Craniotomy in 616 Neurosurgery clinics worldwide

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

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

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

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

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

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

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

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

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

Great people. Great view.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Excellent staff of internal medicine: after many months looking for a diagnosis, they were the first and only to listen, study my symptoms, and find the cause in a rare illness, before sending me to the appropriate structure in Cochin. The structure is modern and clean; 5 stars also to the chef: the good food made my weeks there more pleasant.

Saw the emergency room in the middle of the night, waited less than half an hour, it was quite fast, the doctors and nurses were very caring, and there was even breakfast, although it was simple.

My anesthesiologists were playing Joanne while putting me to sleep. Great and kind staff. Very positive experience.

You guys don't think much about the staff letting work 12hrs continuously for 5days and give them duty on next day. This is an hospital and you guys need to keep your staff mentally and physically fit and not exploiting them. You such type of work ethic could lead to many legal cases so I request the HR department to regularly monitor the incharge and many of your staff are quitting there job so you better find the reason why they are quitting and stop recruiting the bunch of people every week.

This is my first visit with Escort Fortis hospital Jullena. One of the worst services in return of hefty charges by hospital against the services provided to patients and attendent. On the cash counter only one resource is there who is managing discharge of IPD patients, emergency patient registration,issuing of ward pass,answering of query call,handling patient attendents. It is really called save 100% money without hiring man power. It took 30 min for me just for the patient registration. Nurse in emergency rudely behave with patients. She was on mobile and doctor asked her to attend the patient then after 5-10 min she start work as per Dr instructions. She didn't use curtain to cover the female patient and start procedure. In emergency there is a bed but bed sheet of patient bed looks very dirty not washed properly. There is no glucose bottle stand on each bed of emergency. Really Fortis hospital only charging royalty amount from us. I recommend hospital management have a look of holy family hospital and learn hospitality cleanliness and administration from them. At least holy family hospital has sufficient staff and caring nurses with clean floor and washrooms. I will give bed sheet photo also but patient was there and you can see there is no side stand there. Emergency bed charges 1000 Doctor 2100 Registration 200 Plus. Lab charges. Don't know how they are managing labs do they really take care of hygiene or not. Hospital charges are high and services in negative -100.

They deserved 5 stars for treatmet but i gave 3 for their billing irregularities. Please check your bill twice before making final payment. I've found inconsistency in their billing. Being an international patient they charged me in USD but refund my excess payment in rupeis for which i had to struggled a lot. Moreover they gave me counterfeit notes which they declined to replace from me.

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

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

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

Ridiculous service. A lot of queue. They have no idea what they are talking about. Cant even give a simple antibiotic. Useless.

I unfortunately fractured my arm during my holiday to beautiful Salzburg. My experience of my time in the hospital was second to none, fantastic holistic care from start to finish. All staff were extremely curteous, polite, friendly, professional and genuinely cared. Care flowed well in a very swift manner, just what you need when injured. All the worry of payment was handled from the hospital to my insurance provider which was a comfort. Thank you

I had visited this hospital with my husband for a normal check up. and upon arriving I was informed that we would have to pay an outpatient fee of 229 euro and no other fee will be charged. hence we got all the check up done that was necessary. we had visited on 3rd October and on 14th December, I receive a bill of 700 euro via email stating that I am yet to pay the over and above bill which was ridiculous of them, and upon which they state that the bill is made after 4-6 weeks and then it is sent to the patient and ideally a patient should be informed at the same moment what their bill is and then only a hospital gives discharge to any patient or writes down any medicines but we were let go and after 2 months we receive more bill from their side. this is very bad intentions from their side and kindly refrain from going here as this is only a tactic to give a bill later on.

They do not do their job well, 7 hours in the emergency room and do not attend and then say that they cannot attend to a patient

Undoubtedly one of my best experiences, location in the center of the city, excellent medical and administrative staff, old but well-kept infrastructure, spacious with gardens.

This opinion is directed to block 6 of the hospital, which is in an area where you can see people who consume drugs, although there is surveillance and once inside the hospital it is safer, if it is scary, at least walk to the hospital at dawn, and block 6 is opened at 6 in the morning and meanwhile everything is dark or with little light, a perfect place for homeless people, you have to travel with great caution and at least if you are patient and come from somewhere other than Medellín, it is not advisable to be in line before 6 in the morning to check in at block 6, arrive with 5 minutes left or at 6:00 am, there a guard opens the door and when you are already inside the place is much more pleasant and neat, there is a waiting room with chairs where you can wait for them to call you for the billing card, there are elevators, there is natural ventilation in that waiting room, almost all the staff there are friendly to the extent they should be. I give it a 3 star rating, for a not very pleasant event that I had to go through in there, I think that of all the possible days in which that bad event had to happen, it happened just on the day of my appointment, I don't know who it was from the fault of that negligence but thanks to a call to my eps I was able to quickly solve that difficulty so as not to continue in that unpleasant situation in that hospital block.

