Blood cancer treatment in 26 Oncology clinics in France

This by far the best hospital that I know. The nurses are so professional and the smile on their faces as they do their work ,just tells you they love what they are doing. The doctors, are never pushy or in a hurry. I can go on and on. When the nurses heard that I was from Saint Martin and spoke English,they looked for a young nurse who was an apprentice and from Saint Martin, so she could speak to me and make me feel more comfortable. Turned out the young lady was my family. This hospital is tge best.

The 5 stars concerns only the people cited. They are what true healthcare workers should be , full of empathy, professionalism, humbleness. I hope you get all the credits you deserve. Thank you so much to the nurses and aide soignante of the service A1👨‍⚕️👩‍⚕️🧑‍⚕️🧑🏻‍⚕️👩🏿‍⚕️👨‍⚕️👨🏻‍⚕️👨🏼‍⚕️👩🏻‍⚕️👩🏼‍⚕️🧑🏽‍⚕️ le meilleur docteur François💥, Laurie++🤘 , Emanuelle 🙌,Anaïs👈, Claire💯, Mary-Lou🙏, Camille💫, Virginie👏, Margot✌️, Elodie🙌, Denver ❤, Brenda 👍,Laurent💪, Baptiste👐 Room 178

The best hopital ever

Good morning She was diagnosed with breast cancer in September 2023. Operation and radiotherapy Very good support, efficient, fast. Very competent, friendly, attentive, caring and empathetic staff. I thank Dr Butarelli and Dr Tallet and then all the medical and paramedical staff. Sincerely Ms. Delphine Gomez (Limousin).

The IPC is a benchmark for cancer. You can go there with your eyes closed. The doctors and surgeons are super responsive, competent, friendly, with whom you can communicate easily… The nursing staff are incredible too. Always attentive, the care is adapted and always done with precaution. The maintenance staff is competent, smiling,… The establishment is very well maintained. The only downside is that the windows let the cold in a little. We are grateful to be supported by these amazing teams!!

The cross and the banner to reach the switchboard have been going on for years, I am a medical secretary and when I call, I can stay 15/20 minutes waiting to finally have someone on the line. Whatever the time of day, no time is ideal for reaching them. The direct lines are still unavailable, it's the mission to call them!!!

Well visited a doctor for the first time was good different and got all my answers...

I have a RDV for the 9th of june at your clinque with the anesthesiste at 4:45 with Dr LECLERC please confirm

I have been tryi by to call the clinic for the whole week.I have a problem with my registration and I wanted to clear that up. After one week somebody answered… my french is not perfect and the staff on the phone couldn’t wait until I noted the correct phone number. They just hanged up and I still don’t have a number. It would have been hilarious if it wasn’t like a serious medical place.

This is a research hospital that serves thousands of women every year. I have been seen by a doctor within two days from my mammography and with what seems to be a fixed delay of three weeks between cosnultation-operation-reconsultation I am now on my way for radiotherapy. It is unbelievable that you get this level of expertise for free, in the states you would have to pay a fortune. The doctors are understandably buzy and will not spend too much time with you, however, there is psycologists, nurses, sophrology classes and all sorts of stuff that you have access to. It is a world class centre and we are all very lucky to have access to it in times of need.

My partner is in the hospital, he is French. I have come from Scotland to be with him. Is there any reasonable priced accommodation near the hospital. Thank you

Good place to work.

My comment only concerns the space which serves as a cafeteria.... a long wait... in the cold!! Talk to you about it, we send you for a walk, I hear the security agent making fun of my request, and tells his colleague that he is under the air conditioning, ... in short, frozen radiator, when wait, and we eat in the cold, I can tell you that it is most unpleasant

SCANDALOUS!!! Where does our money go??? In an obscene parking rate, only one cash register at the end, puddles everywhere, a swimming pool (1 meter wide, 2 meters long and 10 centimeters deep) to get out and reach the ICL, and a Pyramid staircase Mayan slippery, because the totally necessary elevator for people with reduced mobility is BROKEN.

