Multiple subpial transection (MST) in 427 Neurosurgery clinics worldwide

A beautiful hospital in a beautiful city Padova

I was in Italy for vacation and had an accident which was not dangerous but would have ruined my holiday. The emergency room at Padua university hospital treated me anyways and the waiting period was absolutely okay. Thanks!

This place basically saved my life 🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼👌👌👌👌👌👌👌 I saw hell but I had my Guardian Angels watching over me so I made it back. I heartily thank each and everyone and specially my surgeons. You are miracle makers and no god or goddess can replace that for me. Thanks a million 🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼

AVOID - sat in emergencies waiting room for 7 hours with blood pressure 200/119 without being attended. The receptionists are rude and stated that since the pandemic more people have opted for private healthcare but the hospital won’t employ more staff. I showed my mum one video during the 7 hour wait where the video has literally 4 sentences and the skinny frustrated security guy ironically shouted at me from the other side of the room in front of everyone that no videos are allowed to be played instead of approaching us discreetly in a professional manner. My back is in so much pain from their poor facilities and waiting time that I shall have to book an appointment with the physio this week. I believe that the national health care system hospitals have higher standards than this private hospital. Awful, like someone said in the reviews a few weeks ago, I will go to IMED in Elche in the future. I also saw people who have private healthcare insurance being left until last and people who had to pay upfront were given priority.

Clara in Patient Care is very helpful. She is kind and sympathetic. She managed to get me an emergency appointment when I was struggling with pain and needed to see a consultant urgently. A really lovely lady. Thank you Clara.

I went to the Hospital a couple of months ago. At the reception desk I felt a pleasant attitude towards myself as a client; the administrator Karina served me. Everything is prompt and attentive. I really enjoyed my visit to this Hospital.

Once again in this awful building. 2 people almost dead, and the 3 of us are waiting for 3+ hours. You should be ashamed of yourselves honestly. How dare you calling yourselves emergency???

Thank you so much for the professional help on my situation. I went there for emergency, very friendly-approach from all the staff & doctor. Thumbs up for your kind & professional help.

This place is a nightmare. I always come here complaining because you always stay here at least 4 ou 5 hours to get a simple antibiotic for flu. It's ridiculous the disorganization. It's not clear where the waiting room is, not clear what is the next step, you see a lot of people passing by and not doing anything. It's a disaster. Only come here in case of serious problem. It's very bad here.

Until now, I had only seen average hospitals in rural areas, but the medical technology here is amazing. His uncle is now able to walk along the Sumida River embankment, even though he became ill and was given time to live. As my friend said, it's a wonderful hospital that doesn't waste its know-how or vision.

Terrible hospital. I had an appointement with the Immunology department, because I may have an immune disease. On the day of the appointement, the Immunology department cancelled our appointement and referred me to their Dermatologist, who couldn't help me either. I was told that the Immunology department, who specializes in IMMUNE DESEASES, didn't know what my immune disease was. Imagine not knowing what you work with everyday. The Immunology department is just a massive bunch of incompetent people. They probably slept during their studies, just like the rest of University graduates in Japan.

Came in for an emergency as I broke my leg. They failed to administer any pain killers and insisted I keep moving around between different beds and wheelchairs. The staff kept making jokes and laughing in Japanese, all while I’m in serious pain. The doctors were all young and inexperienced. And it was clear they didn’t want me in the hospital, as I, a foreigner, would be taking up a bed. It was about their convenience, not about treating me. In my entire life, I have never experienced a worst doctor or worst treatment. Telling other doctors, Canadian and Japanese, of what transpired always results in shock. The surgeon at another Tokyo hospital was completely confused at how I didn’t get any care as I developed blisters from necrotizing skin (a major emergency). The doctor at Tokyo University Hospital told other hospitals administrative staff what I had wasn’t an emergency and so I couldn’t see a doctor at other hospitals, even when I said I had increased pain and discomfort. I had to go to a clinic to get a new referral to actually get treated. Even the city help line, which originally told me to go to back to Tokyo University Hospital, changed their mind after speaking with the doctor. This hospital and the sadistic doctor have literally permanently scared me. I was lucky to not lose a leg due to their complete and utter inhumane treatment.

Great experience with the trauma department on November 29, 2023. Empathy meeting professionalism! Thank you very much to the whole team!. True heroes !

