Intracranial hematoma treatment in 593 Neurosurgery clinics worldwide

Regular

TOP

Legal.

Top

Top

Excellent

I am completely outraged and frustrated with the service provided by Hospital São Camilo at the Ipiranga Unit in recent months. I had the misfortune of needing to go to the hospital a few times in a short period of time, and every time I went I had a terrible experience. But I'm going to focus on the day before yesterday, which was the last straw, and my cup of patience overflowed. The day before yesterday (11/21) I went to the hospital at 11:05 pm, with a severe migraine, nausea and weakness. When I went through the triage, they didn't even check my temperature, my blood pressure was high (14/9) and as the nurse said “it must be nothing, it could be because of your pain”. So far I agree, it could be because of the pain or my pain could be because of the pressure. I received a GREEN bracelet! Taking into account that the hospital follows the Manchester protocol, because of my absurd pain (those who have migraines know what I'm talking about) and because of my high blood pressure, I shouldn't have to wait for care for 2 hours (which is what says the Manchester protocol for the color GREEN). But they gave me this bracelet, and several people passed in front of me, it took more than 2 hours to wait to speak to the doctor, that's why I showed my indignation at the delay, because if I had remained quiet I would have waited another 2 hours. And the reception says that other people passed in front of me because they were other doctors, or it was orthopedics, or a general surgeon or Covid. And they also reiterated “you already and next time, the doctor was collecting the returns” IN other words, more people passed in front of me who were being discharged from the hospital, and yet were already medicated. Therefore, I was forgotten at reception with the pain they call N°10! And everyone knows that the more irritated a person gets, the worse the pain and the worse the pressure. So seeing my despair, where I was almost fainting from the pain, the receptionist asked me to go to the triage to re-evaluate my condition. Arriving at the screening, the blessed one looks at my face and says “Well?” I explain that the reception asked to reevaluate me and he responds “How? The reception?" I said “yes, the reception, the girl who is there at the tables”, and he replied “Really the reception?” I said yes!" and I pointed to the person, then he looked like he wasn't happy and checked my blood pressure again, it was still 14/9! After that I had to wait another 30 minutes until I was called, the receptionist was already desperate too, calling the hospital and informing them that I was feeling ill. Everyone passed by me, and did NOTHING! I was called to the doctor's room at 1:11 am, they made me wait more than 2 hours for an appointment, which according to the Manchester protocol should have been attended to with an ORANGE bracelet, and within 10 minutes. I can and I feel entitled to say that it was a failure to provide help, as my clinical condition was delicate, and the screening data and my face did not deny this, quite the contrary, they affirmed it. In a hospital like São Camilo, where I have been treated since I was 7 years old, when it still had the pediatrics area, you have left a LOT to be desired. You are a PRIVATE hospital, in case you forgot, if you are “short of professionals” hire more professionals. FOLLOW the protocol that YOU yourselves say you follow. Why a person almost fainting from pain, WITH ALL SURE IN THE WORLD, is not a green bracelet. And if it's too much to follow a WORLDWIDE protocol, STOP using and deceiving the people who will be served. Don't give me speeches about “we were without doctors”, “the four doctors who were attending were from other areas”, “your high blood pressure must be nothing”, “can I give you medicine X?”, “they are taking care of cases more serious than yours”, “the doctors were just going through the returns” because I'm TIRED of your lame excuses. I prefer you to take the time you would spend responding to me and review your services and professionals, why I felt neglected and in a hospital that for me was an example.

Top

I loved Google

Top

The place is too big, and nobody can explain how you move around there. I really didn't like it

Great place for medical emergency

Top

Top

Top

Really good service for a tourist in need of a quick prescription. I was seen within 15 mins and got the medication I needed. Doctor spoke English which was helpful

They will not accept you if you don't have private insurance. They only accept payment from the insurance company, no credit or cash. If you are traveling here, go to a public hospital. The lady working there was extremely rude to me and was not willing to help me at all when I asked her where I can go to get medical help. I asked her for a hospital name and she essentially told me to F off. Luckily, I contacted a Spanish school for Spanish lessons and asked them where I can go. They gave me the name of a public hospital, and I was able to get my wound treated.

