Bowel cancer treatment in 21 Oncology clinics in Mexico

Going there for the first time, getting information and seeing the Doctor was fast and easy.

Went to see a doctor who claimed he had been trained at Johns Hopkins. His degrees were completely fake. Unreal. Avoid this hospital at all costs.

The worst service when I was going out from an ambulatory surgery. The person from collection apartments and invoice was rude and unprofessional. The service was very good.

Hands down, one of the best hospitals I've ever been to. Within minutes of bringing my dad here, the entire team was assisting him with his high blood pressure and symptoms of a stroke. The staff is very friendly and attentive. It's important to keep in mind that this is a private hospital, so if you don't have insurance, they will ask you to deposit a certain amount of money into the account. Make sure to mention that you are self-pay. So they can bundle everything up into one packet. I was so impressed with the ability to be able to just walk down to the administrative office and ask what my balance was and get that information within seconds. It is worth every single penny they charge.

I was a patient her for 2 nights and it had truly been one a the better experiences of being at a hospital ever. Staff was attentive, cleanliness was amazing and the over all experience with my surgeon was amazing! Highly recommend! Coming from the USA, this is like being at a 5 star hotel!

I can’t begin to express how much I enjoyed my visit here. From Admission, medical, food service everyone was so kind! Also, food was a 10/10!

Bad place to go to an emergency... They pick you up whenever they want and they don't attend to you... I arrived at 10 pm... I was left waiting for 2 hours on the stretcher with the curtain closed so that in the end no doctor would arrive. check me... They only told me that they would come and check me out but that wasn't the case... I had to leave...

On Friday, October 27 at approximately 8:00 pm, we came to the emergency room to check my daughter who had a throat infection and urinary tract infection. Dr. Jesús María Hernández Reyna did not test her with the reagent strip and so I He prescribed an antibiotic, and I asked him if he was not going to take a test, and very bleeding and sharp, he answered that there was the medicine for both infections. I was very upset and dissatisfied, we had to return again today because my daughter still has the discomfort of the urinary infection 😡 Seriously, I don't know why they study medicine if they aren't going to treat their patients well, it's too bad that some of them take it all because it's not the first time we've come and other times they've treated us well.

Reception staff, terrible service, thanks to the fact that you go to that hospital, they have work, they should improve, no, it's up to anyone to put things in order, not because they pay, they treat you well, nothing to do with it. My best opinion is that they better use social security. I think they give better service. that you are clinical.

My sister was treated for kidney stones in August and we signed a document agreeing to pay $13,800. When we got home, our credit card was charged $38,000. We have made numerous attempts to speak to the hospital, no one has responded. They sent a credit card receipt that clearly shows that they forged our signature and are still demanding payment. Stay away from this hospital, they will scam you out of lots of money.

Terrible money scam. People were nice, but not professional. My mom had a heart issue and was sent here by Xcaret Hotel Mexico (this is a partner hospital with the hotel, says something about the hotel too). She was given EKG and blood test, which was charged 1300USD. The emergency doctor couldn't give any diagnosis with these results and wanted to refer an internal medicine doctor to continue with more procedures (for more charges). The whole time we were there there was no monitor of vital signs, the IV stopped working. We ran away without continuing with any procedure. Stay away from this hospital if you can!

My son hurt his knee pretty bad after landing awkwardly trampolining at our resort. He couldn’t bare weight on it and had a lot of pain so we researched a few local hospitals and decided on Amerimed based on some of the Google reviews. We were not disappointed and so glad we picked this one. The staff were friendly, knowledgeable and got us in, x-rayed, meds and a knee brace for 6,500 pesos/ $400usd. We were out within 90 minutes. Great experience. Thank you Amerimed.

Absolutely horrible service. My father broke his arm and we had to wait like 10-15 minutes just checking in. And then they gave him a terrible cast and diagnosis. We had to come back to the US and go to our local Kaiser Permanente to get actual care for my dad. Please avoid this place, especially if you are visiting from the US. Por favor, nunca buscas ayuda aquí, especialmente si vienes extranjero de los Estados Unidos.

