Brain arteriovenous malformation (AVM) treatment in 34 Neurosurgery, Oncology, and Vascular surgery clinics in Germany

I had minimally invasive surgery and stayed 4 days. The nurses and doctors were all very friendly and helpful, the hospital and patient rooms were quiet, clean, and smelled fresh. I usually have a hard time sleeping in an unfamiliar place, but the hospital bed was surprisingly soft and comfortable and the nurses gave me something at night so I actually ended up getting the best sleep in years. Evening rounds came in at 10:30 PM and morning was 7:50 AM so my roommate and I got our 8-9 hours sleep and went home rested. Big thank you to all doctors and nurses at Albertinen Krankenhaus.

I was treated with high professionalism, and empathy @ the gynaecology department under the responsibility of Doctor Renana Schinker! I am happy to suggest her with confidence! As an expat living in Hamburg I felt @ this hospital less away from family and home! Thank you!

Came to Notaufnahme with racing heart, palpitations and chest pains with breathing issues. I wasnt sure whether it was serious enough considering how full the hospital was and i felt embarrassed to go. Nevertheless, i was treated warmly and respectfully during my long and expected wait (its an emergency room people, chances are someone is going to be sicker and more needing of help than you!) . The staff were under pressure with so many sick people and i was happy to wait. They found me room to stay overnight as the Cardiac Unit was full, and still i was treated respectfully and with dignity. I too am a foreigner, with questionable German skills but i try and found no racism as other have said. Im now in the cardiac ward and grateful that im being cared for. Still! Thankyou to lovely Notaufnahme Doctor, the Cardiac team, the nurses at 2A and also now up in 6B. Everyone has a sense of humour and are so friendly! I recommend this hospital 100% you are in good hands! Chill!

Totally thrilled and equally disappointed at the same time. From the surgical team, preparation, operation and recovery room as well as the care on ward 3 B, everything was great 👍. I wouldn't be here today after 9 days without these helpful people. Thanks especially to Dr. Hessler who operated on my lumbar spine. I was very disappointed 1. that there was no physiotherapy in the house that would have mobilized me a little better. And 2. and I personally find this the worst: I had to fill out and sign a lot of forms so that everything was done for the AHB when it came to discharge management. Unfortunately everyone was sick and no one cared. Anyone can get sick, but then the work that has been left behind has to be caught up on. The patient relies on it. If I hadn't asked by phone today, I would have waited a very long time. And then I received a statement that couldn't be true. You are no longer a patient here, you must contact your treating doctor. I immediately called the health insurance company; completely wrong statement. The application can be submitted until the time for AHB is over. The discharge management was instructed by me to take care of this through my numerous signatures, regardless of whether I was still in the hospital or not. Very bad management.

Completely thrilled and satisfied! From the quick appointment to the treatment, everything was flawless. Whether nurse, anesthesiologist or surgeon - everyone was very friendly and attentive! Clear recommendation for this clinic.

Very quiet and in nature, which is a clear plus point for the location. A lot more care could be taken in the green area. Some of the staff are extremely friendly and you feel very welcome and comfortable. On the other hand, you also feel like a number or object that needs to be repaired quickly and disappear as quickly as possible. Everyone should be able to have a smile and a touch of friendliness. From the preparation in the hospital room to the immediate preparation for the operation with anesthesia to waking up after the operation, everything was very exemplary, so I felt very well taken care of. Unfortunately, in the hospital room you noticed that the next patients were waiting and you had to put your shoes on as quickly as possible and it was best to run away. The explanation for further independent treatment was like an attack for me. The light came on early, people asked for names, ran their fingers along my leg to see if I could feel everything and then, without checking whether the seams were ok, I said “then you can go home now”! There was still blood in one spot, which was then taped up and they said, now they can go home. In addition, they have never had anything to do with such tablets/medications, injections and changing bandages, explained quickly and they can handle it. When I asked again, I responded with annoyance, as if I had to know. Ultimately it's not rocket science, but with so much information after waking up, it's a challenge. The operation and doctor were great and the handling was a bit of a flop.

My worst experience in a hospital for far. My room is beside a place that are remodeling, 12 hours of the sound of a hammer constantly. Due my operation I can not eat solids, so the only thing they are offering me is pocket soup, no veggies no fruits, nothing. And forget about to find the manager, she is never in the office, and she will never pick up the phone. The personal in my station are good the most of them, the problem in hospital is systematic.

