Metatarsophalangea joint (MTP) subluxation 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

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Excellent

I am completely outraged and frustrated with the service provided by Hospital São Camilo at the Ipiranga Unit in recent months. I had the misfortune of needing to go to the hospital a few times in a short period of time, and every time I went I had a terrible experience. But I'm going to focus on the day before yesterday, which was the last straw, and my cup of patience overflowed. The day before yesterday (11/21) I went to the hospital at 11:05 pm, with a severe migraine, nausea and weakness. When I went through the triage, they didn't even check my temperature, my blood pressure was high (14/9) and as the nurse said “it must be nothing, it could be because of your pain”. So far I agree, it could be because of the pain or my pain could be because of the pressure. I received a GREEN bracelet! Taking into account that the hospital follows the Manchester protocol, because of my absurd pain (those who have migraines know what I'm talking about) and because of my high blood pressure, I shouldn't have to wait for care for 2 hours (which is what says the Manchester protocol for the color GREEN). But they gave me this bracelet, and several people passed in front of me, it took more than 2 hours to wait to speak to the doctor, that's why I showed my indignation at the delay, because if I had remained quiet I would have waited another 2 hours. And the reception says that other people passed in front of me because they were other doctors, or it was orthopedics, or a general surgeon or Covid. And they also reiterated “you already and next time, the doctor was collecting the returns” IN other words, more people passed in front of me who were being discharged from the hospital, and yet were already medicated. Therefore, I was forgotten at reception with the pain they call N°10! And everyone knows that the more irritated a person gets, the worse the pain and the worse the pressure. So seeing my despair, where I was almost fainting from the pain, the receptionist asked me to go to the triage to re-evaluate my condition. Arriving at the screening, the blessed one looks at my face and says “Well?” I explain that the reception asked to reevaluate me and he responds “How? The reception?" I said “yes, the reception, the girl who is there at the tables”, and he replied “Really the reception?” I said yes!" and I pointed to the person, then he looked like he wasn't happy and checked my blood pressure again, it was still 14/9! After that I had to wait another 30 minutes until I was called, the receptionist was already desperate too, calling the hospital and informing them that I was feeling ill. Everyone passed by me, and did NOTHING! I was called to the doctor's room at 1:11 am, they made me wait more than 2 hours for an appointment, which according to the Manchester protocol should have been attended to with an ORANGE bracelet, and within 10 minutes. I can and I feel entitled to say that it was a failure to provide help, as my clinical condition was delicate, and the screening data and my face did not deny this, quite the contrary, they affirmed it. In a hospital like São Camilo, where I have been treated since I was 7 years old, when it still had the pediatrics area, you have left a LOT to be desired. You are a PRIVATE hospital, in case you forgot, if you are “short of professionals” hire more professionals. FOLLOW the protocol that YOU yourselves say you follow. Why a person almost fainting from pain, WITH ALL SURE IN THE WORLD, is not a green bracelet. And if it's too much to follow a WORLDWIDE protocol, STOP using and deceiving the people who will be served. Don't give me speeches about “we were without doctors”, “the four doctors who were attending were from other areas”, “your high blood pressure must be nothing”, “can I give you medicine X?”, “they are taking care of cases more serious than yours”, “the doctors were just going through the returns” because I'm TIRED of your lame excuses. I prefer you to take the time you would spend responding to me and review your services and professionals, why I felt neglected and in a hospital that for me was an example.

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I loved Google

I want to thank the entire team who were with me throughout my hospitalization, who welcomed me with so much affection and dedication. This team knew how to help me when I was really bad, they held my hand, and always gave me words of comfort. Unparalleled empathy. Congratulations to everyone and I ask that God gives double everything you gave to us. Kiss in the heart 🥰 I don't remember everyone's name, but it ranged from doctors, nurses day and night, to other sectors, physiotherapists, kitchen maids and cleaning assistants.

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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

Really good service for a tourist in need of a quick prescription. I was seen within 15 mins and got the medication I needed. Doctor spoke English which was helpful

They will not accept you if you don't have private insurance. They only accept payment from the insurance company, no credit or cash. If you are traveling here, go to a public hospital. The lady working there was extremely rude to me and was not willing to help me at all when I asked her where I can go to get medical help. I asked her for a hospital name and she essentially told me to F off. Luckily, I contacted a Spanish school for Spanish lessons and asked them where I can go. They gave me the name of a public hospital, and I was able to get my wound treated.

Malardo