Total en bloc spondylectomy (TES) in 67 Spine surgery clinics in Americas

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.

I had a day surgery in this hospital. It was my first time to have a surgery with general anesthesia, so I was quite nervous. However, it didn't take much longer to figure out that there was no need to be anxious at all, as all the medical staff who treated me were so kind and friendly. They naturally eased my anxiety. Each time I interacted with each of them, I was quite impressed by their professionalism. After detailed explanation of what would happen, my surgery started on time and went well. I am so greatful for their dedication and hard work. Thank you so much.

My dad just had a quadruple bypass, the care and attention he receiving is incredible and putting us all at ease. The surgery went perfect and he's doing very well. We can't thank you enough, after a few not so great experiences earlier after his stroke at other hospitals in the east end (not all their fault staffing issues are brutal) this has been a night and day difference. Thank you from the bottom of our hearts 🙏🏽🙏🏽

We are having our first baby here. We've been going frequently(due to our high risk pregnancy). They are amazing, and accommodating!! They have helped so much....every need, and question has been addressed and taken care of. In my opinion, one of the best labor delivery floors, ever!!! Keep up the fantastic work! Oh...and see you in a few, on our way to have our daughter....today!!!!❤

I have had the best service from all of the staff at Trillium Spine Centre. I needed acdf (anterior cervical disectomy and fusion) and was referred to Dr. ALSHARANi. The surgical procedure was described to me and she made sure I understood and had no questions. Although my surgery presented with challenges Dr. Alsharani did an incredibke job. I haven't felt this well in years. Would highly recommend. Thank you.

Dr. Duncan was thorough and pleasant. He willingly answered questions, offered his advice and was a pleasure to meet. I felt no rush and no pressure and was satisfied with his professional opinion. Thank you, Dr. Duncan.

Saw Dr. Bhatia and he was excellent. Unfortunately, the support staff is horrible. They don't know what service means let alone service in a healthcare environment for humans. I am sure animals are treated better than they treat their patients. Avoid them at all cost.

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

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

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

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

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

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

While I appreciated the procedure being done my beef is this places billing department only affords you 6 months to pay your balance. So even tho I have insurance through my place of employment and reached my déductible prior to surgery, and even though I have been making payments monthly for the remaining 20% ... if my balance isn't paid in full within 6 months their "policy" is to send it to collections. Now I was offered 'financial assistance' IF I submit two or three years of taxes, plus several paycheck stucs. (So basically all of my personal information) which is not only time consuming but also invasive. I'm just a single gal trying to make ends meet. I needed the surgery to prevent further complications down the road so I elected to have it done. Perhaps I missed information prior to getting the surgery? But I NEVER thought that even though I am paying monthly a fair amount towards the remaining balance that I would STILL be threatened with having it go to collections. And just for that reason I would NEVER recommend this place to anyone. Period

The Nurses, CNAs, PTs, & Staff were all AMAZING!!! My mom had knee surgery a week ago and our experience there was great!! Everyone was kind and helpful from admission to post op. I can’t remember everyone’s names but I did take some down! We loved how kind and helpful her nurse Kaylani was!!! The most important part to us was having a Spanish speaking nurse on staff. My mom only speaks Spanish and it was so comforting to us knowing at night she was left with someone she could understand and communicate with! Thank you to Josephina and Nasthja for taking such good care of my mom! The physical therapist, Ruth is incredible!!! My mom adored her and made us feel confident about taking her home!! Special thank you to KASS, CNA!!!! She provides excellent patient care. Spine and Joint hospital provided quality care!

Arizona Spine and Joint Hospital gave me outstanding service and care during my stay. I would also like to thank Dr. T, his wife Kate, and Dr. Kralik for their great skills and knowledge. I'm so thankful my wife and I found these skilled surgeons. I'd also like to thank the nurses and staff who took care of me while there: Debbie, Cathy, Karen, Deanna, Becky, Dickson, Katherine and Veronica! Thanks again. My drive from Lake Havasu was well worth it!

Couldn't visit my grandpa in the emergency room. I drove an hour to get here and then they tell me there is a 2 visitor limit. There is little to no reception in the building so I couldn't even get in contact with who was in there. I called into the room and when I asked about someone leaving she pretended I didn't even talk to her and went mhm mhm and hung up. I love hospitals that won't let a grandson see his grandfather in the ER

I am deeply thankful for the exceptional care and attention I received during my recent visit to the emergency department at Brigham and Women's Hospital. The doctors and nurses demonstrated genuine concern and provided excellent care for my difficulty swallowing, gastric issues, and rapid weight loss. Their professionalism and compassion made a significant difference during a challenging time. I want to express my sincere gratitude to the entire medical team for their dedication and outstanding support. Thank you for helping me through this health concern with such skill and kindness.

During my dad's ICU stay at Brigham and Women's Hospital, the nurses provided outstanding care. They kept us informed and made us feel safe throughout a traumatic time for our family. The level of expertise, compassion, and seamless coordination between day and night shifts was remarkable. My family and I will be forever grateful for Nurse Bryan, Katie, Kayla, and Lauren from Unit 3B.

