Clinic Times: *Clinic Times*. Thank you for sharing your experience with us! With age the natural clear lens within your eye can become cloudy forming a cataract. Keith Morris2, Steve Campbell3, Scott Fraser11Sunderland Eye Infirmary, City Hospitals Sunderland NHS Foundation Trust, Sunderland, Tyne and Wear, UK; 2Applied . Find Providers by Condition . Sharif A Issa, Alan Connor, Maged Habib, David HW SteelDepartment of Ophthalmology, Sunderland Eye Infirmary, Sunderland, UKBackground: To assess the rate and type of retinal break formation in . Eye ED isnt always the best place to go. Sunderland Eye Infirmary. Cataract surgery is performed as an out-patient procedure at Sunderland Eye Infirmary during our private patient treatment sessions. The lady nurse who saw me before eye doctor was really professional and advised me of next steps of my treatment . He was appointed as a Consultant in Glaucoma and Cataract treatment at Sunderland Eye Infirmary in September 2013. Menu
Our Ask-an-Ophthalmologist is a free and confidential service where we aim to provide you with the best possible advice. Emergency Department
Clinical Director - Mr Ajay Kotagiri. Find out if you benefit from a discounted membership. Review titled Sunderland Eye Infirmary Replied on 05 January 2023 Thank you for sharing your experience with us! He has been a Consultant in Medical Retina at Sunderland Eye Infirmary since 2014. Book or get in touch As an accomplished researcher, Dr.El-Saheb has published a variety of peer-reviewed publications and book chapters, and has also spoken at multiple national and international meetings. Macular Problems / Central Vision Distortion Problems. Dr. Magdy Habib, MD works in Spartanburg, South Carolina is a specialist in Plastic Surgery within the Head & Neck and graduated Ain Shams University, Faculty Of Medicine in 1965. healthcare services. Appointments 0191 569 9072 / 569 9885 / 569 9886 / 569 9161 (Direct Lines)
Sunderland
He further completed a fellowship in Medical Retina at Moorfields Eye Hospital, London and Sunderland Eye Infirmary. Test yourself for age-related macular degeneration, International Society of Refractive Surgeons, UK Ireland Society of Cataract Refractive Surgeons, Consultant Ophthalmic & Corneal Transplant Surgeon, Royal Eye Infirmary, Honorary University Fellow, Peninsula Medical School. 175. Pediatric Ophthalmology, Cornea, External Disease and Refractive Surgery, Additionally, he has received multiple awards for teaching at both McGill University and the University ofToronto. At our core is a team of highly respected, board certified and fellowship-trained physicians, who are on the faculty of the Icahn School of Medicine at Mount Sinai. The facility has its origins in the Sunderland and North Durham Eye Infirmary established on High Street East in 1836. The majority of patients will require reading glasses following surgery. One of the most common eye ailments is conjunctivitis (simple eye infection). as unsuitable. provider, 0345
Surgical Retinal Plans have been unveiled for a 36 million eye hospital in Sunderland city centre to replace its ageing site in Queen Alexandra Road. Mr Habib has extensive research activities in the development of novel treatments and techniques dealing with artificial intelligence and retinal diseases and is an Honorary Clinical Senior Lecturer at the Biosciences Institute, Newcastle University. Thanks for sharing your we're delighted to read that everyone was professional and friendly in every way. Allow approximately two hours for your appointment. We have a range of inpatient and outpatient services as well as our accident and emergency department. Dr.El-Saheb specializes in the diagnosis and surgical treatment of glaucoma. Some of the more complex cases can take a lot of time to assess.There is an experienced nurse monitoring the waiting times and taking steps to reduce them if they become very lengthy. First Consultation. These are useful for allergic conjunctivitis. The Sunderland Eye Infirmary, located in Sunderland forms part of the Northern deanery ophthalmology rotation. Staff were extremely friendly. Tel: 01919178887 Surveys from patients about the care they received from Mr Stephen Morgan. In addition to treating patients and teaching the next generation of fellows and residents, our award-winning faculty is engaged in research into groundbreaking investigations, such as micro-interventional robotics, imaging, bioinformatics, and artificial intelligence that will revolutionize eye care for years to come. Ophthalmology (Eye), Ophthalmology (Eye), Queen Alexandra Road,Sunderland SR2 9HP Click for Map. Dr.El-Saheb later completed a second fellowship in novel glaucoma surgical devices and complex anterior segment Surgery with Dr. Ike Ahmed at the University of Toronto. Mr. Habib specialised in ophthalmology in Edinburgh, Scotland. Dr. Maged Habib, MD, is an Ophthalmology specialist practicing in Boynton Beach, FL with 35 years of experience. bills from your surgeon (or anaesthetist, if you need one) for eligible
