Chimeric antigen receptor (CAR) T-cell therapy in 161 Oncology clinics in Europe

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One of the worst hospitals in the country. I went here for some blood tests and came out of the office with two broken veins because the nurse was determined to draw blood at any cost regardless of the severe dehydration that I was going through. Fast forward to the week after, I went back to get the results ( you need to go there in person because there's no such thing as getting them via e-mail in 2023!!!!!) I wanted to have a chat with the doctor who saw me thinking that she's going to explain what the results actually mean so that I can take approximate action. Because she wanted to keep the diagnosis a secret from me and talk to my mother this doctor refused to explain my results to me hinting that ' this particular test wasn't within normal limits'. I eventually managed to get my mother out of the office and asked the doctor for clarification and she refused to say a word. I keep wondering what happened to patient confidentiality?! . In the end I would say if you want to know exactly where you stand health wise do not and l mean do not visit this place. Another thing worth mentioning is that in the midst of a pandemic there is no mandatory face mask rule and everyone is left to move around freely in a highly contaminated building as they keep moving patients back and forth. Worst hospital ever, avoid at all costs if you value your health

The nephrology section is simply one of the best in eastern europe. The doctors are emphathic, patient, always double checking and well organised. This is the only hospital in Romania i trust 100% and would deffinetly recommend over private care.

Kindly sir give me whatsup number, i want to come luxembourg for PG from Pakistan How i will do apply this hospital for PG job. kindly sir please give me information about the pg general surgery in this hospital so I'm waiting for your response???

Waited three hours for them to do nothing, they prescribed me a medicine that is not suitable for my disease, with a large list of side effects, which must be taken with another medicine ( they didn’t tell me this). They did not cure me, but made me worse.

It’s not bad, but the service is also not something to write home back about. Paperwork took quite a while, but I have to note it was my first time there. Personnel was nice to me, even though I don’t speak a word French. Also notified me of an approximate bill for the all procedures. Maybe it depends on a type of your emergency, a doctor who’s treating you or they just improved, but for me it was not so bad at all!

Had my appendix removed about two months ago only complains I have are in the emergency department I was told by one of the doctors I was getting surgery, he was then pulled out of the room by a nurse and never returned. When asked do I know what’s happening for my surgery later that night I hadn’t a clue cause the doctor never came back and told me what it was for or when. The nurses on the ward when I went up where amazing looked after me so well really reassured me not to worry. The nurse that took over their shift after was out of surgery was completely different I had gotten sick after coming out of surgery she left the sick bag on my table the entire night along with the blanket I had gotten sick on, I was too unwell to even realise I had been sleeping in my sick the whole night. The next nurse to take over her shift had not been too impressed with me for not throwing the sick bad out or the sheets even though my iv was attached to the bed so I couldn’t physically move from the bed to do anything. It was only these two nurses that made my experience bad at the beacon as I’ve been before for a separate issue and it was absolutely amazing. I would recommend their hospital and I wouldn’t let them two nurses stop me from going to them again, but I would say it really did make me feel worse especially spending so much money to stay and be in their care.

As an American who has always been treated at the top clinic of Mayo Clinic my entire life I was scared to death to experience healthcare anywhere else. After breaking my foot I’ve been pleasantly surprised by how great the staff is here. The nurses, registration, consultants..everyone. I feel a lot of comfort after being seen here now multiple times and having surgery. It’s a different process than I’m used to but that’s a learning curve on my part. Thank you to all the staff for putting my anxiety to the way side.

Just back from taking my elderly mum for a CT in the Beacon Hospital. Lauren in radiology reception was fantastic with her. She was clear, helpful, friendly and very patient with with mum. CT staff were fantastic and efficient, meaning we were in and out in no more than 30min.

