Normally, in people with hypertrophic cardiomyopathy (HCM) – a condition that causes portions of the heart to get bigger without any obvious cause – the only way to see the structural changes in the heart is after a person has died. The condition is the number one cause of sudden cardiac death in young individuals. But a new scan technique could pick up signs that a person is at risk of suddenly dying from a hidden heart condition while they are still alive. Researchers from Oxford University developed the new technique, which uses microscopic imaging, to check for muscle fibre disarray. This is when abnormal fibre patterns occur in the heart, not allowing heartbeats to spread evenly across its muscle fibres, which can lead to potentially deadly heart rhythms. For the study – the findings of which are published in the Journal of the American College of Cardiology – the researchers scanned 50 patients with HCM and 30 healthy people. They were able to see disarray in the HCM patients’ muscle fibres – something that had never been witnessed before in living subjects. The scan technique, known as diffusion tensor magnetic resonance imaging, has, up until now, normally only been used on the brain, but scientific advances mean that it can now be used on the heart too. Dr Rina Ariga, study author and cardiologist at University of Oxford, said: “We're hopeful that this new scan will improve the way we identify high-risk patients, so that they can receive an implantable cardioverter defibrillator early to prevent sudden death.” Footballer Fabrice Muamba is one of the most famous people to be affected by HCM. He almost died after collapsing during a match in the UK. In fact, Muamba was technically dead for a staggering 78 minutes before regaining consciousness. At the time of the incident, Muamba was 23 years old and in his prime as an athlete.
The Pasteur Clinic has achieved a 1st in Europe The Pasteur Clinic of Toulouse announces having achieved a European first in the field of cardiology thanks to the robotic pathway. Dr. Jean Fajadet thus performed the first coronary angioplasty in Europe under the assistance of a robot. In the case of narrowing or occlusion of the arteries, created by deposits of atheromatous plaques, the cardiologist may recommend coronary angioplasty. This procedure consists of positioning a small balloon in the artery at the level of the narrowing or occlusion and inflating it to dilate the stenosis and crush the atheromatous plaque and thus obtain a normal flow in the coronary artery. In general, the following is stent placement, a mini-spring, which prevents the artery to reseal. The Pasteur Clinic has been performing this intervention for more than 30 years in interventional cardiology, percutaneously under local anesthesia. With the acquisition of the robot (CorPath GRX System® Corindus®), the cardiologist can perform his act via joysticks. The robot is guided from a control room. It allows a great precision of the gesture and the absence of X-ray exposure for the personnel. The Pasteur Clinic has also invested in a 4th generation da Vinci xi surgical robot for several specialties (urology, gynecology, digestive, thoracic surgery, etc.). Source: La Depeche
Doctors should take a person’s marital status into account when assessing their risk of heart attack and stroke, a major study has found. For the study, researchers at Keele University analysed numerous trials involving more than two million people. They found that individuals who were never married, divorced or widowed were 42% more likely to develop cardiovascular disease. They were also 42% more likely to die from heart disease and 55% more likely to die from a stroke. Risk factors such as age, sex, high cholesterol, high blood pressure, smoking, and diabetes are usually associated with cardiovascular disease. However, the findings of the new study suggest marital status should also be added to the list. Senior author, Mamas Mamas, Professor of Cardiology at Keele University, in England, said: “Our work suggests that marital status should be considered in patients with or at risk of developing cardiovascular disease, and should be used alongside more traditional cardiac risk factors to identify those patients that may be at higher risk for future cardiovascular events”. The researchers say the reason marriage could have a protective effect on cardiovascular disease is because of the additional emotional and social support that’s afforded by having a spouse. People with long-term partners are more likely to have symptoms spotted earlier and encouraged to seek medical advice as a result.
A trial involving an anti-inflammatory drug could represent the biggest breakthrough in the treatment of heart attacks and strokes since statins were introduced to help lower cholesterol, its authors say. The study of 10,000 patients found that anti-inflammatory drug canakinumab reduced the risk of a patient who had already had a heart attack having another one in the future. The four-year trial saw patients receive high doses of statins as well as either canakinumab or a placebo. Those who received canakinumab were found to be 15% less likely to suffer from a cardiovascular event than their counterparts who received the placebo. Furthermore, cancer deaths were also halved in patients who received canakinumab. The results, which have been referred to as “exciting” by the British Heart Foundation, are thought to be down to the effect of the anti-inflammatory drug on unchecked inflammation within the heart’s arteries. Presenting their results at the European Society of Cardiology meeting, held in Barcelona, Spain, the research team from Brigham and Women's Hospital in Boston, led by the study's lead author Dr Paul Ridker, said the study represented "a milestone in a long journey". "For the first time, we've been able to definitively show that lowering inflammation independent of cholesterol reduces cardiovascular risk. "This has far-reaching implications." It is thought the trial could now lead to new types of treatment for heart attacks and strokes being developed.
