Sinus of valsalva aneurysm (SOVA) treatment in 104 Cardiac surgery clinics in Asia with additional parameter

ZERO STAR RATING TO THE WORST HEALTHCARE SYSTEM IN THE ENTIRE WORLD. I want to share my concerns about the National Hospital of Sri Lanka (NHSL), which, despite being the primary government hospital, has some serious issues with its healthcare system. My experiences at NHSL have been quite disappointing, and I feel it's important to bring these matters to everyone's attention. The problems I faced include unprofessional behavior, rudeness, and a lack of empathy from the hospital staff. A significant challenge I observed is the exhaustion of patients due to what seems like a lack of attention and care from the hospital staff. It's disheartening to see patients, already vulnerable, feeling more tired and discouraged by the system meant to provide them with medical support. I also want to express my concern about reported racial bias by some staff members. A healthcare environment should be inclusive, respectful, and free from discrimination. Such behavior goes against medical ethics and can severely impact the well-being of patients. One such example, the security woman in the Endocrine clinic (4th floor) lacks empathy and compassion towards the sick and needy. While I understand the challenges faced by healthcare professionals, it's crucial to maintain a high standard of professionalism to ensure patients receive the care they deserve. These reported issues reflect poorly not only on individual practitioners but on the healthcare system as a whole. It’s true I can’t expect professionalism from NHSL while the country itself is unprofessional and vile but still I felt the need to voice out my opinion.

This on one of the worst and pathetic health systems in the world. The health system we encountered was really sad. It had a lot of problems and things that didn't work well. My mom needed to get an MRI scan, which is an important medical test. But we were told that the scan had to be delayed for a whole month because they didn't have enough ink. We felt very frustrated and disappointed...After waiting for a long time, we finally got instructions to go to the hospital at 8 AM on a certain day. We followed the instructions and arrived even earlier at 7:30 AM. But little did we know that this was just the beginning of a difficult and emotionally draining experience...We were taken to a room where we spent the whole day, waiting anxiously for my mom's turn for the scan. As time went by, I gathered up the courage to ask about the delay many times. Each time, they promised it would only be another hour and told us not to eat anything...The staff didn't show any understanding or kindness towards us. They didn't take our concerns seriously, which made us even more upset. The hours passed by and it started getting late, but there was no progress or communication from them...My mom, who is 61 years old, sat there patiently without eating anything since morning. She looked tired and weak because of it. It hurt me deeply to see her suffer like that... To be honest, I can't recommend this hospital to anyone who needs medical help. But people like us who don't have much money don't have other options or resources to go somewhere else for better care. Private hospitals are too expensive for us...This experience has left a lasting impact on me - it reminds me how broken and inadequate our healthcare system can be for people who are less fortunate. I really hope that one day no one will have to go through such difficult times when they need important medical services.

The doctors and especially the nurses in the hospital are useless. These nurses are often engaged in social media outside the ward and often only one or two nurses stay in the ward and surf social media on smart phones. Even if a patient cries out that it is difficult, they are not looked after. They don't even check if the patients are breathing, and while giving the medicine, they pour water into the mouth of a patient and put a pill and leave without even looking to see if the medicine has been swallowed or swallowed. Patients or caregivers of patients are not told and concealed about the patient's condition. No advice is given. At least they did not say whether the patient was discharged and nurses says that they were discharged only if the patient's guardians forced them to ask. Hygiene of patients is not looked after. Nurses and doctors go about their lives happily letting patients die. The x-rays taken from the patients are not given to the caretakers and are kept with them even after discharge. They are not working for taking salaries from people's tax money. endangering the lives of poor people. I can call them Satan's children.

Kudos to all nursing staff. They were a great support during the difficult times. Night staff were exceptional always running to people’s aid - I felt they were overloaded with work. Found new respect for the night staff The facilities staff were so polite, lot of patience and so respectful. They were amazing people. Over all great service and support. All of staff members were awesome people.

