Esophageal diverticulum treatment in 69 Thoracic surgery clinics in Europe

FOR FOREIGNERS I had the worst experience at this hospital emergency yesterday. Over 5 hours i waited with 38 degrees fever and pain. The people working at the hospital especially the doctor with her assistant were super racist to me! Whenever i ask for help or try to understand why is the numbers always going with wrong order they didnt give me a proper answer instead they were being super racist and rude to me also they push me to the corridor. I paid around 80 euros because they didnt accept my insurance and it is said to me all doctors can speak in English because it has a foreign department but the doctor forced me to use google translate with a loud voice. They were reprimanding me as if im a kid. This hospital is a huge disaster the woman doctor who is taking care with me was a horrible doctor i had to go back to my country for getting a better health service and she misdiagnosed, not surprised because she didnt even ask for any analysis…Thank god im so much better after the correct medications. If you are tourist please for your own health do NOT visit this hospital…

Shocked at the rude behavior of the staff! They kept calling out the wrong ticket number, and then came out and shouted at me for not responding. Talked down at me and made me feel guilty and ashamed for coming in for an urgent prescription that I needed which, apparently, is a "non-emergency," after I willingly waited for over 4 hours. But I'm not registered with a gp yet because of a complicated situation, which they wouldn't care to understand. Moreover they charge you 90 kc in spite of having Czech health insurance. One of the doctors even loudly demanded that I show her the receipt (proof of payment) first and foremost! Had really expected much better than this!

Leaving review for Orto Ambulanci FNM. As a person who pays 100s of 1000s in taxes and have VZP insurance I’m shoked w a quality of service Czech medicine can offer. waited in the queue for 4+ hours for a simple check up, never got in and left. wow, here is a well deserved 1 star.

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

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

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

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

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

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

I would like to note the high professionalism of the highest category cardiologist Evgenia Nikolaevna Preis and the medical staff represented by Valeria Valerievna. At the doctor’s appointment, I received qualified answers and recommendations for further treatment. Thank you very much for your attention and sensitive attitude towards the patient during such a huge flow. Good health to everyone!

Congratulations to the entire wonderful team of the V.A. Almazov National Center on Medical Worker Day! Many thanks to all the staff of the 1st cardiac surgery department and the 4th cardiac intensive care unit for the wonderfully performed complex open-heart surgery, you gave me a new quality life! A low bow and gratitude to cardiac surgeons Dmitry Valerievich Bendov, Amir Nasirovich Ibragimov; anesthesiologist-resuscitator Oksana Valerievna, cardiologist Yulia Sergeevna! You are doctors from God, you have golden hands, you heal the heart with your heart! Be always healthy and happy! Sincerely devoted to you Elena Evgenievna.

I would like to express my boundless gratitude to you, Denis Aleksandrovich, the head of the department, and your team at the urology department, for the professionalism, attention, and emotional sensitivity shown in connection with my treatment and surgical intervention. At the department, the doctors performed additional, high-quality research using modern medical technologies, and prepared me for the operation. The unique operation was successfully performed by a wonderful surgeon, a doctor, as people say, from God - Evgeniy Sergeevich Gilev. And I had the opportunity to return to normal life, as well as hope for a full recovery. I am already at home and maintaining my health by following his recommendations. The operation was successful also because other specialists from the department also took part in its preparation and consultation. Many thanks to the doctors: Shelipanov Denis Aleksandrovich, Shanava Gocha Shakhievich, anesthesiologist-reniamatologist Anton Igorevich Pankevich, operating nurse Alena Andreevna Kuzmina and nurse anesthesiologist A.G. Meladze. Thanks again to all the doctors, nurses, Valentina Mikhailovna, who treated and cared for me, as well as for their dedication to their profession, for their selfless service to people, returning to them the most valuable thing - health. I wish that your dedicated work and medical research conducted by doctors will be duly appreciated by our state. Good luck to the whole team! With sincere respect and gratitude, Valentina Makara!