Professor Nabil Habib works with the following private medical insurance providers: Professor Nabil Habib does not hold a share or financial interest in this hospital, another Nuffield Health hospital or the company. Tel: 0191 528 3616. You can find out more about the information on Finder and our website terms of use. Dr. Habib is affiliated with Bethesda Hospital West. Our Ask-an-Ophthalmologist is a free and confidential service where we aim to provide you with the best possible advice. NE3 5NA. He performs laser assisted in situ keratomeleusis (LASIK), astigmatic keratotomy (AK), lamellar keratoplasty (LK), endothelial transplants (DSAEK), laser assisted epithelial keratomeleusis (LASEK) and clear lens extraction. For assessment and treatment of cataract see our Cataract Surgeons:Mr Kotagiri, Mr Ghosh, Mr Habib, Mr Doherty,Mr El-Assal. If you or a member of your family experiences eye symptoms or injury, choosing the right NHS service can help you get on the road to recovery in no time. benefit or receive any additional bills from your surgeon (or anaesthetist, if
This package includes your appointments before and after surgery, as well as your
Overnight all doors are locked for security but ED can be accessed by pressing the bell located next to Main Entrance Outpatients B, the porters will open the door for you. Professor Nabil Habib has the following interest in equipment used at this hospital or another Nuffield Health hospital: Mr Habib owns two pieces of diagnostic equipment used in outpatient examinations. It may be necessary to dilate your pupils with drops for examination, you will be unable to drive for 4-6 hours in this case, please organise transport to bring you to the Eye ED, Although ED at the Eye Infirmary is open 24 hours, many of the other services at the Eye Infirmary are only available Monday Friday, this means that ED cannot access those services out of hours, they include:-. We are a centre of excellence, delivering outstanding ophthalmic care and research. Publication Topics medical image processing,biomedical optical imaging,eye,image segmentation,benchmark . Sunderland Eye Infirmary, Queen Alexandra Rd, Sunderland SR2 9HP, UK Email: mhabib_jc@yahoo.co.uk Disclosures: MH received consulting fees from Bayer and Alimera, and lecture fees from Novartis . Offering expertise in the most advanced techniques to ensure you achieve the best possible outcome, Giving patients access to leading-edge science and sight-saving technologies, Drawing on a full range of treatments to customize the right care plan for each patient, Providing specialized, compassionate eye care for the full spectrum of childhood conditions. Macular Problems / Central Vision Distortion Problems. 200-year Anniversary of New York Eye and Ear Infirmary of Mount Sinai, New York Eye and Ear Infirmary of Mount Sinai, New Guidelines Improve Care and Practice Standards for Adults With Hearing Loss, Mount Sinai Researchers First to Identify That Two Separate Eye Diseases May Contribute to Common Blinding Eye Condition, Blinding eye disease linked with forms of cardiovascular disease, Mount Sinai Health System Leaders James C. Tsai, Arthur Gianelli, Kristin Myers, and Alan Copperman Named to Crain's 2022 Notable Health Care Leaders List, High-Tech Imaging Offers New Way to Detect Signs of Early Glaucoma, Black Patients More Likely to Lose Vision After Glaucoma Diagnosis, Black Patients Found Six Times More Likely to Have Advanced Vision Loss After Glaucoma Diagnosis Than White Patients, Blinding Eye Disease Is Strongly Associated With Heart Disease and Stroke, Digital vision screening platform designed to decrease vision loss rates for patients with eye disorders, RNA-Seq analysis identifies cell subtypes to use as models for corneal wound healing, New York Eye and Ear Infirmary of Mount Sinai (NYEE), The Blavatnik Family Chelsea Medical Center, Heart - Cardiology and Cardiovascular Surgery, Mount Sinai Center for Asian Equity and Professional Development, Preparing for Surgery and Major Procedures, The Shelley and Steven Einhorn Clinical Research Center, Ophthalmic Innovation and Technology Program, Otolaryngology Research and Clinical Trials, Americas First Black Ophthalmology and Otolaryngology Specialist, 8:00am Great North Road
. ED is not for second opinions, repeat prescriptions or non-urgent problems such as dry eyes, itchy eyes, hay fever and cataracts. by June Coburn - Posted on 29 November 2022. Take some time to find out more about the variety of healthcare services that are available to you and your family and what they can offer. by George Moss - Posted on 09 January 2023, Had cataract removal surgery on 06/01/23 Patients are given a choice of dates and times of surgery to suit. Thank you for sharing! Please enter a valid 5-digit Zip Code. Allow approximately two hours for your appointment. We're glad to read that your husband was well looked after during his hospital stay. Report review titled Outstanding care and incredible staff as unsuitable. New York Eye and Ear Infirmary of Mount Sinai - Tribeca 77 Worth Street New York, NY 10013. I offer Bupa customers standard cataract surgery on
French. NYEE has been a leader in clinical practice, research, and education since its opening in 1820. Surgical Risks Following surgery you may experience discomfort, redness and bruising around the eyelids. Close menu, by Anonymous - Posted on 26 February 2023, Even though extremely busy the staff were excellent. I would give you 11 out of 10 if it were possible.
