Cerebrospinal fluid leak (CSF) treatment in 87 Neurosurgery clinics in Americas

Huge hospital with many specialties, including non-invasive cardiology, urology, oncology, orthopedics, among others. It is well located in the city of São Paulo, close to Vergueiro station. There are two other hospitals close by, including the BP hospital.

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I have been here several times, but today seems to be the time that this hospital's ER is the least prepared. Having passed through covid season peak now the hospital seems not being able to cope with the current influenza surge. The expected waiting time for a clinic evaluation, not considering possible needed exams or medications is of 4 hours! Seems that there is no medical staff at all right now. However the nursing and administrative staff are whatever possible. Hope somehow they can cope better with this seasonal flu...

I was at the Oswaldo Cruz Vergueiro unit on 11/24/23 at 8 pm. The service was for my mother and it was reasonable, however I witnessed the arrival of a girl with an injury to her head. The family in panic with the girl on their lap. The security guard and triage nurse were so quick that I didn't even see where they came from. The medical team was also quick and I saw the stabilized girl being taken to the upper floors. Of all this, what caused surprise was the apathy of the receptionists. They didn't help at all. Not even the family seeing the issue of documents to open the file. Even the nurse on duty was irritated with the receptionists. There was a lack of empathy, there was a lack of humanity in the service. Reception grade zero. Security and medical team, grade 1000

This hospital it’s unclean and the service are very bad we was waiting over 8 hours just to see the doctor

Hospital increasingly abandoned. Bad mood from reception to service floor. Doctor, thank God, he treats me well. Dr Alexander. So abandoned that there's no one to even pick up the token... 🤦🏻 (3rd floor) Sadly.

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.

I went on 11/22/23 at 11pm something (I don't remember the exact time) with a fever of 40 and discomfort throughout the body, with vomiting. To which they answer that they only attend to emergencies. Only guard is from 8am to 9pm. How can it be that a public hospital has guard duty all day and night and this hospital, which is classified as the best, only has guard duty during certain hours. The person who assists me tells me after I complained that I required medical attention that they would attend to me but I would have to wait at least 4 hours, but that it was safer in 5 hours. With terrible abdominal and body pain, I waited 1 hour and a half and left, to which they wanted to charge me for parking and with a card only. I had cash. But at night it is only with the posnet and you charge yourself. I had to go to the Lomas de San Isidro, and upon seeing my condition, they treated me in 30 minutes, where they referred me to a room and made me Urgent studies and analysis. They treated me excellently. Let's see if the hospital commission understands that the patient does not have a stipulated time to feel bad. That is why it is a guard to attend at any time. I know that the word (Guard) has a certain schedule for whoever manages the hospital. I must clarify that the hour of parking is too expensive, the hour costs more than two liters of gasoline. And the car is left out in the open. Also Sometimes to pay for parking there is a long line and there is a delay when you are in the sun or rain without shelter. It should be subsidized. But the greed is greater. I must clarify that the professionals always treated me more than well in the Austral. The issue is They give you shifts with a delay of 2 months. There are never shifts.

The hospital has excellent doctors. The serious problem that this hospital has is access to medical appointments. A patient has follow-up checks for chronic medication and the SHIFT staff, after several attempts, respond that they do not have appointments for this month and do not know when they will open the agenda for the next one. I go through the application and it doesn't schedule an appointment for that doctor and it tells me to contact me by phone. And as best as you can during your work hours, you keep trying and spend the month with the Same answer 🤷‍♀️ It's an epic to get a turn. And an almost impossible challenge to achieve medical follow-up for treatment. How to solve it 🙏🏻? How many more patients are there in this same situation? A first level hospital has to be able to solve this urgent issue.

Excellent attention from everyone, from the security person at the entrance, to the receptionists as well as the doctors, who are super professional. They treated me quickly and gave me an accurate diagnosis. There were a lot of people in the waiting room, I thought I wasn't going anymore. But the service is fast, since there are many receptionists and many doctors serving at the same time. The building is beautiful, large, clean, with coffee machines (you can pay with MercadoPago) and some things for breakfast. Highly recommended.