Malardo

The only good thing about this hospital is the view because the truth is that customer service leaves a lot to be desired. I went to this hospital because it is the one that referred me to my social work. I traveled from the interior (1500kms) and arrived for my shift ON TIME to see the doctor. They attended to me 3 HOURS later. Then the doctor asked me to get an MRI done at the same hospital. Those who assisted me told me that I had to send a WhatsApp (since I was in person to request an appointment). I arrived at the place where I was staying and requested an appointment. They wanted to give me a shift almost a month later. I told them my situation and the urgency (since I had traveled many kilometers and couldn't stay that long). They cared little or nothing. They didn't give overtime shifts. After an odyssey to get the MRI, I was able to do it but in another place in the capital a day later. I already had to go back so the doctor asked me to continue the treatment by teleconsultation. I left Buenos Aires the first days of September. WE ARE ALMOST REACHING DECEMBER and it is the 5th time that I cannot have the teleconsultation with the doctor. It is a disaster!. They make excuses that my social insurance doesn't cover it when I had already told them that I had no problem paying it privately but they continue to tease me. I hope my social work changes the hospital where it refers its members because it is truly regrettable. I DO NOT RECOMMEND IT AT ALL AND MUCH LESS IF YOU ARE FROM THE INTERIOR OF THE COUNTRY BECAUSE YOU WILL WASTE YOUR TIME AND YOUR MONEY.

I've been going for years! My dad took care of her, I take her to my mom and obviously sometimes I go. From personal experience I know that the elderly are treated very well. Maybe they have some other problem in the administrative and customer service part. It can always be improved!! The one that has the most weaknesses is the administrative part of neurology. But like I said they can improve. But as for the professionals, they are very attentive and excellent, I can confirm that 🐘😁❤️☮️ I've been going for years! My dad took care of her, I take her to my mom and obviously sometimes I go. From personal experience I know that the elderly are treated very well. Perhaps they have some other problem in the administrative and customer service part. You can always improve! The one that has the most weaknesses is the administrative part of neurology. But like I said they can improve. But as for the professionals, they are very attentive and excellent, I can confirm that 🐘😁❤️☮️

Amazing staff. Doctors, nurses & admin are very professional and cozy. Thanks !

Today, November 24, 2023, I make public our experience in this hospital, we arrived with our little 1-year-old son who had dislocated his hand and it was swollen, we were admitted and the girl took care of us very well, I have no complaints, she sent us to traumatology where we lasted approximately 3 hours, after that time we returned to talk to the girl who treated them and she told me to wait for a doctor to come out of the offices and ask him if he could treat us and that's how we waited for about 1 hour and a rude, poorly educated doctor came out. And for me without a vocation, he told me that the orthopedic surgeons were in surgery that I had to wait and be ready to be grateful that they were there and lastly he asked me where I was from. He can't take it anymore and I left that place crying with my son, what a lack of empathy if they treat people like that, I don't even want to imagine how without it with children. Very bad experience and I hope that doctor doesn't have to happen because we live through it. (I am the child's mother)

Excellent attention. Unique in Argentina given the specialization of the hospital. Medical care is specialized.

They claim they have a guardia or emergency but in reality they dont. You won't find a doc but you'll find loads of support staff. Not helpful when they've got support staff but no docs or nurses to actually help. It's claimed to be one of the best hospitals for kids but good luck trying to see a doc. My 5 year old had a fever for 3 days and convulsions so we decided to go to this hospital. Arrived and waited an hour for no one so I went banging on the guardia door, spoke to informes, admisión, orientation, etc but no help. I had to burst into their lunch room where at least 5 nurses were sitting down chatting just to get help. Screaming for help is the one way to go. You need to make a stink, bursting into rooms to get help. That's not how a hospital should run. Why must you have 5 people in informes, one in admison, one in orientation and ZERO doctorss???!!!! They've got no problem sending security at me but a doctor they don't have.

In the offices of Patio Olmos, they scheduled me to be attended to by the guard and they NEVER called, at reception they informed me that the doctor who was going to attend to me LEFT!!! HE NEVER CALLED ME!!! A TOTAL LACK OF RESPECT. They take care of me at the guard and they don't have items to clean a wound!!!! Terrible attention!!! Physiological solution and gauze...they have nothing.

Came here as an international student. Best and most thorough care I have ever received for an acute condition that I regularly get admitted for. Nurses are very friendly. Clean facility. If i get sick in Córdoba again I'll go here!

