shouldice clinic wait times

He also reiterated that he also only does mesh unless of some other medical reason. Please mention Shouldice Hospital when you make your reservations. This makes anyones numbers on hernia repair difficult to interpret, but the Shouldices number in particular should be viewed with a grain of salt. Physicians cherry pick their patients. my surgeon said it was mostly a bunch of people complaining looking for money. Shouldice Hospital is a great place to work. Thank you for this post. . Marcello..whats your point and why are you here? I returned to work with some discomfort but progressed to feel quite comfortable. Youll be able to walk out of the operating room and, by the next morning, youll start a well-structured and supervised exercise routine. This expedited recovery time is due to the level of active physical rehabilitation that Shouldice Hospital expects from their patients. I really dont want to get into a lot of detail about the complex world of hernia repair here, but the world surgical community has moved on from primary repair with lots of inpatient days and the Shouldice has not. Pain clinics are full of patients who have had open mesh repairs. I traveled from NY TRYING TO AVOID the horrors of the mesh repairs. cleveland clinic hillcrest hospital map; 27th division cemetery; columbia pfg bahama vs tamiami; shouldice clinic wait timessam quek strictly come dancing. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. I can accept that this is work that should perhaps be compensated at a different level because of its extra demands. On call is hard but necessary work and I , as a Royal College trained surgeon, would not be allowed elective operating time anywhere if I did not offer on call services. Taxi from Toronto to Shouldice Hernia Centre. (As does everyone). I had little to no pain 4 days after the surgery, and other than a small scar, my groin has been perfect. Your kidding yourself trying to talk anyone into not going here for a repair Both the surgeons i had had well over 10000 repairs and the first one was nearing 30000. Fully sedated for duration of procedure. Im sure there are anomalies in either system, but like I said, Im rather surprised to hear that a place that is known for its speed (even among layfolk that have no business following the performance of hernia clinics) is being depicted as slower than public held alternatives. I agree with everything that you say. Are you willing to be more specific about the nature of your problems post op? There have been many mesh products that have been recalled over the years. To you doctors and surgeons; I do wonder if you feel any guilt for installing these meshs in your otherwise healthy patients I certainly couldnt do it from what I now know. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. I hike a lot, mtn bike, lift >100# items, etc. Awake and aware during surgery, no pain but the feeling of pressure and intense tugging. The last one before going there was a laproscopic surgery done by a cocky 40-something that failed before he even left the hospital & then turned into a fistuala which the surgeon was in denial about for months & could have killed him. Thanks Kram. He takes the time to explain everything to you, during the consultation, before the surgery, and after the surgery. Different policies will exist. I then asked where do patients go if an infection or problems arise after that are serious? He said, emergency. So I arrived in emergency and drop a surgical problem on their doorstep with no follow up from the original surgeon? I was told my mesh was new but found that it hasnt changed much since 2009 when Bard first came out with this polypropylene mesh. Do you have any other suggestions for me? No referral is required. But my main problem with this approach as a taxpayer is that this is a huge waste of healthcare dollars. There are many reasons why mesh is used and many people do fine with it. Or that you are cynically making a play for a vast damages pay out. Meaning the hernia comes back, requiring a second repair. I agree with Toronto that it is hard to find any real data on the Shouldice clinic. I decided to wait and get the surgery at the Shouldice clinic, done by an experienced Shouldice-trained surgeon. I got a colleague to do it, with mesh, and a general anesthetic, as day surgery, in one of our local hospitals. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Im left asking the question do I fix it now or after pregnancy? (2) do you know of the desarda method of no mesh surgery? I tend to agree more than disagree with the surgeons comments about Shouldice with regards to their capitalistic method. Although operations are performed only five days a week, the remainder of the hospital is in operation continuously to attend to recovering patients. I play sports 3 days a week, I run competitively, etc, and virtually no pain. Shouldice Hospital is returning to Vancouver to conduct examinations in March 2023! It could be scar tissue or it could be the actual implant rubbing on the nerve. Have no perceptible issues with umbilical repair but under strain do feel some discomfort at the lower end of inguinal repair. 