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.

All staff member needs an urgent training to learn the meaning of empathy and serve to patients.

The best in town.

Omg I had to walk to the nurses station for everything from a blanket to medication. They have no tv in the rooms. They take for ever. You have to wait 6-8 hours to get something done. Just go to a regular clinic in Barranquilla they are not as nice but they get things done.

An amazing facility with an amazing level of care. Better than any US or German hospital I have ever been in. The office of international patients is very professional and thorough. Dr. Taboada is very thorough and professional. I can't recommend this hospital enough. Super experience.

I came to see if giving birth at Serena del Mar was an option. When I was given a tour of where the mothers and babies stay it was great. I was told to male an appointment to be seen by an obgyn so that they would have a history of me. The nurse took my info days before my appointment but apparently never followed through with setting up my profile. I showed up for my appointment and was never told who I would be seen by. Dr Maria Fernanda Toro Wils was upset that she had to wait on me because the staff had not created my profile. I finally went into my appointment with the doctor and she scolded me and told me she had no time we had to rush. I told her I did not understand whybinwas being treated this way when her staff was a mess. She told me she always does 40 minutes and she dedicated about 20 minutes if that. I left there feeling so upset and totally changed my mind about having my baby there. The treatment from Dr. MARIA Fernanda Toro Wils was terrible. I would not recommend her or her staff in a million years.

They neither answer their phones nor respond to emails seeking an appointment! Terrible customer service. I communicated in Spanish as well so not a language issue.

Malpractice. My grandmother was left to die. After an isquémic stroke. Proper measures were not taken within first 6 hours. Instead of ICU, she was put in a regular room. Nurses shifts had no records of prior shifts. Avoid at all costs.

I was supposed to have surgery in this clinic on 10/17/22. I arrived around 10:30 at the O.R floor, 4th floor in the building, and no one was there. The reception desk was dark with zero employees. While I sat waiting for someone to show up I looked at my paperwork handed to me at check-in, when I realized they had me as a Colombian citizen born in Barranquilla. I'm a U.S citizen. The address, phone number, and emergency contact provided by me earlier had been overlooked and ignored. I went downstairs and corrected it. Finally, the nurse showed up; she was a nice lady. There isn't anything negative to say about her. Around 3:30 a nurse assistant brings a wheelchair and wheels me into the OR. My surgeon, Dr. Carlos Cala was running late, she said. The O.R had a two way-in, bidirectional, restaurant style, swing door with small windows. At his point I had not been sedated, medicated, nor given a relaxant to prepared me for the cultural shock I was about to experience. There was, right in the middle of the room, an overwhelming sight of a surgical bed dressed in brown sheets ready for a bloodbath; and a dented, shallow bucket, right at my feet. The pan was wide enough for my feet to fit in. The N.A explained to me that she was going to bathe me with antiseptics and soap before surgery. I followed her with my gaze, noticing a disturbing sight of two soiled, worn out, filthy, and grotty, styrofoam coolers. There they kept the antiseptic and soap warm that she was about to use on me. She asked me to stand in the pan facing the door and those swinging doors started to open and close while medical staff came in and out. I was naked and a swing away to be seen by everyone sitting at the desk just outside the OR (recovery area). Then, as I’m looking around in dismay, I spotted a recording video camera IN the OR. All the feelings of humiliation, indignity, disrespect, and violation of privacy took over me at this point. I complained about this to the NA and she called the floor manager. The manager explained to me that the video was for liability reasons and to cover their backs, privacy wasn't a concern to them and video recording was a common practice. I requested an appointment with the clinic’s director and It seemed as if I threw a stone in a hornets nest. The floor manager called the anesthesiologist, Dr. Bernal, and he asked me what was the problem. All of this time I was still naked. I tried to explain to him that I felt my privacy was not being respected as I had never gone through anything like I was experiencing at that moment before and his replied was: “you should go back to the United States and get surgery there.” I don’t know what was more upsetting; the fact that this doctor represented COLOMBIA so poorly, not aspiring to anything beyond mediocrity as a professional, stepping over his Hippocratic Oath, and having a condescending tone towards a CUSTOMER (I’m a paying client in a private clinic, I reminded him), or the fact that his lack of character, dignity, and vulgar behavior, were an irrevocable proof of his unprofessionalism. When did lack of HYGIENE and violation of privacy became a common practice in healthcare?! Both, Dr. Bernal and the floor manager, proceeded to tell me to calm down and that if I wasn’t ready for surgery I could reschedule. I kept saying that I still was interested in an appt with the clinic’s manager. The floor manager kept hinting that there was not going to be a surgery if I insisted to see the director because that meant I was upset, while Dr. Bernal kept using my request as leverage pertaining to the final success and outcome of the surgery. Again, all of this time I was naked. Because I didn’t shut up and submissively obeyed, the surgery was canceled and I was scorted out of the OR while the nurse assistant was making signs behind me at everyone we were passing by (medical staff, patients, and their families around) that I was crazy. I did speak to the director days later. Even though he was nice, I opted to have my surgery elsewhere. Avoid at all cost unless you're dying.

