Arteriovenous malformations (AVMs) treatment in 497 Vascular surgery clinics worldwide

A large hospital dating from the 70s, partly renovated, with many specialties and relatively correct care but very uncertain depending on the services as in many public assistance hospitals in general... We can therefore go there from heaven to hell, often with adorable and caring teams in intensive care or intensive care units and other totally overwhelmed teams with little regard for their patients because they are understaffed in many others services...

On the 3rd floor Orthopedic department: Caregivers, nurse, friendly staff overall 👍 Arthrodesis + laminectomy operation Dr Solène Prost service teacher Tropiano All the pain went well and was well treated. 5 days hospital Return home for 4 weeks to recover peacefully. Then start of physiotherapy rehabilitation.

I was taken to the Urgences here by ambulance and I have never had such an awful experience. The nurse who was looking after me was completely cold and uncaring despite the fact I has a blocked intestine and was not only I’m agony but kept blacking and vomiting. At one point when he saw me vomiting he said “don’t you think you are exaggerating a bit”! It took 6 hours before I had a scan and in that time I was left alone and given no blanket despite being soaked in sweat from the pain. When I finally went upstairs to the operating theatre, the experience was much better. I know this hospital has some great doctors and the surgeon who operated on me did an amazing job. My criticism is uniquely directed at the a&e “urgences” here which is just not good enough. All the staff were uncaring and cold and I felt scared and abandoned which is not what one should feel in hospital. Sorry, but a little more humanity would mean less stress to patients!

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 had an injury in my head. I went there and you have to know French. People that helped me did not speak nor English neither Spanish. But the attention was good

ZERO. VERY BAD EXPERIENCE WITH THE ADMISSION SYSTEM. I JUST WAIT FOR 9 HOURS TO GET ADMISSION . PROCESS IS VERY SLOW AND DISRESPECTFUL. NURSES ARE THE WORST IN THIS WORLD. THEY TREAT YOU LIKE DOG . NURSES BEHAVE VERY BADLY IN EVERY INSTANCE. DURING CHANGING OF ROOM THEY DONOT GIVE ME A MINUTE TO PREARE MYSELF FOR CHANGING. THEY DONOT TAKE CARE AND ARE VERY RUDE. THEY JUST DONOT CARE. NEVER GO TO THIS PRIVATE HOSPITAL. WORST EXPERIENCE. I REQUEST ALL VIEWERS TO CONTACT MINISTRY OF HEALTH AND HUMAN RIGHTS COMMISSION TO FORWARD MY MESSAGE. WE HUMAN BEINGS MUST HEALP EACH OTHER TO CHANGE THE SYSTEM.

What a fantastic ER and 1st floor ICU staff. We cannot thank them enough for the care they provided to their patients and address the patients' family's concern. My 80 years old dad that was brought to the ER from another facility in a critical condition and Dr. Mole from the ER provided great care and took the time to call us to give updates. When my dad was shift to the ICU under Dr. Tiu's care she was very easy to talk to. She called us daily to report on my dad's health status. We are so grateful to the doctors, nurses for the amazing care they provide their patients especially given the pandemic. They listen to the families concerns, suggestions when we advocate for our dear ones. They work as a team with the family to help the patient. Thank you for your hard work, dedication and care.

The office staff, teachers, nurses, nurses, and caregivers are all kind and helpful.

My father at home was hospitalized with cancer. We become indebted to. Doctors, nurses, everyone, be kind. Everyone was polite and I felt at ease.

They don’t give an estimated waiting time for surgery- they kept pushing my surgery. I had to stay without eating any food or drinking any water for 24+ hours as they kept pushing my surgery. But overall the staff and doctors are very kind. They took care of me really well even though I didn’t speak German!

This place really deserves 0 stars. I’m sure there are hospitals in third world countries that have better service than this place. First of all, the Emergency Room receptionists don’t speak even basic English . Which is unbelievable being in a large international city with a high population of foreigners. They were basically unsympathetic and useless despite me being doubled over in pain. Where do I even begin with what I experienced here? I was admitted at 5am on Monday morning. The place was empty. Despite this, no one ever came to check on me for hours after putting in my IV and I woke up to it sucking my blood out. My toilet didn’t work which was a nightmare with constant vomiting and diarrhea . There was no toilet paper and despite me bringing this up to someone several times throughout the night it was never replaced. Because I had no way to flush the toilet or given any alternatives (even a trash can to vomit in would have been nice) I was forced to just keep stacking all my expulsions into the blocked toilet. For my second IV the nurses put it in wrong, no one noticed until the doctor came in hours later and saw it. I decided to discharge myself and when I left I saw all the nurses and support staff in the hallway chatting about their weekends and playing around on their phones. Absolutely despicable. Since this has been noted by several other reviewers, I believe there needs to be some firing of personnel and change of management. The room itself was also very unhygienic and reeked of urine and homelessness (similar to Hauptbahnhof) which made my already bad nausea even worse 🤮🤮🤢. The negligence at this hospital is out of this world and should be called out.