Operated by Dr. HEJL at the end of July, I have excellent memories of my brief visit to the 5th floor just after my operation. The nursing staff (and non-nursing staff) were adorable... I take my hat off to them for their work which is not easy every day. A little nod to this duo of caregivers with whom one morning we imitated the meows of the 😸 in front of the anesthetist! (I occupied room 502 until August 3) Really thank you for your good care! The meals were of high quality and appetizing (which is rather rare in hospitals). I can say that in my case the support was perfect.

Extremely disrespectful nurse, talking loud where I am able to hear what she is saying, and I can hear the patient or family member telling her to calm down. Instead she was more concerned about being right as opposed to provide empathy, care and concentrating on the wellbeing of the patient. What I witnessed in the lobby on Sunday November 26th, made me embarrassed and uncomfortable and hope that my family is not seen by this nurse. She is a bully and knows she can get away with it. Slamming the door on a patient’s family, makes me sick to my stomach. Not listening to a patient in distress, is lacking skills as a nurse. I will report this with the department of health in France.

We had a really positive experience with this hospital. As Australians visiting who don’t speak French, I needed a bit of a guarantee to find a hospital where they could speak English. We’d been to another hospital and unfortunately the treatment didn’t help my husbands condition. He was seen quite promptly by a Dr and then a Specialist at the American Hospital and was provided with medication which thankfully started assisting. I think we were in and out within a couple of hours and the cost was surprisingly low that there’s not really any need to claim it back on insurance. I’m glad we found this hospital as we may have needed to cut our holiday short and fly home. Big thank you to all the staff there.

Thanks to the American hospital we obtained a speedy appointment for my mother. Top geriatric specialist, friendly staff. Some reviewers should go to some - not all - public hospitals .Lovely service, charming receptionists. Our specialist was flexible with appointment time despite us being delayed by transport. It is a bit costly but doctors do take time. Some very specific scans were covered by the French Social Security scheme though. I don’t know all departments but twice we had premium service and care. And finally, my mother was diagnosed accurately and treatment was put in place. With very elderly and incapacitated patients free wheelchairs are available. Porters and valet service staff are helpful. This makes a huge difference on arrival by medical taxi. No hospital is perfect and one is bound to encounter below par staff. And yes, France has a general shortage of medical staff, private or public… Eric Levéel

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

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

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

There's a good people and there's a very bad people, but the hospital has to make a Training courses for workers to deal with patients and should be attention to patients' complaints. I wonder how a kind docteur like Dr Ilenko Anna has a secretary like that🤷🏻‍♀️ her secretary is a very tough person😬 Violent, aggressive👽 and attacker😡 She does not respect the patients😡 and believes that they are her slaves😈 and that she works for free not for money, and that she works in her own institution or in her home.

Unfortunately, the hospital has become bad. It has become for trainee doctors, not for excellent doctors in the past. I am talking about an experience in 2014 on a treatment trip, and the patient was treated with the best treatment and the best treatment. Now we returned to the same hospital. Unfortunately, it became clear to me that it had become a place for trainee doctors who endangered patients' lives and dealt with worse than bad, and this is a problem Unfortunately, a large international hospital disappointed a lot

Do you think that it’s fair to make a patient wait in the hall from 9am to 4pm to enter his room that was already reserved 21 days before in order to proceed with his chemotherapy!!!!This is not acceptable!! The patient is already ill, plus they are making him wait for more than 6 hours on a chair in the hall!!! So unprofessional and missorganized!!!!!

I was on vacation in Paris and was taken here with excruciating & sudden stomach pain. I had to have an emergency surgery to remove part of my large intestine due to a twist - or a “volvulous”. I was kept in the emergency waiting room overnight- part of the night in an empty hallway- with pain so severe that I almost fainted several times. I was certain I was going to die because I didn’t know if anyone would notice if I lost consciousness. The nurses and doctors I spoke with told me “we will come back with pain medication” but hours went by without seeing anyone again. Almost no one spoke English. I was terrified and traumatized. I would give this hospital 0 stars, HOWEVER. Once I got into surgery, the doctors were kind to me. I was crying quite a bit and they calmed me down and played music for me. The surgery went well, and I obviously survived without complications. I feel so grateful they caught the twist and operated on me within 16 hours of me being there. They did save my life. I don’t know who is reading this and if you are considering going here, but try to go to the American hospital if at all possible. I hope you get the care you need and deserve. Do not expect nurses there to care for you like nurses do in America.

