<prompt> Translate the following text to EnglishKwa kuongezea, ziara hizi hazihudhuriwi na mgonjwa au kutolewa na daktari yule yule aliyemwona mgonjwa katika ziara ya kwanza kwenye mazingira ya dharura.  <response>: Moreover, these visits are not consistently attended by the patient or delivered by the same physician who saw the patient in the initial visit to the emergency setting. 