Brachiocephalic occlusive disease treatment in 475 Vascular surgery clinics worldwide

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The place is too big, and nobody can explain how you move around there. I really didn't like it

Great place for medical emergency

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Really good service for a tourist in need of a quick prescription. I was seen within 15 mins and got the medication I needed. Doctor spoke English which was helpful

They will not accept you if you don't have private insurance. They only accept payment from the insurance company, no credit or cash. If you are traveling here, go to a public hospital. The lady working there was extremely rude to me and was not willing to help me at all when I asked her where I can go to get medical help. I asked her for a hospital name and she essentially told me to F off. Luckily, I contacted a Spanish school for Spanish lessons and asked them where I can go. They gave me the name of a public hospital, and I was able to get my wound treated.

Malardo

The only good thing about this hospital is the view because the truth is that customer service leaves a lot to be desired. I went to this hospital because it is the one that referred me to my social work. I traveled from the interior (1500kms) and arrived for my shift ON TIME to see the doctor. They attended to me 3 HOURS later. Then the doctor asked me to get an MRI done at the same hospital. Those who assisted me told me that I had to send a WhatsApp (since I was in person to request an appointment). I arrived at the place where I was staying and requested an appointment. They wanted to give me a shift almost a month later. I told them my situation and the urgency (since I had traveled many kilometers and couldn't stay that long). They cared little or nothing. They didn't give overtime shifts. After an odyssey to get the MRI, I was able to do it but in another place in the capital a day later. I already had to go back so the doctor asked me to continue the treatment by teleconsultation. I left Buenos Aires the first days of September. WE ARE ALMOST REACHING DECEMBER and it is the 5th time that I cannot have the teleconsultation with the doctor. It is a disaster!. They make excuses that my social insurance doesn't cover it when I had already told them that I had no problem paying it privately but they continue to tease me. I hope my social work changes the hospital where it refers its members because it is truly regrettable. I DO NOT RECOMMEND IT AT ALL AND MUCH LESS IF YOU ARE FROM THE INTERIOR OF THE COUNTRY BECAUSE YOU WILL WASTE YOUR TIME AND YOUR MONEY.

I've been going for years! My dad took care of her, I take her to my mom and obviously sometimes I go. From personal experience I know that the elderly are treated very well. Maybe they have some other problem in the administrative and customer service part. It can always be improved!! The one that has the most weaknesses is the administrative part of neurology. But like I said they can improve. But as for the professionals, they are very attentive and excellent, I can confirm that 🐘😁❤️☮️ I've been going for years! My dad took care of her, I take her to my mom and obviously sometimes I go. From personal experience I know that the elderly are treated very well. Perhaps they have some other problem in the administrative and customer service part. You can always improve! The one that has the most weaknesses is the administrative part of neurology. But like I said they can improve. But as for the professionals, they are very attentive and excellent, I can confirm that 🐘😁❤️☮️

Amazing staff. Doctors, nurses & admin are very professional and cozy. Thanks !

Mmm

I found them exceedingly reassuring and reliable, efficient and engaged. It was a bit of a wait going through A&E, but they really sorted things out in a very professional way and it turned out it was only a head cold. So no blood clots or any of that sort of thing. Which I found a bit humbling for wasting their time. Still, no hard feelings which raises my esteem for the place.

