Tricuspid valve insufficiency treatment in 211 Cardiac surgery clinics in Asia

My family got injured during the visit in Seoul unfortunately. As a foreign visitor, this hospital provide nice service , the people are very nice, we can communicate in English basically , the safety officer helped us to call the taxi back to hotel , thanks for their help. Basically , the basic charge is about 700k won (US$ 520) . There would be additional charges if you need to have further inspections. I hope all of you are healthy and not need to visit hospital during travel. God bless you 🙂

I would rate minus 8f I could. Worst ER experience ever. We had no choice but to come here as per the ambulance staff. The patient was in ER for 5 hours without any communication with the next of kin. No one let's the patient know where urinal was and no blanket available for 30kg patient who was shivering like a puppy. Very rude and blunt staff who were avoiding talking to the patient's family member. If you want to be treated with some dignity do not go to this hospital.

The international clinic was great. They are very organized, they will show you a map where to go and what order. They were helpful and very fast. I had the blood results in one day. The doctor was very kind and easy to talk with, and in perfect english.

It was the most unprofessional experience I’ve ever had anywhere in the world. The doctor was rude and was yelling at me. I do not recommend Dr Ivan Neuro surgeon or that hospital. I was expected to have injections in my back in a messy room with a patient eating and the smell was making me sick. They told me to take my money back. And leave

I would like to know if SEMA have specialist who can perform jaw fracture surgery Thanks

Nice personal and fast service.

Very nice and bigger hospital in the kingdom Saudi Arabia...and many ofw Filipinos work here...

Best professional medical staff (DSU)I’ve seen, honestly they were treating me sooo kindly. So Proud of you.

I worked in this hospital form 2012 to 2021 as electrical foreman and I got good experience from this hospital and i bleev as per my knowledge this is the number one hospital in Gulf.

I’ve made an appointment with Dr. Mohammad Badr, a gastroenterologist. While scheduling, I confirmed multiple times with the person handling appointments that the doctor would be available on time, ensuring there wouldn’t be any last-minute issues since I’m traveling from Bahrain. She advised me to arrive 10 minutes earlier. However, upon my arrival at the hospital 20 minutes early, I discovered that the doctor had already left, demonstrating a lack of punctuality and leaving before his scheduled hours. The customer staff was very rude and unhelpful. When I questioned them about the doctor leaving before my appointment, they claimed ignorance and mentioned that his duties were finished. Despite having my appointment time visible in the system, they couldn’t assist me and attributed the mistake to the call center staff. Frustratingly, they refused to call the doctor or take any action to rectify the situation. Their unprofessionalism extended from the doctor to the call center and customer service staff. I strongly advise against visiting Dosary Hospital or consulting Dr. Mohammad Badr, as my experience was highly unsatisfactory.

Need to express my concerns about the lengthy and frustrating insurance approval process we encountered at Dossary Hospital. We only visited due to Dr Javed because the doctor is good. We observed that only one staff member is available at the tiny insurance counter, with the main counter closed. This lone staff member is handling a long queue in the middle of the walkway, contributing to the overall inconvenience and adding to the challenges faced during the insurance approval process. Unlike our experiences in other hospitals, the insurance approval process at Dossary Hospital has been exceedingly time-consuming. The rejections, coupled with the necessity to repeatedly seek additional information from the doctor and endure prolonged waiting times, have been incredibly inconvenient. This repetitive cycle occurred three times, leading us to the decision to pay cash for the test, which was priced at a reasonable 230 riyals. It is disheartening to note that our Class A insurance, which is promptly approved at other medical facilities, consistently faces challenges at Dossary Hospital. Despite our attempts to address these issues with the hospital staff, we feel our concerns have not been adequately addressed. The constant blame on our insurance company and the lack of resolution only added to the distress of navigating this process as sick patients. As patients, we find it unacceptable to endure such a cumbersome and disorganized procedure, having to navigate multiple floors to resolve the matter. We urge you to review and improve your insurance approval process to ensure a smoother experience for patients who rely on your services. We DO NOT RECOMMEND DOSSARY ANYMORE.

The facility is good. But, a lot to be improved. Very slow process starting from reception, insurance approval to pharmacy. Don't go if you are for a quick checkup for your kids.