Good service but they would have bigger watings rooms...

There is no appointment assignment because "there is no agenda." But the EPS does make the punctual collection. Edit: The clinic is still terrible. Nurse Jeimy Oviedo, from the emergency room, is extremely rude and does not even see people to take signs. Edit 2: EPS Sanitas should consider ending the contract with this IPS, THEY NEVER HAVE AN AGENDA FOR ANYTHING. If I could I would give them 0 stars.

This clinic is now Christus Sinergia, according to the 3 hours I spent on the phone line waiting for one of those who answered me and went from one line to another to tell me how many hours they offer vaccinations, they have the best specialists and the best technology but they have the worst customer service or telephone service that I have ever had to endure for 3 hours without any response, just frustrated... they should have communication with palmira-cali and not throw the ball around

It is an institution with good facilities but poor reception of both patients and communication. For them to treat you urgently is deplorable, you have to be almost dead. When scheduling appointments, they do not give complete information. Apart from the girls at the reception who are kind on the phone, but in person they believe that, being despots, they do a lot; If someone arrives unwell it is due to the actions of the entries.

Terrible service as health officials from the doorman to the nurses, most lacking in humanity. Do not bring your families here because the sick must have a complementary plan or be prepared to be cared for on their own because one pays to be cared for like others because there must be discrimination, they need a lot of humility and empathy so that it is not noticeable that They work only for the salary. This career is about love and patience and serving.

That clinic is a complete hell, they leave the emergency patients in chairs, on the floor, they are not attended to, they lose their papers, there is overcrowding of patients in hydration, men and women, in the emergency room observation, please if you love your family member, don't take him there, the eps famisanar is rubbish, we need to transfer a patient from that hell, my son @supersalud, @famisanar. I attach photos that I was able to take in the terrible places that prohibited me from taking photos.

