Endovascular thrombectomy procedure, Carotid artery disease treatment in 425 Vascular surgery clinics worldwide

As an Amerivan medical professional, I was in need of Emergency services. I had visited this hospital in the past so I chose to come here. Ultimately, I was admitted for surgery, which was scary being in foreign facility. But let me tell you something, the staff are AMAZING here. They ensured all my needs were met at all times, and even took the time to answer all my questions. Most do speak English.. The building is clean and the rooms are nice. A complete surprise was the food, it was high quality traditional Egyptian meals. I will recommend this facility to any family or friends who come to visit. I want to thank all the staff who cared for me, you truly are amazing people. May God bless your lives abundantly.

Excellent hospital service and quality

No time respect at all

Worst experience of my life. Nurses not only asked but forced baksheesh from us. Doctor was over 1 hour late, but they had 12 clients booked for thr same procedure at the same time. I didn't have a consultation pre procedure, I never met the doctor doing the procedure. The nurses asking about my medical history couldn't speak English so I prayed that the procedure, which as u der anesthesia would be OK. After the procedure they informed me I owed double the amount because calculations were wrong, the doctor didn't come in to see if I was OK, he sent his minion. For an International Hospital and supposedly a good one, I have had better patient care and doctor service at a local hospital. For the price of this experience I was highly disappointed

Worst service in a hospital ever. The hospital has a great brand name for what it one day used to resemble. Now, they just operate through that brand name not the actual service, care or help. You pay for an obligatory profile creation!!! EVEN IF you have had a profile created for you in the other "Nasr City" branch!!! "Because we share the same name but different management" -as the customer service agent said. You will always have to wait prolonged periods of times, whether you're in for an inpatient clinic, or even to enter the EMERGENCY room!! Heck! You even have to take a number to get through to the FRONT DESK!!! Unorganized staff, no customer care whatsoever, Worst nursing staff ever. And I'm pretty sure they teach all their staff how to frown in front of clients and patients. I also have been looking into their replies on the poor reviews here, they ask people to send their contact info. BUT NOT INCLUDING A CONTACT METHOD! How can any one "Send you" their info, without knowing where to send it or to whom?! I hate it there.

Really excellent service based on my experience with my wife while she was in the hospital. I would like to thank the respected medical team, especially Dr. Ahmed El-Manawy, Professor of Gynecology. I also thank Dr. Ahmed Desouky and the nursing team located in Unit 21

I would like to recognize Dr. Shahenda Ahmed from outpatient Pharmacy team as she is a very supportive person and putting the patient satisfaction as her first priority! She also made sure to educate me very well about the medicines and answered all of my uncountable queries with patience🥰

Eng mahmoud zahran I want to thank all the staff nursing and housekeeping administration Doctor's as well for caring and medication Dr walid kamal icu in charge and thanks for al Salam hospital

My name is Carmen Felicita Figueroa and I was in the  hospital from  August 10, 2023 through August 13, 2023.  The nurse Esraa Adel make me feel like her family in my stayed at hospital. Her care for patients are outstanding and her blessings hands can’t feel the needles at all.  Her charismatic is beyond excellence. I recommend her for any hospital in the globe.

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.

AVOID - sat in emergencies waiting room for 7 hours with blood pressure 200/119 without being attended. The receptionists are rude and stated that since the pandemic more people have opted for private healthcare but the hospital won’t employ more staff. I showed my mum one video during the 7 hour wait where the video has literally 4 sentences and the skinny frustrated security guy ironically shouted at me from the other side of the room in front of everyone that no videos are allowed to be played instead of approaching us discreetly in a professional manner. My back is in so much pain from their poor facilities and waiting time that I shall have to book an appointment with the physio this week. I believe that the national health care system hospitals have higher standards than this private hospital. Awful, like someone said in the reviews a few weeks ago, I will go to IMED in Elche in the future. I also saw people who have private healthcare insurance being left until last and people who had to pay upfront were given priority.

Clara in Patient Care is very helpful. She is kind and sympathetic. She managed to get me an emergency appointment when I was struggling with pain and needed to see a consultant urgently. A really lovely lady. Thank you Clara.

I went to the Hospital a couple of months ago. At the reception desk I felt a pleasant attitude towards myself as a client; the administrator Karina served me. Everything is prompt and attentive. I really enjoyed my visit to this Hospital.

Once again in this awful building. 2 people almost dead, and the 3 of us are waiting for 3+ hours. You should be ashamed of yourselves honestly. How dare you calling yourselves emergency???