It was founded by Cleto Aguirre from Salta. The origins of the current Hospital de Clínicas date back to 1877, when its construction began. A year later -and still unfinished- it was the scene of the conflict over the federalization of the city of Buenos Aires by functioning as a rifle barracks and a hospital for the concentration of wounded. Attention to the community began shortly after the conflict of 1880, at which time Buenos Aires ceased to be a large village and developed to become the capital city of Argentina, which was experiencing the first waves of immigration and urbanization. A significant number of patients came from the interior, referred by doctors graduated from the Faculty of Medicine who kept a special memory of the aptitudes of their teachers in medicine. The tenured professor was the cone of attraction of the chairs and of the activity of the Hospital rooms. He was an ethical example to be emulated by his students, who supported him, shared his studies, sometimes his table, and even established kinship through marriages based on that relationship of admiration. Important feats of medicine took place in the pavilions of the Hospital de Clínicas: the first application of insulin, the description of Ayerza's Disease, Tobías syndrome, Castex syndromes, the first cardiac catheterization, the first medical residencies, the first Ethics Committee, experimental surgery, the first kidney punctures and the first thoracotomies, among others. The first filmed operation in the history of medicine occurred in this hospital. It was in 1899 and was in charge of the Argentine doctor Alejandro Posadas. The film is seven minutes long and was found in 1971, when the old building was preparing for demolition. It was exhibited on December 14, 2001 to celebrate the 120th anniversary of the hospital. [1] Built according to the models of its time, the design was inspired by the Friedrichshain Hospital in Berlin and the lazaretto in Karlsruhe. Since 1927, due to the deterioration of the old hospital and according to the emerging needs in previous years, several projects were planned to build a new hospital, a fact that would not materialize until 1949, the year in which the construction of the Hospital de Clínicas began " José de San Martín ”, in the block limited by Uriburu, Paraguay, Azcuénaga and Córdoba Avenue. Construction suffered numerous delays and only in 1962 offered the first services, radiology and otolaryngology. The rest of the services were gradually transferred in the following years. In the first years of the 1970s the new building became fully functional and in 1975 the demolition of the old headquarters began.In 2014 the executive power invested heavily with money from the National State to re-functionalize the Hospital de Clínicas and create a pharmaceutical plant to supply the network of university hospitals and also offer a space for practical training for students and teachers. [2]

Terrible attention from the guard secretaries. From the beginning they were very rude. After having a tomography I was waiting 3 hours for the result (from images they told me that the result was already there and they had sent it to the guard) from the guard the secretaries told me that the result was not there, when in reality it was. Some RUDE. I made the claim and they laughed in my face, a real shame. I hope they review their behavior.

The on-call care is deplorable, especially from the doctors who treat you, and in imagines mdq it is not good either, at least in terms of customer service. If you feel bad, do not come urgently to this clinic. Others are convenient.

I am very grateful to all the clinic staff for their loving and willing attention. I was hospitalized and had emergency surgery for appendicitis and everything was excellent, but above all the quality of human care. The counter staff, the nurses, the maids, security and not to mention the entire surgery and operating room team, very professional, warm and humane. It is the second time we have had it, two years ago our 1-year-old son had surgery and everything was also impeccable. Thank you so much

In the offices of Patio Olmos, they scheduled me to be attended to by the guard and they NEVER called, at reception they informed me that the doctor who was going to attend to me LEFT!!! HE NEVER CALLED ME!!! A TOTAL LACK OF RESPECT. They take care of me at the guard and they don't have items to clean a wound!!!! Terrible attention!!! Physiological solution and gauze...they have nothing.

Came here as an international student. Best and most thorough care I have ever received for an acute condition that I regularly get admitted for. Nurses are very friendly. Clean facility. If i get sick in Córdoba again I'll go here!

I would strongly advice foreign tourists against this hospital. I made an appointment with a gastroenterologist and was immediately contacted by the International Patient Service. They're supposed to make your life easier but are actually an excuse to overcharge you without ever helping when needed. I've ended up paying over 500 USD to see a doctor and get some exams done, probably double of what I'd pay in Germany. They're very blunt about it and wrote to me they apply different tarifs to foreigners. We've all got a travel insurance, and I'm totally ok with a bit of a mark-up, but here I feel like a cow that's being milked to the very last drop.

You will probably die before you get your waitlist surgery appointment date, unless another hospital saves you out of your misery. Stay away from this hospital as there is absolutely no compassion here!!

This was my fourth time at this hospital for post-surgery exercise, today I had two other people's records on my file. The staff member that was assigned to me, was confused because of this. I was there for my back exercise, not my hip or knee. You can only blame the Qld health office staff for this. THANK GOD I WAS NOT HAVING A OPERATION. ANOTHER MISTAKE FROM QLD HEALTH

I had a hemorrhage type stroke in the ER room after being denied the usage of Ryan's Rule, staff is extremely rude and unprofessional. Since the stroke I have been refused triage and denied medical treatment every time I attempt to present to emergency with the Doctor's very rudely telling me they aren't going to treat me and to go home during my acute medical episode which included my brain actively hemorrhaging. Have only ever received treatment when the Police have done an EEA which involved the staff drugging with me high amounts of Morphine the first time and Fentanyl the second time making me unconscious for the EEA before releasing me outside which resulted in me getting hit by a car. Incredibly disgusting behavior by an abhorrent group of staff and pathetic excuses for Nurses and Doctors.