Aster CMI Hospital is having 5* Services in Healthcare sector. A class service providers in Multi Speciality hospital in Bangalore. Joined Emergency for different reasons and discharged with Smile. Thank you so much to Doctors Shashank, Akhila and Venkatesulu make my father speedy recovery. They are Master's in Consultation, Treatment, Lab Services and Car. Special thanks to Emergency, ICU, Insurance and Security Teams. Well Planned and Feel comfortable Hospital. ICU security - S Lakshmi Thanks

Worst hospital. Only because of good doctor we came here except that each and every thing here is worst. We were in the general ward and there was no nurse call option provided. My father was the attendant and he had surgery just 3 days back and he used to go near the nurse desk for help,l. Except a few nurses all others were very rude. The admission process took a long time because of insurance pre approval even if we had shared all documents 3 days before. Such a big hospital but for billing only one person was there which took a long time during discharge, Bought medicines from hospital of nearly 9k and not a single penny discount on medecine. All tests were 10 times more costly then outside. This hospital is just looting patients. If you have enough money then you can choose this hospital. There is no limit on looting patients here.

You guys don't think much about the staff letting work 12hrs continuously for 5days and give them duty on next day. This is an hospital and you guys need to keep your staff mentally and physically fit and not exploiting them. You such type of work ethic could lead to many legal cases so I request the HR department to regularly monitor the incharge and many of your staff are quitting there job so you better find the reason why they are quitting and stop recruiting the bunch of people every week.

This is my first visit with Escort Fortis hospital Jullena. One of the worst services in return of hefty charges by hospital against the services provided to patients and attendent. On the cash counter only one resource is there who is managing discharge of IPD patients, emergency patient registration,issuing of ward pass,answering of query call,handling patient attendents. It is really called save 100% money without hiring man power. It took 30 min for me just for the patient registration. Nurse in emergency rudely behave with patients. She was on mobile and doctor asked her to attend the patient then after 5-10 min she start work as per Dr instructions. She didn't use curtain to cover the female patient and start procedure. In emergency there is a bed but bed sheet of patient bed looks very dirty not washed properly. There is no glucose bottle stand on each bed of emergency. Really Fortis hospital only charging royalty amount from us. I recommend hospital management have a look of holy family hospital and learn hospitality cleanliness and administration from them. At least holy family hospital has sufficient staff and caring nurses with clean floor and washrooms. I will give bed sheet photo also but patient was there and you can see there is no side stand there. Emergency bed charges 1000 Doctor 2100 Registration 200 Plus. Lab charges. Don't know how they are managing labs do they really take care of hygiene or not. Hospital charges are high and services in negative -100.

They deserved 5 stars for treatmet but i gave 3 for their billing irregularities. Please check your bill twice before making final payment. I've found inconsistency in their billing. Being an international patient they charged me in USD but refund my excess payment in rupeis for which i had to struggled a lot. Moreover they gave me counterfeit notes which they declined to replace from me.

Unprofessional from head to toe.

The phone is not answered in time

The staff is unprofessional. Laboratory tests are not accurate.

Recently visited the hospital with patient. My experience was overall good. Staff are helpful in nature and doctor suggested us the best treatment available for my patient. The only drawback would be it's costing policy

Excellent customer service with a team full of energy-efficient. Good doctors the best in Delhi.

Apollo Hospital has a topnotch medical facilities, medical teams in almost health challenges. I strongly recommend the hospital for medical care.

Updated as on Friday 1/12/23 Thier customer service manager contacted me and attended my concern and feedback which they would like to meet up with me for better understanding 🤔 Since I do have follow up we did manage to meet up on 5/12/23. Highlighted all my questions and comments. Hopefully they will take awareness of thier customer service and patients care 😎 on thier staff and nurses. Posted on Thursday 30/11/23 First ever nitemare to be admitted in Regency Specialist at Ward 5B, Nursers worst ever customer skills and patients care from them. No smiling face no greet no initiative no communication no team work. Hot water flask not even refill everyday by the staff that serving food. Have to self-refill by myself every day even I went to nurses’ counter! No proper hand rub hygiene/glove/mask or wipe down before attending to me. I’m on IV Drip and antibiotic yet they can miss out till my cannula by a long thin tube blood clog and I have to poke again on my other side of hand middle of the nite and was done my MO not the nursers which chargeable to me on their carelessness mistake not checking on me? Stay for 5nite only change my bedsheet for 3times. Room and toilet full of small black ants which will randomly walk around. Do they even have pet and insect control? Really disappointed to be amidated here, thought is under the HMI Mgmt should be up to standard by them. As they are considering big group in healthcare in Singapore as they also do Education and Training Centre for the healthcare support sector.

