Prosthetic valve dysfunction treatment in 174 Cardiac surgery clinics in Europe

A veery good hospital.. And the doctor speak English

Awful hospital and ER! I came in at about 3 AM as a foreigner (EU citizen) in need of some antibiotics as I had forgotten to bring them with me on vacation in Madrid. Despite not even being close to being overfilled, the average wait time for this ER was about 4 hours, or even more. I sat there alongside a woman whimpering and crying out in pain, an old lady struggling to breathe, etc. - Sick people having to resort to sleep on uncomfortable old chairs and not in the slightest paid any attention to! Kind of dehumanizing, to be perfectly honest. Thank God I did not have something actually more serious. After about an hour, the nurse came to the waiting area to check on me. Two hours have gone by and I was getting impatient. Nurses told me they had alerted the doctor. Another hour goes by, still no doctor in sight. At that point, we were all sitting there waiting for the paint on the wall to dry. Finally, at about 6:30 AM (!!!) a doctor came to fill my prescription. Yet it was not until about 7 AM that I could finally go home. The others still had to wait… Never go to the ER of this hospital unless you like to be ignored. Or if you like to look at the sunrise even though you went to the hospital in the middle of the night for antibiotics. Such a shame…

Was passed around to 5 different nurses (only one of which seemed to care) over a 6 hour wait time, all to eventually be told that nothing was wrong with me despite having near-crippling abdomen pain and the only solution offered was more painkillers. Still trying to determine my ailment but I'm horrified at the "oh well good luck" attitude many of the staff have. If 0 stars were possible that's what I'd be giving here

Great experience with the trauma department on November 29, 2023. Empathy meeting professionalism! Thank you very much to the whole team!. True heroes !

Saturday 11 of November 2023 , I had severe pain in my legs and repeated chest pain plus confusion as result of 4 days non sleep ! After 16 hours in the Ambulance the doctor she sent me to psychology KH nord ! She said all OK just !!! W+÷×+=% ,Big Thanks to KH Nord they discovered thrombosis in my lower body and i am still under treatment as result of wrong and late diagnosis . Guys I just got confused again what to say to this Dr ? Any one please feel free to recommend what to say and what to do ? I just got shocked.

I had a emergency where I had to get surgery straight away to repair my broken jaw,Unfortunately my insurance didn't go through so i dont know who I'm angry with. I was waiting two days in one of the bedrooms until some bald guy in a white coat entered my room asking me for €3400 in card or cash, I thought it was a nightmare but I didn't wake up. He explained to me that I was not covered by insurance and that I should start making payments, I went down to the office and they confirmed he was in my room asking for money, The result was me getting up in the worst state to go sort out my insurance so that I could get my emergency operation done a little later and be covered by my insurance so that Inkasso won't chase me for like €30.000 Note that nobody at this point told me to stay in hospital get your jaw fixed first and sort your insurance out later because they can back track everything, instead I was set into confusion when they asked that I pay them cash or card. I was there for two days in the worst pain and didn't receive surgery but a bill for £3400 which was not covered by my insurance I left the hospital and sent all the rest of my documents to AMS and OGK and sorted my insurance. Later I arrived at hospital to find out that they checked me out automatically and wouldn't treat me straight away. I was sent home and a swelling started to occur on my face where I realised that I was sent home with a medical emergency so I went back to the hospital as soon as I could and eventually they accepted me back. I spent from 29.10.2023 to 15.11.2023 waiting for my jaw treatment, after the swelling went away they decided to give me the operation and they told me the waiting time is because there where other patients in need more then me and I had a swelling. Now I'm recovering from my surgery but I'm not sure if my surgery went one hundred percent correctly, the results are yet to come. The point is if your not Covered by insurance stay in hospital regardless if they start asking for cash or card and sort your insurance out later because if you leave the hospital you might not get the treatment you really require being a Austrian citizen won't help you get the free medical treatment you really need if you don't have insurance. However they must treat you if you have a medical emergency and you can get it sorted out later. Also Google maps didn't let me post this information so I wrote it in English let's if they block this info this time it's not right people shouldn't of gone through what I went through at the beginning when I had a medical emergency. My wobbly jaw was waiting to get repaired but I was plagued by the though of no insurance and having a struggle of my lifetime as a result. I was promised an operation from day 1 but ended up having it on like day 16 Long waiting times for operations beware make use you have insurance but if not stay in hospital and get your insurance sorted out later if I'm wrong let me know Anyway it's like day 20 after my injury and spent like 18 days in hospital, regardless of how my hospital stay started I come to a realization that I was treated very well at this hospital and I'm thankful for my surgery and all the hospital stuff for taking care of my issues I had a bad start because my insurance was not going through but however the operation did go well, after my wound heels I'll have to go to a specialist to see if they can straighten out my jaw so that I can have a better smile.