Saturday 11 of November 2023 , I had severe pain in my legs and repeated chest pain plus confusion as result of 4 days non sleep ! After 16 hours in the Ambulance the doctor she sent me to psychology KH nord ! She said all OK just !!! W+÷×+=% ,Big Thanks to KH Nord they discovered thrombosis in my lower body and i am still under treatment as result of wrong and late diagnosis . Guys I just got confused again what to say to this Dr ? Any one please feel free to recommend what to say and what to do ? I just got shocked.

I had a emergency where I had to get surgery straight away to repair my broken jaw,Unfortunately my insurance didn't go through so i dont know who I'm angry with. I was waiting two days in one of the bedrooms until some bald guy in a white coat entered my room asking me for €3400 in card or cash, I thought it was a nightmare but I didn't wake up. He explained to me that I was not covered by insurance and that I should start making payments, I went down to the office and they confirmed he was in my room asking for money, The result was me getting up in the worst state to go sort out my insurance so that I could get my emergency operation done a little later and be covered by my insurance so that Inkasso won't chase me for like €30.000 Note that nobody at this point told me to stay in hospital get your jaw fixed first and sort your insurance out later because they can back track everything, instead I was set into confusion when they asked that I pay them cash or card. I was there for two days in the worst pain and didn't receive surgery but a bill for £3400 which was not covered by my insurance I left the hospital and sent all the rest of my documents to AMS and OGK and sorted my insurance. Later I arrived at hospital to find out that they checked me out automatically and wouldn't treat me straight away. I was sent home and a swelling started to occur on my face where I realised that I was sent home with a medical emergency so I went back to the hospital as soon as I could and eventually they accepted me back. I spent from 29.10.2023 to 15.11.2023 waiting for my jaw treatment, after the swelling went away they decided to give me the operation and they told me the waiting time is because there where other patients in need more then me and I had a swelling. Now I'm recovering from my surgery but I'm not sure if my surgery went one hundred percent correctly, the results are yet to come. The point is if your not Covered by insurance stay in hospital regardless if they start asking for cash or card and sort your insurance out later because if you leave the hospital you might not get the treatment you really require being a Austrian citizen won't help you get the free medical treatment you really need if you don't have insurance. However they must treat you if you have a medical emergency and you can get it sorted out later. Also Google maps didn't let me post this information so I wrote it in English let's if they block this info this time it's not right people shouldn't of gone through what I went through at the beginning when I had a medical emergency. My wobbly jaw was waiting to get repaired but I was plagued by the though of no insurance and having a struggle of my lifetime as a result. I was promised an operation from day 1 but ended up having it on like day 16 Long waiting times for operations beware make use you have insurance but if not stay in hospital and get your insurance sorted out later if I'm wrong let me know Anyway it's like day 20 after my injury and spent like 18 days in hospital, regardless of how my hospital stay started I come to a realization that I was treated very well at this hospital and I'm thankful for my surgery and all the hospital stuff for taking care of my issues I had a bad start because my insurance was not going through but however the operation did go well, after my wound heels I'll have to go to a specialist to see if they can straighten out my jaw so that I can have a better smile.

I went to emergency at 9 pm. I got bleeding from my uterus and very painful Stomachache, I am bleeding non-stop like 3 days continuing and the doctor asked me "Why are you here?" Asked me two times and I explained my symptoms and she told me to take pain killers without checking my bleeding things. PS. I am not on My period right now and I am still bleeding until now! What a Unprofessional Doctor! No any patients would like to go to Emergency if they really do not need help!

We were in an emergency situation where we were informed to reach the BDU department. Unfortunately it was the wrong department for the treatment which was needed but the BDU department saw to it that they won't even touch the patient who is in excruciating pain. They didn't even try to give the patient some kind of pain medication. After an hour we reached the right department and they were in horror to see the patient and surprised why the BDU department didn't do anything. Thanks to the urology department, we got the right treatment on time but the negligence of the BDU department and how they shrug their shoulders off is something I had to write here. I hope no one else goes through this..

Thanks a lot to all team of Palliative department for care support and warmth to my father!!!

Our two children were born in this hospital in 2019 and 2023. We can only report positive things about our time here. You felt very cared for and the entire team is extremely competent, motivated, courteous and friendly. It is important to me to mention this and thank you for all your efforts. Thank you very much for your support. All the very best.