My experience with the staff was a very special and good one of course there were a couple of not so greats but as a whole I totally appreciated the experience and staff!

My wife and I welcomed our first child with John Hopskins and we were treated exceptionally. Our stay lasted 6 days. Nearly every member of the staff seemed to truly believe in the work they were doing and it instilled confidence in my wife and I. The student nurses were very helpful and what they may have lacked in experience they made up for in drive and enthusiasm! Two of the nurses, who helped my wife in labour, even visited us the next day to congratulate us and check up on the status of our child. It did get busy for the nurses the last few days and we would love to have seen more lactation specialists on staff available to help us but after this incredible experience I will certainly encourage my wife and other parents to include John Hospkins in future family planning.

We had a very nice experience here. Dr Kuwera and staff took perfect care of our toddler. He was competent, thorough and friendly-explaining everything as he went. It’s a large hospital, but with many helpful staff stations throughout, it’s easy enough to find your way around. Must register before entering, which ensures safety. Very thankful for wonderful healthcare.

You will roll the dice with anesthesiologists at this facility. I was "assigned" Dr. Traylor. A freakishly large, imposing and intimidating man with zero resemblance of care or compassion. I'm sure he chose this field because no one would EVER seek his services. His patients haven't a choice. He suggested a female doctor. Best suggestion he's ever made. In walks Dr. Sarah Cocoma complete with a raging eye infection. This woman SNUCK behind my bed, DISTRACTED me and FORCEFULLY shot VERSED in my IV. It burns given gently. To render me unconscious, without asking, warning or care. Filthy conditions in every area including the elevators. Stay away from the trauma this place leaves behind. You've been dutifully warned.

The worst communication. Terrible gaslighting. The INEXCUSABLE FILTH in this facility. It was everywhere. The waiting room, the bathrooms, the hall was littered with garbage type red biohazard bags. Even INSIDE my Operating Room...garbage on the floor. When I objected to what I was seeing, they promptly canceled my surgery. I couldn't get out of that place fast enough...but not before one last gross show of filth, the floor of the elevator was littered with 2x2 gauze pads...soaked in something orange. I quickly pointed it out to my husband so he can see for himself what I was trying to describe. He quickly understood as an employee's foot was standing over some ofthem. My biggest fears were handled BEAUTIFULLY by this pre-surg staff, they are willing, if able, to accommodate women patients with women doctors/ residents...they allow small gestures of modesty and that is commendable. And just so you know...all those personal questions they ask you? And all the personal questions you ask them? EVERYONE CAN HEAR YOU...as there only curtains for privacy. HIPAA laws must be out back on a smoke break with the 3 janitors this place employs. 2 thumbs down and shame on you.

Had a good experience. Brought my father in law into Rush to be evaluated from stroke he had 3 weeks ago. They had him in a bed in less than 30 min. He was admitted and put into their stroke rehab program in less than a week.

Easily the most efficient medical facility I have ever stepped foot in. Everyone is friendly and professional…the campus is a very nice place to spend time if you have to spend the whole day for a bunch of testing. Food service has recently been revamped and has dramatically improved. When you consider the volume of people seeking specialized medical care IN ADDITION TO a very active ER, I find it is nearly miraculous that I have never waited more than 15 minutes past my scheduled appointment time to see my Dr, and that is coming twice a year for the last 7 years. Not once…

Amazing experience at Mayo Clinic Jacksonville!! After three trips to our local ER all resulting in an undiagnosable abdominal pain and seeing literally one dozen doctors, we were blessed with a referral to Mayo Clinic and my husband was healed!!!!! No more prescriptions! No more weight loss! No more issue! They found the problem on the first visit, had it removed three weeks later and no more pain praise God!!!!! Thank you to the entire staff from the gentleman at the entrance with his cheerful greetings to the kitchen staff who keep even the most grumpiest of patients happy and fed we appreciate all of you there at Mayo!! Thank you from my family to yours!

The ER/ED staff is dismissive, taking forever to treat patients. I have been sitting in this damn hallway for 5 hours. Yes they have ran tests, no medication to treat any of my symptoms. Trying to discharge after doing nothing… Had to CRY to the doctor about how I felt my care wasn’t up to standard and then she eventually gives me meds. Mind you. After 5 hours. Thought Mayo was one of the best hospitals in the south. Will never be back.

Dealt with this hospital for several years. No matter what day or what doctor I've always been left with the same experience; cocky doctors playing God with the absolute worst bedside manner. Never again.

My husband was a heart transplant patient here. One time they failed to give an accurate report for him to adjust his warfarin accordingly. Subsequently he suffered a stroke and had to have intracerebral hemorrhage surgery. My husband overlooked a lot of things and this hospital had the nerve to kick him off the transplant list. They called an old number and then said that since they couldn't get in touch with him he was non-complaint. I gathered so much proof to show that they were the ones who made an error. I got all the phone records and proof that we updated his information but it was evident that they just wanted to get rid of him. I wanted to sue so bad but I left them all to God. You should have been in that break up meeting. By the grace of God he got his transplant at an excellent hospital in CA.