During the vacation I had some complications with my pregnancy and I had to go to the hospital urgently. The waiting time was less than 30 minutes. In Belgium, sometimes it can take 3 hours, it depends on the problem. I was hospitalized at the gynecology department. The staff was very nice, very caring. The majority speak English very well. The conditions in the hospital are very good and the food was ok. Thank you for your care!

I went to this hospital due to a condition which went away during my intake. Regardless of this they took the time to check out my vital signs thoroughly. I was helped quickly, professionally and the staff was friendly.

We had to drive to the 24/7 dental clinic because in the neighborhood was no other options. Surprised of how many people was in waiting line for emergency help. We didn’t he’d other chance just wait... cca 6 prs before us and we are after 2 hours not inn. The building and whole complex is huge much bigger as we thought 💭. In a way modern, clean, compact, organized system ... Hope to be back home ASAP

Open letter to Profesor Zielinski I wanted to tell you that I’m very disappointed with you and your clinic. Now, after my father’s death and Mr. Suta’s (the patient from Targu Mureș) also I’m convinced that you are guided only by profits and you are not concerned about the wellbeing of patients. We have sent you translated medical reports, pet CT’s and other imagistic investigations, blood tests and you didn’t even have the decency to look over them and tell us it’s not worth making the trip giving how advanced was their condition. You could have done what the doctors from Szeged hospital did for me and say that there is nothing you could do for my father and with regrets I cannot take your money and leave our country with a negative perception about our medical services. They said that because they looked over the investigations I sent them. But no sir you were too blinded by money and we were so desperate to save our fathers that we believed you. Shame on you. I guarantee these are words well thought and not said in anger.

All the people super friendly. If something took longer, it was only because there were patients who needed to be treated more urgently. Some people probably forget that here in the evaluation. As far as you can say about a hospital stay, I had a good time there.The staff is international and with many languages. (Team 5 Nord)I have heard German, Russian, English and also Hungarian, Ukraine, Rumanian, and many others. Thank you very much, indeed

I was diagnosed with serous ovarian carcinoma and after resection of the carcinoma by a Romanian doctor, director of a private hospital in Bucharest, in a boundless desperation I contacted the best clinics in the world, specialized in oncology. The commercial representative of the WPK hospital, Mr. Alexandru Pop, was the first to contact us and was the only one who convinced us to buy tickets to Vienna. We had all the appointments made by the minute, he walked with us and empathized every moment. Thanks to him, I got to the best specialist in gynecological surgery, the most wonderful woman who rushed all my procedures in order to be able to proceed with the surgery. In the worst moment of my life, when I read despair on the children's faces and I felt helplessness and frustrated, this wonderful woman, , Prof. Dr. B. Schurz, gave us a chance. The hospitalization period was 8 days and I received the best care possible. The staff was by far very professional and very empathetic, as well as the nurses. I felt treated like a family member. The sales representative came to me twice a day, called me and asked me all the time what else I needed or if I was satisfied. Because of my diagnosis, even if I came at the very early stages, I will still have to proceed with 6 chemotherapy sessions with one of the best oncologists in the world, Prof. Dr. Zielinski. I recommend the clinic with great confidence.

