shouldice clinic wait times
Just another casualty to this epidemic caused by mesh. I find it hard to get solid information of one method vs the other, maybe because there really isnt any. (2) do you know of the desarda method of no mesh surgery? 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. It went well. Im 27 and I have had three femoral hernia repairs in Nova Scotia, two open, and one (most recent) laparoscopic. Shouldice Hospital is a great place to work. A version of this commentary appeared in the Vancouver Sun, Huffington Post and iPolitics.ca. That is why we offer a diet counselling service to all of our patients. TORONTO Shouldice Clinic Hernia Repair - August 2020 2,289 views Oct 22, 2020 27 Dislike Share Save Herve Del Norte 542 subscribers I provide a summary of my recent hernia repair surgery at the. Thank you for your knowledge and insights re hernia repairs. That is an important distinction. The whole experience was quite pleasant, and Sarasota, Florida is a beautiful, wonderful place to visit. 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. 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. Hi there what do you believe offers the least chronic pain for hernia surgery (inguinal)? Im on the fence with going back to Shouldice or going with the local doctor. 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. We have provided a list below of accommodations and we have arranged special rates at some of these. Good points John. Often times it is our expectations that get us in trouble. 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. Shouldice, like you said, does not do that kind of thing. The Shouldice clinic charges patients for a private room for up to 5 days (this adds up to many hundreds of dollars). Beds and pillows are absolute garbage ( bring yourself a sleeping bag for the floor for a more comfortable sleep) Just want to make a correction: they dont provide private rooms, but cramp you in a room with another person. . 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. Affiliation 1 Anna Bradshaw is an FNP student at . 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. 2. Shouldice is the gold standard of no-mesh hernia repair. I since switched meds and lost a bit of weight but Its so difficult to even move with a cantaloupe sized abdominal hernia. 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. I am comfortable going to Shouldice as they do screen patients to prevent hospital secondary infections, I was able to get specialized care and not take up a bed or OR in a general hospital and they were able to take me in 3 weeks rather than the 200+ day wait in my home town. Sadly once you get the mesh and have issues with it the medical community doesnt know what to do. I have put off surgery for four years because of concerns with mesh. 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. 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. 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. What happened to good doctors? Update to the above. I would not that in Canada most people are referred to a surgeon they do not really know for most procedures. My first week after surgery at Shouldice wasnt too bad. Would you please share with me what kind of hernia you had. Finally, I am sorry you are experiencing problems and I sincerely hope they are at the lower end of the spectrum. For the first couple of weeks I stayed under the 10lb limit for lifting, now I tend to lift a bit more weight but still not very heavy weight. In thinking Doctors are same as a lot of other industries. Update been 8 months out and little to no change in the pain and other complications. In fact, the vast majority of hospitals would offer hernia repair. My hernia is fixed and I have a verbal confirmation that I could lift weights directly after surgery. A tearing feeling (like being stabbed) from bowel movements is prevalent; on the positive side, I had my first pain free sneeze this morning. The collegial environment of you and your co-wounded seems to be a plus for most. In addition, in my case Im 41 and 168 lbs. Now as a confession of a conflict of interest here, I am a general surgeon who does lots ofhernia repairs at a hospital about an hours drive from the Shouldice. I think it depends on the surgeon involved and what your expectations are around the surgery. Not true.If they Identify an Hernia with no bump, they will ask for repair it. I had two hernias repaired in November last year. State/public schools teach who theyre told to teach meaning everyone else who doesnt get to go to the private schools. 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. I asked for a copy and watched my surgery during recovery. I have a rather large incisional hernia and am considering a trip to Shouldice. Im about 2hrs from Shouldice. Best. Secondly, I have not heard of desarda method. | 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. And if not, would I need further surgery in my 60s if I gain a few pounds. 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). 