I had the most horrible experience in the gynecology department here, my house doctor told me to go to the emergency room and when I got in for my consultation the doctor told me my problem is not an emergency and that there are people who actually need help. It was my first time seeing a gynecologist and she asked me if I have been before and I said no because I was not financially able to ever before and she almost laughed at me and said „no doctors in your country?“ she was clearly bothered by the fact that I asked her if we can speak in English. After she consulted me she said she can’t give me a diagnostic and than gave me a prescription without a diagnostic. She made me feel very uncomfortable, she made fun of me and where I come from, made me feel like I am not worth helping even tho my house doctor did. That woman should not be a doctor of any kind she was horrible!

We were in the children's hospital last night with our 10-week-old daughter and were really excited. Of course it was to wait but that's the way it is now. The doctors and the nurse were super nice and took really good care of our mouse. Our mouse obviously felt good, despite being in a really bad mood. During the examination she made the whole team and us smile and laugh. We felt very well cared for. Thanks!

My experience the doctor are the patient are Caring and nurses are taken care patients GOod honest kind responsable respect caring trusted helping Concerns

This is the worst experience I've ever had in my seven years living in Taiwan. The nurses and all the staff at the front desk (emergency department) are the worst and very slow!!!! I literally cried in pain because I had an animal stuck in my left ear but they still had a lot to ask about my condition like getting fever, nausea, vomiting, etc.. Even though my boyfriend was with me and said he would help with everything but just please get the animal out., they didn’t care because “that’s the procedure”. Very bad attitude. I just hope this has nothing to do with race or anything.

Adequate facilities for the single ward, with bathroom, refrigerator, desk, sofa, sofa bed, TV, and electric bottle in the room. On the same floor you can find clothe dryer. Overall remained in good condition.

the nurse's service at night was unsatisfactory, the nurse was asked to be unresponsive, the glass for the medicine did not replace a new one, the floor was dirty and there were lots of cockroaches, for a big hospital in Kaohsiung it was very disappointing.

Very bad experience under Dr. 李Oㄑㄧˊ’s diagnosis, less friendly to patient, being late for daily morning check and couldn’t explain well, asking for doing nonsense tests, waste time.

Huge hospital with good facilities, friendly staff and clean surrounding. With McDonald's inside the hospital and family Mart.

apparently, this poor guy took the high speed rail all the way from 台中 to see the doctor only to find out that the doctor in question took the day off or something and the hospital didn’t even notify him that there was a substitute doctor instead. given that it was the same doctor i was scheduled to see, i can confirm that it was indeed a different doctor, but she was perfectly fine for my needs. it is, however, really scummy that the hospital didn’t notify its patients of this swap, and i would have expected far better of a private hospital.

Went to 家醫科 Number 19 . The doctor was superrrrrrrrrrrrr bad . he talked to me with high notes and said "do you understand chinese, you understand or no!" like for hundred times i just asked one part that i rly didn't understand what he meant. and this his job to tell me the detail. why he got angry to me lmao. hate that doctor. gonna remember in my life and won't ever comeback to this place again.Never

Referred over by a small clinic that had already provided photos of the issue - I waited an entire six hours in a wheelchair unsure if I was still hemorrhaging internally while they lackadaisically ran a few tests and at the end I wasn’t even sure if which nurse/doctor was in charge of my case and just sent home with meds. I give a one star because I’m still alive but to wait six hours in an EMERGENCY room is ridiculous.

Easy to register as a foreigner. Also no problem in obtaining my COVID vaccination including new vaccination certificate. Thank you for your help and very good service. Beautiful building, pond and small park. Many shops in the vicinity.

I go there to chick doctore just he put two fingers on my skin and bill 2000ntd they use forign soooo much

A top tier medical center in TW, there are good team work practices for tumor / cancer diseases and there are modern equipments for therapies and treatments!

I went to see an OBGYN at NTU because I had been having pelvic pain for about 2 weeks at that point. I'd felt similar discomfort before when I'd had an infection, so that was my best guess. The OBGYN did a very perfunctory pelvic exam and declared it couldn't possibly be an infection or related to the gynecological area because it didn't hurt when he pressed externally on the pelvic area, so I left with no treatment. That night, I had to go to the ER for stabbing pelvic pain and bleeding and was diagnosed with a bad pelvic infection. In summary, would very much recommend Taiwan Adventist Hospital's OBGYNs (called specially to the ER - so thorough, caring, and efficient) over NTU (for gynecology anyway).