Please verify insurance information directly with your doctor's office as it may change frequently. Throughout his residency, Dr.El-Saheb won multiple awards for academic excellence and his research presentations. This is for the protection of our patients and staff will avoid large numbers of people in our waiting room and reduce the amount of time patients need to spend in the Emergency Eye Department. Dr. El-Saheb later completed a second fellowship in novel glaucoma surgical devices and complex anterior segment Surgery with Dr. Ike Ahmed at the University of Toronto. Moreover, Dr.El-Saheb served on the Board of Directors for the McGill University Health Centre and continues to contribute to McGill University through teaching and administrativeresponsibilities. Brunton Park
There are elective lists every day and emergency lists held at weekends and bank holidays. Cataract Full Pathway
Sunderland Eye Infirmary. He is currently an associate professor of ophthalmology and the director of the glaucoma fellowship at McGill University. Prices provided by Mr Maged Habib and their associated hospitals. Through triage by very compassionate staff and through examination of eyes by consultant so can't ask for more, Visited Eye - accident and emergency services on February 2023, Report review titled Excellent quick treatment as unsuitable. - 4:00pm. Haygarth Ward 0191 565 6256 extension 46249
Additionally, he is the Secretary and Treasurer as well as the incoming President of the Canadian GlaucomaSociety. Extremely Fanta service and a massive thank you to Howell. Read all 25 reviews Review titled Excellent quick treatment Rated 5 stars out of 5. *Consultant (s)*. In addition to our main campus near Union Square, NYEE is growing a network of satellite offices and freestanding ambulatory surgery centers, making access to the newest diagnostic services, advanced treatments, and clinical trials more convenient to our patients workplaces and homes. The level of care and assistance given by all the staff is exemplary. I damaged my eye while gardening on Sunday, had an emergency triage appointment with my opticians at noon who referred me to Eye Infirmary. Also I m so grateful for how much she calmed my nerves after traveling from Newcastle with a poorly newborn by simply telling me I was doing great with my daughter, when youre with a poorly child its the worst feeling in the world but she made me feel so much better about the whole experience. Any emergency patients attending Sunderland Eye Infirmary will be asked to call the new 24/7 emergency number on arrival. He then went on to earn a masters degree in public health at the Johns Hopkins University Bloomberg School of Public Health in Baltimore, with an interest in clinical trials and healthleadership. Patients who have an urgent eye problem and need to attend the Emergency Eye Department at Sunderland Eye Infirmary should now call a new 24/7 emergency number - 0191 5699952 - before arriving at the hospital. Enter the description for this link and click ok or to close, click the close button or use the ESC key. First Consultation. Senior Medical Secretary 0191 565 6256 extension 49067. 600 7267. It means
Matron 0191 565 6256 extension 46233, Mayling Unit 0191 565 6256 extension 46221
Our physicians are also passing the tradition of excellence onto future generations through highly competitive residency programs inophthalmologyand otolaryngology, plus dozens of post-graduateophthalmologyfellowship positions. Mob: 07891577199. View hospital First Consultation. Our Eye Infirmary is one of the leading providers of eye health care services in the UK. Symptoms include a combination of one or more of the following: a red eye, gritty sensation, crusted lashes or yellow/green discharge, swollen lids. Report review titled Gold Standard as unsuitable, by Anonymous - Posted on 08 September 2022. The Outpatient B area provides a service to compliment the Cataract Treatment Centre. He also treats Age-related Macular Degeneration patients with new therapeutic agents such as Lucentis and other anti-VEGF agents. Greek, Medical School Ain Shams University,Abbasia Fac Of Med Univ Of Ain Shams (915-04 After 1/1971) . Chloramphenicol antibiotic drops can help for some eye infections and are available from pharmacy who can advise. Healthcare Knowledge Ltd (Creators of SpecialistInfo). 150. Optometry 0191 565 6256 extension 46259
Outpatients A 0191 565 6256 extension 46273