I had self funded surgery here 6 weeks ago. My surgeon and anaesthetist were amazing. 10/10. The nurses I had when I came out of recovery were great. Attention to detail, caring, wonderful. The nurses I had the following day were average. The surgery cost $11950, I was in hospital less than 18 hours. My admission was messed up, so after fasting from 9pm for an 8am surgery, I wasn’t admitted until after 4pm. Surgery went great and was out of recovery by 8pm. The next morning I wasn’t given any fluids or anything and was discharged not long after waking. I was given the wrong discharge papers and medication scripts too. Please do better in future. I would definitely think twice about having surgery here again.

All the staff at the Wesley are amazing. Even when staff are super busy, they are friendly, they make time for you and your every concern. The staff look happy and appear to work as a well oiled team. Comfortable rooms and great food choices (including Vegan options) and service. Remember, it is a Hospital not a restaurant. It really is the best! Thank you Wesley

Professional staff, every nurse and doctors were amazing at the Wesley hospital. Special thanks to Dr GOUGH who performed an excellent thyroid operation.

Saved my life (twice). Had I been anywhere else I would be 6 foot under. Thank you so much to all the staff who helped me and medical records in particular Ms Gee who was highly competent. I would like to thank the surgeon and staff who operated on me. I simple do not understand the negative reviews here, try going to other parts of the world and see healthcare others have. Thank you.

I recently had a positive experience at Canberra Hospital, and I'm eager to share my feedback. Dr. Phillip, the surgeon, delivered an outstanding level of care, demonstrating expertise and professionalism throughout. Nurse Manita was incredibly cooperative, ensuring I felt comfortable and well-informed during my stay. The follow-up care from Nurse '' ROSE'' was exceptional—her kindness, care, and sweet demeanor made a significant difference in my overall experience. I appreciate the dedication and compassion displayed by the medical team at Canberra Hospital.

Very professional staff working efficiently and compassionately under enormous pressure due to a chronically underfunded hospital system. Many of the negative reviews reveal narrow minded attitudes and highly unrealistic expectations of a stressed public health system. We are lucky to have such a hospital in Canberra, which last I was aware is actually the second busiest trauma hospital in the nation- accepting patients not only from Canberra but transfers from regional areas and Sydney.

Waited since 11pm to be seen, at 5.30am was taken in to be seen by a doctor, 7am and still not seen by a doctor and asked to leave the room and bed as someone else needs it. Absolutely shocking. One doctor on. We are in Australia and cannot receive decent medical attention. Disgusted and will never return here. Triage staff rude.

UPDATE CANCELS Pediatric APPOINTMENT OF MY FIVE YR OLD NEPHEW A DAY BEFORE BY TEXT AND SAID ANOTHER APPOINTMENT WILL BE SENT OUT BY MAIL. NOT GOOD ENOUGH. Looking abit disheveled bc of lack of sleep and nurse looks me up and down with a judgey look on her face and rolls her eyes. Honestly the nurses are awful. Trainee nurses can't hit veins and be disclosing personal information about themselves (that they take Zoloft, while forgetting to tell drs I need pain medication, put hot tea in front of my face nearly permanently scarring my eye, also forgetting to ask Drs to check my cervix which nearly led to the loss of my baby and when it finally was checked baby was about to be born her head was past cervix expected to deliver baby on my own and i was unessasarly on heavy painkillers for longer which led to withdrawal symptoms for my child.) Honestly completely unprofessional if they're having a bad day. Old hospital is falling apart while private is upgraded. Honestly if your overworked you shouldn't be working. And that's part of your training. Completely alienated by the nurses looking after my child, it's literally fd up. No information on breastfeeding just yes or no and then a pump sent to my room. Resulting in potentially life threatening mastitis. Along with completely messing up my mental health the social workers seriously need to learn some decorum or at least basic manners.

80 year old woman sat in ED waiting room after botched abdominal surgery in regional hospital. Sat in wheelchair for about five hours in FMC ED after being hastily sewn up by regional surgeon. No pain relief given, eventually admitted into ED and given a bed around 11:00 pm, seen by doctor around 4:00 am the following morning… Eventually admitted to appropriate ward where the specialist and nurses have been brilliant!

