Small bowel resection in 482 Oncology clinics worldwide

Dealt with this hospital for several years. No matter what day or what doctor I've always been left with the same experience; cocky doctors playing God with the absolute worst bedside manner. Never again.

My husband was a heart transplant patient here. One time they failed to give an accurate report for him to adjust his warfarin accordingly. Subsequently he suffered a stroke and had to have intracerebral hemorrhage surgery. My husband overlooked a lot of things and this hospital had the nerve to kick him off the transplant list. They called an old number and then said that since they couldn't get in touch with him he was non-complaint. I gathered so much proof to show that they were the ones who made an error. I got all the phone records and proof that we updated his information but it was evident that they just wanted to get rid of him. I wanted to sue so bad but I left them all to God. You should have been in that break up meeting. By the grace of God he got his transplant at an excellent hospital in CA.

Lynn at the gift shop was extremely helpful and made ordering flowers a seamless process. She was so kind and patient too. Thank you Lynn!

We were at Vanderbilt before transferring to Mayo. This has been an amazing experience! It’s like it’s a requirement is to be super nice; Vanderbilt, not so much. I would recommend anyone to come here, and I’m so glad we chose to switch. The doctors, nurses, and even the staff (cafeteria, welcome center, etc) were by far nicer than Vanderbilt. They are so knowledgeable, thorough, and patient. Very impressed!!!

The Mayo Clinic is such a special place! It’s a medical facility that could also be a museum of art museum, history, and architecture. People travel from all over the world to be treated here, but what makes it truly special are the compassionate, skilled, and dedicated employees. I stood outside the Mayo Building and watched bus after bus pull up to the staff entrance - and watched countless everyday heroes get off those buses and go to work performing “miracles” at a place that provides hope to people who need it most.!!

I had 7 uterine fibroids removed by Dr Khan. Well done. No complications. After six weeks I was back in gym doing great. Dr khan is the best. Great doctor. Nurse Logan day shift and Susan night took good care of me.!!

I had a Tilt Test. All went on very well and efficiently. The reception process was very fast and efficient. My test started 10 minutes ahead of schedule. The doctor who performed it was very experienced and professional.

Horrific hospital ! Avoid at all costs! The hallways are dirty, the staff and equipment are straight fro the 1960s and you will spend upwards of 12 hours for any Simple checks. The level of medicine in Israel is simply dismal, how can such a rich country have appalling healthcare is beyond me . Very sad

Hospital? Can it be called hospital? Air fresheners everywhere , cannot breath, go outside to take fresh air, you get a wall of sigarrete smoke into the face. All together with parfumes, chemicals smells and other hell knows what smells. I think it is cannot be called hospital.

My partner Derek Baum underwent a small injection procedure at the Ramat Hayal hospital. I have no words for the level of care from the delightfully kind receptionist to the amazing nurse (Shira) and of course the doctor. Such a “pleasant” experience that I’m in awe of our wonderful Maccabi Health Service !! Thank you to all of the team who did Derek’s procedure this morning Wednesday 14th June

Supposed to be the best private hospital in Israel... I doubt it. My recommendation - even if the doctors are great, don't go there for Mei Shafir. You will get an awful treatment of your case. Let's start by the fact that they canceled the genetic consultant a week before the mei Shafir check.. and asked me to find a docteur (genetics specialist) that could see me in the next 3 days, so they could perform the check on time.. No help on their side to help me finding of course. So now imagine yourself calling every hospital of Israel asking for a place in the next 3 days to see a specialist... and how stressed you are. Found a place in Nahariya by chance. The specialist didn't even understand why I was being canceled from the beginning at asuta (what was found in my genetics tests was insignificant) . Even the mei Shafir doctor didn't understand why the genetics consultant of asuta was ever canceled to me!! Anyway check went well and today I am receiving the results... what a shame! 2 pages of results scanned, the second page cannot even be read. The first page is not clear. That's such a shame and so embarrassing. Anyway from my experience and people that went with asuta will confirm, your case with be handled by many people, no one has the same work process, no one will answer you clearly and on a same way. Choosing asuta is choosing to add more stress to your life.

