Drug-resistant epilepsy treatment in 170 Neurosurgery and Oncology clinics in Europe

Shock, nurse, one, second, third.....receptionist, unpleasant, important, reluctantly, the right hand does not know what the left hand is doing, they think that all patients are from BB. So they exaggerate you unnecessarily, because it doesn't matter to them, never again!!!!

Today's experience On September 10, 2023, we brought my uncle to the Department of Vascular Surgery. 11.9. they are going to operate on him in the morning. The experience happened when the nurses were admitting him to the room, one of them said come, you can go, because it was visiting hours and there were two of us with him, we wanted to unpack him in the room, but when I was walking through the corridor, there was a shout, where are we supposed to go? That we are supposed to go to Kaufland..., I don't understand, one says she can and the other is a rude, disgusting woman, I can't call her a nurse. How to treat relatives of patients? How serious? I'm a psychologist and I can't afford to treat people like this, to anyone. This has nothing to look for in a hospital, you need to communicate tactfully and work with humility in hospitals. It's sad, you want to help your relatives, right? I just wanted to carry my bag and you are blamed for it in the hospital, where that understanding should not be missing.

Super

Our daughter came about 6 weeks early tonight. The entire team at the children's clinic really took great care of us, my wife was looked after very well and everything else was also explained to us very well. Many thanks to the sisters who supported us so well during the birth and guided us through everything in a relaxed manner with so much patience and empathy

Worst hospital in all of Bremen! On the evening of September 20, 2023, I was at the doctor's on-call service due to severe abdominal pain. When I got there, there was no one in the waiting room and I was taken straight away, which is actually very good. But when I described my symptoms, I was immediately insulted as to why I was coming for a stomach ache and why it was costing me unnecessary money would cause and that stomach pain is normal etc. and the doctor was extremely rude! I wasn't checked either and was sent straight home. I don't remember the older doctor's name. But he definitely wasn't interested in his job. I was so shocked that I left in tears. Of course my pain didn't go away and 1 day later I went back to the emergency room at St. Joseph Stift Hospital and found out that I had appendicitis + inflammation in the ovary. Very very disappointing this hospital, especially this doctor.

Everyone was lovely and caring hospitality team is great 👍

I want to praise the whole team, from the paramedics to the doctors at the emergency department /Nova nemocnica 7.12.2023 / the team of Mr. Mudr. M. Tomášikova....it's been a long time since I met such a humane, kind empathetic approach❤️And with a smile on her face, we immediately felt better. Thank you Ladislav Č.

We needed a wheelchair for a patient with a disability. You will be sent to the department where you are to be treated at the Utgen primary. In our case, the 15th floor. On the 15th, they told us that we should ask for a wheelchair at the central department. Then go back downstairs and convince the staff there to lend it to us. Ingeniously solved services for patients who waited outside in winter for 35 minutes leaning against a pillar because they couldn't move. It's a shame that I can't post a photo of this communist truck!!!

I came here with a broken foot but I was denied treatment because I don’t speak Slovak.

If I could give zero star I would. This is for the emergency service. I woke up this morning with pain in my right hip joint that gradually got worse to the point where I could not sit, bend over, or walk. I could only use the toilet standing up, and could not make any movement from that hip joint and leg at all. My whole leg would feel numb when attempting to walk. Around 10 pm the pain got so bad, I almost called the ambulance. I have been a nurse for 9 years in the hospital setting, I know something is very wrong. I took some pain medications and laid down for 4 hours to have the pain decrease enough to go to the hospital. Thankfully this hospital is across the street for me, so I thought I would use the little strength I had to walk over and be taken care of. The lady at the desk looked at me, checked me in, then called me back up to tell me the doctor will not see me because it is not an emergency. And gave me a list of doctors offices that I could go to. I was not given the decency to be seen or assessed by a doctor, or even a nurse. My hip literally feels like I have dislocated it. What is the sense of going to a doctor’s office when they don’t have xray or any imaging machines? This hospital/ and it’s staff should be ashamed of itself. I would not recommend anyone going here. You will not be taken seriously. I work at Erasmus MC, it is further away, but I will try my luck there in the morning. PS: I just moved to Netherlands a week and a half ago, and started work a week ago. My insurance has not yet been activated but I explained that I could pay out of pocket and had no issues doing so. I would like not to think this could have been a reason I was turned away. But my interaction with the receptionist and the questions she placed emphasis on has left me wondering.

