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Change). It is supposed to be better than Shouldice. From what research Ive done some say physical therapy helps. To get the best results from your hernia repair, you should be in the healthiest possible condition for your operation. I generally will do any umbilical hernia under 1 cm in size without mesh, but that is not an absolute and depends on a lot of factors, including my discussion with the patient. He chose the hospital. Create a free website or blog at WordPress.com. Would you please share with me what kind of hernia you had. Which must annoy surgeons who use only mesh). It is nice to have met your surgeon before any surgical procedure though. He worked at Shouldice for about a year and did several hundred Shouldice repairs. In general looking forward to a day when performance stats for regulated professionals and their related clinics/practices will be available for scrutiny then we can all make decisions based on merit rather than hearsay or fuzzy notions of reputation etc. In fact, the most over investigated, over treated patients are likely to think they have great care, when the opposite is the truth. We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. 1/2-5/8 of flesh mounded above the underlying muscular tissue fix. Do not use mesh, It can or will disintegrate in time like me and a friend too. Or is it because, here it comes, that dangerous phrase Weve always done it this way? Large ventral/incisional hernia repair or complex abdominal wall reconstruction- different story. Im 60 and 511 @ 180lbs, so not overweight and in good health. 7) Its difficult (not impossible) to find anything negative written about peoples experiences at Shouldice its predominantly positive what they say/write. A version of this commentary appeared in the Vancouver Sun, Huffington Post and iPolitics.ca. My pain has continued and in the last 4 months has progressively gotten worse vs getting better. Best of luck Dean. Thirty five is a fair number if done completely by the surgeon in question I would think. I will continue to recommend the Shouldice and feel it was the right choice for me. 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. Patients are required to be within 20 % of their ideal body weight, and are refused surgery at the Shouldice if they do not meet this criteria or lose the weight. Toronto Transit. My first week after surgery at Shouldice wasnt too bad. 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.. Employees should be trained and equipped to manage waiting customers, communicate information, and resolve issues. Hello lesmcc1. shouldice clinic wait times. In our small study no patient had any pain after 6 weeks. What would be your expectation about how the recurrence would be repaired, and the likelihood of developing chronic pain afterward? A friend of mine had the mesh technique and it resulted in a tumour growth that was quite complicated to resolve. View Map. Of course, that is difficult work which the shouldice is not interested in. I doubt it- they are simply following standard of care which they are required to do by their licensing bodies. I have a hernia (incisional/abdominal) that needs to be repaired, with several other smaller hernias, however, my visit to the Shouldice sent me searching for the right General Surgeon instead. My father needs a hernia operation. colonel frank o'sullivan interview; beverly hills high school football Ive had friends who had surgery with the best and have come out messed up. Talking about media ( from the article you posted here ) Mid 30s in age As with Tyler excellent experience both times with100 percent results. Leave jewellery and other valuables at home. This is so helpful! 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. My luck, the guy was a heavy sleeper and snored all night which means I could not get that much sleep during my stay. ConvenientCare Berwick average wait time Save my spot 65 Briar Creek Plaza Berwick, PA 18603 Phone: 570-802-5590 Get Directions Monday - Friday: 9 a.m. - 7:30 p.m. Saturday & Sunday: 8 a.m. - 5:30 p.m. Closed: Most major holidays No I have not found a way to make any money out of my blog, just doing it for fun at this point. Standard and mandatory wake up is 0530 for all. Our current career opportunities are outlined below. Comments Off on shouldice clinic wait times; June 9, 2022; I would encourage you to have your father see his family doctor to refer to the hospital and surgeon which are closest to you. Certainly your hernia is symptomatic and should be repaired. The 3 scars have pretty much healed up. I went into general surgery because its well, general. I wonder what steps should I take once Im ready to see a new surgeon in Ontario? At Shouldice, we recognize many of our patients have family and friends with them. For personal comparisons I am a 50+ year old male in average/above average health. The first time I was sick with a high white blood cell count and they send me back home this was 5 years ago, 3 years ago I tried again and this time I had diabetes and they told me to go back home on the day of the surgery because I was coughing too much, the reason I was coughing was because of Ramipril a HBP medication. Waiting room (20min wait time), examination (15-20min), waiting room for accounting office (5-15min), accounting office (10min), nurse station for blood check (5-10min), surgery (45min), recovery (3days) . Over 3,000 patients receive follow-up examinations at our hospital every year and we offer remote clinics for patients who live farther away from Shouldice. They actually recommended that my other hernia not get operated on as it was too small to be fixed (which was really impressive that they gave the correct advice, watch and wait). 