Worst ever services but expensive as much as 5 stared. Mouwasat is a typical example of ruthless, heartless, indisciplined, inexperienced hospital business. Untrained staff, no knowledge of disciplines and departments. And where abouts.. They are denying to take my specimen and now I am waiting for their mercy.. Mouwasat management and administration must learn and educate themselves. I will definitely take this to ministry of health.. Can never suggest a friend to face this paid torture..

I visited the emergency department recently and while the medical care was satisfactory, I was disappointed with the reception staff's lack of professionalism. Additionally, their card ATM scanner was malfunctioning, resulting in multiple declined card attempts. I had to pay in cash eventually. It was frustrating that the receptionist questioned if I had enough funds in my account, when in reality, the issue was with their machine. This interaction left me feeling uneasy, and I believe improvements in staff behaviour and equipment reliability are needed.

The doctors aren't interested even to diogonise the patients, that just seen to get rid of the patients as soon as they can. Don't visit this unhelpful hospital. A small clinic like Badr Al Rabie is much better than these money making machines

Mouwasat is one of a great hospital available in Riyadh, Very professional doctors, I should mention name of pediatric Dr.Mohammed Aldeeb, I love the way he treat patients and give his advice and recommendations, I stayed in pediatric room since last 4 days and got a very professional service from nursing staff, all the nursing staff available in pediatric ward is much professional and care for patient.

Long time to wait your sequence in the laboratory 🧪 I don’t know why? Check up with the doctor very quick but laboratory long time maybe no staff enough? Riyadh - Saudi Arabia 🇸🇦

Good local hospital. Great selection of medical facilities with great doctors. The customer service has improved over the years as has the insurance approval process. Nothing is perfect though, so sometimes there may be issues. Overall a great place when you need medical assistance.

The level of nurses is high compared to other hospitals! I think this is a trustworthy hospital because the doctors explain everything in an easy-to-understand manner. After paying the bill, I realized that my change was a pin note every time! I don't want to have to take care of you again, but if I do, I think this hospital is the best!

My elderly mother, who is 86 years old, underwent surgery to replace an artificial valve. The reason why I went to a different hospital than the first time was because I judged her to be at high risk due to her age. I was looking for a heart specialty hospital that performs many surgeries and ended up here. It was a little far away, but people came from Shimane and Tottori prefectures, so it was still close. The surgery was a great success. However, there were some difficult times due to complications, but now, almost half a year later, I am doing very well. The reception desk is efficient, and although the doctor's office is quite busy, the examination and payment process are smooth. Everyone is relatively kind, and I feel that the hospital is well-trained to handle the situation properly. The surgeon was also wonderful.

I would like to thank the receptionist and many staff members for their courteous service. I am very grateful that not only the medical care provided, but also the highest standard hospital is nearby, and I truly rely on it. I look forward to working with you.

About a year ago, I underwent heart valve replacement surgery.The doctor gave thorough explanations and the nurses, even though they were all young, treated me with great care. Even patients who complained due to stress were treated with sincerity. When I was in the ICU, the assistant doctor had to take me to the bathroom every hour in the middle of the night because of the diuretics I was in. When I apologized, she said with a smile, "Don't worry about it, it's fine!" I was able to spend my time with peace of mind. I am very glad that I had the surgery at this hospital. Even though the food is low in salt, there are about 3 side dishes, so I think it's satisfying.

Thank you everyone for your kind response! It's clear to see that he puts his patients first. My illness, which had not been detected even though it had become serious at a major local hospital, was immediately discovered here, and I was given very detailed care, arranging for surgery and the prognosis. I believe that it is the best hospital in the world in terms of technology, service, and everything else.

Three years ago, I had a blood vessel transplant and catheter surgery for coronary artery stenosis and angina pectoris here, and since then I've been going to the hospital regularly.It's a clean hospital, I feel comfortable, and it's conveniently located near JR Kishibe Station, which is helpful.

I had a successful surgery (Hysteroscopic myomectomy) in this hospital. I’m so thankful to Dr. Ishikawa and the nurses from Gynecology Department.

I dont recomend this place this place for baby’s there is no kindness for babys and no explantion before test,ganka and hifuka saiyaku doctor’s this is not hospital its a training center for new doctor’s and thers test’s.if you need to be a tester for them i recommended this hospital.

The doctors are very helpful and talented.

