Hip infection treatment in 299 Orthopedic surgery clinics in Europe

I was very disappointed with the doctor, instead of curing me and solving my problems, he only referred me to treatments that I didn’t need at all. Thanks to the wasted time, my illness worsened. I am very sorry that I did not turn to specialists. I was booked in for a remote consultation where a doctor with 21 years of experience made a diagnosis and told me about the limitations. When asked what limitations I have, she didn’t even answer, saying that the diagnosis was not made accurately. People should not go to this clinic under any circumstances; they will make you worse instead of curing you.

I accidentally pinched my ring finger in a door, resulting in a subungual hematoma. I contacted a surgeon at this clinic. They did not postpone the operation to remove the nail; everything was done immediately on the day of treatment. The impression of service is positive!

I practiced judo for many years, but unfortunately, after an injury to the meniscus of my right knee, I had to say goodbye to the sport. The question arose of how to get rid of the pain. This is the second year I have been receiving treatment and observation from Sredin Konstantin Evgenievich. A competent doctor, he understands sports problems well. I forgot about the pain, thank you!

Physiotherapists are nice and helpful

Spoke english. Were empathetic. Moved fast.

Would like to say a big thank you to unit 8 of cardiology to all nursing team and doctors specially to doctor Oskars Galins they took care of my mum because I couldn't be with her . Thank you for your hard work.

I would like to express my gratitude to the entire ophthalmology department of the State Institution RCMC. Namely, doctor Irina Arkadyevna Puchkova, Lyudmila Leontyevna Kaplich and all the medical staff. Ya, Gorbachevskaya M.E. 06/27/2023 I had surgery to replace my lens. All the medical staff are handpicked. Friendly and polite people. Lyudmila Leontyevna is a doctor from God. I was so excited! But thanks to the attention of the girls nurses, thanks to the confidence and calmness of the anesthesiologist and microsurgeon (Kaplich L.L.), my excitement simply dissolved. The operation went smoothly, clearly, in a word, professionally! The whole team is top notch. Fantastic job!

Very nice modern building. On the ground floor there is a reception desk, paid services, a cloakroom, a cash desk, toilets, a pharmacy, a cafe, information kiosks from Belorusbank, Belpochta. Electronic queue. Comfortable corners for waiting and relaxing. Information stands with indication of specializations and layout of offices. There were no queues during the daytime. I was satisfied with the visit. Called according to appointment time. Gave professional advice and treatment. Received competent answers to all my questions. As for the prices for paid services - average.

Modern Medical Center in Belarus, Minsk

We can tell Dr. Highly recommend Geibel and his birth team! We felt totally taken care of and extremely looked after. Apparently they still exist, competent doctors with empathy who listen and take their time.

A family member spent a month in different wards of this hospital this year due to cancer. Internal and external communication resembles a catastrophe: • Some doctors hardly speak German • No uniform diagnosis, every doctor told something different • Lack of emphatic behavior in the doctor-patient conversation, pure transmission of medical information • Important PET examination in external facilities had to be postponed because sobriety was forgotten The nursing staff and the senior doctor in rehabilitation, Mr. Krasniqi, who was the only one who tried to build a bond with the patient and respond to feelings, worries and needs, remain positive in memories

Super friendly, patient and competent! Did a great job of sewing my severed finger back on. Despite the painful occasion, the short stay was very pleasant given the circumstances. Thank you!

I had a good experience with Dr Carlos for MRI scans and follow-up appointments. However, the billing team and administration is very unorganized and has caused me a huge amount of stress and suffering. I am a full yinsured patient and they have been unable to submit my invoices to correct insurers, failed to communicate with me when my insurance companies have missed something, and start chasing down payments of plus 2 years old using debt collection agencies. Beware, stay away from the Schoen Clinics as they are very unprofessional. Have never experienced anything quite like this. In April 2023, a debt collection agency contacted me saying invoice over due with Schoen Clinic. I was shocked as my insurance company should have settled this 1 year ago. Cigna subseqeuntly settled the bill quickly on my behalf once I took lead on it. To be clear, I never recieved one piece of communication from Schoen Clinic saying the bill had not been settled by my insurance company and they went straight to debt collection agency even though I have a long history with the clinic as an insured patient. In November 2023, I get contacted again by a debt collection agency. Schoen were unable to tell me in April 2023 that there was also £175 invoice and a fee of £100 that had not been paid by Axa in 2020. Clearly at this point I am losing all hope with the Schoen Clinic and am insulted that they would raise these trivial amounts via agency this long ago. I struggle to even remember what they are for, have not recieved invoices and to make matters worse you cant even contact somebody in person to talk to about it.