Decent if you need urgent help. Extremely unhelpful staff in the registration desk, was told “you’re in france, speak french” after I asked them if they spoke English. The hospital felt very dirty and the waiting room was a chaos. Other than a long waiting time for non-priority cases, the care was acceptable.

I was just severely hurt by the staff member pictured here at emergency. I came in anxious and stressed about my condition. They were only meant to be checking my temperature in my ear but he did so forcibly it hurt me so bad, it gave me a panic attack. Then when I said something I was screamed at in French. I will be contacting a lawyer.

I live in the USA and was in Paris for vacation. I developed tachycardia on the flight to Paris, which was completely new for me. It lasted over 3 hours and the flight attendants summoned a medical doctor who told me to be checked in Paris. Necker urgent care was the closest facility to where we were staying. Upon walking into their urgent care area, I felt I was walking into a hospital from the 1940's. It was hot, dark and filthy. It looked like the old asbestos tile floors had not been swept or scrubbed in months (yes, I am assuming they were abestos tiles based on my experience with a similar floor in my home). The windows were filthy as well. Paint on the wood trim around the windows was chipping off. Just beyond the waiting area stood an old fashioned hospital screen on wheels. I had not seen one of those since the 1960's. After waiting for an hour, I lost confidence in what I would encounter with medical care and left. I hope this was a really bad example of a medical facility in Paris. I was told later I should have gone to the "American hospital" which no one had told me about beforehand. My taste of "free medical care" in France was not a good one. I hope my impression of their healthcare system was incorrect for the rest of the country. I do want to point out that I was able to enjoy my time in Paris and loved so many things about it. I am grateful for that experience. I am back home now and receiving good care for the condition I developed enroute to France.

I brought my daughter to this hospital early Sunday morning after she received food poisoning from a five star hotel. The staff was awful. They hire people who can barely speak French. Only the MDs were pros. After waiting for almost three hours I finally stopped a male MD and asked if he could see my daughter. Otherwise we would leave. He did and she was discharged shortly thereafter.

Worst hospital experience ever. Really increased the risk of delivering our son, unnecessarily. For weeks mid wives kept threatening there is a risk and we have to induce labor while all the data show that the infant and the mother are healthy. My wife was constantly stressed. When we ask what risk is there, mid wife just says “death of a baby”. Who uses this word in a hospital when there is no real risk? When my wife did start having a contraction, we went to the emergency service. They made us wait for 7 hours stating they are short staffed. There were actually quite a few staffs but they were checking their phones or chatting. We were disheartened but no one showed an interest, no one came and ask if we were doing ok. I repeat, it was an “emergency service”. After the seventh hour I asked when can we be taken care of. They said “we can’t, not enough bed, not enough staffs today. We will have to put you in another hospital”. Well what were they going to do if I hadn’t asked? Left us there unattended for another seven hours? They slowly started looking for other hospitals. Many were also full but finally there was a nice one available just outside Paris. Necker people said “ambulance will be here in 30 minutes”. Of course it took 90 minutes until we finally got to leave this horrible stupid hospital. Thanks to the nice second hospital, the baby was born in 12 hours after we had moved there, safe and sound. Maybe we just had a sequence of bad staffs at Necker. But for the entire time we commuted there and visited at the day of delivery, unfortunately we hardly met anyone there that cares or even shows a remote interest in patients. .

