Congenital pseudarthrosis of the tibia (CPT) treatment in 366 Orthopedic surgery clinics worldwide

The service in the " Station" is a disaster. Really really bad, the personal will barely visit or ask you if you need anything and moreover I have done their job, therefore being unable to have any meal as the baby was constantly crying...no one even asked if I need something... If I have to rate it - then I will even not put a star... just as bad as it is... No more here anymore!!! ( hopefully not reaching any hospital at all)!!!!

I’m not sure how well you think your clinic is working or how well you’re doing. However, our 6 month old has not eaten for 16 hours (3 of those hours are spend in your waiting room so far), or has eaten, but hasn’t managed to keep it inside as he has been puking, a lack of energy and a behavioral change after falling on his head. Now, like many parents, we seek the advice of a specialist. Where your clinic is unfortunately the closest one to us. We just wanted the advice of a doctor, however, we got shipped off the the emergency clinic by the receptionist. Here my issue starts. How can you call it an emergency clinic when the waiting time is over 3 hours? (3 hours and counting when writing this) When you don’t filter anyone coming in. I’m definitely not saying we’re an emergency case, neither am I stating I am a medical specialist and can judge the cases, but, from what I can see, 80% of the cases sitting in here aren’t emergency cases either. It’s just parents sitting and waiting. People sitting on the floor, people waiting outside in the rain or sitting in an idling car because you lack waiting room in an emergency clinic treated as an undersized doctors waiting room. From my point of view, this is only your issue: - either you’re understaffed in the children clinic and therefor decided to just sent everyone straight to this “emergency room”, even if it isn’t anything closely related to an emergency. Or; - you’re too small for the capabilities you’re trying to offer and hence investment is needed from your side to modernize and expand Or; - and this might be a bold one, you’re collecting insurance money by sending everyone to emergency care first and hope they get sent to the children’s clinic so you can bill twice. Which one is it?

I was there twice with my kids, the reception, emergency service were very friendly & helpful. One of kids were to stay in the hospital and the staff on the residing floor was also very helpful, my kid was also in the intensive care and we felt really in safe hands there with a super friendly and accommodating staff. A big thanks and kudos to all the team there!

I had there fundraisers opening my door and when i confronted him, he said oh i thought you wont be able to hear me. Since when did they have the right to open my house door? eastlondon area. Please advise your staff not to open peoples porch doors or any door if they dont answer the door.

Will you please remind your door to door salespeople whom I guess are students operating in Ripley Derbyshire that it is against Charity Commission regulations to pressurise people into signing up to donating. They have been targeting elderly people twice in two days now. By using high pressure tactics like this you are tarnishing the good works this Hospital does.

We’ve been harassed by GOSH representatives on numerous occasions now. They knocked our door THREE times in a single day. Once at midday when no-one was home, the second just 10 minutes after I arrived home from work (obviously stalking me), and the third at 8:30pm!! I’ve previously expressed my disinterest on donating to the charity, yet they continue to return to our property. If a property could be put on a sort of TPS these guys would be in some serious trouble. After speaking to neighbours, they had nothing good to say either (we have a community Facebook Group), some even said that the representatives were extremely rude and overly personal - one lady even had to leave her house because she didn’t feel safe! Times are hard enough and people certainly aren’t going to donate money to a charity that is being represented by such rude individuals. We’ve offered to give them some spare change as a donation but they insist on bank details. You can jog on if you think I’m going to be giving my bank details to some stranger at my doorstep. I’ll happily donate to charity but it will be on my own terms - not with harassment and peer pressure at my door. I wrote this review after GOSH decided to ignore my email of complaint. We’ve now opted to purchase a ‘no cold callers’ plaque to prevent them from visiting in future. If they choose not to comply and continue to harass us, I will be taking this further; perhaps even deciding as a community to set up a ‘no cold calling zone’ with the Local Authority if need be.

I want to express my deepest thanks to the doctors and nurses at RCH, particularly the nurses in Possum ward, for their exceptional care of my daughter Ophelia Low. Your unwavering attention and support truly alleviated our stress during her stay. Thank you sincerely once more.

I was at the emergency with my child today and we saw Dr Kae. He was very knowledgeable. He put me at ease with the concern I was having. I was very worried coming in and waiting long but the 2 hour wait went very quick. I was offered something to drink from a volunteer and when my child’s name was called, the nurse even helped me pushed my pram for me. I’m very happy with my first time experience at RCH today.