Absolutely terrible. Didn’t help my knee at all. Left in the waiting room for 50mins for appt. Then I apparently had £12 bill outstanding. I had a baby. Then I find out they’ve passed the £12 bill to a debt collector who has rolled it up and added a load of fees.

This review is for the administration, not the health professionals, which I will post separately. I attended for a consultation on 14th March and paid an invoice that day which I was led to believe covered everything. At the end of July I was chased for an outstanding invoice of £400 for two x-rays which was supposedly raised on 15th March. I queried it, but to no avail. And only today have I finally received the actual invoice, 5 months late! In view of my being originally misinformed and the delay in providing the invoice, a small reduction? Not a chance!

Waiting time was about 1.5 hours It was already borderline. I urgently sought an orthopedist because of a herniated disc. Unfortunately, the reality is this. Several people rejected me on the phone. I asked for an appointment by email. After about a week the answer came. You can come on November 23rd. After a few days, a lady called me and gave me an appointment to see the gentleman on November 17th due to the pain Kubosh. This doctor did everything right for me. He chose the right therapy for me. He took his time and explained every step. I am very satisfied with this clinic.

Badly organized. After waiting four months for an appointment for a stress fracture in the foot, it was postponed again two days beforehand. There was an alternative appointment at short notice, but I had to cancel it after waiting two hours. It was not possible to say how long I would have to stay in the waiting room and I had to go back to work. If it's already so long to find an appointment, I unfortunately don't understand why the waiting time on site is still so long. Conclusion: The clinic only seems suitable for people with an exceptional amount of time. It may be easier for private patients.

In March of this year, my wife received an artificial hip joint at the joint clinic. She was very well informed in advance by Professor Konstantinidis. She spent a total of 4 days in the clinic... Room top...food great.... Nursing staff very accommodating! The physiotherapist is great! Today she is fully mobile again and has no restrictions. This clinic can be recommended 100 percent.

Super 👌

Very professional stuff. Waiting period is longer so needto be patient.

I had my total hip replacement surgery here six days ago and everything went great. Dr.Ravnihar is great and he took his time to make everything perfect for me. His staff at B2 ward is full of love for patients and find it not hard to do their job. One more thing that was very good to me. Food at this hospital is excelent and some restaurants might be envy of the cook here. All in all,if you need some joint replaced,come here and you will not be dissapointed.

One of the top centers in orthopedics and sports medicine. Professional doctor's. Doctors understand the importance of a quick return to normal life for each person.

Dentist Dr Riikka Vahtera and her team are very nice, kind and professional. The clinic’s facilities and instruments are top notch - the most advanced I’ve seen in Finland, Canada and the UK. I would definitely recommend!

I have been to the dentist. For one filling I payed 300 euro! I know that the dentist work is expensive in Finland but that’s absurd! (One simple cavity filling!!! And it was not even a very great job done) Besides that, I payed 150 at the cash counter and then I received one more letter in which I was requested to pay 150 more because they forgot to add the doctor fee!

Nobody answers the phone (I was on hold for 45 minutes). When someone answered, they were unwelcoming/rude. The doctor was not available for a week she said. The doctor Marcin Panek does not know how to use a computer, he could not view/open my x-ray CD. He does not know how to type on a keyboard (takes very long time to type with two fingers). before even looking at my x-ray(because it would not open on his computer) he said I needed surgery(!?!). He recommended two hospitals/doctors for surgery, but after looking them up I saw bad/low reviews for these places. I got two more opinions at other orthopedic offices and they said surgery was not necessary. He only has 3 reviews on znanylekarz.pl... they do not do surgeries here anymore. EFFI was good when DR Łukasz Budziazek worked there, but he no longer is there. They have changed the name of EFFI to "New medical+"

I have been waiting 3 weeks for a report that was suppose to take ten days, I called to confirm when and they said one more day and now they push me straight to voicemail. I do not recommend. Very unprofessional. Then the doctor told me I immediately needed surgery and a metal plate put in my neck! I went for two other opinions and both others disagreed fully. These people are not good and knife crazy. Scary stuff. STAY AWAY.