Foreign and locals please abstain from attending these very old and outdated hospital facilities. I've been a patient in the US, Spain, Germany and Colombia. This is by far one of the most frightening hospitals sub standard even for a tiny 3rd world town. Readers beware. Avoid at all cost, unless of course you happen to be a malpractice attorney. 1. Patient surgery intake. Expect a minimum of 2 hours 2. Nursing and Patient Information Systems. Pre and post surgical nursing staff use notebooks and handwritten notes as a the regular protocol for patient care. Despite revealing allergies with 5 different people and 5 different notebooks, the staff failed to write patient allergies in the surgical board and also failed to place the standard red bracelet. It had to be bluntly requested by the patient in the OR. The nursing staff laughed it off as normal noting it was goog "they" caught it on time. OMG. The nerve. 3. Institutional tardiness. Expect 3-4hour delay past scheduled surgical start time. Do not expect an apology nor a justification for tardiness. 4. During surgery expect nurses to answer questions to family at 8am, 11am 3pm. Should your family happen to run into a nurse and ask a question expect nurses to raise their voice rudely, only to be reminded to wait until the scheduled time. If your family receives a call from the OR team with a request (for information or supplies) and wish for you to ring the door, expect no responses to either of the two doors and one window. A family member witnessed a lady who could not find her father for 2 hours. Whiled the nursing staff dissed her, she had to appeal to a surgeon that was leaving the area. The information systems could not locate the patient. Frightening. Very Frightening. 5. After surgery expect 2 nurses to handle patient care for all 16 ORs. OMG. Frightening very frightening. Little help, fend for yourself. 6. Patient out-take. Expect the process to last a few minutes. But by all means do not expect it dignified changing room and or patient lockers. It's pretty gross 6. One week surgery follow up. Expect two hours wait on the 3rd floor of a brand new building just for check-in. Expect rude and insufficient check-in staff. Then expect another hour for the doctor to see you. I hope my comments help you make an informed decision. I hope my comments save lives and hardship. Steer clear if you can. Colombia has great hospitals. This is by fas substandard even for small towns in a 3rd world country.

The attention was terrible, I had to be there from 4 o'clock to reach a shift of 40 that they gave for a panoramic x-ray of the spine (goniometry and orthogram) 14" x 36" format (adults) and despite getting up so early there were already people queuing, additional They did not inform me that the numbers to make x-ray appointments do not work, no one is going to answer you and I found out about the appointments because I missed the first trip that I made at 1 in the afternoon so I got my appointment this time but I did not know that it was time to take copy of the history and if you have more than one exam in the order you must also make a copy, in short photocopy everything up to the ID so as not to be running if you do not have the order at the time they give you your turn they will not give it to you And even if you get up early and your turn is delivered at 6 in the morning, they begin to distribute them because customer service starts at type 7 or 8 so you have to wait and wait, there are very few who pay good and human attention, almost no one gives you gives reason for nothing and it's up to the users themselves to look for solutions, the photocopier in the cafeteria will be type 6 and there is another one inside where you wait your turn according to what they informed me on the second floor, if you still need to print something it is better to do the queue to receive your turn and after you enter, go up to the second one to make copies. It happened to us that together we sent someone else to make the copies and we kept him in place and when the time came for the turn to be handed over, the guard refused to wait and without order there was no take a turn! Another thing is that you have to line up for everything for the laboratory, for MRIs or diagnostic images, to make appointments with specialists for everything! Before standing in such long lines, ask carefully where it is your turn, many arrive and lose their turn for being where they should not be, where the photo public is where you have to line up for the laboratory, x-ray and in front is for appointments with specialists.

This hospital has modern facilities and good qualified and humane staff who provide good care to their patients.

I arrived at 10 when they say they open, no one. A girl arrived at 10:10 and they couldn't open the door for 10 minutes. We went in and another 10 minutes waiting to be attended to. I ask to be shaved and a boy who looks like he is 16 attends to me. I cut myself 3 times; He leaves the sideburns different and finishes them with a shaver. I could do better at home. Horrible service…. Avoid this site!

Terrible service, the worst a consultant can have, it shows that there is no level of supervision, they cancel appointments at the last minute because the doctor “left” I had to see people who were assigned appointments in a different place without taking into account that They are low-income people, Dr. Mauricio Osorio Manrique, it would be appropriate for you to pay more attention to the service of your clinic.

In the UROS clinic, what is the EMERGENCY part is the attention, a doctor,,, select a meeting chair 💺,, narrow structure for the emergency area,,,,

Overcrowded clinic, patient on stretchers in corridors in view of everyone, one calls insistently to ask for appointments or scheduling for exams and they don't have an agenda or you have to wait for them to "activate the service" because it is not available but when you go to Super health there if they have, pregnant women do not have the right to be accompanied by their partners or parents unless they pay for VIP service.