Salute to all the doctors and nurses working at this hospital. You guys were awesome! I cannot thank you enough, the amount of support and love show to my 4 year old son who had an Asthma attack. Very professional and friendly. You saved my sons life and il be forever grateful. 🩵💙

Not fit for purpose. A children’s hospital? children should bring the priority right? well i been waiting for my 2 year old nephew 8+ hours, still waiting. They’re just fiddling around back there, no sense of urgency, just want to finish their shift and go home. horrible really. at the heart of the city centre. deplorable.

Will never be able to thank Birmingham Children’s Hospital enough for all they’ve done for my little boy and family. Ward 10 nurses and staff made the hardest time of my life that bit easier and brighter 🥰

Terrible. FXXXING terrible. I came with my son who was struggling to breathe at 8pm. My son is 9 months. First they made me wait 3 hours in the main area when I told them he is not breathing properly. Then they moved me to another section and made me wait another hour. When I asked how long they kept telling me they don’t know. If they don’t know who does???!! They just sitting there talking about life rather than looking at my son. 12:30 decided to leave and go to a private hospital. Never again.

We unfortunately had a five night stay at the NICU over the Thanksgiving holiday. The staff provided excellent care to our kid and were extremely compassionate to us as parents. We were grateful for the private sleep rooms and shower, and they even had a free Thanksgiving dinner for everyone. The parent / family lounges have places to grab coffee and store food, and everything is very clean and organized. The doctors and nurses were very communicative and kept us in the loop the entire time.

Absolute terrible service , my child who has a seizure disorder and potential c- diff was made to wait in the ER for 3 and half hours plus without even being properly triaged . She didn’t receive a wrist band , at any point & we can run the cameras back , no one was alerted to her allergies , there was no band received for that as it typically is .. and she begin to have diarrhea thru the long wait due to the virus she’s had the past week and in turn she begin to get worked up and her fever returned . I asked how much longer the wait would be abd for an approximate timeline .. as I’ve observed plenty of patents come in after one in which I knew personally with less servere circumstances… literally come and go and my child was still suffering in the ER … the Nurse on duty was unaccomidating and almost seemingly unwilling to engage .. as I waited for some kind of answer on when my severely sick child would be seen . I asked if it would be more then another 30 mins and he said he couldn’t promise but shouldn’t be . Well it was . After 45 mins of them calling more then 3 patients who arrived after us .. I reluctantly decided it best to take my fevering , baby who now was covered in feces home.. as she was in her 3rd bowel movement and we had difficulty changing her in the nasty public restroom . I ultimately watched them call two more patients who had come after us exhibiting no signs of eminite health scares then I ordered our ride so I could take my child home to change her and give her medicine to help reduce fever and prevent seizure . I am pissed and very upset that my child and I spent. 3 plus hours we can’t get back in the ER after already being across the street at the Berger building for 3 hours prior this was wayy less then pleasant This is the second poor experience in this particular Emergency Dept but this is the first time it was so horribly handled that I had to leave with not only an even sicker baby then I arrived with . She still now will have to go to another ER to be seen .. because she did infact have a seizure once we got home from her fever that arose& I informed them but that did nothing to medicate the situation or get her seen. Now my kid is home fevering still sick potentially has c-diff and I am skeptical to return her to this terrible hospital because they haven’t even returned my call. I called to speak with charge nurse after filing formal complaint and was told by Jennifer in WR I could not speak to any charge nurse and then she took my information and said a nurse on duty would call back and it’s been an hour with out a returned call. This is negligence and unprofessionalism tht promoted us to leave in the first place and CHOP is looking at a pretty decent lawsuit if we do go to another practice and something is severely wrong with my child with so much documented instances of me trying to get her helper seen and have a team leader consult about next steps. This place wasted my time , cash as it’s costed money I didn’t have to travel to and from and I felt like the poor treatment was racially motivated , as as kid who came in after us was pulled to the back cuz her mother told them she was seizing but I was looking at the child. Who literally just had woke out her sleep. This place is incompetent , and of all the amazing experiences we’ve had here . Today ultimately casted a shadow on them all and I will be contacting the PA board of insurance aswell to file a formal complaint because they need to do better on managing and transparency in the ER wait times. We got there at 12:15 and didn’t receive a text saying my child’s room was ready until 4:15 pm that’s 4 freaking hours for a child who had 2 seizures in past week, has a virus, and cold and caught fever while there … when she has a history of febrile seizures … 0/10 would not recommend. Shame on u all

