Coarctectomy in children in 324 Cardiac surgery clinics worldwide

Because the nurses were nice enough to let me * steal* milk from the orthopedic ward? Cauae after trauma n ..stuffstuff? They knew how to get me back home. So now i go as DNR.

Your average hospital. But worse!!! Sometimes, if u get extremely lucky u won't need to wait 4+ hours for your turn, the staff are not the friendliest, it's an extremely old beat up place, nothing like I've ever seen before. The place looks and feels like it has not been renovated in maybe 3 or 4 decades As u can see in the picture below Nasty, very dirty, and not clean at all. I don't know how they are legally open🤔 I guess it's the only place available in the area. There is a mini mall practically connected to the place, so its easy access for food and other stuff like clothing and other shopping needs

Amazing hospital and stuff! I’m very satisfied with my experience in Wolfson Medical Center. First of all I wanna say that Main nurse Boris from ICU, social workers Valery and Ola are extraordinary and outstanding professionals. They are truly angels who surrounded me and my family with so much support, kindness, patience, understanding and compassion. I never experienced something like this in my life. I live in USA and work in medical field and had different experiences too, so I can tell that looking from the inside point of view, I can definitely say that these people work really hard and go above and beyond their human powers to do everything to help patients and their family. I’m writing this because I wanna share my good experience and send kind message since I feel that, a lot of people who get good experience always forgot to share positive energy and reviews. My mom was in critical condition in Intensive Care Unit and I was coming from USA to see her to say my last goodbye and was pleasantly surprised how good she was taken care of! Medical stuff let me and my family stay inside with her as long as I needed, didn’t rush me at all, always patiently answered all my questions, supported me and always was there for me. With that being said I also wanna say that everyone there knows how to do their job, and I’ve seen so much kindness and compassion from total strangers there, and I can confidently say that Wolfson Medical Center did everything possible to save my mom. I truly appreciate their help! They threat patients and their family with a lot of respect and professionalism no matter how hard people from family can be, and they always do their best to help and save patient life.

Family hospitalization: Guardian review^^ Transportation: Connected to Balsan Station subway. very convenient Procedure: As of 4 weekdays, there were not many people so there was no waiting time. Hospital: The new building is really nice. So pretty. Especially the 4th floor garden.... If you act like a guardian in a hospital room while feeling like you're in a gallery, you're bound to get depressed. I didn't feel depressed as I walked around the buildings with the patients, exercised, and looked at the pictures. Personally, it was better than when I stayed at a 5-star hotel in Seoul. ;; lol Especially at 5 o'clock? There are no people after 6 o'clock, so it's really quiet and nice. Hospital room: I've been to various hospitals and have been a guardian several times, and this is the cleanest. There isn't a single hair in the hallway!! The patient said the bed was very comfortable. Doctors, nurses, staff: in my case, they were all very kind. Convenience store: It is large and has a lot of variety, so it is very convenient. Restaurant/Cafe: Not bad. It's good because there aren't many people on the 4th weekdays. ☆☆☆Be sure to visit the 4th floor garden☆☆☆

Beautiful Hospital. FAST SERVICE. Clean and secure private rooms. State of the art facilities.

A big fan of Hospital Playlist. This is the filming location. The escalator, cafe & walkways are the exact spots. The garden & emergency area are at other locations. So dont go for wild goose chase.

Great experience every time I do my routine follow-up with Dr. Taori and his team. Nurse Minci always ensures I am well attended and the process is smooth until I am completed, and Nurse Pinku Ann has a tender care hand when collecting blood samples especially in my case, she performs skillfully in a way I will always feel secured. Dr. Taori has been my doctor for more than 5 years who not only has outstanding knowledge of my treatment options but also provides the quality of medical care I require. He has the ability to connect so you know where you are, leaving no fear what the next steps look like. Highly recommended.

