Lumbosacral plexus surgery in 82 Spine surgery clinics in Denmark, Estonia, Finland, Ireland, Latvia, and 4 other locations

I cannot fault a single thing with my stay at The Lincoln, every single person I came in contact with were just amazing. Nothing was too much trouble for them, they were helpful, caring, understanding and extremely professional. If I have to have another stay in hospital I hope its at The Lincoln. Saying thank you for all the care I received seems really inadequate.

Right from the initial consultation I was informed of everything that would happen ,the service from admittance staff to nurses, anaesthetist and consultants was absolutely magnificent. The staff genuinely could not do enough for me. The room, the food and all the attention offered I would highly recommend to anybody

This was my second treatment. The treatment was very painful and staff in the treatment room were slow to react, despite my verbal communications that got louder. The consultant quickly finished the injection. I only received assistance when I asked some to please raise my knee as I couldn't move and was in pain. Maybe they didn't believe i was in excruciating pain. Last time I had a staff member chatting to me, distracting me. This time there was no friendly chat and no-one next to me. I was embarrassed with the situation and apologised, and although staff began to show concern, I felt it was somewhat delayed. The staff outside the treatment room were very caring, helpful and kind. I was given the after treatment pamphlet but was not told about medication side effects or who to call. It may be because I'd been before but all the same I would have felt better to be reminded.

From the moment Isle of Wight NHS transferred my care to The Hampshire Clinic, the level of communication and care was excellent. I was kept informed every step of the way with extra care and thought about the length of my stay and the need to travel to and from the Island to Basingstoke. When there was an unavoidable delay in my operation, the whole team ensured that it was rescheduled and happened within 12 hours of the original time. When I responded badly to the anaesthetic, the night team were kind and patient, keeping me hydrated and comfortable until I could tolerate fluids. I received outstanding care and feel fortunate that the NHS referred me after being by in their waiting list for so long. It has made me seriously question the benefits of private hospital care and should I need treatment again in the future, is a route I would definitely explore. Thank you to Mr Sethi and the whole team.

I have always had nothing but the best care from all the members of staff at The Hampshire Clinic. They are all , Friendly, approachable , knowledgeable in their field, and caring. I've stayed in hotels and had less satisfactory service.

The staff , nurses and receptionist are all amazing and super friendly . My consultant DR George Goumalatsos is just fantastic . I have had a previous surgery with him in 2019 and I honestly feel I couldn't have asked for a better doctor . I know my road isn't closed just yet as awaiting on some rest result , but he has reassured that we will do another surgery once he has my test results back and help me feel like a brand new woman and free me from this horrible disease. His knowledge is just amazing. Thank you to all at the Hampshire clinic for the great work .

From entering the Woodlands Hospital to leaving I was treat with the utmost courtesy. Though my needs were few, they were no problem for the staff. My operation went down 1, 2, 3, just like they told me. If I need any surgery in the future I would return to the Woodlands Hospital.

I was very satisfied with my treatment. The only minor criticism I would make is regarding aids to take home after my hip replacement. My letter indicated that there would not be any but I was offered a raised toilet seat when leaving but I had already bought one thinking that none would be offered.

I was looked after from the moment of walking in, taken to my room, the staff were brilliant and explained everything. Your housekeeping team were super, they gave me a choice of food and all was there when I returned from theatre. The anaesthetist and consultant took time to talk me through my procedure and expectations and answered all my questions. I had a very positive experience. Thank you so much for looking after me.

Had a fantastic experience as a patient at The Droitwich Spa Hospital. The consultant was very thorough and explained things in detail, I didn't feel rushed. The imaging team were fantastic and booked me at very short notice, had amazing patient care in the MRI scanner and results were available quickly. Amazing service

I attended my first ever MRI today. I want to say a special thank you to Diane who was doing my scan. She was so lovely, caring, kind and professional. I was so nervous and she just did the magic and made me feel so much better. I don't think I would do it without her support. And also the girls who was assisting her was very lovely too. What a great tram!