I brought my grandmother to the hospital for a follow-up consultation, but the hospital stopped me at the front counter and told me that I could not go to see doctor because we had a fee that we had not yet paid off. But this fee was due to the improper arrangement of the operating room by hospital, which caused us to have to pay back the fee, pay the extra fee. What makes me feel very angry is that the hospital prevented us from seeing the doctor and did not allow us to go for follow-up consultation and to check my grandmother's wound. If my grandmother unfortunately has a problem with the wound and an accident occurs, I will hold you responsible for this? Please ask the hospital to pay attention to this issue. Are we responsible for this cost? Why can the hospital prevent the patient from seeing the doctor and prevent the patient goes for a follow-up consultation to check the wound? Does the hospital really have this right?

RSH provide good services from registration until i discharge from here. Im very satisfied & very thankful to dr thokha & team & all staff in LR. Tk

It’s a clean and a well managed facility with friendly officers and doctors. I highly recommend this facility if anyone wants a medical examination done for visa purpose.

High-end & premium hospital with very poor services. Everything is slow and unsystematic. Average waiting time is around 1hr ++ at each location (from at the clinic reception, meds collection at the pharmacy) The clinic receptionist were very unprofessional, loudly gossiping about their other colleague at the front desk area, I can clearly hear what they were talking while I was sitting at the other end of the room. There are more than 4 counters at the pharmacy but only 1 pharmacist was on duty at a time to hand over meds to the customers. I think the service at some gov hospitals are far way better than here.

Exellent service, all the staff, nurse and the doctor are amazing, you know that the are working wholeheartedly. The hospital is clean, treatment is done with procedure which make patient not waiting to long.

You can be in pain in comfort. The service is always efficient, with friendly and comforting nurses and doctors. There is a porter man that will accompany and bring you to xray places. The menu is always yummy and you can choose your food from the menu one day ahead. Everything is healthy but flavourful. The room is a single room with a sofa bed for someone to accompany you. Since I am covered by insurance, the cost is not under me, but I have to be referred with a referral letter and admitted. Otherwise, it would be quite costly to be treated here.

as the translator Mona dialect was different (as arabic speaker), but her dealing with me was very good and so cooperative and helpful.. the doctors are good (yasemin kiraç/ahmet duran/aynur aliyeva)but the nurses are bad except the senior nurse on floor 0/ next to the kids room💐💐

I was coming to this hospital for a long time and Iam so happy to share my thoughts with the world. The service the doctors and also the international department team was always helpful and kind to me specially thanks to miss Sabah hassan for being such a hardworking and well spoken interpreter.

I was very satisfied with the help that the translator Ms. Mahnaz gave me during the treatment process in this hospital. She was very polite and very responsible, even when the hospital system was having trouble giving receipts, she helped me to get the payment receipt, also for other information like insurance.

If you are looking for a doctor that will be supportive, caring then look no more than Dr. Yasmin Kazi, trusted to provide quality and compassionate care. The best thing about her is her honesty. We totally trust her. When we came to Bahrain Specialist Hospital, we experienced that the doctor was very patient and gave positive hopes since the first visit. She treats and counsel her patients very calmly and with empathy. She is very friendly & supportive, listened to our doubts & resolved them carefully. We were happy with the decision we made in choosing BSH. Today we are pregnant and so very happy & appreciate Dr. Yasmin for her experience, regular observations and timely decisions and medications. We would like to first thank Almighty and then Dr. Yasmin Kazi. My heartiest best wishes to you doctor. Thanks for helping us in our difficult journey, by you it became a lot easier.. May Almighty bless you..

Dear Dr Yasmin Kazi I am writing this review to express my sincere gratitude towards you for my recent treatment that I went through. I am beyond satisfied with results and your dedication towards your patients. You are not only a skilled doctor but a wonderful person. You always keep in touch with all your patients and even you assisted and guided me on your holidays. I am so grateful for that. Your caring attitude and genuine liking for your patients differentiates you from other gynecologist.