Very friendly staff and amazing doctors. The information desk is very helpful. The front lobby is well designed and honestly fun to be in due to it's design: there is a meandering ramp that goes up several stories with interesting interactive stops on the way. The lobbies on each floor are also all well laid out: they have great views outside and inside were designed with children and comfort in mind. The plaza out front and the cafeteria/Cafe are both relaxing places to recharge.

My brother was in this hospital because he had appendicitis and had to get surgery and He said the nurse was nice! I think this place is really nice because it's clean and Its nice looking, I know that because I was there to visit him in the hospital. I also want to thank you for saving my Brother before more consequences happened to him and that he could've died.. but thank God this hospital was there! Once again, thank you for saving him🙏🤍 Also I definitely Recommend this place if you want nice doctors and want to feel less anxious and comfortable here.👍

This hospital isn't what it used to be! It seems to be loosing patient focus and fast. We've been a CHLA family for 11 years and I think it's time to switch. My autistic son was SCHEDULED for Dental Surgery. Originally it was supposed to be at 1pm and us be here at 11am. When we got the call from the nurse last night that we needed to be here at 530 AM we were like no one told us! But we got here right on time. We'll let me tell you that they took him upstairs to Surgery PreOp it took over 4 hours to get him into the the surgery room, because he needed to be admitted after surgery and no beds were available. This hospital needs to have better planning for these types of things OBVIOUSLY there will be emergencies that come in over night THAT SHOULD'VE ALREADY BEEN ACCOUNTED FOR!!! Maybe you need more staff and more beds!!! Because to have a child basically starving because you couldn't plan Accordingly is just plainly ridiculous! Then when I spoke to the Charge Nurse in the Surgery Dept she tells me that if my autistic son has an outburst that the anesthesiologist and nurse are there to help give him something to calm down. So basically if my son has an autistic outburst they will just drug him up. I'm like realistically drugging my son just to calm him down because your hospital didn't plan accordingly is uncalled for and unnecessary! Again I am seriously contemplating switching hospitals even though my son is on the Heart Transplant List!!! -A Frustrated Autistic Heart Mom

Ok so I had open heart surgery 20 years ago. I was well cared for and was in icu for three days and then went to a step down room where I was later discharged home after only three days at the hospital. My team was so amazing and so supportive and loving. And a picture of me twenty years later.

My husband and I rushed our son to the hospital last week cos he had a seizure. It was at midnight and they had just one doctor attending to so many people before us so we had to wait for about 7hrs. We were attended to in-between by nurses but the last nurse who came to us started asking some questions that we had already answered over and over again but before she started, she looked at both my husband and I and asked “which one of u can communicate with me better?” We didn’t understand what that meant so my husband asked “what do you mean?” And she said “I need to ask a few questions to whichever one of you can communicate with me better in English” I couldn’t speak out of shock, my husband just walked out of the room cos he didn’t want to get upset, she asked the questions again before I could bring myself to answer her. This was after 6hours of waiting for a doctor. Shortly after, a doctor came in, we were attended to and we left there. The other nurses were sweet but I was disgusted by that nurse thinking we used to live in trees and caves and only spoke gugugaga before coming to Canada.

ACH is so nice that makes me being a kid again, minus sickness. This was my first visit at ACH for my son and we enjoyed the environment.

My son had a very long procedure done in endocrinology, and the nurses there were awesome! They gave my son $15 Apple card for good behavior😄

Horrible experience… i arrived at midnight in an ambulance with my 1 year old and i am sitting in the waiting room at 4:29 writing this review … they told me to wait for 5 hours for a doctor …. My son is really sick and cant do anything about it and the people that are supposed to help are just being awful to me for asking if they could check on him

Excellent care for our two year old, every staff member made us feel at ease, looked after us well. car parking (multi storey) was simple, drive in, no coins or tokens to mess around with, well laid out hospital and clean, far better than our local hospital (RPH)

Every single staff member I have met in this hospital, from security to cleaner reception to nurses to physicians, is a genuine nice person. They are willing to help you without hesitating. The communication between units is excellent.