We have used the services of Valmar Hospital, including surgery and emergency care. Could not ask for better service and care. Having so many specialists at one location is so helpful. Received excellent care from Doctors , nurses and staff.

Horrible service. Showed up here with a case of Food Poisoning and was turned away because my symptoms were "similar" to Covid-19. The front desk person told me to wait outside, didn't even ask me simple questions such as if I had a cough or shortness of breath and after "speaking with her supervisor" told me I had to go to the General Hospital because Velmar was "full". Such a lie! If it was full, why wasn't I turned away when I first showed up? I went to Clinica San Fernando after and was seen by a great doctor there. My cardiologist and urologist have their offices at Velmar and I will let them know I won't be able to attend our appointments anymore at this hospital, because they deny service to people in need.

Excellent staff and food. Excellent care and attention to detail. Being from the US I was very nervous but my mine was out to ease by all the caring and professional staff!

I’m an American, living in San Francisco and accustomed to high level of medical care. My father developed an infection and the hotel recommended this hospital. Great experience. Very clean, modern and professional. Similar to an urgent care in the US. You pay out of pocket but prices are relatively reasonable. Everyone speaks English. I wasn’t sure what to expect so hope this review is comforting if you need to see a doctor while traveling.

While on a dive trip to Cozumel, my husband became seriously ill and was hospitalized at Costamed. He received excellent treatment. This review is about the patient services people, particularly Jesus Pineda and Israel Cuerca, who were so helpful. My phone would not work and Jesus let me use his phone to contact my bank. He was a very calming influence at a trying time. All the staff was kind and helpful but these two stand out, especially Jesus.

Hosp de la familia (Terror story) Hospital de la familia : Do not go here unless you want yo die!! My experience at the hospital : Right as we walked In they take us into a small room asked for the money! Our money got taken, immediately . I mean as soon as we walked in $5,950 +580. We were sent to the waiting room, the fear kicked in immediately as we were left in the waiting room watching this woman Maritsa leaving with our money. I was in tears ! Scared out of my mind thinking we had just been scammed! Soon they came to get us to bring us into room 212. The dresser was old and faded , so was the blanket and the dinner tray. I was so terrified that every time they took my blood pressure it was extremely high! My blood pressure continued to be high as Martiza kept getting defensive, talking over us and defending her unprofessionalism and her greedy actions . She did not try to be sympathetic or understanding. She made sure to talk over us, making sure we didn’t get heard , and that only what she wanted to say and wanted done being the only thing was being accomplished. My constant fear of being scammed I asked for receipts for all the money that had been given to her, she was annoyed at the fact, and stormed out! I was taken to a room where more test were done . The surgeon came in poked at where he wanted to work on. They wheeled me into the operating room. I woke up with no surgery done at all! When I woke up I was asked by a man in the operating room with a terrifying look on his face if I couldn’t remember what happened? I told him no! The other doctor in the room with the almost same look but more of fear & concern, said SO YOU REALLY CANNOT REMEMBER WHAT HAPPENED?? Once again , I told him no, I wasn’t being told what happened instead they all were terrified!! I was wheeled back into the room where my husband was waiting for me. There my husband asked me if I knew what happened? I told him no, but he had the same look of terror in his eyes. He then told me I had died . The surgeon told the nurses to get him where he proceeded to tell my husband that there was a complication and that my heart stopped after my larynx closed on me and that they had to preform chest compressions and that I was brought back and was stable , that as soon as I could get enough of the anesthesia to ware off , I would be brought back to my room to him. They then told him they only got to make the holes for the operation but no operation took place and they could not operate due to the “ complications “ They brought me back to room after that my surgeon Dr. Sariana disappeared completely! We never saw him again. There was another surgeon called in and he was the one we delt with . The consultation service group disappeared with my money . Sent me charges that now doubled my original quote. Now I have no surgery and my money’s been stolen due to their negligence. But I’m being charged due to the hospital not wanting to discharge us and said we must stay a extra nights here! Even though we wanted to leave we were told we would not be able to be discharged until the surgeon discharged us and he refused to do so and left us there accumulating charges for extra nights. When I was finally discharged the nurse said they had destroyed the vein where I had my IV and said no fluid was even going in anymore it was just all accumulating in my body. I was able to make a stop payment for the cashiers check that the consultation company wanted to keep even though they didn’t preform my surgery. They kept $850. Dollars I payed them in cash . But now they are charging me for the hospital stay I didn’t have a choice on, and I want the hospital to know that this whole experience has been a night mare. These people that you have working in your hospital are scam artist and I hope you think twice before you let portofino consulting do this to any other poor women who put their trust in this company. Please reach out to me and let me know what you plan on doing about this company’s terrible service, bill and what’s going to be done here.