Dear Dr. Salil and Lily, I am writing this review to express my sincere gratitude for the recent plastic surgeries I had at Bahrain Specialist Hospital. I cannot thank you enough for the amazing work you have done and for the excellent care I received during my stay. Dr. Salil, you are not only a skilled plastic surgeon, but also a wonderful human being. Your professionalism, expertise, and dedication to your patients are truly commendable. I am beyond satisfied with the results of my surgeries and I am grateful for your guidance and support throughout the entire process.I would also like to extend a special thank to Lily for her exceptional nursing care. She was always there to assist me with any needs or concerns I had, and her kindness and compassion made my recovery much easier.I am truly grateful to have had such a positive experience at Bahrain Specialist Hospital and I cannot recommend your services enough. Thank you for making my journey to a better version of myself a smooth and successful one.

Great experience every time I do my routine follow-up with Dr. Taori and his team. Nurse Minci always ensures I am well attended and the process is smooth until I am completed, and Nurse Pinku Ann has a tender care hand when collecting blood samples especially in my case, she performs skillfully in a way I will always feel secured. Dr. Taori has been my doctor for more than 5 years who not only has outstanding knowledge of my treatment options but also provides the quality of medical care I require. He has the ability to connect so you know where you are, leaving no fear what the next steps look like. Highly recommended.

I trust this message finds you well. Im writing to express my sincere appreciation for the outstanding service and care I received during my recent visit to aster hospital Al Qusais. I had seen by Dr arun (orthopedic) he is excellent doctor a down to earth person and the level of professionalism, compassion, and efficiency exhibited by the hospital staff was truly commendable. It is apparent that the positive and supportive environment fostered by the management team plays a significant role in ensuring such high standards of care. I got a huge help from Ms Saloni Her seamless coordination among different departments, the attentiveness of the medical and administrative staff, and the overall dedication to patient wellbeing have left a lasting impression on me Dr arun and Ms Soumya (physiotherapist )Your expertise, professionalism, and compassionate approach have been instrumental in my journey toward recovery. Your ability to diagnose and explain the intricacies of my condition in a clear and supportive manner has made a significant impact on my understanding and confidence. Please accept my heartfelt thanks for outstan Service your dedication to field is commendable and I’m grateful for the pod impact you’ve on my health Special thanks to Dr arun (orthopedic) Ms soumya (physiotherapist ) Ms Saloni (patient experience department) Warm regards

I am so grateful for the excellent care that I received at your hospital. Everyone was kind, knowledgeable, and professional. The facilities were clean and modern, and I felt completely safe during my stay. I am truly thankful for all of the hard work your staff has done to provide quality care to us and our baby.

Excellent place to give treatment and care for patients ,had distinguish staff and I'm proud to be one of the specialty hospital staff 🤍

The staff is very good and take care of all details , the room is clean and always there is a follow up all over the day . Catering staff is very nice and provide on time and well -prepared meals that fulfill patient expectations.

A thoroughly professional and pleasant service during my 3-day stay at The Specialty. The staff in Level 1 wards were exceptional and the hygiene and care brilliant. Lovely cafe, too. Prices better than most.

King Abdullah University Hospital (KAUH) is a pioneering medical institution located in Irbid, Jordan. It stands as a symbol of advanced healthcare, cutting-edge medical research, and comprehensive patient care. With a commitment to excellence, KAUH plays a pivotal role in shaping the medical landscape of the region. State-of-the-Art Medical Care: KAUH is renowned for offering state-of-the-art medical services across a wide range of specialties. Its exceptional medical staff, advanced facilities, and sophisticated equipment ensure that patients receive the highest standard of care. Medical Research Hub: KAUH is not only a healthcare provider but also a hub for medical research and innovation. Its research centers and collaborations contribute to advancements in medical science, paving the way for improved treatment modalities and patient outcomes. Multidisciplinary Expertise: The hospital's team of skilled physicians, nurses, specialists, and researchers collaborate across various disciplines to provide comprehensive and personalized care. This multidisciplinary approach ensures that patients receive holistic treatment tailored to their specific needs. Quality Patient Experience: KAUH places a strong emphasis on patient experience. From admission to recovery, the hospital is committed to providing a compassionate and supportive environment that eases patients' journeys and ensures their comfort. Global Recognition: KAUH's commitment to excellence has earned it recognition on an international level. Its high standards of medical care, research contributions, and affiliations with esteemed institutions position it as a global healthcare leader. Community Engagement: KAUH is deeply rooted in its community. Through health awareness campaigns, educational programs, and community outreach, the hospital actively contributes to promoting health and well-being in the region. Teaching and Training: As a university hospital, KAUH plays a crucial role in training the next generation of medical professionals. Medical students and residents gain valuable hands-on experience under the guidance of experienced practitioners. Technological Advancements: KAUH is at the forefront of adopting the latest medical technologies and techniques. This commitment to innovation ensures that patients have access to cutting-edge treatments and interventions. Emergency Care: KAUH's emergency department operates around the clock, providing critical care for urgent medical situations. Its prompt and skilled response ensures that patients receive timely and efficient treatment. In summary, King Abdullah University Hospital stands as a beacon of advanced medical care and research. For those seeking top-tier healthcare, innovative medical solutions, and a commitment to patient well-being, KAUH is an institution that comes highly recommended. It's a cornerstone of healthcare excellence that leaves a lasting impact on patients, medical professionals, and the broader community.