I personally had a good experience. They treated me accurately. Thanks

Excellent hospital, professional and very nice staff.

Many thanks for the kind heart and golden hands of the MFC headed by Sufiyanov Albert Akramovich, NHO #3 Nabiev David Nodarovich (they performed a complex multi-hour operation), all the doctors, nurses, nannies, kitchen workers. Your motto is life in a clear mind! And on my own behalf I will continue it - and without pain!!! Magnitogorsk, Natalia Vitalievna Baturina.

Good afternoon With deepest gratitude and gratitude I leave my review of the Federal Center for Neurosurgery (Tyumen). FCN in Tyumen is a modern medical institution with the best equipment and world-class doctors with golden hands! Many thanks and low bow to Professor Albert Akramovich Sufianov and his team for the most complex operation they performed on me (08/14/2023)! Heartfelt thanks to the entire team of the 4th neurosurgical department (neuro-oncology) for their sensitive attitude and care, for their attention, patience, and professionalism! Health and happiness to all of you, your family and friends! Thanks for your hard work! Sincerely, Chudinov A.E.

She had spinal surgery in Tyumen at the federal center. To say it's good is to say nothing. I am delighted!. Doctors, nurses, orderlies, kitchen. All at the highest level. Dorodnev Denis Vladimirovich!!!! ZaV. Department Nabiev David Nodarovich!!! Thanks a lot.

A very cool center of those in which there were, top-class service, attitude of employees at 5+, many thanks to the neurosurgeon Gogolev Alexei Vladimirovich, for the successful complex operation on my husband. I wish you health and well-being in everything! Thanks to all the employees who work in this center.

Hello, Federal Center for Neurosurgery, Novosibirsk You are the best! Deep and endless gratitude to the head of neurosurgery, Anton Vladimirovich Kalinovsky, for carrying out the most complex operation on my daughter Marina, 3 years old, YOU are a master of your craft and an incredible talent of medicine! I would like to wish you good health and limitless opportunities given by fate. All the best and brightest to you that this life can offer you for the best people! A huge THANK YOU to the head of the children's department, German Vladimirovich Letyagin, and the attending physician, Vasily Evgenievich Danilin, for your hard work and high professionalism, for the health and lives of our children! Heartfelt gratitude to all the medical staff of pediatric neurosurgery for your warmth and care for each patient! Good health to you and your loved ones!

They made my mother disabled. After the operation, they insisted that she would walk, instead of admitting the medical error. She can’t even eat on her own, a year has passed. Why give false hope? So that people don't go to court?

Good day. My name is Olena, I am from the city of Khmelnytskyi. I am writing my review in this format to show the REAL picture. On March 27, my mother was operated on in this center (brain tumor) by doctor Taras Stepanovych Gavryliv. To say that I thank him is not enough. Because he is a doctor from whom everyone should take an example. Responsible, tactful and, in general, professionally treats his patients and people in general. It has been more than half a year since the operation. My mother feels great. She speaks, she is not paralyzed as they told me in our hospital, as they told me in Kyiv. I will also tell you that I don't have a week without people contacting me to get some information, feedback. Because I understand the things that I myself had to go through. But in the center of Neurosurgery, everything is so well thought out, everything is so professionally selected that you fully surrender yourself to the doctor and are no longer afraid. I read a bad review about resuscitation. I do not know of such a case, I have not seen with my own eyes sloppy treatment of people on the part of the staff, and I myself, believe me, do not have a very good character!!! The doctors in the intensive care unit looked after the patients normally and professionally. I was even amazed, and I saw and heard the feedback of other people, patients. I was once given such advice that I would listen to my doctor with my heart. Так і сталося ! working from 8 a.m. to 10 p.m., doctor Taras Stepanovych also held online consultations late in the evening. And he did not pick up the phone, did not grumble on the phone, but on the contrary, gave answers calmly, answering questions, reassuring. Я дуже , дуже рекомендую цю клініку і свого лікаря . Я писала пост в фейсбуці на рахунок лікарні ,щоб люди знали що є таке місце де допоможуть , де не скалічать , де не стоіть питання перше - скільки ви маєте коштів ! я зверталася по місцю в нас в управління охорони здоров"я , з питанням - ЧОМУ ????? чому в нас не можна таке зробити всюди ????? в кожному місті !!! Чому в нас діє тільки коррупція . А питання о житті паціента стоіть на останньому місті . ? Я не бот , я не наймана людина центру Володимира Смоланки . Я - звичайний пацієнт . І дуже дуже дякую лікареві Тарасу Степановичу та його команді за спасіння моєї мами . Бо коли ще живі батьки, то і діти почувають себе - дітьми .