I came to this hospital in October 2021 to get a tubal reversal. We made the decision to go to Mexico for surgery because of the cost compared to the U.S and I don’t regret my decision! It was clean, professional, and comfortable. The doctor who performed my surgery explained everything to my husband and I thoroughly and even showed us pictures. Although I do recommend taking someone with you if you can, who is bilingual because some of the nurses and I had trouble communicating since I don’t know Spanish, luckily my husband does and was able to translate things though. Maritza was the person who facilitated the appointment and was very responsive, she even met us at the hospital on a Saturday (the day of my appointment) to check us in. Most importantly though my tubal reversal was successful! I’ve had an hsg procedure back home in San Diego which confirmed this. I have not gotten pregnant yet though but I’m hopeful it will happen soon.I just wanted to share my experience to any other person it may help.

I highly recommend anyone who is thinking of having a sort of medical procedure this is the place to have it done. I am over the moon with how well I was treated by not only the nurses and hospital staff but Dr. S, Dr. Mariana, Penelope and Maritza were exceptionally wonderful to work with. I had weight loss revision surgery and could not be happier. I will be going back at some point for plastics. Thank y’all for being so good to me and my mom.

If you have the opportunity to be treated at this hospital MISS IT!! The service leaves a lot to be desired, admission, cash and public relations are extremely inefficient, they do everything wrong No They are empathetic with patients and do not provide solutions of any kind. The facilities are being remodeled and they have no qualms about drilling you in the Head at 2:00 am, they have no respect for the patients nor do they give a damn about their peace of mind and rest. Terrible service!! In addition to their times being ridiculous to deliver an account, register and charge you: more than 8 hours and they can't do it!!!

Without a doubt, one of my worst experiences, from the hospital...everything is super neglected and mistreated, even the staff, especially the person: ROSARIO LAGOS, she is supposed to be the head of public relations, she was asked several questions and she never knew how to answer adequately. a person who does not have tact or sense to be a head of public relations, the hospital should pay more attention to the people it hires in its positions, not just out of friendship, handing over positions with great positions to people who are too big for the position…. Do not waste time and do not contract the service provided by this hospital, TAKE THE ANGELES DEL PEDREGAL HOSPITAL AS AN EXAMPLE

My experience with the doctors, anesthesiologists and nurses was very human. Super nice and attentive nurses. They were always on the lookout. The doctors are very professional and explained everything to me in detail. Those who complain about the insurance and that the income is late. You should see this with your manager, but it is normal, even upon admission, they mention that the insurance takes 4 to 6 hours to respond and this has nothing to do with the hospital.

The place is large and they have excellent patient care from the beginning to the end of your stay. The hospital has all types of rooms but the one I got was a junior suite and it is very nice. The truth is that the staff is very attentive and the nurses do their work with pleasant attention, nothing rude and always very polite, the cleaning staff are also very friendly.

I had no issues, but my doctor helped with registration and with getting an accurate bill. Room was clean, nurses were all responsive, and food was good ( and they were accommodating to my preferences). If my doctor had not helped to smooth the process with registration etc.. I might have had a different experience. They also fixed the medical issue that I had so no complaints from me.