The most irresponsible and unprofessional team I've ever met. My oparation was cancelled one day before the last minute, after all the preparation. Even worse, for more than one month, no apologize, no explaination and no call back to arrange a new time for the oparation.

Worst hospital I have ever been too. They are under staffed and under funded and care more about making money then care of patients. Cancelled appointments without letting patients know due to broken equipment and staff shortages. You would get batter care in a third world country hospital. Asklepios is a shinning example of how broken the German Medical System is.

The worst experience with the treatment for an international patient. The hospital arranged for us viewing for a cardiology patient. We travelled from a far away to be there (having paid a huge lump some that was supposed to be used for the tests etc). Instead - the person who took blood tests did not even wear PPE, the doctor who saw us had not even read our history (having sent if a month before), did not do any meaningful tests that would bring us to the diagnosis, still waiting for the anamnesis (and prescriptions) to be sent to us after over two weeks.

Thank you so much to the orthopedics team and everyone at station M120. They gave me a new ACL after I tore it, the operation went perfectly, and the care I received after was outstanding. I prepared for the worst, but the friendliness and professionality of the staff made everything so, so much better.

The staffs are friendly, and they saved my friend, so 5 stars for sure. However, if it’s possible, I hope I’d never need to come here even they have a great view outside of the window. Stay healthy 🤲

Very kind and caring staff who took care of me when I was admitted with an ambulance in the middle of the night. Big respect!

Good services, but the emergency wasn't fast! Reception of emergency was so unfriendly, and rude!

Experience with this hospital could be described in two words - HORRENDOUS and UNPROFFESIONAL.. At the reception they lost my ID card. After two phone calls and one visit, the hospital reluctantly assured me that they didn't have it, which is why I couldn't fly back to my country and my flyticket was forfeited. After a few weeks, without notifying me by text/call/email (even though they had all my contact info) they sent me this ID card by post (after it had already been blocked).. The invoice that came home cost 190 € even though the hospital told me the price would be around 60 €. This whole situation was made worse by the unhelpful and unpleasant attitude of the staff. It had cost me lot of time and money and the hospital didn’t do anything to make up for the inconvieniences caused.

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good hospital, doctors and nurses are friendly

I went to this clinic for an emergency case and an ent (ear, nose and throat) doctor saw my ear and gave me an ear drop with a nose one. The staff was very friendly and helped me with English speaking. They even have the registration form in different languages. Great.

1. Nobody speaks English in the Information 2. They send me to have a corona rapid test to a apotheke/pharmacy a few meters away, while I was hurting 3. The doctor didn’t check my breathing, my heart pulses, my blood and yet he diagnosed me and gave me pills Well guess what happened after 3! I had to go again to another hospital because I was not able to breathe properly! The hospital must be shut down and this doctor needs to get fired! Thank you for your non-existence services!

The most unruled and random hospital in bremen you will wait long time and after that they will tell you all doctors are busy come next time and they also lost my documents and insurance they told me we cant find your papers and i just come today and i give my papers today how they lost it i really don’t understand.. i waited a long time till now they didn’t get my all documents that they already took it’s really bad hospital!!! 0 RATING NOT EVEN 1

They are true live savers and I can only recommend this hospital to anyone with heart or lung problems, the team is absolutely awesome and everyone is taking good care of you all the time!!!

Not bad

They all staff in the emergency,( was there due to a broken foot) were fantastic. Professional, caring amd kept me informed throughout..

amazing, sympathetic and helpful people. did not get mad at me for speaking english and was not a long wait. thank you!!

