Deep vein thrombosis (DVT) treatment in 738 Vascular surgery clinics worldwide

I went to this clinic for an emergency case and an ent (ear, nose and throat) doctor saw my ear and gave me an ear drop with a nose one. The staff was very friendly and helped me with English speaking. They even have the registration form in different languages. Great.

1. Nobody speaks English in the Information 2. They send me to have a corona rapid test to a apotheke/pharmacy a few meters away, while I was hurting 3. The doctor didn’t check my breathing, my heart pulses, my blood and yet he diagnosed me and gave me pills Well guess what happened after 3! I had to go again to another hospital because I was not able to breathe properly! The hospital must be shut down and this doctor needs to get fired! Thank you for your non-existence services!

The most unruled and random hospital in bremen you will wait long time and after that they will tell you all doctors are busy come next time and they also lost my documents and insurance they told me we cant find your papers and i just come today and i give my papers today how they lost it i really don’t understand.. i waited a long time till now they didn’t get my all documents that they already took it’s really bad hospital!!! 0 RATING NOT EVEN 1

Excellent care before, during and after surgery. Friendly and attentive nurses that are available 24/7 and arrive quickly at the call of a button. The private room is spacious, clean and equipped with anything you may need for your overnight stay. The room service team take into account your dietary requirements and offers options for all your meals.

Was there on the emergency on a Sunday morning, very professional staff, excellent infrastructure, no waiting line, overall excellent.

I had an ACL reconstruction surgery with Dr Gardon and my experience was great, even though it is rough to have this kind of procedure. All the nurses were absolutely wonderful with me; I could not have asked for a better experience.

Hospital, operating rooms and consultation center with specialist doctors - private. High quality, clean, sterile, quiet. The death of public medicine is around the corner.

Very good ‼️‼️

Had an amazing experience. Friendly and kind staff. Super modern and clean. Highly highly recommend

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

Not bad

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

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

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

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

Absolute embarrassment for a medicinal center. My sister spent 7 hours in the ER with chest pain, provided doctor with all her records from other physicians. After 1 x-ray they disregarded everything, told her it's "probably" stress and sent her home. Thank you for reconfirming the public opinion in this countries medical standards. You are the heroes this country deserves.

I receivedan excellent care from very friendly and warm staffs from cardiology department.all doctors nurses and hospital staffs are so supportive. From start to end I was pleasantly surprised by the quality of care, warmth and kindness of every person I met. I highly recommend this hospital.

Worst emergency experience ever. Come here with my friend with breath problem. Waited 5 hours until he almost fainted, then they gave him ibuprofen and didn’t try to find real problem. When he decided to leave so unprofessional SOR, the nurse was rude and severely pulled out a dropper with useless saline. Works for parking counter, not people.

amazing, sympathetic and helpful people. did not get mad at me for speaking english and was not a long wait. thank you!!

First something positive: the doctors, especially the anaesthetist, were good. However, during my time on the station following ankle surgery, I was shocked. 1. When i woke up after the surgery I hadn't eaten since the day before (it was around 7pm), I asked a nurse if i could have something to eat and she shouted at me, made me feel like it was a totally unreasonable request - the other patients in the room were shocked and defended me. Finally she brought me some food but was clearly annoyed that i had asked for something so basic. 2. When I realised my period had started during the surgery, I was once again shouted at for asking for help to get a pad (I wasn't allowed to leave my bed to go to the toilet so soon after surgery.) It was humiliating. I was left in those bloody sheets for 4 days 3. I had a very big ankle surgery and was in pain I had never experienced before (including childbirth), the nurse during the night shift straight after the surgery refused to give me anything stronger than Novalgin and then left me for 6 hours with nothing else. She told me to stop ringing the bell because she couldn't help me. I was sweating and shaking with the pain. Pain management continued to be an issue throughout my stay depending on whether the nurse on shift 'believed' my pain or not, I raised this with the doctors several times. 4. I told the staff that my bandages felt too tight and no one listened to me, now 6 weeks later, i still have nerve pain, which needs pain medication and skin necrosis from having extreme pressure on my foot for 2 days. 5. One evening a nurse filled every patients' thrombosis syringe half with air, thank goodness the other nurse on shift realised before she injected 16 patients with air, she was in disbelief. This added to the general feeling of not being safe on the ward of this hospital. 6. Nurses were exhausted and burned out, 2 nurses for 16 patients is clearly not enough. 7. When i wanted to come back after 6 weeks to discuss the surgery and recovery with the surgeon I had to beg for an appointment on the phone to a very rude receptionist (the same receptionist who a few weeks before told me there is no plaster cast in the hospital, can this be the case in a hospital with an orthopedic department and an emergency room?!). After care is a simple responsibility after major surgery, especially when there are complications such as crippling nerve pain that my general orthopedic doctor couldn't seem to explain. To say I was shocked is an understatement, I feel traumatised by this experience. Sometimes I have nightmares about being back on that ward crying in pain with no one helping me. The experience was inhumane and I deeply regret choosing this hospital. I have never written a review like this but i feel a responsibility to warn people. Once again I will say the doctors were good, but you rarely see them. I particularly appreciated the anaesthetist who showed compassion and diligence but that level of care should be the rule, not the exception.