Unfortunately the hospital staff seem to have the only goal of making as much money off you as possible, recommending exams and treatments that are not needed or very, very excessive. On top of that, their professional knowledge is so poor I had a X ray technician and a doctor telling me I have a condition by which my organs are on the opposite side of where they should be because they were looking at my X rays flipped the wrong way around. In short avoid if you can!

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.

I tried to set an appointment to see a surgeon. Front desk hang up on me cuz my spanish is not great.

I put five stars just so everyone can see this Dr. Jorge Eugenio Valdez Garcia who works at el Zambrano hellion is doing research with an implant in my eye and he is harassing and threatening to have some one shoot me and has hired someone to stalk me and that person has been breaking in to my truck and has been stealing from me he is trying to scare me they grafted the implant in my eye without my consent and he has been doing research with my eye for several years now!

Great service and awesome doctors, we visited Dr José Ángel Garza Cantu

What a shame that in a Hospital like San José you cannot buy a catheter and emergency medicine at the Pharmacy. As a town pharmacy, it was closed at midday because the person in charge “went out to eat.” AND THERE WAS NO ONE TO ATTEND. And the people I asked saw everything as very logical… “he went out to eat and was probably late.” How little brains. A Pharmacy in a hospital in broad daylight must be open so it is a good idea to have another person stay to serve while someone else goes out to eat. It really took a long time and I had to go look somewhere else (CUAN) because the medicine and the tube were URGENT.

woke up there after a slosh of a sesh, now missing my left nut, right kidney and both my big toes and pinky toes. i have no ballence now

Best hospital in the world!!

It seems to be the best among the many hospitals in Monterrey for health check-ups. All hospitals are friendly... I was satisfied with the most detailed check. I was able to see the doctor more comfortably than at other general hospitals. The food in the last week was tastier than any other hospital.

Great hospital. Better service than some hospital in the US.

No good guadlupe mendodoza ,I no pay you

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?

Terrible care in this hospital, I was hospitalized on May 19, I They channeled me to medicate me and left a piece of what appears to be a needle inside my right wrist where they put the channel. I am already in the city where I live. They do not want to take responsibility, even though I have to undergo surgery due to their negligence, I have to lose days of work, I have to lose time and the trauma that all this is causing me, they want me to travel to Acapulco again, generating MORE EXPENSES and more stress about the situation, so that according to them they can take care of me!!!

Terrible, terrible 😡 service We went to the emergency room for my son who was having seizures and to treat him they asked us for a deposit of 5000. Afterwards, they didn't even do a checkup as it is, they just put the oximeter on him and took his temperature and the doctor on duty told me that I had to go to the pediatrician but that he was going to charge me 1500 in addition to the 5000 deposit Because he is a specialist and that is aside, it also took about 40 minutes for the pediatrician to arrive and he didn't check my son, he just asked the doctor how my son was doing. He asked me what medication he was taking and he just stared at his cell phone for about an hour, In the end they just adjusted the medication and didn't even know what the medication was. We just went to give away 6500 We arrived around 11 pm and left. At 2 in the morning only with the medication adjustment. Appalling

Terrible service, they do not know how to weigh a baby nor were there doctors, the one who treated my baby was not a doctor, she gave us a prescription with another name from a male doctor and she was a woman, very poor care and very expensive for the poor care they provide.

My cousin went to this hospital to have this removed since it went through her finger. Doctor Carmona Estrada Mayra attended my cousin and told her that anesthesia was not needed, plus she was really busy. My cousin sat through all that pain of having it pulled out with no pain reliever. That doctor had also told her that even if she opened up her finger that she wouldn’t put no anesthesia on it. After all that pain my cousin went to another hospital because there was a broken piece of the object still left in her finger. This Doctor needs to go because she couldn’t even perform this normal task to help out her patient.