Our experience with BIMC was exceptional. Highly caring and skilled staff led by Dr. Priangga who provided great care and follow up the following day. Many thanks to all at BIMC.

Very good hospital. I had a triple ankle fracture in September. Everybody is speaking English. Surgery was done perfect! Medication was very good, i felt nearly no pain! Recovery is really good, i can go cycling again.

Staff is super slow. You may book an appointment and then wait for hours. And every time they Will day that you is a next one. For payment l, minum half an hour waiting for then to make up an invoice. Very dissapointing service, but specialist doctors are generally good

I had an appointment at 19.00 but waited for two more hours to visit the doctors, already checked each 30 minutes to the nurse for the appointment, and the nurses were very unfriendly & unsupportive. Very bad and unpleasent customer experience.

Overall great doctors and nurses, but extremely poor management. Especially when it comes to insurance payment, expect you'll spend at least an extra 1 hour to get your number to be called. If you need to be hospitalised, this is one of the hospital you need to stay away from, especially when it comes to food allergy. Perhaps they never put patients' food allergies in the system during their hospital stay. In my case, what allergies you have, that's what they going to feed you. Not sure what the purpose is, probably an extra bucks from allergy medications they'll prescribe, unless you starve yourself during your stay. On top of that, any treatments which requires insurance approval will be only submitted after 11:00AM, once a day. If it's emergency, you definitely will get worse while waiting or even loosing your life while staying in the hospital. The same story when you'll be discharged, expected to spend longer than 6 hours to finally be able to leave the premises due to their horrendous insurance handling procedure. Next time, think of other hospital options before admitting yourself to Eka hospital and its chain, unless there's no other private hospital in the area.

Located just on the street side and near to the toll gate. Relative small for its building and its parking area, but very crowded... therefore, be ready for long que and stuck each other. The service of the nurse and doctors can be categorised as good. It has several facilities like Lawson store, restaurant, and Puyo outlet. However, as there are so many people compared to its space, so you would see too many people pack in a limited space, you may not easily to move or can find a place to seat. The doctor is very nice in explaining and giving solution, he would give solution for non medical solution, so we can do it by ourselves without need to use the hospital services The specialist rate is around 400 to 500 K for consultation, beside there is administration fee of 60K too.. I went there to consult with specialist doctor for my kid. We had to register and fill online form before come, to get the slot appointment. When arrived, we need que to inform the front desk before go to the policlinic to have the number for the doctor.

Online appointment system practically useless since we are required to wait and register again before we can go to the poly. In addition, payment also takes long time even after being seated or called to the counter. The design or layout of the hospital is also very flawed resulting in low accessibility even for non-sick people. Don’t let fancy decoration fool you. This hospital need major improvement. EHCBB Should try to learn from Siloam hospital for this matter 🙂

This hospital is most comfortable hospital near my house. The staff very helpful and full of smile. Nurses are very kind to patients. And it has a clean environment.

I don't usually leave a bad review, but I gotta write this one — the ICU guy that was assigned in the 3rd floor was really such a jerk and very rude, in contrast with the other staff! In no million years way I would recommend my family, colleagues, and friends this hospital anymore — that is how offended I really am!

In conclusion, I appreciate the efforts of Eka hospital and their Nurse Manager in acknowledging and actively working to fix any shortcomings. This commitment to improvement is a crucial aspect of any healthcare institution, and it reflects positively on the overall quality of care provided.

Eka Hospital Pku the best! I’ve got medical treatment from dr. Chandra yg humble, informative and caring person, and also dr. Choky. Pelayanan nurse dan CC yg baik trs ramah. Nice to have you all

Good services and the staff wwere very helping, no need to wait when MCU progress

Comfortable hospital with nice attitude workers. Good job 🫰🏽

Really like the ambiences and all the high-tech tools. All doctors looks very professional as well. However, the waiting time is really pain! Appointment by 11am, but the doctor is not available. Hence, no one from the hospital informed, let alone check the reschedule possibility. I have to wait for the other doctor until 3pm-ish (which I totally understand for the on-the-spot patient SOP). However this wasting of time could be avoidable if they informed properly

The best hospital in Bekasi. Excellent service and building. All doctor, nurse, or administration is so humble and informative person. This hospital have comfortable waiting room or doctor room.thank you!