I would strongly advice foreign tourists against this hospital. I made an appointment with a gastroenterologist and was immediately contacted by the International Patient Service. They're supposed to make your life easier but are actually an excuse to overcharge you without ever helping when needed. I've ended up paying over 500 USD to see a doctor and get some exams done, probably double of what I'd pay in Germany. They're very blunt about it and wrote to me they apply different tarifs to foreigners. We've all got a travel insurance, and I'm totally ok with a bit of a mark-up, but here I feel like a cow that's being milked to the very last drop.

Thursday 8th December 9.30pm to 2.30 Janice the nurse in emergency was amazing. She was kind and caring and looked after my son who was having heart problems. Thank you so much Janice! The doctor was also lovely A kind Irish man Very helpful, answering all of our questions.

my partner was taken into the ER on tuesday afternoon and spend all night and all morning wednesday there, the nurses were amazingly dutiful and took great care of both him and me. our nurse sarah went above and beyond for us and did her best to make us comfortable and keep him in the best condition possible at the time. i'm super thankful for all the nurses.

Long waits for surgeries and wait times can take over an hour for a booked appointment. A Dr or two aren’t helpful but staff do their best with the pressure and demand they are under. I have been going to this hospital since birth. They are doing more renovations so it should more upgraded within the next few years. Apart from that staff and nurses are great. Cafes and plenty of food and coffee to grab whilst you wait.

You will probably die before you get your waitlist surgery appointment date, unless another hospital saves you out of your misery. Stay away from this hospital as there is absolutely no compassion here!!

This was my fourth time at this hospital for post-surgery exercise, today I had two other people's records on my file. The staff member that was assigned to me, was confused because of this. I was there for my back exercise, not my hip or knee. You can only blame the Qld health office staff for this. THANK GOD I WAS NOT HAVING A OPERATION. ANOTHER MISTAKE FROM QLD HEALTH

I had a hemorrhage type stroke in the ER room after being denied the usage of Ryan's Rule, staff is extremely rude and unprofessional. Since the stroke I have been refused triage and denied medical treatment every time I attempt to present to emergency with the Doctor's very rudely telling me they aren't going to treat me and to go home during my acute medical episode which included my brain actively hemorrhaging. Have only ever received treatment when the Police have done an EEA which involved the staff drugging with me high amounts of Morphine the first time and Fentanyl the second time making me unconscious for the EEA before releasing me outside which resulted in me getting hit by a car. Incredibly disgusting behavior by an abhorrent group of staff and pathetic excuses for Nurses and Doctors.

I had self funded surgery here 6 weeks ago. My surgeon and anaesthetist were amazing. 10/10. The nurses I had when I came out of recovery were great. Attention to detail, caring, wonderful. The nurses I had the following day were average. The surgery cost $11950, I was in hospital less than 18 hours. My admission was messed up, so after fasting from 9pm for an 8am surgery, I wasn’t admitted until after 4pm. Surgery went great and was out of recovery by 8pm. The next morning I wasn’t given any fluids or anything and was discharged not long after waking. I was given the wrong discharge papers and medication scripts too. Please do better in future. I would definitely think twice about having surgery here again.

All the staff at the Wesley are amazing. Even when staff are super busy, they are friendly, they make time for you and your every concern. The staff look happy and appear to work as a well oiled team. Comfortable rooms and great food choices (including Vegan options) and service. Remember, it is a Hospital not a restaurant. It really is the best! Thank you Wesley

Professional staff, every nurse and doctors were amazing at the Wesley hospital. Special thanks to Dr GOUGH who performed an excellent thyroid operation.

Saved my life (twice). Had I been anywhere else I would be 6 foot under. Thank you so much to all the staff who helped me and medical records in particular Ms Gee who was highly competent. I would like to thank the surgeon and staff who operated on me. I simple do not understand the negative reviews here, try going to other parts of the world and see healthcare others have. Thank you.

I recently had a positive experience at Canberra Hospital, and I'm eager to share my feedback. Dr. Phillip, the surgeon, delivered an outstanding level of care, demonstrating expertise and professionalism throughout. Nurse Manita was incredibly cooperative, ensuring I felt comfortable and well-informed during my stay. The follow-up care from Nurse '' ROSE'' was exceptional—her kindness, care, and sweet demeanor made a significant difference in my overall experience. I appreciate the dedication and compassion displayed by the medical team at Canberra Hospital.

