shouldice clinic wait times

The Shouldice Hospital has been a family-run private enterprise since its founding in 1945 by Dr. Edward Shouldice, who developed a reliable technique for repairing hernias during World War II.. I have a right side inguinal hernia that needs fixing. This makes any numbers they publish about their recurrence rates completely out of touch with the reality of what myself and other general surgeons are dealing with in our practices. Three surgeries at two different facilities using different techniques by no means expertise in either technique. 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. Hard to be critical regarding matters of efficiency without data descends into rhetoric pretty quickly. Hes certainly not done growing. 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? It's nice and bright! My father, a neighbour, and a former co-worker have had hernia repairs in the last few years. The other day I split a bush cord of firewood and my shoulder was sore but not my groin. I dont know where you got your information that the Shouldice doesnt use mesh but this is incorrect. It is virtually impossible to find any real data on Shouldice. I always tell patients it takes as long as it takes to do a safe operation. Toronto Transit. Following this summers logging and landscape work I will report the status of all three repaired hernias. I have put off surgery for four years because of concerns with mesh. So I am 4 days post surgery from Shouldice.My tackle is extremely bruised so I can not say that I will maintain objectiveness. Does it annoy surgeons that many many *easy* abortions are done in clinics rather than hospitals? Thanks for your comments. They do not have to do emergency general surgery, ever, how convienient. Have no perceptible issues with umbilical repair but under strain do feel some discomfort at the lower end of inguinal repair. Many of these services are provided free to our patients. 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. 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. 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. The body can react to a foreign body (Plastic) Mine also is touching the nerves that run in that area. He also reiterated that he also only does mesh unless of some other medical reason. We encourage you to take advantage of these beneficial patient programs. There is a small hard spot just under the belly button but it is slowly shrinking, I was told this could take some time. I am very happy with the outcome and am glad I didnt go for a mesh repair. There is absolutely no risk involved, just a requirement for the patient to wear an orthosis. So even when you think you have done your homework on the surgeon get another opinion. In the Shouldice clinic, the average time off work after repair is 8 days, and 4 weeks is the maximum time patients are authorized to return to heavy labor. Not to mention youll be competitive with Shouldice. Posted on September 8, 2011 by Ewen. Choose your surgeon carefully. Maybe if its a simple small hernia, Shouldice is a good choice, but otherwise, too clandestine for healthcare. Hilton Garden Inn300 Commerce Valley DriveThornhill, ON L3T 7X3905-709-60083 miles from the hospitalTo receive a 10% discounted Shouldice rate click here. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. We all want the best, most cost effective public system but critiques must look at the whole system. If you dont have a very classic bulging abdominal or groin hernia, they are not going to operate its a random nonsense. We joked about standing by the front door and dropping our pjamas for the new intake. On call is hard but necessary work and I , as a Royal College trained surgeon, would not be allowed elective operating time anywhere if I did not offer on call services. They give you good care. (Wait time "explodes" the closer utilization gets to 100%! The "first" reduction in Tq is much greater!) How are you doing now? Affiliation 1 Anna Bradshaw is an FNP student at . A version of this commentary appeared in the Vancouver Sun, Huffington Post and iPolitics.ca. Good points John. His hernia is now the size of a basketball. I also read that portion with more issues with smaller females, which worried me as Im only 53 and 117 lbs. They told me they were being charged much less at Shouldice than they would have paid out of insurance in the US. 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. Study is here- older and from 2004. Any advice would be appreciated, I am athletic, non-smoker, late 20s. 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. Once youre admitted to the hospital, youll meet other hernia patients. My husband went in, doctor said lose weight and i will do it. Sonesta Suites355 South Park Road, Thornhill, ON L3T 7W21-800-SONESTA1-800-766-3782. Post author: Post published: February 16, 2022 Post category: gymnastika pre deti dubravka Post comments: cooper hospital kronos login cooper hospital kronos login 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. (LogOut/ (2) do you know of the desarda method of no mesh surgery? 