First something positive: the doctors, especially the anaesthetist, were good. However, during my time on the station following ankle surgery, I was shocked. 1. When i woke up after the surgery I hadn't eaten since the day before (it was around 7pm), I asked a nurse if i could have something to eat and she shouted at me, made me feel like it was a totally unreasonable request - the other patients in the room were shocked and defended me. Finally she brought me some food but was clearly annoyed that i had asked for something so basic. 2. When I realised my period had started during the surgery, I was once again shouted at for asking for help to get a pad (I wasn't allowed to leave my bed to go to the toilet so soon after surgery.) It was humiliating. I was left in those bloody sheets for 4 days 3. I had a very big ankle surgery and was in pain I had never experienced before (including childbirth), the nurse during the night shift straight after the surgery refused to give me anything stronger than Novalgin and then left me for 6 hours with nothing else. She told me to stop ringing the bell because she couldn't help me. I was sweating and shaking with the pain. Pain management continued to be an issue throughout my stay depending on whether the nurse on shift 'believed' my pain or not, I raised this with the doctors several times. 4. I told the staff that my bandages felt too tight and no one listened to me, now 6 weeks later, i still have nerve pain, which needs pain medication and skin necrosis from having extreme pressure on my foot for 2 days. 5. One evening a nurse filled every patients' thrombosis syringe half with air, thank goodness the other nurse on shift realised before she injected 16 patients with air, she was in disbelief. This added to the general feeling of not being safe on the ward of this hospital. 6. Nurses were exhausted and burned out, 2 nurses for 16 patients is clearly not enough. 7. When i wanted to come back after 6 weeks to discuss the surgery and recovery with the surgeon I had to beg for an appointment on the phone to a very rude receptionist (the same receptionist who a few weeks before told me there is no plaster cast in the hospital, can this be the case in a hospital with an orthopedic department and an emergency room?!). After care is a simple responsibility after major surgery, especially when there are complications such as crippling nerve pain that my general orthopedic doctor couldn't seem to explain. To say I was shocked is an understatement, I feel traumatised by this experience. Sometimes I have nightmares about being back on that ward crying in pain with no one helping me. The experience was inhumane and I deeply regret choosing this hospital. I have never written a review like this but i feel a responsibility to warn people. Once again I will say the doctors were good, but you rarely see them. I particularly appreciated the anaesthetist who showed compassion and diligence but that level of care should be the rule, not the exception.

I was at the clinic with my wife and every single nurse, doctor, security and receptionist that talked to me were patient, kind and nice. Although I don't speak German, everyone was willing to explain things in English. Special thanks to a nurse and a doctor both called Julius who were extremely kind to us and treated us like real human beings. I'm full of gratitude to everyone in this hospital. Thank you 🙏🏻

Worst experience I ever had in a hospital in Germany. With an appointment I had to wait nearly 5h to be seen by the doctor. Never coming back here again!

This is the best hospital, with the best MS Ambulanz! The team was very professional, reliable and communicated fluent English with me! The MS-Nurse, Frau Christine Timm, is very caring, she talks to me in a calm and grounded manner, this made my anxiethy less present during my stays in the hospital! Salute to every staff member of the hospital!🫡

Got immediate care, very friendly and helpful nurses, caring doctor, very pleasant rooms, helped me a lot!

I was travelling from England on a motorcycle with friends to travel through the Pyrenees and the alps, it was the most beautiful sights I’ve ever seen then into the Black Forest, then I had a terrible accident and was smashed up badly, I was take by helicopter to university hospital where they repaired my broken bones, they saved my life, they were very good to me and I will never forget, I was in hospital there and back home for a couple of months, the end result I’ve led a near normal life, thanks to the surgeons who expertly repaired me, I will never forget,

i went for my yearly check but was told it cant be done if i do not have one of the 3Gs. i was told to get another appointment although the hospital websites states otherwise.

Every time I go there there is a different doctor. This time she spend most of the time typing away and looking at the computer. She was friendly but I got nowhere. For the past two years it's always the same. I have severe pain in my back and a few other parts but it's always a complete waist of time.

They don’t give an estimated waiting time for surgery- they kept pushing my surgery. I had to stay without eating any food or drinking any water for 24+ hours as they kept pushing my surgery. But overall the staff and doctors are very kind. They took care of me really well even though I didn’t speak German!

This place really deserves 0 stars. I’m sure there are hospitals in third world countries that have better service than this place. First of all, the Emergency Room receptionists don’t speak even basic English . Which is unbelievable being in a large international city with a high population of foreigners. They were basically unsympathetic and useless despite me being doubled over in pain. Where do I even begin with what I experienced here? I was admitted at 5am on Monday morning. The place was empty. Despite this, no one ever came to check on me for hours after putting in my IV and I woke up to it sucking my blood out. My toilet didn’t work which was a nightmare with constant vomiting and diarrhea . There was no toilet paper and despite me bringing this up to someone several times throughout the night it was never replaced. Because I had no way to flush the toilet or given any alternatives (even a trash can to vomit in would have been nice) I was forced to just keep stacking all my expulsions into the blocked toilet. For my second IV the nurses put it in wrong, no one noticed until the doctor came in hours later and saw it. I decided to discharge myself and when I left I saw all the nurses and support staff in the hallway chatting about their weekends and playing around on their phones. Absolutely despicable. Since this has been noted by several other reviewers, I believe there needs to be some firing of personnel and change of management. The room itself was also very unhygienic and reeked of urine and homelessness (similar to Hauptbahnhof) which made my already bad nausea even worse 🤮🤮🤢. The negligence at this hospital is out of this world and should be called out.