Lynn at the gift shop was extremely helpful and made ordering flowers a seamless process. She was so kind and patient too. Thank you Lynn!

We were at Vanderbilt before transferring to Mayo. This has been an amazing experience! It’s like it’s a requirement is to be super nice; Vanderbilt, not so much. I would recommend anyone to come here, and I’m so glad we chose to switch. The doctors, nurses, and even the staff (cafeteria, welcome center, etc) were by far nicer than Vanderbilt. They are so knowledgeable, thorough, and patient. Very impressed!!!

The Mayo Clinic is such a special place! It’s a medical facility that could also be a museum of art museum, history, and architecture. People travel from all over the world to be treated here, but what makes it truly special are the compassionate, skilled, and dedicated employees. I stood outside the Mayo Building and watched bus after bus pull up to the staff entrance - and watched countless everyday heroes get off those buses and go to work performing “miracles” at a place that provides hope to people who need it most.!!

I had 7 uterine fibroids removed by Dr Khan. Well done. No complications. After six weeks I was back in gym doing great. Dr khan is the best. Great doctor. Nurse Logan day shift and Susan night took good care of me.!!

I'm currently here and I can tell you this place is a sad example of a hospital nurses are not interested in taking care of people they see how fast they can get out your room you going to be room up with someone and you have to watch out for each other the doctors are dumb all they do is tests and hope they find something and they wait until something bad is about to happen before you get any treatment had better treatment in smaller hospitals pass on this place they just in it for the money also food is bad nothing good please save your money. Place is like a burning trashcan.

The Cleveland Clinic is a different breed of hospital from the others I’ve been in. Everyone who participated in my care was thoughtful, well trained, and skillful. They’re a hub for up-to-date practices & medical knowledge. And the practitioners have exceptional levels of experience earned through high volumes of cases. Importantly, the staff seem well supported. So many members of staff went above & beyond. The cleaning staff made an origami elephant out of a towel when I first got there. The dining staff tailored meals for my specific needs and made a surprise cake for my birthday. Transport held good conversations while easily navigating. Nurses, technicians, etc adapted to limiting check-ins/procedures to the certain hours when I asked (to protect sleep). There’s museum quality art on nearly all the walls (good incentive to go on walks in the halls) and nice facilities. There were some bureaucratic challenges when I was first admitted, but in spite of that, I still evangelize to friends & relatives all the time - if you need more serious care, go to the Cleveland Clinic.

This place is a gift from above. It’s absolutely amazing how they put together the teams and staff that they have. My surgeon Dr. Faisal Bakaeen gave me a bypass (CABG) surgery and I cannot thank him enough. His team, the nurses and staff in this hospital from the emergency room to step-down are honestly the nicest people I have ever met in a hospital. They truly care and will not let you leave if your problems are not solved. This place is the real deal, don’t hesitate to get there opinion, I’m so glad that I did. Thank you Dr Bakaeen, you save my life and I will never forget you…

If you have a true emergency, this may not be your best choice. Waited 3.5 hours and still not seen except to check in. Other patients with really serious issues (which we hear about because there is no privacy at check-in) have also been waiting and I’m worried about them. Good luck.

Worst emergency room I’ve been to. It’s been 3 hours since anyone said anything to my husband and that was only to draw more blood. Nurse was exceptionally rude and dismissive. It’s 11:45 pm and we got here at 6 pm. They aren’t telling anyone a thing! I will not recommend this emergency room ever.

If I could give this hospital a 0 I would. The nursing care here on the 4th floor so far has been awful for my daughter. Just basic care and concern for patients would be appreciated. Hoping the night crew is better. The nurses are all out at the desk laughing it up and sharing their phone pics. No that I care about that but shouldn’t the patients come first? I’m afraid to leave my adult daughter here and go home because I’m not sure they will even check on her. Seriously. There are 2 people in this room. The patient next to my daughter hasn’t moved in the 3 hours we’ve been in here and no one has checked on her either. I asked for a pillow multiple times and they keep saying they’ll bring it but no one does. It’s not like I’m asking for an extra pillow. She has NO pillow. She needs her arm(that she had surgery on) elevated and I used a blanket. Really? I had to put a blanket behind her head. Thank goodness there are plenty of those on this desk by her bed. A stack of probably 8 blankets for some reason. Very disappointed Cleveland Clinic.

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

Very positive experience. Dr Davies was extremely professional, listened to my concerns, reviewed and explained the MRI and dedicated the necessary time without being rushed. Very pleased with him and all his staff from scheduling, checking-in, radiologists, nurses and doctor assistant. 👍🏻

Went in for a full left hip replacement with Dr Jacob Drew. My interactions with him and his staff were always positive. He took the time to explain the procedure and answer any questions that I had. He even called to check in the night before my surgery. I would highly recommend him for anyone needing a hip or knee replacement.

Great Doctor and Staff to work with. Removed my cancer and still cancer free 3 years later. Extremely helpful and has answered all my questions and then some. She is a doctor who actually cares about her patients unlike my PCP . I would Highly Recommend Dr Megan E. Anderson and her staff.

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

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

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

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

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

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

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.