shouldice clinic wait times

I will really appreciate your informed feedback and sincerely hope that maybe more folks will follow your lead in helping make society better informed. To the wife of the husband with the augurales hernia. I have constant pain of some kind from stabbing to just dull along with foreign body sensation. Would you please share with me what kind of hernia you had. I dont know what the exact policy is on inpatient stay at Shouldice, the website said at least one day pre op, and an unspecified number post op. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. I just had my inguinal hernia repaired at Shouldice. Your hernia will need to be fixed, no question. Considered the same as Shouldice. Success rates should indicate level of difficulty/complications/etc but why as a patient should I not be happy for surgeons to develop specialty areas or clinics for easier surgeries that do not need to be supported by the larger and more costly structure of a full hospital? I returned to work with some discomfort but progressed to feel quite comfortable. It is located in Toronto, Ontario, Canada north of Highway 401 on Bayview nearer . 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! I have had this happen once. During the first week if I was too active Id feel soreness but with a few hrs rest it went away. Urgent Care Wait Times | Geisinger - Geisinger Health System I have a large left inguinal hernia and am debating between Shouldice repair and Desarda Repair. Many didnt even know their surgeons name. 2. shouldice offers low cost. The risks and benefits of mesh should be discussed with a general surgeon. But then you will have had two surgeries instead of one, with the risks that entails. The Shouldice Clinic outside of Toronto, Canada has demonstrated extraordinary safety and durability with their technique. The short time before my surgery I couldnt find anything definitive saying mesh was good or bad. Shouldice also does not require a doctors referral to see patients and bill the Ontario health care system. I have had a similar issue with the mesh (surgery May 2017) and tried a nerve block. Or it isnt the mesh itself so much as the insertion procedure? (LogOut/ They stick to what they know but when they need to be different for the better of their patient they dont know how to and rather than referring their patient to one that would be better for the patient. Same nurse. I am still avoiding heavy lifting, but everyday lifting activities (groceries, young children, etc) arent causing any issues. 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. Unfortunately it did not adequately control for risk factors known to be associated with recurrence, including obesity. A tearing feeling (like being stabbed) from bowel movements is prevalent; on the positive side, I had my first pain free sneeze this morning. Regarding the Weve always done it this way aspect? Shouldice hospital - a cut above - Homework Crew I would not that in Canada most people are referred to a surgeon they do not really know for most procedures. A Shouldice Repair is usually done under local anaesthetic and conscious IV sedation making it an exceptionally safe procedure with virtually no complications. Inguinal surgery 4 days ago at Shouldice performed by surgeon with 10,000+ hernia surgeries performed. 3. shouldice provides hernia repair with a short hospital stay. 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. 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. 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. 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 dont think it has been around that long. Is my scar larger than it could have been with a mesh repair? Update to the above. My personal experience is that my husband moved a piano for me 20 years ago. Our first available appointment is in July of 2023. Improving patient satisfaction with wait times Nursing. Save me from this little speech, I think there point is that the mesh industry doesnt have someone backing up there statistics and testing like the drug industry. I honestly cannot think of anything much to criticise beyond, just possibly, the tendency for some staff to be satisfied with your progress in their own minds, but could convey this rather better to the patient my equipment turned black and trebled in size so I had to get a specific answer to my question: is this normal? Surgeons get really angry when people are allowed to do elective surgeries without providing on call services, which is essentially what the Shouldice is doing. Mesh does reduce the risk of recurrence but does not make it zero. I had my hernia repaired there on Nov 2nd. Various proposals are set forth for expanding the capacity of the hospital. How Much Does Shouldice Hernia Repair Cost For Us Citizens Should I wait or should I see a surgeon right away? Shouldice has arrived at its point of success by placing an emphasis on this high level of quality and effective care. Sadly once you get the mesh and have issues with it the medical community doesnt know what to do. 00%| | Expected . From a patient and voter point of view, I dont see why all surgeons need to do emergency or on-call work. I live in Montreal, soon to be living in Ontario. (LogOut/ He also reiterated that he also only does mesh unless of some other medical reason. Beds and pillows are absolute garbage ( bring yourself a sleeping bag for the floor for a more comfortable sleep) To ensure the safety of our employees and patients, do not come to the Clinic if you are feeling unwell, have any COVID-19 symptoms, or have come into contact with anyone suspected of having COVID-19. . You dont find Drs in NY doing hernia repairs without the mesh. WTF was that?. I agree with everything that you say. In speaking with their surgeons, they are looking to have their technique more widely adopted and have recently had visiting doctors from the UK and are making efforts to have the technique more widely known. I briefly looked at the website, and I would have the same concerns as with the Shouldice, namely that recurrence rates for hernia repairs without mesh would be