My sister had a serious operation in this hospital 4 days ago. After the operation, she spent the first night in the intensive care unit. My sister was very satisfied with the treatment in that department and felt calm. After transferring to the public sector, everyone is still very kind and helpful. Very clean hospital, with professional and lovely staff. And also the atmosphere is beautiful.

I had a great experience giving birth at UKE. everyone working there was super nice, cooperative and friendly at the registration and at the Kreißaal as well as in the postpartum care. We requested the family room, which became available in few hours post our request ( you do need to keep following up the availability status of the room til you get it though ) For the mom, you need to get a shirt/ dress to give birth in. And pjs for afterwards as well as the bathing supplies For the baby, you will only need to have the go home outfit and maybe a pacifier. All else will be supplied by the hospital. The meals served are really good too. Not the typical tasteless hospital food .. you will need to have some snacks with you for in between the meals especially if you’re planning on breastfeeding. All in all, i had a really good experience and highly recommend the hospital

Waste of time! I got food posioned and waited for hours! Nobody checked me and I had to leave because another patient came and told us she was waiting for 7 hours. I mean this is an emergency, it shouldn't be like that. Aside from all these stuff there was very rude. I was fighting with pain and with the people at the same time. Not even talking about the money I paid for the taxi because I thought I can get help here. I don't know what I am gonna do if I ever have more risky situations like that. This has to be changed.

18 year old friend of mine has been hospitalized due to a tumor. because of a so called "emergency" a vacation had to be cancelled and he didn't even make it into the infirmary. during the operation they managed to injure the liver (which isn't exactly spottet on the head) and he was in a critical state. he died less than a week after the operation and the doctors had the audacity to say "have a nice evening". worst hospital ever. will make sure none of my loved one's ever go there again.

I am a professional who moved here to contribute to uplift industrial activity in my own area. Heard great input from friends on Helios, about English speaking staff, better handling than long and declining German medical system. When registered my wife for birth and checkup at the last stage of pregnancy - and recently visited, the rooms are hot (making the patient more inconvenient), then we requested female doctor/nurse due to our own comfort and values, but instead when the female doctor arrived she ended up giving me lecture to understand their culture, you are in germany, even in your home country there are only Male doctors & Staff (which she doesn't know 60-70% of medical employees are female in my home country). She was straight forward denying the service if we do not agree on the male attendant. We had no other option but to say yes, however, this has been traumatic experience turned from a happy moment. As a Service provider the doctor should be able to provide a relaxing and comfortable environment. And the treatment was not something that couldn't be done alone when requested. It was a one person job, she could have do it herself, but forced to have male attendant to just hand over tissues or so. And even after that told me to expect male attendant regardless you want or not during delivery.. Service providing is the key. highly disappointed.

I could put 0 or -5 if that was possible. I guess 1 star goes to nursing personnel some of whom were nice. My mother was admitted there with stomach cancer and fluids in abdomen supposedly for immune therapy (we know it is a last resort). Doctor (Ali Nuri Hunerliturkoglu) even wasn't fully aware of the diagnosis at the admission. At putting the port for immune therapy/chemotherapy, lung was punctured leading to an infection. Biopsy results were late, hence no promised immune therapy was provided just a general, non-specific chemotherapy, which weakened the patient together with hospital-induced punctured lung and infection to the point of not being able to walk and normally function. No help at all, just prolonging of suffering. To top it off, transportation to pick her up and deliver home was not allowed to approach hospital premises and a lying patient on a rolling bed had to be transported for 10 minutes outside in the cold. Avoid if possible

I had this year three operations in Krefeld hospital.Two of them was not planned one of them was planned.Everything goes smootly.Personal are very friendly doctors also will try to explain everything till the end.Food quality also not that bad like hospital food.My plate was empty always.I had only one small minus the pillow for your head its like a carpet to clean your shoes so tin and not comfy at all 😀 Even this hospital is one hour where i live but anyway i would always choose this hospital and recommendate to others

one day I was very sick and had to go to the Emergency. They said they would not treat me. Because I had to be referred to the home doctor first. I wonder which house doctor can be reached at 4 in the morning? They didn't treat me and I wasn't even able to walk. I cried and had to go to another hospital. Besides, the staff working there were very rude. They were talking to me as if they were shouting at me. And even when I asked some questions, they wouldn't even answer me. They didn't even look at me because I was a foreigner. I do not recommend it to anyone. If I had fainted there, I think they would have referred me to a home doctor.