Very good service, the staff is so polite and good attitude. One of the best hospitals in bekasi👍🏻

In my first two visits, I was impressed with their quite efficient system. But not today, looong wait for my medicine. Apparently, after certain time ( 8.30 or 9 pm ?) Pharmacy service for BPJS and non BPJS was combined with only one staff delivering the medicine. Kindly revisit this. People deserve what they pay for.

your procedure for KIS patient treatment sucks btw. you have that bunch of patients, so u know what u should do to reduce it. also the service of the staff to inform the schedule for surgery especially for cardiac specialist, plin plan gak jelas infonya. big evaluation for the KIS patient procedure is needed.

Thank you for taking care of me for about 2 months due to knee surgery. I waited about a year and a half for the surgery to be performed by Dr. K. Fuji, an excellent doctor. Ever since he was broadcast on TV Tokyo's Cambria Palace, he has become a famous doctor among knee patients and is known for his very careful surgeries. I am very satisfied with the results. This hospital also seems to be famous for its rehabilitation department, and I received encouragement both physically and mentally. In particular, Mr. Yada, who works in the rehabilitation room of a general hospital, is very good at the treatment, and there were complimentary comments on Ameblo.

In mid-May of last year, I was admitted to the hospital for a complete removal of breast cancer by a breast surgeon, and I received great care. Although I live in the prefecture, I initially planned to have the surgery performed at a nearby university hospital. but… I couldn't find the doctor in charge, and while I was researching various surgical methods, I realized that the breast surgery at Kameda Hospital was an endoscopic surgery, and most of all, when I asked for a second opinion, the cancer consultation center I decided to have the surgery at this hospital because of the personality of Dr. Fukuma, the nurse in charge of breast surgery and the chief breast surgeon. I am very grateful to Dr. Fukuma and other outpatient nurses at Kamogawa for their help. I had to see Dr. Fukuma several times because the surgery was far away, but even though he was tired from seeing dozens of patients a day from the beginning, he continued to talk to me late into the night in detail about the condition of the disease and the surgical procedure. Even when I was hospitalized, he came to my room until late at night. Thank you for treating me in such a friendly and calm manner when I was really anxious and scared. Even though I didn't know much about cancer, she taught me a lot of things, and even though I wasted a lot of time, the detailed explanations made me feel at ease. I made an unreasonable request to have the first surgery done early in the morning, but I was able to have the surgery done before the doctor's appointment, so I am truly grateful to the doctor. Unfortunately, I was not able to see the doctor perform the surgery because I was under general anesthesia. (lol) The reason I chose Kameda Hospital was not only because of the endoscopic surgery, but also because there were many different doctors there, and I was able to call and talk to the nurses several times before the surgery, which made me feel at ease. It was my first time being hospitalized after getting sick, but the food was delicious, and I was able to enjoy the view of the Pacific Ocean, swallows, and surfers, which made me feel better after the surgery. In particular, there is a beauty salon in the women's ward, and I felt comfortable in the private rooms that required reservations. I would like to thank Dr. Fukuma, nurse Kawana-san, and Yoshida-san from the consultation center for their help. Cancer requires long treatment even after surgery, and for those who are considering treatment, there are Kameda Hospital in Kamogawa, Makuhari, and Kyobashi in Tokyo, so if you can commute, you may want to consider it...Also, before surgery In addition to MRI, there are excellent tests such as PET-CT. I am really glad that I had the surgery at this hospital. It seems that no one person has the same symptoms of breast cancer, so the surgical method and post-operative treatment will vary depending on the person, and the treatment will last several years, so please choose the hospital that suits you without regrets. I am currently undergoing post-surgical treatment and am indebted to Dr. Nashimoto, who also performed the same surgery on me. Dr. Nashimoto gave me a detailed explanation of the surgery and reconstruction before the surgery, which made me feel at ease. Thank you very much for your kind explanation even though you were tired until late at night. One year has passed safely, so I would like to write this to express my gratitude.

Very nice hospital with top surgeons and friendly nurses. The rooms are nice and some have a swell view of the ocean. There are busses that run from the hospital to various places in Chiba and Tokyo.

I use it regularly for obstetric examinations. Personally, I am satisfied with the male doctor's treatment and explanations. I get the feeling that the female doctor is irritated because she's in pain and doesn't seem to have any time to spare. Many of the midwives are overbearing, and the nurses are unfriendly and cold, so I hate every visit. Even if there's something you don't understand, you don't feel like you can ask for advice. Even if I could do the job, I don't think I'd be a good person.