My sister had a serious operation in this hospital 4 days ago. After the operation, she spent the first night in the intensive care unit. My sister was very satisfied with the treatment in that department and felt calm. After transferring to the public sector, everyone is still very kind and helpful. Very clean hospital, with professional and lovely staff. And also the atmosphere is beautiful.

I had there fundraisers opening my door and when i confronted him, he said oh i thought you wont be able to hear me. Since when did they have the right to open my house door? eastlondon area. Please advise your staff not to open peoples porch doors or any door if they dont answer the door.

Will you please remind your door to door salespeople whom I guess are students operating in Ripley Derbyshire that it is against Charity Commission regulations to pressurise people into signing up to donating. They have been targeting elderly people twice in two days now. By using high pressure tactics like this you are tarnishing the good works this Hospital does.

We’ve been harassed by GOSH representatives on numerous occasions now. They knocked our door THREE times in a single day. Once at midday when no-one was home, the second just 10 minutes after I arrived home from work (obviously stalking me), and the third at 8:30pm!! I’ve previously expressed my disinterest on donating to the charity, yet they continue to return to our property. If a property could be put on a sort of TPS these guys would be in some serious trouble. After speaking to neighbours, they had nothing good to say either (we have a community Facebook Group), some even said that the representatives were extremely rude and overly personal - one lady even had to leave her house because she didn’t feel safe! Times are hard enough and people certainly aren’t going to donate money to a charity that is being represented by such rude individuals. We’ve offered to give them some spare change as a donation but they insist on bank details. You can jog on if you think I’m going to be giving my bank details to some stranger at my doorstep. I’ll happily donate to charity but it will be on my own terms - not with harassment and peer pressure at my door. I wrote this review after GOSH decided to ignore my email of complaint. We’ve now opted to purchase a ‘no cold callers’ plaque to prevent them from visiting in future. If they choose not to comply and continue to harass us, I will be taking this further; perhaps even deciding as a community to set up a ‘no cold calling zone’ with the Local Authority if need be.

My baby was delivered here, the hospital has the best service across. They have Senior nurses some have been there from the inception period. It’s one of the best hospitals for kids and women. Queue management, allocation of appointments, information everything is easily available.

Every poor customer and patient experience. Nowadays there is no business centre to update patient on billing matters. I have to go and search high and low and basement level 1 admission only to informed me to scanned gr code. The same whereby the nurses at wards informed me to go apps to download the discharge summary. For invoice by it take up to 21 days for invoice to be posted over things are getting worst under singhealth. And motto patients at the heart we do should be removed as I don't think it is relevant any more due to the additional layer imposed again got to scan code and write email for invoices matter to their back end for verified true copy whereby I am physically at the hospital and no one can help left disappointed and helpless...

I stayed at ward 44 from 18 Sept to 21 Sept 2023 due to a miscarriage. I would say that my stay was very pleasant. The care team was very kind, nice and empathetic helping me throughout. This made my days less painful. Also to the people in the Urgent O&G, and Operation & Surgery Team, thank you for your best services. You guys are awesome

I want to express my deepest thanks to the doctors and nurses at RCH, particularly the nurses in Possum ward, for their exceptional care of my daughter Ophelia Low. Your unwavering attention and support truly alleviated our stress during her stay. Thank you sincerely once more.

I was at the emergency with my child today and we saw Dr Kae. He was very knowledgeable. He put me at ease with the concern I was having. I was very worried coming in and waiting long but the 2 hour wait went very quick. I was offered something to drink from a volunteer and when my child’s name was called, the nurse even helped me pushed my pram for me. I’m very happy with my first time experience at RCH today.