3 weeks ago, I came to this hospital for rehabilitation, but it turned out that it was necessary to perform a lower back operation and correct the mistake of another doctor. Thank you very much to Dmytro Serhiyovych Sikorsky and Oleksandr Oleksandrovich Yarty for correcting the mistake and taking care of me throughout my stay in the hospital. Thank you for teaching me how to sit down and try to stand up. Regarding rehabilitation, we can only wish for the best. While the head of rehabilitation is Kateryna Oleksandrivna Zinov'eva - I do not recommend it.

From the bottom of our hearts, we would like to thank the best professional in his field, MYTRIK IVAN IVANOVYCH, and his well-coordinated team for their true professionalism. Ivan Ivanovich is a doctor from God and a man with a capital letter. A huge thank you and a low bow for your work, patience and sincerity, for your golden hands and for a successful operation for my mother, who once again experienced the taste of life, namely walking on her own feet, without any help. THANKS.

I would like to express endless gratitude on behalf of Antonina Alekseevna Polyakova and on my own behalf to the neurosurgeon Said Dzhabrailovich Radjabov. Thank you for your professionalism, effort and kindness. For the fact that this world and the people who need you so much have you! It was not in vain that you chose the profession of a surgeon. Having received the talent of a doctor from God You work so selflessly, saving people, sparing no effort. You took the Hippocratic oath to heal people, to save them from harm! Bring back joy to life! You have achieved a lot in life, With your labor and your mind, forgetting about your rest You have a soul and hands of gold, All patients know about this. When you received payment, your faces brightened and the pain went away. Hope appeared among people That the sorcerer doctor will save them. From all the sick people you saved I bow to you deeply! Polyakova.A.A.

She was operated on on September 14, 2023 for an aneurysm of the main cerebral artery in the Department of Neurosurgery of the Research Institute named after. Polenova St. Petersburg under the leadership of Andrey Evgenievich Petrov. Many thanks to all the doctors of this department and personally to A.E. Petrov for the superbly performed complex operation. I would also like to thank the nursing and junior medical staff of the department for their kind, humane attitude towards patients and high professionalism. Thanks a lot. And special thanks to the chefs for the food. This is the first time I have been fed so deliciously in a hospital. With gratitude, Chernenkova Lyudmila Vadimovna. Kaliningrad.

A year has passed since the most complicated spinal surgery. Everything is fine with me! Once again, immense gratitude to Eldar Akhmedovich Akhmedov! You brought me back to life! And to all the staff. - kind, sensitive, patient - true professionals! Timoshenko Larisa

I live in the USA and was in Paris for vacation. I developed tachycardia on the flight to Paris, which was completely new for me. It lasted over 3 hours and the flight attendants summoned a medical doctor who told me to be checked in Paris. Necker urgent care was the closest facility to where we were staying. Upon walking into their urgent care area, I felt I was walking into a hospital from the 1940's. It was hot, dark and filthy. It looked like the old asbestos tile floors had not been swept or scrubbed in months (yes, I am assuming they were abestos tiles based on my experience with a similar floor in my home). The windows were filthy as well. Paint on the wood trim around the windows was chipping off. Just beyond the waiting area stood an old fashioned hospital screen on wheels. I had not seen one of those since the 1960's. After waiting for an hour, I lost confidence in what I would encounter with medical care and left. I hope this was a really bad example of a medical facility in Paris. I was told later I should have gone to the "American hospital" which no one had told me about beforehand. My taste of "free medical care" in France was not a good one. I hope my impression of their healthcare system was incorrect for the rest of the country. I do want to point out that I was able to enjoy my time in Paris and loved so many things about it. I am grateful for that experience. I am back home now and receiving good care for the condition I developed enroute to France.

