Sheraton Parkway600 Highway 7Richmond Hill, Ontario905-881-21211-800-668-0101Call hotel for special Shouldice rate.2.5 miles from the hospital. 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. We use this information to refine our surgical techniques and document the success of our hernia repairs. The reason my wife and I offer the Shouldice op in Kent UkK is the very high incidence of chronic pain after open mesh repair. I agree with everything that you say. Groin hernia repair is a day surgery procedure in Ontario (anywhere but the Shouldice clinic) with no overnight stay required, unless complications arise or in very frail or sick patients. The sheet says this ridge will last for several months (oh joy). I went for a long walk after the surgery. 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). But then you will have had two surgeries instead of one, with the risks that entails. So this big beach ball he will bring to his death. http://www.ncbi.nlm.nih.gov/m/pubmed/15243743/ Waiting room (20min wait time), examination (15-20min), waiting room for accounting office (5-15min), accounting office (10min), nurse station for blood check (5-10min), surgery (45min), recovery (3days) . Morrison said studies show 10-20 per cent of people are left with chronic pain. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. Procedure It has been repairing hernias for decades. I havent made the decision yet myself, Shouldice or mesh. The day after and two days after the operation I walked around the Shouldice property which helped with circulation and recovery. 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%. Anyhow, one piece of overwhelming evidence in support of going to Shouldice that I found is in the Can. Recovery done at home, pain meds prescribed, incisions very tidy, standard sutures, little to no swelling or bruising. 905-695-4967 * smahdavi@shouldice.com Cindy Giroux - Business Development Manager 905-695-4908 * cgiroux@shouldice.com: 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. Its not hard to understand whats happening here. 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. Sorry your husband had such a tough time with his hernia, hope he is doing well now. 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. Good points John. I think I am going to stick with a repair by a general surgeon at my local hospital. I absolutely follow up all my hernia patients. [2] Contents 1 History 2 Work His hernia is now the size of a basketball. Realistically, I am 50, 57 and 163 pounds, am I really going to lose 30 pounds and keep it off for the rest of my life? https://www.ncbi.nlm.nih.gov/pubmed/10452261. 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. There is a specialty clinic in Toronto, Canada called Shouldice Hospital. I did not get a reply what so ever until September 2014 advising me that they can operate on me. The trouble is he can barely walk with this baby between his legs. I hear that the wait time is up to a few years for the surgery itself. First time insurance paid 80 pecent That was 5 years ago and as you know us health care has changed dramatically Laat June when I had my second side done I was told nothing.. 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. 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. Shouldice Hospital is returning to Vancouver to conduct examinations in March 2023! 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. Please call 905-695-4911 to book a time. Possibly related to how much private insurance you carry. The grounds were beautiful and interior spaces quite nice. In my opinion Justin you could have got 10 opinions and with a different surgeon had the same unfortunate result. Its worth a try on the appeal process though.. Again best of luck.. Please bring your health card, your family doctor's contact information, and details of prior surgeries and current medications. Placed in a room with patient who had surgery the day prior. 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. I cannot recall a patient ever having been in hospital for 5 days after elective hernia repair. 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. 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 patient management system (PMS) will schedule appointments, and patients arrive right in time after getting a status update via SMS or Whatsapp. Not only are metrics regarding the likelihood to recommend and the overall satisfaction with the experience negatively impacted by longer wait times, but increased wait times also affect perceptions of information, instructions, and the overall treatment provided by physicians and other caregivers. (LogOut/ This is why they went to Shouldice in the first place, in the Toronto area it has a kind of mythical acclaim. I have a large left inguinal hernia and am debating between Shouldice repair and Desarda Repair. 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. 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. 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. But it might also just be for efficiency. Five days after surgery Im still in quite a bit of pain, and Im finding Tylenol to still be a must. Visitors are required to wear a mask when inside the hospital. 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. In fact, the most over investigated, over treated patients are likely to think they have great care, when the opposite is the truth. Laparoscopic repairs are reported to have the lowest occurrence of chronic pain in the papers that I read. Personally, put in a holding pattern until surgery in the afternoon. I am now 4+ months postop and have chronic pain and the surgeon just looked at me dumbfounded and surprised at my last appoimtment. That is why we offer a diet counselling service to all of our patients. I . I am so glad to read this. 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. In a socialized model of healthcare, allowing some hospitals and surgeons to absolve themselves of this emergency work is unfair and leads to their claiming to have better outcomes. There is a limit of 2 visitors per patient. Pain clinics are full of patients who have had open mesh repairs. Sexual activity causes no issues and my testicles are no longer sensitive. 