Surgical treatment of congenital pseudarthrosis of the tibia in 137 Orthopedic 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.

I had to attend the oftalmología urgencias department and the four staff present treated me fantastically. This was on Saturday October 7, and they were busy all day. I had lots of tests and was given an appointment to return on Monday to the main department for a revision. Spain really has the best public care in the world, I'm sure of it. Muchas gracias.

The urgent care facility is dirty, poorly organized. The staff engages in unsanitary practices: trash receptacles-including those that take hazardous waste are left uncovered, and you often see trash littering the floor around the trash cans. Also, multiple patients are asked to sit and lie on the same paper covering on the examining tables. I saw this in multiple examining rooms. The doctor who cared for me, Manuel Luis Gomez Blanco, was rude, impatient and haughty. He tried to dismiss me after treating me for only one of the ailments I came for. It was a very unpleasant experience, but I was able to get the treatment I sought. I just should not have had to deal with such an unprofessional environment and uncaring treatment by staff. I am fortunate my ailments were not life threatening.

I didn’t even want to give you a star. First this La Paz hospital is not friendly to English speaking patients. For international tourists or expats! You will die here . I brought my daughter to their ER. She was having shortness of breath..due to her asthma exacerbation. they made us wait for 3 hours but no treatment given nor tests done. Horrible private hospital. I went to see the doctor to tell her that my daughter needs to be nebulized. Instead of talking to me properly. They sent me out because none of them speaks English and they said wait to be called ! For 3 hours of waiting nobody gave my child management nor diagnostic procedure ! They didn’t care as to what I was pleading for . i will complain to Adeslas my health insurance and will make a report on this . I’m a dermatologist and a medical journalist from the philippines. I know the management to asthma very well. Their doctors/ nurses are all rude and with no empathy to patients. They should have. English speaking representative for the tourists coming to Spain. It’s pathetic that they have no treatment .-

Awful. Patient Management is closed when it have to work. No response via phone to ask why you must pay specific amount of money and for which services. Huge respect for doctors, but management of clinic is awful and they deserve even less than 1 point out of 5.

After almost 30 hours, they still don’t know when they can perform surgery on my kidney stone. They only gave me 5 glasses of water! When I asked them about my situation and the plan, nobody answered! I’m thirsty, hungry, and in pain from the stone for more than 1 day. This is simply the worst hospital I have ever seen in my life!

Unfortunately but I have a pleasure to have surgery on pancreas cancer here. UK NHS said its noopetatable😬. The rooms 10 stars out of 5🙂, super clean, staff constantly checking on you, everything went smooth and pain free(thanks to epidural and painkillers). I have been sent home when I was ready, no complications and, 7 month out and good so far. Highly recommend, plus beautiful town which I was able to see before surgery.

Swedish healthcare in a nutshell. Low quality and racist doctors since free doesnt always mean better. If you dont want to die, travel to a nearby country for 21st century medicine. Also if you read the comments below foreigners all agree. Its only swedes who think their healthcare is amazing. They think that because they compare it to US and feel grateful its ”free”. If you have to wait weeks and months to see a doctor and get a proper diagnosis for even the simplest things; its not worth it and you can die, loose productivity. Its much better if its more expensive and quicker.

European exchange students. Broken finger. We were sent to a private clinic despite having the European Health Card. It seems easier that the pacient goes to a private clinic and pays and eventually and luckily gets their money back from their Social Security than giving them a proper treatment and getting the money from the origin country. Shame

Backward medical system even 100 times lower quality as much as Nepal Especially the old(head?witch?) nurse in emergency reception is killing patients slowly.

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

I had a horrifying experience with Manuela Soares. I do not wish to post my personal details here, but this woman should NOT be allowed to see patients. I filed a complaint and the hospital said they “investigated” but didn’t contact me or make any attempts to solve this issue. Better to be safe and go to Luz Hospital.

I've been to this hospital 4 times in 6 years and always had a very good experience (as good as it can be while sick or injured). Staff and doctors are friendly, speak English. It's well organized, services are pretty close to each other and we're given good guidance. The service coverage by insurance is excellent, I've gotten out of here with consultation + 4 exams done including multiple X-rays and blood analysis paying only 20€, while clinics charge 70 for a basic consultation. If anything, material seems insufficient: I've seen cleaning staff having to ask doctors for gloves and my doc's computer froze regularly, stalling the consultation ~15 mins.

Simply disgusting quality of service from the administration. I give them one star! Alternatively, the hospital management enter the kpi for their work. The more people you serve, the more your salary will be, because it’s unbearable, they do everything they want, just not their work.

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.

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 🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼

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.

I went to emergency at 9 pm. I got bleeding from my uterus and very painful Stomachache, I am bleeding non-stop like 3 days continuing and the doctor asked me "Why are you here?" Asked me two times and I explained my symptoms and she told me to take pain killers without checking my bleeding things. PS. I am not on My period right now and I am still bleeding until now! What a Unprofessional Doctor! No any patients would like to go to Emergency if they really do not need help!

We were in an emergency situation where we were informed to reach the BDU department. Unfortunately it was the wrong department for the treatment which was needed but the BDU department saw to it that they won't even touch the patient who is in excruciating pain. They didn't even try to give the patient some kind of pain medication. After an hour we reached the right department and they were in horror to see the patient and surprised why the BDU department didn't do anything. Thanks to the urology department, we got the right treatment on time but the negligence of the BDU department and how they shrug their shoulders off is something I had to write here. I hope no one else goes through this..

