shouldice clinic wait times

That is not my opinion, it is just a proven over and over medical fact. Thank you so much for your time. Is this a factor? I did have some minor discomfort around the surgical sit, but nothing that I felt was an issue. So I am 4 days post surgery from Shouldice.My tackle is extremely bruised so I can not say that I will maintain objectiveness. In order to lose the proper amount hed need to eat saw dust and exercise. I did read the article. Our specially trained surgical teams perform over 7, 000 hernia repairs every year, with an unparalleled track record . Or it isnt the mesh itself so much as the insertion procedure? My email is attached here if you would like to email me! He also reiterated that he also only does mesh unless of some other medical reason. Even with insurance in the USA, high deductibles and co-insurance means hernia surgery is still a very hefty expenditure well into the thousands, it could easily be the price of a Shouldice repair, but performed by someone with not nearly the expertise. Although operations are performed only five days a week, the remainder of the hospital is in operation continuously to attend to recovering patients. 6) People continually come from all over the world to have their hernias repaired at Shouldice. Where did you end up going ? .you should see the Gigantic infection I received from them and the sutures that were coming out of my incision. Naturally Id like to see the same for the hospital system. Theyre like impossible to find it seems these days. I have constant pain of some kind from stabbing to just dull along with foreign body sensation. Also, I would check w your insurance company before travelling. Sadly neither Shoultice or any surgeon will perform the surgery. Do the surgery again big deal! If I could go back Id take my chances on reoccurance hands down. SHOULDICE HOSPITAL CLINIC DETAILS 7750 Bayview Avenue, Thornhill, Ontario. 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. The place isrun a bit like a hernia boot camp, which I really had no issue with. 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. 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. We were guests at the Shouldice Hospital last year. 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 then met the doctor who told me to lose 25 pounds and return. Im probably an anomaly in the hernia world, but my story is horrific and Im still passing through it. 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. 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. 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. Just returned to UK after Shouldice and its specifically mentioned in the folder. 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. I higly recommend Shouldice Hospital. There is absolutely no risk involved, just a requirement for the patient to wear an orthosis. I decided to wait and get the surgery at the Shouldice clinic, done by an experienced Shouldice-trained surgeon. She asked me to monitor for fever and other signs of infection and to wait a few more days. Awake and aware during surgery, no pain but the feeling of pressure and intense tugging. 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? But then you will have had two surgeries instead of one, with the risks that entails. The average North American is gaining 1-2 lbs per year, and obesity is a clear risk factor in hernia recurrence. Shouldice consult was Feb 8/2022 and I was booked in for June 2022 surgery that same day. Without insurance, an open hernia surgery is easily $20,000+ if not more in the states. From the research Ive done, nearly 70 hours of it; Shouldice offers distinct advantages over mesh repair in the following ways: 1) No concern from implant of foreign object; ie fear of allergic reaction to mesh, worry of mesh erosion over the decades and nerve damage caused by mesh. Length of stay is ridiculous not to mention the Bill for said stay 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. 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 love doing a variety of different procedures in patients of all ages, sexes, shapes and sizes. I believe every patient has to make their own decision. Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. Today, Shouldice Hospital performs more than 5000 . It is nice to have met your surgeon before any surgical procedure though. His hernia is now the size of a basketball. Shouldice, a brilliant surgeon who revolutionized inguinal hernia repair by developing a dependable, no mesh technique back in 1945. The hypochondriac insisting on stronger pain meds and special priveleges to the I dont need pain meds tough guy. I got three different answers from Shouldice on how long I should wait to try and conceive after surgery (4 weeks, 3 months and 1 year). Choose your surgeon carefully. Pick a curve, any curve (say, the red one). and then he has the audacity to tell me that I cant feel the mesh and that the pain is also in my head. 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 . It is important that you are not carrying excess weight around your abdomen. 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. Fully sedated for duration of procedure. Regarding the Weve always done it this way aspect? Inguinal surgery 4 days ago at Shouldice performed by surgeon with 10,000+ hernia surgeries performed. No referral is required. Reilly's, a disused bar, was barricaded up by the rebels, and it . Are you willing to be more specific about the nature of your problems post op? Sounds like he needs a repair, although you dont need to worry about blood supply usually. