Cerebral cavernous malformation (CCM) treatment in 34 Neurosurgery clinics in Brazil

It's similar to a public hospital, I have my doubts if the state isn't behind it. Because it looks like a public office, no one saw it, no one knows anything, everything takes time, any decision. Everything has to go back and ask to insist on something you need, you have to press if nothing works. It's a piece of junk, I use it because my plan pays for it at this hospital. I've been seen in the emergency room a few times in 2020. and 2021 22 or 23. It's even clean where we walk and in the rooms, like the doctors, 70% are old doctors, it gives me the impression that they are legacies of public service, they serve as public servants. But I started looking only for newer doctors. There they have improved care.

Terribly, my elderly father, 86 years old, with shortness of breath, spent more than 6 hours waiting and couldn't get help, he gave up. Unprepared employees, talking, laughing without being interested in providing a good service. I don't recommend it even to my biggest enemy... management should change because they are not good professionals

We all know that the nursing profession is highly responsible and requires a lot of attention from this professional as it takes care of human life. We all know how much excessive heat harms attention and the quality of service, whether in any area, but especially for those who need to take care of their health. life, as is the case of technicians and nurses. It turns out that the corridors on the HED bed floors do not have air conditioning for employees, with temperatures above 40⁰ in the summer, these poor professionals are forced to work dripping with sweat, sometimes even with deconcentration and their memory fails, and they can come making mistakes unintentionally due to the strong heat in the corridors, wrong medication for patients, etc. Patients have air conditioning in their rooms, but the corridors and other facilities where technicians and nurses circulate do not have air conditioning. This is inhumane and those who can pay the price for this are the patients since the HED administration sacrifices its nurses by not providing the basic things that are the appropriate temperature to work, how can you work in such heat? How to concentrate? So every time a family member is admitted there, they will be cared for by professionals who are under strong pressure and heat.

At a time when people are not being respected, what this HOSPITAL shows is totally different. Respect and empathy in everyone, from reception to the last doctor. A HOSPITAL that has a Concierge, I had never seen that before. Congratulations to everyone, you deserve top marks. You enchant people.

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The structure of the building is good, but the service is lacking. In the office building there is no air conditioning and it is 35ºC hot. It is absurd that a private hospital environment does not have a decent structure to serve its clients!

I underwent a total thyroidectomy surgery on 08/17 and I was very well taken care of, from the time I arrived until I left (08/18). I would like to thank the entire team of Dr. Reginaldo Fujita, all the nurses and doctors in the recovery sector and all the nurses, physiotherapists and other employees in the hospitalization sector, for their love, care and patience. The structure of the hospital is wonderful (bedroom, operating room, recovery room)!!! My only complaint is about parking…..absurdly expensive. My mother paid 122.00 to stay 1 day with me!

I had septum surgery at this hospital and it went smoothly. Nurse Roberto took care of me with care. I stayed in room 509 where everything was organized and clean. Dr. Moacir's surgical team is very careful.

I had my children at the hospital, I had other procedures and today I am hospitalized having a tubal ligation. My biggest disappointment!! The other times I had no problem, but now. Simple surgery that ended at 9:00, I stayed in the recovery room for more than three hours, nurses passed in front of me They ignored my questions, my husband had no news (they said they had warned me) a total disregard. I came to the room and got something to eat for another 9 hours after the surgery. I was in pain and it took more than an hour to take medication. Total disrespect towards me.

I do not recommend the maternity ward at this hospital to anyone. I went through a traumatic process on the day of birth. They induced my labor without my permission, after the birth they left me in the waiting room for more than 10 hours, and hungry. I paid for the most expensive apartment, as the agreement covered everything. When I went to the room, a doctor asked me to take off my underwear and open my leg in front of more than 5 residents (I was bleeding). The experience was so bad that a year passed and I'm still angry about it to this day.