Very professional staff working efficiently and compassionately under enormous pressure due to a chronically underfunded hospital system. Many of the negative reviews reveal narrow minded attitudes and highly unrealistic expectations of a stressed public health system. We are lucky to have such a hospital in Canberra, which last I was aware is actually the second busiest trauma hospital in the nation- accepting patients not only from Canberra but transfers from regional areas and Sydney.

Gross negligence in patient care- avoid this hospital like the plague.. it’s an absolute joke. if I could give no stars I would. If you value your life and want a good chance of recovery and not to die due to poor nursing and “specialist care” - DO NOT GO TO GREENSLOPES… you have been warned.

Had private health cover for most of my adult life and one time I needed to use it, the experience was so horrible. I’ve triggered Ramsay rule 3 times without success, was told medical director was going to see me, but that did not ever happen. I was eventually transferred to a public hospital, and experience was so much better.

I want to express my heartfelt gratitude to the hospital and its incredible team for the exceptional support and care we received during my cesarean section. The nurses and Midwife were outstanding, the food was worthy of a 5-star hotel, and Dr. Melissa Mckenzie proved to be the best in the world. Every detail of our stay was handled with professionalism and warmth, making us feel cared for and comfortable. Even after 5 days, I would have wished to extend our stay because they made us feel at home. Highly recommended! Thank you all for making this moment so special and peaceful for my baby and me. 👶🌟"

Wouldn’t recommend as a private patient, during fasting the staff ate in front of you and it was loud and chaotic. It’s outdated and worn down. Worst experience of a hospital I have had. Was offered a sandwich at the end that had condensation on the plastic. Communication was terrible. Sat for 2.5 hours with no updates. The clothes given to wear for surgery was scratchy and uncomfortable. Bed sheets had stains. Understaffed and overbooked.

I stayed overnight in Ward 5D (Orthopedic ) in July 2023. The nurses and other staff were excellent. The only problem I had was the constant ringing of the bell. It was so loud . No one seem to be concerned about it . I did not get a minute of sleep even though the nurse gave me earplugs which didn’t block the noise at all. One staff told me the noise is always ongoing. Can they not turn the volume down a bit ? Unfortunately the specialist who treated me operated at this hospital. I have to change to another Dr and go to another private hospital if I need orthopedic treatment in future. I have mentioned this noise problem in the survey I completed post discharge. I have not received any explanation .

What can I say saved my life end of story great team of doctors, nurse's and support staff I'd love to come back but rather not haha great work keep saving lives your good at it

Presented with chest/breathing problems. Directed to station to give all admin details and make payment. All very streamlined, then waited and was taken to a isolation room. They apparentley should not have sent me to waiting room as l am highly infectious. When in room lost all cell and wifi. Asked many staff none had any idea of hospital wifi codes. 6 hours later at desk again to make outstanding payment. I mentioned that maybe it was a admin role that they tell people how to access hospital wifi as this was an ideal momment. They certainly were able to take money and l signed for my insurance. The slim older woman wirh blond grey hair let me know very aggresively that it was not her job. While at the far end of the counter was a business card with wifi details..... Just appaling her lack of care. Surely patients maintaing contact with family, matters as the hospital phone also did not work in room, however she could not care less and let me know that. The rest of the staff are amazing. After tests l have Influenza A.

Currently staying over night & I’m blown away by the staff. They were all very attentive & reassured me before, after and during. Was laughing through my whole experience which has never happened before! Lovely people who do an amazing job.

