Dysphagia treatment in 393 Thoracic surgery clinics worldwide

Maybe someone reads this opinion? People take away stars from you, but in these cases a star can mean life. Today we are talking about telephone registration. After visiting a chemotherapy doctor (chemotherapy, radiotherapy from 2020), my wife calls with a referral to schedule a CT scan (next visit to the doctor in January). Answer JUNE, because according to her, she is NOT undergoing treatment. Has this lady worked in an emergency room before?

I recommend that people with cancer and their families avoid this place. Due to the doctors' slowness and their selection, my mother, who trusted them, passed away 4 months after the first visit, even though her condition was not that bad at the beginning. They gave hope and deceived. More important was the doctor's leave - in fact, the doctor was never available to the patient. Apart from the procedures they themselves did not follow, there was no treatment. And when the condition worsened, when I asked for help, the answer was, "What can I do? A private visit is scheduled for me in a month, you can cope on your own?" This is a doctor? I especially do not recommend a doctor from the thoracic surgery and cancer department. If you are looking for help, you will not find it there and please take it to heart when fighting for your life and health.

When I went with my wife to the gynecological oncology clinic. The queue was respected. The attitude of the doctor, Mr. Dzwoniarkiewicz, deserves reprehensible behavior. Not only that, when you talk to us. He had headphones in his ears and was listening to music from his phone. He was still eating, putting cherry tomatoes into his mouth with great grace while talking to us. It was a very unsympathetic and dismissive approach. To people who are fighting for life. This doctor has always had such a dismissive and arrogant attitude towards women. There should be a nice approach to the patient here. It would be useful for you, doctor, to specialize in psychology. Many doctors are very nice.

Check in very easy and quick but privacy not so much. You last check in before they put you in the room, the lady front desk say your phone number loud and ur emergency contacts number. Not very professional and conventional. Need a private room like the first check in has. At my work I only say the last 4 digits of someone's number. Please make this private I did not like my husband's and my phone number broad cast

I think the only good thing about the hospital are the staffs. Really friendly staff. But you can really feel that emergency I’d understaffed. The hospital was dirty. This is the dirtiest emergency I have ever been to. Timhortons cups lying around the floor with Napkins, papers. Lack of facilities. No rooms. People are everywhere. They have put beds on corridors.

I thank the staff of St. Mary's General Hospital from the bottom of my heart for saving my loved one's life with grace, kindness, expertise and excellence. Every single housekeeper, tech, nurse, doctor, surgeon and staff were absolutely amazing and God given gifts to us. We were all (patient and family alike) treated with kindness, dignity and respect throughout the duration of our entire stay while on CVICU and 3West. I am forever grateful to St. Mary's for the excellent care we received and the miracle of life through open heart surgery that my loved one received. God bless you all and continue the wonderful work. Thank you, thank you, thank you!

RIP King Kester 👑

People on whom medicine would have given up a few years ago, or even a few kilometers away, have a very reasonnable chance here. The hospital is second to none in interventionnal cardiology and some of the procedures in which they specialize can only be performed in a handful of hospitals around the world. They are the only hospital in France which can perform pulmonary endarterectomy. I know these facts first-hand, for having had relatives and close people being successfully attended there for life threatening conditions.