[EDIT] After contact with the manager of the facility, who was very helpful and understanding, she arranged for an earlier appointment and apologized for the situation. ----------------------------------------------------------------------------------------------- I would give a minus rating if I could. First appointment they forgot to book it in the system and I drove there 40 min for nothing, no apology or anything, just normal for them.. Second time I arrived right on schedule just to be told I couldn’t go in as i HAD to be there 20 min earlier while their message confirming my appointment only requested to be 20 min earlier more in a suggestive manner. Lovely place..

I went for pain therapy/diagnosis. The final report differs from what was experienced. It lists therapies that I did not receive. After 16 days of stay, my treating doctor changed. I was taken in by an understanding doctor who also recognized the success of my own therapy. Another doctor wrote the final report, which is essential for my future medical career. The report praises the in-house therapy and downplays my personal successes against my illnesses. Now it's clear to me why you only get the report when you leave, i.e. at the door. Painkillers such as ibuprofen, which only numb the pain for a short time, are preferred here. I felt that the pain therapy was standardized. Individual deviations were not wanted. It was difficult or impossible to get used to multiple illnesses and alternative therapies here! The therapists were great. And it's pretty there too. However, there was a lack of opportunities to provide appropriate self-therapy in rooms and equipment (including outdoors). Ordering food was a disaster.

The clinic is very good, my surgery went well, I felt very good afterwards, I can recommend it and the nurses are all nice, just great

First the positive: The food is great, the kitchen team does a great job. For my birthday I received a birthday card from the kitchen team and a small, lovingly prepared fruit bowl. Thanks again for that. Ms. Noak, my physiotherapist in charge, is great, she explains the connections in a way that you can understand. She is sensitive and radiates calm. The nurses on ward 7 are trying very hard, but you can also sense some dissatisfaction, which I can understand. Now about my treatment. I am very disappointed about this, I would have liked more diagnostics, not just a gait analysis. My request for an MRI examination of the cervical and lumbar spine was rejected with the words: “We don’t see any need for that.” The CDs I had with me were already 2-3 years old, but were sufficient for the doctors who were responsible for me. The therapies I had were good to very good, but they mostly took place in the morning, so that you were knocked out by lunchtime. Sometimes you had to eat your breakfast within minutes. Stan had a lot on his agenda in the afternoon, but it was either watching videos about breathing therapy, which the group had already done in the morning, or using two devices in the hallway. So I went back home with tips and some rest, but with just as much pain as at the beginning. I think I was just unlucky with my doctors.

Parking is a nightmare. Trying to get a consistent and convenient physical therapy appointment is a challenge. The current street and intersection construction makes it difficult and time consuming just to get to your appointment. My Orthopedic doctor is great.

This review is for the Emergency Centre. How efficient, respectful and helpful they were. I visited the centre on Sunday afternoon - it was busy- but people were "processed" quickly. My Polish is poor but thankfully the wonderful young woman on Reception spoke impeccable English and helped me check in. Dr Tomasz Szymanski who inspected my injury also spoke excellent English, explained everything clearly and examined me thoroughly. I was asked to wear a face mask- I refused as I have an exemption - they respected this without question. The emergency part of this Centre I would recommend. The main Orthopaedic part - ABSOLUTELY NOT.

I was accompanying a patient from overseas, the initial consultation was done on line with test results having been sent to the consultant electronically, the hospital has a co ordinator for patients from over seas. All additional blood tests, x-xrays, ecgs, &an mri were done on the first day all results were supplied for the patient on a CD, prior to the face-to-face consultation with the specialist to confirm the required surgery, this was done 2 days later. The cost with flights food and hotel was less than the same surgery would have been private in England.

The medical level is high but they refuse to help even if there's an emergency but you weren't having appointment. Some doctors are below that level, so beware who treats you.

Have not ever seen less incompetent pesonel

As many of them told already, this place is problematic...

I had knee meniscus arthroscopy surgery at RNOH hospital in Stanmore (via the Private Care Unit) and I was truly satisfied with the results. All of the staff were genuinely amazing in helping me feel welcomed, relaxed and taken care of. ***FYI, I found this hospital through the NHS hospitals reviews website as being the best in the UK when dealing with joints issues like mine.*** Special thanks to Dr Chethan Jayadev (my surgeon) and his team in the operation theatre. Also special thanks to the Senior Nurse Sima who made sure everything is prepared and ready for me before and after the operation - she was amazing in every given moment even when I was leaving the hospital she made sure I can hop in the car in a safe for my knee way... I mean wow it does not cost much to be nice to others. Frankly speaking my experience as being positive matched with the reviews I read about this hospital few years ago. It is nice to see that they are keeping up with the reputation and level of service. I wish you very best if you are planning to go for a surgery at this hospital and I am sure whichever path you choose either funded through NHS or though Private Health Insurance Provider you will be treated very well - saying that as I had the opportunity to see and experience both pathways and levels of treatments. ❤️👍

