shouldice clinic wait timesshouldice clinic wait times

So far no issues at all from the surgery or related to the reasons for the surgery. To increase the text size, press and hold down the command key on a Mac or the windows key on PC, then press the plus (+) key. Femoral hernias are tricky sometimes whether mesh is used or not. The class action lawsuits in the US are concerning to me. Thank you. You are correct, I lived in Australia and know even gap fees can bankrupt people with insurance. 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? Just returned to UK after Shouldice and its specifically mentioned in the folder. Sounds like you are doing a great job informing yourself about your options and the risks which is great to hear. Week of Surgery and Hospitalization. Physicians cherry pick their patients. Very interesting. Having said that, if you have your hernia repaired without mesh (by Shouldice or anyone else), and it recurs, you can have another surgery at that point. Most patients never met their surgeons before surgery, or saw them afterwards. Meaning the hernia comes back, requiring a second repair. My hernias were small (umbilical and femoral) and related to pregnancies and not a previous incision. Staff is helpful but not pleasant or friendly. We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. Very good points Tony! 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. As for tension free vs not, as I said in my blog, standard of care for most institutions is tension free (ie using mesh). And yes, Shouldice cherrypicks their cases, perhaps because they can. Several day stats are not the norm at other hospitals, party due to the higher risk of hospital borne infections and partly to be able to service a large group of people with varying needs. View Map We are currently accepting patients in our Examination Clinic by appointment or limited walk-ins on a first-come, first-served basis. Our registered dietitian will develop a personalized weight loss program for you and show you how to make healthy food and exercise choices. Improving patient satisfaction with wait times. 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. 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). Sadly neither Shoultice or any surgeon will perform the surgery. I love doing a variety of different procedures in patients of all ages, sexes, shapes and sizes. Not to mention youll be competitive with Shouldice. This is so helpful! The sheet says this ridge will last for several months (oh joy). Why is recurrence the worst that can happen here? In my opinion Justin you could have got 10 opinions and with a different surgeon had the same unfortunate result. Are hernias covered by OHIP? And it IS true that mesh design has improved not just materials, lighter, thinner, for instance Titanium coatings to reduce foreign body reactions, so problems 2 or 3 years ago may be referring to old technology. NURSING ANESTHESIOLOGIST All private fee paying schools get to choose whom they teach, that way they get the best students and of course the best exam results. Update to the above. 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! The nursing staff was a mixed bag, as would be expected anywhere. 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. I hike a lot, mtn bike, lift >100# items, etc. Monday to Friday - 6:00 pm to 8:00 pm Saturday & Sunday - 10:00 am to 5:00 pm. Sheraton Parkway600 Highway 7Richmond Hill, Ontario905-881-21211-800-668-0101Call hotel for special Shouldice rate.2.5 miles from the hospital. C. The grounds were beautiful and interior spaces quite nice. Straight truth from the USA here folks. They weigh the risk to both. 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 . Healthcare. Shouldice consult was Feb 8/2022 and I was booked in for June 2022 surgery that same day. or skilled? I have been there two times for both right and left side repairs. In our small study no patient had any pain after 6 weeks. Shouldice, a brilliant surgeon who revolutionized inguinal hernia repair by developing a dependable, no mesh technique back in 1945. colonel frank o'sullivan interview; beverly hills high school football I went to see my family doctor as I live too far from Shouldice to visit. We encourage you to take advantage of these beneficial patient programs. 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. This expedited recovery time is due to the level of active physical rehabilitation that Shouldice Hospital expects from their patients. I have a rather large incisional hernia and am considering a trip to Shouldice. But sometimes recurrences do happen. Same in the US. Naturally I did not wait and had a laparoscopic mesh insertion operation in November in one of the major hospitals around the GTA. Hello Justin. Recovery done at home, pain meds prescribed, incisions very tidy, standard sutures, little to no swelling or bruising. 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. The place is charming. 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. My first week after surgery at Shouldice wasnt too bad. Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. During the first week if I was too active Id feel soreness but with a few hrs rest it went away. Poor nights sleep (roommate having pain, snoring, up through the night for pain meds, temperature check by nurse at some point, etc). I dont understand why it should annoy you or any other surgeon if a place does *easier* surgeries that can be done efficiently. I dont think it has been around that long. This is part of the problem with our record keeping. You are right, there is not a lot of good information for women in your situation. Ive had it for about 1.5 yrs now and because its not painful and really just a small bump Ive not bothered with it until last fall when I saw a local general surgeon about it and scheduled the surgery for May as I go away in the winter. 