2 The Lichtenstein procedure was learned from a book, 10 instructional videos, and personal communication with Irving L. Lichtenstein, MD. NDP Leader Jack Layton acknowledged yesterday he visited a private Ontario medical clinic to treat a hernia in the mid-1990s, but dismissed suggestions it undercut his credibility as a public . Shouldice prepares you for your hernia operation and recovery. Ive had friends who had surgery with the best and have come out messed up. Success is defined by the patient as as good as new and somewhat differently by many surgeons, who would probably view that as unrealistic I am absolutely NOT suggesting a conspiracy but why mesh can be a problem is still not well understood. The other day I split a bush cord of firewood and my shoulder was sore but not my groin. One patient told me he didnt want to go back to Shouldice with his recurrence because he couldnt afford it. Im probably an anomaly in the hernia world, but my story is horrific and Im still passing through it. Pick a curve, any curve (say, the red one). I am also not a fan of the idea of Centres of Excellence. The idea that high volumes of doing one thing only makes you better at it. It seems to be the same, or slightly worse than the common open mesh repair. SHOULDICE HOSPITAL - 33 Photos - 7750 Bayview Avenue, Thornhill, ON - Yelp Auto Services Shouldice Hospital 3 reviews Unclaimed Hospitals Closed 9:30 AM - 3:00 PM See hours Write a review Add photo Photos & videos See all 33 photos See All 33 You Might Also Consider Sponsored Centres For Health And Healing 16.4 km away from Shouldice Hospital Sounds like he needs a repair, although you dont need to worry about blood supply usually. 14 Weeks with mesh. At this stage I cannot guage the quality or durability of the underlying repair. (LogOut/ And I appreciate that is frustrating when Shouldice info is hard to get but I can tell you follow up & accurate reporting of success rates for the rest of the system is just as unreliable because of useless record keeping. To do less would be to jeopardize the positive end result. From what research Ive done some say physical therapy helps. Thank you for your knowledge and insights re hernia repairs. may be involved. The surgeon indicated that when they went in to operate they discovered I actually had two hernias (one direct and one indirect) and he repaired both. Hernias of all sizes can be repaired without mesh, but as a surgeon it is frustrating to repair a hernia without mesh in a patient you know has almost 100 % risk of recurrence in their lifetimes. I always tell patients it takes as long as it takes to do a safe operation. Over the past two decades this small 90-bed hospital has averaged 7,000 operations annually. Sometimes this cost is paid out by private insurance companies if the patient has a health benefits plan, or by the patients themselves. C. I had minimal bruising and swelling, and am mostly back to normal a few days after surgery. The issue is really about the size of the facial defect vs the risk of recurrence with and without mesh. I agree with John. Not that hard to understand why their academic achievements are always lower than private ones. View Map We are currently accepting patients in our Examination Clinic by appointment or limited walk-ins on a first-come, first-served basis. If you would like diet counselling to help prepare for your surgery, we have a registered dietitian on staff to offer the help and support you need. This clinic needs to keep people in hospital to make money. Last year, it had a record year and performed nearly 7,500 operations. Given the choice, Id choose a hernia comeback. In fact, after asking permission and explaining the purpose, they live-streamed my operation to a Surgeons conference in Victoria, BC. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. Recovery done at home, pain meds prescribed, incisions very tidy, standard sutures, little to no swelling or bruising. Very interesting and enlightening article for a soon-to-be operated-on groin-hernia sufferer like me. A groin which has been operated on for hernia will never feel the same as before the hernia repair, but for the vast majority of patients they will be aware if their repair, or have to take medications for it. My father, a neighbour, and a former co-worker have had hernia repairs in the last few years. He never admitted to any pain and shortly before my son was born developed an I augurales hernia. Having to go in the day before surgery and staying 4 nights seemed odd in this day and age. A good analogy is to compare mesh implants to the education in a public school and then, Shouldice, the equivalent of a private, fee paying school. Creepiest Pre Op room Ever. It is located in Toronto, Ontario, Canada north of Highway 401 on Bayview nearer to Highway 407. It is important that you are not carrying excess weight around your abdomen. I would not that in Canada most people are referred to a surgeon they do not really know for most procedures. over 30 years and thousands of repairs we have redone 3 for pain The last was 2 weeks ago and already he is pain free. We never rush you through surgery and send you home the same day; thats very stressful for both patients and their families. Now patients will generally think that more care is better care. I dont know where you got your information that the Shouldice doesnt use mesh but this is incorrect. Dr. Yunis and staff accommodated my physical disability, handicap. TORONTO Shouldice Clinic Hernia Repair - August 2020 2,289 views Oct 22, 2020 27 Dislike Share Save Herve Del Norte 542 subscribers I provide a summary of my recent hernia repair surgery at the. Abstract. The problem is that the mesh industry is so powerful it is impossible to get anything published that doesnt involve a mesh. Once youre admitted to the hospital, youll meet other hernia patients. For Ontario residents, the Shouldice procedure is covered except for the cost of the semi-private room which is covered by many insurance plans. To get the best results from your hernia repair, you should be in the healthiest