I would like to say a big thank you to mr Cullen and his team, the doctors,the nurses. You all have made my stay on private care very comfortable The food was nutrition lovely food well balanced menu which you can choose from every day The cleaners even helpful the rooms are bright colours really beautiful and well kept clean I really can't fault private care Thank you all so much for your wonderful care I received in here after having my ankle fusion

I recently had a spinal procedure under the care of Mr Leong. I am extremely grateful for the level of care and attention I received, from being offered alternatives before I was ready to take the plunge with surgery, to the surgery itself and after care. It was lovely to feel complete faith in my consultant but also to hear other doctors speak so highly of him. The whole team at RNOH were so helpful and attentive and I am truly grateful to Mr Leong, for his kind & caring attitude and for getting me back on my feet again.

I was there from November 20th to November 27th because of a cervical disc prosthesis. If only I had had this clinic last year I could have saved myself an operation. This clinic is really great. Doctors, nursing staff and so on, everyone is super nice and always has a smile. I couldn't complain about the food. Some other clinics can learn a lesson from this clinic. You're all really great, keep it up and stay the way you are. Some disadvantages are that there is no cafeteria so you can sit for a bit. 🤣 Thanks a million to all of you.

I had a hip operation in July, the preparation and organization was great. The staff, nurses and doctors were all excellent, only the food could be improved. I can only recommend this clinic.

I had hip surgery in Hohwald 4 months ago and am very satisfied with the result. The doctors and nurses are all very nice. Unless Doctor Cancler should think about how he treats his patients. Telling a patient the day before surgery that her prognosis doesn't look good is not the most sensitive way.

Had an ACL surgery done by Mihai Vioreanu (June 22) and still in pain with a big scar below my knee. I would not recommend tbh!!

After being bed bound with crippling sciatica for over a month, recovering through exercise, then relapsing back to being bed bound, I decided to get a gp referral to the SSC for a specialist opinion. SSC were highly recommended by a friend who had a lot of work done on his ankle. I had to get my initial MRI scan done externally for the referral as SSC were too busy to handle out patients. Once referred, I met my surgeon (Michael Kelleher) who found an extremely herniated lumbar disc, and I was given the option for surgery, which I agreed to. I went in for surgery literally 7 days later (a miracle given Ireland's rep for medical backlogs), and I haven't looked back since. Sciatica was gone immediately post-surgery, and the pain from the surgery itself was a minor inconvenience in comparison. I am now nearly 4 weeks post op and have regained full movement, ability to drive etc. I still need to take it easy to prevent the risk of re-herniation, but I can definitely say I have my life back again, and I am incredibly grateful to all the staff at SSC. Edit : I am now 9 months post op and going for surgery was still the best decision I ever made. My back is perfect!

No Ethos. They actually don't work with patients that need rehab, they make money with surgeries. I crossed over the country to get there and their "fantastic & professional" attention was to send me back to the hospital I was coming from. Oh! the doctor is very well able to read & write; he read me out my own file (who I carried a copy myself) and he did a summary letter of it to the same doctors that original wrote it down to my file. What a medical advice I got!!!!. On top of that they were training another doctor on this abilities... absolutely no shame. I got no answers to any of my questions, no information or review about my state or any recommendation about treatment or rehab, or anything to do... nothing, nothing at all except for a reading and a letter of information already known.

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...

From my initial contact with customer services, everything just flowed smoothly. From entering reception, having the tests and X-Rays, having the operation on my knee, recovering, and being taken to my apartment, then going through the rehab program. Everything has been worked out to run as smoothly as possible. The cars are there to meet you at the airport. They come every day and take you to the clinic and back to your place of stay. The drivers are all polite with lots of patience. I cannot praise Nordorthopaedics highly eneough. Wonderful service from all involved.