Had a knee scan done Monday afternoon and received the results and report Tuesday morning which exceeded my expectations. Everything was explained so well and the staff were excellent and very professional, can’t recommend enough. I also used the Alter G treadmill and the explanation and straightforwardness when coming to booking and using it made it super easy for me to get on with my rehab. Grateful for all their help in aiding me in my recovery.

attended the one stop breast clinic, and cannot praise highly enough the whole experience was comfortable and professional from start to finishing the staff at every level were kind, caring, made me feel at ease and really eased my nerves. 10/10

Couldn't fault any of the staff for their professionalism, friendliness and reassuring manner they showed me during my short time with them. Everyone from the receptionist to the consultant were absolutely fantastic. Only one gripe I have is the limited parking on site. We were lucky to get a space but the alternative was a pay & display at a local supermarket. I find this a bit off considering the money I was paying for the treatment!!

The whole team at HCA Wilmslow are absolutely amazing. They quality of care and attention to detail is something I’ve never seen before. Special mention to nurse Rachel who was absolutely fabulous and took such good care of me both before and after my surgery.

My wife has had a shocking experience. She had surgery moved over 4 times, paying for services she never received and when complained was only offered partial payment as a ‘goodwill gesture’, yet over a month later, Spire continue to earn interest and withhold the funds. Their response after agreeing to partial payment is to ‘seek legal advice’. They do not value their patients at all and continue to ignore emails. Disgraceful service.

My dad had his total knee replacement on Saturday 21st October at Spire Bushey and I have many good things to say and some special thanks to certain people working there who made the experience a positive one. My dad was diagnosed with arthritis over 15 years ago and told he needs a knee replacement in his 50s, but he held out mainly due to fear and decided he would rather walk being reliant on just one leg then get the other replaced. Fast forward to present day where my dad is now 69 years old we then met Dr Paddy Subramanian - he was very positive, informative and honest and my dad felt very reassured and confident in him, as did I - I wanted by dad to be treated well and also believed Dr Paddy would take care of him and we decided to go ahead. Dr Paddy in fact saw us twice as my dad started getting nervous and needed some additional reassurance and Dr Paddy certainly gave us that second time round also. He was very generous with his time The day of surgery came and we arrived at Spire reception and were escorted by Gary Mullins who was a very friendly and kind gentleman and gave my very nervous dad reassurance. It was a comforting start to what was a very nervous day and the service Gary provided was much needed as he was the first person to start our day. This kindness and comfort continued and didn’t stop with Gary- the nurses Herald and Jessica who worked in the Lea Ward on Saturday 21 October 2023 made the whole time spent in room 35 so comforting. They were very very kind, professional, personable, reassuring and took such FANTASTIC care of my dad. Two of the best nurses we have ever come across. Every patient / hospital needs a Gary, Jessica and Herald - 3 people I imagine any patient would instantly feel better by To anyone nervous about knee replacement - don’t be if you’re getting it done by Dr Paddy. My dad was terrified of getting this knee replacement for years and as was I for him! We had all sorts of nightmares including of him waking up mid surgery and seeing/ hearing / feeling the procedure. I unfortunately can’t remember the anaesthetists name but he did a fantastic job at providing the perfect amount of sedation. Its very early days for him as it’s only 2 days after surgery and there’s a long rough road to recovery and lots of work to do day in day out but far more positive now. The knee replacement surgery itself is rough when you think about what they are actually doing - but the reality was that although that might be true, it turned out to be the best and most comfortable surgery experience my dad has ever had. He woke up from surgery in a pretty good state and far better then any of his previous surgeries My dad was in room 35 which was a lovely room. Very comfortable, nice room with a nice bathroom. The hospital itself was extremely clean and nice also. The food was great and whoever prepared the omelette and crème brûlée did a great job as my dad really enjoyed it Also additionally, the Spire Diagnostic centre is where my dad had to go before surgery during the lead up for his checks. This place also gave my dad reassure and confidence for the surgery because the diagnostic centre is extremely impressive - very state of the art and the staff also great. Unfortunately I don’t know the names of the staff that did his tests during his first pre op assessment there but they did a great job Earl was the final person we saw during our stay there, he was super kind and friendly and his kindness left its mark I am a very grateful daughter. We were so nervous before but now so thankful to all those mentioned in this review Thank you Dr Paddy & the team that were all there in theatre with him for your expert work, thank you Herald, Jessica, Garry, Earl, Kwasi , the physio team and Spire Hospital Thank you all very much! Please pass on my thanks to all those mentioned in this review