I trust this message finds you well. Im writing to express my sincere appreciation for the outstanding service and care I received during my recent visit to aster hospital Al Qusais. I had seen by Dr arun (orthopedic) he is excellent doctor a down to earth person and the level of professionalism, compassion, and efficiency exhibited by the hospital staff was truly commendable. It is apparent that the positive and supportive environment fostered by the management team plays a significant role in ensuring such high standards of care. I got a huge help from Ms Saloni Her seamless coordination among different departments, the attentiveness of the medical and administrative staff, and the overall dedication to patient wellbeing have left a lasting impression on me Dr arun and Ms Soumya (physiotherapist )Your expertise, professionalism, and compassionate approach have been instrumental in my journey toward recovery. Your ability to diagnose and explain the intricacies of my condition in a clear and supportive manner has made a significant impact on my understanding and confidence. Please accept my heartfelt thanks for outstan Service your dedication to field is commendable and I’m grateful for the pod impact you’ve on my health Special thanks to Dr arun (orthopedic) Ms soumya (physiotherapist ) Ms Saloni (patient experience department) Warm regards

I am so grateful for the excellent care that I received at your hospital. Everyone was kind, knowledgeable, and professional. The facilities were clean and modern, and I felt completely safe during my stay. I am truly thankful for all of the hard work your staff has done to provide quality care to us and our baby.

Even if you have appointment, you wait too long. This is ridiculous. Time is precious.

Visit the hospital for a dermatologist that was recommended by a family member. Transaction was smooth, the doc gave all the information I need and explained what was going on. The hospital nice an clean and looks like a 5 star hotel more than a hospital. I paid $120 for the examination and they accept cc. You need to book an appointment ahead of time. Their mobil app is a hustle and has bugs. Book through website or call them for an appointment. This is why I give them 4 stars. After you book they call you for reminder and inform you the amount you will be paying. Arrive at least 15 minutes early as the building is big you need to walk and take elevator to get the section where you will have your examination. There will be paperwork before the doc examine you.

I've consistently chosen this hospital for several years, and it consistently excels in all aspects. I particularly want to highlight the excellence of Dr. Harika Bodur Öztürk, a caring and patient-centered professional who maintains her professional boundaries impeccably. I also received the Gardasil 9 vaccine and am happy to report that I experienced no side effects. Furthermore, I highly recommend Dr. Mete Dalbeler as a dentist for his professional and efficient approach.

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

Not bad

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

Amazing emergency department for children. We came in with my 6year old boy. They helped us straight away and were extremely friendly. Thank you so much for the good service 🙏🙏🙏❤️❤️❤️💪💪

I am very pleased with the care I've been given at Emek Hospital. The staff are top caliber.

This is a sensitive topic but I feel a strong need to let everyone know that there are still good people out there. I want to thank dr tina, an anesthesiologist at the emek hospital. About a month ago I tried to end my life. It was late in the evening, she wasn't on duty and she saw that something was wrong with me. She approached me and asked if I needed help. For hours she listened to me, gave me advice on how to move on and how to see the future of my life in a different light. In today's reality it is difficult to find people who will give of their free time to help others in need without receiving anything in return. Dear dr tina, if you remember me, I thank you for the attention and time you gave me, for making me understand that there is a way to deal with problems without running away from them. You are an amazing person! She is definitely an excellent person and deserves the best the world has to offer. The emek hospital, you have won a doctor who is literally an asset. I would like to ask the relevant parties to thank her for her humanity and kindness.

Came with toothpain on sunday,didnt wait too long cca 2 hours, doctor and nurse were very kind,spoke English,helped me with pain,so im happy i came there,just parking is pretty expensive.

The emergency department is just a disaster. Organisational chaos. As a result- hours in a waiting line.

I really hope Google will someday let me give negative score to this place. I had to wait 2 months for an appointment, only to come here and sit in the waiting room for 1.5 hours (and the appointment is for a 2 minute consultation). The level of inefficiency and incompetence is just astonishing

I have been to this hospital twice, and both times I got disappointed. First time I needed a paper from the doctor that I was sick. She wrote incorrect information on the paper, and I only noticed it when I was home. My documents were not accepted by my uni as a result. Then, today I went to the Blutbank to donate my blood. I have a rare blood type, and I already had experience donating. I am also completely healthy and have enough muscle mass to donate without any conscequences for my own health. First, when they took a small sample of my blood from the ear, they put a plaster straight onto my hair. It was very hard to get it out of my hair later, and, mind you, very hurtful. Then, I had a talk with a very incompetent doctor/nurse. I speak english better than german, and at one point I asked her if she spoke any english. By the way, I do speak german, I just understand english better. So, I was told: "We speak german here, if you cant speak our language then there will be no donation." Excuse me?? I didn't know that the people I wanted to donate to have such a LUXURY to only have blood from people speaking fluent german. You would refuse half a liter of healthy blood on such a basis? So, in the end I did not donate, I got told to "come tomorrow". Honestly I don't think I will come here ever again. In less than 30 minutes all my will to help people got destroyed. I will make sure to avoid this hospital at all costs, and you should too.