Gross negligence in patient care- avoid this hospital like the plague.. it’s an absolute joke. if I could give no stars I would. If you value your life and want a good chance of recovery and not to die due to poor nursing and “specialist care” - DO NOT GO TO GREENSLOPES… you have been warned.

Had private health cover for most of my adult life and one time I needed to use it, the experience was so horrible. I’ve triggered Ramsay rule 3 times without success, was told medical director was going to see me, but that did not ever happen. I was eventually transferred to a public hospital, and experience was so much better.

I want to express my heartfelt gratitude to the hospital and its incredible team for the exceptional support and care we received during my cesarean section. The nurses and Midwife were outstanding, the food was worthy of a 5-star hotel, and Dr. Melissa Mckenzie proved to be the best in the world. Every detail of our stay was handled with professionalism and warmth, making us feel cared for and comfortable. Even after 5 days, I would have wished to extend our stay because they made us feel at home. Highly recommended! Thank you all for making this moment so special and peaceful for my baby and me. 👶🌟"

Wouldn’t recommend as a private patient, during fasting the staff ate in front of you and it was loud and chaotic. It’s outdated and worn down. Worst experience of a hospital I have had. Was offered a sandwich at the end that had condensation on the plastic. Communication was terrible. Sat for 2.5 hours with no updates. The clothes given to wear for surgery was scratchy and uncomfortable. Bed sheets had stains. Understaffed and overbooked.

I stayed overnight in Ward 5D (Orthopedic ) in July 2023. The nurses and other staff were excellent. The only problem I had was the constant ringing of the bell. It was so loud . No one seem to be concerned about it . I did not get a minute of sleep even though the nurse gave me earplugs which didn’t block the noise at all. One staff told me the noise is always ongoing. Can they not turn the volume down a bit ? Unfortunately the specialist who treated me operated at this hospital. I have to change to another Dr and go to another private hospital if I need orthopedic treatment in future. I have mentioned this noise problem in the survey I completed post discharge. I have not received any explanation .

What can I say saved my life end of story great team of doctors, nurse's and support staff I'd love to come back but rather not haha great work keep saving lives your good at it

What superb care my darling 95yr old Dad received in their A&E dept!!!! The Male Nurse, 'Nappy', was so kind, compassionate and approachable and so gentle with my Dad. Thanks to him, I was able to take my Dad home later this afternoon, problem rectified and my Dad in much better spirits too! The triage Nurse was really lovely and the clerk, Julie, was also incredibly kind, calm and compassionate. They are a shining example of what all A&E Department should aspire to! So very grateful! God bless you all. 🙏🏼🕊🙏🏼

It's disgraceful for a hospital that holds itself out as one of the premier hospitals. They are not equipped to care for elderly and frail patients who as we well know often suffer from poor appetite and require more intensive attention. . My wife who in her 80s, is frail and weak, has been in there for two weeks and no one has checked her food intake. During the two weeks she only had mostly soup. I had to point this out to them and request for food supplement to be provided. The nurses explain that they are understaffed and can only provide the basic attention and care. On the other hand the nurses are polite and kind but obviously stressed.

After severing an artery and nerve at my workplace, I was directed to attend SJOG Murdoch for reparative surgery by Dr Sharon Chu. From the moment I set foot in the hospital, the level of kindness, care and competence was exemplary. Orderlies were extremely kind and attentive, the nurses and doctors were super efficient and lovely, I couldn't fault anyone I came into contact with. My anaesthetist, Dr James Miller was similarly amazing, taking my past history with genersl anaesthesia into account and ensuring I did not wake up sick and vomiting after the GA as I usually do. I woke up in recovery feeling great, with no hint of nausea. Dr Chu was similarly impressive, not only by doing a great job on the repair, but by being kind, attentive and very reassuring. Her smile lit up the room and completely put me at ease, it made all the difference and eased my pre-op anxiety! My breakfast the next day was superb and ordering off the room service menu felt as though I was in a 5 star hotel! It was delivered promptly with a smile by another lovely hospital employee and was hot & delicious. I truly felt that I was having a lovely holiday, with just a bit of surgery thrown in for good measure! I cannot fault my experience at SJOG Murdoch and give my heartfelt thanks to all imvolved in my care!