Unfortunately in June 2021 Spire Bushey Hospital almost killed me. I had an operation there with an over night stay and there was a complication after surgery that was completely missed by the nurses and doctors during my over night stay despite me showing clear symptoms from the moment I came out of surgery. I was rushed to an NHS A&E 1 day later after being discharged from Bushey Hospital with in severe septic shock needed an emergency operation and almost died this followed a very agonising 3 week stay in an NHS hospital. Then Spire did their own internal investigation and got that wrong. Firstly they sent me the wrong patients details so I actually had someone else’s information of another person who had complained. Then they stated that a complication was ruled out when it wasn’t and stated all my observations were normal which they weren’t. They said I was sipping fluids fine but never measured that I was given a black opaque jug of water which was changed far too regularly by the domestic staff so it definitely wasn’t measured. I raised a formal complaint with them which they have taken months and months and months to reply to and still have not responded despite me trying to chase the complaint. My surgeon at Bushey has been very helpful and told me he was very surprised that they did not even speak to him or approach him during their internal investigation so even he has found it shocking. You’re staff nearly killed me, they shared the opinions using confirmation bias to explain away clear symptoms of Spesis and there was not a NEWS score in sight. One nurse didn’t even know how to take a tympanic temperature (from the ear). The education of their staff post surgery is something they failed on their CQC report in January 2021 and it clearly put patients like me at serious risk. Please, please, please do you research when choosing a hospital for your operation because it’s so important to find a place with competent staff to look after you or your loved ones. Your life is at stake. EDIT: 03/10/23. I have responded to their message and emailed the address they have given. I have had no response.

My time as an inpatient at Ross Hall went smoothly & I was made to feel comfortable & felt that everything was explained clearly & staff ensured that I was never in need. However, the discharge process could be a little more streamlined, but other than that I was impressed with the service I recieved.

I can honestly say I was delighted with the whole experience. I have never had an operation before and was totally at ease from the minute I walked through the door. The staff at Ross Hall are nothing short of excellent, my consultant was amazing, the porters, reception staff, and especially the nurses, who went over and above for me, were just great. I am so grateful and would highly recommend Ross Hall time and time again.

I received day surgery here for an issue after 2 years and wish it was only sooner if I had only known about them then. For it being a hospital of course there helping all these individuals through their personal medical journeys, but as soon as I walked through the doors it carried a warm light atmosphere and every single person was polite, smiley, happy and helpful with high warm energies. Truly was an exceptionally experience and most definitely could never see a mistake being made the amount of checks and repeats and signing off ensuring no room for error on that part. The surgeon Dr Paterson was every thing you could hope for instantly brings that energy were you feel safe and grateful he’s carrying out the procedure. Well done Ross Hall Hospital!

I used the hospital to have the services of Mr Afifi as I was due a hysterectomy due to endometriosis. Katie, his PA is excellent and always on hand to help and support. However, the booking staff were terrible with communication. I received wrong information numerous times prior to my pre op and operation and found myself making daily calls to resolve the matter. I made a complaint to the PA to the Surgeon and still nothing improved. Even on the day of my pre assessment I didn't have all the right information - wrong time and no address. When in hospital the majority of the staff were good however the communication between the nurses was not good and it was clear, as they messages regarding my requests were not been answered. Each nurse told different story for medication and recovery and it took one Healthcare assistant (Marty) to come in and get things under control and a proper plan in place. I only had one night approved by the insurance company and I ended up needing 2 nights due to not feeling well after the surgery. The staff were too focused on getting me out to make space for another patient that I was furious and stressed. I assured the staff that I was happy to pay the extra night and so was my insurance company. I was spoken to by at least 5 staff members to try and move me out when clearly I didn't have the confidence to leave the hospital because of my condition. We normally use another private hospital in London and I can assure that from now on we won't be using Circle Health Group again. The communication overall was not acceptable, the staff on the ward show they are overworked and tired and in turn pass this onto the patients. They are more focused on treating each patient as a business and not as a patient. Overall I was not happy with my experience and going forward will not use your business again.

I can’t fault the care and kindness of everyone who was involved in my surgery and on the ward afterwards. I had surgery two days ago and my surgeon was brilliant, he talked through everything with me and came to personally visit me on the ward twice to check in on me and answer any questions I had. I was admitted to Dudley ward and every single one of the nursing team that were on the ward were fantastic, they looked after me and are so kind and caring. I would love to thank each of them individually as I feel they went above and beyond. I would highly recommend my surgeon and the hospital to anyone who asked me where I had it done.