A new type of heart scan that analyses the fat and inflammation around the heart’s arteries could more accurately predict who will have a heart attack. The new way of scanning, developed by a team at the University of Oxford, identifies potential ticking time bomb arteries, allowing high-risk patients to receive intensive treatment and reduce their risk of suffering a heart attack or stroke. Most of us know inflammation as the red, swollen, sore feeling you experience after cutting your skin. However, the same occurs in all the tissues in the body, including inside the heart. Inflammation on the inside of blood vessels is linked to the build-up of unstable plaques, which can break apart and block a coronary artery, starving the heart of oxygen – resulting in a heart attack. "The holy grail in cardiology is the ability to pick up inflammation in coronary arteries, it's been a challenge for the past 50 years," said Prof Charalambos Antoniades, one of the Oxford researchers. Prof Metin Avkiran, associate medical director at the British Heart Foundation, said: "Discovering which plaques are likely to rupture, so people can be treated before such a devastating event strikes, is a major objective of current research. "If the technique lives up to its promise in larger trials in patients, it could lead to more effective treatment to avoid a potentially fatal heart attack or stroke."
La Clinique Turin, one of France Surgery's partners, becomes one of the first private establishments in the Paris region to install the new da Vinci Xi surgical robot. Dr. Olivier Dumonceau , a urologist surgeon of the La Clinique Turin in Paris, performed the first prostatectomy procedure in a private center in the Paris region using the new da Vinci Xi robot. This new generation of the da Vinci robotic surgical system allows for even more precise gestures for patient safety and helps obtain better intervention results. Surgeons benefit from improved 3D vision and increased movement accuracy with this new generation of surgical robot. Dr Olivier Dumonceau said: "This new generation of surgical robot marks an additional step of technology for the patient and surgeon. Our gestures are even safer, the patient can benefit from more precise surgery. We are now developing ambulatory robotic surgery for interventions that previously required several days of hospitalisation. Patient recovers faster and can leave the hospital quickly and safely. " Dr. Perrine Goyer, a digestive surgeon at the La Clinique Turin, added: "Robotic surgery offers today opportunities for minimally invasive surgery in new areas such as obesity surgery and digestive cancer for the most complex cases." Dr. Ludovic Friederich, gynecologist surgeon at the La Clinique Turin, said: "With this latest generation of machines, robotic surgery opens new perspectives for the treatment of endometriosis in very short stay with lightened suites. In particular, there is a reduction in postoperative pain." "Our development towards minimally invasive surgery and shorter hospital stays is strategic. The replacement of our previous robot with this new technology is a huge step forward. "The possibilities for interventions are now extended to pathologies as diverse as Prostatectomy, endometriosis or digestive surgery with an even higher level of result. The treatment can be performed on an outpatient basis without compromising the quality," said Stéphane Lievain, director of La Clinique Turin. La Clinique Turin carries out some 25,000 interventions per year. It features: 150 practitioners and offers complete care in surgery, medicine, dialysis and imaging (scanner, MRI and interventional radiology). Main specialties: urology, digestive, maxillofacial surgery, cardiology, ENT, orthopedics, vascular, plastic, gastroenterology, gynecology, nephrology. With a leading technical platform, it has 216 beds and places, 16 operating rooms as well as an intensive care unit in cardiology and a monitoring unit in the heart of Paris. It is regularly quoted in the health charts of the press.
A new study has found the typical "social business diet", which consists heavily of red meats, sweet drinks, processed snacks and alcohol, has a detrimental effect on a person's heart. Unfortunately, it's a sign of the times that many individuals do not have, or at least don't think they have, enough time to sit down and eat a healthy meal. Instead, many people rely on grab-and-go food items that can be eaten on the road. However, according to a team of researchers from the Icahn School of Medicine at Mount Sinai in New York City, eating habits such as these up the risks of atherosclerosis - a slow, but steady clogging of one's arteries. In fact, eating out, snacking on the go, and excessive alcohol consumption is more unhealthy than the so-called Western diet. "This business diet is really very bad," said Dr. Valentin Fuster, a cardiology professor from Icahn. "It hits the arteries hard, and strongly contributes to cardiovascular disease risk, the world's number one killer," he added. The American Heart Association says that cardiovascular disease accounts for more than 17 million deaths across the world each year. Atherosclerosis occurs when plaque builds up in a person's arteries, and can raise their risk of blood clots, heart attacks, heart disease and stroke. If people want to lower their risk of cardiovascular problems in the future, they should minimise their consumption of red meat, sweets and alocohol, and increase their intake of vegetables, fruits, low-fat dairy products, whole grains, fish and nuts.