Very fast CT checking wait for my doctor

Very high standard of services ,very clean, Professional staff in all departments with kind heart. Last but not least, we would like to express our special greetings for Prof Dr Amit Segev Thank you! ❤️🙏

such a shame . i paid for private clinic and this is what we got . i did my surgery there i stayed 3 days after the surgery . nurse in my last night didnt check at me at all for more than 10 hours (the whole night shift) . didnt check at all ... the other patient who slept in the same room had edema in her arm she again didnt care after the patient insist she removed the iv . one hour later the woman felt pain the nurse told her i cant do anything because you asked me to remove your iv access and we give painkiller through the iv ( she is blaming her and in indirect way tell her its her fault) .. and she has to wait till the morning to get new iv access ( while i know she can do so and if not she can call someone to do so there is no way there is no one in the hospital to do so .woman stayed all night in pain she couldnt sleep and i couldnt sleep either ). in my first day there were two new patient who got admitted to the inpatient ward the people who carried the patients ask a nurse where should we put each one of them . she said"" this person look classy lets put him in the better room the other one look the neglected and inelegant lets put him in this room. "" i will never recommend this place to a my beloved person or to a family although the surgeon was great we still know that 90% of the time patient spend in any hospital it will be spent with the nurse .

Once you get past the check in it's smooth sailing , but the women at the check in were too busy taking care of the people that came after I did . One even reprimanded me for being early while her associates were busy checking their social media. CT scan went quickly. But the pain I was in while lying on the machine made it seem like forever.. Hope I don't have to come back .

I spent 32 hours without food or drink because I was told I would have a surgery to drain an abscess (procedure itself generally takes 30-40 mins). After all those hours I am requesting to get transferred and the head nurse is rejecting the notion. I thought NHS was bad, this is a disgrace… I’m being treated like a 3rd class citizen.

Medically and clinically very good, staff very pleasant and helpful. Site is poorly signposted and difficult to find the department you need on first visit if you're not familiar with it. Parking very difficult and quite expensive. Good selection of on-site retail outlets in the mall. Views over surrounding area are breathtaking.

I was here just to see the stained glass windows (Chagall windows) in the synagogue. They are so beautiful! The entrance fee is 25 which comes with an audio guide and a brochure.

Not as professional and friendly as they promote, all about earning money from you or your insurance but with very little care or treatment. All year with appointments and specialist for cancer an tumours ,scan after scan but not any diagnosis or treatment and suffering with swollen eye, colour change, nose and cheek burning pain and insane pressure on head and face but still no help , even though colour change on scan for my rights side of brain , cyst inside my face and gigantic problem at the back of my head and they say no problem and haven’t operated or treated. I hope I’m not dying but still don’t have any diagnosis or confirmation of anything.Now thinking I need to go to another country for help ? Wouldn’t recommend to nobody?? They won’t do anything about these reviews and even give the same answer to each person.

Avoid this hospital! I had to visit the hospital because of a sinus infection, but was rushed into several entirely useless procedures just to hike up the bill. The whole experience was horrible with unfriendly and rude staff. However, the worst part was that a nurse stole 340 euros from my purse in my handbag that I left in the examination room with the nurse when I was pushed into a toilet for another useless test. The hospital operations reeks of scamming people in every possible way. Despicable behaviour preying on people in a vulnerable situation.

Avoid this hospital My husband was admitted to this hospital in 2021, 2022 and 2 days ago. In 2021 I visited him on a Sunday, and he was on the floor (with a broken leg) trying to get onto the sofa, to get out of the window as he was hallucinating. He was on the second floor! The window was then closed and locked but no-one had noticed my husband on the floor, which is a worry. I then had to push for a brain scan, which, according to Xanit showed nothing abnormal. He has now been diagnosed with dementia at Guadalhorce hospital, so I chose to go private again to make things happen faster. We saw a neurologist at Xanit who said he should be hospitalised. When we arrived at the hospital it took over 20 minutes to park as the car park was full, then when we got to reception there were almost 35 people in front of us. We were over an hour late to get to our appointment and then the computers went down!!! We had to go down to Urgencias to be admitted. They told me he had to go to a hospital in Malaga. I then had to go back to the neurologist, as Urgencias refused to call him, and he told them to admit my husband. There was an amazing lack of communication, and the girl who was in triage was basically rude. We were then subjected to a 2/3 hour wait, then taken to a surgical ward where the nurses all moaned about the fact he was being taken into this hospital. I speak and understand Spanish so was very aware of the things being said and I am absolutely horrified at how we were treated. He was hospitalised on Wednesday, and we were told he would get an MRI and CT scan. My husband was aggressive, and I was told I had to stay with him 24/7. This is not why I’m paying private health insurance. I was told there are insufficient nurses to deal with all the patients they have, so I had to stay. The MRI and CT scan didn’t happen as the machine had broken down!!! My husband was very agitated, and the neurologist and I agreed he would be better at home. Therefore, we had to make an appointment for the MRI and CT scan (29th November) I waited over an hour to make this appointment, while my husband was in his hospital room. There were 6 people in front of me, and one person in reception, who decided to deal with people who jumped the queue and one friend (I think Fran was his name). Reception staff are awful and provide terrible customer service. They wander away on their phones when they feel like it and don’t appreciate that people visiting the hospital may be dealing with life and death situations. They are abysmal and need training. I see from these reviews this has been going on for over a year, so I’m not sure if my comments will make any difference at all. Absolutely shocking service. On a brighter note, when you actually get to see a specialist, they are amazing.