I had heart bypass surgery. I didn't expect such warmth from all the nurses, doctors and nurses in times like these. A lot of people should go there and learn how to deal with people. Many thanks to all of these departments, you are great!!!

Excellent service! Attended the mouth, jaw and face unit after experiencing extreme pain in my tooth whilst on a European road trip. I was seen very quickly, x rayed and diagnosed with a severe tooth infection. I was offered multiple choices for treatment and was given a prescription for pain relief with directions to a local pharmacy. The dentists we're excellent, even with a slight language barrier. I'm now back in England and struggling to even see a dentist. I wish my experience was as good here. Brilliant, thank you.

Dr are very nice

The medical staff at that hospital seem more like a gang of robbers and drug addicts than professionals. Never in my life have I seen such "doctors" and "nurses" so stupid and stupid. They speak ugly, they answer people in a bad way, they morbidize the patients, or rather the little gaminitos are in the wrong place.

The truth is that it seems like a hospital with a very bad service, how is it possible that the patients who are in the ICU do not have the attention they deserve or at least what is necessary. On weekends there are no doctors to give information and the nurses who are there never know anything. In addition to this, during the week they only give one report all day and it is almost at 6 pm. The truth is that they seem very inhuman to me, they should improve this service since it is one of the main clinics in the capital.

Outpatient consultation, terrible service, at 7 AM and only one person serving more than 50 people. By saving a salary they harm us users. Terrible.

An amazing facility with an amazing level of care. Better than any US or German hospital I have ever been in. The office of international patients is very professional and thorough. Dr. Taboada is very thorough and professional. I can't recommend this hospital enough. Super experience.

I came to see if giving birth at Serena del Mar was an option. When I was given a tour of where the mothers and babies stay it was great. I was told to male an appointment to be seen by an obgyn so that they would have a history of me. The nurse took my info days before my appointment but apparently never followed through with setting up my profile. I showed up for my appointment and was never told who I would be seen by. Dr Maria Fernanda Toro Wils was upset that she had to wait on me because the staff had not created my profile. I finally went into my appointment with the doctor and she scolded me and told me she had no time we had to rush. I told her I did not understand whybinwas being treated this way when her staff was a mess. She told me she always does 40 minutes and she dedicated about 20 minutes if that. I left there feeling so upset and totally changed my mind about having my baby there. The treatment from Dr. MARIA Fernanda Toro Wils was terrible. I would not recommend her or her staff in a million years.

They neither answer their phones nor respond to emails seeking an appointment! Terrible customer service. I communicated in Spanish as well so not a language issue.

Malpractice. My grandmother was left to die. After an isquémic stroke. Proper measures were not taken within first 6 hours. Instead of ICU, she was put in a regular room. Nurses shifts had no records of prior shifts. Avoid at all costs.

I was supposed to have surgery in this clinic on 10/17/22. I arrived around 10:30 at the O.R floor, 4th floor in the building, and no one was there. The reception desk was dark with zero employees. While I sat waiting for someone to show up I looked at my paperwork handed to me at check-in, when I realized they had me as a Colombian citizen born in Barranquilla. I'm a U.S citizen. The address, phone number, and emergency contact provided by me earlier had been overlooked and ignored. I went downstairs and corrected it. Finally, the nurse showed up; she was a nice lady. There isn't anything negative to say about her. Around 3:30 a nurse assistant brings a wheelchair and wheels me into the OR. My surgeon, Dr. Carlos Cala was running late, she said. The O.R had a two way-in, bidirectional, restaurant style, swing door with small windows. At his point I had not been sedated, medicated, nor given a relaxant to prepared me for the cultural shock I was about to experience. There was, right in the middle of the room, an overwhelming sight of a surgical bed dressed in brown sheets ready for a bloodbath; and a dented, shallow bucket, right at my feet. The pan was wide enough for my feet to fit in. The N.A explained to me that she was going to bathe me with antiseptics and soap before surgery. I followed her with my gaze, noticing a disturbing sight of two soiled, worn out, filthy, and grotty, styrofoam coolers. There they kept the antiseptic and soap warm that she was about to use on me. She asked me to stand in the pan facing the door and those swinging doors started to open and close while medical staff came in and out. I was naked and a swing away to be seen by everyone sitting at the desk just outside the OR (recovery area). Then, as I’m looking around in dismay, I spotted a recording video camera IN the OR. All the feelings of humiliation, indignity, disrespect, and violation of privacy took over me at this point. I complained about this to the NA and she called the floor manager. The manager explained to me that the video was for liability reasons and to cover their backs, privacy wasn't a concern to them and video recording was a common practice. I requested an appointment with the clinic’s director and It seemed as if I threw a stone in a hornets nest. The floor manager called the anesthesiologist, Dr. Bernal, and he asked me what was the problem. All of this time I was still naked. I tried to explain to him that I felt my privacy was not being respected as I had never gone through anything like I was experiencing at that moment before and his replied was: “you should go back to the United States and get surgery there.” I don’t know what was more upsetting; the fact that this doctor represented COLOMBIA so poorly, not aspiring to anything beyond mediocrity as a professional, stepping over his Hippocratic Oath, and having a condescending tone towards a CUSTOMER (I’m a paying client in a private clinic, I reminded him), or the fact that his lack of character, dignity, and vulgar behavior, were an irrevocable proof of his unprofessionalism. When did lack of HYGIENE and violation of privacy became a common practice in healthcare?! Both, Dr. Bernal and the floor manager, proceeded to tell me to calm down and that if I wasn’t ready for surgery I could reschedule. I kept saying that I still was interested in an appt with the clinic’s manager. The floor manager kept hinting that there was not going to be a surgery if I insisted to see the director because that meant I was upset, while Dr. Bernal kept using my request as leverage pertaining to the final success and outcome of the surgery. Again, all of this time I was naked. Because I didn’t shut up and submissively obeyed, the surgery was canceled and I was scorted out of the OR while the nurse assistant was making signs behind me at everyone we were passing by (medical staff, patients, and their families around) that I was crazy. I did speak to the director days later. Even though he was nice, I opted to have my surgery elsewhere. Avoid at all cost unless you're dying.