This is where a lot of activity takes place and where many patients have a first appointment. Thanks for sharing your experience we're delighted to read that everyone from reception to doctors nurses were professional and friendly in every way. Mr Habib has been a Consultant Ophthalmologist and Vitreo-retinal Surgeon at Sunderland Eye Infirmary since 2011. He is the lead for the digital surveillance Diabetic retinopathy screening service. Action for Blind Representative (ECLO) 0191 565 6256 extension 46259
Diagnosing and treating disorders of the optic nerve and the parts of the brain that process vision and eye movement, Extensive experience in cosmetic and medically corrective procedures for conditions effecting the eyelids, eye sockets, tear duct system, and face, Using the newest diagnostics and therapies to treat all types of eye tumors, including those of the eyelid, optic nerve, and orbit, State-of-the-art diagnostic service for pathology specimens, Providing uniquely specialized expertise in treating childhood conditions, ranging from strabismus to glaucoma, Offering world-class care for routine conditions such as diabetic retinopathy and complex cases like eye stroke requiring microsurgical interventions, Offering specialized skill in detecting and managing the most complex cases of inflammatory disease of the eye, Mount Sinai researchers first to identify that two separate eye diseases may contribute to common blinding eye condition, Mount Sinai Researchers First to Identify That Two Separate Eye Diseases May Contribute to Common Blinding Eye Condition, Blinding eye disease linked with forms of cardiovascular disease, Blinding Eye Disease Strongly Associated With Serious Forms of Cardiovascular Disease, Mount Sinai Health System Leaders James C. Tsai, Arthur Gianelli, Kristin Myers, and Alan Copperman Named to Crain's 2022 Notable Health Care Leaders List, High-Tech Imaging Offers New Way to Detect Signs of Early Glaucoma, Black Patients Found Six Times More Likely to Have Advanced Vision Loss After Glaucoma Diagnosis Than White Patients, Subretinal drusenoid deposits linked with cardiovascular disease, Blinding Eye Disease Is Strongly Associated With Heart Disease and Stroke, 310 E. 14th Street, South Building, 3rd Floor New York, NY 10003, 10 Union Square East, Suite 3J New York, NY 10003, 17 East 102nd Street, 8th Floor West New York, NY 10029, 393 Old Country Road 3rd Floor, Suite 301 Carle Place , NY 11514, 1630 East 15th Street, Second Floor, Suite 203 Brooklyn, NY 11229, Ophthalmology (Eye), He has vast experience in cataract surgery and speciality dealing with complicated cataract cases. Nuffield Health looks after your health and wellbeing in ways that go beyond getting you fit and getting you back on your feet, that's what makes us specialists in you. The Definitive Online Directory of Consultants and GPs, Sir Rupert Jackson - Keynote Speech - The Medico-Legal Conference - 16 May 2019, Example Legitimate Interests Assessment for Doctors, Mediation Journal - Latest and Previous Issues, Legitimate Interests Assessment Template for Users, South Tyneside and Sunderland NHS Foundation Trust, Terms & Conditions including Cookie Policy. Thank you for sharing! This should settle fairly quickly but treatment from drops or tablets may be required. Boon Lin Teh, David H. Steel, Maged Habib, Jonathan Smith & Ibrahim Masri. Bupa cannot guarantee the accuracy of all of the information provided. Sunderland In addition to providing skilled primary through tertiary care, NYEE is home to breakthrough clinical research that has introduced now widely practiced diagnostic and surgical techniques. Wednesday 17 March 2021, 6:28pm Video report by Amy Lea 36 million plans have been unveiled to build a new eye hospital in Sunderland at the Vaux site. This package includes your appointments before and