Thank you so much for the professional help on my situation. I went there for emergency, very friendly-approach from all the staff & doctor. Thumbs up for your kind & professional help.

This place is a nightmare. I always come here complaining because you always stay here at least 4 ou 5 hours to get a simple antibiotic for flu. It's ridiculous the disorganization. It's not clear where the waiting room is, not clear what is the next step, you see a lot of people passing by and not doing anything. It's a disaster. Only come here in case of serious problem. It's very bad here.

Best people, very professional, best healthcare, very good food catering.

Nurses were really nice when I had the medical examination (invasive). I was nervous and bit scared but they put me at ease. Doctor also gave me all the answers even when I was half way pass out.

Good hospital and skilled Staff. The only downside is waiting time.

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.

My experience the doctor are the patient are Caring and nurses are taken care patients GOod honest kind responsable respect caring trusted helping Concerns

This is the worst experience I've ever had in my seven years living in Taiwan. The nurses and all the staff at the front desk (emergency department) are the worst and very slow!!!! I literally cried in pain because I had an animal stuck in my left ear but they still had a lot to ask about my condition like getting fever, nausea, vomiting, etc.. Even though my boyfriend was with me and said he would help with everything but just please get the animal out., they didn’t care because “that’s the procedure”. Very bad attitude. I just hope this has nothing to do with race or anything.

Adequate facilities for the single ward, with bathroom, refrigerator, desk, sofa, sofa bed, TV, and electric bottle in the room. On the same floor you can find clothe dryer. Overall remained in good condition.

Easy to register as a foreigner. Also no problem in obtaining my COVID vaccination including new vaccination certificate. Thank you for your help and very good service. Beautiful building, pond and small park. Many shops in the vicinity.

I go there to chick doctore just he put two fingers on my skin and bill 2000ntd they use forign soooo much

A top tier medical center in TW, there are good team work practices for tumor / cancer diseases and there are modern equipments for therapies and treatments!

I went to see an OBGYN at NTU because I had been having pelvic pain for about 2 weeks at that point. I'd felt similar discomfort before when I'd had an infection, so that was my best guess. The OBGYN did a very perfunctory pelvic exam and declared it couldn't possibly be an infection or related to the gynecological area because it didn't hurt when he pressed externally on the pelvic area, so I left with no treatment. That night, I had to go to the ER for stabbing pelvic pain and bleeding and was diagnosed with a bad pelvic infection. In summary, would very much recommend Taiwan Adventist Hospital's OBGYNs (called specially to the ER - so thorough, caring, and efficient) over NTU (for gynecology anyway).

I was at the start of a month long vacation and needed an emergency spinal epidural. I met with the neurologist, Dr Chang, who was able to perform the procedure the next day. This was probably the best medical treatment that I have ever had. And the cost was $172 USD. Here in the US, the same thing cost over $2k. I highly recommend this hospital.

Excellent doctors, nurses, and staff. Surely they can find a better way to organize their elevators? They have treated my elders in thoughtful and humane ways. We are grateful.

I did have a motorbike accident with several injuries. They admitted me to the hospital, wehere they carried out the necessary checks, including blood test, including x-ray, including CT scan. To have full picture of my various injuries. Afterwards the surgeons did an excellent job stitching me together, and after operation care was excellent. The nurses are very caring, the stuff is highly professional, the doctor speaks English, and if there is a communication problem, Google translate is always of a great help. They ensured a perfect hospital experience, despite my accident in a hospital, which has to be highly recommended due to its professional staff, including administration, nurses and doctors. Great job done!

Thank you very much to the excellent Dr Tran Quoc Khanh, nurses and staff. I really appreciate the ‘honest’ and efficient care that I received today. I came in for a last-minute general health check report (to support a work permit application to another country). All simple tests including urine and blood tests were comfortably completed in one afternoon. Cost was around 2.5million which is a very reasonable fee given the quality standard of service. Hospital is nice and clean and overall in good condition. International section is on 4th floor of Block C. Very easy to get to from the road entrance.

Customer service very bad. Don't want to even try and contact the insurance even if you have full international coverage. Procedures urgently need a review.

The nurses are bad and my roomate dont relate with my disease(mine is infectious disease)

Clean and good services

The hospital is quite clean and clear.

The hospital has clean space and rooms, modern and fairly new facilities, and quite enthusiastic staff. The dishes in the hospital meals are delicious and delicious, my mother complimented me after eating them (3 meals/day are included in the hospital room fee). But the wifi in the room is weak and not prepared for patients with pillows and blankets, so it is a bit lacking in this regard. Hopefully the hospital will improve so that patients and relatives can be comfortable and worthy of the money spent.