If there is 0 star, I will give it to Cabrini. Back in early Jan 2023, I was referred by my GP to Cabrini to receive intravenous antibiotics due to swelling in my foot. The reception in the ED asked me to complete a form, provided my Medicare and Medibank information, and I paid $485. At that time, I inquired about any additional out-of-pocket expenses as I was covered by private insurance, and I was clearly told there would be none. I was then placed on a bed in a ward. A doctor examined my foot and, after assessing it, decided not to administer IV antibiotics and no treatment is required, but asked me to take an ultrasound test on my foot. Since there will be no treatment plus I had several meetings that day, I specifically asked whether I could return home first and had the test later if still needed. The doctor told me he would inform me of the expected waiting time; if it was lengthy, I could leave and have the tests done at my GP, but if it was short, I could have them done at the hospital. Later, he informed me that the test could be done quickly, so I proceeded with it at the hospital. It took me more than 6 hours to finish the test and wait for result. In the end I was discharged without any treatment. During the checkout process, I once again inquired at the front desk whether there were any additional out-of-pocket expenses beyond the $485 I had already paid, and I was told there were none. A few weeks later, I received the test invoice, after discussing the matter with Cabrini accounting team, I was informed that I had never actually been admitted to the hospital. Does Cabrini expect an ordinary consumer to identify the difference between an outpatient ward and an admission ward? Not to mention I was informed by your staff there will be no additional out-of-pocket expense, plus no treatment at all, totally misleading!!! Even worse, after I raised a compliant to CRM Cabrini, received feedback telling me the invoice will be put on hold until review is done. Since then, no one from Cabrini has communicated with me. Last week, I got a letter from collector chasing payment, what an arrogant and disgraceful act! Stay away from Cabrini!

What superb care my darling 95yr old Dad received in their A&E dept!!!! The Male Nurse, 'Nappy', was so kind, compassionate and approachable and so gentle with my Dad. Thanks to him, I was able to take my Dad home later this afternoon, problem rectified and my Dad in much better spirits too! The triage Nurse was really lovely and the clerk, Julie, was also incredibly kind, calm and compassionate. They are a shining example of what all A&E Department should aspire to! So very grateful! God bless you all. 🙏🏼🕊🙏🏼

It's disgraceful for a hospital that holds itself out as one of the premier hospitals. They are not equipped to care for elderly and frail patients who as we well know often suffer from poor appetite and require more intensive attention. . My wife who in her 80s, is frail and weak, has been in there for two weeks and no one has checked her food intake. During the two weeks she only had mostly soup. I had to point this out to them and request for food supplement to be provided. The nurses explain that they are understaffed and can only provide the basic attention and care. On the other hand the nurses are polite and kind but obviously stressed.

After severing an artery and nerve at my workplace, I was directed to attend SJOG Murdoch for reparative surgery by Dr Sharon Chu. From the moment I set foot in the hospital, the level of kindness, care and competence was exemplary. Orderlies were extremely kind and attentive, the nurses and doctors were super efficient and lovely, I couldn't fault anyone I came into contact with. My anaesthetist, Dr James Miller was similarly amazing, taking my past history with genersl anaesthesia into account and ensuring I did not wake up sick and vomiting after the GA as I usually do. I woke up in recovery feeling great, with no hint of nausea. Dr Chu was similarly impressive, not only by doing a great job on the repair, but by being kind, attentive and very reassuring. Her smile lit up the room and completely put me at ease, it made all the difference and eased my pre-op anxiety! My breakfast the next day was superb and ordering off the room service menu felt as though I was in a 5 star hotel! It was delivered promptly with a smile by another lovely hospital employee and was hot & delicious. I truly felt that I was having a lovely holiday, with just a bit of surgery thrown in for good measure! I cannot fault my experience at SJOG Murdoch and give my heartfelt thanks to all imvolved in my care!

My recent visit to Evercare Hospital was truly exceptional. From the moment I stepped in, I was impressed by the hospital's cleanliness and organization, setting a high standard for hygiene in a healthcare facility. The experienced doctors I encountered were not only highly skilled but also compassionate, taking the time to address my concerns and providing me with clear explanations of my medical condition. The courteous and well-behaved staff made my experience even more comfortable. With state-of-the-art facilities and advanced equipment, this hospital is undoubtedly a top choice for anyone seeking high-quality healthcare in Dhaka. I wholeheartedly recommend Evercare Hospital to anyone in need of medical attention. This hospital combines a clean environment, experienced doctors, and a caring staff to provide exceptional care. My visit here was truly outstanding, and I trust them completely to deliver top-tier healthcare services.

Evercare Hospitals provide world-class healthcare in Bangladesh through experienced doctors, advanced medical technologies, and patient-centric care. The Evercare Group believes access to healthcare is a fundamental right for everyone, so it invests in emerging markets to bring private, quality driven healthcare to meet the needs of local people. The Group was created in response to a global challenge to ensure well-being at all ages is provided to those living in developing countries as a pillar to support sustainable economic development. To be the leading integrated healthcare network in emerging markets, transforming the quality of healthcare and impacting millions of people. To build a legacy of impact driven, accessible, safe and private healthcare for patients in need. They are committed to providing best-in-class, accessible, private healthcare for all and we encourage all our employees and caregivers to share our values: They are committed to providing quality healthcare for every patient. And they do the right thing, every time.