Worst worst experience ever in my whole life. Brining my child to the emergency and surgery ward, kept him fasting for unexpected hours. My poor child was asking for food Was no updates and everyone was coming we can’t give him drink as they gona take him to the surgery Nothing happened even after waiting 13 hours in without food😡

After having a great experience at the NICU for numerous weeks, my wife and I were looking forward to spending time in 9B as we were allowed to stay the night until our baby boy was discharged. However, that, the care from our surgical team and the allied health team was the only great experience we had at QCH. We did experience a couple of great nurses throughout our time there though, but unfortunately we both felt the nurse care and support was not there. The change overs each day were completely different and wrong, it took a long time to get help when we buzzed (luckily they weren't any emergencies), things were often forgotten or we were told wrong times for when things will be done, we were told cares would be very 4 hours (but this was rarely completed), there was also less optimal/hygienic technique with certain procedures and to top things off, we were given someone elses milk when we were discharged (See the image). Obviously, for confidentiality reasons I blacked out the name. Thankfully, my wife and I both work in the health care system, and we both knew what to do and looked after ourselves. We both hope that no one ever experiences what we went through and that the staff improve their values, procedures and care.

My hospital experience has been flawless from the beginning. The whole process from admission to going through surgery to paediatrics ICU and back to the ward has been carried out professionally and faultlessly from beginning to end. The Neurosurgeons, ENT, Paediatric, Infectious Diseases and all the wonderful nurses have worked tirelessly to make sure my son fully recovered from his infection. I can’t praise the hospital enough on its amazing service. Well done and I am forever grateful. Thanks Jane

No matter why you are there, you cannot go wrong with the professionalism you’ll find. We have experienced the top of the scientific excellence added to the greatest humanity. Thank you for being there to cure the children every day!!

Super fast, got in with my 1y 7mo daughter who swallowed a plant (brome) that got stuck in her tonsil, went to triage who registered her and 5min later got called in. They checked her lungs and ears properly, then her throat, some other doctor colleagues got called in to help hold the baby, they removed it in 2 minutes, they finished writing up her file and we left. Overall it took 20-25min from when we got in to when we got out. Thank you so much!

As a tourist with a sick child, I'm blessed to be directed by the taxi driver to this hospital. We received great care from Dr. Ferro Valencia, and the staff and fellow patients have been super nice too. Some tips for parents like me who don't understand any Italian: 1. Proceed to the emergency department with a red label, there an English speaking staff will be able to direct you to the right department. For us, we were directed to take COVID test first. 2. At the COVID test location, they actually take notes of your symptoms too, and give you a number. Your remaining visits to different departments will all have this number be called upon. 3. The hospital consists of several buildings with different colored labels. Only the emergency department is labeled red, and also functions as triage. When your number is called again, it is usually the case that you will be directed to a numbered room inside the emergency department. From there if you need to go to another building, they'll tell you the color or have a staff guide you. Not many nurses/staff understand English, but they've all been very nice and helpful. Within each department among 5-6 people, usually at least one person speaks good English. It's a really busy hospital, so the staff/doctors might not be so attentive, but if you reach out, they'll be so helpful.

The best hospital I've ever been to!!! Very good specialists and wonderful smiling nurses❤️ Everyone very helpful. I recommend the neurosurgery (7sal) department without back pain. If I had to have another surgery, it would be there. Best Regards Sylwia ( 08/02/2023 )

If only the hospital maids didn't lie about the waiting time. "You are number 1" 7 hours later still number 1.

During our holidays in denmark we had to go to the emergency in aalborg two times. The doctors and nurses there were always very kind, capable and caring.

The absolute worst hospital that ever existed. Avoid at all costs. The ER had no one at the reception. I had to go look for them. They always make you wait for at least 30 minutes for your scans and tests. They are super insensitive, unprofessional, careless and have the audacity to ask the sick patient to accommodate after a mistake THEY made. This “hospital” should not be in charge of people’s lives.

