Subtotal gastrectomy in 558 Oncology clinics worldwide

Reliable clinic with qualified professionals in one well-equipped building. However, prices are rather high, so private medical insurance is recommended. I mainly used insurance with franchise % (partial cover) during the past few years to make all doctor appointments and urgent care. Also I like to buy pirozhki with coffee in a local cafe 🥪 :)

Very accommodating, friendly and helpful staff. It is straightforward to locate the necessary directing signage. clean and well-maintained. The restroom is everywhere. In the waiting spaces, there are couches and drinking water stations. There is a cafe with free internet access and spacious waiting area.

Nice outer image, but Soviet Union on the inside! Customer service is tantamount to what you would expect from the good old Cold War days, with "doctors" that immediately give you the impression that you are beneath them and unworthy of their attention. Very disappointed with my most recent experience despite using them once before and being generally pleased. Come prepared to deal with third-world customer service, a bedside manner that leaves you unsure of what to expect, and doctors that have no empathy much less interest in being kind and professional.

I had a great experience giving birth at UKE. everyone working there was super nice, cooperative and friendly at the registration and at the Kreißaal as well as in the postpartum care. We requested the family room, which became available in few hours post our request ( you do need to keep following up the availability status of the room til you get it though ) For the mom, you need to get a shirt/ dress to give birth in. And pjs for afterwards as well as the bathing supplies For the baby, you will only need to have the go home outfit and maybe a pacifier. All else will be supplied by the hospital. The meals served are really good too. Not the typical tasteless hospital food .. you will need to have some snacks with you for in between the meals especially if you’re planning on breastfeeding. All in all, i had a really good experience and highly recommend the hospital

Waste of time! I got food posioned and waited for hours! Nobody checked me and I had to leave because another patient came and told us she was waiting for 7 hours. I mean this is an emergency, it shouldn't be like that. Aside from all these stuff there was very rude. I was fighting with pain and with the people at the same time. Not even talking about the money I paid for the taxi because I thought I can get help here. I don't know what I am gonna do if I ever have more risky situations like that. This has to be changed.

18 year old friend of mine has been hospitalized due to a tumor. because of a so called "emergency" a vacation had to be cancelled and he didn't even make it into the infirmary. during the operation they managed to injure the liver (which isn't exactly spottet on the head) and he was in a critical state. he died less than a week after the operation and the doctors had the audacity to say "have a nice evening". worst hospital ever. will make sure none of my loved one's ever go there again.

I am a professional who moved here to contribute to uplift industrial activity in my own area. Heard great input from friends on Helios, about English speaking staff, better handling than long and declining German medical system. When registered my wife for birth and checkup at the last stage of pregnancy - and recently visited, the rooms are hot (making the patient more inconvenient), then we requested female doctor/nurse due to our own comfort and values, but instead when the female doctor arrived she ended up giving me lecture to understand their culture, you are in germany, even in your home country there are only Male doctors & Staff (which she doesn't know 60-70% of medical employees are female in my home country). She was straight forward denying the service if we do not agree on the male attendant. We had no other option but to say yes, however, this has been traumatic experience turned from a happy moment. As a Service provider the doctor should be able to provide a relaxing and comfortable environment. And the treatment was not something that couldn't be done alone when requested. It was a one person job, she could have do it herself, but forced to have male attendant to just hand over tissues or so. And even after that told me to expect male attendant regardless you want or not during delivery.. Service providing is the key. highly disappointed.

I could put 0 or -5 if that was possible. I guess 1 star goes to nursing personnel some of whom were nice. My mother was admitted there with stomach cancer and fluids in abdomen supposedly for immune therapy (we know it is a last resort). Doctor (Ali Nuri Hunerliturkoglu) even wasn't fully aware of the diagnosis at the admission. At putting the port for immune therapy/chemotherapy, lung was punctured leading to an infection. Biopsy results were late, hence no promised immune therapy was provided just a general, non-specific chemotherapy, which weakened the patient together with hospital-induced punctured lung and infection to the point of not being able to walk and normally function. No help at all, just prolonging of suffering. To top it off, transportation to pick her up and deliver home was not allowed to approach hospital premises and a lying patient on a rolling bed had to be transported for 10 minutes outside in the cold. Avoid if possible

I had this year three operations in Krefeld hospital.Two of them was not planned one of them was planned.Everything goes smootly.Personal are very friendly doctors also will try to explain everything till the end.Food quality also not that bad like hospital food.My plate was empty always.I had only one small minus the pillow for your head its like a carpet to clean your shoes so tin and not comfy at all 😀 Even this hospital is one hour where i live but anyway i would always choose this hospital and recommendate to others

Very nice and bigger hospital in the kingdom Saudi Arabia...and many ofw Filipinos work here...