I brought my daughter to this hospital early Sunday morning after she received food poisoning from a five star hotel. The staff was awful. They hire people who can barely speak French. Only the MDs were pros. After waiting for almost three hours I finally stopped a male MD and asked if he could see my daughter. Otherwise we would leave. He did and she was discharged shortly thereafter.

Worst hospital experience ever. Really increased the risk of delivering our son, unnecessarily. For weeks mid wives kept threatening there is a risk and we have to induce labor while all the data show that the infant and the mother are healthy. My wife was constantly stressed. When we ask what risk is there, mid wife just says “death of a baby”. Who uses this word in a hospital when there is no real risk? When my wife did start having a contraction, we went to the emergency service. They made us wait for 7 hours stating they are short staffed. There were actually quite a few staffs but they were checking their phones or chatting. We were disheartened but no one showed an interest, no one came and ask if we were doing ok. I repeat, it was an “emergency service”. After the seventh hour I asked when can we be taken care of. They said “we can’t, not enough bed, not enough staffs today. We will have to put you in another hospital”. Well what were they going to do if I hadn’t asked? Left us there unattended for another seven hours? They slowly started looking for other hospitals. Many were also full but finally there was a nice one available just outside Paris. Necker people said “ambulance will be here in 30 minutes”. Of course it took 90 minutes until we finally got to leave this horrible stupid hospital. Thanks to the nice second hospital, the baby was born in 12 hours after we had moved there, safe and sound. Maybe we just had a sequence of bad staffs at Necker. But for the entire time we commuted there and visited at the day of delivery, unfortunately we hardly met anyone there that cares or even shows a remote interest in patients. .

First call to your secretariat to make an appointment, and I might as well tell you that the secretary should review her way of responding and explaining things without necessarily being haughty, and ridiculous as she says so well. .

This hospital sucks, avoid this hospital as much as possible!!! Went to the emergency room with my daughter for her ear, the doctor says wait a minute and after waiting half an hour it didn't come off anymore, but he was walking back and forth in his workspace .... grrrrr we are just left without further information.

People's health no longer comes first, is a commercial hospital just like all other hospitals, there are a few good doctors but also a few serious bunglers: Dr. De Kelver, Dr Segers, these are not good Dr and have no conscience...

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.

On November 21, 2023, I underwent knee arthroscopy. Heartfelt thanks for any help, care, advice and, above all, the professionalism of the doctors, nurses and staff on duty.

On November 24, I was at the emergency clinic. The approach of the nurses and doctors was very professional and humane. Thank you for everything and I wish them good health and patience in their demanding work.

I was there in the emergency room with my 1 and a half year old son when he cut off his belly on his finger. We didn't wait, they took us right away, there were wonderful nurses who calmed me down too. They played songs and sang to their son while they sewed up his finger, and there were also students trying to cheer him up. Before I left, they also packed bandages, gauze, etc. if I needed it at home. I was very surprised by the approach and I'm glad that I came across a great shift.

Today I went to ORL department at ST Michaels because of the pain in my left ear. While sailing on Danube we were just passing by and I had to run and jump in without appointment. Not only did the MUDr. Matúš Čentéš find the time for me, help me with spot on diagnose and best treatment, but he also went his way to show me where the pharmacy is, he took a few minutes out of his busy schedule to explain prescribed medicine. He is the true role model for his proffesion. Doc I hope you read this, I wish you all the best, may God bless you and keep you. Thanks again. Elmir

I needed immediate medical attention and they sent me away to another hospital 10km away because I’m am neither a policeman nor a firefighter

Hospitality perfect, the servis too. In different hospital they wanted to operate my hernia discs, i relocated here and in 3 days they fixed me up prkperly wothout operation. Thumbs up! Also food is much better then other hospitals and doctors are very friendly and will always properly explain whats going on and discuss various options for you. I will reccomend this hospital anytime!