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

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

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

Living in the Paris region, in March 2023 I performed a colonoscopy at the Clinique Ste Marie (Cergy) revealing the existence of a non-cancerous polyp in the rectum. In April 2023, I contacted Doctor Mourregot at the ICM for a second opinion. The ICM then diagnosed me with stage 3 cancer. Everything is accelerating! Chemotherapy treatment (3 months) accompanied by chemoradiotherapy (1 month) are implemented. To date, I would like to share my experience with anyone who has questions about the care provided by the ICM. I was very well cared for, very well surrounded by a team of competent, professional, thoughtful, attentive and above all attentive doctors, nurses and healthcare staff. I responded very well to the treatments offered. I have complete confidence in this healthcare facility. Good luck to all sick readers and your loved ones but don't hesitate to seek treatment in this establishment! Olivier LALEU

Follow-up and surgery in the context of cancer. Serious and respectful institute. The oncologists, dct fabro and dct quesada, referred me to the surgeon, prof. Colombo, a human professional and very attentive. Intensive care department with little care, same kindness once in the surgery department, apart from the head of department who should be avoided, and who could benefit from training in empathy. Despite this, I remain satisfied and grateful to the institute which has my full confidence.

I was followed by the ICM. I have never seen anywhere else the interest they show in their patient. Everything is coordinated planned. The staff is extremely empathetic, kind and attentive.

Allergology Department, sector 1 Bat 1k, lovely welcome 🙏 smiling, pleasant, respectful. Kind medical staff, take the time with the patient to explain well. Thank you 🙏 everything you need to be confident (or regain confidence in the medical profession...) and without stress... Some public hospitals in Lyon should take example...

Great hospital, top team in all maternity services: pathological pregnancy, cesarean section room, gyn.obstetrics, psychologist nursing staff!! Everything is perfect: care, kindness, professionalism, responsiveness, monitoring before childbirth and postpartum, advice, listening....A big thank you to the entire healthcare team, dr, midwives, caregivers and also the neonatology staff! Thanks to my dr Tsilanizara, dr Vachez (cesarean section) and to all the internal and attending doctors who took care of me Thank you Claire, René, the OR nurse (and all the SFs whose first names I don't have). Not forgetting the neonatal team who took care of my baby for 3 weeks! A strong emotional experience in a hospital on a human scale, I recommend

Go your way this hospital is to flee all specialties combined. Renowned for making NURSING STUDENTS MISERY, as if they had never been students before! I hope that the director of this establishment will act... one day... because it is at stake for the psychological health of students who end their studies or fall into depression because of these NURSES who think they are all powerful. Be aware that poor students go home in the evening crying and have to come back in spite of themselves the next morning with a lump in their stomach BECAUSE OF YOU, yes YOU. A good hearer

RIP King Kester 👑

People on whom medicine would have given up a few years ago, or even a few kilometers away, have a very reasonnable chance here. The hospital is second to none in interventionnal cardiology and some of the procedures in which they specialize can only be performed in a handful of hospitals around the world. They are the only hospital in France which can perform pulmonary endarterectomy. I know these facts first-hand, for having had relatives and close people being successfully attended there for life threatening conditions.

My best hospital experience so far - top surgeons and fantastic staff

Do not go here if you don't speak French. And also if you don't like being made fun of by the staff. They're not nice folks.

Barely any staff spoke english, some were even annoyed when we mentioned we only spoke english. Waited for 3 hours in the emergency department only to be sent somewhere else. Don‘t bother!

We visited Emergency of this hospital. As we don’t speak French we were treated like prisoners. Hospital staff including doctors pretended like they don’t understand us. My wife came from a different hospital where she was initially admitted but only received very basic care because this one is accepted by our insurance. Despite having severe abdominal pain she was told that she will not be given any attention and she must go back to the original hospital. Doctor Jessica Franchitti was extremely rude to my wife and shouted to her to leave. Nobody ever treated us this way, especially in hospital. We had no choice but to leave and spend a day in a hotel hoping that the abdominal pain will get better. After we got back home my wife was immediately accepted to hospital to do hernia surgery.

Extremely negative experience, after having traveled more than 100km and 3 weeks of waiting for an appointment scheduled for December 4 at 1:20 p.m., for possible breast cancer, I learned on the spot that it had been brought forward to 9 a.m. without being informed . Despite the advance of almost 30 minutes for each patient, the two doctors present categorically refused, without even coming or apologizing to carry out the planned examinations. Probably a golf course or a houndstooth hunt planned for 4 p.m.??!!!. No consideration or humanity on their part. So I stay with my anxieties and my doubts until a possible another appointment.