Very positive experience. Dr Davies was extremely professional, listened to my concerns, reviewed and explained the MRI and dedicated the necessary time without being rushed. Very pleased with him and all his staff from scheduling, checking-in, radiologists, nurses and doctor assistant. 👍🏻

Went in for a full left hip replacement with Dr Jacob Drew. My interactions with him and his staff were always positive. He took the time to explain the procedure and answer any questions that I had. He even called to check in the night before my surgery. I would highly recommend him for anyone needing a hip or knee replacement.

Great Doctor and Staff to work with. Removed my cancer and still cancer free 3 years later. Extremely helpful and has answered all my questions and then some. She is a doctor who actually cares about her patients unlike my PCP . I would Highly Recommend Dr Megan E. Anderson and her staff.

Its been almost 2 years I regularly visit several specialists. Very professional and emphatic doctors! During CT scan procedures after talking to the attentive assistants I feel more secure and less scared. Thanks!

You should dying already before they take care of anything. Not taking anything serious at all

Best Hospital in the Brussels region, friendly staff, great doctors and all multi-lingual

I recently had an unfortunate experience at Kokilaben Dhirubhai Ambani Hospital that compelled me to share my thoughts. My father-in-law was admitted for an emergency procedure, and what transpired during our visit left me deeply disheartened. Initially, we were given an estimate of ₹2,09,000 plus consumables for the procedure, but upon discharge, the cost had escalated to ₹3,57,000 - a staggering 75% increase. Seeking clarification at the billing desk, I received vague answers and was directed to the assistant doctor of the surgeon, who then asked us to wait for Dr. Mandar Deshpande. After a prolonged wait, Dr. Mandar Deshpande eventually met with us but became defensive when questioned about the unexpected cost surge. Despite my attempts to engage in a civil conversation, things turned unpleasant as Dr. Deshpande raised his voice and directed us back to the billing department. We would not believe a doctor could behave in such a manner. The situation escalated further when security was called, and my wife and I were confined to a room with the promise that someone from billing would explain the invoices. To our dismay, we were still waiting for someone to come for over 45 minutes, prompting us to consider leaving. Later, Rajashesh Savant, the senior security personnel, decided to come but immediately resorted to using foul language and even attempted to file a false FIR against us. He threatened us with a silly claim that I had kidnapped my father-in-law so that we would not pay the bill. We asked him to check the cameras that a nurse had released him, and second to think if our intention was not to pay the bill (and run away), then why would we go to the billing counter to ask for the bill to pay? Why would we just not run away without paying? I explained to him the reason my father-in-law had left a little early was because he was in pain after the surgery and he had to travel six hours to get back home, so we stayed back so that he could leave to get back home before it was too dark. When logic did not prevail, he asked his security guards to physically restriction us and attempt to seize our belongings. When tried to take pictures and videos the guard literally tried to snatch my phone by inserting his hands into my pocket. How can a medical institution employ goons like these? Ultimately, exhausted and under duress, we decided to settle the bill after intervention from a senior police officer. The entire incident unfolded in the hospital lobby, possibly captured on video. This experience has raised several concerns about the conduct of the hospital staff and the apparent lack of accountability. Seeing such behavior from a healthcare institution where open communication and understanding should be paramount is disheartening. Questions arise about the hospital's choice of personnel, particularly those who cannot engage in polite conversations and provide explanations when required. The ordeal also raises questions about the conduct of security personnel. Last but not least, observe the cleanliness when you are in the hospital. It is one the worst; besides the lobby, the wards and especially the bathrooms are not to the cleanliness standard of a medical institution. I hope to shed light on the challenges faced during my visit to Kokilaben Dhirubhai Ambani Hospital, emphasizing the need for better communication and a more patient-friendly approach from the medical and administrative staff. There are better hospitals in Mumbai, and you should consider those before considering Kokilaben Dhirubhai Ambani Hospital.