I was at the clinic with my wife and every single nurse, doctor, security and receptionist that talked to me were patient, kind and nice. Although I don't speak German, everyone was willing to explain things in English. Special thanks to a nurse and a doctor both called Julius who were extremely kind to us and treated us like real human beings. I'm full of gratitude to everyone in this hospital. Thank you 🙏🏻

Worst experience I ever had in a hospital in Germany. With an appointment I had to wait nearly 5h to be seen by the doctor. Never coming back here again!

This is the best hospital, with the best MS Ambulanz! The team was very professional, reliable and communicated fluent English with me! The MS-Nurse, Frau Christine Timm, is very caring, she talks to me in a calm and grounded manner, this made my anxiethy less present during my stays in the hospital! Salute to every staff member of the hospital!🫡

Got immediate care, very friendly and helpful nurses, caring doctor, very pleasant rooms, helped me a lot!

I went to the hospital’s emergency during the night just before Good Friday, after having a terrible food poison. The team helped me a lot! They all spoke English, were super comprehensive, and took good care of me. I really recommend the place to foreigners in case you have an emergency like mine 🍀

After my horrendous experiences in Brno's hospitals, this came as a goldmine. I was hospitalized due to gas leak in my apartment, so they gave me oxygen and there were some other procedures. The doctor spoke English well, the nurses did not speak very well but tried their best. They were very nice, smiling, helpful. I am forever thankful

I’d compromised my wrist month ago and it got worse when I fell down few days ago playing football and went to the hospital “Pod Marjankou” got served there made an X-Ray and there I’ve been told to go to the “Nemocnice Motol”, I thought the doctor said I need to go to any emergency to make a surgery. And decided to go the this “hospital” – surgery department building A8 and there I met the nurse that told that even I’ve been sent to another hospital they can paste my paste wrist back. Eventually, after 5 minutes analysing my X-Ray snapshot results they invite me in and told that finally I ned to go to another hospital. I’m okay if the explain me they policy or bureaucracy but instead, they were rudely yelling at me, that I didn’t need to go the hospital a whole month so I can tolerate another 3 days, because today they cannot fix my worrit wrist. These doctors are amoral, incompetent. They given an gippocratic oath that they didn’t fulfilled. They are just shame of Czech medicine.

Had a very pleasant experience at CVSKL. I was unsure about certain things regarding my appointment but Sharon Heng of Dr John Chan’s clinic was able to assist. And although she was on leave, she took the trouble to call me to explain further and followed up the next day. Sharon is a gem. Dr John Chan is very lucky to have someone like her working for him.