Incredible experience from start to finish. Appointment time 230. In doctor's office at 235, out on the road home by 345. Staff extremely friendly. Could not have asked for better. Also exquisitely clean. 10/10

Overall, not a great experience and wouldn't use them again. I went in for a heart ultrasound, stress test and a plaque test. The stress test was a nightmare. I was put on a running machine with a face mask. I kid you not. I was forced to undergo a stress test on a running machine where I could barely breathe. It was an horrendous experience. I really thought I was going to have a heart attack there and then on the machine as they increased the stress on my heart. How they could expect to get accurate results based on that is beyond me. I paid on the day and shortly afterwards got an additional bill....then another bill. I still don't know what the additional costs were for were for. I couldn't work out the statement that accompanied the bill as it was overly complicated. I went to my doctors a few months later about another minor matter and though it might be a good time to discuss my tests. He didn't know what I was talking about. He'd received nothing. I tried ringing radiology several times and it always went to voice mail. The receptionist told me to send an email which I did. I wrote an email and I did receive a reply saying they would send out one of the test results to my doctor but wanted his address. This was odd as my details and those of my doctor were on my initial induction form. I explained in a replying email that there were several tests...not just one and could they forward them onto him as well....nothing. No reply. I've never heard anything back and at this stage have given up trying to get my results posted out. I really would not recommend them based on my experience.

Had an unfortunate accident which brought me to the ED. The receptionists were very efficient and very pleasant to deal with. I was so fortunate to have had Dr David Foley looking after my case, he was extremely empathetic to my predicament and made me feel at ease at such a stressful/painful time. He referred me to Dr Stefan Byrne in Orthopedics who dealt with me very promptly, he was very professional. I left confident in his care and thankful for the kindness of his receptionist. Overall for such a traumatic time I was so grateful to everyone for making it that bit easier.....except for the pay for parking machine which refused to give a receipt one day and also refused to give my ticket back another day after paying

We had the misfortune of Dad being referred to the care of plastic surgeon Catriona Lawlor at St. Vincent's Private for stage 2a Skin Melanoma. She was medically negligent to my father in that she didn't carry out any regular post care checks after the primary treatment. I asked her why and she came up with lies regarding covid, despite the National Screening Service telling me that there were no restrictions on cancer checks at the times she claims she didn't check my father for his own safety. She is a liar. My father again had the misfortune of coming under Prof. John Crown (or Professor Clown as we came to know him due his ridiculous and aggressive outbursts) once cancer progressed. He delayed my father's cancer treatment by 2 months because he wanted to conduct tests to identify the correct type of immunotherapy, despite these results already being available from 18 months prior. He put my father under 3 unnecessary and risky biopsies, one of which was a liver wedge section performed by a liver transplant surgeon. There were also 4 MRIs indicating stroke in this time, we're told most likely due to the spread of cancer. It took 4 MRIs and 7 weeks from 1st MRI in the care of St. Vincent's Private before my father was referred to a neurologist for tests and appropriate medication. At one point my father's nutritional supplements were withdrawn without discussion with my father, nor us. He was put into a private room and Professor Clown told me to expect the worst within the next two weeks. I immediately requested nutritional intervention and this was given. My father survived for over a year after that. Prof. Clown then tried to discharge my heavily dependent father onto my mother to which I refused to do without additional help outside of basic HSE home package. Prof. Clown's only option then was to leave the medical team, for which, he called my mother and sister into a meeting and accused them of being abusive because at that meeting they queried his treatment of my father and why no regular checks were done on my father. Prof. Clown claimed no checks were needed earlier but then said he never stated such at this meeting. He went on to send an email from the ward email address claiming we were abusive and threatening. For original treatment under Catriona Lawlor my parents were sent incorrect bills for which the finance department said they would fix. They never corrected their mistakes and a bill for €30 was sent to the debt collector for arrears. After my father left St. Vincent's Private there was a shortfall of €13,000 because VHI didn't cover the private room for my father in which he was placed to die prematurely. To this day no bill has been sent despite my queries to Paula Ryan and Dr. David Fennelly (took over from Prof. Clown, another member of the circus). We all know that this is due to their medical negligence. Be extremely careful if your loved one is under the care of this hospital. Private healthcare is completely unregulated in Ireland. Should any doctor in this hospital mess up you are on your own. The doctors are contractors and legally independent of the hospital itself. The hospital will not investigate and neither will the Ombudsman, HSE, Dept. of Health, etc. VHI covered 6 months of care in a private hospital for my father. I appealed to the management for extended care and treatment due their medical negligence. This was refused and Dr. David Fennelly put pressure on my father to choose the hospice for further care. I had to email Fennelly to take pressure off my father and give him space to decide. He was cut from the same ilk as Prof. Clown. My father survived 9 months in the hospice without any follow up with scans or care of an oncologist nor neurologist despite our requests to Dr. Fennelly for a plan of care to be ongoing. This hospital is unsafe and completely disorganised. Should any of the above be untrue I look forward to their legal letter for defamation but I know that won't happen because my defence would be the truth which they know themselves.