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727805/. Shouldice Hospital is a bit of curious place. Maybe if its a simple small hernia, Shouldice is a good choice, but otherwise, too clandestine for healthcare. The office staff takes care of business very nicely, very personable, walking you through every step of the way. 80%| 10. I know once Ive been opened up there is no going back. Hi Tyler. Shouldice is licensed by the Ontario Ministry of Health, which covers the entire cost to Ontario residents of hernia operations there under OHIP, the. We encourage you to take advantage of these beneficial patient programs. So yes, that is you, the taxpayer, footing the bill for unnecessary care being provided by a private company. Shouldice is the gold standard of no-mesh hernia repair. I think it depends on the surgeon involved and what your expectations are around the surgery. This is a microcosm of what happens when you introduce private interests into a socialized health care system. I think I am going to stick with a repair by a general surgeon at my local hospital. The food was good. Is it because they make lots of money off the patients and the taxpayers? You are correct, we should have much better reporting systems than we do. Shouldice Hospital in Canada is widely known for one thing-hernia repair! So firstly, it is always hard in practice to know how many surgeries it takes to be competent? However, these hotels have NOT been inspected by the Shouldice Hospital staff. Understandably, patients like their surgeon to appear omniscient and surgeons rather like that, too (jokes about the God complex). Did I have any discomfort during recovery? Discover the Shouldice Experience We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. 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. Good points John. 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) . You can travel with a hernia as long as its been 3 months since you were seen for it. Talking about media ( from the article you posted here ) This is an excellent blog. 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. Surely theres an advantage to exclusive, specialized hernia repairs that general surgery wouldnt necessarily encompass? Our registered dietitian will develop a personalized weight loss program for you and show you how to make healthy food and exercise choices. | Time Lost from work in Hospital| 04 days| 05 days| | Time lost from work while recovering| 05 days| 10 days| | Value of time lost (ranging from $50 to 500 per day)| $450-4500| $750-7500| | Total before Allowancefor recurrence| $1604-6054| $2950-12100| | Probability of Recurrence| 0. I can accept that this is work that should perhaps be compensated at a different level because of its extra demands. 3) Shouldice use sutures only, minimising foreign material being implanted into body, hence minimising most of afore mentioned risks associated with nerve damage. 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. 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. 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). There were no significant differences in chronic pain, complications and post-operative stay. Ive tried this though for me personally, it made it worse for me so they are leaning towards it rubbing on my nerves. I have had one for four years and besides some soreness at the end of the day, I am not in constant terrible pain. Normally, there is no extra charge for semi-private rooms if youre covered by OHIP. I have to say, the experience was excellent. They were everywhere in the very pleasant grounds. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. That is why Im looking at surgery but here in the US my surgeon says mesh is the only option and that he will be using a medium (as opposed to ultra light) mesh with plenty of overlap to repair the hernia. 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. In thinking Doctors are same as a lot of other industries. Drs. I would love to see some frequency distributions for Shouldice repairs vs inpatient time and time back to work. 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 not had to take any pain medication. Your comment/reply from January 25, 2016 AT 11:14 PM says: for the vast majority of patients they will be aware if their repair, or have to take medications for it., I am guessing that you probably meant:they will NOT be aware OF their repair, or have to take medications for it.. I did not get a reply what so ever until September 2014 advising me that they can operate on me. Comments Off on shouldice clinic wait times; June 9, 2022; Im on the fence with going back to Shouldice or going with the local doctor. 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?? But sometimes recurrences do happen. . 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. The benefits of mesh far outweigh the risks for the vast majority of adult hernia patients. I wonder what steps should I take once Im ready to see a new surgeon in Ontario? The procedure may be considered simple enough to be performed by a moderately intelligent baboon, but that isnt to say there cant be considerable variation in the quality of the work done. To the wife of the husband with the augurales hernia. Shouldice Hospital is returning to Vancouver to conduct examinations in March 2023! This is a complex technique involving multiple overlapping sutures across two layers of muscle. I am now 4+ months postop and have chronic pain and the surgeon just looked at me dumbfounded and surprised at my last appoimtment. While I do like my patients to rest after surgery, they dont need to do it in a hospital setting. and a less wait time surgery would be quite worth it. Thank you for putting so much valuable information over here. NURSING ANESTHESIOLOGIST Are hernias covered by OHIP? You may be regret waiting some but better to wait an added week or month than have chronic pain as I do. We have provided a list below of accommodations and we have arranged special rates at some of these. It could be scar tissue or it could be the actual implant rubbing on the nerve. I would think you could fix it now and get pregnant right away without worry. I since switched meds and lost a bit of weight but Its so difficult to even move with a cantaloupe sized abdominal hernia. Hernia repairs at the Shouldice are done with local anesthetic, no mesh insertion, and with a long stay in their hospital to recover. No pain at all and I never took any of the prescribed pain meds. Laparoscopic repairs are reported to have the lowest occurrence of chronic pain in the papers that I read. No referral is required. They have permanent audit staff and know their outcome details. 