My best hospital experience so far - top surgeons and fantastic staff

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Was in Claraspital for air in stomach, I was given drip and inj in drip. Was told not to eat. What inj did they give me in drip that burned my insides from my mouth till my throat. If I eat or drink I'm in a lot of pain. Asked nurse why I'm not allowed to eat. Was told I'm having operation. Was there for 4 days without food or water. The doctor did not discuss it with me. The lady who went for operation day after I arrived never came back. I asked them where she is was told in another room. I think the Keller her. NO DOCTOR HAVE THE RIGHT TO DO WHAT THEY WANT WITHOUT DISCUSSING IT WITH THE PATIENTS. AND THIS WAS ONLY A DRS ASSISTANT. Dr told my friend she don't have blood, they will admit her to give blood in vein. When she went to spital she was given 2x document to sign which she refused after reading them. The document was to have stomach test from mouth and down. She was not given blood or Iron tablets yet she don't have enough blood the test results showed. When asked about it the dr told her it's ok. She can go home after staying in claraspital for 2 nights. How can anyone trust drs if they lie to people. PLEASE BE CAREFUL IM THINKING THEY ARE TAKING BODY PARTS FROM PEOPLE. After taking vaccine in Basel many people ended up in spital sick. Some cannot walk, some are bedridden. I must add that all the nurses was very nice to my friend. It's just that it's not nice for a doctor to lie just to make test on patient. 2022 I went to Claraspital for pain in my stomach. They did a scan after making me wait more than half an hour after the scan I got a big blister on my stomach. I told the Dr and was told it's nothing. I was very uneasy about it. There was something round on my skin. The dermatologist gave me 3 x cortisone injections but it never went away. Another Dr removed it by operation and there was something as long and thick as my small finger and was black in colour . What did they put in my body? I will never go there again. They only want to operate. The lady who was in the ward with me was so happy that she's going to get better after the stomach op. She was British. Unfortunately she never came back. The nurse was going through her handbag. It's a shame. What are they doing? Taking out body parts and selling them or reusing them like kidneys/ heart/ liver/ and so on. Please if you want to live do not go to Claraspital.clara hospital in Basel. In 2018 the Dr wanted to operate on me she tried to make me afraid telling me I will die if I don't have the op. They were giving me big doses of mofin till I stopped them. Today 2023 I'm alive, my stomach is ok by the Grace of God If you want to live DO NOT TO TO THE HOSPITAL. Every time I went there I was told OPERATE. NO WAYS

Great hospital, do all the truly necessary procedures, pretty good communicating staff and waiting time is ok. Running a hospital to this level is quite an achievement. Many thanks to the staff, it is reassuring to have you around.

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

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

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

I call and call, of the three phones, no one answers 📞 one needs to know about their relatives, visiting hours and other questions. They should improve this telephone information service

My elderly mother was hospitalized, and was very well attended and cared for, as well as her guardian being promptly informed of her condition. I am very grateful for the attention she received there, because they even made sure that due to her position she would not get more bedsores. I was really very afraid because I had two terrible experiences in other hospitals (Barros Luco, the worst, and another that is not even worth giving the name).

Super

Had a bike accident, broke my elbow and collarbone and got admitted to Thomayerova. Very satisfied with the entire treatment from arriving at the emergency until being released 10 days later, after two surgeries. I do speak some Czech but not enough for everything. Neverthless, all the nurses, doctors and other stuff were kind and friendly. We managed to get along using google translate and even have some fun while overcoming language barriers. Never felt as "they have to deal with another foreigner". I wanna thank everyone who took care of me at pavillon G3

Been there with severe lower back pain unable to even stand straight. I have been told that it will be some waiting time between 1 to 2 hours and i accepted that. After 4 hours i asked the nurses why noone from the people in waiting room have not been approached by a nurse or some explanation given to the waiting. The doctor was chatting all this time with the nurses ignoring the visible pain suffered by the waiting patients . Only after i raised my voice they decided to call me inside the cabinet for a check. This without carrying that a lady patient who was there before me was visible crying out of pain in the waiting room. The lack of empathy and respect i have never see before in a Prague Hospital. I did heard about horrible stories coming out from Thomayerova Hospital with some high profile cases on national television and i was hoping that after this some measures were taken by the ministry of health. Obviously there is business as usual. Avoid with all costs. Now i came to Neurology Clinic in Prague 2 and i feel better just by the kindness and empathy the staff have showed me here.

