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 ⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

Always professional service with many experienced doctors and hardly any wait times.

Excellent Medical Center integrated to the Joint Commission hospital organization of the U.S.A. Highly recommended for patients visiting Nicaragua.

If you are in need of immediate service and don’t have cash on you. You might die! Stay away from this place, as my wife was suffering and about to die, and they pushed us out of the hospital because I could not pay another $1500 dollars. After taking $500 in cash to allow us to enter the facility, they demanded another $1500 cash and when I could not pay, they kicked us out. It is better to go to the hospital called: “Hospital Occidental de Managua “Dr.Fernando Velez Paiz” HODM - Dr. Fernando was a better choice as they were properly staffed, clean, air conditioner, and only sick people were allowed to enter to reduce possible contamination of facilities. HODM is a way better hospital and they actually care if you live or die and won’t demand money for your death bed. I love HODM and continue to donate to them as they are skilled and current with traditional medicine and have the best equipment as well.

I had hernia surgery by Dr. Kluftinger July 2022. Great surgeon and staff. Highly recommend OHSC.

Had surgery today at OHSC can't say enough good was looked after extremely well from the moment I walked in and through the surgical process from staff-nurses-Anthesiologist Bruno and Doctor O'Brien. Thank you to all for the best surgical experience I could hope for. Highly recomment OHSC

I went here to ask for Lazer skin care surgery for moderate to medium severe unknown facial scarring… I paid $6,000 for 1500 Needles to be punctured into my skin with some sort of medicine that must have just been sterile water… it actually looks ten times worse than it did before I started; had I not mentioned I had an inheritance; I might not have been sent to a random room…. They might have actually given me the first possible treatment too work for my skin, instead they figured I’d go back for the rest of the 14 other rooms of mechanical devices they had to offer for skin care. WHEN I SPECIFICALLY ASKED FOR LAZER TREATMENT… when I arrived she just grabbed this huge machine with a needle device (PUHHHWOOOPHTSHHHHHUUUUHHHGHAHGHAGHA) it was a retarded puncture device with a huge needle going in and out of your cheeks and such, completely missing my nose which was half of my worry to begin with. I’m thinking of sueing concidering that treatment isn’t even listed on their website!!! I’m very upset. It looks way worse and with more puncture marks than before :,( HANDS DOWN THE STUPIDEST PLACE TO GO FOR ACNE TREATMENT IN THE WORLD… have fun guys. Get ripped off then!!!

I have been to this clinic twice. My knees are extremely painful to the point I can barely walk without assistance. I am on prescribed pain meds as well as 10 to 15 Advil per day just to function. Both times I attended my appointments at the hip and knee clinic I was flatly rejected due to my weight and age. The Dr I seen for my appointment did nothing but fat shame me and reiterate I was too young for replacement as well as he told me “it might not be your knees at all”. I would never recommend this clinic as they seem to be fine with people taking a lot of pills for pain relief. I will certainly explore other options that will at least treat me with dignity.

The doctor is lovely, however the physiotherapist Tina is a miserably rude and unpleasant woman. This is the second time I’ve attended an appointment with my grandmother and had Tina, both times she couldn’t be bothered to let you speak, or god forbid listen when you do even though you are answering what she’s asking/saying. She tells you different things at each appointment that contradicts what she said previously, and even in the same appointment. She is sarcastic and my grandmother who is hard of hearing and often needs clarification was spoken to as if she is just being difficult. If I could write separate reviews for the doctor and Tina, the doctor would have a much better rating, but unfortunately I can’t.

I was impressed by the education on rotator cuff and shoulder dynamics shared with me. I believe my assessment hit the nail on the head because the pain was replicated on assessment. I was provided a great treatment plan.

My mom chose to have a hip replacement done at a private clinic because she did not want to wait at her age. I found Gateway Surgery online and phoned them. I and my mom were impressed by their professionalism. They gave us confidence, and we knew we were at the right place. My mom had her hip replacement with Dr. Adam Hart. Thank you so much! We had a very good experience with travelling, staying and post operations care. I have nothing but great things to say about this. My mom’s life was back normal. We would like to thank all the staff at Gateway Clinic for the exceptional and outstanding patient care!

I recently had bilateral hip replacement surgery with Gateway and Dr Adam Hart in Montreal. The entire process from the initial contact was totally efficient, organized and very kind. I felt completely well cared for and I was confident right from the start that I was in great hands. I cannot believe how quickly I am recovering! Dr Hart is a wonderful, very kind surgeon and his team in Montreal, every single member of that team, were exemplary. This organization treated me with compassion too. I totally recommend Gateway and Dr Hart .

I chose to have my hip replacement done at a private clinic as I did not want to wait for years at my age. I found Gateway Surgery online and was impressed by their professionalism and by learning that the surgeon was also head of orthopaedic surgery at a local hospital in Calgary. Their receptionist, Jennie, was friendly and open with all the information I requested. I spoke with the surgeon, Dr Johnson, a few times prior to surgery and also to the anesthetist. A lot of health information was requested prior to the surgery which I liked. Maybe having a video about what the surgery would have involved might have been helpful but once I was at the clinic, the care was superb. Physio visited the day following surgery and once I mastered the use of the crutches and was shown the exercises, I was sent home with a set of crutches and an ice machine equipped with a sleeve to fit over the hip. The information booklet that was given to me at discharge was very helpful but I would have liked to receive a phone call from the surgeon at the 5-6 week post op and not have to phone to ask for this. I would highly recommend using this clinic. My recovery has been smooth and I am almost back to normal at the 3 month mark.