8. Often times we do not own up to our own responsibility in the situation. 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. Not true.If they Identify an Hernia with no bump, they will ask for repair it. Those who react badly to mesh most are apparently young, slim females (usually not Inguinal). Change), You are commenting using your Twitter account. mjk funeral home obituaries; san jose state university graduate programs deadlines Men umschalten. The data we need are the rates for chronic pain which is very hard to come across for any of these techniques. Hi thanks for your article. I wish all the best to you! The other thing about hernia repairs is that recurrence rates have always been very hard to measure. Suppose you had a recurrence after a tissue repair. 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. Show More. Personally, put in a holding pattern until surgery in the afternoon. So Im now working with a new surgeon in hopes that they maybe able to help. He never admitted to any pain and shortly before my son was born developed an I augurales hernia. Our first available appointment is in July of 2023. I would imagine a lot of people wouldnt go back to someone who wasnt successful with their surgery the first time unless it was very minor surgery. Any tips? 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. And then there are quite a few who seem to think the hospital is a hotel and taken in that light their comments are a little peculiar it was warm, clean, spacious. 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? Also billing data was used for the study, which is a notoriously inaccurate way to study surgical outcomes. . In order to lose the proper amount hed need to eat saw dust and exercise. First scheduled patients moved to pre-surgery prep. It is located in Toronto, Ontario, Canada north of Highway 401 on Bayview nearer . I also read that portion with more issues with smaller females, which worried me as Im only 53 and 117 lbs. Hi Tyler. Its location is the former estate of George McCullagh, a publisher who created The Globe and Mail newspaper in 1936. I would also, I hope, be getting angry calls from our hospitals administrators asking what the hell I was doing keeping patients in hospital for so long after such a simple procedure. And if not, would I need further surgery in my 60s if I gain a few pounds. Whether that fear of mesh is warranted, I do not know. Critiques are always welcome because it can make people think out of the box. He worked at Shouldice for about a year and did several hundred Shouldice repairs. https://www.ncbi.nlm.nih.gov/pubmed/10452261. 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. Placed in a room with patient who had surgery the day prior. Shouldice is licensed by the Ontario Ministry of Health, which covers the entire cost to Ontario residents of hernia operations there under OHIP, the. Certainly not brochure material. Lets start with the Pros I have a large left inguinal hernia and am debating between Shouldice repair and Desarda Repair. I am a 36 year old female (very slim and healthy) and hoping to start a family in the near future. Ill see how it continues and report again in a month or so. 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. Thanks. I was told my mesh was new but found that it hasnt changed much since 2009 when Bard first came out with this polypropylene mesh. 3) Shouldice use sutures only, minimising foreign material being implanted into body, hence minimising most of afore mentioned risks associated with nerve damage. Please call 905-695-4911 to book a time. Different policies will exist. Would you please share with me what kind of hernia you had. Most general surgeons will tell you that they cannot get patients to lose weight before surgery, and that has certainly been my experience. I see that you are anti-Shouldice but wonder how much of that is based on procedure/method and how much is related to you not liking that they get to do only elective and cherry pick. A lot of nerve damage occurred to my femoral nerve, and the mesh they have inserted is extremely painful. It is nice to have met your surgeon before any surgical procedure though. Here are some numbers to call if you would like to book tickets while youre in the Toronto area: These suggestions are provided only as a courtesy to our patients and their guests. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. My luck, the guy was a heavy sleeper and snored all night which means I could not get that much sleep during my stay. Physicians (surgeons) do what is best for themselves and the patient when making the decision whether or not to operate. This wound closure and stapling technique are a significant source of discomfort and pain for all patients. As a surgeon with intimate knowledge of hernia repair, does the actual technique have a solid, anatomical basis and biological plausibility? See more The limited walk-in spaces are available on a first-come, first-served basis. It is a small hospital dedicated only to hernia repair. We use this information to refine our surgical techniques and document the success of our hernia repairs. 