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

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

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

Our two children were born in this hospital in 2019 and 2023. We can only report positive things about our time here. You felt very cared for and the entire team is extremely competent, motivated, courteous and friendly. It is important to me to mention this and thank you for all your efforts. Thank you very much for your support. All the very best.

I had the most horrible experience in the gynecology department here, my house doctor told me to go to the emergency room and when I got in for my consultation the doctor told me my problem is not an emergency and that there are people who actually need help. It was my first time seeing a gynecologist and she asked me if I have been before and I said no because I was not financially able to ever before and she almost laughed at me and said „no doctors in your country?“ she was clearly bothered by the fact that I asked her if we can speak in English. After she consulted me she said she can’t give me a diagnostic and than gave me a prescription without a diagnostic. She made me feel very uncomfortable, she made fun of me and where I come from, made me feel like I am not worth helping even tho my house doctor did. That woman should not be a doctor of any kind she was horrible!

We were in the children's hospital last night with our 10-week-old daughter and were really excited. Of course it was to wait but that's the way it is now. The doctors and the nurse were super nice and took really good care of our mouse. Our mouse obviously felt good, despite being in a really bad mood. During the examination she made the whole team and us smile and laugh. We felt very well cared for. Thanks!

I had a good experience with Mayo Clinic's cardiology service. From my initial inquiry, the cardiology team provided thorough explanations and reassured me about every procedure. The communication with the nursing and cardiac physiologists was excellent. I'm grateful for their professionalism and look forward to my tests next year.

Doctors are nice once you get there, but the administration is horrendous. Sometimes I have had to wait over two days to just receive a call back about booking an appointment. This is not something I would expect from the NHS, let alone an expensive private clinic. I have to call multiple times just to remind them to call me back, and god help you if you miss their call

Very expensive for not a full suite of tests. You just get told to exercise, take vitamins and reduce your weight and they may well not get to the bottom of your problem, unless you're happy to pay 'the sky's the limit' for all the extras. Communication is poor, staff foreign but pleasant.

I have visited this medical center firstly and I was really satisfied by reception staff, girls were very polite and kind :) I ve visited surgeon and doctor was also very king, responsive and attentive. I was worried, as is usually the case when you come to a surgeon, but he explained every action and was constantly interested in how I was feeling.

Special thanks to Dr Bognár Zoltán and his team! They saved me today and showed great emphaty, which I will never forget. Thank you!

I had an appointment and I've been called almost right away when I've arrived. The doctor was really nice. She explained what will happen and answered all of my questions. I felt comfortable and didn't worry. Excellent service.

Not as professional and friendly as they promote, all about earning money from you or your insurance but with very little care or treatment. All year with appointments and specialist for cancer an tumours ,scan after scan but not any diagnosis or treatment and suffering with swollen eye, colour change, nose and cheek burning pain and insane pressure on head and face but still no help , even though colour change on scan for my rights side of brain , cyst inside my face and gigantic problem at the back of my head and they say no problem and haven’t operated or treated. I hope I’m not dying but still don’t have any diagnosis or confirmation of anything.Now thinking I need to go to another country for help ? Wouldn’t recommend to nobody?? They won’t do anything about these reviews and even give the same answer to each person.

Avoid this hospital! I had to visit the hospital because of a sinus infection, but was rushed into several entirely useless procedures just to hike up the bill. The whole experience was horrible with unfriendly and rude staff. However, the worst part was that a nurse stole 340 euros from my purse in my handbag that I left in the examination room with the nurse when I was pushed into a toilet for another useless test. The hospital operations reeks of scamming people in every possible way. Despicable behaviour preying on people in a vulnerable situation.

