Hypertrophic cardiomyopathy (HCM) treatment in 230 Cardiac surgery clinics in Europe

Most of the nurses working in the infectious disease department on the first floor are disrespectful and impatient with vulnerable patients. No empathy or helpfulness whatsoever. Expertise is also questionable in many cases. It is very difficult to get information about the patient's condition from doctors. It's sad that people like this work in healthcare.

They are mean nurses and I saw my grandmother...people who don't want to work...who don't care about patients.

Bit of slow process, but overall it was good. The military folks were extremely polite and helpful. Salut to them!

Very Good Hospital Equals With The Englands National Health Service.

If you're a foreigner without the local medical card/number you end up sent to emergency here. I had a sore throat for a week and no other doctor would see me, all pointed me here. I found it very difficult to navigate, having to ask people on footpaths for directions even to find the emergency building. Before entry a metal box building near the entrance had someone ask me questions then perform a covid test. When inside, with much language difficulty they sent me to the nose/ear/throat building. Again not easy to find. Here I was told off for using the ground level entrance, being directed down stairs to a door. When opening the door I was yelled at to wait. After waiting a while with others queued up, another person opens the door and gets let in. Several locals who arrived after me instantly jumped the queue. I asked how long the wait time was, they laughed and said "long". Asking if that meant over an hour they said yes more. I was fed up and left. Came back in the afternoon going other staff are there, the same people were there, they remembered me and my Hungarian friend said they were all saying that I must've not waited through the queue in the morning. They were not helpful in any way, instead all trying to prove to each other that they did their job correctly. I left again. Eventually with local help I found a nose/ear/throat specialist who does private consultations for cash. If you can, avoid this place.

Awful service, disrespectful staff who speak to patients in an extremely unprofessional and belittling manner (most of them anyway). At other healthcare clinics this kind of behaviour would result in termination of employment. Looks like in this clinic, unfortunately, this is the norm. We've visited at least 4 buildings at the clinic and we had the same awful experience at all of them. They send you from one building to the other and no one knows what's going on, wasting SO much of their patients time. On top of that it's very sad that their employees feel the need to power trip at patients. I understand they might not get paid too much, but still they should be respectful to others.

Not as professional and friendly as they promote, all about earning money from you or your insurance but with very little care or treatment. All year with appointments and specialist for cancer an tumours ,scan after scan but not any diagnosis or treatment and suffering with swollen eye, colour change, nose and cheek burning pain and insane pressure on head and face but still no help , even though colour change on scan for my rights side of brain , cyst inside my face and gigantic problem at the back of my head and they say no problem and haven’t operated or treated. I hope I’m not dying but still don’t have any diagnosis or confirmation of anything.Now thinking I need to go to another country for help ? Wouldn’t recommend to nobody?? They won’t do anything about these reviews and even give the same answer to each person.

Avoid this hospital! I had to visit the hospital because of a sinus infection, but was rushed into several entirely useless procedures just to hike up the bill. The whole experience was horrible with unfriendly and rude staff. However, the worst part was that a nurse stole 340 euros from my purse in my handbag that I left in the examination room with the nurse when I was pushed into a toilet for another useless test. The hospital operations reeks of scamming people in every possible way. Despicable behaviour preying on people in a vulnerable situation.