I was at the start of a month long vacation and needed an emergency spinal epidural. I met with the neurologist, Dr Chang, who was able to perform the procedure the next day. This was probably the best medical treatment that I have ever had. And the cost was $172 USD. Here in the US, the same thing cost over $2k. I highly recommend this hospital.

Excellent doctors, nurses, and staff. Surely they can find a better way to organize their elevators? They have treated my elders in thoughtful and humane ways. We are grateful.

Good service. Staff's are very friendly to the patients. Good doctors. There are more than 2 pharmacy. Clean and hygienic wards. There are wending machines which we can get our snacks quickly. Good cafeteria. Theres a children play area in the 8th floor. There are fish tanks in every floor to entertain the kids. There are bill paying machines where you can pay your phone bills or any other bills quickly. There's no free parking, slow elevators.

I had a fantastic experience at Asiri Hospital! The atmosphere is calming and welcoming, creating a comfortable environment. The staff members were incredibly friendly and attentive, making me feel well taken care of throughout my visit. Additionally, their easy-to-access services made the whole process smooth and hassle-free. I highly recommend Asiri Hospital for anyone seeking quality care in a pleasant setting.

The service of this pharmacy at the ground floor is terrible. I had to wait about 20 minutes in the front desk to handover my prescription. There is no clear procedure to purchase the medicines. The front pharmacist guy takes too much time to read the prescription. Once you pay, still have to wait like another 20,25 minutes in the queue to collect your meds. Certainly, not satisfied at all about the service from the ground floor pharmacy.

No one can do wrong. Worst experience I've ever had with an online appoinment. By mistake I had set up a physical appointment for an audio appointment. But there is nothing else to do but act like that. Shame on you Durdens. keep my money.

My wife and I go for a medical check up every year to Durdans Hospital due their quality service over the years. However, I was surprised about their service level this time. No one is caring for us and no one to guide us. There was a meal for our package. We waited more than half an hour in the cafeteria to receive our meal like beggars. But nothing received. Then we left the hospital without having breakfast even though we had paid for it. Highly disappointed.

Durdans Hospital in Colombo is an exceptional healthcare facility that leaves a lasting impression with its warm and friendly staff, ensuring every patient receives the utmost care and attention. Our experience at this hospital was nothing short of outstanding, starting with the welcoming and compassionate staff members who made us feel at ease from the moment we arrived. The rooms at Durdans Hospital were thoughtfully designed with patient comfort in mind. From the cozy beds to the well-appointed amenities, they provided a comfortable and soothing environment throughout our stay. The hospital took care of every need, ensuring that essential items like toiletries, towels, and water bottles were readily available, eliminating any worries for patients and their families. One of the highlights of our experience was the attention to the patient's dietary needs. Durdans Hospital went above and beyond by providing food and tea to ensure the patient's well-being during their recovery. The meals were prepared with care and consideration, catering to individual preferences and dietary restrictions. The comfortable bed with a control panel allowed the patient to adjust their position and find the optimal level of comfort. This thoughtful feature enhanced the recovery process, allowing patients to rest and recuperate in a personalized manner. The 24-hour service at Durdans Hospital further exemplifies their commitment to patient care. We were impressed by the round-the-clock availability of medical staff, ensuring that patients had access to assistance whenever needed. This level of dedication and support is a testament to the hospital's dedication to the well-being of its patients. The well-maintained bathrooms with hot water showers added an extra touch of luxury to our stay. This attention to detail in providing essential amenities contributed to a sense of relaxation and convenience. What set Durdans Hospital apart from others was their consideration for the patient's family or guardian. Even in normal rooms, a bed was provided for the guardian, along with comfortable chairs, a table, and a TV. This thoughtful provision allowed family members to stay close to their loved ones during their hospital stay without compromising on comfort. Budget-friendliness was another aspect that impressed us at Durdans Hospital. Despite offering excellent facilities and services, the hospital was mindful of being accessible to a wider range of patients, making quality healthcare more affordable. In conclusion, Durdans Hospital Colombo is a haven of care and comfort that stands out for its friendly staff, comfortable rooms, and well-thought-out amenities. From the provision of essential items to round-the-clock services and budget-friendly options, every aspect of our experience at this hospital was met with the highest level of care and attention. If you're in need of medical attention in Colombo, Durdans Hospital is undoubtedly an excellent choice that prioritizes your well-being and recovery.

