Wedge resection procedure, Mediastinal tumor disease treatment in 152 Oncology and Thoracic surgery clinics in Europe

The new rooms in the new area of the hospital are nice, clean and modern, but the old rooms in the old part of the hospital need to be refurbished, they do not live up to the hospital standards. The food was very basic, not much flavor and for the price of a day stay in the hospital the food should be better quality, taste better and have options on what you would like to have. They also need to improve the wifi/phone signal because nor the wifi nor the internet from my mobile phone provider worked in my room. The television only had Spanish channels and for a high quality hospital one should have international channels in English and other languages. The personal attention was great, the nurses and doctor where amazing. They took excellent care of me.

Had a surgery here and it went very well, staff were working with upmost care and respect. Compared to most hospitals in the US where I'm from, this one deserves 5 stars for the quality and value.

Terrible hospital. The staff are very unfriendly, and if you struggle to speak Spanish they will not put any effort in to try help you in English. I have been there twice in the past 4 weeks for the same issue and the doctor always just prescribes ibeprufon when it’s clear my situation has gotten worse. They also don’t have any equipment, he used his iPhone as a torch and put a pencil in a latex glove and used that to push my tongue down to examine my throat. Completely pathetic the service one gets from this “private” hospital.

I booked an appointment via their online platform with the Diagnostica d’imatge department, because I needed to take a MRI exam for my leg. In the online platform I uploaded my traumatology doctor’s referral where it says I should have two MRI exams taken, one in a rested state and another one after running for 20 minutes to see the difference in my muscle. I even sent the referral via email to the Diagnostica d’imatge department in order to make sure they knew about the fact that I need to make two exams and not only one. They didn’t answer to that email even though I asked for confirmation of receipt. I had no luck reaching the right department via telephone because I don’t speak Spanish or Catalan so well so I gave up on trying to get a confirmation that way. Anway, when I arrived on the day of my appointment, the secretary in the Diagnostica d'imatge department told me that I should have booked two appointments instead of one and it was a problem, but she will try her best to find a solution. I was afraid because I came to Barcelona only for this appointment (I live 3 hours away from the city). After waiting for around 20 minutes the secretary (her name was Andrea, I think) called me and confirmed that I can take the two exams one after the other right away! Eventually everything turned out well and the staff was super friendly, even when I only spoke English. Big thank you again Andrea you saved my day!! :)

Excellent service . Professional doctores and they take care of their patients in a very human way

Im calling all day to cancel an appointment with traumatology, no answer all day, it's been always like that i have to keep calling for hours maybe they pick up the phone, but today no one pick up the phone.

Good doctor, good behavior. Satisfied patient.

I got to see two fabulous doctors, the first in emerg and the second in cardiology (who confirmed the original diagnosis). Both were extremely caring and knowledgeable. I felt in good hands. Minus a half star for the long wait to see the first doctor (but triage ekg was quick so I guess it wasn’t urgent). Minus another half star for the filthy, seatless public toilet for the waiting room but bonus point for the outstanding quality of the doctors.

You doctors who work in the Pitie Salpetriere hospital, bow your heads to the ground and beyond, for all those children's souls, whom you do not stop from their straight and fast path to earth. May all the joys with which you spoil yourselves, turn you into ashes, and let your empty souls shatter like the lives of the innocent, whom you leave daily prey to their suffering, evil and disease, without trying to save them, although their last hope it was with you. And we are not talking about terminal cases, but about people who can be saved easily, if you ONLY tried! World top 10 hospital: an advertisement for nothing!!! You shouldn't even be in the top 3 of a pitiful city, forgotten by the world! Great doctors who don't even see the patient, just sign to be discharged, and hide behind the reception, because you are busy. With what? Did you destroy the next man's life? How many people do you dust a day? Do you have a commission from cemeteries? Change all the staff! You made terrible recruiting mistakes! Give them difficult cases, without them knowing that they are being tested, and see what "doctors" you have! The rest, take their diplomas and useless documents and start sweeping the street, don't let them have the power to turn good people into dust!

I recently was looked after by Department of Thoracic Surgery and they coordinated and led my multidisciplinary operation. I would like to thank all the teams involved in looking after me and providing me with the highest quality of healthcare. I am extremely thankful and humbled by the professionalism and excellent quality of service that you provide to the public day in, day out.

Alert: avoid this hospital for giving birth. During my labor in August, the anaesthetist came very late and failed her job. She did not manage to give me the pain killer Epidural as agreed prenatal, which resulted in an extremely painful delivery. The doctor did not even accomplish the basic task. very disappointed. will not recommend USZ at all.