Everything was fantastic, in particular the nursing staff- Camilla, Marty and Mandy were fantastic. Everyone was friendly and kind and tried to make my stay as pleasant as possible. The food selection was great (even for fussy vegans like me!) I had a few issues after my surgery but the nursing team were brilliant and really went the extra mile to make sure I was comfortable and knew what to expect.

Mr Warner has helped me with 4 years of pain and numbness. Elaine in reception was so kind and thorough. Katie and Lisa who completed my admission were also thorough and explained all aspects of my care. Inga from Physiotherapy gave me lots of information to help with my recovery. Thank you to an excellent team!

It's been a week since my surgery, I'm recovering quickly, I'm feeling better day by day. I just wanted to say that I've been struggling with my health problem for several years. Hospitals and GP doctors gave me medicines and advised me to take painkillers. When I was desperate, I changed my GP. he sent me to The Beaumont Hospital to see doctor David Smith who, after examining me without hesitation, said ok, in a few weeks we will do the surgery, now I can finally function like a normal person, a big thank you to the entire hospital for their help and I would especially like to thank Mr. David Smith, I highly recommend it to everyone Beaumont Hospital. this hospital is top 10 special thank you for great help great atmosphere I felt like in a hotel with doctors special big thank you to Jacky, Olga and Kate

Amazing experience from initial consultation to final surgery and aftercare. Surgeon, Anesthetist Doctors , nurses, kitchen Staff are all amazing .Everything explained step by step.Nothing was too much trouble.lovely clean and modern hospital, lovely food. Would highly recommend anyone to have their surgery at the beaumont.

I would like to give a massive thank you to Sarah Hoyle, Mr Berber, my whole experience at the Park hospital was fantastic, every step of the way from being contacted by Sarah, admissions, Mr Berber and his team, right the way through to the caterers and porters. I have to say I was made very welcome and treated with respect

Due to the unfortunate pressure on the NHS it's necessary to have to fall back on private care on occasions. My Mum was in this situation and went here for a joint replacement operation. Impressed by respectful and professional manner in which she was cared for. Building interior itself is modern and completely spotless.

I was looked after extremely well at The Park Hospital, and treated with respect at all times. My room was very comfortable and the staff were always on hand for any needs I had, not to mention a joke or two! The food was lovely, a good choice of menu and always beautifully cooked and presented. So my thanks to all of the staff who looked after me, with special appreciation to Mr Henley and his team who were outstanding.

Excellent team. Everyone were professional, did their jobs with so much care, empathy, and expertise, all with cheerful faces. The hospital is super clean, the best I've seen in the UK. Overall, I I've them 10 🌟 Sending a special thanks to Dr Mamidanna, Nurse Ola, Ana, Kumba and Tia. My meal of prawn and mayonnaise sandwich, vanilla ice cream and hot chocolate was like something from a 5* hotel. Excellently presented by an impeccably clean and well dressed kitchen staff (not sure what they're called in hospital) Please keep up this standard. Thank you.

Yes,certainly. My surgery took place on 17/10/23. I was treated inhumanly on the day of admission. I am a diabetic patient. From the time of admission till the time of operation I was not offered any food. It was almost 3-4 hours without food. I was shivering. once I come back from the OT my husband went outside to buy food for me. Only then I had some food before my release from the hospital. I had an follow up appointment on 28/11/23 with Miss Madi which I have attended. She didn't look into my eye with care. She was in a hurry to finish my appointment. It was less than 2 minute. She was busy with her mobile phone. If I knew this earlier I wouldn't come long way for this appointment as I have waited long after the surgery for this follow up appointment. I will definitely not recommend anyone to be seen by this Consultant.

was a really great process from start to finish. good discussions and advice with the consultant / surgeon. discussion from anaesthetist was very brief but reassuring nonetheless. everyone at the hospital for consultations to overnight stay was excellent. and post op care with physio is great too.

Receptionist polite & engaging. Excellent consultant, Mr Louette. Catering professional & polite. Theatre staff & anaesthetist thorough & professional. Recovery team, (Post-Anesthesia Care Unit) lovely & kind especially one to one nurse, Anne. Physiotherapist, excellent, kind, helpful & knowledgeable. Pharmacist helpful with my meds. Ward staff excellent. Although, I encountered one nurse’s (bedside manner) somewhat curt. Nursing assistant professional, very thorough, helpful & kind. Thank you to all staff & team with my care.