I am writing to express my deepest gratitude for the exceptional care and expertise provided by Dr. Anthony Stafford during a critical period in my life. Dr. Stafford's remarkable skills as a surgeon not only saved my life, but also transformed a terrifying situation into a remarkable journey of healing and recovery. Facing a life-altering medical issue was undoubtedly one of the most challenging experiences I've ever encountered. However, Dr. Stafford's accurate diagnosis and prompt action gave me the hope and strength to overcome the ordeal. He demonstrated an unparalleled level of professionalism and dedication, reminiscent of a guardian angel who emerged in my life precisely when I needed him the most. What truly sets Dr. Stafford apart is his unwavering commitment to not only address the medical concern at hand, but also considering the broader implications for my overall well-being. His expertise ensured that the surgical intervention was tailored to minimize impact on my body, allowing me to embark on a path towards a healthy life. As a woman, the significance of his approach in prioritizing my health and recovery cannot be overstated. In essence, Dr. Stafford's impact extends far beyond the realm of medical expertise. He restored my health, instilled hope, and empowered me to embrace life with renewed vigor. Every step of the way, he exuded compassion and professionalism, creating an environment where I felt both cared for and confident in the journey ahead. I owe my gratitude and a debt of profound appreciation to Dr. Anthony Stafford for being the beacon of light that guided me through the darkness. His contributions to my well-being have left an indelible mark on my life, and I am forever thankful for his presence during my time of need. Regards, Isha

My sincere appreciation for the diagnosis, and treatment. I’m looking forward to getting back out there and living my life. The feeling of gratitude is so difficult for me to put into words. I’d just like to let all those working here know what a good job they’ve done. You’re a great team, thank you. John

Well I loved how I was cared for and treated by the staff, doctors and nurses but who actually loves being admitted to hospital. Both my grandparents passed away in St James after battling chronic illnesses. The hospital did a tremendous job whilst caring and helping my grandparents and myself.

After 10 hours waiting for be attended in the Ermegency Dep. the doctor kick me out saying it wasn’t an emergency and without a prescription. Next day I went to a private GP and they gived me a prescription and look after me very well. It’s the worst hospital I’ve ever visited and I had one of the worst experiences of my life. (Also I paid 100€ for it, thieves)

My mom just returned from the A+E, as a qualified nurse myself, I'm appalled at the treatment and medical negligence of the Doctor on duty working A+E. Not only did you mix up her name and confuse her for another patient who had the same first name, you failed to do your safety checks to ensure you got the right patient and confused my mom with CHEST PAIN for someone who was DRUNK, You then dismissed her anxiety and told her to just calm down!? You gave her no advice, no comfort, if the job is that hard for you and is causing you to treat your patients like this, you need to find another job. I'll be taking this further and making a formal complaint.

We had a very pleasant encounter with this hospital this summer. My father in law was hospitalized here for over a week and the staff and the hospital crew its absolutely amazing.You get answers at every single question you ask. Compare with other " so called emergency room" this one is a life saver. Yes its quite expensive but you get what you pay for. There is no attitude when you ask something and you get to be treated like a human, plus you get the treatment that you indeed need, not just random medications so they make sales. Thank you medpark.

My recent visit to Medpark Hospital left me thoroughly impressed. The entire team was amazing. Recomand

I really liked how professional are Dr. Cusnir Valeriu (Ophthalmologist) and Dr. Andronic Ana (Internal medicine). My experience with them was very pleasant. They answered all my questions and gave advices for treatment and health overall. P.S. Emergency Department Reception has the best personnel

Hernia operation. I had a hernia for years. It started to be worst so i decided to go for operation. Waiting time to get operated was 4 months. Not great. Not great ... I read somewhere it is result of cutting staff. Experience with the doctors was however great. I was operated by a young Female doctor M B (thanks again you are great and talented) I stayed altogether 3 days in hospital (one day before operation and 2 days after ) they removed 2 hernias, one lomparoscopy and one net stitching. The nurses were great and helpers too. I would have liked being helped to the door for exit process. I walked out with spinning head. Very very very bad experience was front desk administrative nurse. miss J. She either hate people or her job. Who knows maybe both. Her approach and the words used were conflictual and distasteful even if i was nice. Pain was very manageable 3/10

Crazy person on the line. Just not normal to talk to people like that. Why do you work in the hospital if you hate them so much?