possible condition for your operation. Please call 905-695-4911 to book a time. Shouldice Hospital recommends a healthy diet for hernia repair, and one that focuses on achieving an acceptable body weight. I would also, I hope, be getting angry calls from our hospitals administrators asking what the hell I was doing keeping patients in hospital for so long after such a simple procedure. Safe for airport scanners AND MRI. The general surgeon I seen advised 6 weeks. The Shouldice clinic was purchased as an estate in the early 50's, so it definitely has that old, historic feel to it. Besides the fact that it looks weird, my only concern is that given that Im only 42, the hernia is just going to get worse better to repair the pothole now than to wait for an emergency in the future. I do not believe in the argument that the Shouldice doing so many repairs allows for more hernias to be repaired in our public system. Sheraton Parkway600 Highway 7Richmond Hill, Ontario905-881-21211-800-668-0101Call hotel for special Shouldice rate.2.5 miles from the hospital. Hard to be critical regarding matters of efficiency without data descends into rhetoric pretty quickly. Lastly, I really feel strongly that clinics and surgeons which do not do emergency on call work should not be allowed to operate on an elective basis. Most of my comments refer to groin hernia repair and as I said at the beginning, are based on my opinion as a medical expert and fixer of hernias, not on any raw data, which of course is not available. Ive read of issues with all repair methods except for TAPP laproscopic have you heard of it? I had two hernias repaired in November last year. Now I have mesh and been having issues with it since (6 months) I would of rather rolled the dice on the hernia reoccurring the old fashion way than having something put in me that no one can get out and continues to be an issue. I have acknowledged in the comments above the rare but real risks of mesh insertion. To decrease the text size, press and hold down the command key on a Mac or the windows key on PC, then press the minus (-) key. WOW. We have just reviewed 400 consecutive patients from 4 years ago and our recurrence rate is 2%. I have 5 years on one and one year on the latest already Also agree out of the 30 or so both times there were next to no pain or issues just days later.. Unfortunately I believe their actual holistic approach was outdated sometime during the cold war. That is why we offer a diet counselling service to all of our patients. Polypropylene can cause many issues later on down the road research is finding and for those of us with mesh it could be a time bomb waiting to go off. This is a complex technique involving multiple overlapping sutures across two layers of muscle. Thank you. From a patient and voter point of view, I dont see why all surgeons need to do emergency or on-call work. Shouldice Hospital is a bit of curious place. Today, Shouldice Hospital performs more than 5000 . Shouldice effectively skims off elective procedures in a very healthy, wealthy, and slimsegment of the population that is extremely motivated to get their hernias repaired atthis private clinic. Update from my initial posts: Its coming up on two years (mid-Sep 17) since I had my right side inguinal hernia done by Dr Lisi in Collingwood G&M Hospital using laparoscopic surgery and mesh. In the Shouldice clinic, the average time off work after repair is 8 days, and 4 weeks is the maximum time patients are authorized to return to heavy labor. My pain has continued and in the last 4 months has progressively gotten worse vs getting better. Most patients I know of that go to Shouldice go there specifically for the expert all-tissue repair, the classic old fashioned hernia repair sutured with their own tissues. Food was above what was expected of hospital food. Unfortunately it did not adequately control for risk factors known to be associated with recurrence, including obesity. Other operators. Hernia repairs at the Shouldice are done with local anesthetic, no mesh insertion, and with a long stay in their hospital to recover. I did read the article. That's a lot of lost revenue, so it's understandable for practices to schedule as many patients as they can to mitigate the financial losses from missed appointments. I have an inguinal hernia which is more annoying than anything since I play a lot of sports (not painful), but more so I am afraid of chronic pain after the surgery. 2) No tacks or staples inside the abdomen to further the chance of nerve damage. Mid 30s in age As with Tyler excellent experience both times with100 percent results. I have contacted the operating hospital who caused the issue and theyve decided they do not want to assist in the issue any further. You are correct, we should have much better reporting systems than we do. When you come to our clinic for an examination, Shouldice staff will welcome you and arrange for a personal consultation with one of our experienced hernia surgeons. I dont want to come off too confrontational but I am going to be blunt. My concern is with the use of mesh on a growing teenage boy. Mesh is known to have a potential side effect of chronic, possibly serious pain, and potential difficult mesh removal later which leaves the person changed for the worse. I will continue to recommend the Shouldice and feel it was the right choice for me. The Bassini repair, named after Dr. Edoardo Bassini who developed it in the 1880s, was the first efficient repair for inguinal hernia. Discover the Shouldice Experience We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. The amount of money being drained