We joked about standing by the front door and dropping our pjamas for the new intake. I am scheduled to have a right side repair done at Shouldice next week. Shouldice Hospital (formerly Shouldice Hernia Centre) is a private hospital at 7750 Bayview Avenue in Thornhill, Ontario, Canada. 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. My Aunt diagnosed with Hernia disease recently. The vast majority of procedures are day surgery, or what we call same day admits, where they are admitted (usually after a lot more major surgery than hernia repair) after their operation. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. Pitfalls and Danger Points Infection Hemorrhage Injury to bladder and bowel Postoperative testicular atrophy and hydrocele Chronic postoperative pain Ejaculatory dysfunction Hernia recurrence The Shouldice clinic admits patients the day BEFORE their surgery. The type of surgery that Shouldice accomplishes is best suited for a set of conditions: the patients particular physical condition. Shouldice Hospital is a bit of curious place. 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). Shouldice refused to accommodate my disability. In the US though most general surgeons wont do it the old way or with disolveable meah for fear of reoccurance. By the time my son was 10 and we moved to Peterborough his hernia was the size of a pineapple infact it looked like he had a bag in his pants! Not to mention youll be competitive with Shouldice. Stop smoking for a least 2 weeks before your surgery. Hello lesmcc1. Princess of Wales Theatre Royal Alexandra Theatre CAA Ed Mirvish TheatreCAA Theatre, 7750 Bayview Avenue,Thornhill, Ontario,Canada L3T 4A3View Map, Tel: 905-889-1125 Fax: 905-889-4216 Canada: 1-800-291-7750 U.S./International: 1-855-328-3423 [email protected], Shouldice Hospital is committed to excellence in serving all patients including people with disabilities.Learn More. 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. I will really appreciate your informed feedback and sincerely hope that maybe more folks will follow your lead in helping make society better informed. Im traveling from the US and paying the entire bill myself (my insurance does not cover non-emergency out of country surgery). colonel frank o'sullivan interview; beverly hills high school football . 0. 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. Anyone can look up what a surgeon in Ontario gets paid to fix a hernia. Post author: Post published: February 16, 2022 Post category: gymnastika pre deti dubravka Post comments: cooper hospital kronos login cooper hospital kronos login 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. From studies (which are few and far between), they both apparently have the same amount of chronic pain sufferers. See more I had even specifically asked not for mesh or one that is chemically compatible with tissue and got one that wasnt as it is cheaper for them, hospitals, to use one, which has been shown to cause chronic inflammatory response and pain. Our first available appointment is in July of 2023. I do believe mesh allows me as a surgeon to do a tension free repair which causes less pain, both acute and chronic, post op. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Studies show that half of all recurrent hernias develop many years after the original repair. Shouldice is a business and I understand that like any business its primary goal is to make money. I have an inguinal hernia which is more annoying than anything since I play a lot of sports (not painful), but more so I am afraid of chronic pain after the surgery. There are many companies which manufacture mesh (hundreds) and yes they like to make money. 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 Thanks Kram. He said these were all old issues and not an issue wirh the new good mesh. My father, a neighbour, and a former co-worker have had hernia repairs in the last few years. So the idea that you think there some sort of mesh industry monopoly is concerning to me. Oddly general surgeons have recommended neurectomy though the pain clinic doctors I saw were highly against this type of procedure. Here you will find current wait times for Niagara Health's Emergency Departments and Urgent Care Centres. Certainly your hernia is symptomatic and should be repaired. There were no significant differences in chronic pain, complications and post-operative stay. Is your surgeon prepared to do anything for you? Most patients never met their surgeons before surgery, or saw them afterwards. Improving patient satisfaction with wait times. Naturally Id like to see the same for the hospital system. Now some of the Shouldice clinic patients come from out of country and should be paying forall of their carebut what this percentage is, I do not know. Awake and aware during surgery, no pain but the feeling of pressure and intense tugging. But then you will have had two surgeries instead of one, with the risks that entails. Do you have any other suggestions for me? The average stay of patients is 3.2 days. 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. 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. The last one before going there was a laproscopic surgery done by a cocky 40-something that failed before he even left the hospital & then turned into a fistuala which the surgeon was in denial about for months & could have killed him. I have had a similar issue with the mesh (surgery May 2017) and tried a nerve block. A groin which has been operated on for hernia will never feel the same as before the hernia repair, but for the vast majority of patients they will be aware if their repair, or have to take medications for it. I doubt it- they are simply following standard of care which they are required to do by their licensing bodies. 3) Shouldice use sutures only, minimising foreign material being implanted into body, hence minimising most of afore mentioned risks associated with nerve damage. 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. Where did you end up going ? I am very happy with the outcome and am glad I didnt go for a mesh repair. Also billing data was used for the study, which is a notoriously inaccurate way to study surgical outcomes. We have a big number here, dont you think? Kyle, Best of luck. 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? Doctors and nurses very knowlegdeable, and covered by OHIP. Change). Shouldice consult was Feb 8/2022 and I was booked in for June 2022 surgery that same day. I dont understand why it should annoy you or any other surgeon if a place does *easier* surgeries that can be done efficiently. It is nice to have met your surgeon before any surgical procedure though. Posted on September 8, 2011 by Ewen. To me, mesh is the risk here, not hernia recurrence with pure tissue. So I am 4 days post surgery from Shouldice.My tackle is extremely bruised so I can not say that I will maintain objectiveness. Also, they dont just do simple hernia surgeries on skinny people. Or is it because, here it comes, that dangerous phrase Weve always done it this way? The other thing about hernia repairs is that recurrence rates have always been very hard to measure. That is why we offer a diet counselling service to all of our patients. (As does everyone). Healthcare. No I have not found a way to make any money out of my blog, just doing it for fun at this point. 