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. Dr. Shouldice developed his innovative technique during World War II, to help young men who were unable to enlist in the military because of their hernias. The NHS website now warns of a 10% rate after open mesh here in the UK. This wound closure and stapling technique are a significant source of discomfort and pain for all patients. I would love to see some frequency distributions for Shouldice repairs vs inpatient time and time back to work. If you are unable to submit this document in advance, you will be asked to complete it upon arrival at the clinic. I went to see my family doctor as I live too far from Shouldice to visit. This is a microcosm of what happens when you introduce private interests into a socialized health care system. 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. Thanks for getting back to me. Shouldice, a brilliant surgeon who revolutionized inguinal hernia repair by developing a dependable, no mesh technique back in 1945. Shouldice Hospital is not responsible for these services. This is part of the problem with our record keeping. I will continue to recommend the Shouldice and feel it was the right choice for me. He went to a top medical school and top intern in residency program. They have permanent audit staff and know their outcome details. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. It is virtually impossible to find any real data on Shouldice. The 3 scars have pretty much healed up. This should be broken down into smaller samples to isolate by type of procedure or severity. Want fast and effectively perfect hernia repair? Shouldice Inguinal Hernia Repair Post-op Instructions Surgery You have just undergone surgery to repair an inguinal hernia. Thanks for sharing your experience, Kram. I have a right side inguinal hernia that needs fixing. Our first available appointment is in July of 2023. How long ago was your surgery? Do the same for a reduction in u from 0.80 to 0.70. There is nothing spectacular about this facility. From what research Ive done some say physical therapy helps. This is a complex technique involving multiple overlapping sutures across two layers of muscle. Ive read of issues with all repair methods except for TAPP laproscopic have you heard of it? The data we need are the rates for chronic pain which is very hard to come across for any of these techniques. No pain at all and I never took any of the prescribed pain meds. When you say walnut size that may mean the size of the sac which can and often is larger than the actual hernia itself. I would encourage you to have your father see his family doctor to refer to the hospital and surgeon which are closest to you. I know 2 other people who have gone up for repair both of which are now well over 30 years on the repair without issue also.. Take care safe travels. I doubt it- they are simply following standard of care which they are required to do by their licensing bodies. Morrison said studies show 10-20 per cent of people are left with chronic pain. Healthcare. The trouble is he can barely walk with this baby between his legs. 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. 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 . 1/2-5/8 of flesh mounded above the underlying muscular tissue fix. Shouldice Hospital is returning to Vancouver to conduct examinations in March 2023! For personal comparisons I am a 50+ year old male in average/above average health. Dr. Shouldice graduated from the Univ of Ottawa Fac of Med,Univ of Ottawa Fac of Med in 1979. Here is a run down of my thoughts. So I am 4 days post surgery from Shouldice.My tackle is extremely bruised so I can not say that I will maintain objectiveness. (thats gotta mean something!). We have provided this list as a courtesy to our patients and their guests. 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. my surgeon said it was mostly a bunch of people complaining looking for money. My husband was asked to lose weight for the surgery but still was not skinny. The patient management system (PMS) will schedule appointments, and patients arrive right in time after getting a status update via SMS or Whatsapp. Ive had this hernia since I gave birth to my child 9 years ago and my life has been very bad since. Thank you. Authors Anna Bradshaw 1 , Sarah Raphaelson. My doctor wants me to lose 50 lbs and ive tried but I cant and I have never found diets to be successful. Being in hospital has its own set of complications, with hospital acquired infections, pneumonias, blood clots in the legs or the lungs, and other problems. That would depend on what age the first repair was done, the time since the first repair, and the BMI and other health factors (such as smoking) of the patient with the recurrence. My biggest concern is chronic pain, and the medical papers I have found do not give the Shouldice method the best score. Others who have had surgery at their local small hospital and everythings good. After 3 months, 2 months with some insurance companies it is no longer considered a pre-existing condition. The literature on incisional hernias is where the use of mesh was first tested. I asked multiple times to my surgeon prior to the operation on chronic pain and other complications. 8. 