It's not an international hospital, as they are trying to make it look like. They don't provide translation service. And their administration are laggy and corrupted, just trying to make people move round and round without giving an actual response, especially any case regarding English. The quality of room is acceptable in comparison to price, but the services are not that good.

I am a person who is quite sensitive to hospitals because of spiritual factors. But when I come here I feel comfortable (good energy field). Surprisingly, the leaders of this side focus on finding treatment solutions for customers to prevent diseases with advanced technology instead of focusing on business to make a profit or cure. Focusing on helping customers prevent illness is a place I think few places do. So satisfied Not to mention the visibility is also very far, so there are diverse examination areas or treatment functions suitable to the needs of customers. My family also experienced medical examination and treatment at the hospital here. Service is okay. Delicious food. The space is clean and airy. Regarding price, I have a life guarantee so it doesn't cost money. Basically, when you come here, there are enough services for both patients and caregivers. No need to worry about going out. If you come here, go in the direction the rocket is pointing, don't take the road according to Google, it will be a bit flooded. In the near future, there will also be apartments and a medical school here. There's also aeomall next door for convenient shopping for what you need.

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.

I don't quite understand. Keio University Hospital is a well known hospital BUT no one seems to speak even a very basic english. They all have japanese and english signs all over the hospital but no one knows how to speak it. I mean they don't have japanese only patients, but for me it feels like they only admit japanese because once you try to communicate with them, they mostly just say "no english" and then they leave you alone even if you have a serious health problem. I know expats should learn japanese but what about tourist or guests that only spends a week or two in japan? I come from Germany and we also have expats and foreigners there that hardly speaks any german BUT they don't get turned away by the hospital, because that is ILLEGAL and against the doctor's and healthcare workers OATH (do no harm!). WHAT IS WRONG JAPAN? you make A LOT of advertisement about OMOTENASHI and then you treat non japanese speakers as if they're not worth treating. And this is not the only hospital in Tokyo that do this. DO BETTER!!!

Excellent doctors and staff. I've had two surgeries at this hospital and both have gone very well. I recommend this hospital but if I understand their processes correctly, one needs a referral to go there. They are centrally located, and are right in front of the Shinanomachi station. There's another station close by on the Oedo Line. They have new facilities and parking. They also have motorcycle parking. This is one of the best hospitals in Tokyo in my opinion, but English is not spoken here. If you have a need for a special surgery involving a doctor from another hospital, then you may experience difficulty in having that arranged. I had to forego surgery on my heart there because they did not have a doctor on staff to do what I needed done immediately after the heart surgery. It was breast bone surgery. I had to have the heart surgery and the breast bone work done elsewhere, but the surgeries needed to be done back-to-back. Keio could not do it, which I believe is rare for them. I wish they could have facilitated it. It's a great hospital otherwise.

I went there because my period haven’t stopped in six months. I went there for a biopsy which made the bleeding increase for more than days, accompanied with terrible cramps. I returned urgently there and was treated really poorly by the interns who told me “they couldn’t do anything”that my cramps had probably nothing to do with my uterus ( but i had told them it was the same pain as period pain), and that i should just get painkillers. I really wonder in what world someone can say that is normal to have periods for six months, and bleed for more than ten days after a biopsy. I am deeply disappointed in this lack of professionalism and compassion.

Best hospital in the world. Very kind staff and very good doctors

I'd be indebted to work within this facility as Massage Therapist to help relieve Patients with Stress related issues. Thank you +233241488250

Really really bad Experience with this hospital. I had a visit, I told that I have card EKUZ ask also if I should give it them this later. They say no no i don't need pay anything no problem with anything. After TWO MONTHS they sended me a facture that I have to pay! Really dissapointed, never come here again. During visit with doctor they didn't check what is wrong only give me one pill that's all. Nobody answers the phone either.

I came here at 9 : 15 am . still waiting and now it's 12: 00 pm . I told them that it's urgent I can't wait . i have stomachache. Being a foreigner is not easy in Croatia 🙂 Please don't expect good reviews from foreigners 👎

Banana Republic of Croatia, nonfunctional, corrupt and messy. That is the summary of your wonderful hospitals.

They are the largest hospital center in Croatia and have the best equipment. That's the biggest plus. After that the personal is overworked and somewhat rude; and it gets worse and worse as they climb the hierarchy. Organisation overall is mediocre and dictated directly by politics, failures in organisation are then blamed on the people who work there.