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. 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. J. Surg. In the mean time, it scratches his inner leg that bleeds, he has fallen down the stairs numerous times, gets headaches and pees the bed! Good points John. Instead, youll stay as our guest for a few days, while you participate in a holistic, professionally supervised program of healing and recovery. Dr. Jonathan P. Yunis is a very professional, accomplished, journeyman surgeon. There is a sunlit caf for reading and relaxation and a cheerful common room, where patients often gather for a friendly game of cards. 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. Polypropylene can cause many issues later on down the road research is finding and for those of us with mesh it could be a time bomb waiting to go off. The Shouldice then also bills the Ministry of Health for each inpatient day a patient stays overnight. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. One year before he developed necrotizing fasciitis, extending from the right knee to the right thoracic wall resulted . shouldice clinic wait times. Im on the fence with going back to Shouldice or going with the local doctor. Comments Off on shouldice clinic wait times; June 9, 2022; Yes, but it was over quickly, and I felt my recovery was extremely successful with minimal time off work. Ill see how it continues and report again in a month or so. So one last confession. Straight out of a horror film, dim, blinky lights, cold and overall not very reassuring. I think it depends on the surgeon involved and what your expectations are around the surgery. Do not use mesh, It can or will disintegrate in time like me and a friend too. I hike a lot, mtn bike, lift >100# items, etc. I think the most recent data is from 2012 and shows a higher failure rate at Shouldice than mesh. So that is a great question. A lot of nerve damage occurred to my femoral nerve, and the mesh they have inserted is extremely painful. 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 . We provide a lifetime of support to all our patients through our annual follow-up program. EMR should allow for reporting of all surgical complications and feedback to the surgeons on their complications, including how many of their hernias recur. The issue is really about the size of the facial defect vs the risk of recurrence with and without mesh. DO NOT EAT OR DRINK ANYTHING, including water, after midnight the night before the procedure unless instructed otherwise by your surgeon. 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 buddy system helps to reduce stress and anxiety and prepares you for a confident recovery. WOW. The facilities are dated, the food horrible, and you may not get the surgeon that assesses you. or skilled? My biggest concern is chronic pain and it seems there is a lack of research reporting on chronic pain and pregnancy. I would have to see why, based on outcomes & diversity of treatments required, doctors/surgeons should have common requirements for their practice. It went well. Thanks. I had an inguinal hernia repair at Shouldice 4 days ago. 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). In fact, that is the only operation it performs, and it performs a great many of them. 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. Do your homework and make an informed decisiongood luck. I have had this happen once. 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! We have provided a list below of accommodations and we have arranged special rates at some of these. He had the choice of Shouldice or a Toronto area hospital. 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). 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. Sharing the experience with a bunch of other patients was a big plus in my opinion. Youll be able to walk out of the operating room and, by the next morning, youll start a well-structured and supervised exercise routine. security guard 12 hour shifts aubrey pearsons oaks husband shouldice clinic wait times. Those who react badly to mesh most are apparently young, slim females (usually not Inguinal). . Answer: Yes, but I was at the higher end of the range and one other fellow in our intake was even worse. Personally, I have a walnut sized umbilical hernia and am within the upper bounds of the ideal physical category. Myself, and others who are wary of mesh, are reacting to the very real possibility of chronic severe pain, and other complications like erosion, migration, and neuroma that can come from mesh. Thanks for sharing your experience, Kram. Considered the same as Shouldice. I discuss chronic pain issues with patients before surgery and try and make sure the nerves are away from the repair. Given the heightened concerns with the transmissibility of COVID-19 and the pressures on our Emergency Departments, we ask that you consider your healthcare options before visiting the hospital for non-emergency concerns. The vast majority will accept the surgeons advice and do not seek out second opinions or options for their surgery. Physicians (surgeons) do what is best for themselves and the patient when making the decision whether or not to operate. Others who have had surgery at their local small hospital and everythings good. 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. Thank you for this post. Shouldice prepares you for your hernia operation and recovery. We were guests at the Shouldice Hospital last year. The clinic sits on luxurious grounds and offers one thing and one thing only. Im 27 and I have had three femoral hernia repairs in Nova Scotia, two open, and one (most recent) laparoscopic. 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. Tell me about it..I had an accident at work. And yes, Shouldice cherrypicks their cases, perhaps because they can. The Bassini repair, named after Dr. Edoardo Bassini who developed it in the 1880s, was the first efficient repair for inguinal hernia. I have been informed by most of the local hospitals that there is nothing they can do. In our small study no patient had any pain after 6 weeks. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727805/. The short time before my surgery I couldnt find anything definitive saying mesh was good or bad. You . I briefly looked at the website, and I would have the same concerns as with the Shouldice, namely that recurrence rates for hernia repairs without mesh would be unacceptably high unless in a highly selected (skinny) population in North America. Regarding the Weve always done it this way aspect? I wish the government would impose laws about refusing patients surgeries and i wish Shoultice was audited! While I do like my patients to rest after surgery, they dont need to do it in a hospital setting. Very interesting.
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