I found the whole experience of hospital and treatment excellent. The staff were friendly and caring and I definitely will use your service when needed again. Well done.

The staff were incredible. They all looked after me so well and made me feel at ease. I was so looked after and couldn’t have asked for a better team. Amy was the primary nurse that looked after me. She was amazing, she explained everything made me feel at ease, talked me and my partner through everything. Miss Hazari is an incredible surgeon and can’t recommend her enough. She looked after me and made me feel heard and listened too. Matt the anaesthetist put my worries at bay. Annie was in the surgery with me, help my hand as I went under and was there as I woke. Paula the nurse at night was amazing and lovely while I was nervous.

This hospital is amazing. From the second you walk through the door until you hobble out of it again. Every single member of staff is friendly, polite and thorough. The rooms are clean and warm. Information is given in a timely manner. No question is a bad question. I would recommend the Thornbury to anybody - I really struggle to see how anybody can pick fault with any aspect of their care or services. Even the post-operation sandwich was delicious :) Thank you so much.

Care given at the Thornbury hospital was second to none. Every member of staff I met was caring, considerate, nothing was too much. When looking for my treatment I truly believe I found the right hospital and right surgeon for me. Thank you Circle Health Group!

What an incredible experience! As someone that was very anxious about having surgery, the staff went above and beyond to provide the additional support that I required. From the nurses, the consultant to the catering staff, nothing was too much trouble. Particular mention to Clinical Services Manager Phil who is an absolute credit to the organisation and the surgeon Mr. Olarinde who did everything he could to put my mind at rest. If I could leave a 6 star review I would!

Lister hospital is really good. The service was top notch. Staff are great, welcoming with a smile on their face at reception. The nurses and doctors were also super kind. The nurses made sure every small details were checked twice. I feel like i have been very well looked after. I had 2 procedures under GA and honestly everyone was so nice. The room was clean with a nice view of the bridge. Excellent choice of food. felt safe and in good hands. Thanks to everyone at Lister Hospital Chelsea

Very good hospital - I was there for a Day Procedure, but it went very smoothly. You do feel assisted and reassured all the way, from when you enter the hospital to when you leave the hospital. Nurses are very caring and attentive. It has been helped me getting through the day and would certainly put the Lister Hospital onto my top hospital list should I ever need to go back to hospital (I hope never again though !! Hospital is nobody's cup of tea :)

I feel grateful with the excellent service of the Lister Hospital Chelsea, the group of nurses, doctors, cleaners and the banqueting team are incredible! I stayed 2 days and they made me feel very welcome and cared. Especial thank you to Dr. Albin for her great support.

I have recently had a total hip replacement, carried out at the Wellington Hospital. I found the standard of care excellent at each stage, from the scan, to the pre admission meeting to my inpatient stay. The nursing staff were kind, supportive and friendly. My room was comfortable and the food was amazing,. Before I went I read the reviews on here and was surprised by the range of comments. I think some people have very unrealistic expectations of a hospital stay. This place is great!!!

I visited the Wellington for a scan and consultation. From the first meeting with the reception staff, everyone was extremely welcoming and helpful. The staff answered all my questions clearly and in the right amount of depth. I felt able to trust them immediately and my confidence grew as the process moved forward. I have no hesitation in recommending the Wellington as a first class centre for excellent healthcare

A phenomenal team that CARE deeply about their patients. Every visit to the Hospital….I am received with Love and dedication. Simply beautiful service. 😊 Thank you for your Love and kindness. ❤️

I came to the hospital with a sharp pain in the ear, everything was alright at the start but after 1 hour my ear started hurting more and I started losing my hearing, after 3 hours I started crying because of the pain and they didn’t even care, they just walked past me and ignored, i honestly don't recommend this hospital to anyone, it is disrespectful to wait for a doctor for like 4-5 hours.

This wonderful place gets better every year. Some buildings get renovated, and some get built from scratch. Medical stuff gets multiple training to keep a professional and modern degree. Special thanks to @LizetePuga on tasty and beautiful food (children love those (and parents too)).