I got chest infection and I admitted in this hospital.i am not Czech and I don't speak Cezch at all.But almost all Doctors here speaks good English and Nurses hardly speaks English but they are kind and they know they job well,so no need to communicate much..Here Hospital food is on another level..each food design according on your diet and health conditions..thank you all the team members of this Hospital.🙏

Good day, thank God, I had to request the services of RZP 3 times already. Twice they came from a joke, but that's simply not worth commenting on!!! Deep below the level!!! Neská is 1 November 2023 at around 12 noon. And I need them again! And they came, but from Galanta! Those people from RZP are really professionals! Nice friendly and PROFESSIONAL !!! DIAGNOSIS FOR TWO COINS !!! GENTLEMEN, THANK YOU!!!

Today my father was discharged from the internal ward for a pulmonary embolism. What he experienced there with the cleaners is simply unfathomable. Rude, arrogant, humanity means nothing to them. They raised their voices at the patients, ran into the room in the morning with such a roar, with the intention of waking them up, and even when that didn't help, they shouted at my father that hey hey hey we're building. My father, who is seriously ill on the devices, should have been sober and not put up with such inappropriate behavior of the cleaning ladies. It seems that they consider themselves to be of a higher caste, because what they allow themselves to do to patients is unparalleled. Unfortunately, they spoil the good name of the hospital. Someone competent should sort things out with them and order a course in empathy and, above all, decent behavior.

I am extremely dissatisfied with the emergency room staff and especially with the approach of the nurses. My son had a coughing fit, I rang the bell about 5 times and no one answered. After 20 minutes, the nurse came out and was quite unpleasant. It would probably be possible to complete training on empathy towards patients and family members. . I don't even want to imagine what would happen if a patient came here with a bloody injury. Apparently, he could also bleed out here, since the bell is only there to be when no one responds to it.

It's a shame that the hospital associates with doctors like Dr. Katarína Szentesiová. Seeing the effort to change, but doctors like Dr. For every step Szentesi takes the hospital forward, the next three steps back. The arrogant approach and the investigation from a distance of 5-6 meters, from a chair, only underline the sentence: it is better to die than to go to the emergency room in Dunajská Streda. One such doctor is enough, and all the others who do their work with an interest in the patient and his health have no chance to convince a disappointed patient. It's a real shame, the whole hospital. She might look special, but she will never be like this...

An unknown number of people wait for a CT scan at the orthopedic clinic. I couldn't do it even after two days and 7.5 hours of waiting. There is total chaos here during the reception of patients. It's the worst hospital I've ever experienced in my life, they don't deserve a single star... I HIGHLY DO NOT RECOMMEND

Kind staff but the place is in extreme need of reconstruction

My experiences there have consistently been the worst, primarily due to the limited English-speaking staff. I would strongly advise against recommending this hospital to anyone. It's incredibly frustrating to receive appointments scheduled months in advance at 9:30 AM, only to still be waiting for an examination at 1 PM. This is, in my opinion, the worst hospital to visit.

I participated in my daughter's labor. I say that I participated, because I was not there as a spectator, but being an active part of the labor. I didn't give birth to my daughter, I didn't feel the labor pains, my body is still intact and strong. My wife suffered and went to her physical limit to bring our little seed into this world. But I was there, in her every contraction, I was there in every sigh of pain, I was there holding her in my arms and living in our moment, taking care of my family and being the strength and support for my loved one. It was 14 hours of labor, it was exhausting and suffering, but it was also beautiful, magical, poetic, it was our moment, where our connection was strengthened even more. My heart is filled with the most beautiful emotions every time I remember that moment. St Joseph Krankenhaus, I have no words to describe this amazing hospital, I can't think of a better place for us to experience all of this. The midwives, the nurses, the doctors, the pediatricians, how much sensitivity and respect for us, for our moment. They were a fundamental part of all of this, I can only thank them. The "birth ritual" conducted by the midwives was the dance of life, the path of light for our Sementinha. And where some people see suffering, I see beauty, the beauty of giving birth to the beauty of life.