A new study has revealed that heart attack victims in the United States are becoming younger and fatter. Over the past two decades alone, the average age of people suffering the deadliest heart attacks has fallen from 64 to 60, and obesity has been implicated in 40% of the most severe, according to researchers at Cleveland Clinic, Ohio. In addition, heart attack sufferers nowadays are more likely to be smokers and people with high blood pressure, diabetes and chronic obstructive pulmonary disease (COPD), compared to 20 years ago. It's a reality that is raising alarm bells. "Lifestyle changes to reduce weight, eat right, exercise and quit smoking are critical for prevention of heart attack," said senior researcher Dr. Samir Kapadia, an an interventional cardiologist in the Cleveland Clinic Department of Cardiovascular Medicine at Cleveland Clinic. Dr. Kapadia added that the responsibility for making these lifestyle changes should be shared between the patient and their medical doctor, and the issue discussed at routine checkups. The study focused on analysing heart disease risk factors among more than 3,900 patients; all of whom had been treated for an ST-elevation myocardial infarction (STEMI). One of the most severe types of heart attack, STEMIs often result in disability or death and occur when the heart's main artery is completely blocked by plaque. The results of the study are scheduled to be presented on April 4 at the American College of Cardiology's annual meeting in Chicago.
Polyclinique du Parc, Toulouse Nested in the centre of Toulouse City close to the Law Courts since 1943, the private hospital is located 25 mn away from the airport. It is easily accessible using public transportation (subway station Palais de Justice); alternatively there is a public car park in the area too. The private hospital is certified by the national French Health Institution HAS and last review took place in 2011. It was also ranked the best grade “A” by the French Health Ministry for the prevention and control of infectious risks. The private hospital has 162 beds and outpatient accommodation. It promotes the development and implementation of “Enhanced Recovery After Surgery Concepts”, labeled as “RRAC” in all Capio Group hospitals (more info at http://www.capio.fr/nos-offres-dinstallations/midi-pyrenees/polyclinique-du-parc/). This modern and scientifically proven care approach on an international ground allows for a better recovery of the patient, with less pain and faster autonomy. Major medical specialties on the premises include spine surgery, interventional cardiology, orthopaedic, digestive surgery, ophthalmology, ENT, pain management performed by experienced doctors and staff. It is organised around a medical consultation centre of over 80 practitioners. The private hospital receives more than 18 000 patients per year and rune 13 surgical theatres. Those dynamic teams are completed with the on-site location of a 8-bed 24/7 Recovery Unit, a 10-bed Continuous Care Unit and a 10-bed Cardiologic Intensive Care unit, which also receive patients coming from other hospitals. An anesthesiologist as well as a cardiologist are on duty 24/7 on the premises. Polyclinique du Parc runs a significant surgical set in terms of diagnostic and care : A coronarography theatre, Endoscopic theatres, A medical radiology and imaging center (2 MRI, 2 Scanners, echography, mammography center), A biology laboratory. Quality accommodation is also proposed to the patient with over 100 patient bedrooms.