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 hope that is helpful. Please call 905-695-4911 to book a time. and then he has the audacity to tell me that I cant feel the mesh and that the pain is also in my head. This wound closure and stapling technique are a significant source of discomfort and pain for all patients. Is this because Shouldice thinks this is good care? They say Im an unusual case, but 2 years after having an inguinal hernia repaired at Shouldice I am still suffering from nerves entangled in scar tissue. I am debating on having surgery on my right inguinal hernia and whether to do it at Shouldice or at my local hospital. I am now 4+ months postop and have chronic pain and the surgeon just looked at me dumbfounded and surprised at my last appoimtment. Very very rarely will I feel a twinge of pain, but 99.5% of the time, I feel as good as new. However, it is also undeniable that the chance of a hernia recurring over time is reduced when mesh is utilized appropriately and on the right patient. And I agree that we need to have tracking of surgical outcomes to verify the success of various techniques, whoever does them and whereever they are done, but making everybody do emergency & other more involved surgeries doesnt address that. They can walk in, and be called in to be seen by the doctor without having to wait for long. Sounds like he needs a repair, although you dont need to worry about blood supply usually. It was then allowed special licence by the Ministry of Health to continue operating. I feel like patient quality of outcome should be the deciding factor, not just whether the original hernia was handled. The buddy system helps to reduce stress and anxiety and prepares you for a confident recovery. Authors Anna Bradshaw 1 , Sarah Raphaelson. The "first" reduction in Tq is much greater!) (As does everyone). Dr. Shouldice graduated from the Univ of Ottawa Fac of Med,Univ of Ottawa Fac of Med in 1979. Show More. Does it annoy surgeons that many many *easy* abortions are done in clinics rather than hospitals? We now have detailed records on more than 400,000 patients and maintain one of the most comprehensive database on hernia repair in the world. Not true.If they Identify an Hernia with no bump, they will ask for repair it. Not that hard to understand why their academic achievements are always lower than private ones. But I wonder if I will be told I need to have mesh after all. Now some of the Shouldice clinic patients come from out of country and should be paying forall of their carebut what this percentage is, I do not know. I do believe mesh allows me as a surgeon to do a tension free repair which causes less pain, both acute and chronic, post op. Chronic groin pain after hernia repair is a concern, no question. All patients will be actively screened at the front door. I am scheduled to have a right side repair done at Shouldice next week. WTF was that?. Just another casualty to this epidemic caused by mesh. 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. There are days I literally cannot walk. 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. And yes, Shouldice cherrypicks their cases, perhaps because they can. Hi. It was then allowed special licence by the Ministry of Health to continue operating. So that is a great question. We have a full range of activities in addition to organized exercise, to make recovery enjoyable, including billiards, shuffleboard and a putting green. The Shouldice Clinic outside of Toronto, Canada has demonstrated extraordinary safety and durability with their technique. Relaxing views and an estate-like setting are an important part of the total Shouldice experience and help to stimulate the bodys own natural abilities to heal. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. I wonder if a nerve block might be the answer. Mesh CAN be a nightmare if not inserted properly, and maybe I would be able to get away with not using in a very slim patient, but I consent patients thoroughly to all the risk factors. Well keep in touch every year and offer you an opportunity to have your hernia repair checked and monitored by our surgeons. 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 . security guard 12 hour shifts aubrey pearsons oaks husband shouldice clinic wait times. Here is a run down of my thoughts. Its certainly an interesting place. Could you take a closer look at the Desarda technique and make some comments in the same way you did with the Shouldice techinique? When asked about mesh and its complications I was told not to worry about them or the mesh as its good. Thats the bunch of b.s. As I said at the beginning, this blog is my opinion and I have a conflict of interest BUT evidence based medicine would say you need to be doing hernia repairs with mesh. You are correct, I lived in Australia and know even gap fees can bankrupt people with insurance. From the group I saw (30 of us), virtually everyone was doing much better after the surgery. The general surgeon I seen advised 6 weeks. Thanks for your comments. For Ontario residents, the Shouldice procedure is covered except for the cost of the semi-private room which is covered by many insurance plans. I agree with Toronto that it is hard to find any real data on the Shouldice clinic. I had the left side done 11 yrs ago @ Shouldice and have had no issues with pain or recurrence and I dont avoid any activity, including heavy lifting. Having said that, the risk of recurrence is much higher with umbilical and epigastric hernias in pregnancy than with groin hernias. For Michael:Google search Shouldice hernia failures. 