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. I cannot recall a patient ever having been in hospital for 5 days after elective hernia repair. In addition, in my case Im 41 and 168 lbs. More and more often, hes having flare ups where the blood supply to his groin is being blocked. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. 0. WTF was that?. Also, I find there is a lack of information on hernias in fertile women and how to treat. He chose the hospital. The standard of care when the Shouldice was formed was a primary (suture) repair and lots of days in hospital recovering from the pain of having your own tissues reamed together to repair the hernia. Please call 905-695-4911 to book a time. But the patient should be made clear of the longstanding post-op, well documented issues of the real probability of chronic pain. I hike a lot, mtn bike, lift >100# items, etc. We regret that we cannot make reservations on your behalf. The surgeon who performed my surgery has successfully completed over 10,000 prior repairs. So far no issues at all from the surgery or related to the reasons for the surgery. 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. 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 . 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). You, and others like you, in other words. Sometimes this cost is paid out by private insurance companies if the patient has a health benefits plan, or by the patients themselves. The Shouldice clinic is a good example of that. Just curious. We have a big number here, dont you think? Monday - Friday: 9 a.m. - 7:30 p.m. Saturday & Sunday: 8 a.m. - 5:30 p.m. Closed: most major holidays . Look for nih data. 5) Their procedure has a proven track record that has survived long after the hernia mesh repair became mainstream. This is so important, but our electronic medical records do not allow that to happen at this point in time. The staples are removed (one half at a time) over the two following days. (LogOut/ Most of the arguments against Shouldice here seem to have very little to do with the actual technique, pain afterwards or recurrence (irritation, I thought, at the Southfork-like set-up and possibly also at their very existence fuelling endless questions like mine: is mesh a problem or isnt it? (As does everyone). Update of previous post. Hilton Garden Inn300 Commerce Valley DriveThornhill, ON L3T 7X3905-709-60083 miles from the hospitalTo receive a 10% discounted Shouldice rate click here. A friend of mine had the mesh technique and it resulted in a tumour growth that was quite complicated to resolve. We go to physicians expecting a solution to a problem, expecting, sometimes, an unreasonable outcome, expecting physicians to be more than human, expecting them to always do the right thing. The problem is that the mesh industry is so powerful it is impossible to get anything published that doesnt involve a mesh. Critiques are always welcome because it can make people think out of the box. 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 named after E.E. Hard to be critical regarding matters of efficiency without data descends into rhetoric pretty quickly. There is a limit of 2 visitors per patient. In the USA most Drs wont even do a simple hernia repair without mesh even if youre ideal for a non mesh surgery. Straight truth from the USA here folks. 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. So the idea that you think there some sort of mesh industry monopoly is concerning to me. Ive had friends who had surgery with the best and have come out messed up. Its one of the great things about my job. Do the same for a reduction in u from 0.80 to 0.70. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. To do less would be to jeopardize the positive end result. Slight modifications were made in each procedure but the procedures were similar . If the patient already has chronic pain after the first repair, the recurrence is not likely the cause. I was extremely excited to not have to wait a long time to get in for an operation as the hernia was making it almost impossible to drive. In summary, I have to agree with lesmcc1: the technique, the hospital/facility itself, the four day stay, the old equipment, i.e., bed, the wound closure method, etc, all point to a we have always done it this way mindset. Can I please get the name of the hospital an hours drive from Shouldice and your name if possible? We use this information to refine our surgical techniques and document the success of our hernia repairs. 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 have seen these numbers elsewhere also. Now patients will generally think that more care is better care. They can walk in, and be called in to be seen by the doctor without having to wait for long. Prior to your visit, you are encouraged to complete and submit aMedical Questionnaire on my.shouldice.com. Does it annoy surgeons that many many *easy* abortions are done in clinics rather than hospitals? Shouldice Hospital is returning to Vancouver to conduct examinations in March 2023. 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. 