Distal humerus fracture treatment in 299 Orthopedic surgery clinics worldwide with additional parameter

I would like to note the high professionalism of the highest category cardiologist Evgenia Nikolaevna Preis and the medical staff represented by Valeria Valerievna. At the doctor’s appointment, I received qualified answers and recommendations for further treatment. Thank you very much for your attention and sensitive attitude towards the patient during such a huge flow. Good health to everyone!

Congratulations to the entire wonderful team of the V.A. Almazov National Center on Medical Worker Day! Many thanks to all the staff of the 1st cardiac surgery department and the 4th cardiac intensive care unit for the wonderfully performed complex open-heart surgery, you gave me a new quality life! A low bow and gratitude to cardiac surgeons Dmitry Valerievich Bendov, Amir Nasirovich Ibragimov; anesthesiologist-resuscitator Oksana Valerievna, cardiologist Yulia Sergeevna! You are doctors from God, you have golden hands, you heal the heart with your heart! Be always healthy and happy! Sincerely devoted to you Elena Evgenievna.

I would like to express my boundless gratitude to you, Denis Aleksandrovich, the head of the department, and your team at the urology department, for the professionalism, attention, and emotional sensitivity shown in connection with my treatment and surgical intervention. At the department, the doctors performed additional, high-quality research using modern medical technologies, and prepared me for the operation. The unique operation was successfully performed by a wonderful surgeon, a doctor, as people say, from God - Evgeniy Sergeevich Gilev. And I had the opportunity to return to normal life, as well as hope for a full recovery. I am already at home and maintaining my health by following his recommendations. The operation was successful also because other specialists from the department also took part in its preparation and consultation. Many thanks to the doctors: Shelipanov Denis Aleksandrovich, Shanava Gocha Shakhievich, anesthesiologist-reniamatologist Anton Igorevich Pankevich, operating nurse Alena Andreevna Kuzmina and nurse anesthesiologist A.G. Meladze. Thanks again to all the doctors, nurses, Valentina Mikhailovna, who treated and cared for me, as well as for their dedication to their profession, for their selfless service to people, returning to them the most valuable thing - health. I wish that your dedicated work and medical research conducted by doctors will be duly appreciated by our state. Good luck to the whole team! With sincere respect and gratitude, Valentina Makara!

I also want to become a south korean heart doctor🇰🇷🇰🇷 and want to work in asan Medical Center coming asan

The attendant and receptionist at the cardiology department in the heart Institute is totally disappointing. They are not coopertive and their attitude is so poor (attendant for room 1 and 2), particularly if you are a foreigner.

The staff particularly attendant and receptionist are non professional with prejudiced opinions. As a patient you pay so hefty amount for treatment but because of staffs behavior you end up with stress and anxiety. However the doctors attitude and attention to patient health problems are commendable. But its the staff behavior that make us reluctant to visit again.

Very old hospital

After the founding of New China, with the help of the former Soviet Union, it was established in 1952. At that time, it was called the China-Soviet Red Cross Hospital. In 1970, Premier Zhou Enlai nominated the hospital to be renamed Friendship Hospital. It is currently a large general hospital in Beijing.

GI department is best.

Twice I have been an inpatient at this hospital. On my first stay, I thought I’d got lucky and struck a few excellent doctors and nurses. But now, after my second stay (a year later) I realise this is a superb hospital. The kindness was almost overwhelming. I felt like the best friend or close relative of everyone. From the reception ladies, to the terrific doctors (esp Dr Mishra), the amazing nurses, even wards men (thanks Wayne), St Vincent’s Private Hospital is filled with care, compassion and competence. Sure, I love the hospital near my home town in Rockhampton. But if I’m ever in Brisbane and am unfortunate enough to get sick again, I hope I’m fortunate enough to be their patient. Thank you to everyone for all you did for me. I’m very grateful to you. ❤️

Shout out to all of the gorgeous nurses in ward 1A! Unfortunately was admitted twice but all of you made an awful painful experience a million times better. I didn’t like the fact that I was in hospital and away from my family and in pain, but it was like having friends close by. You all actually cared. You were all so lovely, caring, friendly, empathetic and advocated for me. Thank you! You all deserve a massive pay rise!

Recently stayed overnight after gallbladder removal surgery. I was very unwell afterwards, but the nursing staff were beyond amazing and caring. Loved the room service food too with great choices (have attached photos in case anyone wants to know in advance what you can get).

