shouldice clinic wait times shouldice clinic wait times

I traveled from NY TRYING TO AVOID the horrors of the mesh repairs. Im aware of the article. My pain has continued and in the last 4 months has progressively gotten worse vs getting better. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. During the first week if I was too active Id feel soreness but with a few hrs rest it went away. I have had direct experience with Shouldice where my husband had a large abdominal hernia repair and they did use mesh and the head surgeon gave a long history of their use of mesh at one of our appoinments. Overall, I am pleased with both the experience and the outcome. I will miss the black squirrels. Informed consent is crucial. The problem is that the mesh industry is so powerful it is impossible to get anything published that doesnt involve a mesh. However, these hotels have NOT been inspected by the Shouldice Hospital staff. I have a large left inguinal hernia and am debating between Shouldice repair and Desarda Repair. 3) Shouldice use sutures only, minimising foreign material being implanted into body, hence minimising most of afore mentioned risks associated with nerve damage. My father, a neighbour, and a former co-worker have had hernia repairs in the last few years. Affiliation 1 Anna Bradshaw is an FNP student at . This was a very informative post. I live in Montreal, soon to be living in Ontario. Hi thanks for your article. Please call 905-695-4911 to book a time. As for speed, I think they say it takes around 30 minutes to do the surgery, and they have a short wait list. Since 1945, we have been gathering data from our follow-up examinations. My father needs a hernia operation. No referral is required. Another confession, I alsomake money doing hernia repairs, but I dont make nearly as much as the Shouldice does off their patients. Sexual activity causes no issues and my testicles are no longer sensitive. Update of previous post. I did not get a reply what so ever until September 2014 advising me that they can operate on me. More and more often, hes having flare ups where the blood supply to his groin is being blocked. Odds are, I am going to be the one digging out a blocked or gangrenous piece of bowel from this hernia in the middle of the night if I do not fix it electively. Show More. Awake and aware during surgery, no pain but the feeling of pressure and intense tugging. The Shouldice procedure was learned from personal observation at the Shouldice Clinic, a book, 9 and instructional articles. cleveland clinic hillcrest hospital map; 27th division cemetery; columbia pfg bahama vs tamiami; shouldice clinic wait timessam quek strictly come dancing. I was wondering what your thoughts were on the actual Desarda technique, not just the website. 00%| | Expected . My recommendation for anyone 40 and under is to NOT get mesh. 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. Walk-in spaces will be provided for a limited number of patients every Monday to Friday. According to another surgeon I saw mesh isnt likely to cause all of the issues it does in other portions of the body (erosion mainly) and said in his experience 1 year isnt that uncommon to feel mostly back to normal. My biggest concern is chronic pain, and of course it will be quite some time before I know if thats going to be an issue. 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. Last week, the family that owns Shouldice Hospital announced that it would like to sell its facility to Centric Health, a for-profit company traded on the Toronto Stock Exchange.. Shouldice, a Southern Ontario facility renowned for its care of patients with hernias, was founded by a surgeon in the . Its not hard to understand whats happening here. Following this summers logging and landscape work I will report the status of all three repaired hernias. No my Dr was not willing to help much other than referring me to pain management which doesnt help solve the underlying issue and seemed baffled that these issues were continuing. 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. 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. But Im glad you had a good experience and outcome. I have never worked at, or been involved with the Shouldice clinic, so this blog comes from my own professional opinion as a general surgeon/hernia fixerand defender of evidence based medicine and socialized healthcare, discussions with many patients who have gone or are considering going to the Shouldice clinic, going to a talk some years back given by a surgeon who worked there, and the Shouldice clinic website. Pure tissue technique, according to yourself and other general surgeons, has the risk of recurrence. (LogOut/ 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. Staff was decent, Now the Cons (LogOut/ Lets start with the Pros colonel frank o'sullivan interview; beverly hills high school football In fact, that is the only operation it performs, and it performs a great many of them. 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. The Shouldice then also bills the Ministry of Health for each inpatient day a patient stays overnight. 6) People continually come from all over the world to have their hernias repaired at Shouldice. 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. 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 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. Why? Our current career opportunities are outlined below. Here you will find current wait times for Niagara Health's Emergency Departments and Urgent Care Centres. You, and others like you, in other words. (Wait time "explodes" the closer utilization gets to 100%! It's nice and bright! The literature on incisional hernias is where the use of mesh was first tested. Do the surgery again big deal! And while I agree with you on many of the double-standard, private taxing points surrounding Shouldice, I disagree that general surgery or mesh related surgery is in any way a better option. Naturally I did not wait and had a laparoscopic mesh insertion operation in November in one of the major hospitals around the GTA. 