600 Highway 7Thornhill, Ontario905-881-26002.5 miles from the hospital. All Drs are well experienced and trained. (LogOut/ In any case my husbands case is exactly the kind of many complicationes hernia that you are talking about although all his many failed hernias and the fistula repair that involved having a large part of his bowl removed were done at major hospitals. The body can react to a foreign body (Plastic) Mine also is touching the nerves that run in that area. Is the mesh currently being used the same product that has been on the Toronto news where they move around internally after coming loose? Not to mention youll be competitive with Shouldice. Just want to make a correction: they dont provide private rooms, but cramp you in a room with another person. Have no perceptible issues with umbilical repair but under strain do feel some discomfort at the lower end of inguinal repair. We encourage you to take advantage of these beneficial patient programs. I wanted to provide an update on my above comment and how my recovery has gone. My biggest concern with the Shouldice clinic is that you might get a very experienced surgeon, or you might get a surgeon that is quite inexperienced (relative to the rest of the staff). And yes chronic pain is an issue which needs to be better studied in terms of techniques to prevent it and treatments. They weigh the risk to both. Safe for airport scanners AND MRI. Under carefully managed routines, most of our patients are back to normal activities in less than a week and often back to work as soon as they are discharged. No kidding Shouldice will have better results than me when they do not have to operate on an obese diabetic at midnight who is dying from a piece of blocked gangrenous bowel in his hernia which they wouldnt fix electively because he was too heavy! https://www.ncbi.nlm.nih.gov/pubmed/10452261. In fact, that is the only operation it performs, and it performs a great many of them. I have put off surgery for four years because of concerns with mesh. Im not a medical professional of any sort, but Im capable at measuring time the first two (father and neighbour), went to Shouldice and returned within 48 hours and their usual routines somewhat ecstatic about the result, and with no need to revisit the surgeries since. This makes any numbers they publish about their recurrence rates completely out of touch with the reality of what myself and other general surgeons are dealing with in our practices. colonel frank o'sullivan interview; beverly hills high school football I wonder if they know about him, or does he go into their success pile? Maybe a freedom of information request needs to be filed so accurate comparisons can be made. I just want the best treatment possible with the lowest chronic pain! Its one of the great things about my job. He has no idea why or how it happened but didnt feel he really cared. If you dont have a very classic bulging abdominal or groin hernia, they are not going to operate its a random nonsense. Healthcare. As for my health state, today is two weeks and I am still having significant pain from the muscle lump. About a week later the pain had completely subsided and I had no further significant pain. Improving patient satisfaction with wait times Nursing. The Shouldice clinic charges patients for a private room for up to 5 days (this adds up to many hundreds of dollars). You . I am still avoiding heavy lifting, but everyday lifting activities (groceries, young children, etc) arent causing any issues. Shouldice specializes in this unique approach to hernia repair. or skilled? Reading your comments put some things into perspective for me. 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. Slight modifications were made in each procedure but the procedures were similar . In fact, I believe in less than a decade the medical profession will be inundated with increasing problems from meshes installed in patients 20+ years pervious and will be forced to go back to training their surgeons to the standard they were at pre-1990s, before mesh became mainstream, when hernias were repaired the way they should still be getting repaired today suturing. I know Shouldice will also cost me more than getting the mesh procedure done in-network here in the US but I feel that at least Ill be giving myself a chance of not exposing myself to a permanently inserted foregin object. Its location is the former estate of George McCullagh, a publisher who created The Globe and Mail newspaper in 1936. There are many reasons why mesh is used and many people do fine with it. 