Avoid this hospital My husband was admitted to this hospital in 2021, 2022 and 2 days ago. In 2021 I visited him on a Sunday, and he was on the floor (with a broken leg) trying to get onto the sofa, to get out of the window as he was hallucinating. He was on the second floor! The window was then closed and locked but no-one had noticed my husband on the floor, which is a worry. I then had to push for a brain scan, which, according to Xanit showed nothing abnormal. He has now been diagnosed with dementia at Guadalhorce hospital, so I chose to go private again to make things happen faster. We saw a neurologist at Xanit who said he should be hospitalised. When we arrived at the hospital it took over 20 minutes to park as the car park was full, then when we got to reception there were almost 35 people in front of us. We were over an hour late to get to our appointment and then the computers went down!!! We had to go down to Urgencias to be admitted. They told me he had to go to a hospital in Malaga. I then had to go back to the neurologist, as Urgencias refused to call him, and he told them to admit my husband. There was an amazing lack of communication, and the girl who was in triage was basically rude. We were then subjected to a 2/3 hour wait, then taken to a surgical ward where the nurses all moaned about the fact he was being taken into this hospital. I speak and understand Spanish so was very aware of the things being said and I am absolutely horrified at how we were treated. He was hospitalised on Wednesday, and we were told he would get an MRI and CT scan. My husband was aggressive, and I was told I had to stay with him 24/7. This is not why I’m paying private health insurance. I was told there are insufficient nurses to deal with all the patients they have, so I had to stay. The MRI and CT scan didn’t happen as the machine had broken down!!! My husband was very agitated, and the neurologist and I agreed he would be better at home. Therefore, we had to make an appointment for the MRI and CT scan (29th November) I waited over an hour to make this appointment, while my husband was in his hospital room. There were 6 people in front of me, and one person in reception, who decided to deal with people who jumped the queue and one friend (I think Fran was his name). Reception staff are awful and provide terrible customer service. They wander away on their phones when they feel like it and don’t appreciate that people visiting the hospital may be dealing with life and death situations. They are abysmal and need training. I see from these reviews this has been going on for over a year, so I’m not sure if my comments will make any difference at all. Absolutely shocking service. On a brighter note, when you actually get to see a specialist, they are amazing.

Sorry, tragedy. My daughter had a car accident on Thursday, she didn't go to the doctor because she said she felt fine, on Friday my chest started hurting and she felt worse, we went to the emergency room but they sent me to the family doctor even though it was Friday evening and the family doctor would be able to see me only on Monday. There are no words for all this.

Orthopedic Department. I have just visited this department and I am very positively surprised. The nurses were nice and friendly, always with a smile on their faces, I felt like I was in a private clinic. The doctors were also reliable and took care of the patient and explained everything thoroughly. I was shocked that a hospital under the National Health Fund could function this way. I recommend

Palliative ward ... as it was 17 years ago, so it is today ... nurses with no care, despite the fact that people lying there press the button they have .... The head physician, despite questions about the course of treatment, gives evasive answers .... the person has a large dose of oxygen to she could breathe normally .... The head physician said that the dose of oxygen should be reduced .... after 4 hours no one checked anything about the patient .... when we arrived after 4 hours the person we came to and took care of was suffocating because she had no oxygen .... THE DYING ROOM is the Pleszew hospital after 24 hours DEATH ... Totally zero when it comes to care in this department.

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.

I give it 5 because unfortunately I can't give it 10. I went to the emergency room with a referral to a neurologist, the neurologist treated me at the highest level, I wish there were more doctors like her, it would be really great. The lady could have sent me home quickly, but she said she wouldn't let me go home until I had a consultation with the surgeon. What's more, I was also seen by a neurosurgeon, a surgeon and an orthopedist (each of them was also very nice and competent), I also had a CT scan, I was at the doctor's office four times, and her concern and commitment were visible! I could happily wait for my condition with such doctors for a long time and longer!!!!! when it comes to your neurologist, it's only Dr. Marzena Tomaszewska! A doctor by vocation and, above all, a human being! Thank you very much. ❤

Super

Ok

Its been almost 2 years I regularly visit several specialists. Very professional and emphatic doctors! During CT scan procedures after talking to the attentive assistants I feel more secure and less scared. Thanks!