My doctors were helpful, skilled, professional and provided me a lot of information. After operation services and information is complete with high priority to the after operation services. The urgence for post opération patients was fast and of full service. The nurses when I came before the operation were too busy, they let me in, gave me my wrist tag and gave me 3 medicines but let me waited 2 hours and no one came back to me to update me that the operation will within 2 hours of waiting . I came at 8h50 and the actual operation is at 11h15, in between the waiting hours, no one has came to re assure me and update me of the schedule that made me nervous and worried for 2 hours. All nurses were so busy that morning and talks a lot to each other without double checking or just to give a quick short words to me for 2 hours in the waiting room before the Anesthesist picked me up. Thank you.

I was very well looked after for my first pregnancy. The team was superb, whether it was for the pregnancy follow-up, the day of the birth or the aftermath of the birth. For this alone I say bravo! But above all, I love the student nurses we met, who were full of compassion and kindness, much more than the nurses themselves. I don't give 5 stars because there is still a lot of room for improvement: - at all my pregnancy follow-up appointments, the wait always lasted more than an hour even though we were told to arrive 30 min before the appointment 🙄 - cold administrative reception - a lady at the analysis laboratory shouted at an old man who didn't understand the process (taking a ticket, waiting etc.) when he had just asked nicely what to do - we were scared when our baby was born, that he couldn't latch on, that he was going to starve to death, that we had to go to the osteopath...when a few days later our baby gained weight. We didn't understand the point of scaring us so much when in the end everything was going well.

I am impressed with the level of the hospital, attitude of medical and medical care. Grateful my surgery was handled here with great professionalism. Merci bien!

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

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

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

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

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

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

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

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

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

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.

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

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

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

A beautiful hospital in a beautiful city Padova

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

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

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!

A large hospital dating from the 70s, partly renovated, with many specialties and relatively correct care but very uncertain depending on the services as in many public assistance hospitals in general... We can therefore go there from heaven to hell, often with adorable and caring teams in intensive care or intensive care units and other totally overwhelmed teams with little regard for their patients because they are understaffed in many others services...

On the 3rd floor Orthopedic department: Caregivers, nurse, friendly staff overall 👍 Arthrodesis + laminectomy operation Dr Solène Prost service teacher Tropiano All the pain went well and was well treated. 5 days hospital Return home for 4 weeks to recover peacefully. Then start of physiotherapy rehabilitation.

I was taken to the Urgences here by ambulance and I have never had such an awful experience. The nurse who was looking after me was completely cold and uncaring despite the fact I has a blocked intestine and was not only I’m agony but kept blacking and vomiting. At one point when he saw me vomiting he said “don’t you think you are exaggerating a bit”! It took 6 hours before I had a scan and in that time I was left alone and given no blanket despite being soaked in sweat from the pain. When I finally went upstairs to the operating theatre, the experience was much better. I know this hospital has some great doctors and the surgeon who operated on me did an amazing job. My criticism is uniquely directed at the a&e “urgences” here which is just not good enough. All the staff were uncaring and cold and I felt scared and abandoned which is not what one should feel in hospital. Sorry, but a little more humanity would mean less stress to patients!

The service in the " Station" is a disaster. Really really bad, the personal will barely visit or ask you if you need anything and moreover I have done their job, therefore being unable to have any meal as the baby was constantly crying...no one even asked if I need something... If I have to rate it - then I will even not put a star... just as bad as it is... No more here anymore!!! ( hopefully not reaching any hospital at all)!!!!

