Deep vein thrombosis (DVT) treatment in 301 Vascular surgery clinics in Europe

I had to attend the oftalmología urgencias department and the four staff present treated me fantastically. This was on Saturday October 7, and they were busy all day. I had lots of tests and was given an appointment to return on Monday to the main department for a revision. Spain really has the best public care in the world, I'm sure of it. Muchas gracias.

The urgent care facility is dirty, poorly organized. The staff engages in unsanitary practices: trash receptacles-including those that take hazardous waste are left uncovered, and you often see trash littering the floor around the trash cans. Also, multiple patients are asked to sit and lie on the same paper covering on the examining tables. I saw this in multiple examining rooms. The doctor who cared for me, Manuel Luis Gomez Blanco, was rude, impatient and haughty. He tried to dismiss me after treating me for only one of the ailments I came for. It was a very unpleasant experience, but I was able to get the treatment I sought. I just should not have had to deal with such an unprofessional environment and uncaring treatment by staff. I am fortunate my ailments were not life threatening.

I didn’t even want to give you a star. First this La Paz hospital is not friendly to English speaking patients. For international tourists or expats! You will die here . I brought my daughter to their ER. She was having shortness of breath..due to her asthma exacerbation. they made us wait for 3 hours but no treatment given nor tests done. Horrible private hospital. I went to see the doctor to tell her that my daughter needs to be nebulized. Instead of talking to me properly. They sent me out because none of them speaks English and they said wait to be called ! For 3 hours of waiting nobody gave my child management nor diagnostic procedure ! They didn’t care as to what I was pleading for . i will complain to Adeslas my health insurance and will make a report on this . I’m a dermatologist and a medical journalist from the philippines. I know the management to asthma very well. Their doctors/ nurses are all rude and with no empathy to patients. They should have. English speaking representative for the tourists coming to Spain. It’s pathetic that they have no treatment .-

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.

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.

Poor management, miscommunication between staffs leading to patient’s EXTREME DISCOMFORT, no empathy whatsoever, PLUS the lack of information given to the patient; having to wait for 2 days still going on with little to no food (to prepare for the surgery which only takes 20 minutes as the doctor had said). The surgery that was planned, gets delayed due to the miscommunication between the staff members. But this was not relayed to the patient and the patient’s family until after waiting for 8 HOURS, keeping the affected ones in the dark. Then promising to do the surgery the next morning but then it gets pushed back to afternoon and then again at around 9 pm. But AGAIN it gets postponed until next day saying the doctor went home, which meant the patient was starving the whole day preparing for the promised surgery which was not done. Even after all this has happened because of their MISCOMMUNICATION and CARELESSNESS, NOT A WORD OF APOLOGY or any better explanation. Sure, it’s a hospital, there could sometimes be many emergency patients at once but they should also have MANAGED properly, they should not have promised something they could not do or they should have made proper plans OR they should have communicated well, at most the staffs should be trained properly on what they should be doing. Save lives but also not try to make any more patients. Hopefully an improvement in the management, the behavior of the staffs towards the patients, and their skills can be seen in the FUTURE if not now because it’s a PURE DISAPPOINTMENT right now.

My dad was supposed to have a surgery on 8 am after the hospital gave an appointment. He wasn’t allowed to eat or drink from midnight til the surgery. But they somehow had a “communication error” saying that the operation room got occupied by another patient after 8 HOURS!! My dad had to wait 8 HOURS in pain without any food or water waiting for the doctor to do the operation in the room. But NOTHING!! It was so irresponsible of them! It felt insulting as if they were looking down on us because we are of different race. I felt so bad for my dad!! Now the operation is gonna take place tomorrow! I had expected better from the hospital!! I wouldn’t even give 1 star if I could but unfortunately I have to, to write this review!!

