Sorry your husband had such a tough time with his hernia, hope he is doing well now. For Ontario residents, the Shouldice procedure is covered except for the cost of the semi-private room which is covered by many insurance plans. 80%| 10. Ill take my chances with mesh next time all day long. Maybe a freedom of information request needs to be filed so accurate comparisons can be made. Often times it is our expectations that get us in trouble. 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 All three were done by general surgeons, and I can honestly say I would have been better off not getting any surgeries from the beginning. At this point I am out $980.00, I am more sore than I was at the same time following two mesh repairs, the in-hospital conditions/regimen were not as conducive to recovery as being at home. Here, you can leave your busy schedule behind and enjoy a restful and relaxing recovery in fact, many people compare it to visiting a beautiful resort. 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. I came up to Shouldice from the States not because of concern over use of mesh but because of concern over general anesthesia which I was told I would have in the States. When you come to Shouldice, you can expect to have a positive and pleasant experience. If this is an arguement that many surgeons feel should be addressed then of course I would be open to hearing the arguments for it but I believe our health care system should have a structure thats based on requirements necessary for delivering good outcomes for patients at the best cost. I honestly cannot recall the last time I admitted a patient the night before surgery, except when I was a clinical clerk, and that is going back a long time now. There are some awful stories out there. At Shouldice, we recognize many of our patients have family and friends with them. If that is the case, I would rather stay in NYC but I guess I will have to make the trip to find out. The short time before my surgery I couldnt find anything definitive saying mesh was good or bad. I will really appreciate your informed feedback and sincerely hope that maybe more folks will follow your lead in helping make society better informed. Normally, there is no extra charge for semi-private rooms if youre covered by OHIP. In fact, that is the only operation it performs, and it performs a great many of them. It's a world-renowned, for-profit Ontario hospital. Could Shouldice be Leave jewellery and other valuables at home. I have only good things to say about the Shouldice! Its location is the former estate of George McCullagh, a publisher who created The Globe and Mail newspaper in 1936. From a patient and voter point of view, I dont see why all surgeons need to do emergency or on-call work. I tell women who may get pregnant after a repair that there is a higher risk of recurrence of the hernia because of the stretching of the abdominal wall with pregnancy. This is directed towards user, Toronto: I had my inguinal hernia operated on after much internal (and external debate with various health professionals) by the Shouldice clinic. Im on the fence with going back to Shouldice or going with the local doctor. 3) Shouldice use sutures only, minimising foreign material being implanted into body, hence minimising most of afore mentioned risks associated with nerve damage. Physicians cherry pick their patients. 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. That is an important distinction. The problem with Shouldice or The most - canadianfemalesurgeon They will also arrange regular phone meetings to offer advice and support so that you can commit to a healthier lifestyle and prepare your body for a successful hernia repair. I have been wearing the orthosis for six years. Different policies will exist. Shouldice Hospital (formerly Shouldice Hernia Centre) is a private hospital at 7750 Bayview Avenue in Thornhill, Ontario, Canada. 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. That is tough. Best of luck. Many of the patients in my cohort were from the US, one had driven over 2000 km to get the surgery. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. I havent made the decision yet myself, Shouldice or mesh. The type of surgery that Shouldice accomplishes is best suited for a set of conditions: the patients particular physical condition. C. We joked about standing by the front door and dropping our pjamas for the new intake. There is nothing spectacular about this facility. I went for a long walk after the surgery. No Mesh Hernia Repair | Shouldice Canada - Boston Hernia The example of my coworker is different. Id be curious to see some data comparing patient outcomes for slim patients at Shouldice vs the rest of the system. shouldice clinic wait times - Greenlight Insights 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. Kyle, But then you will have had two surgeries instead of one, with the risks that entails. Our specially trained surgical teams perform over 7, 000 hernia repairs every year, with an unparalleled track record . Sometimes this cost is paid out by private insurance companies if the patient has a health benefits plan, or