Retinoblastoma treatment in 422 Oncology clinics worldwide

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Excellent

I am completely outraged and frustrated with the service provided by Hospital São Camilo at the Ipiranga Unit in recent months. I had the misfortune of needing to go to the hospital a few times in a short period of time, and every time I went I had a terrible experience. But I'm going to focus on the day before yesterday, which was the last straw, and my cup of patience overflowed. The day before yesterday (11/21) I went to the hospital at 11:05 pm, with a severe migraine, nausea and weakness. When I went through the triage, they didn't even check my temperature, my blood pressure was high (14/9) and as the nurse said “it must be nothing, it could be because of your pain”. So far I agree, it could be because of the pain or my pain could be because of the pressure. I received a GREEN bracelet! Taking into account that the hospital follows the Manchester protocol, because of my absurd pain (those who have migraines know what I'm talking about) and because of my high blood pressure, I shouldn't have to wait for care for 2 hours (which is what says the Manchester protocol for the color GREEN). But they gave me this bracelet, and several people passed in front of me, it took more than 2 hours to wait to speak to the doctor, that's why I showed my indignation at the delay, because if I had remained quiet I would have waited another 2 hours. And the reception says that other people passed in front of me because they were other doctors, or it was orthopedics, or a general surgeon or Covid. And they also reiterated “you already and next time, the doctor was collecting the returns” IN other words, more people passed in front of me who were being discharged from the hospital, and yet were already medicated. Therefore, I was forgotten at reception with the pain they call N°10! And everyone knows that the more irritated a person gets, the worse the pain and the worse the pressure. So seeing my despair, where I was almost fainting from the pain, the receptionist asked me to go to the triage to re-evaluate my condition. Arriving at the screening, the blessed one looks at my face and says “Well?” I explain that the reception asked to reevaluate me and he responds “How? The reception?" I said “yes, the reception, the girl who is there at the tables”, and he replied “Really the reception?” I said yes!" and I pointed to the person, then he looked like he wasn't happy and checked my blood pressure again, it was still 14/9! After that I had to wait another 30 minutes until I was called, the receptionist was already desperate too, calling the hospital and informing them that I was feeling ill. Everyone passed by me, and did NOTHING! I was called to the doctor's room at 1:11 am, they made me wait more than 2 hours for an appointment, which according to the Manchester protocol should have been attended to with an ORANGE bracelet, and within 10 minutes. I can and I feel entitled to say that it was a failure to provide help, as my clinical condition was delicate, and the screening data and my face did not deny this, quite the contrary, they affirmed it. In a hospital like São Camilo, where I have been treated since I was 7 years old, when it still had the pediatrics area, you have left a LOT to be desired. You are a PRIVATE hospital, in case you forgot, if you are “short of professionals” hire more professionals. FOLLOW the protocol that YOU yourselves say you follow. Why a person almost fainting from pain, WITH ALL SURE IN THE WORLD, is not a green bracelet. And if it's too much to follow a WORLDWIDE protocol, STOP using and deceiving the people who will be served. Don't give me speeches about “we were without doctors”, “the four doctors who were attending were from other areas”, “your high blood pressure must be nothing”, “can I give you medicine X?”, “they are taking care of cases more serious than yours”, “the doctors were just going through the returns” because I'm TIRED of your lame excuses. I prefer you to take the time you would spend responding to me and review your services and professionals, why I felt neglected and in a hospital that for me was an example.

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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]

Today, November 24, 2023, I make public our experience in this hospital, we arrived with our little 1-year-old son who had dislocated his hand and it was swollen, we were admitted and the girl took care of us very well, I have no complaints, she sent us to traumatology where we lasted approximately 3 hours, after that time we returned to talk to the girl who treated them and she told me to wait for a doctor to come out of the offices and ask him if he could treat us and that's how we waited for about 1 hour and a rude, poorly educated doctor came out. And for me without a vocation, he told me that the orthopedic surgeons were in surgery that I had to wait and be ready to be grateful that they were there and lastly he asked me where I was from. He can't take it anymore and I left that place crying with my son, what a lack of empathy if they treat people like that, I don't even want to imagine how without it with children. Very bad experience and I hope that doctor doesn't have to happen because we live through it. (I am the child's mother)

Excellent attention. Unique in Argentina given the specialization of the hospital. Medical care is specialized.

They claim they have a guardia or emergency but in reality they dont. You won't find a doc but you'll find loads of support staff. Not helpful when they've got support staff but no docs or nurses to actually help. It's claimed to be one of the best hospitals for kids but good luck trying to see a doc. My 5 year old had a fever for 3 days and convulsions so we decided to go to this hospital. Arrived and waited an hour for no one so I went banging on the guardia door, spoke to informes, admisión, orientation, etc but no help. I had to burst into their lunch room where at least 5 nurses were sitting down chatting just to get help. Screaming for help is the one way to go. You need to make a stink, bursting into rooms to get help. That's not how a hospital should run. Why must you have 5 people in informes, one in admison, one in orientation and ZERO doctorss???!!!! They've got no problem sending security at me but a doctor they don't have.

I always go here and it works spectacularly. I never had any problems, the professionals and the treatment were fantastic, but please do something with the pathology reports because it closes at 6:00 p.m. and many of us never get to pick them up because we leave work or ask for appointments later than that time. Maybe send them by email or leave them with the secretary.

Disaster the attention on the guard by the pseudodoctor Luisina Ramacciotti Mat 27567 saying that I thought that was a Kiosk. The corresponding complaints will be made for lack of professional ethics. The claim is recorded in the complaints book dated today.