Worst experience of my life I had in this hospital. I was 23 weeks pregnant + 5 days pregnant, a high-risk and cerclated pregnancy, when my water broke on Sunday night, 17/09/23, I went straight to the maternity ward at the mater dei hospital, where they immediately came in with a medication and I did not remain hospitalized there, because my obstetrician assured me that in Vila da Serra I would have better care, especially because she works in that hospital. He guaranteed that my place in the bed, along with that of my baby who would later be born, were guaranteed at the hospital, and so I left the house and went straight to the village, who already received me with the news that they knew nothing and that there would be no No bed was available, but, due to my partner's position in the situation, they freed up a bed for me, even so, with my water broken, no medication was given to me. After a long wait, I was seen by 2 doctors who explained that I could get an infection that would pose risks to my life and that my baby would have to be born anyway, even so, I went to an observation room to wait for a bed and no medication. When it was the next day, 09/18/2023, they started taking medication due to the discharge that was coming out of me, which by the way hurt my entire arm due to the inexperience of the nursing team. When it was afternoon, they took me to the emergency room and found that the umbilical cord was out (cord prolapse). The doctors immediately sent me to the surgical suite, but when I got there, I was surprised by the information that I I didn't want to invest in my baby's survival, since I would never say that and that was not said by me or my partner, in that moment of tension I had to take a stand saying that I wanted a cesarean section and I would like to invest in my baby and I wanted the same to be true for uterine birth, given that 3 years ago I had a natural birth at 22 weeks and my baby was stillborn, I wanted to have a different experience! They performed an emergency cesarean section, my baby was born and went to the neonatal ICU, I went to bed to recover and receive medication. I underwent tests and they medicated me saying that I had an infection in the uterus, but then the torture show began, I felt very ill with the strong medications, I was barely willing to see my baby in the ICU, every time the team was asked to None of them were attended to by the doctor, the nursing team often didn't come, I even registered a police report while still in a hospital bed in the situation I was in, all the treatment coming from the nursing staff was grotesque and inhumane, they even hurt me at the time of doing an ultrasound on my stomach, when the nurse went to take off my pants and shaved my pants on my scar which was swollen with a seroma. After being discharged and spending a few days, on one of the days that I went to visit my baby in the ICU, I was feeling ill with a seroma in the cesarean section scar and I could barely move, we kept moving back and forth in search of care and nothing. meet! On 09/28/23 I received the news that my baby had died in the neonatal ICU, the responsible doctors only issued the death certificate and did not want to give us a verbal and personal explanation, all the doctors hid it, it was very painful to have to Facing this chaos at the most difficult time of my life, even when they reported the death of my baby they were completely rude and inhumane, I am disgusted with this hospital, I will never set foot in it again and I will not recommend it to anyone! But justice will be done!

I was seen super quickly at the doctor..When it was time to do the dressing..I was waiting for 45 minutes..Shift change..No one to be seen, just me and one other person..I thought it was disrespectful..And I had to pay plus an hour of parking..

The structure of the hospital looked great after the renovation. Access and exit very well organized. But in the emergency embarkation and disembarkation part, it was abandoned. I stopped to disembark a friend there. Very close to the zebra area. She moved slowly. It was then that an Uber, with a damaged Kwid, stopped close to the left side of my car, almost hitting my mirror. I stared at him. So I rolled down the window to explain that he couldn't go through there. The citizen still wanted to criticize me, saying that he was in a wheelchair, he went wherever he wanted and that I was completely lost. I think you should paint that zebra area better, as it's a little faded. As far as I know, you can't go over it. It would also be interesting to get someone to instruct these Ubers that are completely lost, because if he had damaged my car, he would charge the hospital!

The hospital in general is good, so far I have received good care in consultations and exams, but today in the ENT the attendants at 217 are to be congratulated for their incompetence. I've been waiting more than 1 hour to be answered, as I couldn't find a location for the website, I came here on Google, I will reformulate this evaluation after receiving an answer and make my next query here.

We have been waiting for two hours to be seen in the emergency room by Unimed. My son is classified as “blue”. This is considered not serious. All, I repeat: all the people who have arrived so far have been attended to before him. Does this mean: we arrive, register and wait for new patients to come in and go before them??? That's right? Knowing that we will always wait a long time, because another color gets in front of it. ABSURD.

I went to the obstetric emergency because I'm 13 weeks and there was bleeding. Another pregnant woman and I waited for 2 hours of service, we went to ask and the girl said that it was protocol according to the assessment, finally I arrived at 7:35 and was seen at 9:41 pm and the chairs were empty and they weren't even attending!

Rgy

I accompanied my husband for knee surgery, we were very well looked after in all sectors, the nurses were extremely attentive, the rooms were very well equipped. We were satisfied.

I have always received very good care at Hospital Estrela, I am immensely grateful!