This is one of the best hospital in Bangladesh, but the price is too much high or expensive. So if you want to come to this hospital you have calculate extra money the as usual. Besides you have to wait in a long line before any desk. This was so disappointing. Overall it was a good experience for me there. 🥀

First of all let me say it and clear it, that 1star only for most of the billing counter staff specially on level 3 (both side). Doctors, nurses and treatment are good in this hospital. Only problem I found so far with the billing counter staff on level 3. They are rude and arrogant with very less manners. Again this review is NOT for the Doctors or nurses or neither their treatment.

Serving the huge community of old Dhaka, it’s one of the best, largest as well as expensive hospital in Bangladesh located at Gendaria adjacent to the Dhupkhola field. Having almost all the departments for patients are well decorated and the environment is excellent. Extraordinary look, medical college, huge parking facilities, Cafe are the additional features to make the cozy ambiance for the patients as well as visitors!

I recently had the privilege of receiving medical care at Asgar Ali Hospital, and I must say that my experience was nothing short of extraordinary. From the moment I stepped through their doors, I was greeted by a warm and friendly staff that made me feel instantly at ease. The hospital's commitment to providing top-notch medical care is evident in every aspect of its operation. The facilities are state-of-the-art, featuring the latest in medical technology and equipment. This not only instilled confidence in me as a patient but also reassured me that I was in capable hands. What truly sets Asgar Ali Hospital apart, however, is the exceptional expertise of its medical staff. The doctors, nurses, and specialists are not only highly qualified but also genuinely dedicated to their patients' well-being. Throughout my stay, I was impressed by their depth of knowledge, their willingness to answer questions, and their unwavering focus on providing the best possible care. The attention to detail extended beyond medical treatment. The hospital's rooms were comfortable and impeccably clean, creating a soothing environment conducive to healing. Additionally, the administrative staff efficiently handled all paperwork and logistics, allowing me to concentrate solely on my recovery. While it's true that the services at Asgar Ali Hospital come with a premium price tag, the level of care and expertise provided more than justifies the cost. When it comes to our health, quality should always be a top priority, and Asgar Ali Hospital delivers on that front without compromise. In conclusion, my experience at Asgar Ali Hospital was characterized by exceptional care, cutting-edge expertise, and a commitment to patient well-being that goes above and beyond. If you're seeking the very best in medical care and are willing to invest in your health, I wholeheartedly recommend Asgar Ali Hospital. MD Rayhan Raju

It's a good hospital, considering the quality of the average hospitals in Bangladesh. You can find some good consultants here. The rooms and lobbies are clean. The nurses and duty doctors are available 24x7, responsible and are cooperative. Almost all of the necessary tests and medicines are available in-house. The rooms don't have an emergency button for the patients to call for help, so for server patients, sometime must be there with the patient always. The cabins have 2 beds for this reason. The room rents don't include meals. But apparently, they don't have any restrictions for outside food or even for visitors. Being a well reputed and popular hospital, it's tight to get a cabin here. If you follow the instructions provided by the admission counter, you may get a cabin in 2-3 days. No parking available, only street side. Managing a spot sometimes seem impossible in busy day time.

Ibn sina Hospital( ইবনে সিনা হাসপাতাল) is one of the oldest private hospital in dhaka. They have other branches in Dhaka and district level also. This hospital has some top level physician and surgeon. Moreover this hospital has all kinds of facilities depending on rate, Hospital bed rent ward= from 1900 tk Cabin bed = from 2700 tk Vip cabin bed= from 6500/- They have all kinds of lab diagnostic and imaging center, everyone can get 25% discount in every test. Because of a trusty institions they give some subsidy on test. Their cardiac,pediatric,stroke, gynecologist, unit is very resourceful.

Cleanliness and service are good. But their billing system is a complete mess. People are waiting for hours to pay the bill, but not even one bill is right. Even after my own patient's bill comes to the counter, it takes 1 hour to pay. What kind of system is it? Management of the hospital should improve the speedy billing process to eliminate suffering of patients.