In July, my husband experienced chest pain, prompting us to rush to CVSKL Malaysia's emergency department. Right from the start, we were impressed by the care and attention we received. The ED doctor was not just professional but also incredibly attentive. They quickly conducted an ECG and echocardiogram, leading to my husband's admission. The next morning, Dr. Al-Fazir performed an angiogram for further diagnosis. In the following month, my husband underwent complex stenting, once again expertly handled by Dr. Al-Fazir. His expertise and transparency instilled great confidence in us. In my opinion, Dr. Al-Fazir is an extraordinary expert who goes above and beyond. He's straightforward and speaks the truth about complex stenting, never sugarcoating anything. We truly appreciated his honesty and transparency. Despite his busy schedule, Dr. Al-Fazir made it a point to meet with us every day, and his positivity and genuine concern for our well-being were incredibly reassuring. Nurse Nor and Nurse Sylvester were our heroes. Their dedication and compassion were incredible. They went the extra mile to ensure my husband's comfort and well-being, making a significant difference during his recovery. Despite a few minor hiccups, the entire CVSKL team, from medical professionals to administrative staff, ensured we were well taken care of. Our heartfelt thanks go to Puan Zehan and Puan Syima for their assistance in addressing our needs. Thanks to CVSKL Malaysia, my husband is now on the path to recovery, and we couldn't be happier with the care we received. Dr. Al-Fazir, along with the dedicated team at CVSKL, truly embody the spirit of expertise, honesty, and heartfelt care.

My dad had done bypass surgery at this hospital by Dr John Chan. We have great confidence in him and his abilities. Thank you so much for the great care and surgery performed on my dad. Also thanks to the nurse Sharon who helped us from booking appointments until discharged from ward. Thanks for her kindness and answered our questions enthusiastically. We also glad to have Dr Nadia as anesthetist. My dad had been treated very well by all the nurse, physiotherapist, nutritionist and staff. We appreciate that all the services from every department. Thanks a lot❤️

I had an excellent experience! I was admitted for knee surgery and the hospital staff were wonderful to me. Committed, welcoming and willing to help with so much affection, in all sectors. One point of attention: the room I stayed in had a musty smell, the only negative point of my stay.

I've been a patient at Centro Médico da Cardio for years and I really like it, but today I needed to be treated in the hospital's emergency room and I thought it was terrible! Despite there being only 2 people in front of me when I arrived, I was only seen by the doctor more than an hour later. Furthermore, the doctor on duty said he would do a blood test and a CT scan. Hours after taking the collection, the employee told me that he was going to send me for reevaluation. At this point, I asked about not having done the tomography. After much confusion, it was discovered that the doctor had not made the request. When the two results finally came out, another doctor assisted me in the reevaluation, gave me the diagnosis, walking down the corridor, directing me to the exit. When I arrived at reception to leave, I realized that the access was still in place at the time of the contrast injection. And the employee even asked me why I hadn't reminded the staff to remove it... Right at a time and place where I needed attention and support, I was treated this way. I don't intend to go back!

My father was hospitalized for 5 days there last year. The hospital structure was more modern than before. The staff are generally attentive, but I had a few problems: 1. The corridors where the hospitalization rooms are located looked like a fair because of so much commotion. The employees talk loudly, laugh loudly without respecting patients and companions. We're not going to the hospital for a vacation. It's stressful for the family and it's not comfortable to sleep in a hospital!!! Even at 2:00 in the morning I could hear the staff laughing and talking at the ward reception in the corridor. Absurd. Lack of education and compassion for those who are suffering. 2. Companions also have to reduce the volume of their voices in the corridors. They need to put up notices in the hallways or guide them. If you want to talk loudly, go home! 3. My father spilled water on the floor so I asked someone to come and mop it up, but no one came. I asked again and nothing. I ended up throwing the bathroom towels on the floor to dry off. My father could be at risk of slipping at night. I have already spoken to the administration and I hope that these situations have improved.

RIP King Kester 👑

People on whom medicine would have given up a few years ago, or even a few kilometers away, have a very reasonnable chance here. The hospital is second to none in interventionnal cardiology and some of the procedures in which they specialize can only be performed in a handful of hospitals around the world. They are the only hospital in France which can perform pulmonary endarterectomy. I know these facts first-hand, for having had relatives and close people being successfully attended there for life threatening conditions.