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. Beds and pillows are absolute garbage ( bring yourself a sleeping bag for the floor for a more comfortable sleep) 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. Your kidding yourself trying to talk anyone into not going here for a repair Both the surgeons i had had well over 10000 repairs and the first one was nearing 30000. I am still avoiding heavy lifting, but everyday lifting activities (groceries, young children, etc) arent causing any issues. Day surgeries admitted in the morning released that afternoon. shouldice clinic wait times. I asked multiple times to my surgeon prior to the operation on chronic pain and other complications. I am so sorry for your experience with the medical community. Our first available appointment is in July of 2023. Thanks for your blog. 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. 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. Very interesting. I would encourage you to have your father see his family doctor to refer to the hospital and surgeon which are closest to you. 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. Youll be able to walk out of the operating room and, by the next morning, youll start a well-structured and supervised exercise routine. The staples are removed (one half at a time) over the two following days. Id be curious to see some data comparing patient outcomes for slim patients at Shouldice vs the rest of the system. Just returned to UK after Shouldice and its specifically mentioned in the folder. Update to the above. As usual the media has overrepresented the risks. 5 weeks after surgery, my scar looks pretty much healed and I expect it will fade with time. If I had an unhappy patient who did not want to have surgery with me again, I would refer them on for a second opinion. Shouldice has arrived at its point of success by placing an emphasis on this high level of quality and effective care. Or that you are cynically making a play for a vast damages pay out. (thats gotta mean something!). Tickets cost $4 and the journey takes 38 min. I am running 20-30km/week and have returned to normal activity. Its not much. 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. There are many reasons why mesh is used and many people do fine with it. The rigidity of the program is old school military in nature and does not seem to be keeping pace with evolution. 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? As a surgeon with intimate knowledge of hernia repair, does the actual technique have a solid, anatomical basis and biological plausibility? . 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. 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. Ten days after surgery I taught a two week long course requiring standing for 10-12 hours per day and golfed the day after the course. and then he has the audacity to tell me that I cant feel the mesh and that the pain is also in my head. 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. 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. If you need help to lose weight before your operation, one of our surgeons will refer you to our diet counselling services during your initial examination or you can contact them directly at (905) 695-4914. Ill take my chances with mesh next time all day long. Im 60 and 511 @ 180lbs, so not overweight and in good health. I feel like patient quality of outcome should be the deciding factor, not just whether the original hernia was handled. And I agree that we need to have tracking of surgical outcomes to verify the success of various techniques, whoever does them and whereever they are done, but making everybody do emergency & other more involved surgeries doesnt address that. Thank you for putting so much valuable information over here. My email is attached here if you would like to email me! 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. .1st operation to save my life. In the USA most Drs wont even do a simple hernia repair without mesh even if youre ideal for a non mesh surgery. I did have some minor discomfort around the surgical sit, but nothing that I felt was an issue. Procedure 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. They were everywhere in the very pleasant grounds. Sharing the experience with a bunch of other patients was a big plus in my opinion. Im looking forward to lesmcc1s response. The nursing staff was a mixed bag, as would be expected anywhere. 905-695-4967 * smahdavi@shouldice.com Cindy Giroux - Business Development Manager 905-695-4908 * cgiroux@shouldice.com: I had an inguinal (opposite side) and umbilical hernia repairs done using mesh two years ago. I would like to request if you please could comment on about the Desarda technique. In addition to issues of capacity and organizational analysis, describes a well-focused, well-managed . I will miss the black squirrels. First scheduled patients moved to pre-surgery prep. 3) Shouldice use sutures only, minimising foreign material being implanted into body, hence minimising most of afore mentioned risks associated with nerve damage. Most of us felt it was an efficient operation and we could see why they do things that way it was logical. 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. I was referred to a surgeon by my pcp and met with him shortly after my pcp said I had a hernia. While my knowledge of Shouldice is not direct, it is close to home, and entirely contrary to what you have said. A tearing feeling (like being stabbed) from bowel movements is prevalent; on the positive side, I had my first pain free sneeze this morning. Oddly general surgeons have recommended neurectomy though the pain clinic doctors I saw were highly against this type of procedure. I have not had to take any pain medication. The clinic sits on luxurious grounds and offers one thing and one thing only. But I wonder if I will be told I need to have mesh after all. Laparoscopic repairs are reported to have the lowest occurrence of chronic pain in the papers that I read. Have had it checked and been informed that it is not at the point where a repair is required. When needed, a hernia weight loss diet is individualized for each . Large ventral/incisional hernia repair or complex abdominal wall reconstruction- different story. They can walk in, and be called in to be seen by the doctor without having to wait for long. 