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. Also, they dont just do simple hernia surgeries on skinny people. Discomfort for 3-4 days but quite tolerable. Very good points Tony! For Michael:Google search Shouldice hernia failures. Youll be able to walk out of the operating room and, by the next morning, youll start a well-structured and supervised exercise routine. Update to the above. The office staff takes care of business very nicely, very personable, walking you through every step of the way. We provide a lifetime of support to all our patients through our annual follow-up program. I had minimal bruising and swelling, and am mostly back to normal a few days after surgery. 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. The buddy system helps to reduce stress and anxiety and prepares you for a confident recovery. I have seen these numbers elsewhere also. You, and others like you, in other words. Thanks. I did that search, and Im not sure if I saw exactly what you saw, but yes even though Shouldice method (performed at the Shouldice hospital specifically) has a very low recurrence rate, certainly mesh will have the lowest recurrence rate. The washroom is our room was sporting a nearly unbearable urine smell. Doctors and nurses very knowlegdeable, and covered by OHIP. 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. I also saw the ambulance chasing lawyer ads in the US regarding mesh failures. We have provided a list below of accommodations and we have arranged special rates at some of these. If anything, they may even feel lucky and appreciate that money has brought them these benefits. Regarding the Weve always done it this way aspect? Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. . Ill lift 100+ pounds while working around the house without thinking about it. Just returned from Shouldice. 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. The vast majority will accept the surgeons advice and do not seek out second opinions or options for their surgery. 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). .1st operation to save my life. They are not sure what the issue for me is caused by. We all want the best, most cost effective public system but critiques must look at the whole system. My father needs a hernia operation. Dr. Shouldice graduated from the Univ of Ottawa Fac of Med,Univ of Ottawa Fac of Med in 1979. 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. 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. I have only good things to say about the Shouldice! That is tough. Shouldice.com A pioneer among for-profit surgery clinics in Canada has been sold to a private health corporation for $14-million, ending a family-owned dynasty that played a unique role in the. It is a small hospital dedicated only to hernia repair. Is this because Shouldice thinks this is good care? 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 traveled from NY TRYING TO AVOID the horrors of the mesh repairs. 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. My personal experience is that my husband moved a piano for me 20 years ago. Shouldice Hospital recommends a healthy diet for hernia repair, and one that focuses on achieving an acceptable body weight. They do the surgery anyways. 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. 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?) So Im now working with a new surgeon in hopes that they maybe able to help. 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. 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? I dont think it has been around that long. SHOULDICE HOSPITAL CLINIC DETAILS 7750 Bayview Avenue, Thornhill, Ontario. The expertise of Shouldice seems hopeful and promising, and Im out of alternatives. I am still avoiding heavy lifting, but everyday lifting activities (groceries, young children, etc) arent causing any issues. ParkingOn-site parking is available for hospital and clinic patients for a flat-rate maximum of $15 per day ($50 for the duration of an inpatient stay). Most general surgeons will tell you that they cannot get patients to lose weight before surgery, and that has certainly been my experience. They will also arrange regular phone meetings to offer advice and support so that you can commit to a healthier lifestyle and prepare your body for a successful hernia repair. NUMBER OF WALK-IN APPOINTMENTS AVAILABLE FOR THE NEXT TWO WEEKS ARE: Monday, March 6th - 0 Monday, March 13th - 12, Tuesday, March 7th - 12 Tuesday, March 14th - 12, Wednesday, March 8th - 24 Wednesday, March 15th - 12, Thursday, March 9th - 40 Thursday, March 16th - 36, Friday, March 10th - 18 Friday, March 17th - 24, 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 postoffice@shouldice.com, Shouldice Hospital is committed to excellence in serving all patients including people with disabilities.Learn More. Shouldice Hospital is a great place to work. Thanks for getting back to me. Is this a factor? 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). over 30 years and thousands of repairs we have redone 3 for pain The last was 2 weeks ago and already he is pain free. View Map. 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. He had the choice of Shouldice or a Toronto area hospital. At the mid point of the second week, I had searing, stabbing pain at the surgery site. It doesnt matter what method you have these days the recurrence rates are all about the same,low. Ive read of issues with all repair methods except for TAPP laproscopic have you heard of it? Im not sure what you mean by *elective* with regards to hernias except that I imagine they like many surgeries mostly dont need to be done on an emergency basis. Tickets cost $4 and the journey takes 38 min. 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. 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. In thinking Doctors are same as a lot of other industries.
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