Salute to all the doctors and nurses working at this hospital. You guys were awesome! I cannot thank you enough, the amount of support and love show to my 4 year old son who had an Asthma attack. Very professional and friendly. You saved my sons life and il be forever grateful. 🩵💙

Had a premature C-section at the centre and my baby was in the NICU for a month, the doctors and nurses were professional, attentive and caring. The private room was great too, spacious with a private toilet and bath, it's a bit pricey but definitely worth spending for a quiet and comfortable recovery after birth.

The facility is actually quite good and new. But the physicians are kinda mixed. Some people are responsible, hard working and still have a sense of humor, but some are really exhausting to talk to. If you've ever dealt with government officials you'd get what I mean, but they try their best to work as little as possible and avoid all responsibility so chances are you won't be able to get a straight answer from them.. Its location is also in the middle of residential area so if you're a traveler or are NOT affluent enough to afford an exorbitant house in this Setagaya neighborhood.. I guess you'll have no business here.

This is going to be a pretty negative review due to miserable administration and communication, but the staff's technical skills are beyond other hospitals. Thanks to them, they were able to deliver my two beautiful twin daughters in a situation that could have potentially had many complications. Now the negative. - The documentation about visitation is from pre-Covid, so despite signing documents allowing a single visitor, don't expect to see your newborns until they're released from the hospital a week after they're born. And don't expect to be informed about this until days before the birth. - Don't expect to be informed in a timely manner if your wife suddenly has to go into emergency surgery, after being told by the doctor that she should be contacting you in an hour. Plan for a very stressful 6 hours of no information if your wife and newborns are ok or not. - Don't expect the appropriate doctors to be available on the day the hospital planned to decide whether your new family can come home or not. Expect your doctors to be on holiday that day, pushing the decision of if and when you can finally meet your new family back by at least a day. - Don't expect the administration to answer your questions completely about payment and insurance. Despite being told that there is no payment needed once proof of insurance is revived, expect that not to include 50,000円 worth of food that you will have to pay on your visit. And don't expect to be able to handle any paperwork via mail; only in person. We didn't have a lot of options for hospitals in Tokyo that could give birth to identical twins. If you're in a similar situation, I can't say if choosing Keio would have been better. If you are not expecting a complicated birth, I would highly suggest you avoid this hospital.

May Allah bless all workers and the Government may Allah make us grateful

It supposed to be the best Hospital in the Sultanate. Despite all the expertise and the best facilities as well as state of the art equipments. Still the outcome is not as good as it supposed to be. In order to ensure that the best services are provided the management should spend more time in the field rather than sitting in the offices.

We booked a private room for 20 rial a day and 100 rial deposit. The room is around 18m2 (6*3). Contains a bathroom a fridge and a small extra bed. Its located just beside the normal admission beds. The price is a bit high for the room but there was no other options.

Excellent health care Nice staff and the security guards Healthy food Thanks Royal Hospital Keep your standard high always

I know my review won’t do much. Obviously government establishments don’t care one bit about google map reviews hahaha. But this place needs major changes to their staff care & communication with patients. Some nurses are so aggressive when handling patients, to the point of hurting them while taking blood samples. There’s so much I can vent about, but that’s it for today. 🤦‍♀️

One of the best hospitals in the middle-east, and definitely the best in oman. They saved my 5 years old son life (Saud). big thanks to PICU team. Dr Suad, Farhana, Alla, Kholoud, Asma, chendra, and male omani dr's Ahmed and Dawood Angels of mercy Safia, maytha, philipino and indian nurses too Sorry if i forgot some names or miss spelled Thanks to everyone in PICU, god bless your heart

We unfortunately had a five night stay at the NICU over the Thanksgiving holiday. The staff provided excellent care to our kid and were extremely compassionate to us as parents. We were grateful for the private sleep rooms and shower, and they even had a free Thanksgiving dinner for everyone. The parent / family lounges have places to grab coffee and store food, and everything is very clean and organized. The doctors and nurses were very communicative and kept us in the loop the entire time.