Great clinic and excellent staff and care. My mom's knee replacement was a success and she feels good as new!

From the very first call I made to Clinique Duval to the last wave to the nurses while getting into the car, my experience with the clinic has been extraordinarily wonderful. I underwent full knee replacement surgery at the clinic. To start at the beginning: Philomena at the reception was very helpful and caring. The nursing staff at the intake was very reassuring and efficient. At the surgery I was priviledged having the best professionals, the anesthesiologist and the surgeon, dr. Masse, and the assisting nurses. After the operation I had the best possible care. The nurses were kind, compassionate and eager to do whatever was necessary to make me comforrable. Dominique and Maria Teresa were tending to my every need, and Imane, Marie, Olga , Marlene, Sophie, and other kind nurses made sure I was well. I also commend the physiotherapy treatment by Guillome, who instructed me on postoperative exercises and activity. Dr. Masse and dr. Assayag made rounds each day after the operation to make sure recovery was going well. I stayed at the clinic for two nights after the operation. The hospital room was spacious and very clean. The food was very good and varied. I very highly recommend Clinique Duval. My surgery was the best experience.

The Total Hip Replacement at the Duval Orthopedic Clinic was the best decision I made. My initial consultation with Dr. Vendittoli was on September 24, 2021 at which time I decided to proceed with the surgery. The information provided, before and, during surgery was excellent, including a provision of a manual which also outlined the importance of pre-op exercises. My surgery was performed on October 8, 2021 and I was discharged by October 10 with the ability to walk with just a cane. The ERAS (Early Recovery After Surgery) program developed by Dr. Vendittoli and his team is amazing and hopefully will be adopted by ALL public hospitals. All the staff at the clinic were exemplary during the entire procedure. Best of all, I never experienced any pain whatsoever post surgery, no longer limp, and am able to resume my daily activities. Post surgery physiotherapy is an important factor in recovery. Thank you to Dr. Vendittoli and all his team! June 6, 2022 Further to my first review of a Total Hip Replacement (left side), which was performed on October 08, 2021, I am adding a second review for the Total Hip Replacement (right side) performed on May 19, 2022. The initial review stated that the left side hip replacement (October 08, 2021) was the best decision I made. The right side hip replacement (May 19,2022) was the second best decision I made. For the right side hip replacement, once again and as previously experienced, all the excellent and important preoperative information procedures were clearly explained. On the day of my surgery, the anesthesiologist's technique of performing a spinal block (most recent technology) vs. an epidural (for 1st surgery) was truly incredible. I did not even realize that the spinal was completed so efficiently and painlessly. The advantage of the spinal block allowed me to recover extremely quickly and within a fraction of an hour in recovery, I was transferred back to my room. Dr. Vendittoli, who also performed my first surgery, has an excellent reputation for a very good reason! My incision was only a few inches long and I am amazed at how the procedure may be performed within such a small incision. A few hours post surgery, the physiotherapy team had me up to begin the initial exercises. Wow, I did not have ANY pain nor did I require any opioid painkillers at any time neither during my hospital stay nor at any time after my discharge. The following morning, physiotherapy continued my recovery exercises with the possibility of a discharge in the afternoon. I was now permitted to walk about with the aid of only a cane! Dr. Vendittoli, together with his team, assessed my speedy recovery and by mid afternoon I was given the green light for departure home, to where I would continue the very important post surgery physiotherapy exercises. As I had experienced during my first surgery, the entire staff at the Duval Orthopaedic Clinic were exemplary and it was a pleasure to be a patient in this facility! The CLSC provided physiotherapy sessions and nursing wound care, which was excellent at my recovery location. To be noted, these professionals were amazed at my recovery progress. During the first physio session (1 week post surgery) I was assessed as being at the third week post surgery recovery! Both professionals commented at the remarkable recovery difference they see between the private clinics, (in my instance, the Duval Orthopaedic Clinic) and the public system. This speedy recovery is thanks to Dr. Vendittoli and his team who developed the ERAS (Early Recovery After Surgery). Thank you Dr. Vendittoli and your entire team who made my two Total Hip Replacements such a remarkable success. I am able to resume my active life style quickly and painlessly!

I had foot surgery Nov 10 and everyone at this clinic was absolutely fabulous. My surgery was on time, all staff were efficient and wonderfully warm and empathetic. All of my pre-surgery anxiety was erased with the professionalism and pleasant staff. If all surgery clinics could be as civilized as this one it would be amazing! Thank you to all of the lovely staff and of course to my incredible surgeon for a successful surgery!

I had today a knee surgery at this clinic , I just want to say a big:Thank you for your work! Everybody very professional , carrying and thoughtful and Dr. Bray is amazing Thank you very much , I'm pretty sure you bring happiness in lots of people life, keep up the good job and the high standard

I am 6 months out after left hip replacement. Dr Duffy did excellent work and I would recommend him highly. Hero in the admin area was so nice to work with and assist thru out of province obstacles. Great team!

TKR in August 2022. Very disappointed with the room I was in, very untidy . I was unable to shower as it was being used for storage, which meant a lot of interruptions whilst I was trying to rest following surgery. The nurses were absolutely wonderful. Follow up care by Dr Zarnett not as it should have been, I was told I would have had three telephone consultations after my surgery 6 weeks, three months and six months, but so far I have only had one call from him at six weeks. (I am now six months post surgery). Not sure I could recommend Clearpoint Toronto considering the cost of my surgery and the lack of aftercare.