. The hospital used to be excellent, but it has lost its quality, I don't recommend it.

Terrible in terms of hospitalization... I arrived at the hospital with my daughter with blood in her stool... I was well looked after in the ER and, after carrying out the tests, the doctor informed me that hospitalization would be necessary. We were directed to the infirmary and here I have been ever since. I was admitted to the hospital on 11/27/23 at 7:58 pm. I signed the authorization for hospitalization on 11/28/23 at 01:48 and now it is 15:50 on 11/28/23 and we are still here in the infirmary... They should warn you before admitting you about all this! A lack of respect. My daughter has been on a stretcher for 14 hours and I was sitting in a chair for hours and after a lot of complaining, they put an armchair...

DON’T HAVE CHILDREN IN THIS PLACE😡😡 Worst experience possible, we signed a maternity plan at this unit, everything was wonderful when presented, I thought it would be a good place for my wife and daughter. My wife went into labor so we went to the hospital. Arriving at the location, my wife went to the service. There was no room available, so we did the whole process by pushing our bags around the hospital. I asked the receptionist who informed me that this is quite common at the place, as it happens every day and so I asked someone from management (both rude) and said that I would only have a room around 9 am and at that time it was around midnight. night and a half. Of course it didn't happen, he only got to the room around 2:30 pm. In short, my wife had our daughter, I continued through the hospital pushing suitcases, all of this was nothing close to what my wife went through. THEY SIMPLY LEFT MY WIFE FOR 5 HOURS IN THE RECOVERY ROOM ALONE WITH THE BABY AFTER A RACHI BECAUSE THERE WAS NO ROOM I CAN'T GET OUT OF MY HEAD HER CRYING TELLING ME Several women passed through the recovery room and went to their rooms, and they remained there with no one to help. We arrived at our room after much insistence and were poorly attended to by the staff while my wife went through what she went through. INHUMANE HOSPITAL WITH TERRIBLE ADMINISTRATIVE STAFF NOTE: Nurse GABI was incredible in providing care at all times In other words, look for another place for such an incredible moment in life.

It is a clinic that does not have the slightest cleanliness requirements. Dishes, food, urine on the floor, ducks full of urine, wheelchairs remain in the hallways and inside the patients' reference room, thus generating bad odors and bad appearance. and a hostile environment. Nurses do not remain on site when patients require them. Patients have to be alert when the catheter bag is full and if they don't pick it up it overflows and makes a puddle of urine and it can go on all day and no one comes to clean it. They only allow one person to visit, but if another person arrives and the patient does not have any family members, they do not allow entry, because it is only one person per day. To enter the ICU they do not allow anything moral to be brought in with the toiletries but everything must be carried by hand. Visitors' personal belongings must be stored in a locker and do not provide any security. Once in the ICU he has to remove his rings, watch and other items. It really is a real ordeal. At the entrance door, the patient list is not updated and it can take more than 1/2 hour for the guard to communicate with the floor to verify if the patient is there or not. Don't let your patients be taken there. It seems that the service was alms. I can't explain how health allows the operation of this type of services and does not monitor the operation of the institution. When they release the patient, it takes more than 5 hours to leave because they only allow a single person to enter to do the procedures and to find the doctor who will give recommendations for the patient.

Clinical and hospital services.

I would like to thank all the staff and doctors who cared for and treated me. The care is very good and professional.

I have been hospitalized for 3 days for heart failure, the therapy is private and a luxury. The gastronomy is a 10, the attention of the nurses is excellent. Cleaning 4 times a day. The place is wonderful.

I was hospitalized for 2 days in this clinic for an operation and the truth is that everything was a ten! The clinic is a luxury, at least on the floor where I was (9th) with nurses on duty all day, nutritionist, surgeon, a whole team of people on top of everything. An excellent human group at work and not to mention the food where you can choose your own menu. Thank you all for making my stay a luxury, I never thought that a visit to a clinic could stop being an unpleasant experience (it will never be a good thing, nothing like the house but it was bearable) I recommend!

Images: 1 hour for reception (enter the system) and 1 more hour for them to call me to carry out the study!!! I have an appointment made 3 weeks ago. They attend to spontaneous demand and with shifts all in one place, they call in order of arrival and only 2 people receiving (there are 4 positions) and they are VERY BAD EDUCATED. A SHAME. The Dr. very attentive

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.

I'm really upset with the hospital because before I was discharged they gave me the antibiotic and painkiller medication many hours before I was due to make my bill bigger and they went over the insurance budget and they didn't let me see the breakdown Disastrous administrative staff

What a lack of professionalism: - nurses calling each other “amiga” while tending patients in their rooms - residents and nurses rushing into the patients rooms disregarding any privacy and without any education to greet anyone in the room - nurses setting up a workstation in the rooms hallway, meaning they have no respect for patients or visitors need for peace and quiet - poor facilities and lack of maintenance

In general, it is a good service that is provided, with the exception of a nurse who, without having any idea of ​​how to channel, gave my wife her arm with a huge bruise. The staff is very friendly and the facilities are clean and comfortable. The dark one in the rice is the cashier staff, who get annoyed just because, after almost five hours of having discharged a patient, they go to ask them if the documentation to pay is already there. Without any kindness they answer curtly: we are checking, we will call you.

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!

I had surgery with DR Cláudio Kawasaki on my knee at the hospital, I was hospitalized for one night, the food at dinner and snacks were excellent, but not the same as the attention given by the girls and boys, nursing technicians and nurses, super attentive and patient surreal, even with a lot of pain they did everything they could to minimize it and give it all their attention. I recommend it 100%

Excellent physical structure, reception service, wonderful attentive and human nursing team, in the cafeteria in the afternoon the attendant was very polite, calm, super human, I watched and she even knows who the patients are.

My experience was undoubtedly a wonderful show, everything was impeccable from the entrance to the exit, I believe that I will hardly have a treatment like this anywhere else, congratulations to the entire team for a high-end humanized service.

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

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

Nice hospital

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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

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.