I recently gave birth at St Vincent's Private hospital and was impressed by the level of service and care I received during my stay. I was very well looked after by all the doctors, nurses and hospital staff. Not only did the staff provide me and my husband with lots of knowledge and insight as first time parents, they were caring and empathetic too. I highly recommend this hospital and I'd come back to deliver another baby in the future. Thank you

We had our first baby over a year ago at St. Vincent’s in Fitzroy and we had a great experience. Everyone was lovely from the nurse in the room who helped me to get ready for my c- section to the anaesthetists. I didn’t want to breastfeed and no one absolutely no one judged me or pushed me. The room was great. The care was great. Food was great and the night nurses did a wonderful job taking care of our Bub. The paediatrician was amazing and just so calm and encouraging. We are now planning to have our second baby at St. Vincent’s.

I had to spend a week in St Vincent's Private Hospital. The staff were just wonderful. Felt well taken care of at all levels. Nothing was too much trouble. The meals were basic but fresh and of good quality.

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 had there fundraisers opening my door and when i confronted him, he said oh i thought you wont be able to hear me. Since when did they have the right to open my house door? eastlondon area. Please advise your staff not to open peoples porch doors or any door if they dont answer the door.

Will you please remind your door to door salespeople whom I guess are students operating in Ripley Derbyshire that it is against Charity Commission regulations to pressurise people into signing up to donating. They have been targeting elderly people twice in two days now. By using high pressure tactics like this you are tarnishing the good works this Hospital does.

We’ve been harassed by GOSH representatives on numerous occasions now. They knocked our door THREE times in a single day. Once at midday when no-one was home, the second just 10 minutes after I arrived home from work (obviously stalking me), and the third at 8:30pm!! I’ve previously expressed my disinterest on donating to the charity, yet they continue to return to our property. If a property could be put on a sort of TPS these guys would be in some serious trouble. After speaking to neighbours, they had nothing good to say either (we have a community Facebook Group), some even said that the representatives were extremely rude and overly personal - one lady even had to leave her house because she didn’t feel safe! Times are hard enough and people certainly aren’t going to donate money to a charity that is being represented by such rude individuals. We’ve offered to give them some spare change as a donation but they insist on bank details. You can jog on if you think I’m going to be giving my bank details to some stranger at my doorstep. I’ll happily donate to charity but it will be on my own terms - not with harassment and peer pressure at my door. I wrote this review after GOSH decided to ignore my email of complaint. We’ve now opted to purchase a ‘no cold callers’ plaque to prevent them from visiting in future. If they choose not to comply and continue to harass us, I will be taking this further; perhaps even deciding as a community to set up a ‘no cold calling zone’ with the Local Authority if need be.

We unfortunately had a five night stay at the NICU over the Thanksgiving holiday. The staff provided excellent care to our kid and were extremely compassionate to us as parents. We were grateful for the private sleep rooms and shower, and they even had a free Thanksgiving dinner for everyone. The parent / family lounges have places to grab coffee and store food, and everything is very clean and organized. The doctors and nurses were very communicative and kept us in the loop the entire time.

Absolute terrible service , my child who has a seizure disorder and potential c- diff was made to wait in the ER for 3 and half hours plus without even being properly triaged . She didn’t receive a wrist band , at any point & we can run the cameras back , no one was alerted to her allergies , there was no band received for that as it typically is .. and she begin to have diarrhea thru the long wait due to the virus she’s had the past week and in turn she begin to get worked up and her fever returned . I asked how much longer the wait would be abd for an approximate timeline .. as I’ve observed plenty of patents come in after one in which I knew personally with less servere circumstances… literally come and go and my child was still suffering in the ER … the Nurse on duty was unaccomidating and almost seemingly unwilling to engage .. as I waited for some kind of answer on when my severely sick child would be seen . I asked if it would be more then another 30 mins and he said he couldn’t promise but shouldn’t be . Well it was . After 45 mins of them calling more then 3 patients who arrived after us .. I reluctantly decided it best to take my fevering , baby who now was covered in feces home.. as she was in her 3rd bowel movement and we had difficulty changing her in the nasty public restroom . I ultimately watched them call two more patients who had come after us exhibiting no signs of eminite health scares then I ordered our ride so I could take my child home to change her and give her medicine to help reduce fever and prevent seizure . I am pissed and very upset that my child and I spent. 3 plus hours we can’t get back in the ER after already being across the street at the Berger building for 3 hours prior this was wayy less then pleasant This is the second poor experience in this particular Emergency Dept but this is the first time it was so horribly handled that I had to leave with not only an even sicker baby then I arrived with . She still now will have to go to another ER to be seen .. because she did infact have a seizure once we got home from her fever that arose& I informed them but that did nothing to medicate the situation or get her seen. Now my kid is home fevering still sick potentially has c-diff and I am skeptical to return her to this terrible hospital because they haven’t even returned my call. I called to speak with charge nurse after filing formal complaint and was told by Jennifer in WR I could not speak to any charge nurse and then she took my information and said a nurse on duty would call back and it’s been an hour with out a returned call. This is negligence and unprofessionalism tht promoted us to leave in the first place and CHOP is looking at a pretty decent lawsuit if we do go to another practice and something is severely wrong with my child with so much documented instances of me trying to get her helper seen and have a team leader consult about next steps. This place wasted my time , cash as it’s costed money I didn’t have to travel to and from and I felt like the poor treatment was racially motivated , as as kid who came in after us was pulled to the back cuz her mother told them she was seizing but I was looking at the child. Who literally just had woke out her sleep. This place is incompetent , and of all the amazing experiences we’ve had here . Today ultimately casted a shadow on them all and I will be contacting the PA board of insurance aswell to file a formal complaint because they need to do better on managing and transparency in the ER wait times. We got there at 12:15 and didn’t receive a text saying my child’s room was ready until 4:15 pm that’s 4 freaking hours for a child who had 2 seizures in past week, has a virus, and cold and caught fever while there … when she has a history of febrile seizures … 0/10 would not recommend. Shame on u all

