During a long presentation, on this third day of Dr. Lionel Guedj's trial, a Social Security executive detailed the "system" as she said the dentist had put in place to optimize his turnover.
This system consisted of multiplying the number of patients and placing many more profitable prostheses.
And this, to the detriment of the health of the patients, because the risks of infections are numerous.
Sophie R. has been detailing this Wednesday morning for several hours, with surgical precision, the results of the investigation that Social Security, for which she once headed the litigation department in the Bouches-du-Rhône, carried out on the activities of Lionel Guedj, dentist from the northern districts of Marseille accused of dental mutilation on 322 patients who are civil parties.
The defense lawyer has been skillfully cooking her for long minutes, oscillating between rhetorical questions and dodges.
But suddenly, to everyone's surprise, the doctor bursts into tears.
“You know this morning, when I arrived in front of you, Madam President, I took an oath, and it reminded me of another oath that I took a very long time ago, she breathes, moved .
In this file, what was really decisive for us is that we have been able to observe that young patients have found themselves with large-scale devitalized teeth, and that all their life, they will live with a destroyed mouth. .
If today, I made it a point to come and testify, it is above all because I thought of these patients.
Behind them, plaintiffs in turn burst into tears.
Placing a large number of prostheses
For years, Social Security has tried to dissect what Sophie R. describes at the helm as a “system” put in place by the dentist when he opened his practice in the 15th arrondissement.
"In fact, Dr. Guedj practiced very many devitalizations of teeth which initially were not diseased in order to place a large number of prostheses, says Sophie R. These prostheses did not have a limiting price, which allows practitioners to charge high fees, and this largely explains Dr. Guedj's turnover.
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With an amount of fees 14 times higher than the average, Lionel Guedj indeed recorded a turnover of more than three million euros, making him the richest dentist in France at the time.
The Social Security investigator, now deceased, even declared to the police, as recalled by the president of the court: “We can define the work of Mr. Guedj as not meticulous and fast.
Its purpose is solely in gain.
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Up to 180 acts per day
For this, Dr. Guedj multiplied the patients, and therefore the prosthesis poses, at a frantic pace, to the point of attracting the attention of Social Security.
“The number of patients per day seemed totally unrealistic to us,” says Sophie R. According to the Social Security statement, in 2009 Dr. Guedj billed mainly between 50 and 90 daily acts, sometimes amounting to 180 acts per day.
“Before this investigation, I had never seen anything so massive, is surprised Sophie R. It is really something unusual”.
Based on the nomenclature determined by learned societies specializing in dentistry, Social Security has attempted to determine the time required to perform all these acts, taking the lowest time range.
However, according to these calculations, if he respected the time necessary for each act as defined in the classification of medical acts, "Lionel Guedj's average working time was 41 hours a day in 2009 and 52 hours in 2010, tance Sophie R. We reach levels that suggest that the actions were not done or were badly done.
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Risks of increased complications
And to accuse: “In this file, what challenges given the volume of acts, it is the risk taking.
We may have the equipment, when we chain this number of patients for such a long period, I doubt that we can guarantee for each of these acts to be able to perform them with the necessary rigor.
“However, as Sophie R. deplores, “when procedures are not carried out according to the rules of the art, there is a risk of increased complications, such as cysts or loss of teeth.
“Pathologies presented by the majority of the 322 civil parties in this river trial.
"Personally, without jargon, yes, for me, Dr Guedj falsified and mutilated", accuses the doctor's former dental assistant at the bar a little later, provoking a round of applause on the civil party bench.
"Didn't you cut some steps to go faster?"
“Suggests Me Kamel Touhlali, lawyer for several civil parties, to the dentist.
“Cut back on stages, we have never done it, claims Dr. Guedj.
I've made medical errors, otherwise there wouldn't be 300 people behind me coming to complain…” “But 300 medical errors, is that possible?
“, is surprised Me Touhlali.
Without hesitation, Dr. Guedj replies: “When you see the number of patients I had, you can say that there were a lot of happy patients.
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Justice
Marseille: X-ray trafficking, unsigned quotes ... The long list of questionable practices by dentist Lionel Guedj
Justice
Marseille: “I recognize a certain frenzy”… The delusions of grandeur of millionaire dentist Lionel Guedj, accused of dental mutilation
Dentiste
Trial
Marseilles
Justice
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