Our heartfelt gratitude to the exceptional staff at the hospital. The care and support my wife received during childbirth were beyond compare. The medical team was skilled, compassionate, and attentive, making us feel safe and at ease. The facility was clean and well-equipped, ensuring a smooth delivery. This joyous occasion was made even more memorable by the hospital's outstanding care. Thank you for an unforgettable experience! ⭐⭐⭐⭐⭐

Excellent service, helpful people, got fixed quickly

I have only positiv experiences here, the doctors are very friendly and have a lot of knowledge. The same for the nurses. Indeed if you have to go to the emergency you have to wait, like every where in the world. This is depending on the screening, some cases are more urgent, just accept that. Would be nice to have something to read due the waiting time, but that is the only thing. I was several times here, also for a longer time, and the care is just very good, that is the most important thing.

One of best places in Budapest to get the Covid vaccination. Very efficient and attentive service in a clean and tidy place. All doctors, nurses, IT specialists and soldiers work the help incoming people. No preliminary registration required. Large parking lot located in front of Uzsoki hospital free on weekends only.

And if there were even more stars I would click them, a doctor who is not only competent but of infinite humanity which combined with professionalism makes a doctor an exceptional man

My heart is working again thanks to Dr. Glauber.

I would like to thank Dr. Mattia Glauber, an extraordinary doctor and sensitive person. My partner had surgery in December (mitral valve prolapse) the surgery was decisive and the recovery was very fast. Within a month he was back to his usual life as if nothing had happened. What to say?! Thank you, Mattia Glauber! Happy Easter everyone :-)

Excellent nursing team, I had problems on a few occasions releasing the medication (bureaucratic part), but something punctual. The team was very attentive and dedicated to the patient. Very happy to recognize the quality and exceptional service of the entire team.

Great service, especially from the receptionists and customer service assistant. I didn't really like the hematologist's care, but everything else was very good.

I gave priority to starting treatment at the clinic, on the recommendation of an incredible doctor. I was received very well by Dr. Clarissa and Dr. Liliana who are accompanying me in this process, but the reception team, appointments, among others, do not have the same desire to help, I believe that they are not strongly aligned with the purpose of the institution, there is no point in having welcoming doctors and the other sectors are involved in the process . Immediately they need to go through a recycling, the clinic has to be a welcoming and harmonious place.

Do not go here if you don't speak French. And also if you don't like being made fun of by the staff. They're not nice folks.

Barely any staff spoke english, some were even annoyed when we mentioned we only spoke english. Waited for 3 hours in the emergency department only to be sent somewhere else. Don‘t bother!

We visited Emergency of this hospital. As we don’t speak French we were treated like prisoners. Hospital staff including doctors pretended like they don’t understand us. My wife came from a different hospital where she was initially admitted but only received very basic care because this one is accepted by our insurance. Despite having severe abdominal pain she was told that she will not be given any attention and she must go back to the original hospital. Doctor Jessica Franchitti was extremely rude to my wife and shouted to her to leave. Nobody ever treated us this way, especially in hospital. We had no choice but to leave and spend a day in a hotel hoping that the abdominal pain will get better. After we got back home my wife was immediately accepted to hospital to do hernia surgery.

I spent four days at the institution due to a minor operation. The care, attention, empathy, and understanding provided by the doctors and nurses are indescribable. They treat me with patience and the utmost expertise. I owe nothing but gratitude! The cleanliness of the rooms is also first class. Thank you.

I was "lucky" to spend a few days in the Head and Neck Department due to a minor operation. It was like I was at the Black Forest Clinic. Unbelievable cleanliness, they walked around every day with almost white gloves to see if everything was in order even in the most hidden places (of course there was cleaning every day) bed linen was removed every 3 days. Everyone is very kind and helpful. As soon as they come into contact with a person, they immediately introduce themselves, pay attention to everything, do it gently, and help. Air conditioning in the room, I've never heard of that before. Delicious and plentiful food (Balaton slices or cookies for an after-lunch snack:) Hot sweet and bitter tea in the corridor 24 hours a day, microwave, book, so you can do it that way, please. I can only congratulate and thank you for everything.