My best hospital experience so far - top surgeons and fantastic staff

I have never been ignored in a hospital, not even in the same unit, but this time it was different. I was seen by the doctor Raphael Augusto Travernard Neves de Oliveira CRM 119677, he asked about my symptoms, I explained that last year I had a migraine attack for 2 months (I was even admitted to the same hospital, in addition to undergoing several tests), finally I was diagnosed with anxiety and chronic sinusitis due to low immunity. After I explained my entire case, according to the doctor and my clinical condition in his eyes, I was “just having a cold”. I didn't agree, and asked us to do the tomography, detailing that I had done the last tomography in less than 2 months, as it was exactly the same. I left there with a prescription for antibiotics, 2 types of corticosteroids, painkillers and nasal wash, as I had a cyst preventing drainage. But to the doctor it was just a cold. DETAIL: the doctor always laughed when I said that my pain was a grade 7.

On 10/23/2023 I was admitted to the hospital to have my cesarean section, so far everything was fine, everything was perfect with the service. However, my newborn was born with a lingual frenulum and no one from the medical team informed me about this. For me, A VERY SERIOUS MISTAKE, especially because the test in maternity is the law. I had a lot of difficulty breastfeeding even with a full breast in the hospital and no pediatric doctor gave me any guidance. One of the nurses told me that the pediatrician on duty was asking me for permission to take the formula, as the right-handed man was showing low blood sugar levels and NOBODY... gave me this very IMPORTANT information and obviously I didn't accept it, as my chest was sore. so full. I was discharged on Thursday 10/26 and only found out about the frenulum on 10/30 when I went to a private pediatrician, by which time my son had already lost a lot of weight. Since 10/30 I've been fighting with my little one, where he needed surgery on the lingual frenulum and only now after almost 20 days did my son start eating properly. I was extremely disappointed with this and even with the information that my son was born at 37 weeks, and the correct one was 39s and 2 d. Unfortunately, I am very hurt and disappointed with the negligence of the professional who was supposed to inform me of this very important information. The rest, such as the nursing team, cleaning and food, were all wonderful.

Great service, I was hospitalized for 3 days and received very good service from all the employees, especially Isaac, the kitchen and Fran from nursing. I recommend!

I wasn't going to write a review (I'm so over all this), but I feel compelled to after reading a review that was extremely similar to what I experienced here for COVID-19 treatment. I tested COVID-positive on January 3rd and started Paxlovid. I saw my neighborhood doctor on January 4th. I am vaccinated (and boosted) but am at high risk with asthma. I was given steroids and breathing medicine. I was instructed to go to the hospital if I got worse. I got worse. The following evening, my oxygen dropped below 80. Scared, I called an ambulance and requested to be taken to this hospital as it was supposed to be the best. They took my oxygen in the ambulance and immediately gave me oxygen. I was on oxygen the whole time in the ambulance. I was taken off oxygen when I arrived as my saturation reached the high 90s. I requested the antiviral remdesivir. The doctor refused to give me the medicine. I explained how my condition worsened despite days on Paxlovid, steroid injections, oral steroids, bronchodilators, and rescue inhalers. He could not have cared less. I requested to leave as the doctor was not going to treat me (he charged me, though). The doctor told me there were other ID specialists. I requested to speak to one of them, and the doctor left. While waiting, someone else came in and said there were no other ID specialists there, so I paid and left. It should be noted my saturation had fallen to 92% by that time. I struggled at home with symptoms for the next few days. I continued testing positive after completing Paxlovid. My condition worsened, and I returned to the neighboring doctor about a week after leaving the hospital. Still symptomatic and COVID-positive, he examined me and found pneumonia. My labs were also abnormal, showing evidence I had developed blood clots due to COVID-19. He prescribed medicine for pneumonia and clots (which worked). All this could have been prevented. Trying to get my medical records from this hospital afterwords (for insurance) was like pulling teeth. It took forever to get my records, and when I finally did, I was shocked. The doctor noted that I said things I never did. My signature was forged on the documents. Worst hospital experience ever. Very expensive and received no treatment. The administration is a nightmare as well. Avoid it if possible.