Clinique des Cèdres, Toulouse Clinique des Cèdres was created in 1966 thanks to Dr Anduze-Acher. Since then it became the biggest private hospital in France with 603 beds and places. In 2003, its acquisition by Capio group – already settled in Toulouse with Polyclinique du Parc, Clinique St Jean du Languedoc, Clinique de Beaupuy – helped its development. Clinique des Cèdres provides state-of-the Art equipment to its medical teams. Amongst the mini invasive surgical techniques: Robotic: In urology for the prostate cancer treatment, the kidney and bladder surgery In gynaecology for the uterus cancer surgery and the pelvic node dissection In ENT for the oral cavity, pharynx surgery, for the cellulo-node, nasopharyngeal surgery (cavum) Coelio-surgery for bariatric surgery Computer-aided surgery and strereotactic for the treatment of brain tumors Mini-invasive surgery for spine surgery (disc prothesis), orthopaedic surgery (perecutaneous foot surgery & trauma surgery) and rectal surgery (haemorrhoidal Doppler-assisted dearterization) 2. Advanced diagnosis techniques: Fluorescence technique in endoscopy for the early detection of lung cancers and bladder tumors 3D plan sensor in cardiology for the diagnosis and treatment of heart attacks and thoracic pains and in neuro radiology for the brain exploration and the therapeutic treatment of some brain vascular anomalies Non invasive Diagnosis-Imaging system: 64 strips scan Computerised diagnosis, evaluation, and follow-up care for knee cruciate ligament UNITS: 1. SURGICAL UNITS: more than 20 theatres covering a extremely wide variety of surgeries: Digestive surgery: ceolioscopy - endoscopy Orthopaedic surgery: arthroscopy Neurosurgery: neuronavigation device (O-arm concept) Ophthalmology ENT Outstanding surgical equipments include a stereotactic frame, a laminar flow, a laser, electronic microscopes and a DaVinci robot. 2. RECOVERY UNITS: the rooms are equipped with modern monitoring equipments and are under permanent anaesthetis supervision. Specialized nurses have the responsability of the post-operation personal follow-up care of the patient. 3. DIAGNOSIS AND MEDICAL IMAGING DEPARTMENT Angiography - Coronarography - Echigraphy - MRI - Mammography - Conventional and interventional radiology - Scan 4. NUCLEAR MEDICINE Functional and metabolic medical imagining, not accessible with conventional imaging equipment is performed in this department. 5. MEDICINE 6. INTENSIVE-CARE AND CONTINUOUS MONITORING UNIT 7. EMERGENCIES 8. HELIPAD 9. FUNCTIONAL PHYSIOTHERAPY 10. PSYCHIATRY 11. ONE-DAY HOSPITALISATION
The American Hospital of Paris, Paris Created one hundred years ago thanks to the energy and generosity of the men and women of the American community in Paris, the American Hospital of Paris has continued its tireless development thanks to the support of its donors. Located on the western border of Paris, the American Hospital of Paris is a ten-minute drive from Place Charles de Gaulle-Étoile. Key figures In-patient hospital beds 141 Intensive care units 8 Coronary care units 6 Day hospital beds 20 Nursing staff 345 Medical technicians 225 Accredited physicians and surgeons 386 The American Hospital of Paris offers personalized patient services, safety, quality of care, and respect for all cultures. It covers all major medical and surgical specializations and it offers comprehensive diagnostics and testing, from lab exams to the most advanced imaging procedures (such as MRI, CT and PET scans). The hospital disposes of the latest-generation equipment and innovative techniques (robotic surgery, CZT gamma camera) and proposes premium patient accommodations, such as private suites and rooms with terrace, room service, etc. The English-speaking healthcare staff has a substantial experience in delivering care to international patients: patients of over 100 different nationalities are treated each year. The physicians of the American Hospital of Paris include around 400 private, bilingual practioners, covering the entire spectrum of major medical and surgical specialties. A team of private healthcare professionals works alongside them in patient care. List of departments and units Aesthetic and Plastic Surgery Anaesthesiology Cardiology Dentistry / Stomatology Emergency ENT Gastroenterology General and Digestive Surgery Gynaecology Medical Imaging and Nuclear Medicine Medicine Nephrology Neurology Oncology Ophthalmology Orthopaedics Pediatrics Pediatric Surgery Pneumology Prenatal Diagnosis Psychiatry Rheumatology Urology Vascular The Emergency Department of the American Hospital of Paris operates 24/7, providing care to adults in a medical or surgical emergency. The Check-up Centre has been exclusively dedicated to providing patients with preventive care and screening using the most advanced technologies and up-to-date scientific recommendations. International services: The American Hospital of Paris has several programs dedicated to serving our international patients: the American Relations Coordinator, the International Team, the Japanese Program and the Chinese Program.