I visited for the second time the emergency today. The first time nobody could point out a doctor as nobody could speak even a little bit English. Today I found a kind lady in the morning reception who gave me instructions to come again at 18:00, visit the 1st floor, to see a doctor for my emergency. I did. As I arrived I said that I don't speak German. None of the assistamts there could speak. They kept my Insurance Card and I was waiting for my turn. I heard my name and a nurse gave me a cup to pee. I used google translate to ask what the cup has to do with my pain and if they have at least someone speaking a little bit English to say what my problem was. They were explaining to me in German and as I could not understand they were just rolling eyes. If you are German prepare to get some rude responses as the specific assistant was yelling to people. If you do not speak German prepare to die as the punishment for not knowing German is death. I feel very disappointed

Really shocking service - be ready to waste your time. I wonder - what would the world be like if we all had the same attitude to each other as the staff do to their patients? HORRIBLE

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

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

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

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!

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.

I got a brain surgery in 2017 and stayed for over a week here. I felt well treated, especially by the staff of international nurses and some doctors. I got some complications that I don't know whether they came from the care I got or if I dodged a bullet (6 hours surgery). Follow ups are a pain, emails don't work, phones only, and one has to wait for months for something.l, but the system is the bigger problem. I trust the professionals here, some will even talk English to you if asked. (Sure, don't come to the emergencies if you can be treated elsewhere). The facilities look a bit better than other hospitals in town.

the worst hospital I've been to. I broke my leg and they told me to go at 7 in the morning for the operation and they left me until 8 in the evening without giving me any information, without water. Then they remembered to come and inform me. The next time I was driving with my mother, who had a bypass and her blood pressure was quite high. The doctor asks me if he is dead? does someone have to die for us to go to the hospital? Because we also pay insurance for the doctors.

This is going to be a long story about my terrible experience in the emergency service. An ambulance brought me here at 21:30 with a broken swollen ankle. Since the emergency guy brought me inside and put me in a bed, no one came to me to do the first check-up. I begged 3 "nurses" to at least bring me ice because I am dying of pain. They go and never come back. They didnt give me ice, nor pain killers, they didn't even do a first check-up on me. How professional! especially when I can see them talking to each other, laughing, talking over the phone. The level of ignorance that I saw here is unimaginable. They are lucky that I was in pain otherwise I would have called the police. So around midnight finally someone came to do xray for me. half an hour later someone came to me to explain the severity of the injury, put the cast for me and gave me the crutches. Then he told me a nurse will come to explain everything, show me how to walk with the crutches, bring me outside with a wheelchair and call me a taxi. But no one showed up. I was screaming and no one heard me. At the end, around 02:30 I had to ask a "guest" for help. Luckily he was a nice guy unlike the nurses and stuff here. He helped me to walk outside and waited with me for a taxi that I called! I am waiting to fully recover and then I will see a lawyer about this. I even called them after days to send me the xray because the doctor wants to see them and they ignored my emails and phone calls. 5 hourse in the emergency with a broken ankel. No help, no check-up, no ice, no pain killers. No one helped me to leave and they didnt even call me a taxi!!

Worst criminal violators "working" there!! Stole one of my Organs also, when i was three years Young, and many litres of blood!! Other Details, you dont really wanna know 🤢🤢🤢🤮

Ok where do I start… first of all I don’t understand the negative comments here. The doctors are very good, excellent! They are so excited when they know our mother tongue is English and they want to talk English to us! We even had today two nurses, they asked if we can stick with English, since they never get the chance to talk in English! The nurses are just so nice and welcoming! We feel so good treated from the doctors and also from the nurses, generally all staff! You need to understand this is a VERY BUSY hospital, people are coming from many kilometers away to see a specialist here! If you don’t have anything severe, don’t keep this hospital busy. Since people like us travel miles in order to come to this Zentrum! We are very happy to be treated well. Just the organization feels sometimes kind of chaotic, probably is due to the busyness of this hospital. Thank you MHH for taking great care of us! Yes the architecture and rooms feel sometimes outdated, because this hospital was built like 60 yrs ago. But who cares about that, when the care is very good! Our comments are for two clinics: Hepatologie and also Viszeralchirurgie! Can only highly recommend it!

0 humanity,0 empathy. It’s not up to anyone to work in a hospital.some are juste heartless.