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. Have you or your staff followed up with all your patients? Hernia repairs at the Shouldice are done with local anesthetic, no mesh insertion, and with a long stay in their hospital to recover. . Care and service do not stop once you leave Shouldice Hospital. Shouldice is a business and I understand that like any business its primary goal is to make money. Shouldice also does not require a doctors referral to see patients and bill the Ontario health care system. Impossible to lose the weight. I discuss chronic pain issues with patients before surgery and try and make sure the nerves are away from the repair. There are many companies which manufacture mesh (hundreds) and yes they like to make money. So while I agree with patients having to lose weight for some surgeries, I cannot on a practical level be that picky about it. IMO unless someone events a hypoallergenic mesh that is proven to be inert in human flesh for 40+ years that allows nerves to grow around it without hindrance then I think hernia mesh repair days are numbered. Dr. Shouldice developed his innovative technique during World War II, to help young men who were unable to enlist in the military because of their hernias. Do you know of any doctors in Ontario who will operate on overweight patients with abdominal hernias? This makes anyones numbers on hernia repair difficult to interpret, but the Shouldices number in particular should be viewed with a grain of salt. So I am 4 days post surgery from Shouldice.My tackle is extremely bruised so I can not say that I will maintain objectiveness. When needed, a hernia weight loss diet is individualized for each . If I was doing the Shouldice repair with no mesh and keeping my patients in hospital for 5 days after hernia surgery, I would probably have my competence questioned, and with good reason. No-show patients cost around $200 per unused time slot, and the average no-show rate for most U.S. practices hovers around 20%. ?Does this matter? It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Shouldice patients have said again and again, how much they enjoy the Shouldice experience. Ive had mine for years (think its due to c section surgery or pregnancy) The expertise of Shouldice seems hopeful and promising, and Im out of alternatives. Well that was 2 years ago, he did lose 45 lbs and the doctor still refused to do the operation siting that he had no place to put what was in his testicle area! I was wondering what your thoughts were on the actual Desarda technique, not just the website. Toronto Transit operates a bus from Yonge St at Dundas St East to Steeles Ave East Loop every 30 minutes. 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. Posted on September 8, 2011 by Ewen. The whole experience was quite pleasant, and Sarasota, Florida is a beautiful, wonderful place to visit. There is a sunlit caf for reading and relaxation and a cheerful common room, where patients often gather for a friendly game of cards. I returned to work with some discomfort but progressed to feel quite comfortable. The nursing staff was a mixed bag, as would be expected anywhere. My personal experience is that my husband moved a piano for me 20 years ago. To do less would be to jeopardize the positive end result. Go for the weight loss and then go for the surgery!! 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 . cleveland clinic hillcrest hospital map; 27th division cemetery; columbia pfg bahama vs tamiami; shouldice clinic wait timessam quek strictly come dancing. I know once Ive been opened up there is no going back. http://Www.desarda.com. They do not have to do emergency general surgery, ever, how convienient. If the damage is so bad in a patient that suturing is no longer plausible then a mesh could be deemed suitable in these circumstances. immortals fenyx rising nike armor set. Two questions: (1) do you think a surgeon who did 30 laparoscopies in residency and 5 shortly after in private practice is sufficiently experienced to do bilateral inguinal hernia repair with the TEP method? Shouldice of course sends most of the patients it sees back to where they came from, and does not have to worry about complications or ongoing issues from their repairs. She suggested that the nerve fibre regrowth in the skin layers around the surgical site may be causing the sensitivity. Many of these services are provided free to our patients. The reason my wife and I offer the Shouldice op in Kent UkK is the very high incidence of chronic pain after open mesh repair. Absolutely not. I hear that the wait time is up to a few years for the surgery itself. I applied to Shouldice and was refused surgery for my inguinal hernia. The typical Shouldice patient only experience s 5 days of required recovery time after their surgery, while hernia patients from other institutions typically experience 10 days of recovery time. 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. He takes the time to explain everything to you, during the consultation, before the surgery, and after the surgery. They are not sure what the issue for me is caused by. A tearing feeling (like being stabbed) from bowel movements is prevalent; on the positive side, I had my first pain free sneeze this morning. But the reality is that in Ontario anyway, major hospitals are getting as bad as any private clinic in letting cost considerations trump quality of patient care, but thats a whole other topic. The hypochondriac insisting on stronger pain meds and special priveleges to the I dont need pain meds tough guy. Our first available appointment is in July of 2023. The huge incision ripped internally and of course I wanted to choose the BE ST surgery clinic to repair it so it would not happen again. My doctor wants me to lose 50 lbs and ive tried but I cant and I have never found diets to be successful. I also have not had good outcomes with the medical community. Shouldice Hospital (formerly Shouldice Hernia Centre) is a private hospital at 7750 Bayview Avenue in Thornhill, Ontario, Canada. Im 27 and I have had three femoral hernia repairs in Nova Scotia, two open, and one (most recent) laparoscopic. I will really appreciate your informed feedback and sincerely hope that maybe more folks will follow your lead in helping make society better informed. First scheduled patients moved to pre-surgery prep. There are definitely many who travel to Shouldice from the USA, where last I heard it runs somewhere around $6500 paid out of pocket for an inguinal hernia repair and the multiple night stay in a facility that supposedly feels collegiate. 