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 Here is a run down of my thoughts. State/public schools teach who theyre told to teach meaning everyone else who doesnt get to go to the private schools. Hi there what do you believe offers the least chronic pain for hernia surgery (inguinal)? Hard to be critical regarding matters of efficiency without data descends into rhetoric pretty quickly. I do not believe in the argument that the Shouldice doing so many repairs allows for more hernias to be repaired in our public system. [2] Contents 1 History 2 Work There is nothing spectacular about this facility. It's nice and bright! We have just reviewed 400 consecutive patients from 4 years ago and our recurrence rate is 2%. The staples are removed (one half at a time) over the two following days. 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. While I do like my patients to rest after surgery, they dont need to do it in a hospital setting. You, and others like you, in other words. Just frustrating and agree with you on the best I later found out that my friends younger brother had a repair done at the small hospital and has no complications after 8 months with mesh and I went to the one in the area that is considered the best Ive just come to expect the worse I think I have a cloud that just fallows me around :p LOL. Which method is the best option considering I want to get pregnant? OUR PATIENT CARE When you come to Shouldice, you can expect to have a positive and pleasant experience. We have provided this list as a courtesy to our patients and their guests. Shouldice of course sends most of the patients it sees back to where they came from, and does not have to worry about complications or ongoing issues from their repairs. Now I have mesh and been having issues with it since (6 months) I would of rather rolled the dice on the hernia reoccurring the old fashion way than having something put in me that no one can get out and continues to be an issue. .1st operation to save my life. You dont know till you try it if it is going to help or not. It was recently taken over by a private company and is no longer in the hands of the original Shouldice family. Length of stay is ridiculous not to mention the Bill for said stay And Shouldice does screen patients to make sure they have an appropriate BMI and are setup for long term success. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. Im on the fence with going back to Shouldice or going with the local doctor. I would not that in Canada most people are referred to a surgeon they do not really know for most procedures. 6) People continually come from all over the world to have their hernias repaired at Shouldice. I am debating on having surgery on my right inguinal hernia and whether to do it at Shouldice or at my local hospital. I am running 20-30km/week and have returned to normal activity. Youll be able to walk out of the operating room and, by the next morning, youll start a well-structured and supervised exercise routine. (As does everyone). This is a complex technique involving multiple overlapping sutures across two layers of muscle. The rate of this risk varies, you say it is low, but the risk exists. Do you yourself know how many of your hernia surgeries fail? Discover the Shouldice Experience We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. 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. They told me they were being charged much less at Shouldice than they would have paid out of insurance in the US. No referral is required. Thirty five is a fair number if done completely by the surgeon in question I would think. Now the Shouldice, a decades-old family business, is being sold to Centric Health Corp., a TSX-listed company that owns surgical and medical centres in four provinces, as well as pharmacies and home-care services. There are many reasons why mesh is used and many people do fine with it. In assessing them, serious consideration has to be given to the culture of the organization and the importance of preserving it in a service delivery system. The food was better than I expected. However, these hotels have NOT been inspected by the Shouldice Hospital staff. There is absolutely no risk involved, just a requirement for the patient to wear an orthosis. Its worth a try on the appeal process though.. Again best of luck.. I had researched the different techniques and decided I would rather have small surface area non-magnetic stainless steel sutures vs a plastic mesh. Only 5 days, so still too early to comment on final result, but: I slept very well there (pain meds are handed out at need, in other words you had to ask for them, after day of surgery very many forgot to ask shortly before bed and so had a bad night). I hope that is helpful. But the reality is that in Ontario anyway, major hospitals are getting as bad as any private clinic in letting cost considerations trump quality of patient care, but thats a whole other topic. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Secondly, I have not heard of desarda method. I play sports 3 days a week, I run competitively, etc, and virtually no pain. Could you take a closer look at the Desarda technique and make some comments in the same way you did with the Shouldice techinique? Shouldice Hospital is a bit of curious place. I generally will do any umbilical hernia under 1 cm in size without mesh, but that is not an absolute and depends on a lot of factors, including my discussion with the patient. Dr. Shouldice graduated from the Univ of Ottawa Fac of Med,Univ of Ottawa Fac of Med in 1979. No I have not found a way to make any money out of my blog, just doing it for fun at this point. We never rush you through surgery and send you home the same day; thats very stressful for both patients and their families. 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 . The standard of care now is to do hernia repairs with mesh, a plastic like substance which allows for less pain (if inserted properly), earlier return to work, and decreased recurrence rates. 