unacceptably high unless in a highly selected (skinny) population in North America. Im 27 and I have had three femoral hernia repairs in Nova Scotia, two open, and one (most recent) laparoscopic. Thinking logically, implanting foreign materials in your body is a matter of concern. His hernia is now the size of a basketball. Unlike most hospitals, delicious meals are prepared fresh in our dining room daily, providing the healthy nutrition you need to promote healing. It has lots of windows and a bunch of couches and chairs to relax in, a television and plenty of magazines and newspapers to flip thorough. This is so important, but our electronic medical records do not allow that to happen at this point in time. I would love to see some frequency distributions for Shouldice repairs vs inpatient time and time back to work. I would address your concerns with the operating surgeon. Prior to your visit, you are encouraged to complete and submit aMedical Questionnaire on my.shouldice.com. Its certainly an interesting place. Im left asking the question do I fix it now or after pregnancy? Standard rubberized hospital bed and pillow. Walk-in spaces will be provided for a limited number of patients every Monday to Friday. I still feel very comfortable with my decision to use the Shouldice clinic. I guess my point is that everyone who goes to the Shouldice is going to have a good outcome, because they are doing the slim patients. I had two hernias repaired in November last year. In fact, after asking permission and explaining the purpose, they live-streamed my operation to a Surgeons conference in Victoria, BC. Thanks for your blog. 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. When you say walnut size that may mean the size of the sac which can and often is larger than the actual hernia itself. Now patients will generally think that more care is better care. 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. [1] The hospital specializes in hernia care. .1st operation to save my life. Laparoscopic and robotic inguinal hernia repair procedures performed by qualified . 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. The day after and two days after the operation I walked around the Shouldice property which helped with circulation and recovery. Mesh reduced the risk of postoperative urinary retention compared to non-mesh (eight studies, 1539 participants; RR 0.53, 95% CI 0.38 to 0.73, I2 = 56%, NNTB = 16, moderate-quality evidence . To do less would be to jeopardize the positive end result. Youll be able to walk out of the operating room and, by the next morning, youll start a well-structured and supervised exercise routine. I sympathize with you and your husband. It is a small hospital dedicated only to hernia repair. Hes certainly not done growing. Too risky. Where did you end up going ? They give you good care. Surgical Wait Times Diagnostic Imaging Wait Times (CT and MRI) Ontario Health is an institution under the Freedom of Information and Protection of Privacy Act, 1990 (FIPPA), and has policies, procedures and practices in place to ensure that its collection, use and disclosure of personal information is in accordance with FIPPA. I play sports 3 days a week, I run competitively, etc, and virtually no pain. I am scheduled to have a right side repair done at Shouldice next week. This involves making an incision . The worst things said seem to be about the dcor of the hospital, the way the nurses and doctors treat you/pillows too small/beds like rubber etc. They do not take overweight patients, they do not take complicated cases, and they do not take hernias that are not obviously visible right at the time of surgery itself. The place isrun a bit like a hernia boot camp, which I really had no issue with. cleveland clinic hillcrest hospital map; 27th division cemetery; columbia pfg bahama vs tamiami; shouldice clinic wait timessam quek strictly come dancing. Hernia repairs at the Shouldice are done with local anesthetic, no mesh insertion, and with a long stay in their hospital to recover. I am debating on having surgery on my right inguinal hernia and whether to do it at Shouldice or at my local hospital. Physicians (surgeons) do what is best for themselves and the patient when making the decision whether or not to operate. I just left Shouldice hospital after a hernia repair. Shouldice is the gold standard of no-mesh hernia repair. FAQs about the Shouldice Hernia Repair | Stony Brook Medicine Can you share any more details about your experiences if you dont mind. She examined the surgery site and indicaed that my incision site was in good condition without any signs of infection. I find it hard to get solid information of one method vs the other, maybe because there really isnt any. A very hard ridge is forming under the incision, which the patient discharge sheet says should be expected. Hiatal Hernia and Anti-Reflux Surgery | LHSC The washroom is our room was sporting a nearly unbearable urine smell. He had the choice of Shouldice or a Toronto area hospital. Have had it checked and been informed that it is not at the point where a repair is required. No pain at all and I never took any of the prescribed pain meds. 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. 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. Sonesta Suites355 South Park Road, Thornhill, ON L3T 7W21-800-SONESTA1-800-766-3782. 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.. The doctor in Quebec told him to lose 30lbs and he did but while waiting his hernia became even larger. Are you willing to be more specific about the nature of your problems post op? At Shouldice, we recognize many of our patients have family and friends with them. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); The problem with Shouldice or The most dangerous phrase in the English language- Weve always done it thisway., http://www.ncbi.nlm.nih.gov/m/pubmed/15243743/, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727805/, https://www.ncbi.nlm.nih.gov/pubmed/10452261, http://www.ctvnews.ca/health/growing-concerns-in-canada-over-surgical-mesh-usage-recalls-1.3372733. Just want to make a correction: they dont provide private rooms, but cramp you in a room with another person. 