Bad experience at this hospital with doctors not being honest and staff is rude. Their not helpful at all and there just out for your money. They have no true concern about your family member. They lie about how the patient is doing and if anything they make them worst to your expense. It was truly heartbreaking to realize how bad this hospital is. Don’t take your family members here. Find a different place.Funny thing is that I wrote a detail review of everything that happened and for some reason it’s not on here. Point is don’t trust them with your love ones. Question what there doing and why. Research to see if they even need certain things they ask you for and what the purpose of it is.

A lot of patience in the external consultation Archive and in the consultations themselves, sometimes the doctors do not arrive or they assign others who should not and you have to make an appointment again in the Archive. But they are no longer scheduling APPOINTMENTS for 2023 because they don't have a 2023 Agenda. Well that's what they say...

They have a terrible Surgeon, is name is José Antonio Soriano, he was my surgeon and the results of the operation were disastrous, he only cares about money , and not about his patients. I filed a complaint at the hospital and the didn’t do nothing

Terrible experience. I tested positive for COVID three days ago, and began Paxlovid and fever reducers immediately. After three days, I am still having symptoms and testing positive. I called the ambulance to bring me to the hospital. My oxygen was 81 (after a dexamethasone injection and tablet today). The paramedic gave me oxygen right away in the ambulance. The doctor was useless. He refused to prescribe remdesivir. In nonhospitalized patients with mild to moderate COVID-19 who are at high risk of progressing to severe disease, remdesivir should be started within 7 days of symptom onset and administered for 3 days. The doctors name was Dr. Diego Lecona. I showed proof of my asthma and low oxygen saturation from prior attacks. He did nothing to help me and didn’t give me the medicine. All he did was charge me over $300 for a useless consult. Never again

Unfortunately I became quite I’ll on a recent trip to Mexico City. The physician on call for the hotel direct me to this hospital. My care in ER was efficient, caring and appropriate. Lilliana and Mezil in Er were so caring and great communicators. I was admitted and again impressed with the care of the team. Very professional and respectful. When called received prompt response. My physician, Dr Jessica was knowledgeable, great personality and did follow thru with communication upon my return home. Highly recommend and hope in US we can rid our staff of the EMR demands that take them away from the bedside. Perhaps then we can be as attentive as the team in this hospital. Thank you to the nurses, housekeeping and residents as well!

This hospital is part of the inherited Mexico, with a staff with the excellence that experience provides, but fatigue periodically takes its toll, so as a patient, everyone will talk about how the fair went. The staff makes an effort for the shortcomings they work with and for such a diverse population. More hospital centers like this are needed for this city. Abroad, dozens and even a few hundred spend hours and even days waiting for care for family members, either for medical appointments and studies, as well as those who are hospitalized for days in these facilities. There are those who already go with a folding bench, others rent chairs, umbrellas and some institutions offer a tent for those who come from afar to accompany a family member during their hospitalization period.

Excellent

Exceente

A big thank you to the staff of Galenia hospital!!! During our stay this month, my friend became suddenly ill and had to be hospitalized. Being from the US, I must say that it was a bit nerve wracking to have to seek medical help in a foreign country. However, our experience was entirely positive!!! To the concierge staff - Eric and Alfredo - I wish to extend tremendous gratitude!!! Your translation services as well as your kindness and hospitality were both indispensable and greatly appreciated!!!! I also wish to extend my gratitude to Dr. Allejandro (I don't remember your last name); not only were you genuinely gracious, you discovered the problem quickly and got my friend back on her feet in no time at all!!! Again, thank you Hospital Galenia for such a good experience!!! You took great care of my friend and went above and beyond in showing us courtesy and consideration!!!