Hats off to the institute workers (my colleagues), who work tirelessly every day for the patients and to improve their quality of life. I have been to a few state institutions as a worker and as a patient, and nowhere have I experienced such humanity from either side. Today, I would like to give special thanks to the Department of Head and Neck Surgery of the Institute, especially Dr. to Márta Szalai, dr. To Edit Szívós and Krisztina Kovács, who did everything to help me get back on my feet and professionally treated an infection that did not belong here, which unfortunately could not be treated professionally in the other institution designated for this purpose. Thank you to them and the entire Department!

This hospital is amazing!! I arrived straight off my flight very sick and even though I don't speak Korean, the doctors worked fast to help me straight away and the nurses actually fly!! So blessed to have been a patient in the Inha University Hospital! A huge thank you to all the doctors, nurses and regular staff on the emergency ward! You are the BEST!!

Does not accept CignaGlobal outpatient insurance. Tried on numerous occasions to get me to pay direct. I had them flagged by my insurance company and they will be reviewed as to whether they will stay in-network or not. If you have outpatient global insurance, I would advise going to a hospital which accepts it immediately with no question asked.

I visited emergency section. Really attentive, caring and professional people working there. Everything was tracked and done on time. I could see that nurses were really tired because of high number of patients, but they stayed calm and tried not to let patient recognise it. Good hospital, recommended. Service deserves the price.

There are people everywhere who like bullying and harassment. Ruthless bullying and harassment of elderly people, patients, and their families Bullying and harassment from people wearing white coats is especially sad. Even though I only have 10 minutes to enter, I feel like I want to get out of the center as soon as possible despite being bullied. I don't want to stay here and have my soul hurt. Also posted on YouTube etc. Bullying and harassment by medical personnel really amazing Where should the elderly, vulnerable, and cancer patients go? Will you be saved?

Due to lung cancer, he was abandoned by other hospitals and went to a cancer center. The survival rate has reached 10%, but thanks to the care of my doctors, I will soon be in remission. This hospital is bright, kind, and kind. Everyone from the doctors to the nurses, the office staff, and the cleaners are warm-hearted. I feel like I'm going to do my best to cure my illness. If you are depressed because of cancer, please seek medical treatment!

The route is easy to find if you use the Tomei Expressway. I was able to buy ekiben at the in-hospital convenience store. If I have a chance, I would like to try the observation restaurant as well.

I used to get my appendix out here. They're not that good. In the operating room I woke up during the operation and no excuses but since then I have had nightmares for years afterwards and I still have documents from that time and will now check for damages. Back then I was 10-11 years old and today I'm 47 and was hunting for it Nightmares whoever it happened to. And do you also have documents with the name of the treating doctor? Don't go here. Even my grandma was in there because of her hip and after that it went downhill. I'll never go to German slaughterhouses again. If you come abroad or go to neighboring countries, the doctors are better, even when taking blood there are differences. Bad doctors, some people really express their displeasure and I think that the 4-5 stars were bought by the hospital. You have been silent for years. Nowadays you can also watch it on television. In Denmark you doctors have a bad reputation. If you ever want to emigrate if you are a doctor then why not go to Denmark because it is noticeable here how bad you are and some people behave like they deliver in the hospital, they would have been sorted out here long ago. Who else is laughed at in the op? Maybe there's more than the hospital can handle. You can always start a survey that can be done publicly and at the chamber. The more you report what happened to you, the sooner the bad doctors come out and who didn't treat you well. If they are immoral to you, report them to the chamber and you'll sort out the black sheep. They paid so many to get the stars. And so many people giving full points says it all. If you don't want any damage then it's better to go to another hospital. And that will be everywhere soon. Besides the exam. I also send it to the Medical Association. And continue so that the neighboring countries pay more attention to what they are like when they are looking for a new job. A German woman recently lost her job in a retirement home because she drank on duty. She goes back to Germany with greetings to a retirement home there. Very bad reputation when it comes to doctors.