TERRIBLE ATTENDANCE! I was admitted due to a fall, with acute pain in my leg and the professional who was pushing my wheelchair pressed my foot, the leg that couldn't handle the pain, against the wall and without even apologizing, left. He returned with medication, applied it without any guidance or explanation and left. The doctor barely assessed it, he just said that I didn't have a fracture and sent me away without even referring me to a specialist and requesting tests such as MRI. And I still had to put up with a rude professional when I asked to leave. I went in with acute pain and came out worse.

A good hospital with a VERY SERIOUS issue! There is no information on food for patients and companions with restrictions! The Marieta restaurant offers ABSOLUTELY NOTHING without gluten and milk. The person spending the whole day there is hungry, because not even the PURCHASED coffee has a nutritional sheet with information! We are talking about a hospitaaaaal! How does a celiac patient spend the day in a place like this?

Bad experience! We arrived with my 78-year-old mother in the emergency room. Super slow service. When we arrive at the doctor, he informs us that we can leave because there is no room, no box or even an armchair to receive medication. Avoid this place!

Terrible, zero service, an absurd delay in the emergency room, I waited 50 minutes until I lost patience and left. I do not recommend!!!

I'm amazed by the outstanding service we're receiving here, from the entire staff and doctors at every stage. Despite its simplicity, hygiene is a top priority everywhere, and both doctors and nurses have displayed not only humility but also a profound understanding of their fields. They have been readily available to explain all the details that might be important for our peace of mind, with patience and zero condescendence. The interior design of the entrance is exceptional and is worth a quick visit, even if you're not here to use the hospital facilities.

I'm amazed by the outstanding service we're receiving here, from the entire staff and doctors at every stage. Despite its simplicity, hygiene is a top priority everywhere, and both doctors and nurses have displayed not only humility but also a profound understanding of their fields. They have been readily available to explain all the details that might be important for our peace of mind, with patience and zero condescendence. The interior design of the entrance is exceptional and is worth a quick visit, even if you're not here to use the hospital facilities.

One of the best hospitals even been in, from the reception to the surgery room. Very well organized, punctual, super clean rooms, respectful staff, and great doctors. They have well preserved the mission of Santa Catarina, since 548 A.D.

Great and fast service. English speaking Doctor and nurses were available. Recommendation for Expats.

The hospital is good, but in my opinion it can improve more. There are doctors and others not so nice and thoughtful. The reception is good, some people (receptionists) are polite, friendly ... The same in relation to the security guards. There should be more integration, communication among the coworkers. As I told you it could be better, even in its standard procedure, being more effective,

Excellent service and support regarding many domains. We had a undergo and the whole staff was extremely supportive (from the first approach, passing by intensive care and ending on maternity domain). Its definitely one of the best hospitals in Sao Paulo.

Caring

Never again! I took my girlfriend to this hospital because she was having strong abdominal pains on 07/02/21. The two doctors were recent graduates v. inexperienced. One of them actually told me that Coca-Cola was a good drink for hidration!!! Today we spent most of our day worrying that we may have contracted Covid seen as one in every 5 staff members were either not wearing a mask or wearing them inappropriately. We had complained to the night manager, who didn't care less! To pay for the treatment they tell you to go to talk to a manager in his glass office. This guy not only charged us 5000 Reais which is an obscene amount, but had zero empathy or people skills. And to think that the doctor actually wanted her to stay overnight, probably to be able to bill me ten times as much!!! This hospital has some serious issues.

Everything was excellent, from the operating team (special thanks to the amazing doctor Alexandre Santa Cruz, the best orthopedic surgeon there is!!!) until the nursing staff (impeccable and extremely professional, available and kind), the cleaning service (very effective) to the food!!!! (I never ate so well in a hospital!!!). The medical and customer care are so good that you enjoy being there and feel extremely safe and protected until you are ready to return home! Congratulations to all parties!!! I fully recommend this hospital!

I found cordiality and care all the time in my hospitalization

Took us 3 hours to get treated with a basic appointment (ear infection) and sort out the insurance stuff, very slow

Hospital is not well equipped to attend cold symptoms at the emergency. You will have to wait for the arrival of an specialist at 10 AM so that he can look inside your ear canal with an otoscope. Even my throat was looked with a cellphone light. A disappointment. See images of equipments that should be part of the emergency below at the national manual of emergency.