My dad had died yesterday due to pure negligence. My dad was awake and alive but very exhausted. His blood was 6.5. What killed him was the 8 hours of waiting for the doctor to arrive and make a decision. When that happened, it was too late, and I lost my dad, for ever. I was told that the hospital is broke, and don’t pay salaries. I highly recommend everyone to NOT consider any hospital in Irbid.

The hospital is a large and major medical edifice in northern Jordan, serving a large segment of citizens, providing comprehensive medical services of high quality. There is no doubt that the large number of auditors affects the quality of service administratively. Large parking is available. There is more than one prayer room, but more attention is needed in the cleanliness inside the prayer room. The WC public health facilities are unfortunately not clean, and most of the reason is the misuse of patients and companions, and some of them smoke in them!! And the facilities do not have toilet paper! However, there must be a comprehensive program for the cleanliness of these facilities by the cleaning authority.

Everyone spoke English, I felt very safe in their hands. Doctor Nguyen Vinh Toan explained everything and answered all my questions , super nice and also the pharmacy . The cost for consolidation is 1300k and after 5pm it's 1800k.

Big and beautiful clinic, but the tests are too expensive (compared to Russia or even South Korea). The doctor I visited seemed professional. She sent me my test results the email along with drug prescription. For the price of services, I don’t know why they are so expensive. Teeth cleaning is more expensive than in Spain. Why do they think it’s OK to rip off foreigners? Not every tourists comes from US, and not everybody is rich.

It’s horrible experience when my friend examined in Department of traumatic and orthopaedics surgery. This comes from the attitude of the main doctor who was responsible for examining my friend, just a cursory diagnose without any appointment for in-depth examination. Terribly, he not only did not find the result but also OUTRAGED my friend because she uses insurance. More detail about this case, my friend has had a backache for a week so she decided to examine in Vinmec Time City with an advance appointment. When she came, a doctor named Hùng treat my friend uúnatisfactorily. He just touched her back and gave a conclusion with a doubt. And then, he told my friend should move on another medical department for examining. She did followed by the guide. But, no result was found in this department, doctor in here brought my friend back to the first department. In the second meeting, Dr. Hùng still stated that my friend was fine, just need doing more exercises, and he gave my friend an impolite attitude with a blame on using insurance in examining. Thus, the result my friend gave through the examine was AN OUTRAGE instead of a medical conclusion.

Overall, it was a good experience. I am happy that my father had a good experience @ Max Saket. The Doctors, nurses, and the staff are very kind and cooperative. However, their billing team is very shrewd and insensitively money-minded. Cashless treatment here is NOT Cashless! Max Saket has a policy of requiring patients to pay the difference between the amount initially approved by the insurance company and the estimate provided by the hospital at the time of admission. While Max Saket did inform us of this policy upfront when we were taking the estimate, I am still concerned about the potential financial burden it may place on patients.

Best medical experience, staff is very friendly & professional and the same time They are always available for your query and concern. They also understand patients urgency. Special thanks to Gaurav kumar Singh, N Dharma & Duty Manager Usman ji from dialysis billing team.

Big problem in car parking and patient can suffer or any thing can happen 🤔 if you enter hospital entry gate 5 and 6 . Max hospital giving more facility for giving extra money for vvip parking 😑 . See photo 📸 and plz stop ✋️ money heist in your country There are no parking person in field or parking lot . Half hospital parking lot is empty because of no entry 🚫 but hospital staff is good

Today line for collection of report at radiology department was too much. The person responsible was either too slow or not experienced. At peak hours it is recommended to have assistance

Have been there twice (once for my wife and once for my father ) Very fast response and helpful team of doctors. The emergency room was clean despite being almost full and the doctors were very fast in attending to our problems. The support staff was also very helpful in assisting for all the required tests and formalities.