I feel sorry for the old people. I brought my grandmother to the emergency department of this hospital on December 1, 2023. My grandmother was bitten by a street cat and needed to be vaccinated. We were told that she would be discharged tomorrow. 1. Left until Monday. 2. THEY HAVEN’T TREATED THE HAND ONE TIME IN 3 DAYS!!!!😡 Grandma asked to treat it, but no one moved. THE HAND HAS FALLED!! Now you need to see a surgeon urgently! 3. In the emergency department, they took blood from a vein and left a huge bruise. We sent the grandmother to the toilet to give urine, it didn’t close, the plastic jars for giving urine were not new. 4. They took a very long time to process us when we arrived, but they discharged us at the speed of a bullet, without waiting for me so that I could talk to the doctor. He can write to the Ministry of Health that in the 5th hospital there was no iodine or other disinfectants, antiseptics and bandages ♀️ 🤦🏼 and ask them to provide all this to the hospital.

I express my gratitude on behalf of myself and several other patients. We underwent a not very pleasant examination, but what a pleasant attitude from the medical staff was. personnel. A very attentive, tactful, responsible team did their job perfectly. Thank you: Nikolaenko Olga Gennadievna Head. endoscopic department, Alexander Sergeevich Stanilevich, anesthesiologist, Svetlana Gorban, anesthesia nurse, and Elena Vladimirovna Dichkovskaya, nurse. I wish you health, success, happiness and prosperity!

I spent a couple of days in the hospital in the 1st surgical department for examination. I would like to express my gratitude to the medical staff of the department and special thanks to the doctors of the diagnostic department: doctor I.V. Goroshko and nurse A.A. Kamissarova, doctor A.S. Biruk and nurse T.N. Koloshko. After all, we patients are often capricious, with a feeling of fear before the procedure, these people, even at the end of their working day, calm us down with a kind smile and calmly do their work. Thank you very much, doctors by vocation.

I then waited two years for an operation. After the operation, I did not receive any information about the course of the successful operation, its success, nothing that a patient could expect from his doctor. In addition, the one who operated he took me under his care for the third time, this also shows that I have the utmost confidence in him as his patient. However, I'm sorry that the doctor didn't have enough humanity to even ask if everything was okay after the operation. I understand that we only want a piece of meat at the slaughterhouse, but I don't like it. I had no problems with the nurses. They do their job as best they can. That's why I was lucky with other doctors here, who do excellent work, and a bit of humanity was squeezed into them, which, let's face it, doesn't hurt if you have it, it's half a cure for the patient. Unquestionably, I trusted him to the fullest.

Specialist neurology clinic. Humane, helpful specialists, nurses and nurses. The clinic's entire staff and equipment are to be commended.

Always busy but always proper treatment.

I recently had a consultation at Dr Rose. I was told several times before going in for the examination that the price is 210 EUR. I even confirmed at the reception again before going in. After the consultation I was told it is now 360 EUR as the doctor did an ultrasound. I did not ask for this extra test nor was I told during the consultation that this test will add an extra cost to the agreed 210 EUR. After querying this I was told that I should’ve asked what my consultation includes as it’s my first time at the hospital!! I find this very bizarre as I book for what I need and confirm the cost before and they just take it upon themselves to add extra tests without asking the patient first and then request payment as the test is done now.

The ENT missed everything possible to miss .. probably bc he barely looked into my nose and mouth due to being scared of covid which is utterly reliable but he accepted patients yet I had my covid test so I refused to pay a penny more than 210€ which I assumed will take longer than what I had... missed my sinusitis in 2022, constantly felt ill and since the ' prestigious dr rose said nothing is wrong with my nose or throat ' I went to everywhere else..ended up having GERD from post nasal drip for months ....literally the ghettoest place for hight price..the view is beautiful but that's it...

I had an eye issue (retina) and Rose was the only place in Bp. willing to give me an eye specialist appointment. Excellent eye exam, assured me that I can safely travel back to the US for further treatment..

Fantastic experience on two seperate occasions. I saw the Dermatologists and had bloods taken. Professional and friendly staff. I highly recommend their service.