I had surgery in 2020, to date I am waiting for an invoice from the hospital, the doctor and the anesthetist. To make matters worse, the doctor Gustavo Delg... the urologist who operated on me did not solve my prostate problem, he did something crazy. All scoundrels. A piece of advice, the doctors in public hospitals are better professionals and honest. The urologist Gustavo Delg.., He was deleted from Doctoralia...why would it be? I will have to file a complaint with the AFIP.

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.

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.

Presented with chest/breathing problems. Directed to station to give all admin details and make payment. All very streamlined, then waited and was taken to a isolation room. They apparentley should not have sent me to waiting room as l am highly infectious. When in room lost all cell and wifi. Asked many staff none had any idea of hospital wifi codes. 6 hours later at desk again to make outstanding payment. I mentioned that maybe it was a admin role that they tell people how to access hospital wifi as this was an ideal momment. They certainly were able to take money and l signed for my insurance. The slim older woman wirh blond grey hair let me know very aggresively that it was not her job. While at the far end of the counter was a business card with wifi details..... Just appaling her lack of care. Surely patients maintaing contact with family, matters as the hospital phone also did not work in room, however she could not care less and let me know that. The rest of the staff are amazing. After tests l have Influenza A.

Currently staying over night & I’m blown away by the staff. They were all very attentive & reassured me before, after and during. Was laughing through my whole experience which has never happened before! Lovely people who do an amazing job.

If there is 0 star, I will give it to Cabrini. Back in early Jan 2023, I was referred by my GP to Cabrini to receive intravenous antibiotics due to swelling in my foot. The reception in the ED asked me to complete a form, provided my Medicare and Medibank information, and I paid $485. At that time, I inquired about any additional out-of-pocket expenses as I was covered by private insurance, and I was clearly told there would be none. I was then placed on a bed in a ward. A doctor examined my foot and, after assessing it, decided not to administer IV antibiotics and no treatment is required, but asked me to take an ultrasound test on my foot. Since there will be no treatment plus I had several meetings that day, I specifically asked whether I could return home first and had the test later if still needed. The doctor told me he would inform me of the expected waiting time; if it was lengthy, I could leave and have the tests done at my GP, but if it was short, I could have them done at the hospital. Later, he informed me that the test could be done quickly, so I proceeded with it at the hospital. It took me more than 6 hours to finish the test and wait for result. In the end I was discharged without any treatment. During the checkout process, I once again inquired at the front desk whether there were any additional out-of-pocket expenses beyond the $485 I had already paid, and I was told there were none. A few weeks later, I received the test invoice, after discussing the matter with Cabrini accounting team, I was informed that I had never actually been admitted to the hospital. Does Cabrini expect an ordinary consumer to identify the difference between an outpatient ward and an admission ward? Not to mention I was informed by your staff there will be no additional out-of-pocket expense, plus no treatment at all, totally misleading!!! Even worse, after I raised a compliant to CRM Cabrini, received feedback telling me the invoice will be put on hold until review is done. Since then, no one from Cabrini has communicated with me. Last week, I got a letter from collector chasing payment, what an arrogant and disgraceful act! Stay away from Cabrini!

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

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.

Got my Covid (#5) vaccine at this facility. Vaccination center is located in building/pavilion E next door from entrance E7. Hospital is easily accessible via public transport/trams. The service and staff are very efficient. Dr. Mankovecky (fluent in English) and his nurse are extremely friendly and pleasant. Appointment is required and recommended for the vaccination services. I recommend this facility!

This review is for the ULZ department in this hospital. I went several days to the hyperbaric chamber. The team was the best one I've ever encountered in Czech Republic, doctors, nurses, technicians, everyone was nice, positive, polite, helpful, and dedicated. They took the time to explain everything to the patients, are nice and smiling everyday. For the first time I felt they loved their job for both the medical part and the human contact. Special thanks to Mila, the nurse who took care about me all along the procedure. Please do not change anything! And for the hospital in general please take this department as an example!

It’s really a very good hospital. As I don’t speak Czech, it may be a problem in some places. But here it is very good. It’s like an international hospital. Everyone from the reception to the examination doctors all speaks good English. There is no problem with being treated. And the waiting time is not long at all.

a hospital has it's own aura decorum. the medical staff here are really powerfull not obeying the rules, wich is one of the main building blocks of great morale here and the overall success rate here, where you are in a care of true proffesionals

I tried to contact them for several days!!!! I sent emails, I called to the reception and she redirected me to a wrong department. There they gave me another phone number but they don't pick up for 2 days!!!! Hopefully their emergency department works faster.

Unfortunately we had to visit Stomatochirurgic department on Sunday evening in emergency with our kettle nephew who had an accident and the tooth got broken. The nurse was very nice to us whilst we were filling up all the paperwork. Meanwhile doctor A. Ščerbová arrived and told us her opinion about the necessity to take out the tooth. We were worried to make the decision quickly and she was so nice and patient that didn’t mind to explain everything to our family friend (dentist) over the phone. Whilst the procedure started she was communicating with our nephew, explained him everything and shortly it was done. Really amazing experience and lovely professional, but still kind attitude of the nurse and the doctor. Thank you very much again!!! PS: there is massive car park with 50czk fee.

I would like to express my deep gratitude to the doctor of the Boboshko clinic, Alexander Vladimirovich, for the most complex heart surgery, Vladimir Grigorievich Volkov. Thank you very much for your professionalism!!! God bless you!!! Many thanks to all the staff who looked after him during the postoperative period! Special thanks to Dr. Natalya Valerievna Novikova! Her attitude towards patients is an example of sensitivity, responsibility, and high professionalism!! Sincerely, the family of Volkov V.G.

My relative is dying of cancer without treatment. She is either admitted to the clinic or sent home without starting treatment due to bureaucratic delays. A person counts every day, but apparently this is not as important as a new piece of paper, right?

Above all praise, specialists of the highest class, service personnel deserve the highest marks. There is order and goodwill in everything.