You should bring the medicines that you take, including medicines you buy over the counter.If you have a recent prescription, please bring that too.This helps us to know what you are taking and whether it causes problems with any treatment we might suggest. We aim to see and treat everyone within four hours but this is not always possible and staff will advise if the wait is likely to be longer. Simply fill in the form below and explain your symptoms and one of our Ophthalmologists will get back to you as soon as possible. WebMD does not provide medical advice, diagnosis or treatment. His sub-specialty interest is in corneal transplantation surgery including new lamellar techniques and refractive and vision correction surgery, procedures which can reduce or eliminate the need for corrective lenses, providing patients with improved vision and a new sense of freedom. This website uses cookies to ensure you get the best experience on our website. The Sunderland Eye Infirmary provide both medical and surgical treatment of eye diseases, as well as optometry and visual rehabilitation and as a result we support a wide range of research including: Active studies at the moment focus on conditions such as: Click here for a full list of trials taking place at the moment. N/A. You may get more appropriate and faster treatment elsewhere. English, It subsequently moved to Crowtree Terrace and then relocated to Stockton Road in 1893. Queen Alexandra Road
Preferred Provider badge recognizes providers that are committed to transparency, responsiveness and great service to patients, and have earned a high patient satisfaction rating. Fast, efficient and effective treatment by highly professional staff. Consultants at Sunderland Eye Infirmary. Consulting room. Report review titled Excellent experience as unsuitable. The Ophthalmology team at Sunderland Eye Infirmary (SEI) is very committed to ongoing research and development to bring about advancements in the care and treatment of patients with eye disease and as such as a dedicated Clinical Trials Unit. Retina - Medical and Surgical, Ophthalmology (Eye), The highest standards of clinical care in state-of-the-art facilities, with Consultant-led treatment, spotlessly clean rooms, and a team of dedicated and experienced nurses. Thank you all so much. We're glad to read that you were well looked after during your hospital stay. Backed by two storied institutions, the New York Eye and Ear Infirmary of Mount Sinai (NYEE), the first specialty hospital in America, and the Icahn School of Medicine at Mount Sinai (ISMMS), we are at the forefront of the development and clinical adoption of innovative ophthalmological technologies that are transforming the field. Queen Alexandra Road Find out more. My Eye Clinic (Sunderland Eye Infirmary) Clinic. Report review titled lovely staff! Medical Retinal New York Eye and Ear Infirmary of Mount Sinai - East 14th Street Ophthalmology 310 E. 14th Street, South Building, 3rd Floor New York, NY 10003. Cataract surgery is performed as an out-patient procedure at MY Eye Clinic. You should not feel any pain or discomfort. Habib Magdy Office 1702 Skylyn Dr Spartanburg, SC 29307 (864) 585-3608. Visited Eye - accident and emergency services on November 2022, Report review titled Amazing as unsuitable. Please call the Bupa Eye Care team to find out more
Clinics are held for adults and children, with optometrists, nurses and consultants.Minor surgery takes place here and staff offer a great deal of advice and support. He's an absolute credit to your trust and is incredible with patients and a lovely man. By Fiona Thompson 16th Mar 2021, 8:35am - 2 min read
The Eye ED is located on the ground floor and can be accessed via the main door marked Accident and Emergency from 7am - 8pm. His other specialties include complex anterior segment surgery and cataractsurgery. verification, Cataract Full Pathway
As consultant surgeon at the Royal Eye Infirmary in Plymouth since 1997, Mr Habib regularly performs major eye operations including corneal transplants, surgery to treat cataracts, glaucoma, and eye trauma as well as laser treatment. He previously completed his Vitreoretinal Surgical Training Fellowship at Royal Victoria Infirmary - Newcastle. Thank you! amazing woman and i really appreciated the extra time you took with me, thank you! We're delighted to learn that the care you received was swift and professional. Sunderland Eye Infirmary