My GP was very sceptical when I told him that I was considering going to Lithuania to solve my knee problem. He immediately put me in touch with university friend who orthopedic surgeon. After a one to one consultation with him it became clear that private medical surgery in the UK (more specifically Scotland) was going to be very expensive with a minimal rehabilitation plan. I then contacted Nord through the "contact us" form on their website. Emilija phoned me the next day offering to answer any questions that I had. From then on, the process just seemed to happen. There was no hard sell or problems, just solutions! The medical team were very thorough about medical history, as they do not want anything to go wrong! I confirmed with Emilija, my date for surgery. My wife and I then booked the flight from Edinburgh and self-catering accommodation. One of Nord's drivers picked up us from Kaunas airport and took us to our apartment. From then on all transport was communicated by WhatsApp. We were collected for the pre-op check at the clinic. The X-Rays, blood tests etc were carried out incredibly efficiently with no waiting around. I was asked then to fill in all the forms and pay! On the morning of the operation, I was collected and taken to the clinic. I was shown to my room. I was to share with another gentleman who had had his partial knee replacement the previous day. I was prepared for the operation in a very professional way that I didn't even have a feeling of trepidation! The next thing I knew I awoke in the bed, with the sedation having worn off but not the epidural - very strange not to be able to feel anything below the waist! The first and second nights were fairly painful. The nursing team expect to be called whenever they are needed - they don't tend to check up unless prescribing meds or bringing food. The physio came round the day after the op for walking lessons on a pair of crutches, including down and up stairs. On day 2, another X-Ray and follow-up consultation with the surgeon confirmed my discharge; I was taken back to my apartment. I was able to walk to have some lunch on Liberty Avenue (the main street). For the next 15 days, I was picked up for physio, which included dressing changes and pain meds top-up if required. After 5 days, i was told to leave one crutch at home! within 7 days I was walking unaided, but did overdo it when my step counter logged that I had walked over 7km. The physio sessions are imperative for a smooth recovery. Mostly they are gentle and controlled, but can be brutal! The exercises are combined with cryotherapy, homework exercises and the use of icepacks. I would recommend at least 12 days physio. The journey home on the plane was less painful than the outbound one! 20 days post op, I am doing the exercises religiously. It is still sore at times, but certainly better than knee I left Scotland with less than 3 weeks ago. I drove my car on day 19! If you have any doubts, just look at the reviews and join the Facebook page! Good luck (although you shouldn't need it!)!

Before reviewing Nord Clinic, I wanted to finish at least 10 weeks of post-surgery rehab to see how I was doing after my total hip replacement in mid-September. I am walking much better, including stairs. The previous pain and problems are gone. I am back at the gym, and now planning without fear a hiking and mountain biking trip in New Zealand. My experience with Nord Clinic was vastly positive, with only a few very minor glitches. They lived up to their reputation on Facebook and elsewhere. Should I have family members or friends in need of the services which Nord Clinic offers, I would 100% recommend Nord Clinic. Now that I have recovered my mobility, I am realizing that the surgery is turning out to be one of the best decisions I have made in quite some time. As a final note, my stay for Rehab was at the Radisson Hotel -- which I can also recommend as a solid choice.

Had total hip replacement surgery yesterday under Mr Rhodri Williams and Team. The care I have received has been amazing. Everything was explained in detail so I knew exactly what would be happening which really helped me process and deal with post op recovery. Absolutely amazing hospital and caring staff. Nothing is too much trouble

I was treated amazingly by everyone that I met from the healthcare assistant to the consultant. The consultant was amazing and reassured me all the way through my surgery and the theatre nurse was amazing too as she held my hand and reassured me too as I have claustrophobia and had to have my face covered and it was so reassuring having her there talking to me throughout the operation. I can not thank the staff enough and would definitely 100% recommend the hospital to anyone in a position to be able to pay for treatment

My experience at Werndale Hospital was fantastic. Having never been to a private hospital before it has truly opened my eyes with regards to how nicely I was treated. All the staff were friendly, polite and professional, nothing was too much trouble. Thank you so much to the whole team for making me feel at ease before, during and after my operation. I will highly recommend.

A well-organized hospital, with friendly nursing and service staff. The medical care was great and everything was explained well to me and my questions were answered. The food was very good and either kept well chilled or well hot. I can happily recommend this hospital.

Worst experience ever. Had glass in my foot the doctor spent 5 hours dealing with me ,she cut my foot so badly and she could not finish the job. In parallel people kept being distracted the whole time and this work requires a bit of silence and concentration. The hospital is cold, there is wifi but does not work and my friend waited 5 hours with me and due to the fact it is unbearable temperature she got t a cold too. Also the doctor sent me with a note saying I decided to leave and she did not finish the job, no one was skilled to help her. I was not going to stay so she could continue to cut my foot with a scalpel and not find the glass. You can see the bad job.

6 hours waiting for nothing . All are slow work and mot friendly!!! Never anymore in this hospital never !!!! 👎🏼👎🏼👎🏼👎🏼