Very long waiting times and you get send from one place to another. Some of the places have no real waiting areas. Once I did get seen the nurse was very friendly and helpul though.

Most racist doorkeeper ever :(

I was transferred back to the emergency department where I waited for hours in excruciating pain to be seen by J. Straub and Dr. med T. Mederer for less than 5 minutes each completely ignoring my recent scans and the notes from the referring hospital. One of these supposed medical professionals told me they have a program that could help me but that I couldn’t be treated any further because I only spoke English. They administered Iv pain medicine that made me feel worse and pushed me into the waiting area until my family could pick me up. I am requesting a formal response from the hospital administration and the head of Neurochirurgie Prof. Dr. N. O. Schmidt. I will also file a complaint against the hospital through Tricare.

US military here. I would definitely not recommend this hospital. Poor communication, rude staff (case management). Make sure they can 100% confirm your appointment on the first day of your visit (at least on your pre-op appointment)! Make sure your surgery is not "selective", otherwise they would schedule you and let you know 24 hours prior that your surgery was rescheduled for in another 6 weeks (almost like on aspace-available basis). This happened to me. If you are an active duty military member feel free to reach out to me. Unless you wanna be your commander's favorite and put in and cancel your convalescent leave as if you're a civilian... Also talk to your local Tricare office about this hospital.

I was extremely honoured to have been at Regensburg University Hospital. They outmost trained professional students and their highly educated doctors. Their program is unmatched and superb. Simply the best!

Two weeks ago I got a fixed appointment to see a specialist. When I showed up on time for the appointment, we were told that no doctor would be there today and the appointment would not take place! I was kept there for 4 hours with unsuitable staff and in the end I was just given a piece of paper with a different phone number so that I can try to arrange a next appointment. I was present with my mother in a wheelchair, who is chronically ill and in severe pain. The emergency room didn't help us either! Thank you, I hope you stay healthy!!

I had vomited 4 times, was in sever pain and fever. I went to the emergency for some assistance at 6am in the morning, the doctor and the receptionist refused to take me in and instead said you won’t die if you dont eat for another 2 days. Extremely rude and racist behavior. Never EVER anybody with a person of color should go there. Don’t deserve even 1 star.

Extremely rude attitude even at the reception. Then we visited the eye clinic and there the "head" of the department was arrogant, rude, mean and disturbingly angry. I would not recommend EVER! We were waiting for an examination of a child, but it never happened.

Extremely inflexible and unhelpful.

👌🏽👌🏽👌🏽

If I could give a no star I would. The worst experience me and my family had in this hospital. My dad was put into the ICU-intensive care unit. U would think each patient is in good hands Once handed over to any hospital but I wouldn’t say in this case. We waited for hours and hours until someone finally came back to tell us even what was going on..it was a mess and a poor communication even for a German citizenship like me. Unclear what he even had after so many hours waiting in the waiting area. Once my dad was “stabilized” we were able to enter. 2 nurses were attending him laughing and joking about some ridiculous joke they were talking to each other. (Keep in mind my dad was on the machine with pipes unconscious) and we as a family stood there in shock! A doctor in charge came along fiddling with the oxygen machine since it kept making noises. He just casually went oh get another cable from the Keller or any fake Chinese one will do. Well it hadn’t to do with any cables in the end. IT WAS BECAUSE IT WASN'T EVEN CONNECTED TO ANYTHING!! Starting with this and throughout the night readers can guess how it ended up with my dad! To the lady nurse who was a visitor that day from the neighboring hospital we thank you for giving us the time you gave us explaining us that dad had good chances of survival and giving us hope that our dad will come home again.