I went to this hospital several months ago to run some tests. Upon trying to reschedule an appointment for a checkup, I was told that they do not accept foreigners, despite the fact I have Czech residency, and was referred elsewhere. The level of unprofessionalism is frankly appalling; it appears the staff at this hospital has forgotten the fall of communism was over 30 years ago.

Prumer

Emergency on sunday morning, professional servis, all in one place, x-rays, ultrasonic, labs, all pretty fast, nice nurses. Do not use nearest first toilet at ground floor, use the other one, check out the paper, otherwise... In general, best solution, if you need a help urgently.

Ok

The worst hospital I have ever visited, the staff is thinking that they can figure what problems are important and which are not. They just thought I have nothing important to work with, so just said to visit another doctor. The next day morning another doctor said that I should have come earlier 🫠 I hope they will be treated like they treat other people!

No complaint about medical stuff. They are kind and very professional as always, however woman at reception with red hair at that info point kiosk at entrance is very arrogant and rude not only to us but while i was waiting there same behavior with all other patients.

The worst hospitalization I've ever had. Mean nurses, no one wants to help, one time I was yelling for help from 16:00 to 20:30 to only be said to shut up. BIG THUMBS DOWN

Doctors are quite busy but friendly. On the other hand, outside staffs are rude they dont speak english , if you are foreigners or without appointment its gonna terrible .

If you come here be prepared. I came for an infusion and left whit a thrombophlebitis. I waited 11 hours in the emergency and did not get any painkillers. I am working with my lawyer to sue them, don't go here.

One of the staff thought that I don’t know any czech and smiled at me while saying czech insults directed to me in the waiting area The worst hospital I’ve seen in my life The most disrespectful and least helpful staff team I have ever encountered They should focus on patient service, cleaning the hospital, and teaching their staff not to be absolutely disgusting and racist towards foreigners, Im really glad I didn’t get my treatment there in the end

Had a bike accident, broke my elbow and collarbone and got admitted to Thomayerova. Very satisfied with the entire treatment from arriving at the emergency until being released 10 days later, after two surgeries. I do speak some Czech but not enough for everything. Neverthless, all the nurses, doctors and other stuff were kind and friendly. We managed to get along using google translate and even have some fun while overcoming language barriers. Never felt as "they have to deal with another foreigner". I wanna thank everyone who took care of me at pavillon G3

Been there with severe lower back pain unable to even stand straight. I have been told that it will be some waiting time between 1 to 2 hours and i accepted that. After 4 hours i asked the nurses why noone from the people in waiting room have not been approached by a nurse or some explanation given to the waiting. The doctor was chatting all this time with the nurses ignoring the visible pain suffered by the waiting patients . Only after i raised my voice they decided to call me inside the cabinet for a check. This without carrying that a lady patient who was there before me was visible crying out of pain in the waiting room. The lack of empathy and respect i have never see before in a Prague Hospital. I did heard about horrible stories coming out from Thomayerova Hospital with some high profile cases on national television and i was hoping that after this some measures were taken by the ministry of health. Obviously there is business as usual. Avoid with all costs. Now i came to Neurology Clinic in Prague 2 and i feel better just by the kindness and empathy the staff have showed me here.

I got chest infection and I admitted in this hospital.i am not Czech and I don't speak Cezch at all.But almost all Doctors here speaks good English and Nurses hardly speaks English but they are kind and they know they job well,so no need to communicate much..Here Hospital food is on another level..each food design according on your diet and health conditions..thank you all the team members of this Hospital.🙏

I only visit the hospital emergency when it is very urgent, unfortunately I have never left satisfied. They didn't give me proper examinations, the drugs prescribed for inflammation in the body had side effects of "possible formation of inflammation in the body". If you have to call for the results after 3 days, you have no chance to call. When I passed out in the corridor, the lady from the cafe upstairs had to help me, because two of the sisters had a lunch break, so why should they help me, and the third one preferred not to see me. There is no point in solving anything with management - they will always turn everything against you and sweep it under the carpet.