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. It seems like a roll of the dice. 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. 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 . He never admitted to any pain and shortly before my son was born developed an I augurales hernia. When I went for my pre-op. Shouldice also claims that its model allows it to perform at a lower cost per case than public hospitals, and that wait times are a fraction of those in the public system. There is a sunlit caf for reading and relaxation and a cheerful common room, where patients often gather for a friendly game of cards. 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. It seems to be the same, or slightly worse than the common open mesh repair. So do you feel that in my case atleast, it might be worth giving Shouldice a first shot or is their antiquated technique simply not worth it as the hernia will in all likelihood recur and then mesh would be the only way to go? Shouldice Hospital is returning to Vancouver to conduct examinations in March 2023! Are you willing to be more specific about the nature of your problems post op? Since 1945, we have been gathering data from our follow-up examinations. Poor nights sleep (roommate having pain, snoring, up through the night for pain meds, temperature check by nurse at some point, etc). The benefits of mesh far outweigh the risks for the vast majority of adult hernia patients. 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. Straight truth from the USA here folks. . Mid 30s in age As with Tyler excellent experience both times with100 percent results. Talking about media ( from the article you posted here ) I have to say, the experience was excellent. 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. 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 place isrun a bit like a hernia boot camp, which I really had no issue with. 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. Best. At the same time, it is clear that . Founded in 1945, Shouldice Hospital is the world's leading centre of excellence in abdominal wall hernia repair. Critiques are always welcome because it can make people think out of the box. It has been repairing hernias for decades. Any tips? Can I please get the name of the hospital an hours drive from Shouldice and your name if possible? The limited walk-in spaces are available on a first-come, first-served basis. Sometimes this cost is paid out by private insurance companies if the patient has a health benefits plan, or by the patients themselves. 2 The Lichtenstein procedure was learned from a book, 10 instructional videos, and personal communication with Irving L. Lichtenstein, MD. The limited walk-in spaces are available on a first-come, first-served basis. 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. 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. 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. 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. The Shouldice procedure was learned from personal observation at the Shouldice Clinic, a book, 9 and instructional articles. 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. It smacks of the sort of paranoid anti-science conspiracy theory sentiment which we are seeing rise around other health issues such as vaccinations and water fluoridation. 4. shouldice offers a 4 day vacation. The mesh industry is too powerful and monopolize the medical society. 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. 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. (LogOut/ It could be scar tissue or it could be the actual implant rubbing on the nerve. I have seen these numbers elsewhere also. 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. Safe for airport scanners AND MRI. This involves making an incision . 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. The biggest problem with the Shouldice hospital is you cannot choose your surgeon and like anywhere there are good ones and bad ones. Thanks for such a great blog, very helpful and interesting. You can travel with a hernia as long as its been 3 months since you were seen for it. I have had a similar issue with the mesh (surgery May 2017) and tried a nerve block. 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. You see the full range of personalities there. All Drs are well experienced and trained. Create a free website or blog at WordPress.com. 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. 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?? 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. I have recently had a consult at Shouldice and had some concerns. My concern is with the use of mesh on a growing teenage boy. He had the choice of Shouldice or a Toronto area hospital. This is part of the problem with our record keeping. We've found that this peer-to-peer mentoring is important. Three delicious meals every day, plus an evening snack, An exercise program specifically designed to speed the recovery of hernia patients, Professional advice for a healthy recovery, Access to on-site massage therapy (extra charges apply). 