Contact us today to book your consultation with one of our ophthalmic experts: Phone: 0191 917 8887 Email: info@myeyeclinic-uk.com You can also book and manage your appointments online. Sunderland Eye Infirmary provides a whole range of ophthalmic services for the population of Sunderland and the immediate surrounding area and is also a sub-regional centre, servicing the population of the North East of England seeing in the region of 100,000 attendances every year. He graduated from UNITED ARAB EMIRATES UNIVERSITY / FACULTY OF MEDICINE AND HEALTH SCIENCES in 1965. We're delighted to learn that the care you received was swift and professional. Mr Habib Dr Innes Mr Kotagiri Mr Morgan Mr Kotagiri Mr Kotagiri completed his training in Opthalmology from Worthing and Newcastle-upon-Tyne. Phone: 212-966-3901. The information contained on Finder is submitted by consultants, therapists and healthcare services, and is declared by these third parties to be correct and compliant with the standards and codes of conduct specified by their relevant regulatory body. Hospital affiliations include Bethesda Hospital West. If you require Urgent CT or MRI scan you would need to be transferred to Sunderland Royal Hospital. Fly-through shows how Sunderland new Eye Hospital will take shape 18th November 2021 A stunning fly-through showing plans for the North East's new Eye Hospital in Sunderland has been released, after it was confirmed that Kier is the preferred construction partner for the 36 milion development. Medical Photography 0191 565 6256 extension 46214
The infection is mostly viral, in which case no treatment is required and it will resolve as would a head cold. Visited Eye - accident and emergency services on September 2022, Report review titled Removal of metal from eye as unsuitable, by Julie THOMPSON - Posted on 09 September 2022. Founded in 1820 and now one of the world's leading facilities for treating diseases of the eyes, ears, nose, and throat, New York Eye and Ear Infirmary of Mount Sinai (NYEE) combines a rich history of specialty care with award-winning clinical excellence in order to serve our community, as well as patients from the Tri-State area, across the nation, and internationally. Honestly one of the best practices I have been to, after the nightmare I had elsewhere during the before it was amazing to actually be somewhere that listened and felt like they wanted to help my baby. Plans unveiled for new 36 million Eye Hospital in Sunderland Published on: 16 March 2021 South Tyneside and Sunderland NHS Foundation Trust has today unveiled plans to build an iconic new Eye Hospital in the centre of Sunderland as part of the City's ambitious Riverside Sunderland masterplan. The aim of outpatient B is to provide patient-centred care of the highest standard, giving the patients and their relatives information, education and choice. Remember, 999 and ED services are for people with very serious injuries, illnesses and emergencies. Our ED is not a "walk-in" clinic. The nurse who looked after me last Tuesday was especially caring. Cataracts, Consultant Ophthalmologist Terms & Conditions including Cookie Policy
Follow Up Consultation. We are unable to issue repeat prescriptions at ED. Eye Health MD is Montreals advanced testing and treatment centre offering the highest quality ophthalmic care. Phone: 212-979-4500. about and to pre-authorise your treatment on 0345
Many people use the services of ED at the Eye Infirmary and after triage patients are seen in order of priority by nurse practitioners and doctors. Our comprehensive online directory of Bupa recognised consultants, therapists, hospitals, dental clinics and
The hospital has the following special clinics: oculoplastics, cornea and external diseases, ocular oncology, uveitis, vitreoretinal, medical retina, glaucoma, cataract, ocular motility, paediatric ophthalmology, neuro-ophthalmology, thyroid related eye diseases and diagnostic ultrasound. Register with us today to book and manage your appointments online or speak to one of our team. Other staff involved in clinical research include: If you would like to find out more about current and future ophthalmic research please visit the UK Clinical Trials Gateway. Glaucoma Unit and Mayling Diagnostic Unit, Sunderland Eye Infirmary Emergency Department, Associate Divisional Director- Caroline Bell, Sunderland Eye Infirmary (Queen Alexandra Road, Sunderland, SR2 9HP). When attending for day case most patients bring a relative with them who can stay in the waiting area until complete if they wish. Read more Book Appointment The consultant team have an on call rota for general ophthalmology and for retinal surgery as part of the regional services. Sunderland Eye infirmary & training, My private
0191 917 9690. pauline.ritchie@myeyeclinic-uk.com. On Monday afternoon 9th January 2023 I arrived for my check up, all went well, ending with my consultation with Doctor.who had studied the results of various tests, he was courteous, informative, very reassuring and this 88 years young patient is very appreciative.