I was admitted to the hospital to undergo surgery at an otorhinolaryngology department, but I felt uneasy about the quality of the nursing care (cooperation, response, and skill), so I canceled the surgery and was discharged the next day after admission. I have been hospitalized and had surgeries at other hospitals several times, but this is the first time in my life that I have felt so anxious at a hospital. As a result, I was only hospitalized for one day, but I had to pay a hospitalization fee of just under 60,000 yen. When I got home and looked at the bill, I was surprised to find that the bill included several ear medications that I was not prescribed to take after the surgery. It ended up being a waste of time and money as it didn't cure my illness. However, I have no choice but to undergo surgery at a hospital like this and entrust myself to a nurse who is difficult to trust. There were some things I was worried about before the surgery, so I asked her about it over and over again, but she always said, "It's okay." I had no idea what was okay. Finally, he said, "Do you care?" I ask because I care and I'm worried. I understand that you are busy, but I think you should give a thorough explanation and take appropriate measures as soon as possible, even if it is a hassle. I would like to ask you to remove any peeling nail polish before you start work. I seriously doubt its reputation as the ``best hospital in Chugoku and Shikoku.'' I can't help but wonder if that was a long time ago and things are different now. As for ward nursing, I once again thought that a large national or prefectural hospital would be better. *The photo was taken the day after I was discharged from the hospital.

A 5-month-old baby fell off a chair and had a swollen head and went to the emergency department at night. I was asked to fill out a medical questionnaire and when I went to hand it over, I was told to wait until they would call, so I was unable to receive it. However, when I told her that my baby had hit her head and was crying and that I wanted to speak to a nurse as soon as possible, the person at the reception desk said there were a lot of people around, as I saw around her. One point tension. There is a triage room, but it takes an hour and a half until you are called there. What is triage? Isn't it for determining priorities? I ended up waiting two and a half hours to see the doctor. I don't want to go there again.

Sheba hospital is enormous and it takes time to find your way around. Come early for all appointments.

Horrible treatment in the emergency room. Also kept being referred to as “tourist” the doctor discharged me with no report on my X-rays that she didn’t feel the need to review and said my labs look “ok…just go see your doctor soon.” She said she “thinks” I have a viral infection…rest and go buy myself some pain pills. Then proceeded to kick me out of the room I was in because there were other people she had to see. I’ve never dealt with a hospital that shows such blatant disregard for their patients. Unbelievably disgusting!

Where do I even begin? A Disappointing and Negligent Experience at Sheba Medical Center!! I am deeply disappointed by the quality of care and treatment my mother received at Sheba Medical Center. The conditions, the behavior of the staff, and the medical negligence we encountered were nothing short of appalling. I feel compelled to share my experience to raise awareness and hopefully prompt improvements within the hospital, I have also contacted their custumer service WHILE we were at the hospital but there was 0 reaction from them, they just made the nurses and nurse's aid 'apologize' to us after they CURSED AND SWORE at us and that was it. From the moment we arrived at the hospitalization ward, we were met with unsanitary conditions and a complete lack of professionalism. The overall cleanliness and hygiene standards were severely lacking, which is completely unacceptable in a healthcare facility where the risk of infections should be minimized. The nurses were DROPPING off packs of medications, syringe and plasters all over room. Furthermore, the behavior of the nurses and doctors was consistently rude and dismissive. Instead of showing empathy and compassion towards cancer patient and their families, they demonstrated an alarming level of indifference and even disrespect. This type of attitude only added to the distress and anxiety we were already experiencing. One particularly distressing incident involved the administration of double dosage of medication to my mother. This blatant negligence resulted in a dangerous rise in her creatine levels, placing her at risk of kidney failure. This mistake could have had severe consequences for her health, and it highlights a significant failure in the hospital's medication management protocols. In light of these issues, I strongly urge Sheba to undertake the following measures to address the shortcomings and improve patient care: -Improve overall cleanliness and maintain strict hygiene protocols throughout the facility. -Conduct thorough training programs to foster a more empathetic and compassionate attitude among the staff. -Enhance medication management systems and implement robust safeguards to prevent dosage errors. -Establish a feedback mechanism to actively listen to patients and address their concerns promptly. The only positive experience we had was with our original physician. We are not crazy or problematic as the hospital staff often portrays patients to be there isn't fire without smoke and nobody has so much time to file complaints out of thin air! Do better!!!!!