Absolute terrible service , my child who has a seizure disorder and potential c- diff was made to wait in the ER for 3 and half hours plus without even being properly triaged . She didn’t receive a wrist band , at any point & we can run the cameras back , no one was alerted to her allergies , there was no band received for that as it typically is .. and she begin to have diarrhea thru the long wait due to the virus she’s had the past week and in turn she begin to get worked up and her fever returned . I asked how much longer the wait would be abd for an approximate timeline .. as I’ve observed plenty of patents come in after one in which I knew personally with less servere circumstances… literally come and go and my child was still suffering in the ER … the Nurse on duty was unaccomidating and almost seemingly unwilling to engage .. as I waited for some kind of answer on when my severely sick child would be seen . I asked if it would be more then another 30 mins and he said he couldn’t promise but shouldn’t be . Well it was . After 45 mins of them calling more then 3 patients who arrived after us .. I reluctantly decided it best to take my fevering , baby who now was covered in feces home.. as she was in her 3rd bowel movement and we had difficulty changing her in the nasty public restroom . I ultimately watched them call two more patients who had come after us exhibiting no signs of eminite health scares then I ordered our ride so I could take my child home to change her and give her medicine to help reduce fever and prevent seizure . I am pissed and very upset that my child and I spent. 3 plus hours we can’t get back in the ER after already being across the street at the Berger building for 3 hours prior this was wayy less then pleasant This is the second poor experience in this particular Emergency Dept but this is the first time it was so horribly handled that I had to leave with not only an even sicker baby then I arrived with . She still now will have to go to another ER to be seen .. because she did infact have a seizure once we got home from her fever that arose& I informed them but that did nothing to medicate the situation or get her seen. Now my kid is home fevering still sick potentially has c-diff and I am skeptical to return her to this terrible hospital because they haven’t even returned my call. I called to speak with charge nurse after filing formal complaint and was told by Jennifer in WR I could not speak to any charge nurse and then she took my information and said a nurse on duty would call back and it’s been an hour with out a returned call. This is negligence and unprofessionalism tht promoted us to leave in the first place and CHOP is looking at a pretty decent lawsuit if we do go to another practice and something is severely wrong with my child with so much documented instances of me trying to get her helper seen and have a team leader consult about next steps. This place wasted my time , cash as it’s costed money I didn’t have to travel to and from and I felt like the poor treatment was racially motivated , as as kid who came in after us was pulled to the back cuz her mother told them she was seizing but I was looking at the child. Who literally just had woke out her sleep. This place is incompetent , and of all the amazing experiences we’ve had here . Today ultimately casted a shadow on them all and I will be contacting the PA board of insurance aswell to file a formal complaint because they need to do better on managing and transparency in the ER wait times. We got there at 12:15 and didn’t receive a text saying my child’s room was ready until 4:15 pm that’s 4 freaking hours for a child who had 2 seizures in past week, has a virus, and cold and caught fever while there … when she has a history of febrile seizures … 0/10 would not recommend. Shame on u all

Very friendly staff and amazing doctors. The information desk is very helpful. The front lobby is well designed and honestly fun to be in due to it's design: there is a meandering ramp that goes up several stories with interesting interactive stops on the way. The lobbies on each floor are also all well laid out: they have great views outside and inside were designed with children and comfort in mind. The plaza out front and the cafeteria/Cafe are both relaxing places to recharge.

My brother was in this hospital because he had appendicitis and had to get surgery and He said the nurse was nice! I think this place is really nice because it's clean and Its nice looking, I know that because I was there to visit him in the hospital. I also want to thank you for saving my Brother before more consequences happened to him and that he could've died.. but thank God this hospital was there! Once again, thank you for saving him🙏🤍 Also I definitely Recommend this place if you want nice doctors and want to feel less anxious and comfortable here.👍

This hospital isn't what it used to be! It seems to be loosing patient focus and fast. We've been a CHLA family for 11 years and I think it's time to switch. My autistic son was SCHEDULED for Dental Surgery. Originally it was supposed to be at 1pm and us be here at 11am. When we got the call from the nurse last night that we needed to be here at 530 AM we were like no one told us! But we got here right on time. We'll let me tell you that they took him upstairs to Surgery PreOp it took over 4 hours to get him into the the surgery room, because he needed to be admitted after surgery and no beds were available. This hospital needs to have better planning for these types of things OBVIOUSLY there will be emergencies that come in over night THAT SHOULD'VE ALREADY BEEN ACCOUNTED FOR!!! Maybe you need more staff and more beds!!! Because to have a child basically starving because you couldn't plan Accordingly is just plainly ridiculous! Then when I spoke to the Charge Nurse in the Surgery Dept she tells me that if my autistic son has an outburst that the anesthesiologist and nurse are there to help give him something to calm down. So basically if my son has an autistic outburst they will just drug him up. I'm like realistically drugging my son just to calm him down because your hospital didn't plan accordingly is uncalled for and unnecessary! Again I am seriously contemplating switching hospitals even though my son is on the Heart Transplant List!!! -A Frustrated Autistic Heart Mom

Ok so I had open heart surgery 20 years ago. I was well cared for and was in icu for three days and then went to a step down room where I was later discharged home after only three days at the hospital. My team was so amazing and so supportive and loving. And a picture of me twenty years later.