Very friendly staff and amazing doctors. The information desk is very helpful. The front lobby is well designed and honestly fun to be in due to it's design: there is a meandering ramp that goes up several stories with interesting interactive stops on the way. The lobbies on each floor are also all well laid out: they have great views outside and inside were designed with children and comfort in mind. The plaza out front and the cafeteria/Cafe are both relaxing places to recharge.

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.

Excellent staff of internal medicine: after many months looking for a diagnosis, they were the first and only to listen, study my symptoms, and find the cause in a rare illness, before sending me to the appropriate structure in Cochin. The structure is modern and clean; 5 stars also to the chef: the good food made my weeks there more pleasant.

Saw the emergency room in the middle of the night, waited less than half an hour, it was quite fast, the doctors and nurses were very caring, and there was even breakfast, although it was simple.

My anesthesiologists were playing Joanne while putting me to sleep. Great and kind staff. Very positive experience.

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.

They do not do their job well, 7 hours in the emergency room and do not attend and then say that they cannot attend to a patient

Undoubtedly one of my best experiences, location in the center of the city, excellent medical and administrative staff, old but well-kept infrastructure, spacious with gardens.

This opinion is directed to block 6 of the hospital, which is in an area where you can see people who consume drugs, although there is surveillance and once inside the hospital it is safer, if it is scary, at least walk to the hospital at dawn, and block 6 is opened at 6 in the morning and meanwhile everything is dark or with little light, a perfect place for homeless people, you have to travel with great caution and at least if you are patient and come from somewhere other than Medellín, it is not advisable to be in line before 6 in the morning to check in at block 6, arrive with 5 minutes left or at 6:00 am, there a guard opens the door and when you are already inside the place is much more pleasant and neat, there is a waiting room with chairs where you can wait for them to call you for the billing card, there are elevators, there is natural ventilation in that waiting room, almost all the staff there are friendly to the extent they should be. I give it a 3 star rating, for a not very pleasant event that I had to go through in there, I think that of all the possible days in which that bad event had to happen, it happened just on the day of my appointment, I don't know who it was from the fault of that negligence but thanks to a call to my eps I was able to quickly solve that difficulty so as not to continue in that unpleasant situation in that hospital block.

After a car accident I have been transferred to this hospital and I haven’t doubted for a second if I were in good hands. The doctors and nurses looked after me very well, from the first moments being in the ambulance to the last minute leaving the hospital a few days later. Grateful for the good care I got here.

Fast and professional service. The hospital seems very new and welcoming.

Everyone is very helpful, except for the Doctor who was constantly going for smoke breaks, not taking any time to analyse and completely missing my diagnosis.

The women from the reception are so rude and didn't even listen to what I had to say. I waited 30minutes for an invoice because the only person who can do that was on the lunch break. Also, the doctor who did the sonography which takes 2 minutes told me "it is what it is" after I told him that I have pain in the area that he checked. Never again.

I was staying on the 3rd floor in Confraternität Privatklinik for an ankle surgery last April. All went well, there were no difficulties. Before my stay, the accounting office was very responsive to all inquires. Nurses and doctors were helpful and always assisted me and my needs; they could fluently speak English. I was impressed by the quality of the food! All comes with a price, but that was somehow inline with expectations for a private clinic.