I’m not sure how well you think your clinic is working or how well you’re doing. However, our 6 month old has not eaten for 16 hours (3 of those hours are spend in your waiting room so far), or has eaten, but hasn’t managed to keep it inside as he has been puking, a lack of energy and a behavioral change after falling on his head. Now, like many parents, we seek the advice of a specialist. Where your clinic is unfortunately the closest one to us. We just wanted the advice of a doctor, however, we got shipped off the the emergency clinic by the receptionist. Here my issue starts. How can you call it an emergency clinic when the waiting time is over 3 hours? (3 hours and counting when writing this) When you don’t filter anyone coming in. I’m definitely not saying we’re an emergency case, neither am I stating I am a medical specialist and can judge the cases, but, from what I can see, 80% of the cases sitting in here aren’t emergency cases either. It’s just parents sitting and waiting. People sitting on the floor, people waiting outside in the rain or sitting in an idling car because you lack waiting room in an emergency clinic treated as an undersized doctors waiting room. From my point of view, this is only your issue: - either you’re understaffed in the children clinic and therefor decided to just sent everyone straight to this “emergency room”, even if it isn’t anything closely related to an emergency. Or; - you’re too small for the capabilities you’re trying to offer and hence investment is needed from your side to modernize and expand Or; - and this might be a bold one, you’re collecting insurance money by sending everyone to emergency care first and hope they get sent to the children’s clinic so you can bill twice. Which one is it?

I was there twice with my kids, the reception, emergency service were very friendly & helpful. One of kids were to stay in the hospital and the staff on the residing floor was also very helpful, my kid was also in the intensive care and we felt really in safe hands there with a super friendly and accommodating staff. A big thanks and kudos to all the team there!

Not fit for purpose. A children’s hospital? children should bring the priority right? well i been waiting for my 2 year old nephew 8+ hours, still waiting. They’re just fiddling around back there, no sense of urgency, just want to finish their shift and go home. horrible really. at the heart of the city centre. deplorable.

Will never be able to thank Birmingham Children’s Hospital enough for all they’ve done for my little boy and family. Ward 10 nurses and staff made the hardest time of my life that bit easier and brighter 🥰

Terrible. FXXXING terrible. I came with my son who was struggling to breathe at 8pm. My son is 9 months. First they made me wait 3 hours in the main area when I told them he is not breathing properly. Then they moved me to another section and made me wait another hour. When I asked how long they kept telling me they don’t know. If they don’t know who does???!! They just sitting there talking about life rather than looking at my son. 12:30 decided to leave and go to a private hospital. Never again.

The best hospital I've ever been to!!! Very good specialists and wonderful smiling nurses❤️ Everyone very helpful. I recommend the neurosurgery (7sal) department without back pain. If I had to have another surgery, it would be there. Best Regards Sylwia ( 08/02/2023 )

If only the hospital maids didn't lie about the waiting time. "You are number 1" 7 hours later still number 1.

During our holidays in denmark we had to go to the emergency in aalborg two times. The doctors and nurses there were always very kind, capable and caring.

I got the referral of a doctor, ginecologist for a problem that I have been dealing for too long. The doctor received me in few days after the contact and was quite receptive to my concerns and requests which required diligent action in a short period of time due to my work leave (also very short). We set a date for the sugery and I was impressed that the contact was very speedy and allowed me to send every remaining document by email . I asked for a quotation of the total price, that was sent to me few days prior to the sugery, in which stated the total value of the intervention and hospital fees. All the inconvenience started after surgery: the nurses not atentive at all, always in a rush to fill you up with drugs and leaving you behind without even trying to understand what was going on for each case since they receive many pacients for plastic surgery therefore they assume all patients are there for the same " vain" reasons. I was there for other reasons, but even so I had paid my entire bill like anyone, so I deserved the private quality service I was paying for. The health assistants were also very rude and whenever I would press the button to call for assistance during night shifts , they were the first to come instead of medical nurses and they were the ones to evaluate weather you were or not entitled to be given assistance. I required very scarce times their assistance and just preferred to crawl by my on and manage what I needed. I stumbled once and no one came to check up on me, if there were consequences. Water was giving rarely, some would save the bottles if you had other sitting on the night stand. 3 days enduring that, without being able to complain, or having relatives come and check for me. My family leaved in another city. (Husband who stayed with the kids). After i left the nurse who took the last cateter made me bleed perfusively and i almost fainted. The personel took me to take the cab with no wheelchair, I had to walk for 10 min after being laying for 3 days. I have been living in Paris, hospitalized there, lived in US also hospitalized there, been in a private clinic in Brazil where I gave birth South africa private hospitals and also were really wonderfully treated. This was by far the WORST experience and service provider! NEVER will I recommend it nor use it any time !