This morning, November 15th, 2023, I had a colonoscopy. From the senior physician, Dr. Martin and the assistance of Mr. Kouridis. The result showed no findings. Both were very pleasant and very competent. I can only recommend the house and would like to expressly thank both of them. Günter F. Schmitz author

My mother had her thyroidectomy surgery done here recently. She was hospitalised for a total of 5 days. Her Thyroid gland was exceptionally huge, but Dr Marius Kivilis managed to remove the entire gland in one surgery. He has done a fantastic job and my mother's recovery has been very smooth. It was a very difficult surgery that we passed with ease. The nursing team were exceptionally kind and attentive. They were going above and beyond their duty to ensure the patients and their families felt comfortable and cared for. You could see that they care for you as a person who is going through a hard time, as opposed to "another patient" who will be leaving the hospital soon. The ward was clean and airy, with plenty of natural light. overall, we were very satisfied with the procedure and the service, Thank you Augusta Krankenhaus! :)

Extremely negative experience, after having traveled more than 100km and 3 weeks of waiting for an appointment scheduled for December 4 at 1:20 p.m., for possible breast cancer, I learned on the spot that it had been brought forward to 9 a.m. without being informed . Despite the advance of almost 30 minutes for each patient, the two doctors present categorically refused, without even coming or apologizing to carry out the planned examinations. Probably a golf course or a houndstooth hunt planned for 4 p.m.??!!!. No consideration or humanity on their part. So I stay with my anxieties and my doubts until a possible another appointment.

Hospitalized for 5 days for an operation, everyone was charming, caring, very caring. Thank you all

Very nice staff the doctor and teacher very attentive put us in confidence little disappointment for the toilets of the reception not clean and only one in service

Hospital Paulistano is excellent, incredible professionals from reception to departure, delicious food, I was very well assisted by neurosurgeon Dr Adil Bachir and Dr Rodrigo during my anterior and posterior lumbar arthrodesis surgery, on the L4, L5 and S1 vertebrae, almost 8 hours, doctors on duty, very human and attentive, wonderful nursing technicians, excellent nurses, excellent and committed physiotherapists, it was an immense joy 1 day after the surgery to get up from the bed and walk around, without any support. My mother waited for my surgery in a room, fully assisted by the staff and nurses, thank you in advance for so much effort and care. Congratulations to everyone involved. The only negative point is the shower, which doesn't heat up very much.

Today I had it at the oncology outpatient unit with an appointment more than 30 days ago. When I got there I found out that it was no longer scheduled. Because my plan, which was Amil, changed on 11/01/23 to Bradesco and they simply didn't send me a confirmation email. In other words, lack of respect and I missed two appointments, one with the oncologist and another with the general surgery team (which has already been rescheduled 4 times since September) Today I was rescheduled for 11/24 by the oncologist and the general surgery team oncology on 12/11. I complained to customer service. What I heard was . I'm sorry ma'am, let's find out what happened. Very inhumane towards cancer patients. And on June 14th of this year, during my first surgery, they lost all my exams from the surgical center back to the room. What I heard from the Surgical Center Manager... I trust my team... This has never happened... In other words, I'm the one who fights behind the exams to continue the treatment. I had to go to the Lavosier and Tecnolab laboratories to request a duplicate of the image exams.

I had knee surgery on 6/24. The service was all polite. They always ask you to arrive two hours before surgery completely fasting. Before the surgery I spent time with nursing, with an anesthesiologist and with my doctor. All facilities clean and well organized.