Clinique Saint-Augustin, Bordeaux 18th on the honor roll of French clinics. Hospitalisation is never an easy moment but be sure that our teams do all in their power to ensure that this moment is placed under the sign of comfort and quality. The general management and the nursing staff remain at your disposal. The Clinic Saint-Augustin is a short stay, multidisciplinary clinic that has 174 beds and space. It has: Beds: - 113 beds of surgery out of which 12 are of surgical intensive care, - 42 beds of Medicine unit out of which 8 are of Intensive Care Unit in Cardiology. Space: - 4 space for ambulatory surgery, - 15 space for medical rehabilitation in cardiology. Operating theatres: - 3 rooms for heart surgery, - 2 rooms for catheterism, - 7 rooms for general surgery. The team and specialisation's of the clinic Saint-Augustin: The nursing team is composed of: - 4 supervisors, responsible for the care units, - 3 supervisors, responsible for the operating theatres, - 127 qualified nurses, - 76 auxiliary nurses, - 1 pharmacist, - 3 pharmacy technicians. The urologic team of the Clinic Saint-Augustin is very famous in France, in Europe and everywhere in the world due to its great experience in minimally invasive, laparoscopic and robotic surgery. For the patient, the advantages can be: Less pain, less blood losses, a little scar, a faster recovery, a faster return to daily activities and, in many cases, better clinical results.
Clinique du Docteur Guillard, Coutances Located in the beautiful region of Mont St Michel, the Clinic of Dr. Guillard disposes of more than 30 years of experience and the competence of more than 20 surgeons. The clinic disposes of a maternity, a surgical theatre, an emergency service and a medical imaging department with CT and MRI. SURGERY Orthopaedic Surgery Trauma Surgery Visceral surgery Urological surgery Digestive Surgery Gynaecological surgery Ophthalmology Gastroenterology Maxillofacial surgery Gynaecology and Obstetrics Cardiology Dentistry Endoscopic surgery Plastic and reconstructive surgery Resuscitation Anaesthesia Dental Implant Medical Imaging MRI scanner Dietary Outpatient care (emergency) Paediatrics
Clinique du Grand Large, Brest Located in the beautiful area of Brest, the Grand Large Clinic is specialised in the vascular and thoracic surgery, but also in the internal medicine and gynaecology. The operative techniques validated by the medical experts offer real comfort by reducing postoperative pain. The clinic represents 6 medical-surgical poles: vascular, thoracic, gynaecological surgery anaesthesia and intensive care department maxillofacial surgery, dentistry, ENT internal medicine plastic and reconstructive surgery pulmonology, gastroenterology and proctology Surgical specialties: Digestive Endoscopy Gynaecology Dentistry and Maxillofacial Ophthalmological ENT Orthopaedic Plastic Reconstructive and aesthetic surgery Urology Vascular Visceral The Clinique du Grand Large has been authorised to operate patients suffering of urological, gastrointestinal and ENT cancers. Medical Specialties: Angiology Cardiology Dermatology Gastroenterology Sports Medicine Nephrology Rheumatology
Clinique Fontvert Avignon Nord, Sourges Situated at less than 200 metres from the motorway exit North of Avignon, The Fontvert Clinic is a modern clinic, specialized in surgery and in particular in the hand surgery, providing the “SOS Main” Centre. Key figures In-patient hospital beds 78 Ambulatory places 13 Medical staff 80 Accredited physicians and surgeons 51 Operating rooms 9 This modern clinic offers high-technology services. Every year, it carries 11,000 surgeries and treats more than 20,000 patients. Specialties: Surgery General orthopaedic surgery and traumatology Specialized orthopaedic surgery: In the context of a service "SOS Main" ENT surgery, dentistry, dental surgery, implantology Maxillofacial surgery specialist Reconstructive and cosmetic plastic surgery Generally, abdominopelvic surgery and laparoscopic surgery visceral Eye specialist surgery Gastroenterological endoscopic exploration and treatments Anaesthesiology Laboratory of Biology and Pathology Cardiology Phlebology Rheumatology Radiology - Ultrasound - Scanner Physiotherapy center of the hand Medical laboratory
Polyclinique de Keraudren, Brest Situated in Brest, the Keraudren Clinic is characterised by: The emergency reception 24h/24 A level 2 A maternity (neonatology) Specialists in surgery A radiology unit: MRI and Scanner Specialties: General and Visceral Surgery Gynaecological Surgery Ophthalmic Surgery Orthopaedic and Trauma Surgery Plastic and Reconstructive Surgery Urological Surgery Gastroenterology Obstetric and Neonatal Interventional and medical cardiology The clinic disposes of a theatre with 10 operating rooms, an exploration room with digital, coronary and peripheral angioplasty, an ambulatory service, continuous care unit and an emergency service available 24h/24.