ZERO STAR RATING TO THE WORST HEALTHCARE SYSTEM IN THE ENTIRE WORLD. I want to share my concerns about the National Hospital of Sri Lanka (NHSL), which, despite being the primary government hospital, has some serious issues with its healthcare system. My experiences at NHSL have been quite disappointing, and I feel it's important to bring these matters to everyone's attention. The problems I faced include unprofessional behavior, rudeness, and a lack of empathy from the hospital staff. A significant challenge I observed is the exhaustion of patients due to what seems like a lack of attention and care from the hospital staff. It's disheartening to see patients, already vulnerable, feeling more tired and discouraged by the system meant to provide them with medical support. I also want to express my concern about reported racial bias by some staff members. A healthcare environment should be inclusive, respectful, and free from discrimination. Such behavior goes against medical ethics and can severely impact the well-being of patients. One such example, the security woman in the Endocrine clinic (4th floor) lacks empathy and compassion towards the sick and needy. While I understand the challenges faced by healthcare professionals, it's crucial to maintain a high standard of professionalism to ensure patients receive the care they deserve. These reported issues reflect poorly not only on individual practitioners but on the healthcare system as a whole. It’s true I can’t expect professionalism from NHSL while the country itself is unprofessional and vile but still I felt the need to voice out my opinion.

This on one of the worst and pathetic health systems in the world. The health system we encountered was really sad. It had a lot of problems and things that didn't work well. My mom needed to get an MRI scan, which is an important medical test. But we were told that the scan had to be delayed for a whole month because they didn't have enough ink. We felt very frustrated and disappointed...After waiting for a long time, we finally got instructions to go to the hospital at 8 AM on a certain day. We followed the instructions and arrived even earlier at 7:30 AM. But little did we know that this was just the beginning of a difficult and emotionally draining experience...We were taken to a room where we spent the whole day, waiting anxiously for my mom's turn for the scan. As time went by, I gathered up the courage to ask about the delay many times. Each time, they promised it would only be another hour and told us not to eat anything...The staff didn't show any understanding or kindness towards us. They didn't take our concerns seriously, which made us even more upset. The hours passed by and it started getting late, but there was no progress or communication from them...My mom, who is 61 years old, sat there patiently without eating anything since morning. She looked tired and weak because of it. It hurt me deeply to see her suffer like that... To be honest, I can't recommend this hospital to anyone who needs medical help. But people like us who don't have much money don't have other options or resources to go somewhere else for better care. Private hospitals are too expensive for us...This experience has left a lasting impact on me - it reminds me how broken and inadequate our healthcare system can be for people who are less fortunate. I really hope that one day no one will have to go through such difficult times when they need important medical services.

The doctors and especially the nurses in the hospital are useless. These nurses are often engaged in social media outside the ward and often only one or two nurses stay in the ward and surf social media on smart phones. Even if a patient cries out that it is difficult, they are not looked after. They don't even check if the patients are breathing, and while giving the medicine, they pour water into the mouth of a patient and put a pill and leave without even looking to see if the medicine has been swallowed or swallowed. Patients or caregivers of patients are not told and concealed about the patient's condition. No advice is given. At least they did not say whether the patient was discharged and nurses says that they were discharged only if the patient's guardians forced them to ask. Hygiene of patients is not looked after. Nurses and doctors go about their lives happily letting patients die. The x-rays taken from the patients are not given to the caretakers and are kept with them even after discharge. They are not working for taking salaries from people's tax money. endangering the lives of poor people. I can call them Satan's children.