I have got my father treated here a couple of times. The emergency here is very informative and helpful. The staff was responsive too. Except for some small instances. The emergency’s doctors are very trained and exceedingly empathetic. Cleanliness was well taken care of too. And in case of any complain there are contact details printed all around the hospital.

Dr. Seema Jain is a wonderful gynecologist. Empathetic, knowledgeable, patient, reasonable. Really listen to the patient. My husband and I would like to thank you for taking part in the birth of our little girl... We all know that the tension was high that day. We felt very comfortable and confident knowing that you would be able to handle any situation if one was to arise. You are amazing..... You knew when to be serious and when to make us laugh. We will never forget that day or you....

This is The Max Hospital Shalimar Bagh. The Hospital staff was good. The service was amazing. Today my mother's ultrasound was at 3:15pm but it happened at 4:30pm. So everyone has to understand that it takes time. And you have to be free from every work when you come here.

Poorest management. Hospital thinks that patients whole duty is to wait for the doctor. We took the online appointment for Dr. Anil Kumar Varshney, Urologist, but doctor was not available. I had to wait for more than 3 hrs and still there was no exact answer when the doctor will reach to attend. They charge fees before telling waiting time and then says there is no procedure to refund the amount so u are trapped with them with no other option left.

I had an good experience at Max Hospital Vaishali! The facility is pristine and well-organized. The doctors are highly skilled and listened to my concerns pataincely and explain the treatment options thoroughly. The nursing staff was attentive and caring throughout my stay, ensuring my comfort and well-being. I would highly recommend Max Hospital Vaishali to anyone in need of medical attention.

I had a very pleasant experience when I visited PHP lounge in the hospital. Mr. Jitender did a splendid job and he was very respectful and diligent.

From last 5 years I am coming here for PHP which is some time tough due to rush but PHP lounge is amazing where hospitality of Mr Jitendera is one of the reason I always comes here along with the brekfast quality is superb! PHP Coordinator Mr Anil Kumar is also another reason who gives his 100% to resolve and manage all issues.

Thank You Dr Bhushan Narainan and Team for making this Diwali super special for us, as my mother Room #7726, comes back home all fine. Its said Doctors are GOD, yes its true and no less is the team who ensures that you are very well taken care of. Dr Shivam and Dr Shubham, thank you for your unconditional support during my mothers tenure at BLK. God bless every staff member who ensured she is very well taken care of. You all ensuredwe have a Happy Wali Diwali, thank you from everyone at Home and wishing you all and everyone at your Home and BLK Max, a very happy and prosperous Diwali.

This is all show no go hospital, they are there for milking the money, specially the doctors in OPD 9. The attitude doctors have is one of the worst. They will make you feel like you are nothing and they are the god. They will make you roam around doctor to doctor and cabins to cabins. Please don't go to this hospital if you wanna save you or your loved ones.

Great experience with Dr. Bhushan Nariani and his complete Ortho and physio team. My mother who had knee joint problem since 4 years is feeling really relaxed and happy after the knee replacement surgery. All love and blessings to you Dr. Bhushan sir.

Everything is too good like doctor, housekeeping and official service and treatment and all everything is too good. And also like people said it's too costly hospital but it's not costly the money they are taking in behalf of your treatment is absolutely correct amount if look on the treatment and there facilities. So I would recommend to visit over there for any treatment. And the staffs and all doctors to to polite and very much helpful.

My mom was admitted in Max Saket for a gastro issue. I am really satisfied with how swiftly the process works there. Specially the care and service provided in the ward post surgery was impressive. I have to thank floor manager Ashish Arya on how well he manages all the services on this floor. He was always looking for feedback and ensured all the patients are well taken care of. He made regular rounds of the wards and made sure that any patient needs are immediately taken care of. The billing process was also smooth. Nurse Aarif also needs a special mention for his sincerity and going above and beyond his duty. He did his best to take care of his patients.

They sound to have a good service but in reality they just tend to be friendly. They cancelled the appointment saying that the apparatus is defective. In the other Buildung Smart it may take up to 4 hours.