I want to give Zero star. There is not a single thing good in this hospital. I broke my foot (multiple hairline fractures) on 17 July. I went to the emergency department (Notfall) and waited almost 6-7 hours (there were hardly 5-6 patients). The doctor did only the XRAY and said no bone is broken. Please take Ibuprofen and sent me back home with an appointment to see me again after 5 days. On Monday i went again, the pain was unbearable. I told the doctor and they did CT scan (waiting time was again 4-5 hours). She told me later that my bones are broken and they put Gips on my foot. After every two weeks, i came for a basic check-up with an appointment but still had to wait 4-6 hours. Today, 04 Sept, i had an appointment at 11:00. I came on-time and still waiting (it’s been more than 4Hrs+). Is this how a developed country’s hospital should be? Why they are unable to manage a small amount of patients? There are hardly 20 patients. I’m really irritated, disappointed and angry on the public health care system of Germany. Better to get treated from a developing nation, where doctors are more competent and you get better service and treatment.

The worker here are so lovely and caring…despite I don’t understand German but I was loved

I made an appointment on Friday at 11:15 . I come to the appointment and they say they don't have it. They send me to the emergency room instead, where i wait for 3 hours. You sit there, without any clarity, afraid to going to the toilet so not to miss your precious turn, getting hungry and anxious, watching all your day plans crashing apart. Story #2: I've made an appointment, at "Notaufnahme", the doc told me "make it early", so I scheduled for 8:30. I spend 130eur on taxi to reach the Klinik from Clausthal (the only way to reach at this time). They have a complete haos (bad weather, understandable). Aftet 6h of waiting, it turned out that THEY LOST MY FILE. (and I asked about my file at the 6h of waiting and received then a rude "you have to wait", instead of them checking if my file was present). In total, my waiting time: 8;30-20:30, that is 12 (TWELVE) hours. From the nurses/admin I received no apologies nor kind words nor anything of this kind. The doctor was the only person who got into situation, and applied good "comm skills", kudos to him. So it happened twice: first, they lost my appointment and told me they didn't have it. (story #1). Second, they lost my documents (story #2). Story#3: that is a normal interaction: had an apntmt at Notaufnahme at 8:45, waited 1h, got invited, then doc said "surgeon is busy wait for more 30min, go have a tee if you want", came back after 30min, got "serviced". Thanks to the doc for clarity ("go have tee for 30min"). That is a positive interaction: only 1h30min waiting in total, everything was clear. Added one ⭐ (now one, prev 0zero). On the negative side: turned out my Monday visit with 12h waiting was absolutely useless. Story#4: so they gave me a receipt for physiotherapy, but put the WRONG name on it. I ve an appointments with the physio, waited for three weeks, attended 3 sessions, and the physio now cancelled all the other appointments bcs of the wrong name on that receipt that they gave me. Now I need to get another physio prescription from UniKlinik, then wait another three weeks (?) for new appointments with physio. And all this while doctors are urging me "you really need therapy, or you have big troubles with your joint". Lesson: always check the documents they give you, they make mistakes.

Ok

This review is well overdue. I came to this private clinic a few times and I had a great experience each time. I lived overseas for some time and I am used to high end medical services. Before I met Dr.Deutsch, I sworn I will never see a gynecologist in Romania ever again after a bad experience in a private clinic in Bucharest. I wanted to take this time to give a shout-out to Dr.Deutsch Horatiu! Needless to say I was pleasantly surprised after my first appointment and will be a returning patient. He is not only very kind and compassionate, he is also very patient and understanding. I no longer live in Sibiu buy will also come back for my anual here. Keep up the good work and thank you for your help and guidance.

Bunica mea o venit de 2 ori pentru nimic. Rdv a fost fixat și Dr. nu era prezent. Bunica de 80 de ani! My grandmother came twice, for nothing!!! She had an appointment but the doctor "wasn't there". Nobody called her to cancel. It's a shame!! My grandmother is 80 years old, they have no consideration. Boycott it!

if you have an emergency, run away from this place, they are the worst people, the doctor on the ambulance who got us there was begging them to accept a patient who had a big cardiac problem and the doctors from this place sent him away, later that night he had a big cardiac crysis and almost died, we went to another hospital who immediately put him in ICU, wondering how the other hospital could do this. These people can't treat a sore throat, or our patient arived there before our envelope of money for the doctors did.

1hr waiting and still counting...

The best cardiovascular diseases center in Romania.