Avoid this hospital My husband was admitted to this hospital in 2021, 2022 and 2 days ago. In 2021 I visited him on a Sunday, and he was on the floor (with a broken leg) trying to get onto the sofa, to get out of the window as he was hallucinating. He was on the second floor! The window was then closed and locked but no-one had noticed my husband on the floor, which is a worry. I then had to push for a brain scan, which, according to Xanit showed nothing abnormal. He has now been diagnosed with dementia at Guadalhorce hospital, so I chose to go private again to make things happen faster. We saw a neurologist at Xanit who said he should be hospitalised. When we arrived at the hospital it took over 20 minutes to park as the car park was full, then when we got to reception there were almost 35 people in front of us. We were over an hour late to get to our appointment and then the computers went down!!! We had to go down to Urgencias to be admitted. They told me he had to go to a hospital in Malaga. I then had to go back to the neurologist, as Urgencias refused to call him, and he told them to admit my husband. There was an amazing lack of communication, and the girl who was in triage was basically rude. We were then subjected to a 2/3 hour wait, then taken to a surgical ward where the nurses all moaned about the fact he was being taken into this hospital. I speak and understand Spanish so was very aware of the things being said and I am absolutely horrified at how we were treated. He was hospitalised on Wednesday, and we were told he would get an MRI and CT scan. My husband was aggressive, and I was told I had to stay with him 24/7. This is not why I’m paying private health insurance. I was told there are insufficient nurses to deal with all the patients they have, so I had to stay. The MRI and CT scan didn’t happen as the machine had broken down!!! My husband was very agitated, and the neurologist and I agreed he would be better at home. Therefore, we had to make an appointment for the MRI and CT scan (29th November) I waited over an hour to make this appointment, while my husband was in his hospital room. There were 6 people in front of me, and one person in reception, who decided to deal with people who jumped the queue and one friend (I think Fran was his name). Reception staff are awful and provide terrible customer service. They wander away on their phones when they feel like it and don’t appreciate that people visiting the hospital may be dealing with life and death situations. They are abysmal and need training. I see from these reviews this has been going on for over a year, so I’m not sure if my comments will make any difference at all. Absolutely shocking service. On a brighter note, when you actually get to see a specialist, they are amazing.

FOR FOREIGNERS I had the worst experience at this hospital emergency yesterday. Over 5 hours i waited with 38 degrees fever and pain. The people working at the hospital especially the doctor with her assistant were super racist to me! Whenever i ask for help or try to understand why is the numbers always going with wrong order they didnt give me a proper answer instead they were being super racist and rude to me also they push me to the corridor. I paid around 80 euros because they didnt accept my insurance and it is said to me all doctors can speak in English because it has a foreign department but the doctor forced me to use google translate with a loud voice. They were reprimanding me as if im a kid. This hospital is a huge disaster the woman doctor who is taking care with me was a horrible doctor i had to go back to my country for getting a better health service and she misdiagnosed, not surprised because she didnt even ask for any analysis…Thank god im so much better after the correct medications. If you are tourist please for your own health do NOT visit this hospital…

Shocked at the rude behavior of the staff! They kept calling out the wrong ticket number, and then came out and shouted at me for not responding. Talked down at me and made me feel guilty and ashamed for coming in for an urgent prescription that I needed which, apparently, is a "non-emergency," after I willingly waited for over 4 hours. But I'm not registered with a gp yet because of a complicated situation, which they wouldn't care to understand. Moreover they charge you 90 kc in spite of having Czech health insurance. One of the doctors even loudly demanded that I show her the receipt (proof of payment) first and foremost! Had really expected much better than this!

Leaving review for Orto Ambulanci FNM. As a person who pays 100s of 1000s in taxes and have VZP insurance I’m shoked w a quality of service Czech medicine can offer. waited in the queue for 4+ hours for a simple check up, never got in and left. wow, here is a well deserved 1 star.

Its been almost 2 years I regularly visit several specialists. Very professional and emphatic doctors! During CT scan procedures after talking to the attentive assistants I feel more secure and less scared. Thanks!

You should dying already before they take care of anything. Not taking anything serious at all

Best Hospital in the Brussels region, friendly staff, great doctors and all multi-lingual

I felt I was in great hands from start to finish & very much appreciated the care shown. Everyone from the consultant, ward team & theatre team did their very best to provide fantastic care. The physiotherapists were also fantastic & really worked hard to get me mobile & discuss any worries. Having such a great, knowledgeable, caring & welcoming team really does put a very stressful situation at ease - The team at the Albyn is second to none.

Attentive and very friendly staff! I postponed my surgery for so many years and so glad that I did it at Albyn hospital. The whole experience was very smooth and professional. Wouldn't have minded to get pampered by the staff a bit longer. Thank you for the amazing experience!

All the nurses and other staff were really nice to me. Always making sure I was ok before and after the surgery. My only questions are about my surgery which will be discussed with my doctor in a few weeks. But overall I had a good staying at Albyn. Thank you.

