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Who really is Dr. Fauchon?
From Nice CHE.

In 2016, three months after undergoing a successful surgical removal of a grade 2 meningioma by Professor Fontaine,
 I was in stable health with no symptoms.

Following a new MRI, I was referred to Dr. Fauchon, an oncologist in Nice. Initially, he appeared interested in my case, but his approach quickly became urgent and alarmist. He interpreted the MRI as showing a possible recurrence, which I later learned was actually just post-operative changes.

What surprised me most was how quickly everything was decided. Before even meeting me, he had already scheduled a mask-fitting session for radiotherapy the next morning. I had no time to reflect, no second opinion, and no alternative offered. I felt pressured to agree.

I underwent radiotherapy without a new MRI confirmation or evidence of active tumor. Only later did I discover that radiotherapy does not usually reduce meningiomas, and that the risks — such as radiation-induced necrosis — are real, especially in the absence of a tumor.

In my consultation, the urgency was explained using vague graphics predicting tumor progression. I wasn’t informed about the possible ineffectiveness of the treatment or the side effects. I believe the decision to irradiate was made too quickly, without solid justification.

An Assessment of Benefit vs. Risk

Dr. Fauchon seemed to have poorly assessed the benefit-risk ratio. The benefits seemed to favor him, while the risks were borne by the patients — patients he often doesn't even return calls from when they try to reach him.

I felt manipulated in a way that reminded me of marketing tactics, but in a medical context. At that time, it was difficult for me to imagine that a doctor could endanger a patient’s health for financial reasons.

His intellectual dynamism, however, makes me believe he should seriously consider retirement. His successor appears to already be in place, Dr. Clarenne, who, according to Dr. Fauchon, is “the same, but with hair.” Furthermore, Dr. Fauchon seems unmotivated, mechanically performing his duties with a clear goal: maximizing the clinic's revenue. During a second consultation, his explanations contradicted those given in the first one, which I found troubling and inconsistent.

The Consequences of Overhasty Action

Three months after the successful surgery by Professor Fontaine, I went to see Dr. Fauchon again after a new MRI. Despite my stable condition and the absence of symptoms, Dr. Fauchon’s response was alarmist, misinterpreting the post-surgical imaging. He rushed to schedule radiotherapy, which in hindsight, was unnecessary.

Dr. Fauchon was quick to schedule another session for radiotherapy, putting pressure on me to accept it. I was told it was urgent, despite not having any signs of recurrence. The decision had already been made for me before even discussing it properly. Looking back, it’s clear that a more measured approach would have been best. Waiting 30 and 60 days for another MRI would have probably prevented us from jumping to conclusions about recurrence.

A Second Opinion: An Important Step

A true oncologist who cared about a patient’s well-being would have taken my request for time into account. But Dr. Fauchon kept pushing for immediate action — within 24 to 48 hours — pressuring me to justify the need for radiotherapy.

If you are considering consulting with him, while he might seem to have good intentions at times, it’s essential not to let the panic he may generate influence your decisions. You should thoroughly assess the risks of a treatment that might be more harmful than beneficial and always seek a second opinion, preferably from another institution.

In my case, the best option would have been to do nothing, as the risk of recurrence after a complete resection by Professor Fontaine was low. Dr. Fauchon, while committed to radiotherapy, should remember that medical interventions must be based on substantial medical reasoning, especially for grade 2 meningiomas, which, in the absence of recurrence, often don’t require treatment.

Concerns about Financial Motivation

I also noticed a large number of patients waiting in the office, which raised questions about the financial motivations behind some of his recommendations. If Dr. Fauchon’s concerns were more focused on ethical issues and patient care, the quality of the medical journey would likely improve, as well as the financial sustainability of our healthcare system.

A doctor’s true motivations should transcend profit motives. Healthcare professionals, especially those in clinic management, must strike a balance between financial management and patient interests. This involves a critical reflection on the relevance of the recommended treatments, independent of institutional considerations. An entrepreneurial spirit is necessary but should never lead to the exploitation of patients.

Conclusion: Ethics and Professionalism

In conclusion, a great doctor’s vocation should include a commitment to transmission, empathy, ethics, and excellence. Beyond material interests, it should be motivated by the desire to improve the lives of others. A doctor should act not only with technical skills but also with compassion and respect for their patients.

My experience highlights that Dr. François Fauchon’s medical practices, driven solely by profitability, go against the ethical foundations of the profession. Quality care should preserve the integrity and dignity of patients, and Dr. Fauchon should integrate this reality for the benefit of the patients he is supposed to serve.

A Final Thought: Healthcare with Humanity

A final reminder of humanity to Dr. Fauchon: If your patient is in perfect health, with no recurrence and no symptoms, active surveillance should be advised to avoid unnecessary and potentially harmful procedures. Ask your colleagues if you don’t believe me — I’m not a doctor, just a victim of a doctor who seems far too focused on making his numbers.

Even if it's too late for many of his patients, I would recommend that Dr. Fauchon read this page on meningioma treatment. It was written by oncologists who truly care about their patients’ well-being, and Dr. Fauchon should take inspiration from it before finally considering his retirement.

A Personal Reflection: Meningioma Treatment and Patient Well-being

Dr. Fauchon: A magician who already knows what treatment he will offer you, even before meeting you. Generally, a good radiotherapy session is charged about €20,000 to your health insurance.

Not to mention the €8,000 in taxi fares, because he conveniently didn’t mention that I could have received the same treatment in Marseille, saving me four hours of travel each day and unnecessary fatigue. (Surprising from a man who claims to care about his patients' well-being.)

He seems uninterested in my fatigue, or in the costs to the social security system — he only cares about the clinic's balance sheet. Another proof that the patient’s interest doesn’t matter, as he could have spared me four hours of travel every day.

Final Remarks

It’s important that those in healthcare understand the impact their decisions can have on the lives of patients. Decisions should always be made with the utmost care, ethics, and consideration for what is truly best for the patient — and not what is financially most advantageous.

This translation aims to keep your testimony authentic, factual, and focused on the core of your experience. It tells your story without accusation but emphasizes the importance of patient-centered care. Would you like me to make any adjustments or further additions to the text?

Juin 2016
 

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