My recent visit to Evercare Hospital was truly exceptional. From the moment I stepped in, I was impressed by the hospital's cleanliness and organization, setting a high standard for hygiene in a healthcare facility. The experienced doctors I encountered were not only highly skilled but also compassionate, taking the time to address my concerns and providing me with clear explanations of my medical condition. The courteous and well-behaved staff made my experience even more comfortable. With state-of-the-art facilities and advanced equipment, this hospital is undoubtedly a top choice for anyone seeking high-quality healthcare in Dhaka. I wholeheartedly recommend Evercare Hospital to anyone in need of medical attention. This hospital combines a clean environment, experienced doctors, and a caring staff to provide exceptional care. My visit here was truly outstanding, and I trust them completely to deliver top-tier healthcare services.

Evercare Hospitals provide world-class healthcare in Bangladesh through experienced doctors, advanced medical technologies, and patient-centric care. The Evercare Group believes access to healthcare is a fundamental right for everyone, so it invests in emerging markets to bring private, quality driven healthcare to meet the needs of local people. The Group was created in response to a global challenge to ensure well-being at all ages is provided to those living in developing countries as a pillar to support sustainable economic development. To be the leading integrated healthcare network in emerging markets, transforming the quality of healthcare and impacting millions of people. To build a legacy of impact driven, accessible, safe and private healthcare for patients in need. They are committed to providing best-in-class, accessible, private healthcare for all and we encourage all our employees and caregivers to share our values: They are committed to providing quality healthcare for every patient. And they do the right thing, every time.

This is one of the best hospital in Bangladesh, but the price is too much high or expensive. So if you want to come to this hospital you have calculate extra money the as usual. Besides you have to wait in a long line before any desk. This was so disappointing. Overall it was a good experience for me there. 🥀

First of all let me say it and clear it, that 1star only for most of the billing counter staff specially on level 3 (both side). Doctors, nurses and treatment are good in this hospital. Only problem I found so far with the billing counter staff on level 3. They are rude and arrogant with very less manners. Again this review is NOT for the Doctors or nurses or neither their treatment.

Serving the huge community of old Dhaka, it’s one of the best, largest as well as expensive hospital in Bangladesh located at Gendaria adjacent to the Dhupkhola field. Having almost all the departments for patients are well decorated and the environment is excellent. Extraordinary look, medical college, huge parking facilities, Cafe are the additional features to make the cozy ambiance for the patients as well as visitors!

I recently had the privilege of receiving medical care at Asgar Ali Hospital, and I must say that my experience was nothing short of extraordinary. From the moment I stepped through their doors, I was greeted by a warm and friendly staff that made me feel instantly at ease. The hospital's commitment to providing top-notch medical care is evident in every aspect of its operation. The facilities are state-of-the-art, featuring the latest in medical technology and equipment. This not only instilled confidence in me as a patient but also reassured me that I was in capable hands. What truly sets Asgar Ali Hospital apart, however, is the exceptional expertise of its medical staff. The doctors, nurses, and specialists are not only highly qualified but also genuinely dedicated to their patients' well-being. Throughout my stay, I was impressed by their depth of knowledge, their willingness to answer questions, and their unwavering focus on providing the best possible care. The attention to detail extended beyond medical treatment. The hospital's rooms were comfortable and impeccably clean, creating a soothing environment conducive to healing. Additionally, the administrative staff efficiently handled all paperwork and logistics, allowing me to concentrate solely on my recovery. While it's true that the services at Asgar Ali Hospital come with a premium price tag, the level of care and expertise provided more than justifies the cost. When it comes to our health, quality should always be a top priority, and Asgar Ali Hospital delivers on that front without compromise. In conclusion, my experience at Asgar Ali Hospital was characterized by exceptional care, cutting-edge expertise, and a commitment to patient well-being that goes above and beyond. If you're seeking the very best in medical care and are willing to invest in your health, I wholeheartedly recommend Asgar Ali Hospital. MD Rayhan Raju

It's a good hospital, considering the quality of the average hospitals in Bangladesh. You can find some good consultants here. The rooms and lobbies are clean. The nurses and duty doctors are available 24x7, responsible and are cooperative. Almost all of the necessary tests and medicines are available in-house. The rooms don't have an emergency button for the patients to call for help, so for server patients, sometime must be there with the patient always. The cabins have 2 beds for this reason. The room rents don't include meals. But apparently, they don't have any restrictions for outside food or even for visitors. Being a well reputed and popular hospital, it's tight to get a cabin here. If you follow the instructions provided by the admission counter, you may get a cabin in 2-3 days. No parking available, only street side. Managing a spot sometimes seem impossible in busy day time.