I am a tourist that presented to the emergency room with stroke symptoms (headache and memory issues). The care was excellent! Every staff member was very caring and knowledgeable! Everyone was very personable. I have worked in Healthcare in the United States for 40 years and feel the care I received far exceeded what I have seen or experienced in the US. Zurich can be proud of their outstanding medical center! A stroke was ruled out and I was diagnosed with amnesia related to a migraine! I highly recommend this medical center for your healthcare needs and appreciate the care they gave me.

I am shocked at how mediocre and overrated this nationally famous clinic is. Even as an international, self-paying client my appointments in late 2022 were continually mixed up and, worse still, the 3 weeks of extensive diagnoses were inconclusive and they recommended cortisone for the pains throughout my body, claiming there was no alternative to this treatment. My pains steadily increased and at one stage I could no longer get out of bed without help. I finally visited a microbiologist in Hamburg who correctly diagnosed the cause, and with a simple change of diet I was pain-free within a week!. I am now completely off cortisone.

The worst childbirth that you could imagine! Unfortunately, we chose this clinic for childbirth. At the 39th week Dra. Laura Muñoz Saá said me, that labor induction was needed. Although we did not agree with this, but we trusted her words that everything will be fine and that it is better for me and child. The doctor assured only about the advantages of induction of labor. However, there was not a word about complications and possible consequences. Although everything was written in the informed consent. After the start of induction, irregular labor began (opening from 2 cm to 10 cm per hour). I screamed from pain and begged for pain relief due to excruciating pain. Everyone just said that I should breathe, and I will never forget the words of the anesthesiologist who came to install epidural anesthesia. He said "all women give birth, what do you mean you can't sit down for 2 minutes?" In those moments, I prayed that it would end soon and barely sat through those 2 minutes of hellish pain. After the examination, the doctor on shift told that the cervix was already fully dilated and the child was in distress. I was told that a caesarean section should be performed immediately. To go through hellish pain so that it ends with an operation is not the worst. The worst thing is when they start making an incision, and you say that you feel pain, just pain, and not the feeling that something is being done. In response from the anesthesiologist, I heard "don't make it up, you can't feel pain." No one but me will understand the torments that I went through and that left a mark on my heart forever. The most beautiful day of my life became one of the worst for me due to excruciating pain and a feeling of helplessness. When you beg for pain relief, which they still think about giving you or not, because they don't believe that you can feel such unbearable pain. The only thing that was at the highest level was the help of the nurses and the matrons with the child. Thank you very much for your work and help!

My parents have been getting treatment at this place since 2018 and since it's doors first openend then, the customer service and quality has gone down by a lot. They are taking on too many people and they are loosing sight of what matters most: the patient and their family. I lost my father recently and I am sure that his doctors at the CUN could have looked after their patient more in detail rather than making us wait for hours sometimes and the most difficult part was for my dad or me to get a hold of his doctors. The ER room service is also basically non existent. I will never use that Clinic again. Great doctors, latest Tecno but not attention to detail and bad administration.

I was lucky enough to be hospitalised here (you know what I mean) : without exception the doctors, nurses and auxiliaries were nothing less than superb. I thank them all!

Private hospital based in Pamplona and Madrid. It is worth making the trip to attend any of its specialties, which are not few. In my case, they have given us endless possibilities. All staff are attentive, they explain each intervention/treatment in detail and work with insurance. Everything is organized and they have professionals for everything. Appointments are usually on time, the waiting time in the room is short. There is a parking lot right in front. We will repeat and I recommend this clinic.

An incredible service, the best hospital I have ever been too. Bedside manner from doctors, nurses, and all staff is fantastic

My wife and I have been going to this hospital for a couple of years. We have a family doctor (always late but doctors do have other patients with problems that need intervention, I like to think) speciality doctors for hematology, dermatology, gynecology and urology. They all have a specified amount of time to allot to each patient for consultations so sometimes it seems rushed but they have all been very professional and in almost all cases attentive and caring. The hospital is very busy and i think the receptionists do an excellent job of helping patients.