My gratitude to all the professionals who work in this hospital. It is a sacrificed job, my admiration goes to the entire team, who carry out their work with professionalism, patience and a good attitude. God bless you.

Terrible service, it is a clinic of low quality and deficient medical care without professional ethics. Due to malpractice, a great doctor died when he was only admitted for an appendicitis operation, the operation went wrong and it became complicated. All for a hospital without a well-sterilized and clean room to do their operations.

Very professional in patient care and attention. Currently they are one of the few hospitals that has prostheses for knee arthroplasty. They have a very good rehabilitation service. The facilities are very clean and permanently disinfected.

Great Service, Doctors are so respectful of patients times. Very clean hospital. Quite a different experience from other hospitals. Very pleased.

I went in with back pain. Got excellent care ,x-rays, diagnosis in less than 2 hrs.

This hospital is amazing! My husband had to attend and I was so impressed with the staff! As we do not speak Spanish, they were all very amazing and did their best to help us. They were kind, caring and detailed to ensure that we were well taken care of. Thank you so much for taking care of my husband! You are the best!

It is a hospital with very good facilities and good medical staff. It is noticeable that they are trying to improve many aspects, but they have failures at the level of internal logistics, since they frequently drop hospitalized patients hours in advance for diagnostic imaging and other tests, clarifying that in the waiting room for Imaging diagnostic rooms have air conditioning, which ends up making some patients more sick; The truth is that in this regard there is a great deal of disregard for patients and a great lack of organization on the part of the hospital. There is also a large overpopulation of patients in the emergency room that obviously exceeds the capacity of the hospital, since even in the emergency corridors there are stretchers with patients and companions who do not even have a place to sit.

The emergencies of this hospital are chaos! The disrespect towards the patient is total, you must stay 3 to 4 days in the emergency room under undignified conditions so that they give the patients a bed there is a doctor Moros who is the head of the emergency room and the man does not appear! No one provides a solution or an answer!

Rude guards that don't know medical status but won't allow access or questions to medical personnel. This goes for guards outside and inside. Doctors do not provide status to patients and send students to relay status. Students can't answer questions. Poor communication and follow up by all personnel which have led to 3 wrong diagnosis by doctors. Once realized we asked and the staff blamed the family members of making up stories and medical visit history missing information. This review is based on the past year with various family members appointments and emergencies I am basing my rating. This rating applies to various areas: emergency room, intensive care, critical area, and maternity ward.

Without a doubt it is an incredibly efficient hospital with great human warmth. The guardian service is one of the best I have known in public institutions. I hope they continue like this, the demands of their doctors and area heads make it one of the best hospitals in the country, if not THE BEST

I really say this government hospital really awesome . One week I spend here. Stuff very friendly and helpful.

The experience I have is sitting outside on the sidewalk, my wife arrived an hour before me for emergency treatment and entered without problems, since I did not enter with her I have to wait outside, the doctor tells her that only the guard can decide if I go in or not and he tells me that only the doctor... well, there is my wife feeling very bad and unable to accompany her. I thought patients had the right to a companion... terrible!

Good attention

They take good care of patients, they are treated as they should be. The facilities are well maintained. The parking lot is ample.

Madhouse, worst service at ER

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'm hospitalized, I'm going to spend a few days being treated for bacteria and I find myself in a filthy apartment, water leaking from the central unit into the apartment, flooding the floor, the bathroom walls and ceilings are filthy, water is leaking from the taps, the electric shower doesn't work. ..simply useless.I've already complained and nothing has been resolved.

It is very difficult to schedule an exam, whether by phone call (it dropped 5 times in the same morning), WhatsApp (you wait more than 40 minutes for an interaction with an attendant and if it takes less than 5 minutes to respond the service is terminated) or even via the app . I hope they observe the message, consider it, and try to at least adjust the messaging service.

Ok