Best professional medical staff (DSU)I’ve seen, honestly they were treating me sooo kindly. So Proud of you.

I worked in this hospital form 2012 to 2021 as electrical foreman and I got good experience from this hospital and i bleev as per my knowledge this is the number one hospital in Gulf.

Worst ever services but expensive as much as 5 stared. Mouwasat is a typical example of ruthless, heartless, indisciplined, inexperienced hospital business. Untrained staff, no knowledge of disciplines and departments. And where abouts.. They are denying to take my specimen and now I am waiting for their mercy.. Mouwasat management and administration must learn and educate themselves. I will definitely take this to ministry of health.. Can never suggest a friend to face this paid torture..

I visited the emergency department recently and while the medical care was satisfactory, I was disappointed with the reception staff's lack of professionalism. Additionally, their card ATM scanner was malfunctioning, resulting in multiple declined card attempts. I had to pay in cash eventually. It was frustrating that the receptionist questioned if I had enough funds in my account, when in reality, the issue was with their machine. This interaction left me feeling uneasy, and I believe improvements in staff behaviour and equipment reliability are needed.

The doctors aren't interested even to diogonise the patients, that just seen to get rid of the patients as soon as they can. Don't visit this unhelpful hospital. A small clinic like Badr Al Rabie is much better than these money making machines

It's unfortunate, this already seems like social security and even worse!!! I've been here in the emergency room for THREE hours and I'm still waiting....with my back hooked and with horrible pain as they tell me that this is in order of severity...what a mess...well for me it is mine is urgent of course and painful!!! The lack of health personnel and the delays that make patients suffer is a shame!!!! Why do we pay private insurance???? To receive this terrible medical care!!!! It really is sad!!!

Private hospital where you arrive at the emergency room and wait 3 hours to be treated because they only have 3 doctors! And to have an ultrasound it took them more than a month to make an appointment and since they had to change it until January they don't have time... It's a shame to pay private insurance for this. Disaster of organization and way of managing this hospital. The people who work there are charming and professional, it's a shame that they have to work for such a poorly run center.

Unpunctuality and poor patient care. I give one star, not because of the doctor's treatment, but because of the lack of professionalism of those who manage the appointments. It seems to me that, in addition to underestimating the time of those of us who have to suffer the delay of consultations, they try to make us look like fools, making whoever they want go first. The least they could do is give a ticket upon entering to assign a shift, as in other services at the same center. I don't understand how they don't know how to report how long they estimate the wait will be, or at least how many patients are ahead.

The new rooms in the new area of the hospital are nice, clean and modern, but the old rooms in the old part of the hospital need to be refurbished, they do not live up to the hospital standards. The food was very basic, not much flavor and for the price of a day stay in the hospital the food should be better quality, taste better and have options on what you would like to have. They also need to improve the wifi/phone signal because nor the wifi nor the internet from my mobile phone provider worked in my room. The television only had Spanish channels and for a high quality hospital one should have international channels in English and other languages. The personal attention was great, the nurses and doctor where amazing. They took excellent care of me.

Had a surgery here and it went very well, staff were working with upmost care and respect. Compared to most hospitals in the US where I'm from, this one deserves 5 stars for the quality and value.

Terrible hospital. The staff are very unfriendly, and if you struggle to speak Spanish they will not put any effort in to try help you in English. I have been there twice in the past 4 weeks for the same issue and the doctor always just prescribes ibeprufon when it’s clear my situation has gotten worse. They also don’t have any equipment, he used his iPhone as a torch and put a pencil in a latex glove and used that to push my tongue down to examine my throat. Completely pathetic the service one gets from this “private” hospital.