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. Maybe a freedom of information request needs to be filed so accurate comparisons can be made. As for my health state, today is two weeks and I am still having significant pain from the muscle lump. I wish the government would impose laws about refusing patients surgeries and i wish Shoultice was audited! Like you, I will flying from US and I am not sure how well those stainless steel sutures behave at airport scanners or other body scanners / MRI scanners ?? Suppose you had a recurrence after a tissue repair. I am now 4+ months postop and have chronic pain and the surgeon just looked at me dumbfounded and surprised at my last appoimtment. 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. Any tips? I went into general surgery because its well, general. While my knowledge of Shouldice is not direct, it is close to home, and entirely contrary to what you have said. Naturally I did not wait and had a laparoscopic mesh insertion operation in November in one of the major hospitals around the GTA. 10 Royal Orchard Blvd, Thornhill, ON L3T 3C3 Get directions. I would recommend this approach (and frequently do) to anyone, including my patients. Shouldice Hospital is not responsible for these services. I agree with John. The beds were terrible. The sheet says this ridge will last for several months (oh joy). Im 60 and 511 @ 180lbs, so not overweight and in good health. Ill lift 100+ pounds while working around the house without thinking about it. 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. Now I have chronic pain and wondering if I should of stuck out the pain another week or two to find another Dr. for another opinion. 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. I went to see my family doctor as I live too far from Shouldice to visit. So this is a tricky situation. The Bassini repair, named after Dr. Edoardo Bassini who developed it in the 1880s, was the first efficient repair for inguinal hernia. Hello lesmcc1. Ive had friends who had surgery with the best and have come out messed up. Ive not had thay bad but have had issues from mesh for 9 months. I am handicapped and must wear an orthosis when horizontal (supine) for a cervical spine condition which I have had debilitating symptoms for twenty-two years. 905-695-4967 * smahdavi@shouldice.com Cindy Giroux - Business Development Manager 905-695-4908 * cgiroux@shouldice.com: 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. Sounds like he needs a repair, although you dont need to worry about blood supply usually. Being in hospital has its own set of complications, with hospital acquired infections, pneumonias, blood clots in the legs or the lungs, and other problems. I asked if he felt I would need mesh and he said he didnt know (fair enough) however, I then asked what type of mesh is used and he said ,mesh. Presumeably some patients have a higher sensitivity to foreign body implantation (testing for that must be possible, but rarely spoken of, although different materials for the mesh are being developed) and inept insertion technique (inexperience, tiredness, simple error?) My Aunt diagnosed with Hernia disease recently. Show More. Discomfort for 3-4 days but quite tolerable. Why is recurrence the worst that can happen here? Less with lap but google complications of lap inguinal hernia repairs and you wouldnt touch it with a barge pole. 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. So there isnt a problem with mesh? My son who is 17 years old has an inguinal hernia that needs to be repaired. in the area have been giving me the run around on who to see so now looking to go where there is someone more specialized. shouldice clinic wait times. I believe every patient has to make their own decision. Shouldice refused to accommodate my disability. It is a small hospital dedicated only to hernia repair. Complications after a mesh surgery can drive the cost of a simple hernia repair into the hundreds of thousands of dollars. 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. The Shouldice clinic charges patients for a private room for up to 5 days (this adds up to many hundreds of dollars). Quick update from my 2017 post on my inguinal hernia repair with mesh. Which method is the best option considering I want to get pregnant? For personal comparisons I am a 50+ year old male in average/above average health. That is simply how medical innovation for medical products in our capitalist society works. Shouldice specializes in this unique approach to hernia repair. The surgery at Shouldice reportedly costs in the neighborhood of $5,000 to $8,000, less than a similar surgery in the U.S. that 90% of the time uses polypropylene mesh. Hernias do just get larger, and there is also the issue of not being able to travel if you dont get it fixed (pre-exisiting condition). That is, to avoid mesh and avoid any of the potential complications from mesh (primary fear usually is chronic pain in the groin, mesh migration, foreign body sensation from mesh, etc). I am a 36 year old female (very slim and healthy) and hoping to start a family in the near future. I also have not had good outcomes with the medical community. Taxi from Toronto to Shouldice Hernia Centre. 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) . 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. My husband was asked to lose weight for the surgery but still was not skinny. Do not use mesh, It can or will disintegrate in time like me and a friend too. Shouldice Hospital, 7750 Bayview Avenue, Thornhill, ON (2023) I have a rather large incisional hernia and am considering a trip to Shouldice. I always tell patients it takes as long as it takes to do a safe operation. So while I agree with patients having to lose weight for some surgeries, I cannot on a practical level be that picky about it. Migration can happen . We have provided a list below of accommodations and we have arranged special rates at some of these. Its one of the great things about my job. I have been there two times for both right and left side repairs. It may be in part an attempt to keep a surgeon ratings list from being established, as patients are not allowed to pick a surgeon. At the mid point of the second week, I had searing, stabbing pain at the surgery site. Pioneering for-profit Shouldice hernia clinic sold for $14-million A version of this commentary appeared in the Vancouver Sun, Huffington Post and iPolitics.ca. 