Good service but they would have bigger watings rooms...

There is no appointment assignment because "there is no agenda." But the EPS does make the punctual collection. Edit: The clinic is still terrible. Nurse Jeimy Oviedo, from the emergency room, is extremely rude and does not even see people to take signs. Edit 2: EPS Sanitas should consider ending the contract with this IPS, THEY NEVER HAVE AN AGENDA FOR ANYTHING. If I could I would give them 0 stars.

This clinic is now Christus Sinergia, according to the 3 hours I spent on the phone line waiting for one of those who answered me and went from one line to another to tell me how many hours they offer vaccinations, they have the best specialists and the best technology but they have the worst customer service or telephone service that I have ever had to endure for 3 hours without any response, just frustrated... they should have communication with palmira-cali and not throw the ball around

It is an institution with good facilities but poor reception of both patients and communication. For them to treat you urgently is deplorable, you have to be almost dead. When scheduling appointments, they do not give complete information. Apart from the girls at the reception who are kind on the phone, but in person they believe that, being despots, they do a lot; If someone arrives unwell it is due to the actions of the entries.

Terrible service as health officials from the doorman to the nurses, most lacking in humanity. Do not bring your families here because the sick must have a complementary plan or be prepared to be cared for on their own because one pays to be cared for like others because there must be discrimination, they need a lot of humility and empathy so that it is not noticeable that They work only for the salary. This career is about love and patience and serving.

That clinic is a complete hell, they leave the emergency patients in chairs, on the floor, they are not attended to, they lose their papers, there is overcrowding of patients in hydration, men and women, in the emergency room observation, please if you love your family member, don't take him there, the eps famisanar is rubbish, we need to transfer a patient from that hell, my son @supersalud, @famisanar. I attach photos that I was able to take in the terrible places that prohibited me from taking photos.

Foreign and locals please abstain from attending these very old and outdated hospital facilities. I've been a patient in the US, Spain, Germany and Colombia. This is by far one of the most frightening hospitals sub standard even for a tiny 3rd world town. Readers beware. Avoid at all cost, unless of course you happen to be a malpractice attorney. 1. Patient surgery intake. Expect a minimum of 2 hours 2. Nursing and Patient Information Systems. Pre and post surgical nursing staff use notebooks and handwritten notes as a the regular protocol for patient care. Despite revealing allergies with 5 different people and 5 different notebooks, the staff failed to write patient allergies in the surgical board and also failed to place the standard red bracelet. It had to be bluntly requested by the patient in the OR. The nursing staff laughed it off as normal noting it was goog "they" caught it on time. OMG. The nerve. 3. Institutional tardiness. Expect 3-4hour delay past scheduled surgical start time. Do not expect an apology nor a justification for tardiness. 4. During surgery expect nurses to answer questions to family at 8am, 11am 3pm. Should your family happen to run into a nurse and ask a question expect nurses to raise their voice rudely, only to be reminded to wait until the scheduled time. If your family receives a call from the OR team with a request (for information or supplies) and wish for you to ring the door, expect no responses to either of the two doors and one window. A family member witnessed a lady who could not find her father for 2 hours. Whiled the nursing staff dissed her, she had to appeal to a surgeon that was leaving the area. The information systems could not locate the patient. Frightening. Very Frightening. 5. After surgery expect 2 nurses to handle patient care for all 16 ORs. OMG. Frightening very frightening. Little help, fend for yourself. 6. Patient out-take. Expect the process to last a few minutes. But by all means do not expect it dignified changing room and or patient lockers. It's pretty gross 6. One week surgery follow up. Expect two hours wait on the 3rd floor of a brand new building just for check-in. Expect rude and insufficient check-in staff. Then expect another hour for the doctor to see you. I hope my comments help you make an informed decision. I hope my comments save lives and hardship. Steer clear if you can. Colombia has great hospitals. This is by fas substandard even for small towns in a 3rd world country.