Hospital clean and good staff but bathrooms cleaning not done. No one taking care.. it's always stinking ,no tissue papers or toilet rolls..no housekeeping supervisor around to whom we can show the dirty washroom on ground floor...the bathroom cleaner was forced to clean but she was using one cloth to wipe seat covers which can be a serious breeding ground for infection and a dirty mop which could never dry floor..no Dettol or sanitizer in or around washroom .. dirty smell all over ..wash basins equally stained and dirty and wet on the counter...we request management to immediately take action to improve condition of such a gifted hospital ...there was no suggestion box found so posting. It's a request for all the washrooms conditions to be improved for patients relatives.

Kokilaben Dhirubhai Ambani Hospital 🏥 is one of the best hospitals 🏥 in Mumbai and in India 🇮🇳 . Excellent infrastructure. Hospital is very clean. I've had my executive health check up over there. And I've got good experience at the hospital 🏥. Every department is marked with systematic colorful lines which you have to follow on the floor so as to commute inside hospital. No need to ask anyone unless you have colorblindness 😉. Reception staff at EHC are very helpful and cooperative. I've gone for routine medical check up. Doctors are knowledgeable. The most important thing I like about kokilaben hospital that they sends all the reports thru mail. No hassle or waiting for the hard copy of the reports. And food 🍲 is really good. You won't feel like you are eating hospital 🏥 food 🍲.

Highly appreciated the services provided during my stay for few days. Very professional, dedicated and caring team headed by Dr Chopra and Mrs Sosamma Mathew🤗👍 My experience with them will force me to recommend my friends and Family in New Delhi. Please stay focused and keep it up. It’s very sad to not get such great service elsewhere these days. I am obliged and thankful 🌹

Moolchand Hospital provides excellent healthcare services. The cleanliness of the facility is impressive, and the staff is friendly and professional. I felt well taken care of during my visit. Thank you, Moolchand, for your commitment to patient well-being

I am grateful for the outstanding care I received at Moolchand Hospital. The doctors took the time to listen, the nurses were attentive, and the entire process was streamlined. The hospital's dedication to patient welfare is truly commendable.

Have been coming here for one year plus for various reasons but I absolutely dread it every time since I would end up waiting for over an hour just to meet my doctor for 5 minutes and then the payment would take over an hour after that. Recently it has gotten so much worse. Doctor asked me to do an MRI for my ankle and they told me to be there an hour early. In the end, I had to wait for over an hour just to be transported to the MRI center. The person at the registration counter at the MRI center was really rude and gave me judgemental looks too. I was then asked to make a follow up appointment to review the MRI scan with my doctor. I tried to make an appointment online through their system but didn't get a response from them then they suddenly called me on the day itself and asked "are you coming for your appointment right now?" when I wasn't notified that my appointment is confirmed so I couldn't make it. I tried making an appointment online again, but didn't get a response through email or call. I tried calling them but was put on hold for over 15 minutes and when I finally got to talk to someone, the call got disconnected.

Was given appointment at 4pm but waited till 8pm. When ask, nurse give a very stupid excuse 'first come first basis'. If first come first basic then WHY GIVE TIME AND ASK NOT TO BE LATE???? This is ridiculous! So call private hospital but system sucks!!!! Is worse than government hospital. So many bad reviews with regards to waiting time, nurse rude and yet no improvement. Respond to review was 'cut and paste'. The management, please look into it seriously!

I m very disappointed with the system of client appointment at this hospital. Totally waste of time! 3 times was here, and all times I spent 2 -3 hrs!!! Where doctor see me only for 3-5 min. So much time takes to register, then to wait the appointment (initially the appointment was fixed, but always have to wait). And then to wait to pay for appointment. Second time the doctor was very rude when I asked him about my problem. Then he says “why I have to repeat so many times to you to understand..”. I was really trying to understand that I need that surgery he was suggesting me.