I booked an appointment via their online platform with the Diagnostica d’imatge department, because I needed to take a MRI exam for my leg. In the online platform I uploaded my traumatology doctor’s referral where it says I should have two MRI exams taken, one in a rested state and another one after running for 20 minutes to see the difference in my muscle. I even sent the referral via email to the Diagnostica d’imatge department in order to make sure they knew about the fact that I need to make two exams and not only one. They didn’t answer to that email even though I asked for confirmation of receipt. I had no luck reaching the right department via telephone because I don’t speak Spanish or Catalan so well so I gave up on trying to get a confirmation that way. Anway, when I arrived on the day of my appointment, the secretary in the Diagnostica d'imatge department told me that I should have booked two appointments instead of one and it was a problem, but she will try her best to find a solution. I was afraid because I came to Barcelona only for this appointment (I live 3 hours away from the city). After waiting for around 20 minutes the secretary (her name was Andrea, I think) called me and confirmed that I can take the two exams one after the other right away! Eventually everything turned out well and the staff was super friendly, even when I only spoke English. Big thank you again Andrea you saved my day!! :)

Excellent service . Professional doctores and they take care of their patients in a very human way

Im calling all day to cancel an appointment with traumatology, no answer all day, it's been always like that i have to keep calling for hours maybe they pick up the phone, but today no one pick up the phone.

Awful. Patient Management is closed when it have to work. No response via phone to ask why you must pay specific amount of money and for which services. Huge respect for doctors, but management of clinic is awful and they deserve even less than 1 point out of 5.

After almost 30 hours, they still don’t know when they can perform surgery on my kidney stone. They only gave me 5 glasses of water! When I asked them about my situation and the plan, nobody answered! I’m thirsty, hungry, and in pain from the stone for more than 1 day. This is simply the worst hospital I have ever seen in my life!

Unfortunately but I have a pleasure to have surgery on pancreas cancer here. UK NHS said its noopetatable😬. The rooms 10 stars out of 5🙂, super clean, staff constantly checking on you, everything went smooth and pain free(thanks to epidural and painkillers). I have been sent home when I was ready, no complications and, 7 month out and good so far. Highly recommend, plus beautiful town which I was able to see before surgery.

I recently was looked after by Department of Thoracic Surgery and they coordinated and led my multidisciplinary operation. I would like to thank all the teams involved in looking after me and providing me with the highest quality of healthcare. I am extremely thankful and humbled by the professionalism and excellent quality of service that you provide to the public day in, day out.

Alert: avoid this hospital for giving birth. During my labor in August, the anaesthetist came very late and failed her job. She did not manage to give me the pain killer Epidural as agreed prenatal, which resulted in an extremely painful delivery. The doctor did not even accomplish the basic task. very disappointed. will not recommend USZ at all.

I am a tourist that presented to the emergency room with stroke symptoms (headache and memory issues). The care was excellent! Every staff member was very caring and knowledgeable! Everyone was very personable. I have worked in Healthcare in the United States for 40 years and feel the care I received far exceeded what I have seen or experienced in the US. Zurich can be proud of their outstanding medical center! A stroke was ruled out and I was diagnosed with amnesia related to a migraine! I highly recommend this medical center for your healthcare needs and appreciate the care they gave me.

Poor management, miscommunication between staffs leading to patient’s EXTREME DISCOMFORT, no empathy whatsoever, PLUS the lack of information given to the patient; having to wait for 2 days still going on with little to no food (to prepare for the surgery which only takes 20 minutes as the doctor had said). The surgery that was planned, gets delayed due to the miscommunication between the staff members. But this was not relayed to the patient and the patient’s family until after waiting for 8 HOURS, keeping the affected ones in the dark. Then promising to do the surgery the next morning but then it gets pushed back to afternoon and then again at around 9 pm. But AGAIN it gets postponed until next day saying the doctor went home, which meant the patient was starving the whole day preparing for the promised surgery which was not done. Even after all this has happened because of their MISCOMMUNICATION and CARELESSNESS, NOT A WORD OF APOLOGY or any better explanation. Sure, it’s a hospital, there could sometimes be many emergency patients at once but they should also have MANAGED properly, they should not have promised something they could not do or they should have made proper plans OR they should have communicated well, at most the staffs should be trained properly on what they should be doing. Save lives but also not try to make any more patients. Hopefully an improvement in the management, the behavior of the staffs towards the patients, and their skills can be seen in the FUTURE if not now because it’s a PURE DISAPPOINTMENT right now.