You should dying already before they take care of anything. Not taking anything serious at all

Best Hospital in the Brussels region, friendly staff, great doctors and all multi-lingual

As a foreigner travelling to Prague, this hospital was very helpful. When I got there, the foreign reception was closed and it was hard to communicate with the late at the emergency. Once I was admitted, the doctors and nurses were very competent professionals during my 3 days stay there.

SKIP THIS PLACE! Hospital with old school doctors who see the need to question you inappropriately and then chastise you for coming in after hours with “nothing major.” The attitude in this hospital reflects a pre 1989 mentality when staff were unaware that ever patient is PRIMARILY a client! Go somewhere else; anywhere!!!

Omg! After living in CZ as English speaker for almost 3 years, I finally found the best hospital here. I was here mostly at the cardiology department. Most of the nurses can speak English. Even if they are not, they still try to communicate with you. And ofc, all doctor can speak English. All of them are so patient, nice, and friendly. I was super surprise that I had some chitchat with some nurses during the waiting times. The waiting time is logically make sense. I can simply say, they love their jobs. I can’t recommend anywhere else rather than here :) Best one 😊

I went to the hospital’s emergency during the night just before Good Friday, after having a terrible food poison. The team helped me a lot! They all spoke English, were super comprehensive, and took good care of me. I really recommend the place to foreigners in case you have an emergency like mine 🍀

After my horrendous experiences in Brno's hospitals, this came as a goldmine. I was hospitalized due to gas leak in my apartment, so they gave me oxygen and there were some other procedures. The doctor spoke English well, the nurses did not speak very well but tried their best. They were very nice, smiling, helpful. I am forever thankful

I’d compromised my wrist month ago and it got worse when I fell down few days ago playing football and went to the hospital “Pod Marjankou” got served there made an X-Ray and there I’ve been told to go to the “Nemocnice Motol”, I thought the doctor said I need to go to any emergency to make a surgery. And decided to go the this “hospital” – surgery department building A8 and there I met the nurse that told that even I’ve been sent to another hospital they can paste my paste wrist back. Eventually, after 5 minutes analysing my X-Ray snapshot results they invite me in and told that finally I ned to go to another hospital. I’m okay if the explain me they policy or bureaucracy but instead, they were rudely yelling at me, that I didn’t need to go the hospital a whole month so I can tolerate another 3 days, because today they cannot fix my worrit wrist. These doctors are amoral, incompetent. They given an gippocratic oath that they didn’t fulfilled. They are just shame of Czech medicine.

Wow, amazingly friendly and very helpful staff at all 3 reception desks (A&E, Urgent Treatment and the general receptiondesk in-between the two), they all know their job/role and were incredibly efficient. Once we found where we were going there was little time to wait as the attentive staff team followed procedures and helped my friend. If I ever need a good hospital in the future I hope I'm close to this one. Thank you to all the staff at all levels. Keep up the great work. 👍 😊

Here today, wednesday 29th November 2023, in St Mary's for day surgery and being looked after wonderfully....absolutely nothing is too much trouble! Staff are so friendly...thankyou Debs and everyone involved for looking after me...you are all a huge credit to the NHS and have made me feel so very relaxed and at ease. Thankyou all so very much x Paul Campbell.

For the first time in a long time. I felt like I was listening to the happiest news of something not so good. But after going to AE 4 weekends in a row. Seen the specialist and they are appalled that treated this way and now caused long term irreversible problems.. so if it wasn't for someone listening to me st Mary's would have had 1 star.

The people in this hospital were extremely kind and helpful. The hospital is clean, nice and professional. They took good care of my daughter who was in a life threatening condition during our vacation.