Hospitalized for 5 days for an operation, everyone was charming, caring, very caring. Thank you all

Very nice staff the doctor and teacher very attentive put us in confidence little disappointment for the toilets of the reception not clean and only one in service

Zero Stars. This hospital should be shut down immediately. Came in via Ambulance who by the way, pulled over in the middle of the drive so tell me go to an ATM to get cash… Hello my fiancé is dying here… Get to the hospital and immediately get separated and told she can’t have her phone because she’s not in good enough condition… excuse me? Wanted to know when i could see her and translate because she’s japanese and knows very little english… Wasn’t allowed to do that. No status updates, and waited hours with drunk, sick, agitated homeless people for her to walk out feeling no better at all… Nothing positive at all

I have read the other negative reviews and they mirror my esperience. I too was a visitor to Paris from the U.S. I was transported to this hospital after tripping and falling on the sidewalk. I was subjected to blood tests , an ECG and a cranial x-rays and the staff never answered my questions about why the tests were necessary. Just like the others on this site they paid little or no attention to the contusions on my face or my clearly apparent swollen wrist- no ice packs or wraps. After waiting in the ER for approximately 6 hours after arriving I informed the doctor I was leaving. She became angry , said they were busy and she asked that I remain in the ER for another hour to await the test results. When I refused she told me to leave. When asked would someone assist me with finding a taxi to return to my hotel, she just walked away from me. I will have my doctor look at my wrist when I return to the U.S. If I could have given them a zero or no stars I would have done so.

A visitor to Paris, I had a fall and hit my head on some steps. I was taken by ambulance to this hospital. Ambulance I could fault, spoke English and was very caring. Different matter when they dropped me off at this disgusting hospital. I have spent time in a hospital in Ghana West Africa, third world, it was streets ahead of this filthy disgusting hospital. There were no redeeming features, staff awful and rude. They would not let my husband accompany me so I was on my own with people who spoke on English. Took blood without gloves or washing hands. No access to water and was told I was very dehydrated, hello where do I get a drink, when I asked for water was told this is not a hotel. Many X-rays,scans, reports ( 7 hours) I walked out. They initially would not let me out but I made such a fuss they let me go. I did not pay a cent. I have now arrived back home in Australia and I find a bill waiting for me. I m not going to pay it they should be paying me for the trauma I endured. I had a fracture in my hand and they totally ignored that, went to a pharmacy and they bandaged it up for me. I would be prosecuted if I took my dog there. Thankfully this did not spoil my visit to Paris.

Care provided in a very professional and caring manner by the outpatient colonoscopy team. I felt an atmosphere that was both comforting for the patient that I am and relaxed among the caregivers. In a word: thank you.

Outpatient control examination with general anesthesia. The nurses and caregivers are top notch, very friendly and attentive. On the other hand, an anesthetist (apparently an intern) first pricked me twice on the top of my right hand, leaving the needles which a nurse then came to remove, before pricking my left hand to finally manage to the vein. Not good at all, we can say, and particularly painful. After the procedure, both my hands remained blue, swollen and very painful for at least 4 days. This is scandalous, especially if we consider the significant excess fees charged by La Protestante on anesthesia. Anesthesia alone costs more than €125, of which around €50 is reimbursed by the SS and €35 ​​by my mutual insurance.

I had to be hospitalized as an outpatient then in surgery in less than a week and both stays went very well. In the outpatient setting the nurses were very kind, attentive and funny (which is important in this kind of stressful moment). I was very well taken care of. For my stay on the 5th floor, everything went very well too! Thanks to nurse Catherine who was lovely to me, like a mother, who listened to me, made me laugh and took good care of me. Thanks also to the night caregiver who was very kind. Thanks also to the recovery room teams! And to the teams in the surgical theaters and the endoscopy suite, especially the nurse anesthetist who took care of me Thursday morning for my endoscopy, she really listened and was able to reassure me! I really felt good in the clinic. All the staff are kind and attentive, whether they are the admissions ladies, the stretcher bearers, the nurses, the nursing assistants, the doctors. If I have to have another operation one day, I would go back to the Protestant without hesitation! For once we see staff who are still human and smiling!

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!

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!