We have been living In 3 different countries for the past 9 years, never experienced anything as bad. We have a a top insurance but they “suddenly” only excepts credit card payment. Stayed for additional 5 hours because they did not let’s leave. No one speaks English except the doctors. However, doctors are very competent and reason for not one but two stars.

Absurdly (like, for real) expensive for a very mediocre level of service. I went to the urgency center, and i found it very useless that on every stage (reception, triage, first and second doctor) they asked me the same questions. The doctor took more than half an hour to arrive. The receptionist has misinformed me and I did a very expensive (since I’m traveling abroad) call which wasn’t necessary at that moment. Also, several times there were several people coming in at a time, also unnecessary, certainly didn’t create a feeling of comfort. The room in which I was attended was small and the door was never closed.

Good day, thank God, I had to request the services of RZP 3 times already. Twice they came from a joke, but that's simply not worth commenting on!!! Deep below the level!!! Neská is 1 November 2023 at around 12 noon. And I need them again! And they came, but from Galanta! Those people from RZP are really professionals! Nice friendly and PROFESSIONAL !!! DIAGNOSIS FOR TWO COINS !!! GENTLEMEN, THANK YOU!!!

Today my father was discharged from the internal ward for a pulmonary embolism. What he experienced there with the cleaners is simply unfathomable. Rude, arrogant, humanity means nothing to them. They raised their voices at the patients, ran into the room in the morning with such a roar, with the intention of waking them up, and even when that didn't help, they shouted at my father that hey hey hey we're building. My father, who is seriously ill on the devices, should have been sober and not put up with such inappropriate behavior of the cleaning ladies. It seems that they consider themselves to be of a higher caste, because what they allow themselves to do to patients is unparalleled. Unfortunately, they spoil the good name of the hospital. Someone competent should sort things out with them and order a course in empathy and, above all, decent behavior.

I am extremely dissatisfied with the emergency room staff and especially with the approach of the nurses. My son had a coughing fit, I rang the bell about 5 times and no one answered. After 20 minutes, the nurse came out and was quite unpleasant. It would probably be possible to complete training on empathy towards patients and family members. . I don't even want to imagine what would happen if a patient came here with a bloody injury. Apparently, he could also bleed out here, since the bell is only there to be when no one responds to it.

"internal" Some patients are tied to the bed. They don't give them anything to drink, eat, anything... they give the patients crap... this hospital is a death factory. On the day of discharge, when the patients are supposed to go home, they are fine in the morning, but in the afternoon they are unrecognizable when picked up. After discharge, in the report, they are supposed to give home medicine equipment for the patient for 3 days....they give empty containers. Apparently, this is how the insurance company makes money... the hospital charges for something it doesn't even give. At the time of the spread of the coronavirus, no nurse even uses a mask and in the isolation room where there is covid I do not use protective suits... now I also caught covid from the hospital. If I don't have empathy and feeling for people.....get the hell out of the job! You might get away with it now....but karma.....it works....one day you will also be lying on your shoulder blades and begging for help...

What is a surgical emergency when they tell the patient why he came... especially that he is in a lot of pain.... and the next time they also take the patient away just to make them feel better?

It's a complete disaster, under no circumstances can you get into the internment because everyone has you on the hook, I lay there and every day someone died next to me who came because there was no examination, they pricked his vein, infusion, sevas, the end of care, they brought him breakfast, he didn't eat, they took away, then they sent and took away lunch, they didn't deal with it the poor guy doesn't know how to feed himself, he was completely hooked, he grunted there all night until he died! Now my old woman went to the toilet, her head was spinning, she wanted to grab the nurse, and she swerved and fell, oh my god, and these stinkers are crying for wages, I wouldn't even give them minimum wage for their performance, even an illiterate can do it there, Saturday is the meat processing plant, never there don't send a grandparent because they treat them like manure and I'm not kidding, they can't even detect streptococcus, those amateurs, I'd rather die at home than go there, believe me

My experiences there have consistently been the worst, primarily due to the limited English-speaking staff. I would strongly advise against recommending this hospital to anyone. It's incredibly frustrating to receive appointments scheduled months in advance at 9:30 AM, only to still be waiting for an examination at 1 PM. This is, in my opinion, the worst hospital to visit.