My doctors were helpful, skilled, professional and provided me a lot of information. After operation services and information is complete with high priority to the after operation services. The urgence for post opération patients was fast and of full service. The nurses when I came before the operation were too busy, they let me in, gave me my wrist tag and gave me 3 medicines but let me waited 2 hours and no one came back to me to update me that the operation will within 2 hours of waiting . I came at 8h50 and the actual operation is at 11h15, in between the waiting hours, no one has came to re assure me and update me of the schedule that made me nervous and worried for 2 hours. All nurses were so busy that morning and talks a lot to each other without double checking or just to give a quick short words to me for 2 hours in the waiting room before the Anesthesist picked me up. Thank you.

I was very well looked after for my first pregnancy. The team was superb, whether it was for the pregnancy follow-up, the day of the birth or the aftermath of the birth. For this alone I say bravo! But above all, I love the student nurses we met, who were full of compassion and kindness, much more than the nurses themselves. I don't give 5 stars because there is still a lot of room for improvement: - at all my pregnancy follow-up appointments, the wait always lasted more than an hour even though we were told to arrive 30 min before the appointment 🙄 - cold administrative reception - a lady at the analysis laboratory shouted at an old man who didn't understand the process (taking a ticket, waiting etc.) when he had just asked nicely what to do - we were scared when our baby was born, that he couldn't latch on, that he was going to starve to death, that we had to go to the osteopath...when a few days later our baby gained weight. We didn't understand the point of scaring us so much when in the end everything was going well.

I am impressed with the level of the hospital, attitude of medical and medical care. Grateful my surgery was handled here with great professionalism. Merci bien!

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

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

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

I would like to express my deep gratitude to the gastroenterology department and all the staff. To the doctors - Fedoruk Oksana Stepanovna, head of the department and attending physician Sinyavskaya Alexandra Vladimirovna. These are people who are in their places. Caring, attentive, always on the lookout for our interests and health. All procedures are prescribed and carried out comprehensively and in a timely manner. Additional examinations are sought to be carried out with other specialists. Open, honest and professional. This department is like one family. Cleanliness, attentiveness to patients. All the staff tries to make our life more comfortable. We wish there were more departments like this)

I would like to express my deepest gratitude to the radiological department from my father Vladimir Ostapuk, who received treatment from you and from me personally! Thank you very much to all the staff and the head of the department, Valentin Eduardovich! Good health to you and thank you for your concern!

I have been in the anti-tuberculosis dispensary since April 25, of these 16 days I was treated (examined) for only 4-5 days. The conditions here are terrible (the best word I could find). Cockroaches, food, as well as the negligence of the attending doctors and staff, is worse than ever. If it were possible to put stars in minus, then we would have collected all -5. I don’t advise anyone to come here, or even end up in the hospital.

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

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

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

Very bad hospitality.

My girlfriend went to their E.R. It took them seven hours to accommodate us. A nurse misplaced her chart adding to the delay. I understand that there is a triage system that prioritizes severe or emergency cases but waiting for the whole day is absurd. It was especially hard for us, since we are foreigners and cannot speak fluent German. Honestly, it was a horrible experience.

Super...

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

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

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

one day I was very sick and had to go to the Emergency. They said they would not treat me. Because I had to be referred to the home doctor first. I wonder which house doctor can be reached at 4 in the morning? They didn't treat me and I wasn't even able to walk. I cried and had to go to another hospital. Besides, the staff working there were very rude. They were talking to me as if they were shouting at me. And even when I asked some questions, they wouldn't even answer me. They didn't even look at me because I was a foreigner. I do not recommend it to anyone. If I had fainted there, I think they would have referred me to a home doctor.

I visited for the second time the emergency today. The first time nobody could point out a doctor as nobody could speak even a little bit English. Today I found a kind lady in the morning reception who gave me instructions to come again at 18:00, visit the 1st floor, to see a doctor for my emergency. I did. As I arrived I said that I don't speak German. None of the assistamts there could speak. They kept my Insurance Card and I was waiting for my turn. I heard my name and a nurse gave me a cup to pee. I used google translate to ask what the cup has to do with my pain and if they have at least someone speaking a little bit English to say what my problem was. They were explaining to me in German and as I could not understand they were just rolling eyes. If you are German prepare to get some rude responses as the specific assistant was yelling to people. If you do not speak German prepare to die as the punishment for not knowing German is death. I feel very disappointed

Really shocking service - be ready to waste your time. I wonder - what would the world be like if we all had the same attitude to each other as the staff do to their patients? HORRIBLE

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

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

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

Cardiology sent me to ER for a heart issue (atrial flutter). Dr. Garabetyan totally ignored that, and ended up fabricating a non-existent pneumonia. She then IV’ed a fluoroquinolone (floxed me) w/o my knowledge or consent. I now have permanent disability (FQAD), which includes peripheral and small fiber neuropathy, tendinopathy, vitreous detachment (floater) and myriad other disorders and symptoms. Nobody cares, they gaslight you. Be careful.