I broke my finger on 11/19/23 and went to the HSVP emergency on 11/20/23, I went in and was seen, the fracture was confirmed by the RX and the doctor, he directed me to another doctor and asked to come in the next morning, With a broken finger, the doctor told me to buy a wrist glove that holds the finger at the pharmacy. The next doctor asked me to do an MRI and it was also found that the ligaments were broken! OK! But until now the finger is doing nothing...lol and just asking me to go there, and look, like UPA, health center or even on the island of Marajó, where I lived for years, I went through this situation of being attended to entering through the emergency door and solving the problem of a simple broken finger in installments..."Break your arm with an open fracture? Come by tomorrow!" ...or... "Have you broken your head?, come by tomorrow!" ...it's not a joke because I've already been through this and received immediate care! I'm going to another hospital today, 11/26/23 because the finger is still purple and swollen and very painful!

Very clean and structured hospital, but there is a chance that the doctor who attends to you makes a mistake and the delay is certain! We had such an experience that the doctor did not see the bacterial plaque in my relative's throat, which was very visible... which made it worse and the other doctor confirmed the mistake. There is a lack of quality management, but the structure and service are effective. It takes a few days unnecessarily and that's hell! Good for gentlemen, they at least have patience because they also don't have much commitment lol. There is a King of Mate and parking.

Came in with Zika and they weren't surprised

Clean hospital. But extremely expensive. They didn't inform us of the costs and we had to pay 10 times of than other european countries.

Terrible service. Completely disorganized, does care at all about their patients. I was begging them for help in resolving a billing issue and every department just ignored me. Do not go to this hospital. I went to this hospital to get an outpatient procedure done which required that I have an attendant with me. The hospital organized for an attendant to be provided, at a fee, from an outside company. On the day of the procedure I was brought to the billing department by member of their "concierge" team, Fernanda. They have an international "concierge" service which basically provides translators so that you can navigate the hospital if your Portugues is not great. At the billing office I was presented with a bill for the cost of the procedure. I agreed to pay it and was then given a credit card machine to make the payment. When the machine arrived, the amount they were requesting was higher than the quoted amount. When I asked Fernanda, she explained that the additional amount was for the cost of the attendant. I paid the invoice and was only provided with a little slip of paper that showed the amount that I had paid. It didn't say what services I had paid for, just that I had paid a certain amount. I then went and got the procedure done. I was put-under, so I don't know how the actual medical procedure went, but from what I saw before I went under, the medical professionals seemed like they were doing a good job. After the procedure was finished, I was brought to the payment office and presented with a new bill. The bill included the additional cost of part of the procedure, the cost to have a biopsy analyzed and the cost of the attendant (which I already paid for). For the next 3 weeks I was going back and forth with the International department, the complaints department and the billing department, trying to get them to acknowledge the fact that I had already paid for the attendant. No one from any of those departments did a single thing to try to help me. Each department passed me off to another department. The complaints department didn't even reply to my complaint. I had to call them up weeks after I had filed a complaint and they were fully aware of the situation, but didn't have enough respect to let me know that they were working on my case or bother to email or call me to help get it resolved. Neither did the International department. When I asked them to help me resolve the issue they just said "this is not my department, I don't know anything about billing" even though FERNANDA was there and was the one that explained to me that I was paying for the the price of the attendant. The billing department just kept sending me the same invoice over and over again and never acknowledging that I had paid for the attendant. It was only when I finally decided to go to the hospital and pay the bill that anything got done. I had to physically go to the International department and demand that they resolve the issue that instant. I spent another 2 hours going to different departments with the "concierge" lady, getting into arguments and explaining over and over what had happened. It was only then, that they acknowledged that the woman who processed my payment allocated the entire amount to the cost of the procedure, which was why this bill for the attendant was still outstanding. At my insistence they finally removed the charge and I was able to pay the invoice. If you go to a Brazilain Hospital, make sure that you get an itemized invoice for every single payment that you make. A little slip of paper with the amount on it is not enough. They will change the amount that you owe them and you have no proof of what you have already paid for. At the end of the day, I probably wasted about 4-5 hours of my time writing emails, sending messages on Whatsapp and arguing with the staff at the hospital. Not to mention all of the frustration it caused. This could have been resolved after 1 email, had anyone at the hospital taken ownership of the problem and been accountable. DO NOT GO HERE - THEY DON'T CARE ABOUT THEIR PATIENTS

One of the best hospital in South America