We brought my mom to A&E and we waited for 6 long hours because the nurses kept telling us that she’d be warded and left us waiting at the waiting area for hours. We were only told that there was no bed available after we kept following up hour by hour. My mom was kept at ASC in the A&E department till the second night and no treatment/scans were done because there was no bed available. Nobody could provide us with any updates on her condition which was really ridiculous. When she finally got warded, we were informed that scans would be done the next day because there were too many patients. By now, she’s already running a fever and unable to walk but we still have no idea what exactly is wrong. What’s really appalling is that the nurses do not seem to show any empathy when we informed them of my mom’s condition. This is really disappointing for what we thought is the best hospital in Singapore.

I am posting this review due to the incompetency and lack of communication in Singapore General Hospital (SGH) feedback department with its staff, Andrea Chen and Serena Chua. I sent them numerous emails including follow-up and they haven't responded back yet. Never ever send feedback to SGH even though their automated message said they would respond back within 2 working days. Don't bother calling or emailing the general hotline or feedback department.They only receive feedback It's up to them when or whether they want to respond to you, You cannot complain against them if they are not doing their job responsibly. There's no higher authority to escalate the matter to, not even the Chief of the hospital .It seems they are not under the hospital's supervision. Ms Andrea's answers were incomplete, and mistakes made were not corrected. Showing impatience and arrogance by remarking that her email would be her final reply and acknowledgement. Ms Serena didn't bother to investigate nor address the specific issues appropriately. Her response was conditional. It was a half-hearted effort. As the Head of the department, certainly she can do better., It's a shame she couldn't do it with sincerity. Terrible long waiting time to get a reply. Requests were not taken seriously and responsibly. Not forthcoming in assisting or resolving issues and to clarify any misunderstandings. Very unprofessional and not responsible at all for a public hospital. The hospital has no intention to make improvement nor reform of it's feedback department. I don't understand how this hospital is so highly rank when they can't even respond to an email.

As a 21 years old patient, Doc WILL NOT take you seriously. My surgery was delayed for 2 years. not just that, after surgery i HAD Postoperative Urinary Retention but the nurse and doc don't believe me. they only believe when my belly is very extended which was caused because i cant urine for almost 24 hours which caused me a lot of pain. Which then they catheterize me. They drained about 2Ls of urine.

Until now, I had only seen average hospitals in rural areas, but the medical technology here is amazing. His uncle is now able to walk along the Sumida River embankment, even though he became ill and was given time to live. As my friend said, it's a wonderful hospital that doesn't waste its know-how or vision.

Terrible hospital. I had an appointement with the Immunology department, because I may have an immune disease. On the day of the appointement, the Immunology department cancelled our appointement and referred me to their Dermatologist, who couldn't help me either. I was told that the Immunology department, who specializes in IMMUNE DESEASES, didn't know what my immune disease was. Imagine not knowing what you work with everyday. The Immunology department is just a massive bunch of incompetent people. They probably slept during their studies, just like the rest of University graduates in Japan.

Came in for an emergency as I broke my leg. They failed to administer any pain killers and insisted I keep moving around between different beds and wheelchairs. The staff kept making jokes and laughing in Japanese, all while I’m in serious pain. The doctors were all young and inexperienced. And it was clear they didn’t want me in the hospital, as I, a foreigner, would be taking up a bed. It was about their convenience, not about treating me. In my entire life, I have never experienced a worst doctor or worst treatment. Telling other doctors, Canadian and Japanese, of what transpired always results in shock. The surgeon at another Tokyo hospital was completely confused at how I didn’t get any care as I developed blisters from necrotizing skin (a major emergency). The doctor at Tokyo University Hospital told other hospitals administrative staff what I had wasn’t an emergency and so I couldn’t see a doctor at other hospitals, even when I said I had increased pain and discomfort. I had to go to a clinic to get a new referral to actually get treated. Even the city help line, which originally told me to go to back to Tokyo University Hospital, changed their mind after speaking with the doctor. This hospital and the sadistic doctor have literally permanently scared me. I was lucky to not lose a leg due to their complete and utter inhumane treatment.