The worst hospital experience of my life. The staff are lazy and disrespectful. I was billed before I had a consultation or even received the service I paid for which is VERY different than every other hospital I’ve been to. It’s even worse because the physician wasn’t even there when I was billed for a consultation with him, he came 45 minutes late! To sum it up, my appointment was at 10 am, the doctor came at 10:45. I wasn’t offered an explanation until I asked for one. They gave me three different excuses: traffic, emergency, physician is sick with stomach problems. The nurse was probably the most undertrained nurse I’ve had to deal with. Extremely unethical and unprofessional. She was talking about me with the rest of the staff in front of me (not for professional reasons but to simply complain that she has to deal with an annoyed customer in the morning). She suggested that since my doctor was late, that I should book with another doctor so i asked for a list of the doctors I can see today, she told me to look for it myself on the website :) when I was looking through the doctors, that’s when she mentioned that there was no point since there was only one other physician who was in the clinic and he had an upcoming appointment. Total waste of time and very unprofessional.

Writing a review specifically about the Maternity floor where I spent one of the most difficult weeks of my life post-delivery. I've had beyond painful complications but the Nurses & Doctors there (You know who you are!) who took care of me helped push through in the sweetest, most giving and empathetic way! I'm beyond grateful for you and I will never forget what you've done for me and for my baby! You are all angels helping people when they need it the most! So much love for you all!

Great people. Great view.

This hospital specifically just for children, 20 different division on large space in front of the best view the sea. helpful doctors and nurses.

Famous hospital for children. Warning: for urgencies, the waiting time can be quite long

Today we visited the allergy department with our child. I really liked the service. The doctor spoke very nicely with my child. The inspection was good. We did an allergy test. Everything is fine and I'm very happy😊

My husband received wonderful care at A&E and intensive care after experiencing a heart attack on holiday last October 2022. Speedy treatment and attentive nursing while in CHU for two weeks prior to repatriation to the UK. Could not have had better treatment. A huge thank you to the doctors and staff who looked after him. We are very grateful.

My brother Christopher had the most excellent care in accident and emergency for a pulmonary embolism. I know he is very grateful to the drs and nurses that night. They were kind caring and amazingly speedy to diagnose and find a medication. Compared to the normal experience in the U.K. the French system that night was incredible and they also called him back for a check up in a week, again with an amazing dr so sympathetic, that would be two to three months in the U.K. The staff treated him with dignity and compassion. A massive thank you to all there

Very rude nurse and very rude doctor. I had severe shoulder pain, even could not move my hand. I went to Orthopadie department. Doctor even did not check my shoulder because I had not taken appointment.They sent me back that I should get appointment from my orthopadie. That was very surprising. They said me to take painkiller. I had severe pain in a cyst on my back even i could not take a single step they gave me pain killer and sent me back to get appointment from Doctor. Hospitals are for emergencies. If I could wait for appointments why to go in Hospital. I went there three consecutive days due to severe pain in cyst. After waiting time of 4 hours they were sending me back that I should be operated at klinic.

I had to take my friend because he wasn’t good at all. The doctor was really nice, majority of the staff spoke English. They were so helpful. My friend got a little better and we went home. The only inconvenience was waiting.

On September 22, having a Vienna view tour, my mom (from Ukraine) has heavily injured her leg. Ambulance got her to your hospital, where she received qualified medical help. Medical staff showed empathy and competence in such stressful situation. Want to thank both the ambulance crew and the "Klinik Donaustadt" team.

I got the referral of a doctor, ginecologist for a problem that I have been dealing for too long. The doctor received me in few days after the contact and was quite receptive to my concerns and requests which required diligent action in a short period of time due to my work leave (also very short). We set a date for the sugery and I was impressed that the contact was very speedy and allowed me to send every remaining document by email . I asked for a quotation of the total price, that was sent to me few days prior to the sugery, in which stated the total value of the intervention and hospital fees. All the inconvenience started after surgery: the nurses not atentive at all, always in a rush to fill you up with drugs and leaving you behind without even trying to understand what was going on for each case since they receive many pacients for plastic surgery therefore they assume all patients are there for the same " vain" reasons. I was there for other reasons, but even so I had paid my entire bill like anyone, so I deserved the private quality service I was paying for. The health assistants were also very rude and whenever I would press the button to call for assistance during night shifts , they were the first to come instead of medical nurses and they were the ones to evaluate weather you were or not entitled to be given assistance. I required very scarce times their assistance and just preferred to crawl by my on and manage what I needed. I stumbled once and no one came to check up on me, if there were consequences. Water was giving rarely, some would save the bottles if you had other sitting on the night stand. 3 days enduring that, without being able to complain, or having relatives come and check for me. My family leaved in another city. (Husband who stayed with the kids). After i left the nurse who took the last cateter made me bleed perfusively and i almost fainted. The personel took me to take the cab with no wheelchair, I had to walk for 10 min after being laying for 3 days. I have been living in Paris, hospitalized there, lived in US also hospitalized there, been in a private clinic in Brazil where I gave birth South africa private hospitals and also were really wonderfully treated. This was by far the WORST experience and service provider! NEVER will I recommend it nor use it any time !