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. If I was doing the Shouldice repair with no mesh and keeping my patients in hospital for 5 days after hernia surgery, I would probably have my competence questioned, and with good reason. Just returned from Shouldice. Finally, I am sorry you are experiencing problems and I sincerely hope they are at the lower end of the spectrum. (sorry if i made any writing mistakes, English is not my first language). I . It you want a manicure, a pedicure, an espresso in the pre op room and general pampering go to a Beverly Hills clinic; This place is all about a lasting repair at a reasonable price (my bill was much less than the initial quote) with minimal fuss, and, critically, NO MESH. Choose your surgeon carefully. Best of luck Dean. We regret that we cannot make reservations on your behalf. 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. On top of that, the hernia still exists, larger and more painful than ever. Mesh CAN be a nightmare if not inserted properly, and maybe I would be able to get away with not using in a very slim patient, but I consent patients thoroughly to all the risk factors. I understand that they likely inflate their success rates by choosing ideal patients, but I do not have the technical skills to actually evaluate the efficacy of the proposed mechanism of repair. One patient told me he didnt want to go back to Shouldice with his recurrence because he couldnt afford it. They were everywhere in the very pleasant grounds. I had an inguinal (opposite side) and umbilical hernia repairs done using mesh two years ago. At this stage I cannot guage the quality or durability of the underlying repair. Open. 65 Minthorn BoulevardThornhill, Ontario905-707-65332 miles from the hospital. I have constant pain of some kind from stabbing to just dull along with foreign body sensation. I agree with John. The issue is really about the size of the facial defect vs the risk of recurrence with and without mesh. Shouldice performs, on average, 150 operations per week, with patients generally staying at the hospital for three days. And yes chronic pain is an issue which needs to be better studied in terms of techniques to prevent it and treatments. 4. shouldice offers a 4 day vacation. Please bring your health card, your family doctor's contact information, and details of prior surgeries and current medications. The short time before my surgery I couldnt find anything definitive saying mesh was good or bad. I can accept that this is work that should perhaps be compensated at a different level because of its extra demands. I have just been chastised online for daring to criticize the Shouldice clinic on Twitter. 10 Royal Orchard Blvd, Thornhill, ON L3T 3C3 Get directions. On rare occasions Ill have a minor sensation in the area but that may just be from something Ive done and all in my mind that its related to the op. What would be your expectation about how the recurrence would be repaired, and the likelihood of developing chronic pain afterward? He was not too much over weight at that time. Since 1945, we have been gathering data from our follow-up examinations. At Tar, I since switched meds and lost a bit of weight but Its so difficult to even move with a cantaloupe sized abdominal hernia. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. I was suprised by your posting. People seem to either love it or hate it. I suspect looking into that would be very difficult indeed. Create a free website or blog at WordPress.com. Pain is tolerable(sensation of burning/stabbing in groin) that subsides quickly with reduction of effort/strain. At Shouldice, we have one of the largest databases on hernia repair in the world. 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. Just want to make a correction: they dont provide private rooms, but cramp you in a room with another person. shouldice clinic wait times. In Australia, the introduction of private healthcare has resulted in exactly what has happened here, albeit on a much larger scale. And I appreciate that is frustrating when Shouldice info is hard to get but I can tell you follow up & accurate reporting of success rates for the rest of the system is just as unreliable because of useless record keeping. You see the full range of personalities there. Indeed, expansion of Shouldice's facilties seems a far better alternative than asking patients to wait. I just left Shouldice hospital after a hernia repair. The average stay of patients is 3.2 days. So you are absolutely right, there should be requirements for all surgeons and health care providers to follow evidence based medicine and try and make patients better. Surgeons need to do emergency work or perforated appendicitis, gangrenous gallbladders, and blocked bowels (sometimes stuck in hernias) would not be dealt with, and patients would die. As for speed, I think they say it takes around 30 minutes to do the surgery, and they have a short wait list. The "first" reduction in Tq is much greater!) 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. An article I just read after using your suggested search term called Inguinal Hernias: A Current Review of an Old Problem mentions recurrence rate at a specialized center (Shouldice hospital) being 0.7% to 1.7%, but Shouldice technique done at a general hospital with a general surgeon was as high as 15%. He had the choice of Shouldice or a Toronto area hospital. (thats gotta mean something!). Also, I would check w your insurance company before travelling. Im left asking the question do I fix it now or after pregnancy?

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