Mammogram and ultrasound checks everyone's helpful. Friendly and professional felt relaxed with all the helpful doctors .nurses and receptionistist would give them more stars 🌟 then five

Recepcionists who answer the phone are hysterical and rude. The worse!! The lady who answered to me and didn’t want to transfer to her boss or the person I called for, started yelling as crazy to me. Asking me personal information but she denied to give me even her name or transfer the call. I even advise her to take a valium and she hung up on me. Crazy lady

I had the worst experience in care, I had an obstetrics consultation, and Dr.Ana Branco, who attended to me, was extremely rude, I felt offended, talked about my country of origin and even revealed the sex of my baby, without even asking. If you would like to know, you leave the room completely destabilized, I'm thinking like a doctor who treats pregnant women, doesn't have the slightest bit of empathy! It's a shame to pay so much for a consultation and go through a situation like this! I chose Hospital da Luz, because I believed that there would be excellent professionals there to assist me, especially at such a sensitive stage, which is often pregnancy! But I would give 5 stars to the nurse and attendants who were super friendly and attentive, the opposite of the doctor.

Good experience in the A&E but regular appointments get very delayed. The doctor was 29 minutes late for my appointment. Not a good use of my time.

Hospital

I waited for 1h40min for an appointment and it got to the point where they wait was ridiculous, I had already had to cancel my next thing, and felt absolutely frustrated for coming all the way for a consultation, waiting so long to then desist as I don’t have more life to lose on this. The only reason I don’t give it 1 star is that the receptionist was nice and helpful and that the check in was easy. I don’t plan on going to CUF for help ever again.

They performed the surgery well. But was too expensive, they took far too long for a private hospital and they didn't explain costs. I cannot dispute the charges without making an account but I can only make an account by going in person. Not sure if it would be better than a public hospital in most countries

Just want money, no more than that. They told us to pay an amount of money regarding an appointment in the hospital and we already paid it then found a higher invoice to be paid later while we confirmed in the hospital several times that there would be no extra cost.

Very expensive and very unresponsive... the only hospital in Greece that doesn't send you the results of the tests if you don't ask for them or you don't go to get them yourself..! worst customer service ever

I had a constant pain in my intestine, went there and did all examinations, they told I had nothing, and I should seek psychological help. I went to another hospital and they found I had a big polypus inside my intestine and they removed it surgically. Finally I feel releaf after 1 year of constant pain.

A big scam, my girlfriend stood for just 4 hours they charged me 700€ , they said will check with my assurance and call me back , but never show up, they took more than 290€ for simple check up, while i have coverage from assurance 200€, the staffing is rude and they don t explain anything. Advice go to public hospital there they will take care of you and never ask for money. Such a shame , they use people health to get rich

A beautiful hospital in a beautiful city Padova

I was in Italy for vacation and had an accident which was not dangerous but would have ruined my holiday. The emergency room at Padua university hospital treated me anyways and the waiting period was absolutely okay. Thanks!

This place basically saved my life 🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼👌👌👌👌👌👌👌 I saw hell but I had my Guardian Angels watching over me so I made it back. I heartily thank each and everyone and specially my surgeons. You are miracle makers and no god or goddess can replace that for me. Thanks a million 🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼

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.

Great experience with the trauma department on November 29, 2023. Empathy meeting professionalism! Thank you very much to the whole team!. True heroes !

Saturday 11 of November 2023 , I had severe pain in my legs and repeated chest pain plus confusion as result of 4 days non sleep ! After 16 hours in the Ambulance the doctor she sent me to psychology KH nord ! She said all OK just !!! W+÷×+=% ,Big Thanks to KH Nord they discovered thrombosis in my lower body and i am still under treatment as result of wrong and late diagnosis . Guys I just got confused again what to say to this Dr ? Any one please feel free to recommend what to say and what to do ? I just got shocked.