I have contacted hospital via email on 03.10.2023, to specify the price of chemotherapy course for my father. Today is already 30.10.2023, and I still didnt get any response. I am not a doctor, but I am sure that response for a people who need a chemotherapy course couldn't be around one month. In case you value the lives of your loved ones, please do not contact this place.

Infrastructure of the clinic is a disaster. I couldn't even find an elevator to other floor, then I waited for 15 minutes in wrong places, it its not clear where to go, no one tell you the right place to wait. Why not to do 1 reception and then lead people to consultation directly, this micro management is awful

Kudos to all nursing staff. They were a great support during the difficult times. Night staff were exceptional always running to people’s aid - I felt they were overloaded with work. Found new respect for the night staff The facilities staff were so polite, lot of patience and so respectful. They were amazing people. Over all great service and support. All of staff members were awesome people.

Aster CMI Hospital is having 5* Services in Healthcare sector. A class service providers in Multi Speciality hospital in Bangalore. Joined Emergency for different reasons and discharged with Smile. Thank you so much to Doctors Shashank, Akhila and Venkatesulu make my father speedy recovery. They are Master's in Consultation, Treatment, Lab Services and Car. Special thanks to Emergency, ICU, Insurance and Security Teams. Well Planned and Feel comfortable Hospital. ICU security - S Lakshmi Thanks

Worst hospital. Only because of good doctor we came here except that each and every thing here is worst. We were in the general ward and there was no nurse call option provided. My father was the attendant and he had surgery just 3 days back and he used to go near the nurse desk for help,l. Except a few nurses all others were very rude. The admission process took a long time because of insurance pre approval even if we had shared all documents 3 days before. Such a big hospital but for billing only one person was there which took a long time during discharge, Bought medicines from hospital of nearly 9k and not a single penny discount on medecine. All tests were 10 times more costly then outside. This hospital is just looting patients. If you have enough money then you can choose this hospital. There is no limit on looting patients here.

I, or we, would like to thank the doctors and nurses who looked after and cared for our father and husband from the bottom of our hearts. The situation wasn't easy for us, but everyone always answered our questions openly and honestly, even if they asked the question 20 times. They stood by our side in his and our most difficult hour. The ITS2 is not a ward like any other, but people with heart work there ❤️. Thank you thank you thank you

They are really unfiendly. I am learning German because I live here but my german is not sufficient enough to book medical appointment. If you can't understand me that is okay but you don't have to be rude!

Nurses are kind, the place is clean. You must speak german at least on a minimum level and understand what they say to use the services.

I found some english speaking doctors here and they have an international office to help you translate if you dont speak spanish. Thank you very much Carolina 🙏

Horrible! Dont go to this clinic. The most unfriendly employees I have experienced in this Hospital. Yes I do speak spanish but once I didnt understand smth the lady just ignored me! Errors start already in front of the Clinic. Apparently they don't know the difference between a Swiss flag and a medical (red!!!) cross. So my question: is this a Swiss Clinic??? Of course not...

My mom got a well planned surgery in this Clinic. Excellent outstanding service what a relief. Fast service, very diligent and well trained all staff. Great place to get well and get some recovery. If you get sick go there you will be fine quickly. Do not visit Los Nogales clinic or La Colina. Marly is the best! Thank you all for your service! Mom is doing great. The doctor was very profesional!

After a car accident I have been transferred to this hospital and I haven’t doubted for a second if I were in good hands. The doctors and nurses looked after me very well, from the first moments being in the ambulance to the last minute leaving the hospital a few days later. Grateful for the good care I got here.

Fast and professional service. The hospital seems very new and welcoming.

Everyone is very helpful, except for the Doctor who was constantly going for smoke breaks, not taking any time to analyse and completely missing my diagnosis.