Thanks a lot to all team of Palliative department for care support and warmth to my father!!!

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.

I would like to record all my gratitude to the pediatric team at Portland Hospital. My daughter underwent surgery and we were well taken care of. I want to give my special thanks to nurses Charity, Roberta and Priya, they were attentive and very affectionate with me and my daughter. Hospital food was surprisingly wonderful. Thank you to the whole team.

Great experience having a baby here and also a minor surgery post birth. We love the quality of care we always receive from the specialists, doctors and consultants we’ve worked with. Always wonderful.

We attended a hematology pediatric out patient appointment. We were pleased with all aspects of our daughters care. Especially the specialist knowledge and skills of the consultant. The speed at which we were seen was great- resulting in a positive impact on the whole families health. Thank you

I attended the Urgent Care Clinic at The Princess Grave hospital and I was blown away at the level of service offered. All the team, medical and support staff were outstanding. I was seen very quickly, issue addressed and I was discharged in less than an hour. It was excellent value for money for the service offered! Thank you.

I recently underwent a robotic prostatectomy at Princess Grace Hospital. From start to finish I had an excellent experience. The facilities, staff and expertise were of the highest competence and quality. All services were delivered with great empathy and care.

Fantastic hospital with exceptional staff throughout. Was nervous for my first surgery experience and I couldn't have been in a better place. The private room and provisions were comfortable. The food was of a very good standard. Staff were very attentive and strive to provide the highest level of service.

My Mom has just spent the last week at Parkside Hospital and I have nothing but praise for the hospital and staff. Special mention must be made of Sylvia and Eric, they are amazing. I found all the Staff very friendly and the hospital was lovely and clean, the food was great too. Thank you for making this week so pleasant for all of us.

I am feeling sorry that I am writing this review, but that's exactly how my care experience at Parkside suite was (September 2022). I must say that the single night I had to stay there after my surgery was the poorest care experience I ever had in my life, due to extremely rude nursing staff at the night. As I was shifted at Parkside, the nurse very rudely refused for my family to see me at all since the meeting time was just over. I understood the meeting time thing but shared with her that my husband had brought my three very worried, young kids to see me for 2 min, only because the Post Op nurse herself said they would be allowed to see me after I was shifted at Parkside 'as an exception' (reason because I was expected to go home after my day surgery but was admitted due to pain issue, so Post Op nurse said that this very short meeting would be allowed as an exception), however, the meeting never happened and my kids went back after waiting in the car parking for more than 1.5 hours. Well, at least I saw my husband who reassured the kids that I was fine. After my husband left, I asked the nurse how I could call someone if I needed anything, and she literally threw the bell on my bed. I was shocked!! and worried about spending remaining part of the night while facing such rude behaviour. Later on, when I requested the nurse if she could hold my hand for going to the toilet, she reluctantly did but asked me to hold the IV stand by myself with my other hand. I can't blv how being in the care profession a nurse couldn't understand how much pain a patient possibly can be in, literally within few hours after a surgery and still asking the patient to hold & drag the stand by themselves. All the night the two nurses kept making loud noise in the ward walkway, to the extent that it was hard to sleep at all. Every time, the nurse would come in my room and would take my BP and temp, waking me up but without speaking to me. None of the two nurses who I saw introduced themselves, I myself checked their names. None of the time, anyone asked me if I was in pain or if I needed any pain killer until I myself asked for a pain relief in the morning. The way I was treated made me feel that it was my fault that I was in pain and needed to stay there, so I had to tolerate the attitude. Never expected such an experience straight after a major surgery and while going through extreme pain. The next day staff were nice as well as caring, I got discharged in the evening next day and was so grateful that I didn't need to bear the same attitude again. Please improve the facility. A patient is already in so much pain and expects sympathy and care, not stares and rude attitude. Kind regards

I was an outpatient yesterday at parkside wexham. I just wanted to say how friendly I found everyone and the food was fantastic. The lasagne was the best I have ever tasted anywhere! My only minor complaint would be that I could hear another patient’s TV the whole time, but that would not stop me from highly recommending parkside.

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!

We went to Teknon for the birth of my son. I can't say good enough things. The reception was friendly and helpful, the doctors, midwives, and nurses were all so nice and helping. All the doctors and midwives and some of the nurses spoke very good English with us. Even the ones who couldn't, tried their best to communicate effectively. The hospitality was very good, we received nice accommodation and great food. After birth, our son needed to be admitted to the ICU, and they took very good care of him there. When being discharged, they helped us by providing all kinds of useful information and even offered us their phone number to ask our questions later. They also gave us gift boxes and many extra diapers, baby milk, etc.

Performance, quality, professional care and human treatment. In Dep. 121-122 Traumatologia there are the best Doctors you can imagine. Behalf myself I have the best!! expirience with Dr. Casañas and Dr. Pedrero who did a real, real great job giving me a new artificial knee a few dayus ago. Thank you very, very much! greetings from Herbert

I've tried to book an appointment for a general medical check-up, in multiple occasions, both using the form on the website and calling to the phone on the website. On the phone, I provided all my contact information again, and the company told me that they were an intermediary and that the Teknon Medical Center will call me back. They never called me back nor sent me an email. What do you do with the information that you collect if you don't contact the people, at least to tell them that you can't offer them an appointment?