Proximal interphalangeal (PIP) joint instability treatment in 2 Orthopedic surgery clinics in Nicaragua

* Good facilities * Good equipments * Bad communication * Bad attention and follow up on the patient. * Really slow process in “emergency” area. * Bad management.

Sandinista Revolution Really??? still rich ladies came in where we where all waiting for more than two hours just because they knew the doctor and were rich where overpassing a pregnant lady this is a disgrace to the honor of the memory of our great hero that kicked out twice the US marines the revolution was useless there is no such thing like equality in my beloved Nicaragua

MY FRIEND RECENTLY VISITED THIS HOSPITAL AND HE STATES HE HAD A GREAT EXPERIENCE! EXCELENTE STAFF:) BUT MOSY IMPORTANTLY DR ALTAMIRANO WAS VERY PROFESSIONAL, HUMBLE & COMPASSIONATE . VERY KNOWLEDGEABLE EXPLAINED EVERYTHING DETAILED AND MADE SURE HE UNDERSTOOD, THAT SHOWED US HOW MUCH PASSION SHE HAS FOR HER JOB SHE IS THE BEST DOCTOR HIGHLY RECOMMEND ANYONE TO SEE DR ALTAMIRANO WISH I COULD LEAVE A 10 STAR FOR HER ⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

Facilities are very clean, the staff is professional, and respectful! Best in the country. Also the food in the cafeteria is very good.

It is a expensive hospital, but it is worthy. My 1 year old baby was diagnosed with testiculo tumor, he needed to be operated ASAP. Now he is 100% out of danger. Thanks God and the doctors. Never felt more comfortable in a hospital.

I have been a patient at Vivian Pellas for over 9 years in that time I have had 4 surgeries and my wife had her hip replacement done there. My past experiences have been good up until a little over a year ago. Went in for what I thought was hemorrhoid surgery. According to all my papper work which I still have but instead I received a sphincterotomy and no hemorrhoid present at the time. Be carefull there! Still having ongoing problems as a result

Regular

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Legal.

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Excellent

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The place is too big, and nobody can explain how you move around there. I really didn't like it

Great place for medical emergency

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I don't know why there are no cameras in the hospital. At least in the nurses' room. Every time I went to the pediatric emergency room the same thing happened. Nurses talking about personal matters, laughing loudly, as if they were in a bar. And when we make any requests, they are rude, rude and even mocking. I spent 14 hours there with my 3-year-old son. I didn't even see hygiene (the minimum expected in a hospital). Sheets used by patients the night before were left on the chair (until the time I left, they were still there). Children with infectious diseases (gastroenteritis, severe flu...) were discharged and the seats were not sanitized. They directed me to the resting chair, when I sat down I felt something dripping on me. It was the nebulizing mask that a child had worn during the night. I myself had to sanitize the armchair my son was in. Holding him with one hand and rubbing alcohol with the other. Chaos. I filed a complaint with the ombudsman and to this day I have not received a response. I will formalize a new complaint with the ANS with photos and videos.

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I think this hospital is great, I had 2 surgery there. I am from United States. The Dr used was Dr luis Eduardo Barbosa. His staff was excellent. The front desk at check in very professional. Then I was brought to a room to change and then to the OR. woke up in recovery and was feed food and released in the morning. Parking was easy. Hospital was clean, looked up to date. Excellent experience there.

Mmm

I found them exceedingly reassuring and reliable, efficient and engaged. It was a bit of a wait going through A&E, but they really sorted things out in a very professional way and it turned out it was only a head cold. So no blood clots or any of that sort of thing. Which I found a bit humbling for wasting their time. Still, no hard feelings which raises my esteem for the place.

It was founded by Cleto Aguirre from Salta. The origins of the current Hospital de Clínicas date back to 1877, when its construction began. A year later -and still unfinished- it was the scene of the conflict over the federalization of the city of Buenos Aires by functioning as a rifle barracks and a hospital for the concentration of wounded. Attention to the community began shortly after the conflict of 1880, at which time Buenos Aires ceased to be a large village and developed to become the capital city of Argentina, which was experiencing the first waves of immigration and urbanization. A significant number of patients came from the interior, referred by doctors graduated from the Faculty of Medicine who kept a special memory of the aptitudes of their teachers in medicine. The tenured professor was the cone of attraction of the chairs and of the activity of the Hospital rooms. He was an ethical example to be emulated by his students, who supported him, shared his studies, sometimes his table, and even established kinship through marriages based on that relationship of admiration. Important feats of medicine took place in the pavilions of the Hospital de Clínicas: the first application of insulin, the description of Ayerza's Disease, Tobías syndrome, Castex syndromes, the first cardiac catheterization, the first medical residencies, the first Ethics Committee, experimental surgery, the first kidney punctures and the first thoracotomies, among others. The first filmed operation in the history of medicine occurred in this hospital. It was in 1899 and was in charge of the Argentine doctor Alejandro Posadas. The film is seven minutes long and was found in 1971, when the old building was preparing for demolition. It was exhibited on December 14, 2001 to celebrate the 120th anniversary of the hospital. [1] Built according to the models of its time, the design was inspired by the Friedrichshain Hospital in Berlin and the lazaretto in Karlsruhe. Since 1927, due to the deterioration of the old hospital and according to the emerging needs in previous years, several projects were planned to build a new hospital, a fact that would not materialize until 1949, the year in which the construction of the Hospital de Clínicas began " José de San Martín ”, in the block limited by Uriburu, Paraguay, Azcuénaga and Córdoba Avenue. Construction suffered numerous delays and only in 1962 offered the first services, radiology and otolaryngology. The rest of the services were gradually transferred in the following years. In the first years of the 1970s the new building became fully functional and in 1975 the demolition of the old headquarters began.In 2014 the executive power invested heavily with money from the National State to re-functionalize the Hospital de Clínicas and create a pharmaceutical plant to supply the network of university hospitals and also offer a space for practical training for students and teachers. [2]