away by this clinic from the public system is opportunity cost, not just for hernia repairs, but all healthcare spending. As for my health state, today is two weeks and I am still having significant pain from the muscle lump. I am not going to comment on specific cases, just generalities here. and a less wait time surgery would be quite worth it. The repair is based on the Bassini repair with some modification. minutes at a time, several times a day during the first few days after surgery If you are unable to have a bowel movement following surgery, a mild laxative such as Milk of . The wait times were significantly higher than normal. I will stop by here at the 6 month point to provide another update. York Region Transit. Visitors will not be permitted in the patient rooms. Besides, if the Shouldice process were to fail or post-op complications were to become unbearable, would it not be possible to use a mesh then? 5. shouldice offers a social experience. When you come to Shouldice, you can expect to have a positive and pleasant experience. I know once Ive been opened up there is no going back. According to another surgeon I saw mesh isnt likely to cause all of the issues it does in other portions of the body (erosion mainly) and said in his experience 1 year isnt that uncommon to feel mostly back to normal. If hernia repair is right for you, well set a hospital admission date that is convenient for your schedule. To decrease the text size, press and hold down the command key on a Mac or the windows key on PC, then press the minus (-) key. Shouldice, like you said, does not do that kind of thing. My hernia was considerably large and very uncomfortable (both surgeons recommended it get repaired soon as it was quite large and at risk for obstruction in the future) in fact, I was no longer able to play sports anymore. Best. Its worth a try on the appeal process though.. Again best of luck.. Im 27 and I have had three femoral hernia repairs in Nova Scotia, two open, and one (most recent) laparoscopic. And yes, Shouldice cherrypicks their cases, perhaps because they can. If you need help to lose weight before your operation, one of our surgeons will refer you to our diet counselling services during your initial examination or you can contact them directly at (905) 695-4914. This should be broken down into smaller samples to isolate by type of procedure or severity. Also, I doubt if any teaching staff in state/public schools has many good things to say about private education, the reasons only too obvious. Change), You are commenting using your Facebook account. You . For over 75 years the Surgeons and staff of Shouldice Hospital have dedicated themselves to repairing abdominal wall hernias; it's all we do, having performed over 400,000 successful hernia repairs using our natural tissue technique without the use of surgical mesh and its serious complications. Improving patient satisfaction with wait times. Personally, put in a holding pattern until surgery in the afternoon. Im not sure what you mean by *elective* with regards to hernias except that I imagine they like many surgeries mostly dont need to be done on an emergency basis. Some of the patients will already have been through the operation and will be happy to offer reassurance and support. 600 Highway 7Thornhill, Ontario905-881-26002.5 miles from the hospital. One thing Ill add, is a problem with the Shouldice technique is that its complicated for a surgeon who is not very experienced with it. I think it depends on the surgeon involved and what your expectations are around the surgery. Walk-in spaces will be provided for a limited number of patients every Monday to Friday. Shouldice.com A pioneer among for-profit surgery clinics in Canada has been sold to a private health corporation for $14-million, ending a family-owned dynasty that played a unique role in the. 2. shouldice offers low cost. We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. Has mesh been inside anyone for 40-50 years? Bus operators. If someone has a hernia surgery at one hospital and then develops a complication they could easily end up at the emergency department of some other hospital having the repair done by a completely different surgeon. Sorry your husband had such a tough time with his hernia, hope he is doing well now. You are right, there is not a lot of good information for women in your situation. I do not feel Shouldice does an honest job of their success rate, but they are not the only place or surgeon to do that for sure. Or it isnt the mesh itself so much as the insertion procedure? 8. Is my scar larger than it could have been with a mesh repair? Very good points Tony! Reading your comments put some things into perspective for me. My father needs a hernia operation. Procedure Ill see how it continues and report again in a month or so. Shouldice Hospital is not responsible for these services. Laparoscopic repairs are reported to have the lowest occurrence of chronic pain in the papers that I read. The vast majority will accept the surgeons advice and do not seek out second opinions or options for their surgery. Having been an aircraft accident investigator I provide this comparison/critique in a strictly evidentiary way based on my experiences and observations from having had both procedures. I am quite sore, I am bruised from my left hip bone to my scrotum including everything in between. I understand that they likely inflate their success rates by choosing ideal patients, but I do not have the technical skills to actually evaluate the efficacy of the proposed mechanism of repair.

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