A mother spent three days begging Help Island psychologists to help her child not commit her seventh suicide. A psychologist and a social worker. The meeting was prepared for three days. Twenty-first century, in the ambulance of the city of Bern, out of 140 thousand Russians and the same number of Russian speakers, but there was no interpreter for the appointment. The elite of the hospital, in the person of a highly paid psychologist and social worker, passed judgement; Listen, ...parents ; the mother should call the police! In truth, they pay 8,000 francs a month out of your taxes to the great healers of the land of Switzerland. There's a Russian saying "don't throw beads in front of pigs". Mother left in silence. The arrogant took it as a victory! A victory over a helpless, disabled woman. Arrogance is formed from the absence of everything else. Education, upbringing, having compassion, morals, responsibility, being helpful...) How does fascism spread? The chief said, you have to smash your forehead, but follow orders! Back in the emergency room, after five hours of being ignored, the mother was brought out a poster, A4 sheet format. It said in large letters, "We won't help you and the three-digit police phone number is 911. The leading psychologists of the hospital and here, showed their professionalism, big letters for a stupid Russian mother. These letters shout: "the doctor said to the morgue, so to the morgue". The mother, of course, was sick, but unlike the friendly staff of the Ostrovny Hospital, she could remember a seven-digit phone number. Where do these mothers get their strength? She brought the baby in. И? Refused!!! This is another story, how she managed to survive, get to the nearest town and finally get help. And what about the friendly staff of the Ostrovny Hospital? They found a clinic where they put a sick, tormented child, called and told them to get rid of him. What does the ambulance care about the clinic? How close, how united is the corporeal spirit, in the pleasure of mocking the Russian, sick mother. Friends, "The future is not for everyone. " Klaus Schwab Unite!

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

Not possible to schedule appointment via phone, only email. Very long waiting time, appointments are always late for 30-60mins or longer, and management does not notify about delays, patients time is not respected at all.

**^Racism warning. I met with Dr Raquel Vieira to have my implant taken out as me and my husband wanted to start trying for children. Firstly she wouldn’t let him be in the room even after I insisted. Then during the procedure she proceeded to tell me “COLOURED men like to have many wives” and told me I needed to “really check” to see if he had other wives, and children I didn’t know about. This was extremely shocking to hear, coming from Sweden and the U.K. I felt very uncomfortable as she was stitching me up I was in shock and felt very unsafe around this doctor. I can only imagine how she would treat me if I was darker skinned or god forbid decided to make her my doctor for my pregnancy. Very unprofessional and unpleasant let alone racist and illegal.

The service too bad I’m trying more than 2 months to take appointment to show exams to the dr their phones never answer! They never respect people

My wife and I have been going to this hospital for a couple of years. We have a family doctor (always late but doctors do have other patients with problems that need intervention, I like to think) speciality doctors for hematology, dermatology, gynecology and urology. They all have a specified amount of time to allot to each patient for consultations so sometimes it seems rushed but they have all been very professional and in almost all cases attentive and caring. The hospital is very busy and i think the receptionists do an excellent job of helping patients.

Mammogram and ultrasound checks everyone's helpful. Friendly and professional felt relaxed with all the helpful doctors .nurses and receptionistist would give them more stars 🌟 then five

Recepcionists who answer the phone are hysterical and rude. The worse!! The lady who answered to me and didn’t want to transfer to her boss or the person I called for, started yelling as crazy to me. Asking me personal information but she denied to give me even her name or transfer the call. I even advise her to take a valium and she hung up on me. Crazy lady

Excellent hospital, very well located and with great access. There is always parking. The level of care is excellent, both from the clinical staff and from the nursing staff and assistants. They usually keep to the schedules for both the exams and the appointments. Very clean and tidy. Very good facilities and with excellent means of diagnosis. I strongly recommend Works for almost all insurance I recommend

My experience was excellent from booking to the end! The staff are super attentive, good professionals, the facilities and equipment are in very good condition. Fast, convenient, in the best way possible! The password machine was broken, but the technician resolved the problem within minutes! It is noted that the management of the unit is carried out by the team that knows what they are doing. Thank you for such a good service!