I participated in my daughter's labor. I say that I participated, because I was not there as a spectator, but being an active part of the labor. I didn't give birth to my daughter, I didn't feel the labor pains, my body is still intact and strong. My wife suffered and went to her physical limit to bring our little seed into this world. But I was there, in her every contraction, I was there in every sigh of pain, I was there holding her in my arms and living in our moment, taking care of my family and being the strength and support for my loved one. It was 14 hours of labor, it was exhausting and suffering, but it was also beautiful, magical, poetic, it was our moment, where our connection was strengthened even more. My heart is filled with the most beautiful emotions every time I remember that moment. St Joseph Krankenhaus, I have no words to describe this amazing hospital, I can't think of a better place for us to experience all of this. The midwives, the nurses, the doctors, the pediatricians, how much sensitivity and respect for us, for our moment. They were a fundamental part of all of this, I can only thank them. The "birth ritual" conducted by the midwives was the dance of life, the path of light for our Sementinha. And where some people see suffering, I see beauty, the beauty of giving birth to the beauty of life.

Our heartfelt gratitude to the exceptional staff at the hospital. The care and support my wife received during childbirth were beyond compare. The medical team was skilled, compassionate, and attentive, making us feel safe and at ease. The facility was clean and well-equipped, ensuring a smooth delivery. This joyous occasion was made even more memorable by the hospital's outstanding care. Thank you for an unforgettable experience! ⭐⭐⭐⭐⭐

And if there were even more stars I would click them, a doctor who is not only competent but of infinite humanity which combined with professionalism makes a doctor an exceptional man

My heart is working again thanks to Dr. Glauber.

I would like to thank Dr. Mattia Glauber, an extraordinary doctor and sensitive person. My partner had surgery in December (mitral valve prolapse) the surgery was decisive and the recovery was very fast. Within a month he was back to his usual life as if nothing had happened. What to say?! Thank you, Mattia Glauber! Happy Easter everyone :-)

Do not go here if you don't speak French. And also if you don't like being made fun of by the staff. They're not nice folks.

Barely any staff spoke english, some were even annoyed when we mentioned we only spoke english. Waited for 3 hours in the emergency department only to be sent somewhere else. Don‘t bother!

We visited Emergency of this hospital. As we don’t speak French we were treated like prisoners. Hospital staff including doctors pretended like they don’t understand us. My wife came from a different hospital where she was initially admitted but only received very basic care because this one is accepted by our insurance. Despite having severe abdominal pain she was told that she will not be given any attention and she must go back to the original hospital. Doctor Jessica Franchitti was extremely rude to my wife and shouted to her to leave. Nobody ever treated us this way, especially in hospital. We had no choice but to leave and spend a day in a hotel hoping that the abdominal pain will get better. After we got back home my wife was immediately accepted to hospital to do hernia surgery.

Efficient, quick & useful

One of the worst hospitals in the country. I went here for some blood tests and came out of the office with two broken veins because the nurse was determined to draw blood at any cost regardless of the severe dehydration that I was going through. Fast forward to the week after, I went back to get the results ( you need to go there in person because there's no such thing as getting them via e-mail in 2023!!!!!) I wanted to have a chat with the doctor who saw me thinking that she's going to explain what the results actually mean so that I can take approximate action. Because she wanted to keep the diagnosis a secret from me and talk to my mother this doctor refused to explain my results to me hinting that ' this particular test wasn't within normal limits'. I eventually managed to get my mother out of the office and asked the doctor for clarification and she refused to say a word. I keep wondering what happened to patient confidentiality?! . In the end I would say if you want to know exactly where you stand health wise do not and l mean do not visit this place. Another thing worth mentioning is that in the midst of a pandemic there is no mandatory face mask rule and everyone is left to move around freely in a highly contaminated building as they keep moving patients back and forth. Worst hospital ever, avoid at all costs if you value your health

The nephrology section is simply one of the best in eastern europe. The doctors are emphathic, patient, always double checking and well organised. This is the only hospital in Romania i trust 100% and would deffinetly recommend over private care.