Ibn sina Hospital( ইবনে সিনা হাসপাতাল) is one of the oldest private hospital in dhaka. They have other branches in Dhaka and district level also. This hospital has some top level physician and surgeon. Moreover this hospital has all kinds of facilities depending on rate, Hospital bed rent ward= from 1900 tk Cabin bed = from 2700 tk Vip cabin bed= from 6500/- They have all kinds of lab diagnostic and imaging center, everyone can get 25% discount in every test. Because of a trusty institions they give some subsidy on test. Their cardiac,pediatric,stroke, gynecologist, unit is very resourceful.

Cleanliness and service are good. But their billing system is a complete mess. People are waiting for hours to pay the bill, but not even one bill is right. Even after my own patient's bill comes to the counter, it takes 1 hour to pay. What kind of system is it? Management of the hospital should improve the speedy billing process to eliminate suffering of patients.

United Hospital in Dhaka stands out as one of the city's largest and impeccably clean healthcare facilities, offering a luxurious experience. The upscale services contribute to its higher costs. However, the extended wait times and issues with staff efficiency, especially in maintaining patient serials, are areas that could use improvement. Additionally, the canteen's occasional service of subpar, even spoiled, food is a concern. Despite these drawbacks, the hospital's cleanliness and luxury contribute positively to the overall experience.

It's pathetic that they don't follow serial at all for Dr. Momenuzzaman. Staff are busy to give their known persons serial. It's costly but the service is below the belt. They don't care about patients suffering at all. It's a chaos in the management. If possible find another doctor to get proper treatment. Highly not recommended. Also before giving Bill, check the paper properly. They always try to put some extra called service cost which was never serve. If you are admitted there and take any package, try to pay the bill before 5 pm otherwise you need to pay the next day charges as well.

Most probably and this is one of the biggest hospitals in dhaka city. They have a big area. Their service is good. Here the cost is so high. If you are a middle or lower class family, you can't make an effort. It's funny but true that this hospital is mainly made for the rich. In front of the hospital they have an emergency unit. It's very useful. They have so many specialist doctors. Overall their service is too good.

Give a birth here on September. All employees were very professional, helpful and nice to me, during the birth and during the staying.

The Nurse Lady at the Evidence Pacientu was so rude, I was trying to speak in Czech even tho I understand just a little, she was literally shouting at me, while I asked how long after doctor is coming because I was going through a pain, She really doesn’t know how a nurse should talk with a patient who comes for a emergency treatment. It was such a bad experience.😕 No complains to the doctor, he was so helpful and Understanding.

The ophthalmology emergency service of the hospital, situated at floor 16, is quite bad,in the sense of the attention from the part of nurses and doctors, I went several times, and just two doctors from 6 where nice to me, I don’t speak czech perfectly and I was trying to make me understand talking in czech, majority of them didn’t want to understand me.... recommending sant Anne.. the crew there it’s seem more profesional and trying to find a solution to my health problem.

Hernia operation. I had a hernia for years. It started to be worst so i decided to go for operation. Waiting time to get operated was 4 months. Not great. Not great ... I read somewhere it is result of cutting staff. Experience with the doctors was however great. I was operated by a young Female doctor M B (thanks again you are great and talented) I stayed altogether 3 days in hospital (one day before operation and 2 days after ) they removed 2 hernias, one lomparoscopy and one net stitching. The nurses were great and helpers too. I would have liked being helped to the door for exit process. I walked out with spinning head. Very very very bad experience was front desk administrative nurse. miss J. She either hate people or her job. Who knows maybe both. Her approach and the words used were conflictual and distasteful even if i was nice. Pain was very manageable 3/10

Crazy person on the line. Just not normal to talk to people like that. Why do you work in the hospital if you hate them so much?

I went to this hospital several months ago to run some tests. Upon trying to reschedule an appointment for a checkup, I was told that they do not accept foreigners, despite the fact I have Czech residency, and was referred elsewhere. The level of unprofessionalism is frankly appalling; it appears the staff at this hospital has forgotten the fall of communism was over 30 years ago.