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. No public hospital in Ontario would be keeping groin hernia repair patients in hospital overnight without some underlying compelling reason. Less with lap but google complications of lap inguinal hernia repairs and you wouldnt touch it with a barge pole. Various proposals are set forth for expanding the capacity of the hospital. I would not that in Canada most people are referred to a surgeon they do not really know for most procedures. Are hernias covered by OHIP? The Shouldice will not be handing over their data anytime soon, unless forced to, I can say that with confidence. Possibly related to how much private insurance you carry. They give you good care. You may be regret waiting some but better to wait an added week or month than have chronic pain as I do. Chronic disabling pain which needs ongoing pain medication and/or other management (including mesh removal in the most severe cases) is thankfully extremely rare after groin hernia repair, be it with or without mesh. The cost of more comprehensive programs is covered by most insurance plans. Now patients will generally think that more care is better care. That was a bit odd. This is so important, but our electronic medical records do not allow that to happen at this point in time. I believe every patient has to make their own decision. Shouldice I learned the name even before it had become personally relevant and noted it. Awake and aware during surgery, no pain but the feeling of pressure and intense tugging. There is a specialty clinic in Toronto, Canada called Shouldice Hospital. If I could go back Id take my chances on reoccurance hands down. I would recommend this approach (and frequently do) to anyone, including my patients. Should Clinic volumes necessitate due to physical distancing restrictions, you may be asked to wait in your car - please bring a cell phone to allow us to contact you. 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 seems to be the same, or slightly worse than the common open mesh repair. The vast majority will accept the surgeons advice and do not seek out second opinions or options for their surgery. At the same time, it is clear that . Maybe if its a simple small hernia, Shouldice is a good choice, but otherwise, too clandestine for healthcare. As a specialist, I am not allowed tobill OHIP to seepatients without a referral from another doctor, and so we see the double standard growing. Most of us felt it was an efficient operation and we could see why they do things that way it was logical. I would even love to go there and observe their technique, but they are not in the business of educating surgeons, just skimming off our business. Shouldice Hospital Hospital #1 of 506 Facility in Thornhill, Ontario 3 Doctors Call Clinic View Map & Address Unavailable Ratings Doctors Top Facilities in Thornhill, ON Shouldice Hospital #1 of 506 Sunlight Dental Clinic #2 of 506 Matlis Medical, Urgent Walk-in Clinic, Sports Medicine Clinic #3 of 506 Grandview Dental Care #4 of 506 65 Minthorn BoulevardThornhill, Ontario905-707-65332 miles from the hospital. The goal is to help patients lose weight so that fat no longer hangs from and weakens the abdominal muscles, helping the surgery to go more smoothly. Dr. Yunis and staff accommodated my physical disability, handicap. 00%| | Expected . I do have recurrences, about 1 per year but I find since I have warned the patients about this they are usually pretty accepting of it and happy to come back to me for another repair. Female were nearly 3% of included patients. We use this information to refine our surgical techniques and document the success of our hernia repairs. Did I have any discomfort during recovery? Hi, I am the diabetic obese patient with an abdominal hernia. Laparoscopic and robotic inguinal hernia repair procedures performed by qualified . Unfortunately I believe their actual holistic approach was outdated sometime during the cold war. I would love to see some frequency distributions for Shouldice repairs vs inpatient time and time back to work. Not only are metrics regarding the likelihood to recommend and the overall satisfaction with the experience negatively impacted by longer wait times, but increased wait times also affect perceptions of information, instructions, and the overall treatment provided by physicians and other caregivers. 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. I have a rather large incisional hernia and am considering a trip to Shouldice. I absolutely follow up all my hernia patients. In the US though most general surgeons wont do it the old way or with disolveable meah for fear of reoccurance.