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? The recurrence rate with Shouldice techniques was higher than mesh techniques (OR 3.80, 95% CI 1.99 to 7.26) but lower than non-mesh techniques (OR 0.62, 95% CI 0.45 to 0.85). I imagine quite a few would turn tail and run, but listen: I was NEVER in pain and it only lasted 5 days and it had to be done. Visitors will not be permitted in the patient rooms. He had the choice of Shouldice or a Toronto area hospital. mjk funeral home obituaries; san jose state university graduate programs deadlines Men umschalten. may be involved. I always tell patients it takes as long as it takes to do a safe operation. Im 60 and 511 @ 180lbs, so not overweight and in good health. The average stay of patients is 3.2 days. It's nice and bright! Acas; Conducere; Evenimente; Comunicate; Presa; Activiti; ark mating interval multiplier glastonbury vip tickets 2020 The day after and two days after the operation I walked around the Shouldice property which helped with circulation and recovery. This should be broken down into smaller samples to isolate by type of procedure or severity. There is a sunlit caf for reading and relaxation and a cheerful common room, where patients often gather for a friendly game of cards. That is frustrating for you. Has mesh been inside anyone for 40-50 years? The food was better than I expected. The other thing about hernia repairs is that recurrence rates have always been very hard to measure. Shouldice also does not require a doctors referral to see patients and bill the Ontario health care system. I have a consultation in 6 months to decide if I am eligible for surgery (I can tell you now I am) at a local hospital. 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. Taxi from Toronto to Shouldice Hernia Centre. From studies (which are few and far between), they both apparently have the same amount of chronic pain sufferers. My hernia is fixed and I have a verbal confirmation that I could lift weights directly after surgery. Very good points Tony! Shouldice would take me again, the surgeon Im scheduled with said ideal patient, all these things mean is low risk for the actual surgery, doesnt mean itll work or not give you issues down the road. Not speed of hospital discharge. 2016 Feb;59(1): 19-25. Shouldice Hospital is a bit of curious place. I wanted to provide an update on my above comment and how my recovery has gone. I would not that in Canada most people are referred to a surgeon they do not really know for most procedures. Instead, youll stay as our guest for a few days, while you participate in a holistic, professionally supervised program of healing and recovery. So Im going to outline some of my problems with the Shouldice clinic, which is held up around the world as a great Canadian healthcare success story. I think is a matter of profit from this industry. I sympathize with you and your husband. Hes certainly not done growing. The type of surgery that Shouldice accomplishes is best suited for a set of conditions: the patients particular physical condition. Showered and dressed first thing. I had my first one done at Shouldice (10 yrs ago) and no issues with it unless I do a lot of hiking or lifting and then maybe a bit of soreness in the left groin. We all want the best, most cost effective public system but critiques must look at the whole system. In our small study no patient had any pain after 6 weeks. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. Standard rubberized hospital bed and pillow. The repair is based on the Bassini repair with some modification. I am so sorry for your experience with the medical community. ow yeah, Over the past two decades this small 90-bed hospital has averaged 7,000 operations annually. Im left asking the question do I fix it now or after pregnancy? I had an inguinal hernia repair at Shouldice 4 days ago. I may get the same answers but at least Ive tried. One might wonder why you could not find a surgeon in New York willing to do a repair without mesh- are all of these surgeons incompetent, immoral, or both? Anyone can look up what a surgeon in Ontario gets paid to fix a hernia. Its not much. Improving patient satisfaction with wait times Nursing. C. J. Surg. And If I wasnt beginning to suffer the effects of cabin fever, and didnt have a life to get back to, I was almost sorry to leave to return to the UK. Beds and pillows are absolute garbage ( bring yourself a sleeping bag for the floor for a more comfortable sleep) I will continue to recommend the Shouldice and feel it was the right choice for me. Should I wait or should I see a surgeon right away? The staff were unfailingly courteous, even when under all-out attack by the annoying. 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). 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. Thanks for your comments. Is this because Shouldice thinks this is good care? 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. Id love to send my husband there! But to watch how efficient and careful the surgeon was, isolating nerves to make sure they werent damaged, reconstructing the inguinal ring, and the detailed suturing technique, I am very satisfied with the result. I agree. Our first available appointment is in July of 2023. It is a small hospital dedicated only to hernia repair. Do you know of any doctors in Ontario who will operate on overweight patients with abdominal hernias? Show More. As anybody else, my concern is long term pain or discomfort and recurrence. 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. She examined the surgery site and indicaed that my incision site was in good condition without any signs of infection. 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 trouble is he can barely walk with this baby between his legs. I play sports 3 days a week, I run competitively, etc, and virtually no pain. 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. I have been refused appointments many times (non-hernia related), this is their prerogative, this is how they minimize their risks and headaches. I tend to agree more than disagree with the surgeons comments about Shouldice with regards to their capitalistic method. I am scheduled to have a right side repair done at Shouldice next week. Answer: Yes, but I was at the higher end of the range and one other fellow in our intake was even worse. Here is a run down of my thoughts. 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. Physicians (surgeons) do what is best for themselves and the patient when making the decision whether or not to operate. 4) Shouldice ONLY carry out this operation, meaning they are presumably highly skilled and also experienced in avoiding nerves during suturing, thus improving chances of post-op pain free life. The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s.

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