Hospital

They don't even accept you even in an emergency situation if you are a foreigner. Even as a Hokkaido university student I was told the doctor is busy with other patients and has no time to see a foreign patient... I was standing at the first aid/ emergency section with my hand bleeding.. I was just told to go somewhere else and was handed a printout with an emergency ph no of Sapporo city emergency services ( The irony ) I was just told to call that and try my luck.

in spring and snow 👌

I don't quite understand. Keio University Hospital is a well known hospital BUT no one seems to speak even a very basic english. They all have japanese and english signs all over the hospital but no one knows how to speak it. I mean they don't have japanese only patients, but for me it feels like they only admit japanese because once you try to communicate with them, they mostly just say "no english" and then they leave you alone even if you have a serious health problem. I know expats should learn japanese but what about tourist or guests that only spends a week or two in japan? I come from Germany and we also have expats and foreigners there that hardly speaks any german BUT they don't get turned away by the hospital, because that is ILLEGAL and against the doctor's and healthcare workers OATH (do no harm!). WHAT IS WRONG JAPAN? you make A LOT of advertisement about OMOTENASHI and then you treat non japanese speakers as if they're not worth treating. And this is not the only hospital in Tokyo that do this. DO BETTER!!!

Excellent doctors and staff. I've had two surgeries at this hospital and both have gone very well. I recommend this hospital but if I understand their processes correctly, one needs a referral to go there. They are centrally located, and are right in front of the Shinanomachi station. There's another station close by on the Oedo Line. They have new facilities and parking. They also have motorcycle parking. This is one of the best hospitals in Tokyo in my opinion, but English is not spoken here. If you have a need for a special surgery involving a doctor from another hospital, then you may experience difficulty in having that arranged. I had to forego surgery on my heart there because they did not have a doctor on staff to do what I needed done immediately after the heart surgery. It was breast bone surgery. I had to have the heart surgery and the breast bone work done elsewhere, but the surgeries needed to be done back-to-back. Keio could not do it, which I believe is rare for them. I wish they could have facilitated it. It's a great hospital otherwise.

I went there because my period haven’t stopped in six months. I went there for a biopsy which made the bleeding increase for more than days, accompanied with terrible cramps. I returned urgently there and was treated really poorly by the interns who told me “they couldn’t do anything”that my cramps had probably nothing to do with my uterus ( but i had told them it was the same pain as period pain), and that i should just get painkillers. I really wonder in what world someone can say that is normal to have periods for six months, and bleed for more than ten days after a biopsy. I am deeply disappointed in this lack of professionalism and compassion.

Best hospital in the world. Very kind staff and very good doctors

I'd be indebted to work within this facility as Massage Therapist to help relieve Patients with Stress related issues. Thank you +233241488250

Really really bad Experience with this hospital. I had a visit, I told that I have card EKUZ ask also if I should give it them this later. They say no no i don't need pay anything no problem with anything. After TWO MONTHS they sended me a facture that I have to pay! Really dissapointed, never come here again. During visit with doctor they didn't check what is wrong only give me one pill that's all. Nobody answers the phone either.

Ok

Reception: 1 Emergency care: 2 Telecommunications (phone): 1 Laboratory: 1 Ambulatory care: 1 Accessibility and parking: 1 Hygiene: 3 Medical equipment: 3 Atmosphere and visual decoration: 2 Hospitalization-reception: 2 Hospitalization-rooms: 2 Hospitalization-privacy: 1 Hospitalization-care: 2 Hospitalization-rest and comfort: 2 Hospitalization-amenities: 1 Hospitalization-food: 2 Hospitalization-entertainment: 1 Hospitalization-patient’s rights: 1 Post-hospitalization care: 1 Diagnosis: 1 Doctors’ behavior: 1 Nurses’ behavior: 2 Other staff’s behavior: 3 Doctors’ experience: 2 Nurses’ experience: 2 Outcome: 1 Management and directorate: 1 OVERALL EXPERIENCE: 1

Very bad hospital they cant do any diagnosis for my patient they left her go to home she vomiting and having diarrhea very bad hospital 🤐🤐🤐🤐

I came here at 9 : 15 am . still waiting and now it's 12: 00 pm . I told them that it's urgent I can't wait . i have stomachache. Being a foreigner is not easy in Croatia 🙂 Please don't expect good reviews from foreigners 👎

Banana Republic of Croatia, nonfunctional, corrupt and messy. That is the summary of your wonderful hospitals.

They are the largest hospital center in Croatia and have the best equipment. That's the biggest plus. After that the personal is overworked and somewhat rude; and it gets worse and worse as they climb the hierarchy. Organisation overall is mediocre and dictated directly by politics, failures in organisation are then blamed on the people who work there.