Customer Relation Officer Ms Lim Bee Yuan - Very friendly, helpful and nice. She gave me a mask when she saw I forgot to wear mask. So caring!! (thumb up)... And she is giving a positive quote and energy when we are waiting outside the ICU room. So lucky BTMC got this kind of good employee :)

I have been asking for my medical report that supposed to share via email last week. It's been 3 weeks since I have visited the gynae there and already called thrice to check the report status but no proper response from the clinic. Every time the answer is doctor is reviewing the report and we will call you by TODAy!!! But it never happened until today. Very disappointed with the service.

I am a stroke patient here since August 2023 and I have been doing my physio treatment at Bukit Tinggi Medical Centre, Klang. I am under the care of Ms Sharynn. She offered her assistance and expertise in her duty of work. Under her care, I got a very speedy recovery and I am very happy that I am able to walk very fast and stable. I like to thank her and her whole department assistance offered to me. All of them are very friendly and helpful.

I am constantly impressed & amazed how u maintain your performance. Miss Mona Shire while taking on even more work Thank you for your hard work! Thank you for using your remarkable talents Your excellent performance is an inspiration to all. Keep up the great work!

Was coming here since 7 years but the service now keeps coming down. Doctors keeps changing . Just coming here for Dr Rekha as she is the best otherwise long waiting for everything. Taking insurance approval takes at least two hours. From opening the file to taking the insurance and getting the medicine takes ages. They should work on this and give relief to people and work on customer service as counter staffs are rude. Worse insurance department you can waste whole day here.

Zulekha Hospital really excels in providing top-notch healthcare and customer care. I had a great experience there too. The staff was friendly, attentive, and made me feel comfortable throughout my visit. They truly prioritize patient satisfaction. I highly recommend Zulekha Hospital for anyone in need of excellent healthcare services. They'll take good care of you! 😊🏥👍

My sister’s appointment is at 4.15 pm with the pediatric doctor and I reached the hospital and specifically the registration desk at about 3.45 pm. The area was crowded as there were 2 angry employees assigned to register patients from 5 different sections and the queue system was not working so just imagine that the same staff who are registering the patients are making manual tokens and giving them to the patients. However, I finished with the registration at 4.30 !! So I spent about 45 minutes only to register. I went to the pediatric section but the doctor was busy talking on the phone 😂 the situation is completely messy in this hospital. if you are a person who respects the time please don't come here. put honestly Dr. Ahmed Tawfiq is a very professional and respectful doctor. So two stars for the Dr only the hospital does not deserve stars

This Hospital really went above and beyond in taking care of my wife during her pregnancy. The front office staff deserves a special mention for their exceptional service. They were friendly, helpful, and made the whole experience smooth and hassle-free. It's great to know that they prioritize patient satisfaction from the moment you walk in. I would highly recommend Zulekha Hospital to anyone in need of excellent maternity care. They truly make you feel valued and well taken care of.#zulekhasharjah🙂

From our OB Dr Hend to all the doctors who help her, nurses, cleaners and security, all the staff i can say is they are friendly, simple words like CONGRATULATIONS AND DONT WORRY from the security and cleaning staff helps while i was waiting for my wife's delivery. Nice and clean place. Great job everyone!

I have been coming here since last 2-3 years. It felt very good. But now I feel peaceful because of the Diwal decoration. It look nice . wish you Happy Diwali To all Hiranandani Hospital Staff and doctors / Team .

Doctors are awesome, one of the best in Mumbai. Service is pathetic !!! You go on pressing the call button for hours and no nurse comes in, highly miss managed, you will be going around without any help from here to there (as if it’s a govt hospital) and many such negative things … But again - doctors are really really great here!!!

Extremely clean and excellent team of Doctors available round the clock across all streams. The Hospital truly values Patients' waiting time and ensures speedy appointments and prompt medical attention.