I had a emergency where I had to get surgery straight away to repair my broken jaw,Unfortunately my insurance didn't go through so i dont know who I'm angry with. I was waiting two days in one of the bedrooms until some bald guy in a white coat entered my room asking me for €3400 in card or cash, I thought it was a nightmare but I didn't wake up. He explained to me that I was not covered by insurance and that I should start making payments, I went down to the office and they confirmed he was in my room asking for money, The result was me getting up in the worst state to go sort out my insurance so that I could get my emergency operation done a little later and be covered by my insurance so that Inkasso won't chase me for like €30.000 Note that nobody at this point told me to stay in hospital get your jaw fixed first and sort your insurance out later because they can back track everything, instead I was set into confusion when they asked that I pay them cash or card. I was there for two days in the worst pain and didn't receive surgery but a bill for £3400 which was not covered by my insurance I left the hospital and sent all the rest of my documents to AMS and OGK and sorted my insurance. Later I arrived at hospital to find out that they checked me out automatically and wouldn't treat me straight away. I was sent home and a swelling started to occur on my face where I realised that I was sent home with a medical emergency so I went back to the hospital as soon as I could and eventually they accepted me back. I spent from 29.10.2023 to 15.11.2023 waiting for my jaw treatment, after the swelling went away they decided to give me the operation and they told me the waiting time is because there where other patients in need more then me and I had a swelling. Now I'm recovering from my surgery but I'm not sure if my surgery went one hundred percent correctly, the results are yet to come. The point is if your not Covered by insurance stay in hospital regardless if they start asking for cash or card and sort your insurance out later because if you leave the hospital you might not get the treatment you really require being a Austrian citizen won't help you get the free medical treatment you really need if you don't have insurance. However they must treat you if you have a medical emergency and you can get it sorted out later. Also Google maps didn't let me post this information so I wrote it in English let's if they block this info this time it's not right people shouldn't of gone through what I went through at the beginning when I had a medical emergency. My wobbly jaw was waiting to get repaired but I was plagued by the though of no insurance and having a struggle of my lifetime as a result. I was promised an operation from day 1 but ended up having it on like day 16 Long waiting times for operations beware make use you have insurance but if not stay in hospital and get your insurance sorted out later if I'm wrong let me know Anyway it's like day 20 after my injury and spent like 18 days in hospital, regardless of how my hospital stay started I come to a realization that I was treated very well at this hospital and I'm thankful for my surgery and all the hospital stuff for taking care of my issues I had a bad start because my insurance was not going through but however the operation did go well, after my wound heels I'll have to go to a specialist to see if they can straighten out my jaw so that I can have a better smile.

Open letter to Profesor Zielinski I wanted to tell you that I’m very disappointed with you and your clinic. Now, after my father’s death and Mr. Suta’s (the patient from Targu Mureș) also I’m convinced that you are guided only by profits and you are not concerned about the wellbeing of patients. We have sent you translated medical reports, pet CT’s and other imagistic investigations, blood tests and you didn’t even have the decency to look over them and tell us it’s not worth making the trip giving how advanced was their condition. You could have done what the doctors from Szeged hospital did for me and say that there is nothing you could do for my father and with regrets I cannot take your money and leave our country with a negative perception about our medical services. They said that because they looked over the investigations I sent them. But no sir you were too blinded by money and we were so desperate to save our fathers that we believed you. Shame on you. I guarantee these are words well thought and not said in anger.

All the people super friendly. If something took longer, it was only because there were patients who needed to be treated more urgently. Some people probably forget that here in the evaluation. As far as you can say about a hospital stay, I had a good time there.The staff is international and with many languages. (Team 5 Nord)I have heard German, Russian, English and also Hungarian, Ukraine, Rumanian, and many others. Thank you very much, indeed

I was diagnosed with serous ovarian carcinoma and after resection of the carcinoma by a Romanian doctor, director of a private hospital in Bucharest, in a boundless desperation I contacted the best clinics in the world, specialized in oncology. The commercial representative of the WPK hospital, Mr. Alexandru Pop, was the first to contact us and was the only one who convinced us to buy tickets to Vienna. We had all the appointments made by the minute, he walked with us and empathized every moment. Thanks to him, I got to the best specialist in gynecological surgery, the most wonderful woman who rushed all my procedures in order to be able to proceed with the surgery. In the worst moment of my life, when I read despair on the children's faces and I felt helplessness and frustrated, this wonderful woman, , Prof. Dr. B. Schurz, gave us a chance. The hospitalization period was 8 days and I received the best care possible. The staff was by far very professional and very empathetic, as well as the nurses. I felt treated like a family member. The sales representative came to me twice a day, called me and asked me all the time what else I needed or if I was satisfied. Because of my diagnosis, even if I came at the very early stages, I will still have to proceed with 6 chemotherapy sessions with one of the best oncologists in the world, Prof. Dr. Zielinski. I recommend the clinic with great confidence.

Our two children were born in this hospital in 2019 and 2023. We can only report positive things about our time here. You felt very cared for and the entire team is extremely competent, motivated, courteous and friendly. It is important to me to mention this and thank you for all your efforts. Thank you very much for your support. All the very best.