I visited emergency room in this hospital. Had an acute abdominal pain. I do not speak Spanish well and was afraid of misunderstanding but all hospital staff, physicians and nurses, were very polite and tried to speak with me in English. Also all analysis, CT and medicines were done in a timely manner. Finally, I went home with required treatment. Thank you All!

Thank you very much for safe my life, ZABALETA CARVAJAL, IVAN ANDRES🙏🧚🏻‍♂️and hospital very nice clean comfortable convenient

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

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

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

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

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

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

I had to attend the oftalmología urgencias department and the four staff present treated me fantastically. This was on Saturday October 7, and they were busy all day. I had lots of tests and was given an appointment to return on Monday to the main department for a revision. Spain really has the best public care in the world, I'm sure of it. Muchas gracias.

The urgent care facility is dirty, poorly organized. The staff engages in unsanitary practices: trash receptacles-including those that take hazardous waste are left uncovered, and you often see trash littering the floor around the trash cans. Also, multiple patients are asked to sit and lie on the same paper covering on the examining tables. I saw this in multiple examining rooms. The doctor who cared for me, Manuel Luis Gomez Blanco, was rude, impatient and haughty. He tried to dismiss me after treating me for only one of the ailments I came for. It was a very unpleasant experience, but I was able to get the treatment I sought. I just should not have had to deal with such an unprofessional environment and uncaring treatment by staff. I am fortunate my ailments were not life threatening.

I didn’t even want to give you a star. First this La Paz hospital is not friendly to English speaking patients. For international tourists or expats! You will die here . I brought my daughter to their ER. She was having shortness of breath..due to her asthma exacerbation. they made us wait for 3 hours but no treatment given nor tests done. Horrible private hospital. I went to see the doctor to tell her that my daughter needs to be nebulized. Instead of talking to me properly. They sent me out because none of them speaks English and they said wait to be called ! For 3 hours of waiting nobody gave my child management nor diagnostic procedure ! They didn’t care as to what I was pleading for . i will complain to Adeslas my health insurance and will make a report on this . I’m a dermatologist and a medical journalist from the philippines. I know the management to asthma very well. Their doctors/ nurses are all rude and with no empathy to patients. They should have. English speaking representative for the tourists coming to Spain. It’s pathetic that they have no treatment .-

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

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

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

Good doctor, good behavior. Satisfied patient.

I got to see two fabulous doctors, the first in emerg and the second in cardiology (who confirmed the original diagnosis). Both were extremely caring and knowledgeable. I felt in good hands. Minus a half star for the long wait to see the first doctor (but triage ekg was quick so I guess it wasn’t urgent). Minus another half star for the filthy, seatless public toilet for the waiting room but bonus point for the outstanding quality of the doctors.

You doctors who work in the Pitie Salpetriere hospital, bow your heads to the ground and beyond, for all those children's souls, whom you do not stop from their straight and fast path to earth. May all the joys with which you spoil yourselves, turn you into ashes, and let your empty souls shatter like the lives of the innocent, whom you leave daily prey to their suffering, evil and disease, without trying to save them, although their last hope it was with you. And we are not talking about terminal cases, but about people who can be saved easily, if you ONLY tried! World top 10 hospital: an advertisement for nothing!!! You shouldn't even be in the top 3 of a pitiful city, forgotten by the world! Great doctors who don't even see the patient, just sign to be discharged, and hide behind the reception, because you are busy. With what? Did you destroy the next man's life? How many people do you dust a day? Do you have a commission from cemeteries? Change all the staff! You made terrible recruiting mistakes! Give them difficult cases, without them knowing that they are being tested, and see what "doctors" you have! The rest, take their diplomas and useless documents and start sweeping the street, don't let them have the power to turn good people into dust!