My dad was supposed to have a surgery on 8 am after the hospital gave an appointment. He wasn’t allowed to eat or drink from midnight til the surgery. But they somehow had a “communication error” saying that the operation room got occupied by another patient after 8 HOURS!! My dad had to wait 8 HOURS in pain without any food or water waiting for the doctor to do the operation in the room. But NOTHING!! It was so irresponsible of them! It felt insulting as if they were looking down on us because we are of different race. I felt so bad for my dad!! Now the operation is gonna take place tomorrow! I had expected better from the hospital!! I wouldn’t even give 1 star if I could but unfortunately I have to, to write this review!!

A mother spent three days begging Help Island psychologists to help her child not commit her seventh suicide. A psychologist and a social worker. The meeting was prepared for three days. Twenty-first century, in the ambulance of the city of Bern, out of 140 thousand Russians and the same number of Russian speakers, but there was no interpreter for the appointment. The elite of the hospital, in the person of a highly paid psychologist and social worker, passed judgement; Listen, ...parents ; the mother should call the police! In truth, they pay 8,000 francs a month out of your taxes to the great healers of the land of Switzerland. There's a Russian saying "don't throw beads in front of pigs". Mother left in silence. The arrogant took it as a victory! A victory over a helpless, disabled woman. Arrogance is formed from the absence of everything else. Education, upbringing, having compassion, morals, responsibility, being helpful...) How does fascism spread? The chief said, you have to smash your forehead, but follow orders! Back in the emergency room, after five hours of being ignored, the mother was brought out a poster, A4 sheet format. It said in large letters, "We won't help you and the three-digit police phone number is 911. The leading psychologists of the hospital and here, showed their professionalism, big letters for a stupid Russian mother. These letters shout: "the doctor said to the morgue, so to the morgue". The mother, of course, was sick, but unlike the friendly staff of the Ostrovny Hospital, she could remember a seven-digit phone number. Where do these mothers get their strength? She brought the baby in. И? Refused!!! This is another story, how she managed to survive, get to the nearest town and finally get help. And what about the friendly staff of the Ostrovny Hospital? They found a clinic where they put a sick, tormented child, called and told them to get rid of him. What does the ambulance care about the clinic? How close, how united is the corporeal spirit, in the pleasure of mocking the Russian, sick mother. Friends, "The future is not for everyone. " Klaus Schwab Unite!

I had a successful surgery (Hysteroscopic myomectomy) in this hospital. I’m so thankful to Dr. Ishikawa and the nurses from Gynecology Department.

I dont recomend this place this place for baby’s there is no kindness for babys and no explantion before test,ganka and hifuka saiyaku doctor’s this is not hospital its a training center for new doctor’s and thers test’s.if you need to be a tester for them i recommended this hospital.

The doctors are very helpful and talented.

I am shocked at how mediocre and overrated this nationally famous clinic is. Even as an international, self-paying client my appointments in late 2022 were continually mixed up and, worse still, the 3 weeks of extensive diagnoses were inconclusive and they recommended cortisone for the pains throughout my body, claiming there was no alternative to this treatment. My pains steadily increased and at one stage I could no longer get out of bed without help. I finally visited a microbiologist in Hamburg who correctly diagnosed the cause, and with a simple change of diet I was pain-free within a week!. I am now completely off cortisone.

The worst childbirth that you could imagine! Unfortunately, we chose this clinic for childbirth. At the 39th week Dra. Laura Muñoz Saá said me, that labor induction was needed. Although we did not agree with this, but we trusted her words that everything will be fine and that it is better for me and child. The doctor assured only about the advantages of induction of labor. However, there was not a word about complications and possible consequences. Although everything was written in the informed consent. After the start of induction, irregular labor began (opening from 2 cm to 10 cm per hour). I screamed from pain and begged for pain relief due to excruciating pain. Everyone just said that I should breathe, and I will never forget the words of the anesthesiologist who came to install epidural anesthesia. He said "all women give birth, what do you mean you can't sit down for 2 minutes?" In those moments, I prayed that it would end soon and barely sat through those 2 minutes of hellish pain. After the examination, the doctor on shift told that the cervix was already fully dilated and the child was in distress. I was told that a caesarean section should be performed immediately. To go through hellish pain so that it ends with an operation is not the worst. The worst thing is when they start making an incision, and you say that you feel pain, just pain, and not the feeling that something is being done. In response from the anesthesiologist, I heard "don't make it up, you can't feel pain." No one but me will understand the torments that I went through and that left a mark on my heart forever. The most beautiful day of my life became one of the worst for me due to excruciating pain and a feeling of helplessness. When you beg for pain relief, which they still think about giving you or not, because they don't believe that you can feel such unbearable pain. The only thing that was at the highest level was the help of the nurses and the matrons with the child. Thank you very much for your work and help!