This experience is even more disappointing than my previous encounters at government hospitals. I was admitted here through emergency last night, and after numerous tests, it was confirmed that I am positive for influenza B. I've been dealing with severe coughing and a sore throat, making it impossible to sleep. At 5 am, I urgently requested cough medicine and a spray for relief, but the nurses informed me that I had to wait for the doctor's morning check-up to prescribe the medication. Despite waiting until 12 pm for the doctor's arrival, the medicine still hasn't been provided, and it has been five hours. They explained that they are in the process of preparing the medicine. Honestly, considering the delay, I'm contemplating whether it would be quicker to go to an external clinic or pharmacy to purchase the medication. It's disheartening to face such delays in a hospital setting, and I wouldn't recommend this experience to anyone.

Clean and nice place. But they are too freaking slow. it took more than 1h 30mins from the moment they told us about the ward number until my wife got into her ward. Ridiculous.

The doctors and nurses here are very helpful， understand my special identity and give me enough private space during my admission. Their service is also very attentive, I won’t say I wish to come back again , but I would say that if anything on hospitalisation, you are still my first choice☺️ Thanks !

Medicine Department service was disappointing. My temp was 38 degree Celsius up but, about 10 min, when arrived, their department was so cold and nurse measured my temp at armpit without noticing I was shivering. And an old school thermonitor said my temp is 36.9! When back home, my temp even worst than 38. I usually take medical care at this hospital. But this case, I was very disappointed for this department quality.

my 2nd child was born in this hospital. The cost is same as the information before. all in no additional cost. no hidden cost. all process mostly on time from check in, surgery, and return to room. we can enter the surgery room after baby delivery finish. the patient room is big and clean. baby take care very good by nurse. check in check out is very smooth and no take long. but most of nurse can not speac english so a bit challange for us. need to improve only the quality of food because other hospital serve menu better variation ^^ now we only waiting birth certificated that take 2 days after check out. overall is satisfy.

Good hospital with service hospitality. We went there for some check up for documentation with all thing we need. As per my brother need support for doctor certification for work permit. Great service from the nurses who assisted us for we need and completed our planned. Hygiene and neat as expected.

Better triaging system in ER than other hospitals like Asian hospital. The staff in ER have truly taken care of us. The room (regular private) is also very clean and frequently being taken care of by the housekeeping. The doctors and nurses are also very accommodating and have truly taken care of us during our confinement. Please continue to be a patient centered facility.

Felt like we were in a Hotel than a Hospital because of how clean the building is and the staff were very courteous, friendly and accomodating. Even though we went there for a walk in accommodation, the service was fast. Parking was a bit confusing though, so glad there were signs in every corner that guided us to B4.

The hospital itself is organized and beautiful, the nurses and staff are nice and attentive to my inquiries. While waiting the hospital offers snacks and drinks like water, coffee, and some juices. Place is clean The toilets are clean everything is good. You can't say bad about St. Lukes of course except for the price LOL😅. St. Lukes no.1

My doctors were helpful, skilled, professional and provided me a lot of information. After operation services and information is complete with high priority to the after operation services. The urgence for post opération patients was fast and of full service. The nurses when I came before the operation were too busy, they let me in, gave me my wrist tag and gave me 3 medicines but let me waited 2 hours and no one came back to me to update me that the operation will within 2 hours of waiting . I came at 8h50 and the actual operation is at 11h15, in between the waiting hours, no one has came to re assure me and update me of the schedule that made me nervous and worried for 2 hours. All nurses were so busy that morning and talks a lot to each other without double checking or just to give a quick short words to me for 2 hours in the waiting room before the Anesthesist picked me up. Thank you.

I was very well looked after for my first pregnancy. The team was superb, whether it was for the pregnancy follow-up, the day of the birth or the aftermath of the birth. For this alone I say bravo! But above all, I love the student nurses we met, who were full of compassion and kindness, much more than the nurses themselves. I don't give 5 stars because there is still a lot of room for improvement: - at all my pregnancy follow-up appointments, the wait always lasted more than an hour even though we were told to arrive 30 min before the appointment 🙄 - cold administrative reception - a lady at the analysis laboratory shouted at an old man who didn't understand the process (taking a ticket, waiting etc.) when he had just asked nicely what to do - we were scared when our baby was born, that he couldn't latch on, that he was going to starve to death, that we had to go to the osteopath...when a few days later our baby gained weight. We didn't understand the point of scaring us so much when in the end everything was going well.

I am impressed with the level of the hospital, attitude of medical and medical care. Grateful my surgery was handled here with great professionalism. Merci bien!