All employees in all departments are so cooperative, kind, and respectful, and systemizing between all departments is amazing.. but the rooms need some simple renews.. thanks a lot😉

Ended call in my face after transferring my call twice during an emergency call as didn’t care to speak English. Very shameful hospital

Mohammad Qandeel frm the the Endoscopy department was fantastic, he’s super friendly and he has a great attitude, he’s definitely a great asset for this hospital.

Excellent place to give treatment and care for patients ,had distinguish staff and I'm proud to be one of the specialty hospital staff 🤍

The staff is very good and take care of all details , the room is clean and always there is a follow up all over the day . Catering staff is very nice and provide on time and well -prepared meals that fulfill patient expectations.

A thoroughly professional and pleasant service during my 3-day stay at The Specialty. The staff in Level 1 wards were exceptional and the hygiene and care brilliant. Lovely cafe, too. Prices better than most.

King Abdullah University Hospital (KAUH) is a pioneering medical institution located in Irbid, Jordan. It stands as a symbol of advanced healthcare, cutting-edge medical research, and comprehensive patient care. With a commitment to excellence, KAUH plays a pivotal role in shaping the medical landscape of the region. State-of-the-Art Medical Care: KAUH is renowned for offering state-of-the-art medical services across a wide range of specialties. Its exceptional medical staff, advanced facilities, and sophisticated equipment ensure that patients receive the highest standard of care. Medical Research Hub: KAUH is not only a healthcare provider but also a hub for medical research and innovation. Its research centers and collaborations contribute to advancements in medical science, paving the way for improved treatment modalities and patient outcomes. Multidisciplinary Expertise: The hospital's team of skilled physicians, nurses, specialists, and researchers collaborate across various disciplines to provide comprehensive and personalized care. This multidisciplinary approach ensures that patients receive holistic treatment tailored to their specific needs. Quality Patient Experience: KAUH places a strong emphasis on patient experience. From admission to recovery, the hospital is committed to providing a compassionate and supportive environment that eases patients' journeys and ensures their comfort. Global Recognition: KAUH's commitment to excellence has earned it recognition on an international level. Its high standards of medical care, research contributions, and affiliations with esteemed institutions position it as a global healthcare leader. Community Engagement: KAUH is deeply rooted in its community. Through health awareness campaigns, educational programs, and community outreach, the hospital actively contributes to promoting health and well-being in the region. Teaching and Training: As a university hospital, KAUH plays a crucial role in training the next generation of medical professionals. Medical students and residents gain valuable hands-on experience under the guidance of experienced practitioners. Technological Advancements: KAUH is at the forefront of adopting the latest medical technologies and techniques. This commitment to innovation ensures that patients have access to cutting-edge treatments and interventions. Emergency Care: KAUH's emergency department operates around the clock, providing critical care for urgent medical situations. Its prompt and skilled response ensures that patients receive timely and efficient treatment. In summary, King Abdullah University Hospital stands as a beacon of advanced medical care and research. For those seeking top-tier healthcare, innovative medical solutions, and a commitment to patient well-being, KAUH is an institution that comes highly recommended. It's a cornerstone of healthcare excellence that leaves a lasting impact on patients, medical professionals, and the broader community.

My dad had died yesterday due to pure negligence. My dad was awake and alive but very exhausted. His blood was 6.5. What killed him was the 8 hours of waiting for the doctor to arrive and make a decision. When that happened, it was too late, and I lost my dad, for ever. I was told that the hospital is broke, and don’t pay salaries. I highly recommend everyone to NOT consider any hospital in Irbid.

The hospital is a large and major medical edifice in northern Jordan, serving a large segment of citizens, providing comprehensive medical services of high quality. There is no doubt that the large number of auditors affects the quality of service administratively. Large parking is available. There is more than one prayer room, but more attention is needed in the cleanliness inside the prayer room. The WC public health facilities are unfortunately not clean, and most of the reason is the misuse of patients and companions, and some of them smoke in them!! And the facilities do not have toilet paper! However, there must be a comprehensive program for the cleanliness of these facilities by the cleaning authority.