Huge hospital, based on long history. Enthusiastic and friendly personnel, despite long working hours. No doubt, there are a lot of things that could be better. But still - this is the best we have, and I'm proud there's BKUS in Latvia, Riga

I was under Mr Jay Smith and my total hip replacement went very well under his guidance and he has a very caring nature and always took time to explain how important the post care is. I found from the moment I entered the hospital, everyone was caring and service with a smile. Post surgery physios in the ward were excellent as well as after my discharge I was under the excellent care of Tighish, Senior Physio. She is absolutely brilliant and was very caring about my progress and making sure I was doing my exercises correctly. On discharge she made sure I knew how important the exercises were for my future progress.

Bishops Wood Hospital continues to provide an excellent service. A professional and friendly service was provided to me by Josephine in the Radiology Department. She was very efficient, made the mammogram as comfortable as possible for me and she checked regularly about how I was feeling.

I had surgery at bishops wood hospital everyone there was so friendly and polite. I had a nurse called Mihaela she was really friendly to me and we had a good laugh. before the surgery she made me feel less anxious. Mihaela looked after me well and so did the surgeons to.

I am feeling sorry that I am writing this review, but that's exactly how my care experience at Parkside - Wexham Park hospital was (September 2022). I must say that the single night I had to stay there after my surgery was the poorest care experience I ever had in my life, due to extremely rude nursing staff at the night. As I was shifted at Parkside, the nurse very rudely refused for my family to see me at all since the meeting time was just over. I understood the meeting time thing but shared with her that my husband had brought my three very worried, young kids to see me for 2 min, only because the Post Op nurse herself said they would be allowed to see me after I was shifted at Parkside 'as an exception' (reason because I was expected to go home after my day surgery but was admitted due to pain issue, so Post Op nurse said that this very short meeting would be allowed as an exception), however, the meeting never happened and my kids went back after waiting in the car parking for more than 1.5 hours. Well, at least I saw my husband who reassured the kids that I was fine. After my husband left, I asked the nurse how I could call someone if I needed anything, and she literally threw the bell on my bed. I was shocked!! and worried about spending remaining part of the night while facing such rude behaviour. Later on, when I requested the nurse if she could hold my hand for going to the toilet, she reluctantly did but asked me to hold the IV stand by myself with my other hand. I can't blv how being in the care profession a nurse couldn't understand how much pain a patient possibly can be in, literally within few hours after a surgery and still asking the patient to hold & drag the stand by themselves. All the night the two nurses kept making loud noise in the ward walkway, to the extent that it was hard to sleep at all. Every time, the nurse would come in my room and would take my BP and temp, waking me up but without speaking to me. None of the two nurses who I saw introduced themselves, I myself checked their names. None of the time, anyone asked me if I was in pain or if I needed any pain killer until I myself asked for a pain relief in the morning. The way I was treated made me feel that it was my fault that I was in pain and needed to stay there, so I had to tolerate the attitude. Never expected such an experience straight after a major surgery and while going through extreme pain. The next day staff were nice as well as caring, I got discharged in the evening next day and was so grateful that I didn't need to bear the same attitude again. Please improve the facility. A patient is already in so much pain and expects sympathy and care, not stares and rude attitude. Kind regards

Sadly our experience with Parkside so far has not been a positive one. My son's day surgery was cancelled 3 days before he was due to be admitted, with different staff giving different reasons. Not only are we disappointed at this, but we're also out of pocket due to the cancellation. A new surgery date is yet to be confirmed - again different staff have stated different things. Hopefully, if/when his surgery takes place I'll be able to change this to a more positive review.

Thank you to all of the wonderful staff at Parkside from every department each staff member I came across was friendly, approachable and I was treated with 5* service. Miss Burton, Mr Elkington and my anaesthetist Dr Justin Woods were so very professional, approachable and all had fantastic bedside manner. I am so pleased with the outcome from my surgery and more so the care I received during my stay it was above and beyond what I could have expected and would highly recommend my consultants and Parkside to future patients considering surgery.

I have received good care there.

Thanks to Jenna from customer service for the customer-oriented work.

I received a back pain relief massage from physiotherapist Petri Salose. He also promised to ask the house doctor for a painkiller prescription. The care is really commendable, because the next morning Petri called and asked how I was doing. He also arranged a new time, so that I can get in shape before leaving for the fall trip. I warmly recommend: effective and professional treatment. Thank you!!