BEWARE IF YOU ARE A TOURIST! My father was hospitalized on a family trip to Cancun. He was transported to this hospital and needed emergency surgery This hospital FAILED him. They wouldn’t even give him so much as saline or an antibiotic without payment in FULL. WE WERE CHARGED $4,000 FOR. He went 8 HOURS sitting on an emergency room bed when he should have been in surgery. THEY DEMANDED 50,000 DOLLARS PAID IN FULL BEFORE STARTING ANY CARE AND THAT WAS JUST FOR THE SURGERY. WE OFFERED TO PAY 25,000 SO THEY COULD START AND THEY REFUSED. WE OFFERED TO PAY THE REST THE NEXT DAY AND THEY REFUSED. WE TRANSFERRED MY FATHER TO THE OTHER HOSPITAL BECAUSE WE THOUGHT HE WAS GOING TO DIE. WE FELT USELESS WHILE THEY HAD ALL THE POWER TO DO SOMETHING THEY CHOSE TO DO NOTHING!!!!! THEY ARE SCAMMERS AND NOTHING MORE. ITS A MIRACLE MY FATHER SURVIVED AND ONLY BY THE HELP OF GOD WAS MY FATHER ABLE TO COME BACK HOME WITH US. JUST TO TOP IT OFF WHEN WE WERE PAST THE TRAUMA THAT THESE PEOPLE PUT US THROUGH THEY HAD THE AUDACITY TO BILL IS THE OXYGEN THAT WAS ADMINISTERED DURING THE AMBULANCE RIDE!! 2000 DOLLARS!!!!!!!! THEY WOULD RATHER WATCH YOUR FAMILY MEMBER DIE, I WILL NEVER FORGET THEIR DISGUSTING SMUG FACES

It feels very comfortable being there. Olivia is the best. She arranges everything for you when you are from outside the country of Mexico. You show up and all is prepared. Her personality is very welcoming and friendly. I love not having to worry about the stress of paper work especially since i don't know Spanish well. All her subordinates speak English as well and are all very nice. Galenia might be costly however the peace of mind you get not being stresses out with paperwork helps a lot. I don't even need to Contact my insurance. They do everything for you. Best service. The receptionist at imaging are a bit slow and don't know any English. But the staff attending to you in the radiation area are super friendly and helpful. I see many people complain about the price. This is a private hospital and will be costly. It is the same in my own country. Private hospitals cost a lot but if you have insurance and you are not from Mexico, then I highly recommend using their tourism concierge. They are a great help and speak English. They are all very nice and helpful. I have had the pleasure of meeting and being assisted by Olivia (who is the best), Ellen, Ricardo and another guy i cant remember his name. Not sure if it is Daniel or something with a D. That was over 2 years ago i met him. They arranged everything with my insurance prior to going there. I just showed up and Olivia walked me through everything. I was in and out as quick as possible. No long waiting. Use the concierge service they have. It really helps you from stressing about paperwork and payments. My journey at Galenia started September 2021 and I continue into 2023......

Do not reccomend to be attended by Dr. Jaime A. Estrella. Was forcing me to put workers comp when my injury had nothing to do with work, and threatend to report me as well for leaving half way through. Very bad doctor.

I've been go Almater Hospital twice now to have surgeries with Dr. Luque. I can't begin to express my gratitude for what wonderful experiences I've had. On both occasions, the staff both with Dr. Luque's clinic team, the surgical team, and the hospital staff have gone above and beyond to take exceptional care of me. They are patient with my insecurities and anxiety about the processes, they deliver excellent care, and are kind and considerate throughout. I'm a Nurse Practitioner by trade in the US and have had many surgeries in the US in the past. I can genuinely say the care I received at Almater hospital and by these medical professionals far exceeds any treatment I've ever received in the US. This will be my choice hospital for care with all procedures I'm able to utilize them for and highly recommend them to others.

Very bad hospital to get treated. I went for a procedure on my low back (cyst) and they charged me over 9,000 pesos for just medicine, and wanted to charge me 50,000 for the procedure. Of course they only told me the price after I had asked how much it was going to be. Also they charged me 1000 pesos extra for using a different doctor that supposedly is filling in for another. They wanted to keep me over night for no reason, I would have just been laying in bed (I assume to make more money of me). Communication between the workers is bad. Not recommend at all. Prices are way overpriced and the service is bad. Save your time and money and go to a different hospital