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. 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 prayer times of each of the five prayers are determined by the specific position of the sun in the sky. Shouldice performs, on average, 150 operations per week, with patients generally staying at the hospital for three days. Thanks for your comments. But then you will have had two surgeries instead of one, with the risks that entails. Same in the US. 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: . 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. Hilton Garden Inn300 Commerce Valley DriveThornhill, ON L3T 7X3905-709-60083 miles from the hospitalTo receive a 10% discounted Shouldice rate click here. Many of these services are provided free to our patients. It helped for about 10 days and then stopped helping. Slight modifications were made in each procedure but the procedures were similar . York Region Transit. I am a 36 year old female (very slim and healthy) and hoping to start a family in the near future. 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. Having been an aircraft accident investigator I provide this comparison/critique in a strictly evidentiary way based on my experiences and observations from having had both procedures. I 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. Don, 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). I cannot recall a patient ever having been in hospital for 5 days after elective hernia repair. 80%| 10. MeSH terms Adolescent Adult Age Factors 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. Seventy years of existence can be touted as a measure of success and justification for the status quo Smith-Corona felt the same way about the typewriter. Suppose you had a recurrence after a tissue repair. Ill see how it continues and report again in a month or so. The other thing about hernia repairs is that recurrence rates have always been very hard to measure. The Shouldice clinic was purchased as an estate in the early 50's, so it definitely has that old, historic feel to it. Visitors will not be permitted in the patient rooms. 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. Also, you didnt say if your two hernias were repaired laproscopically or open. Pitfalls and Danger Points Infection Hemorrhage Injury to bladder and bowel Postoperative testicular atrophy and hydrocele Chronic postoperative pain Ejaculatory dysfunction Hernia recurrence One year before he developed necrotizing fasciitis, extending from the right knee to the right thoracic wall resulted . 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. The risks and benefits of mesh should be discussed with a general surgeon. 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. Mr Dedes- there are many fine surgeons and hospitals in the GTA area which fix hernias. I have had this happen once. This is part of the problem with our record keeping. Mid 30s in age As with Tyler excellent experience both times with100 percent results. We have provided a list below of accommodations and we have arranged special rates at some of these. You may be regret waiting some but better to wait an added week or month than have chronic pain as I do. Anecdotal reports from those who have had this problem make it sound like a real living hell. I find this mind boggling- this approach was abandoned in the rest of medicine decades ago. But sometimes recurrences do happen. Shouldice is a business and I understand that like any business its primary goal is to make money. Where did you end up going ? Which must annoy surgeons who use only mesh). Shouldice Hospital was established in 1945 by Dr. Edward Earle Shouldice (1890-1965), inventor of the Shouldice repair. The technique was designed by Dr.Edward Earle Shouldice and became popular when he opened his hernia hospital in 1945 and his technique has attracted patients from all over the world. Toronto Transit. I think 3 or 4 tomorrow in fact. Large ventral/incisional hernia repair or complex abdominal wall reconstruction- different story. I have a right side inguinal hernia that needs fixing. I went back to work in less than 48 hours and I am very happy with my scar. 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. 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. No pain at all and I never took any of the prescribed pain meds. Ive had other friends have a nerve block and it helped them for months so it is hard to know the amount of help it may give you. Why is recurrence the worst that can happen here? 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). Or is it because, here it comes, that dangerous phrase Weve always done it this way? I doubt it- they are simply following standard of care which they are required to do by their licensing bodies. EMR should allow for reporting of all surgical complications and feedback to the surgeons on their complications, including how many of their hernias recur. 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 . Do you know of any doctors in Ontario who will operate on overweight patients with abdominal hernias? Improving patient satisfaction with wait times. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. That is why we offer a diet counselling service to all of our patients. The grounds were beautiful and interior spaces quite nice. Various proposals are set forth for expanding the capacity of the hospital. Want fast and effectively perfect hernia repair? Thanks for such a great blog, very helpful and interesting. Id be curious to see some data comparing patient outcomes for slim patients at Shouldice vs the rest of the system. 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. We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. Unfortunately I believe their actual holistic approach was outdated sometime during the cold war.