Recently I took my friend from Poland to this hospital, the doctor demanded 3000 Czech crowns, explaining at the same time that if she was Czech, the service would be free. I’m wondering how much funding for the construction and ongoing maintenance of such a resource in the region comes directly or indirectly from EU resources?

Nice hospital, kind staff, there is a parking.

a hospital has it's own aura decorum. the medical staff here are really powerfull not obeying the rules, wich is one of the main building blocks of great morale here and the overall success rate here, where you are in a care of true proffesionals

I tried to contact them for several days!!!! I sent emails, I called to the reception and she redirected me to a wrong department. There they gave me another phone number but they don't pick up for 2 days!!!! Hopefully their emergency department works faster.

Unfortunately we had to visit Stomatochirurgic department on Sunday evening in emergency with our kettle nephew who had an accident and the tooth got broken. The nurse was very nice to us whilst we were filling up all the paperwork. Meanwhile doctor A. Ščerbová arrived and told us her opinion about the necessity to take out the tooth. We were worried to make the decision quickly and she was so nice and patient that didn’t mind to explain everything to our family friend (dentist) over the phone. Whilst the procedure started she was communicating with our nephew, explained him everything and shortly it was done. Really amazing experience and lovely professional, but still kind attitude of the nurse and the doctor. Thank you very much again!!! PS: there is massive car park with 50czk fee.

If someone reads this comment, please share it. And let them send an inspection there, today I saw how a nurse put a pillow on a little babe's face when he was lying5 on his back in the children's ward in the new village of Spiš, that's it's unbelievable what is being done there.

I would like to thank the neurologist for the examinations and treatment. departments. I have not seen such a great attitude of the doctors and all the staff of the inpatient neurological department towards the patient for a long time. Thank you from the heart.

I would like to thank my mother, a 77-year-old blind patient, for the examination at the gynecology department on the evening of September 18, 2023, for the wonderful and humane approach of Mr. MUDr. Unfortunately, I do not know the name of Okály and the nurse. I have not seen such a great approach to a patient for a long time. Thank you from the heart.

It's a shame that the hospital associates with doctors like Dr. Katarína Szentesiová. Seeing the effort to change, but doctors like Dr. For every step Szentesi takes the hospital forward, the next three steps back. The arrogant approach and the investigation from a distance of 5-6 meters, from a chair, only underline the sentence: it is better to die than to go to the emergency room in Dunajská Streda. One such doctor is enough, and all the others who do their work with an interest in the patient and his health have no chance to convince a disappointed patient. It's a real shame, the whole hospital. She might look special, but she will never be like this...

An unknown number of people wait for a CT scan at the orthopedic clinic. I couldn't do it even after two days and 7.5 hours of waiting. There is total chaos here during the reception of patients. It's the worst hospital I've ever experienced in my life, they don't deserve a single star... I HIGHLY DO NOT RECOMMEND

Kind staff but the place is in extreme need of reconstruction

Something shocking, in the corridor in front of everyone they ask you the questions you filled in the questionnaire (!?) intimate, private and about your health... the examination is normal... and at the end the nurse in the corridor in a glass booth shouts your name and your results!!!!!shock

The center as such is excellently equipped, the premises are nice. Receptionist and nurses very nice. I was struck by the attitude of the primary lady, who was obviously in a bad mood. A person will come there with respect from the examination and there is no need to add his bad mood. Instructing me that why am I here when nothing is wrong with me is rather strange, as my gynecologist seems to know why she sent me there. On the one hand, we call women to prevention and when you get there, what are you here for.

Even though it is a hospital, every time I go there I leave pleasantly pleased and surprised by how kindly, respectfully and professionally the patient is taken care of. Thank you for your services and for raising the level of health care to a higher level. 👌

I wish you a good day. In June 2023, our 89-year-old mother was operated on in your hospital. She was operated on by Mudr. Turčan, Mr. Prime Minister of the private gynecologist. Mamma center in BB. He performed the operation in an absolutely professional manner, for which we thank him very much. My mother, but also the family, were very worried about putting her to sleep, as she has a very weak heart and, of course, her old age. She was anesthetized by the head of the OAIM department, Mudr. Paľúch Štefan, who did his job absolutely professionally. After the operation, he gave us the necessary information, assured and reassured us that my mother was transferred to the ward in a stable condition, where he took the initiative to check her. In this way, I want to sincerely thank him for our family and my mother for everything he did for her, for his fantastic care and spiritual support. We thank the entire medical staff for exemplary care. With thanks and respect, Anna Ľuptáková and her family and mother Emília Machavová.