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. There is nothing spectacular about this facility. 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. 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). The example of my coworker is different. That is tough. 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. What happened to good doctors? I would recommend this approach (and frequently do) to anyone, including my patients. 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 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). As for the staples, I had 16 and having them removed I hardly felt a thing. It seems you did your research thoroughly and are maybe one of the unfortunate ones. Walk-in spaces will be provided for a limited number of patients every Monday to Friday. Im probably an anomaly in the hernia world, but my story is horrific and Im still passing through it. I am quite disappointed in myself for not having done a thorough investigation prior to my Shouldice fix. Regarding the Weve always done it this way aspect? Should I wait or should I see a surgeon right away? Open. I would address your concerns with the operating surgeon. Awake and aware during surgery, no pain but the feeling of pressure and intense tugging. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. 5. shouldice offers a social experience. I had researched the different techniques and decided I would rather have small surface area non-magnetic stainless steel sutures vs a plastic mesh. I had two hernias repaired in November last year. My personal experience is that my husband moved a piano for me 20 years ago. Stop smoking for a least 2 weeks before your surgery. One patient told me he didnt want to go back to Shouldice with his recurrence because he couldnt afford it. They do not deserve the reputation they have. Many of the patients in my cohort were from the US, one had driven over 2000 km to get the surgery. I am now currently here in August 2016. 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 why they went to Shouldice in the first place, in the Toronto area it has a kind of mythical acclaim. Thanks Kram. After 3 months, 2 months with some insurance companies it is no longer considered a pre-existing condition. The Shouldice Hospital in Thornhill, Ont., is world renowned for its treatment of hernias. Sheraton Parkway600 Highway 7Richmond Hill, Ontario905-881-21211-800-668-0101Call hotel for special Shouldice rate.2.5 miles from the hospital. Therefore, it would be more destructive to attempt to accommodate greater numbers of patients at the expense of the quality of either care or facilities. I applied to Shouldice and was refused surgery for my inguinal hernia. Well keep in touch every year and offer you an opportunity to have your hernia repair checked and monitored by our surgeons. 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. I have only good things to say about the Shouldice! I cant get a job people think Im pregnant or will need a leave of absence. So this is a tricky situation. View Map. 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! Hi there what do you believe offers the least chronic pain for hernia surgery (inguinal)? Other operators. My hernia was considerably large and very uncomfortable (both surgeons recommended it get repaired soon as it was quite large and at risk for obstruction in the future) in fact, I was no longer able to play sports anymore. The surgeon recommended TEP and from research that seemed to be the most likely not to cause chronic pain and based on the surgeons bio and reviews he seemed to specialize in laparoscopic. Very good points Tony! I absolutely follow up all my hernia patients. There is a specialty clinic in Toronto, Canada called Shouldice Hospital. I find it hard to get solid information of one method vs the other, maybe because there really isnt any. Found a surgeon in Sarasota, Florida who does non-mesh hernia repairs (Shouldice). 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. You . 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. That is why we offer a diet counselling service to all of our patients. Lot of disparity in the anecdotal evidence (my understanding has been that in at least once instance a patient was offered a days long recovery at Shouldice vs weeks long at a hospital, and that has been constant with my knowledge of their reputation in general). 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. 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. The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. Also, I would check w your insurance company before travelling. My hernia is very small and only appears after I have been working-out or stand for a long period of time however I have a constant dull pain in the groin area/lower abdomen area (heaviness feeling) My fianc and I also love to travel and travel insurance seems to be an issue. Various proposals are set forth for expanding the capacity of the hospital. The NHS website now warns of a 10% rate after open mesh here in the UK. One year before he developed necrotizing fasciitis, extending from the right knee to the right thoracic wall resulted . I agree with John. During your examination, your surgeon may recommend that you lose weight before your hernia repair. Ill lift 100+ pounds while working around the house without thinking about it. Visitors will not be permitted in the patient rooms.

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