Long live the privatization (commodification) of health! I had the first-person experience yesterday that you can't be sick on the weekend, or at certain times, because it might not be as profitable for the company. I don't understand where such a large chunk of the state budget for health goes, when a person happens to need medical services at 4:15 on a Saturday afternoon and the hospital is unable, or unwilling, to respond. I had to go to S. João to be seen, because while these leeches absorb taxpayers' money, local public hospitals are left without the means to provide an efficient service for everyone, without exception.

I had the worst experience in care, I had an obstetrics consultation, and Dr.Ana Branco, who attended to me, was extremely rude, I felt offended, talked about my country of origin and even revealed the sex of my baby, without even asking. If you would like to know, you leave the room completely destabilized, I'm thinking like a doctor who treats pregnant women, doesn't have the slightest bit of empathy! It's a shame to pay so much for a consultation and go through a situation like this! I chose Hospital da Luz, because I believed that there would be excellent professionals there to assist me, especially at such a sensitive stage, which is often pregnancy! But I would give 5 stars to the nurse and attendants who were super friendly and attentive, the opposite of the doctor.

Good experience in the A&E but regular appointments get very delayed. The doctor was 29 minutes late for my appointment. Not a good use of my time.

Hospital

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.

I waited for 1h40min for an appointment and it got to the point where they wait was ridiculous, I had already had to cancel my next thing, and felt absolutely frustrated for coming all the way for a consultation, waiting so long to then desist as I don’t have more life to lose on this. The only reason I don’t give it 1 star is that the receptionist was nice and helpful and that the check in was easy. I don’t plan on going to CUF for help ever again.

They performed the surgery well. But was too expensive, they took far too long for a private hospital and they didn't explain costs. I cannot dispute the charges without making an account but I can only make an account by going in person. Not sure if it would be better than a public hospital in most countries

Just want money, no more than that. They told us to pay an amount of money regarding an appointment in the hospital and we already paid it then found a higher invoice to be paid later while we confirmed in the hospital several times that there would be no extra cost.

I have had dialysis here on 3 occasions and must say I wasn’t happy with the service here,my appointments always over an hour late and when I got back to the hotel the restaurant was closed thanks to the hospital.I’ve had two mishaps here with the staff when I come off the machine I bled really bad and no one rushed to help me.they do things in there own time and they never made me feel welcome and also a languages barrier here. I would never go to this unit again they do half of job.our nhs do a far better job than hcb Benidorm.

I came (with no appointment) for a dental X ray. The wait was only 25 minutes. The staff were very helpful. The hospital was busy but very clean.

I was admitted to HCB on Weds 6th September, for hip replacement on Thurs 7th Sept to be carried out by Dr. Barcelo. Unfortunately my procedure had unforseen complications which resulted in a predicted 4day stay extend to 9days. Apart from the anonymous blood donors without whom I would not have survived my operation, I owe a debt of deep gratitude to Dr. Barcelo and all the nursing staff on floor 2. The care I received was amazing, 24hrs a day. Once again ,thanks and gratitude from the bottom of my heart.

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 🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼

Once again in this awful building. 2 people almost dead, and the 3 of us are waiting for 3+ hours. You should be ashamed of yourselves honestly. How dare you calling yourselves emergency???

Thank you so much for the professional help on my situation. I went there for emergency, very friendly-approach from all the staff & doctor. Thumbs up for your kind & professional help.

This place is a nightmare. I always come here complaining because you always stay here at least 4 ou 5 hours to get a simple antibiotic for flu. It's ridiculous the disorganization. It's not clear where the waiting room is, not clear what is the next step, you see a lot of people passing by and not doing anything. It's a disaster. Only come here in case of serious problem. It's very bad here.

Best people, very professional, best healthcare, very good food catering.

Nurses were really nice when I had the medical examination (invasive). I was nervous and bit scared but they put me at ease. Doctor also gave me all the answers even when I was half way pass out.

Good hospital and skilled Staff. The only downside is waiting time.

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.

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!!!