Had my appendix removed about two months ago only complains I have are in the emergency department I was told by one of the doctors I was getting surgery, he was then pulled out of the room by a nurse and never returned. When asked do I know what’s happening for my surgery later that night I hadn’t a clue cause the doctor never came back and told me what it was for or when. The nurses on the ward when I went up where amazing looked after me so well really reassured me not to worry. The nurse that took over their shift after was out of surgery was completely different I had gotten sick after coming out of surgery she left the sick bag on my table the entire night along with the blanket I had gotten sick on, I was too unwell to even realise I had been sleeping in my sick the whole night. The next nurse to take over her shift had not been too impressed with me for not throwing the sick bad out or the sheets even though my iv was attached to the bed so I couldn’t physically move from the bed to do anything. It was only these two nurses that made my experience bad at the beacon as I’ve been before for a separate issue and it was absolutely amazing. I would recommend their hospital and I wouldn’t let them two nurses stop me from going to them again, but I would say it really did make me feel worse especially spending so much money to stay and be in their care.

As an American who has always been treated at the top clinic of Mayo Clinic my entire life I was scared to death to experience healthcare anywhere else. After breaking my foot I’ve been pleasantly surprised by how great the staff is here. The nurses, registration, consultants..everyone. I feel a lot of comfort after being seen here now multiple times and having surgery. It’s a different process than I’m used to but that’s a learning curve on my part. Thank you to all the staff for putting my anxiety to the way side.

Just back from taking my elderly mum for a CT in the Beacon Hospital. Lauren in radiology reception was fantastic with her. She was clear, helpful, friendly and very patient with with mum. CT staff were fantastic and efficient, meaning we were in and out in no more than 30min.

This clinic is very poor, you are dealt with like you are a sheep and made to feel like you are another number to make cash from. They provide no explanation and point you towards the most profitable procedure not what's best for the patient. Once admitted the care is lacking and hygiene poor, they only gave me a bed for ten minutes after surgery before whisking it away and plonking me on a wheelchair in the so called "holistoc room", they had no intention of making it a place you would want stay, clearly once they have there money they boot you out to get the next paycheck in. Highly recommend going elsewhere where you may get treated as a person.

Doctor and nurse in emergency room so nice to me, also mri staff lovely.

Very futuristic and beautiful clinic, was leaving somebody else off but even know visitors were not allowed at the time of posting, I was able to stay through the check in process. Staff were very friendly and always had time to help. Dinner for patient was presented by a menu, and you got choice. I would highly recommend this hospital/clinic for anyone who needs urgent help. There is also an in-house Chapel, pharmacy and small shop.

Incredible experience from start to finish. Appointment time 230. In doctor's office at 235, out on the road home by 345. Staff extremely friendly. Could not have asked for better. Also exquisitely clean. 10/10

Overall, not a great experience and wouldn't use them again. I went in for a heart ultrasound, stress test and a plaque test. The stress test was a nightmare. I was put on a running machine with a face mask. I kid you not. I was forced to undergo a stress test on a running machine where I could barely breathe. It was an horrendous experience. I really thought I was going to have a heart attack there and then on the machine as they increased the stress on my heart. How they could expect to get accurate results based on that is beyond me. I paid on the day and shortly afterwards got an additional bill....then another bill. I still don't know what the additional costs were for were for. I couldn't work out the statement that accompanied the bill as it was overly complicated. I went to my doctors a few months later about another minor matter and though it might be a good time to discuss my tests. He didn't know what I was talking about. He'd received nothing. I tried ringing radiology several times and it always went to voice mail. The receptionist told me to send an email which I did. I wrote an email and I did receive a reply saying they would send out one of the test results to my doctor but wanted his address. This was odd as my details and those of my doctor were on my initial induction form. I explained in a replying email that there were several tests...not just one and could they forward them onto him as well....nothing. No reply. I've never heard anything back and at this stage have given up trying to get my results posted out. I really would not recommend them based on my experience.

Had an unfortunate accident which brought me to the ED. The receptionists were very efficient and very pleasant to deal with. I was so fortunate to have had Dr David Foley looking after my case, he was extremely empathetic to my predicament and made me feel at ease at such a stressful/painful time. He referred me to Dr Stefan Byrne in Orthopedics who dealt with me very promptly, he was very professional. I left confident in his care and thankful for the kindness of his receptionist. Overall for such a traumatic time I was so grateful to everyone for making it that bit easier.....except for the pay for parking machine which refused to give a receipt one day and also refused to give my ticket back another day after paying