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. Wait times, patient satisfaction scores, and the perception of care He went to a top medical school and top intern in residency program. Laparoscopic repairs are reported to have the lowest occurrence of chronic pain in the papers that I read. In the US though most general surgeons wont do it the old way or with disolveable meah for fear of reoccurance. You are right, there is not a lot of good information for women in your situation. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727805/. Thirty five is a fair number if done completely by the surgeon in question I would think. To me, mesh is the risk here, not hernia recurrence with pure tissue. I did have some minor discomfort around the surgical sit, but nothing that I felt was an issue. My first week after surgery at Shouldice wasnt too bad. My pain has continued and in the last 4 months has progressively gotten worse vs getting better. 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. If their procedure was outdated/inappropriate in anyway, then why are they still in business helping 7000 healthy, wealthy and skinny people (morale issue again) per year have pain free and hernia free lives? my time at portia how to turn in commission; scholl canyon scorecard; westin savannah gift shop; fashion journalism schools in new york; windows 11 start menu all apps default; avelia liberty travel time; burial laws california; there there powwow summary; Menu. Hilton Garden Inn300 Commerce Valley DriveThornhill, ON L3T 7X3905-709-60083 miles from the hospitalTo receive a 10% discounted Shouldice rate click here. From what research Ive done some say physical therapy helps. 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. Shouldice prepares you for your hernia operation and recovery. 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 applied to Shouldice and was refused surgery for my inguinal hernia. shouldice clinic wait times. Download PDF | Shouldice standard 2020: review of the current shouldice clinic wait times - Greenlight Insights Often times it is our expectations that get us in trouble. The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. No referral is required. Id love to send my husband there! Six ways to reduce wait times in hospitals - VirtuaQ My father needs a hernia operation. One patient told me he didnt want to go back to Shouldice with his recurrence because he couldnt afford it. 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. 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. Does it annoy surgeons that many many *easy* abortions are done in clinics rather than hospitals? The mesh industry is too powerful and monopolize the medical society. 3) Shouldice use sutures only, minimising foreign material being implanted into body, hence minimising most of afore mentioned risks associated with nerve damage. immortals fenyx rising nike armor set. Hi there what do you believe offers the least chronic pain for hernia surgery (inguinal)? I am quite sore, I am bruised from my left hip bone to my scrotum including everything in between. No public hospital in Ontario would be keeping groin hernia repair patients in hospital overnight without some underlying compelling reason. SHOULDICE HOSPITAL CLINIC DETAILS 7750 Bayview Avenue, Thornhill, Ontario. The issue is really about the size of the facial defect vs the risk of recurrence with and without mesh. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Other operators. Over the past two decades this small 90-bed hospital has averaged 7,000 operations annually. My email is attached here if you would like to email me! There is nothing spectacular about this facility. Anyone can look up what a surgeon in Ontario gets paid to fix a hernia. Sorry to hear that John. Shouldice Hospital - PHDessay.com I think 3 or 4 tomorrow in fact. No I have not found a way to make any money out of my blog, just doing it for fun at this point. Thanks for sharing your positive experience Kram. In fact, one would expect Shouldice to have better outcomes as they select patients who are at lower risk for recurrence before the surgery. The general surgeon I seen advised 6 weeks. The NHS website now warns of a 10% rate after open mesh here in the UK. We have just reviewed 400 consecutive patients from 4 years ago and our recurrence rate is 2%. Thanks Doc for this site assuming that you are not being compensated for your posts, your time and insight are indeed epitomizing the noble cause underlying a medical professional, thank you! There are many reasons why mesh is used and many people do fine with it. I have had a right side inguinal hernia for 1.5 yrs and am scheduled for mesh repair locally end of May (bumped from mid-May). Snorers were a problem for one or two, so much so for one patient that he got himself moved, but most of us did not have that problem. Have no perceptible issues with umbilical repair but under strain do feel some discomfort at the lower end of inguinal repair. I asked multiple times to my surgeon prior to the operation on chronic pain and other complications. He has no idea why or how it happened but didnt feel he really cared. Meaning the hernia comes back, requiring a second repair. We provide a lifetime of support to all our patients through our annual follow-up program. I think it depends on the surgeon involved and what your expectations are around the surgery. I am of normal weight, but the physician who examined me advise me to loose weight, just because thats what he probably says automatically to all the patients. There is some evidence that using generalistsis a cheaper, better way to run a health care system and I believe that.

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