I have contacted hospital via email on 03.10.2023, to specify the price of chemotherapy course for my father. Today is already 30.10.2023, and I still didnt get any response. I am not a doctor, but I am sure that response for a people who need a chemotherapy course couldn't be around one month. In case you value the lives of your loved ones, please do not contact this place.

Infrastructure of the clinic is a disaster. I couldn't even find an elevator to other floor, then I waited for 15 minutes in wrong places, it its not clear where to go, no one tell you the right place to wait. Why not to do 1 reception and then lead people to consultation directly, this micro management is awful

I, or we, would like to thank the doctors and nurses who looked after and cared for our father and husband from the bottom of our hearts. The situation wasn't easy for us, but everyone always answered our questions openly and honestly, even if they asked the question 20 times. They stood by our side in his and our most difficult hour. The ITS2 is not a ward like any other, but people with heart work there ❤️. Thank you thank you thank you

They are really unfiendly. I am learning German because I live here but my german is not sufficient enough to book medical appointment. If you can't understand me that is okay but you don't have to be rude!

Nurses are kind, the place is clean. You must speak german at least on a minimum level and understand what they say to use the services.

The Family Planning and IVG service is incredible, I recommend 100% Welcoming, smiling, attentive and open-minded care. I made an appointment for a contraceptive consultation and the installation was done the same day. I was also offered to do STI screenings directly and even given the opportunity to discuss it with the counselor/psychologist available in place. Highly recommended !

I think one of the best hospitals in terms of "gynecological emergencies", good care, less waiting and the staff is friendly. I met a gynecologist who took care of me really TOP. on the other hand the level 2 nurses, not all of them but the good ten that I had to meet who wanted them to explain my whole situation in front of everyone when it's not easy and they didn't care, I found their attitude quite a pity but really this hospital is TOP.

Very warm welcome at the nuclear medicine department, the nurses, doctors and receptionists are all very empathetic and smiling. What a pleasure to be cared for and taken care of like this when I imagine that it must not be easy for them every day. Perfect 👍

I had a planned ORL surgery with Professor Mirghani and his team, the team was very professional and I am very happy with the results. I had a good experience at the hospital which is modern and comfortable.

I was recently hospitalised for an operation, I found the doctors and nurses very kind however the people at reception are not friendly at all , particularly this lady, probably in her 50s with vision glasses on. I approached her to help me with the information to avail the taxi service ( which a patient is entitled to and is being paid by Social security) and since my French langage skills is not good, I opted to talk to her in English, she could converse in English but she kept arguing with me that I am lying about not being able to speak french. Even though it’s not her job, I choose to be nice and insisted that I am not comfortable in speaking French, she asked me for my cart-vital just to prove her point to me that I have lived enough time in France to be able to speak French. Instead of helping me find a taxi, she kept arguing and accusing me of lying. I was in pain and could not stand there arguing with her so I opted to just leave after letting her know that she is not being nice. I could still hear her arguing and probably cursing while I was leaving. Later, I regretted not noting down her name so I could complain to the management of hospital. A lady probably in her late 50s, of black origin and wears vision glasses ( explaining her features since I didn’t write down her name) I hope not other patients have had the same experience.

I went in via the emergency room as I had severe stomach pain. Although it took until the evening to get me admitted, the doctors, nurses, and other staff were kind and attentive. I have to say I was very hesitant to go in due to the reviews. I even held on to the pain for two days. But my experience wasn't entirely bad.