I sincerely thank the Surgical Department - Hospital Agel Žiar nad Hronom. I met incredibly nice medical staff in the department, helpful, smiling, without any signs of nervousness or stress. I also rate the cleanliness of the ward and the food very positively. Although I had a prescribed diet, the dishes were excellently flavored. Special thanks to the mayor MUDr. To Ján Grolmus for his human approach and urgent solution to my health problem. I left the hospital after 4 days with the feeling that the patients in the glowing surgical department are in the best hands of professionals who do not lack empathy.

I'm on the neurol. department super access p. Dr. Kamilka Turek, she does everything possible, but the pain can't work miracles and the blockage is not over, the nurses are also ok, but the diet is still a lactose-free diet, and if it happens to them, one Max two days, but not every day, cottage cheese, yogurt, cheese, butter, dill sauce... shake

"internal" Some patients are tied to the bed. They don't give them anything to drink, eat, anything... they give the patients crap... this hospital is a death factory. On the day of discharge, when the patients are supposed to go home, they are fine in the morning, but in the afternoon they are unrecognizable when picked up. After discharge, in the report, they are supposed to give home medicine equipment for the patient for 3 days....they give empty containers. Apparently, this is how the insurance company makes money... the hospital charges for something it doesn't even give. At the time of the spread of the coronavirus, no nurse even uses a mask and in the isolation room where there is covid I do not use protective suits... now I also caught covid from the hospital. If I don't have empathy and feeling for people.....get the hell out of the job! You might get away with it now....but karma.....it works....one day you will also be lying on your shoulder blades and begging for help...

What is a surgical emergency when they tell the patient why he came... especially that he is in a lot of pain.... and the next time they also take the patient away just to make them feel better?

It's a complete disaster, under no circumstances can you get into the internment because everyone has you on the hook, I lay there and every day someone died next to me who came because there was no examination, they pricked his vein, infusion, sevas, the end of care, they brought him breakfast, he didn't eat, they took away, then they sent and took away lunch, they didn't deal with it the poor guy doesn't know how to feed himself, he was completely hooked, he grunted there all night until he died! Now my old woman went to the toilet, her head was spinning, she wanted to grab the nurse, and she swerved and fell, oh my god, and these stinkers are crying for wages, I wouldn't even give them minimum wage for their performance, even an illiterate can do it there, Saturday is the meat processing plant, never there don't send a grandparent because they treat them like manure and I'm not kidding, they can't even detect streptococcus, those amateurs, I'd rather die at home than go there, believe me

The worst hospital in the world, shame, you can be ashamed of me, we have a mother hospitalized there for a long time, and my mother complains that I beat her there, the nurses have no idea 😑😑😑😬

I have to agree with most of what has been said here about the OdCH ward primary, as we have been to this ward far too many times over the past three years, we have had the opportunity to experience her condescending behavior first hand. This person really does not belong in healthcare.

Allow me to draw your attention to the experiences that we, as a family, experienced in the Department of Adult Diseases (ODCH) in Rožnav, under the leadership of Dr. Dovalova. I am writing to you with a sense of sadness and deep concern because we have lost two beloved members of our family in this institution in the last year. In the first case, it was about our grandmother, who was already in advanced age and her state of health was unstable. This fact is understandable in our perception, but the second case hurts us immensely. Recently, here in this department, a young patient from our family died suddenly, without warning and without a clear explanation. We leave these experiences with a lot of unanswered questions. Despite our repeated attempts to get answers and clarity from the hospital management and Dr. Dovalova, we were ignored. At a time when we would have expected empathy and transparency, we were met with reluctance and silence. I would therefore like to express my concern and warn other families. Trust in medical professionals is key, but it is important to remember that we have a right to be informed and to demand answers. Do not ignore any doubts or ambiguities that may arise about the health status of your loved ones. Please, if you find yourself in a similar situation, don't play with fire. If you have suspicions or misunderstandings, do not hesitate to contact the relevant authorities. In moments of unexpected loss of a beloved family member, we must not be silenced. Please keep us in your prayers and thank you in advance for your support and understanding during this difficult time.