Went there for a knee operation. The receptionist was unwelcoming and rude. The nurse who took the firsr details seems to have been too tired at the end of his shift. Not only did he forget to bring dinner as promised but put some important derails wrong, e.g. that the right knee should be operated and not the left. After 2 nurses and a doctor all kept saying my left knee was to be operated it was really too much. The floor doctor put a needle for the iv which when the nurse tried to hook up was transmitting the liquid outside the vein - which is quite painful! When i yelped at the pain, and corrected for the x time that my right knee should be operated and not the left one, the senior internist doctor in the room said that i was provoking her (!) Another person came to put in the needle for the iv, and after puncturing me about 8 times in different places said he gives up and the aneastesist will hsve to do it at the OP theater. Honestly if the knee surgery was not an emergency (carthilage broke and fractures on kneecap made any movement impossible) i would have walked out. I have to say however that most nurses were kind and compassionate - however when mistakes are put in the system they seemed unable to rectify, which however could have had serious consequences. I gave this information on their feedback form - but there was no resonance. Since this happened during Easter i assume management does not care and the requested feedback was a waste of my time. No surprise that the final bill was inaccuracte. I will not go into this hospital again and do not recommend it.

An amazing facility with an amazing level of care. Better than any US or German hospital I have ever been in. The office of international patients is very professional and thorough. Dr. Taboada is very thorough and professional. I can't recommend this hospital enough. Super experience.

I came to see if giving birth at Serena del Mar was an option. When I was given a tour of where the mothers and babies stay it was great. I was told to male an appointment to be seen by an obgyn so that they would have a history of me. The nurse took my info days before my appointment but apparently never followed through with setting up my profile. I showed up for my appointment and was never told who I would be seen by. Dr Maria Fernanda Toro Wils was upset that she had to wait on me because the staff had not created my profile. I finally went into my appointment with the doctor and she scolded me and told me she had no time we had to rush. I told her I did not understand whybinwas being treated this way when her staff was a mess. She told me she always does 40 minutes and she dedicated about 20 minutes if that. I left there feeling so upset and totally changed my mind about having my baby there. The treatment from Dr. MARIA Fernanda Toro Wils was terrible. I would not recommend her or her staff in a million years.

They neither answer their phones nor respond to emails seeking an appointment! Terrible customer service. I communicated in Spanish as well so not a language issue.

My gratitude to all the professionals who work in this hospital. It is a sacrificed job, my admiration goes to the entire team, who carry out their work with professionalism, patience and a good attitude. God bless you.

Terrible service, it is a clinic of low quality and deficient medical care without professional ethics. Due to malpractice, a great doctor died when he was only admitted for an appendicitis operation, the operation went wrong and it became complicated. All for a hospital without a well-sterilized and clean room to do their operations.

Very professional in patient care and attention. Currently they are one of the few hospitals that has prostheses for knee arthroplasty. They have a very good rehabilitation service. The facilities are very clean and permanently disinfected.

Just was released yesterday after being admitted last Thursday in need of a pacemaker. My husband and I were so pleased with our experience. Dr Marlon and Dr Francisco from the cardiology department were amazing. I was treated very well. I will be forever grateful.

Such an amazing experience! I went to the emergency with a stomach issue and they immediately took me in for checks and tests. Super professional - totally recommend!

Terrible (i.e. no) pain management after severe accident. Got also pain chock due to rush in changing linnen. As I chose to be operated at my home hospital (one of the top three hospital in pelvis operations in the whole World) they got upset and delayed my ambulance flight with a day (by not filling in papers on time). You can imagine the cost of having an ambulance flight waiting for you one extra day..

Great Service, Doctors are so respectful of patients times. Very clean hospital. Quite a different experience from other hospitals. Very pleased.

I went in with back pain. Got excellent care ,x-rays, diagnosis in less than 2 hrs.

This hospital is amazing! My husband had to attend and I was so impressed with the staff! As we do not speak Spanish, they were all very amazing and did their best to help us. They were kind, caring and detailed to ensure that we were well taken care of. Thank you so much for taking care of my husband! You are the best!

Good attention

They take good care of patients, they are treated as they should be. The facilities are well maintained. The parking lot is ample.

Madhouse, worst service at ER

Please remove Cynthia Solís (plastic) from this hospital. My family and I were her patients and she almost killed one of us. She is ignorant, an extreme danger to patients and commits medical malpractice for which she is currently under investigation.

My second time here in the past month…this is one of the best Hospitals I’ve ever been in. Excellent staff, World class service. No problems whatsoever like the other reviews. Blue Cross insurance was accepted and I was taken care of around the clock. HIGHLY RECOMMENDED.

Went in to get an abscess removed on three different visits. I was scheduled at 10am but the room wasn't available until 8pm. Told to wait. I luckily asked for a written cost estimate and was told 58,000 PESOS (not including blood work, ultrasound and "hospital fees"). I said "no" and before I left, I paid the receptionist the 2,000 peso consult fee which she strangely handed over to one of the doctors. I never got a receipt for the two times that I paid. I went down the street and had the abscess removed for 2,000 pesos. BE SURE TO GET A WRITTEN COST ESTIMATE BEFORE ANY PROCEDURE. GO ELSEWHERE- THIS PLACE IS A RIP OFF! 30x more than the competition. Shady billing, accounting, payment, no receipts and handing cash to doctors?