My husband and I rushed our son to the hospital last week cos he had a seizure. It was at midnight and they had just one doctor attending to so many people before us so we had to wait for about 7hrs. We were attended to in-between by nurses but the last nurse who came to us started asking some questions that we had already answered over and over again but before she started, she looked at both my husband and I and asked “which one of u can communicate with me better?” We didn’t understand what that meant so my husband asked “what do you mean?” And she said “I need to ask a few questions to whichever one of you can communicate with me better in English” I couldn’t speak out of shock, my husband just walked out of the room cos he didn’t want to get upset, she asked the questions again before I could bring myself to answer her. This was after 6hours of waiting for a doctor. Shortly after, a doctor came in, we were attended to and we left there. The other nurses were sweet but I was disgusted by that nurse thinking we used to live in trees and caves and only spoke gugugaga before coming to Canada.

ACH is so nice that makes me being a kid again, minus sickness. This was my first visit at ACH for my son and we enjoyed the environment.

My son had a very long procedure done in endocrinology, and the nurses there were awesome! They gave my son $15 Apple card for good behavior😄

Horrible experience… i arrived at midnight in an ambulance with my 1 year old and i am sitting in the waiting room at 4:29 writing this review … they told me to wait for 5 hours for a doctor …. My son is really sick and cant do anything about it and the people that are supposed to help are just being awful to me for asking if they could check on him

Excellent care for our two year old, every staff member made us feel at ease, looked after us well. car parking (multi storey) was simple, drive in, no coins or tokens to mess around with, well laid out hospital and clean, far better than our local hospital (RPH)

Every single staff member I have met in this hospital, from security to cleaner reception to nurses to physicians, is a genuine nice person. They are willing to help you without hesitating. The communication between units is excellent.

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

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

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

No matter why you are there, you cannot go wrong with the professionalism you’ll find. We have experienced the top of the scientific excellence added to the greatest humanity. Thank you for being there to cure the children every day!!

Super fast, got in with my 1y 7mo daughter who swallowed a plant (brome) that got stuck in her tonsil, went to triage who registered her and 5min later got called in. They checked her lungs and ears properly, then her throat, some other doctor colleagues got called in to help hold the baby, they removed it in 2 minutes, they finished writing up her file and we left. Overall it took 20-25min from when we got in to when we got out. Thank you so much!

As a tourist with a sick child, I'm blessed to be directed by the taxi driver to this hospital. We received great care from Dr. Ferro Valencia, and the staff and fellow patients have been super nice too. Some tips for parents like me who don't understand any Italian: 1. Proceed to the emergency department with a red label, there an English speaking staff will be able to direct you to the right department. For us, we were directed to take COVID test first. 2. At the COVID test location, they actually take notes of your symptoms too, and give you a number. Your remaining visits to different departments will all have this number be called upon. 3. The hospital consists of several buildings with different colored labels. Only the emergency department is labeled red, and also functions as triage. When your number is called again, it is usually the case that you will be directed to a numbered room inside the emergency department. From there if you need to go to another building, they'll tell you the color or have a staff guide you. Not many nurses/staff understand English, but they've all been very nice and helpful. Within each department among 5-6 people, usually at least one person speaks good English. It's a really busy hospital, so the staff/doctors might not be so attentive, but if you reach out, they'll be so helpful.

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

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

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

Great people. Great view.

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

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

New to the institute, I am reassured to be treated there. People who listen, full of gentleness and kindness. Returning to these places is quite anxiety-inducing, but when we see how we are welcomed there, we take these moments with more lightness.

The Bergonié Institute is truly at the top on all levels. A wonderful organization, which allowed me not to stress about making appointments. These are grouped together on the same day given the distance from my home. Every department I have been to I have met caring, smiling, gentle and professional staff and let's not forget to say very competent. Top anesthetist and surgeon, thank you.

What to say ? Extraordinary, attentive and competent... just yesterday, I was there; my surgeon, my nurses are more than "on top" of gentleness, smile and everything... if you have serious health concerns, this is the place... if my surgeon retires at the end of this year, I will think of her very much because she is sublime and she deserves "a little" rest - What skill! Thanks to them all.