by the patients themselves. You, and others like you, in other words. I cant get a job people think Im pregnant or will need a leave of absence. A lot of nerve damage occurred to my femoral nerve, and the mesh they have inserted is extremely painful. http://www.ctvnews.ca/health/growing-concerns-in-canada-over-surgical-mesh-usage-recalls-1.3372733, Well, when the media shows the issue its because is over represented. Thanks Kram. Reading your comments put some things into perspective for me. In our small study no patient had any pain after 6 weeks. Beds and pillows are absolute garbage ( bring yourself a sleeping bag for the floor for a more comfortable sleep) Change), You are commenting using your Twitter account. My father needs a hernia operation. Ive not had thay bad but have had issues from mesh for 9 months. Pure tissue technique, according to yourself and other general surgeons, has the risk of recurrence. 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? ParkingOn-site parking is available for hospital and clinic patients for a flat-rate maximum of $15 per day ($50 for the duration of an inpatient stay). I may get the same answers but at least Ive tried. Ive had friends who had surgery with the best and have come out messed up. 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. I just want the best treatment possible with the lowest chronic pain! Care and service do not stop once you leave Shouldice Hospital. Anecdotal reports from those who have had this problem make it sound like a real living hell. Five days after surgery Im still in quite a bit of pain, and Im finding Tylenol to still be a must. Abstract. 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). 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. Its certainly an interesting place. I would like to request if you please could comment on about the Desarda technique. I would think you could fix it now and get pregnant right away without worry. I believe every patient has to make their own decision. The more you weigh and the more weight you gain after hernia repair, the more your risk of recurrence rises. Walk-In Clinic: Mon-Fri 9:30am-3pm Patients may experience long wait times in the walk-in clinic, complete online medical questionnaire instead of coming to clinic: . Not speed of hospital discharge. So why would you do so for an inguinal hernia repair, a surgery that is far from simple and fraught with potential serious complications, mesh or no mesh. I since switched meds and lost a bit of weight but Its so difficult to even move with a cantaloupe sized abdominal hernia. Groin hernia repair is a day surgery procedure in Ontario (anywhere but the Shouldice clinic) with no overnight stay required, unless complications arise or in very frail or sick patients. It was then allowed special licence by the Ministry of Health to continue operating. The staples are removed (one half at a time) over the two following days. Case Study: Harvard Case Shouldice Hospital: A | 5 pages (1426 words) The rigidity of the program is old school military in nature and does not seem to be keeping pace with evolution. The staff were unfailingly courteous, even when under all-out attack by the annoying. Hi Tyler. And yes chronic pain is an issue which needs to be better studied in terms of techniques to prevent it and treatments. Shouldice Hospital is returning to Vancouver to conduct examinations in March 2023. I was referred to a surgeon by my pcp and met with him shortly after my pcp said I had a hernia. So far no issues at all from the surgery or related to the reasons for the surgery. Toronto Transit. Their holistic approach on the brochure makes alot of sense. Urgent Care Wait Times | Geisinger - Geisinger Health System However, these hotels have NOT been inspected by the Shouldice Hospital staff. Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. Shouldice consult was Feb 8/2022 and I was booked in for June 2022 surgery that same day. Visitors are required to wear a mask when inside the hospital. 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. Most of us felt it was an efficient operation and we could see why they do things that way it was logical. I think the most recent data is from 2012 and shows a higher failure rate at Shouldice than mesh. Rand Paul Chooses Shouldice Clinic for Hernia Repair! Go for the weight loss and then go for the surgery!! 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. We have provided a list below of accommodations and we have arranged special rates at some of these. How long ago was your surgery? To the wife of the husband with the augurales hernia. Here is a run down of my thoughts. 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. Thirty five is a fair number if done completely by the surgeon in question I would think. For Michael:Google search Shouldice hernia failures. If I could go back Id take my chances on reoccurance hands down. Certainly everybody who is having a hernia repaired should carefully discuss the pros and cons of using mesh- its a very individual decision and patients deserve to be well informed. 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 ?? Shouldice Hospital is a bit of curious place. 