I had the most horrible experience in the gynecology department here, my house doctor told me to go to the emergency room and when I got in for my consultation the doctor told me my problem is not an emergency and that there are people who actually need help. It was my first time seeing a gynecologist and she asked me if I have been before and I said no because I was not financially able to ever before and she almost laughed at me and said „no doctors in your country?“ she was clearly bothered by the fact that I asked her if we can speak in English. After she consulted me she said she can’t give me a diagnostic and than gave me a prescription without a diagnostic. She made me feel very uncomfortable, she made fun of me and where I come from, made me feel like I am not worth helping even tho my house doctor did. That woman should not be a doctor of any kind she was horrible!

We were in the children's hospital last night with our 10-week-old daughter and were really excited. Of course it was to wait but that's the way it is now. The doctors and the nurse were super nice and took really good care of our mouse. Our mouse obviously felt good, despite being in a really bad mood. During the examination she made the whole team and us smile and laugh. We felt very well cared for. Thanks!

The attention I received from reception to the consultant was first class. Timing was excellent and the whole experience was efficient and comfortable. This was reassuring as I was a little concerned about my investigations. I cannot praise the hospital highly enough on this occasion.

A big thank you to everyone involved in my care at the London Bridge Hospital. Cannot recommend the hospital enough! Mr. Ember and Tessa are always easy to talk to. Despite his busy schedule, I never felt that Mr. Ember was rushing in our appointments. So very patient in explaining every thing which made me feel 100% confident in him. The nurses were brilliant! RGN Bambhi (Abhi) Q. went above and beyond to make sure I was comfortable during my admission. She has already finished her night shift when I arrived but she still went to my room, answered all my questions and made feel comfortable. She also made sure to check on me after discharge. RGN CJ looked after me, her bright personality is truly refreshing but stayed professional the whole time. She made sure I was well looked after before during and after my procedure. Additionally, RGNs Dana and Gladys, were also exceptionally kind and knowledgeable. The food was impressive! Catering staff were always so polite. Was kinda bummed that coffee was instant coffee(not a big deal tho). Overall, I am extremely grateful to the whole London Bridge team!

I was a day patient for a knee surgery. The hospital staff is absolutely fantastic and friendly, they are always there to help you and to answer questions. The food was good beside I was not able to eat it all (i had anesthetic side effects) and the facilities were immaculate! Thanks for making it such as smooth process.

Went in after falling, told nose was broken after MRI and sent out again without treatment. Few days later started falling again and couldn't walk. Called ambulance, 3 IV's at once. Bruises, infections, what I can only categorise as abuse as let's just say I have ties to hospital. Ended up needing private nurse when out to treat infections and damage they had done. These people should not be allowed treat tree's wouldn't insult animals.

From where the bolt driver dropped me off it looked like an old haunted building. When i entered, it looked like an abandoned mental hospital only missing a dead guy and a crazy dude in the corner. Asked two doctors walking around for help from which i got the answers "I don't speak english" in a perfect english accent and "No". Finally found a person that speaks english. After a minute or so she said that i have to go to a hospital 10 MIN AWAY WITH A CAR because this is not a childrens hospital. If you go here, do your research about where exactly you need to enter to get help and if you are younger than 18 years old do not go even near this hospital.

Came in for an emergency on a national holdiday at 6am, was greeted by very nice staff. Plus the overall experince was very professional. And despite the fact that I am deathly affraid of doctors and hospitals the staff did their best to make this experience more than bareable. Did not like the food but what do you expect from hospital.

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!

09/12/23 I came to pick up the child’s certificate for the pool. The result: it is impossible to get to the doctors. There are two pediatricians working for the entire clinic (one for newborns, the second in the office for a one-step certificate). At the nurses' station they send you without an appointment "on a first-come, first-served basis" - naturally, this leads to swearing in the queues. I waited for two hours, left with nothing, because people came in a stream by appointment. ))) very competent system, I'm delighted)

Good afternoon. I want to express my deep gratitude to the pediatric surgeon Nikolai Fedorovich Shchapov. Doctor from God. Saved my son. EVERYTHING EXPLAINED, UNTIL THE LAST WAS IN CONNECTION. THANKS A LOT. Yes, to all the staff that was with us. Thank you very much. The hospital is at the highest level, the staff is polite, helpful. The rooms are clean and comfortable. I really liked the service. Prosperity to you in the future. Nazarova M.B

Many thanks to the therapist, cardiologist Dmitry Yuryevich Shchekochikhin. Doctor with a capital letter, a true professional. When other doctors shrugged and did not know what to do, thanks to the doctor, he was able to carefully analyze the medical history and build a successful course of treatment.