Highly corrupted. A patient who can't be taken care at home, because of really bad conditions which needs healthcare specialists and a proper environment with all the tools available to keep them alive, was refused to be admitted here because he was sick with cancer and they said "we can't take care of him here, just a serum and he can get out". The patient of course needed to stay there until everything was resolved. It was weekend, and Oncology Emergency does not work on weekends so they told us to keep him alive at home. We are not professionals doctors/nurseries, we have no specialised environment in home to take care of a person in such conditions and of course the idea was absurd. After asking around, snitching in, they asked us to pay and corrupt some people so we can get him admitted in this Mother Teresa Hospital emergency. After few days our family member died, but the way we had to say goodbye to him was very degraded. We had to pay to keep the nurseries around for him, to keep the cleaners around, to enter and say something to him every now and then, to get the doctor to check him every now and then. And we slept few nights outside in the cold, in turns, because there is no normal way to support such patients in such a structure. Overall I thought to share our story, maybe I have made some mistakes in my writing due to emotions, but this is the reality in this place. And it has not changed! HIghly corrupted, no one cares unless you pay them and still you get worst quality treatments ever!

This place is corrupted, as most of the public health structures in Albania. The doctors refuse to see the patient unles you give them some pocket money. People need to go up and down for days to get a medics appointment and at the said day they ask you to go and run some tests at the private hospitals/clinics with which the doctors are connected to. (no prior indications on what tests the patient needs to present to the doctor). They even say it to your face, unles you run the tests where they say, they won't accept you as a patient. This country is going down and those who work in the medicine are becoming even more SHAMELESS! Looks like they took the HYPOCRITE oath instead of Hippocratic one.

Best hospital in the world. Very kind staff and very good doctors

I'd be indebted to work within this facility as Massage Therapist to help relieve Patients with Stress related issues. Thank you +233241488250

Really really bad Experience with this hospital. I had a visit, I told that I have card EKUZ ask also if I should give it them this later. They say no no i don't need pay anything no problem with anything. After TWO MONTHS they sended me a facture that I have to pay! Really dissapointed, never come here again. During visit with doctor they didn't check what is wrong only give me one pill that's all. Nobody answers the phone either.

Ok

Reception: 1 Emergency care: 2 Telecommunications (phone): 1 Laboratory: 1 Ambulatory care: 1 Accessibility and parking: 1 Hygiene: 3 Medical equipment: 3 Atmosphere and visual decoration: 2 Hospitalization-reception: 2 Hospitalization-rooms: 2 Hospitalization-privacy: 1 Hospitalization-care: 2 Hospitalization-rest and comfort: 2 Hospitalization-amenities: 1 Hospitalization-food: 2 Hospitalization-entertainment: 1 Hospitalization-patient’s rights: 1 Post-hospitalization care: 1 Diagnosis: 1 Doctors’ behavior: 1 Nurses’ behavior: 2 Other staff’s behavior: 3 Doctors’ experience: 2 Nurses’ experience: 2 Outcome: 1 Management and directorate: 1 OVERALL EXPERIENCE: 1

Very bad hospital they cant do any diagnosis for my patient they left her go to home she vomiting and having diarrhea very bad hospital 🤐🤐🤐🤐

I came here at 9 : 15 am . still waiting and now it's 12: 00 pm . I told them that it's urgent I can't wait . i have stomachache. Being a foreigner is not easy in Croatia 🙂 Please don't expect good reviews from foreigners 👎

Banana Republic of Croatia, nonfunctional, corrupt and messy. That is the summary of your wonderful hospitals.

They are the largest hospital center in Croatia and have the best equipment. That's the biggest plus. After that the personal is overworked and somewhat rude; and it gets worse and worse as they climb the hierarchy. Organisation overall is mediocre and dictated directly by politics, failures in organisation are then blamed on the people who work there.