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. When you say walnut size that may mean the size of the sac which can and often is larger than the actual hernia itself. I went into general surgery because its well, general. 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. No Mesh Hernia Surgery - Why not Shouldice My recommendation for anyone 40 and under is to NOT get mesh. He had the choice of Shouldice or a Toronto area hospital. I live in West GTA if theres any way for you to recommend me to be looked at by either yourself or a trusted colleague. Having to go in the day before surgery and staying 4 nights seemed odd in this day and age. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Or that you are cynically making a play for a vast damages pay out. I did not get a reply what so ever until September 2014 advising me that they can operate on me. It is almost impossible for a hernia to recur through a piece of mesh. Mesh does reduce the risk of recurrence but does not make it zero. 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. The 3 scars have pretty much healed up. . We all want the best, most cost effective public system but critiques must look at the whole system. My room mate (who had 10) yelped a few times, but he didnt strike me as a complainer. I am running 20-30km/week and have returned to normal activity. shouldice clinic wait times. 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. Anyone can look up what a surgeon in Ontario gets paid to fix a hernia. I sympathize with you and your husband. 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. This is critical, because one of the patients greatest fears is an obdurate, shrugging surgeon suggesting post op that there are no guarantees in life and this is all in your head. That is simply how medical innovation for medical products in our capitalist society works. Also, Shouldice website and the doctor I seen reports their procedure is tension-free however from what I read on different techniques the Shouldice repair is tension method?? Now the Shouldice clinic does do something I agree with in part. 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. So the idea that you think there some sort of mesh industry monopoly is concerning to me. Prior to your visit, you are encouraged to complete and submit aMedical Questionnaire on my.shouldice.com. Those who react badly to mesh most are apparently young, slim females (usually not Inguinal). View Map. Hi, I am the diabetic obese patient with an abdominal hernia. There are many reasons why mesh is used and many people do fine with it. Very interesting and enlightening article for a soon-to-be operated-on groin-hernia sufferer like me. It is very painful to walk, stand, cough, sneeze, laugh, use the washroom in any capacity and expect from the bruising that this will carry on for atleast another week. A skim off of the healthy and the wealthy to the private system, leaving the public system to deal with the emergency, unhealthy, and poorer patients. Understandably, patients like their surgeon to appear omniscient and surgeons rather like that, too (jokes about the God complex). Female were nearly 3% of included patients. The food was good. My concern is with the use of mesh on a growing teenage boy. For personal comparisons I am a 50+ year old male in average/above average health. To see how we do a Modified Shouldice visit http://www.herniaoperation.co.uk Customer Wait Times - 6 Strategies to Manage Waiting Customers Tickets cost $4 and the journey takes 38 min. 5) Their procedure has a proven track record that has survived long after the hernia mesh repair became mainstream. 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. Im 27 and I have had three femoral hernia repairs in Nova Scotia, two open, and one (most recent) laparoscopic. We have a big number here, dont you think? We have just reviewed 400 consecutive patients from 4 years ago and our recurrence rate is 2%. 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) . Improving patient satisfaction with wait times Nursing. Shouldice Hospital was established in 1945 by Dr. Edward Earle Shouldice (1890-1965), inventor of the Shouldice repair. Update been 8 months out and little to no change in the pain and other complications. The average stay of patients is 3.2 days. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. 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. It was then allowed special licence by the Ministry of Health to continue operating. 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. The collegial environment of you and your co-wounded seems to be a plus for most. Safe for airport scanners AND MRI. Mr Dedes- there are many fine surgeons and hospitals in the GTA area which fix hernias. How are you doing now? From what I understand well above 90% of Inguinal Hernia operations are successful, and that this is considered to be a routine operation by the medical profession. They can walk in, and be called in to be seen by the doctor without having to wait for long. I think is a matter of profit from this industry. 00%| | Expected .