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. colonel frank o'sullivan interview; beverly hills high school football In order to lose the proper amount hed need to eat saw dust and exercise. I had little to no pain 4 days after the surgery, and other than a small scar, my groin has been perfect. In fact, after asking permission and explaining the purpose, they live-streamed my operation to a Surgeons conference in Victoria, BC. See more Staff is helpful but not pleasant or friendly. Thanks Kram. I cant get a job people think Im pregnant or will need a leave of absence. Naturally I did not wait and had a laparoscopic mesh insertion operation in November in one of the major hospitals around the GTA. Its called cherry picking the easy cases and its exactly what Shouldice does. Understandably, patients like their surgeon to appear omniscient and surgeons rather like that, too (jokes about the God complex). I have been wearing the orthosis for six years. I am now 4+ months postop and have chronic pain and the surgeon just looked at me dumbfounded and surprised at my last appoimtment. Absolutely not. Lastly, I really feel strongly that clinics and surgeons which do not do emergency on call work should not be allowed to operate on an elective basis. The authors looked at repairs in Ontario hospitals over a 10 year period and concluded that Inguinal hernia repair at Shouldice Hospital was associated with a significantly lower risk of subsequent surgery for recurrence than repair at a general hospital. I find this absolutely compelling evidence supporting a visit to Shouldice versus other hospitals in Ontario and, for me, I think its plausible to believe that these findings would not be dissimilar if you were to compare Shouldice repairs versus outcomes of repairs done in general hospitals in the States. 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. Do you yourself know how many of your hernia surgeries fail? I was wondering what your thoughts were on the actual Desarda technique, not just the website. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727805/. I had my hernia repaired there on Nov 2nd. People seem to either love it or hate it. How are you doing now? The Shouldice Clinic has demonstrated the procedure's durability and safety with 75 years of experience. I have a large left inguinal hernia and am debating between Shouldice repair and Desarda Repair. You are correct, I lived in Australia and know even gap fees can bankrupt people with insurance. 6) People continually come from all over the world to have their hernias repaired at Shouldice. If you dont have a very classic bulging abdominal or groin hernia, they are not going to operate. You are correct though, there are not good studies comparing the two methods. We now have detailed records on more than 400,000 patients and maintain one of the most comprehensive database on hernia repair in the world. Answer: Yes, but I was at the higher end of the range and one other fellow in our intake was even worse. He had the choice of Shouldice or a Toronto area hospital. 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. (sorry if i made any writing mistakes, English is not my first language). The surgeon who performed my surgery has successfully completed over 10,000 prior repairs. First scheduled patients moved to pre-surgery prep. I feel like patient quality of outcome should be the deciding factor, not just whether the original hernia was handled. For Michael:Google search Shouldice hernia failures. 600 Highway 7Thornhill, Ontario905-881-26002.5 miles from the hospital. Hello lesmcc1. Sorry your husband had such a tough time with his hernia, hope he is doing well now. ( I know I already said that but they were really that bad). 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. and then he has the audacity to tell me that I cant feel the mesh and that the pain is also in my head. 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. Our first available appointment is in July of 2023. Success rates should indicate level of difficulty/complications/etc but why as a patient should I not be happy for surgeons to develop specialty areas or clinics for easier surgeries that do not need to be supported by the larger and more costly structure of a full hospital? Pain is tolerable(sensation of burning/stabbing in groin) that subsides quickly with reduction of effort/strain. 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. Laparoscopic repairs are reported to have the lowest occurrence of chronic pain in the papers that I read. 2 The Lichtenstein procedure was learned from a book, 10 instructional videos, and personal communication with Irving L. Lichtenstein, MD. For Ontario residents, the Shouldice procedure is covered except for the cost of the semi-private room which is covered by many insurance plans. 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. I wish all the best to you! Presumeably some patients have a higher sensitivity to foreign body implantation (testing for that must be possible, but rarely spoken of, although different materials for the mesh are being developed) and inept insertion technique (inexperience, tiredness, simple error?)
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