My parents have been getting treatment at this place since 2018 and since it's doors first openend then, the customer service and quality has gone down by a lot. They are taking on too many people and they are loosing sight of what matters most: the patient and their family. I lost my father recently and I am sure that his doctors at the CUN could have looked after their patient more in detail rather than making us wait for hours sometimes and the most difficult part was for my dad or me to get a hold of his doctors. The ER room service is also basically non existent. I will never use that Clinic again. Great doctors, latest Tecno but not attention to detail and bad administration.

I was lucky enough to be hospitalised here (you know what I mean) : without exception the doctors, nurses and auxiliaries were nothing less than superb. I thank them all!

Private hospital based in Pamplona and Madrid. It is worth making the trip to attend any of its specialties, which are not few. In my case, they have given us endless possibilities. All staff are attentive, they explain each intervention/treatment in detail and work with insurance. Everything is organized and they have professionals for everything. Appointments are usually on time, the waiting time in the room is short. There is a parking lot right in front. We will repeat and I recommend this clinic.

An incredible service, the best hospital I have ever been too. Bedside manner from doctors, nurses, and all staff is fantastic

I had a horrifying experience with Manuela Soares. I do not wish to post my personal details here, but this woman should NOT be allowed to see patients. I filed a complaint and the hospital said they “investigated” but didn’t contact me or make any attempts to solve this issue. Better to be safe and go to Luz Hospital.

I've been to this hospital 4 times in 6 years and always had a very good experience (as good as it can be while sick or injured). Staff and doctors are friendly, speak English. It's well organized, services are pretty close to each other and we're given good guidance. The service coverage by insurance is excellent, I've gotten out of here with consultation + 4 exams done including multiple X-rays and blood analysis paying only 20€, while clinics charge 70 for a basic consultation. If anything, material seems insufficient: I've seen cleaning staff having to ask doctors for gloves and my doc's computer froze regularly, stalling the consultation ~15 mins.

Simply disgusting quality of service from the administration. I give them one star! Alternatively, the hospital management enter the kpi for their work. The more people you serve, the more your salary will be, because it’s unbearable, they do everything they want, just not their work.

I waited for 1h40min for an appointment and it got to the point where they wait was ridiculous, I had already had to cancel my next thing, and felt absolutely frustrated for coming all the way for a consultation, waiting so long to then desist as I don’t have more life to lose on this. The only reason I don’t give it 1 star is that the receptionist was nice and helpful and that the check in was easy. I don’t plan on going to CUF for help ever again.

They performed the surgery well. But was too expensive, they took far too long for a private hospital and they didn't explain costs. I cannot dispute the charges without making an account but I can only make an account by going in person. Not sure if it would be better than a public hospital in most countries

Just want money, no more than that. They told us to pay an amount of money regarding an appointment in the hospital and we already paid it then found a higher invoice to be paid later while we confirmed in the hospital several times that there would be no extra cost.

I have had dialysis here on 3 occasions and must say I wasn’t happy with the service here,my appointments always over an hour late and when I got back to the hotel the restaurant was closed thanks to the hospital.I’ve had two mishaps here with the staff when I come off the machine I bled really bad and no one rushed to help me.they do things in there own time and they never made me feel welcome and also a languages barrier here. I would never go to this unit again they do half of job.our nhs do a far better job than hcb Benidorm.

I came (with no appointment) for a dental X ray. The wait was only 25 minutes. The staff were very helpful. The hospital was busy but very clean.

I was admitted to HCB on Weds 6th September, for hip replacement on Thurs 7th Sept to be carried out by Dr. Barcelo. Unfortunately my procedure had unforseen complications which resulted in a predicted 4day stay extend to 9days. Apart from the anonymous blood donors without whom I would not have survived my operation, I owe a debt of deep gratitude to Dr. Barcelo and all the nursing staff on floor 2. The care I received was amazing, 24hrs a day. Once again ,thanks and gratitude from the bottom of my heart.