Posting on behalf of my unwell partner, Helen. I had an email on 21st September cancelling her appointment in the ‘long covid clinic’ (she doesn’t have long covid…) and assuring a deposit refund in due course. It’s now two weeks later and no sign of the refund, which is not an inconsiderable amount of money. Very concerned about why they can’t seem to access our money (and other peoples by the look of it) to return it to us. We also thought it very bad practice that the cancellation email was a ‘no reply’ address and they don’t appear to have another email address. I have contacted them via their website contact form but of course have received no reply. I will now be contacting Citizens Advice regarding how to progress with this issue. In Conclusion: BEWARE.

This clinic is appalling. The only good thing about this clinic was the doctor who I saw who has now left - speaks volumes! My appointment was cancelled weeks ago and I STILL haven’t received a refund. I never received a copy of the doctor’s letter and neither did my local GP surgery which is partly what I paid for in my initial fee.

Good treatment center. The doctors and medical staff are wonderful. They performed an operation on my husband and gave him back the ability to walk. My great gratitude. There is a minus, but it relates to the city authorities; parking spaces have not been thought out. This is some kind of horror!!! Parking is impossible. A line of cars along the road from stop to stop and beyond. There are no places for disabled people at all.

26.10. In 2023, I had an operation to remove a neuroma (neurosurgeons Kakaev A.M. and Stankevich S.K.), everything went well and I am very grateful to them, professional, polite and attentive doctors. All the service staff are good and know their jobs. Thanks to this center for its work.

The service staff is good. But neurosurgeon A.M. Kakaev and Stankevich S.K. butchers. All they have to do is cut up the wild boar and separate the fat from the meat. A neuroma formed at the suture of the ulnar nerve after neuroplasty, which caused pain in the fingers. At the consultation they said that it would not be a problem to remove the neuroma, it would not affect the motor skills of the hand, and the pain would disappear. As a result, the integrity of the nerve was compromised and the pain increased two to three times.

Drink water taste is terrible. Food is disaster. Often I got completely different meals than the one I ordered or miss a lot of options like fruit or vegetables. You can’t even have proper hot water for tee. Coffee is too privileged to be discussed here!!! All this would have been solved if i wasn’t locked in the nuclear medicine station, but since I’m not allowed to be visited or to go out, i couldn’t provide myself with proper water or nutrients. I really hope when i come back in 6 months from now, that you improve the situation. If i can give you negative star i would have done.

The care provided to our child before, during, and after birth was exceptional. Both my wife and baby are now in excellent health, thanks to the dedicated team's utmost care. We appreciated the English-speaking doctors and nurses, which made it easy to understand our family's health progress during our 5-day stay. While there was a minor concern about the lack of a doctor's visit for my wife, it's worth noting that doctors were regularly visiting for our baby's health. Overall, we are grateful for the excellent service and care received at Helios Hospital. Thank you! ❤️❤️❤️

So far, so good. Easy parking, lovely location, good restaurant. And the service I have received from the 3 departments I visited was 1st class. Well done.

Went to the ER one Wednesday afternoon, around 13:30. The receptionist saw I was in pain and explained I had taken the wrong password ( you have to press "Consulta Permanente"). She helped me with that and in less than 5 minutes I was called and directed for treatment. Waited about 40 minutes and was seen by Dr. Ramon Maldonado Acosta. Very kind, attentive and in no rush. At 15:00 I was already home, having been to the pharmacy as well. The hospital charged 73 euros. I think it was well worth it. I was in a lot of pain & discomfort. Staff & doctor were really nice.

Amazing service. After going to Loulé public and then Faro, neither surgeons were able to get the foreign body out of my toe and I was told to leave it despite agony and not being able to walk. I attended Hospital de Loulé in desperation for a competent Doctor to assist and I was privileged to have Dr Ruben as my surgeon. What a genius! 1.5 hours from initial GP appointment, xrays and surgery and the extraction was a success. Amazing, wonderful staff and beautifully clean, calm hospital. Thank you everyone for my incredible experience.

Staff are very polite, but to get through to the Hospital on the telephone is almost impossible. The recording is absolutely a waste of time, if you listen carefully it says ‘your call is important to us and we have recorded your number and we will call you back’ They never call back so you try again and wait for them to answer, which can be over 30 minutes .