Clinique Pasteur, Paris The Pasteur Clinic is situated in Vitry-sur-Seine. The clinic disposes of: a surgical theatre with 3 operating rooms 2 endoscopy rooms 2 visceral/urological rooms post-interventional monitoring rooms: 9 monitoring posts, 2 respirators, 1 cell saver, 1 ultrasound for loco regional anesthesia an emergency service 24h/24 kinesitherapy /balneotherapy The clinic is specialised in: Angiology: arterial and venous Doppler ultrasound, assessment and treatment of varicose veins Cardiology: Echocardiography, Stress test. Neurology: Electromyography (EMG) Respiratory: Respiratory Event Functional (EFR) Urology: Urodynamic (BUD) Latest generation medical imaging: GE 1.5 Tesla MRI GE Scanner with low irradiation dose Table Radio Siemens sensor plane GE mammography sensor plane Doppler Ultrasound Toshiba Dental Panoramic and Telecrane
Clinique Saint-Michel, Toulon La Clinique Saint Michel in Toulon is a medical-surgical clinic. It has a medical assisted procreation center with an in vitro fertilization laboratory (IVF). It provides: an orthopedic surgery service a monitoring unit a visceral, vascular and urology service a Gynecology service an operating theatre with 9 operating rooms a service of general radiology a mammography unit (screening for breast cancer) various medical practices a P.M.A. Centre a center of obesity treatment a center of treatment of varicose veins MEDICAL SPECIALTIES - GYNAECOLOGY CLINIC: Center of medically assisted procreation IVF Laboratory (in vitro fertilisation) Gynaecological surgery Breast surgery SURGICAL CLINIC General Surgery Visceral and vascular surgery Angiology Urology (http://www.uro83.fr/) Orthopaedic Trauma Stomatology Gastroenterology Respiratory Anaesthesia consultations Radiology center Cardiology stress test ENT Capacity: 72 beds
When it comes to your health, you can never be too careful. Furthermore, if you find yourself in need of a medical procedure like surgery, you want to be sure that you are in the safest possible hands. But with rising healthcare costs and seemingly increasing wait times, you can often be left feeling disheartened and like you have few options. You needn’t feel that way, however, as France Surgery are here to help facilitate affordable procedures, with little to no waiting times, all undertaken in one of the best healthcare systems in the world. Here are just 10 reasons why you should choose France Surgery: 1. The French Healthcare system is one the highest quality in the world 2. There are little to no waiting times for surgery in France 3. Procedures in France are highly affordable and can often be claimed back on insurance 4. France is the number one tourist destination in the world 5. The cuisine and beverages on offer in France are absolutely world-class 6. France Surgery have relationships with over 120 hospitals and more than 1,500 medical professionals 7. Five-star concierge services are available throughout your stay 8. All correspondence is in English and an English-speaking guide will be on hand for you 9. Luxury hotels will definitely feature in your recovery plan 10. Tailor-made packages are available such as sports injury recovery, post-traumatic, orthopaedic, dietetic/obesity, osteoarthritis/ rheumatism and cardiology, to name but a few Photo credit: © Minerva Studio - Fotolia.com
And what about French quality standards : The entire healthcare system is regulated by government The majority of specialty activities are submitted to government authorisation, regarding equipment and qualification of medical teams such as for surgery, cancer treatment, interventional cardiology and many others. Regular assessment is operated by French Ministry of Health. The results of physicians practice, procedure numbers, morbidity ,complications are monitored and assessed. All facilities are certified every 3 years by the High Authority of Health – HAS with public access to findings and conclusions. Risk management and quality are a main preoccupation and the proof of this policy is mandatory in the certification process. One of the main concerns about Medical Travel is the control of Health Care associated infection. The French HAS publish annual results and statistics for every hospital in France, data is made public and may be viewed on the French HAS Web Site. All data is validated by European centre for disease prevention and control. Public and private hospitals are of course liability insured for International patients. All physicians need to register with the French Medical Council. Depending on their diplomas and degree course, the French Medical Council authorises the practice of a speciality within strict guidelines. The particular aspect of liability in private practice imply that French doctors have to be a graduate in France, otherwise they cannot obtain insurance against Malpractice. French medical graduation is one of the most famous and is very demanding. The level of training is very high, with at least six years for general medicine, five more years of residency to qualify as a medical specialist and at least 3 more years for a Surgeon. All professionals have a personal professional liability insurance with very high coverage standards. Subscription to this insurance is mandatory to join any hospital or medical team. An essential requirement is made to continuous medical education. France has a very ancient culture of CME to adapt practices to progress and to advance new technologies. So all physicians are really up to date in their technique and practice. State regulation and regional competition have led to very homogeneous standards all over the territory. The same quality of care may be found from Britain to Italian borders. Pluridisciplinary facilities are mainly very modern and fully equipped responding to the highest standards of certification.