I don't know where to start from,I had a fall on Oct 7 2023 and ambulance took me to ED,I was attended fast and though I was high with green whistle but I can still say all the staff who attended me was very supportive. Mind it I never been to hospital in my full life. After I came out of theatre, I moved to orthopedic ward,some ward5 ..sorry don't exactly remember, but the Nursing staff there was so helpful and supportive they really tried there best,they talk positive they listen you ,understand you and took care of your dignity and privacy,after a week I moved to.plastic OMG the Nursing staff there was like an angles sorry I can't name anyone as they all were the best including an Asian uni student.what a great level of skills and patience the staff have.thank you very much all doctors and nursing staff to fix me up and taking a great care of me.will surely visit in person to pay my gratitude and to say thanks to all once am completely recovered. Wish you all a very merry x mas and a happy new year. Regards

You've been fantastic! Your positive attitude and kindness reassured my family that I was being looked after, and throughout my stay I felt I was in good hands. I am now feeling stronger, and I am feeling much more hopeful about my recovery. Kind regards, Saba

We were ask to attend for an elective planned surgery. This is a second procedure follow on from the first. The 1st admission process was smooth with minor hiccups that we overlooked because we were happy with the surgical outcome. The second procedure we were aware that we might be the 3rd listed for surgery. We were advised to attend for pre-admission procedure at 6.30 am. We did as we were told. The nurse advised us that we might be called in at 1130hrs to get ready to be taken to theatre. We waited, waited and waited and no call for theatre or a decency of an update on the delay. We attend RMH at the surgeon request which we know is best with the expert in the field here. We attended as private patient in a public system. We don't have any problem with that arrangement either. But someone who is highly anxious with heighten anxiety and a delay such as this is entirely unacceptable. It further exacerbated with such appalling poor communication. Providing the best health care does not stop at surgical outcome alone, but how the patient and the family made to feel the entire experience will be what constitutes best health care. I don't know this is a result of poor training where empathy is out of the window or complete complacency of the public system. If one were to admit to ED, with no bed within 4 hours will be a red flag. Not until we approached the reception staff we received an update. What has been a good encounter is tarnish by such lack of attention to basic courtesy of good communication. Very disappointing today.

I hade a spine surgery 2 days ago. Thank you Dr Barnes a fantastic job. and Dr Graham .thanks all hard working nurses, they are very friendly, and always look after me. It was absolutely 5 stars

Excellent service and very satisfactory! I had an open heart surgery here and I feel like home . Everyone who works there take good care of me and always there when needed. Thank you for your service ❤️

Had hip replacement surgery and Mercy made it an absolutely top experience. Thanks so much to the nurses, surgery team, physio, caterers, cleaners. Everyone made the procedure as painless as possible.

Got seen very fast for a simple broken ankle. All the staff were super nice and professional. Couldn't have gone better. Other than the broken bone part.

Absolutely amazing staff. Every single one of them. The nurses are wonderful especially Sheridan or Sheri as we called her. She is one of the best nurses I dealt with. Sharon is also a wonderful nurse. The surgeon Dr Segar is the best around and the anaesthetist as well. The best hospital I've stayed in. Big rooms, great food and lovely staff.

I went To this facility. For A asthma attack that was Induced by A infection The wait time was very long though. This is understandable as they were Short-staffed. The nurses were lovely. And took good care of us. The issue I came across. Was the doctor? At this point I had been Coughing to the point of not being able to breathe and almost throwing up for 2, maybe 3. Hours The nurses moved me to a room by myself so I wouldn't disturb. Other patients? But when the doctor finally arrived. She looked at me with a raised eyebrow. And accuse me of faking it. I was In shock Not 5 minutes into talking to the doctor. She says "Your coughing has picked up a lot since I came here." She called it convenient. She sat there looking at me not giving me Instructions But she did give me a asthma inhaler. Something a nurse had already done. She proceeded to interrogate me. And ask me what I was trying to skip out on. This was because I had asked for a medical notice To give to my strict school. This blatant disrespect completely ruined The experience I was already exhausted from a being late. And having coughing fits every 5 seconds. And then I had to deal with that. To be honest, it seems like a decent facility. I think I just got unlucky with either a too tired or too unprofessional doctor.