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. More and more often, hes having flare ups where the blood supply to his groin is being blocked. Pain is tolerable(sensation of burning/stabbing in groin) that subsides quickly with reduction of effort/strain. I did not get a reply what so ever until September 2014 advising me that they can operate on me. 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. Many didnt even know their surgeons name. This is a complex technique involving multiple overlapping sutures across two layers of muscle. So while I agree with patients having to lose weight for some surgeries, I cannot on a practical level be that picky about it. I think it depends on the surgeon involved and what your expectations are around the surgery. Thanks for your comments. 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. 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. Its certainly an interesting place. But to watch how efficient and careful the surgeon was, isolating nerves to make sure they werent damaged, reconstructing the inguinal ring, and the detailed suturing technique, I am very satisfied with the result. Their holistic approach on the brochure makes alot of sense. The average North American is gaining 1-2 lbs per year, and obesity is a clear risk factor in hernia recurrence. One year before he developed necrotizing fasciitis, extending from the right knee to the right thoracic wall resulted . Do your homework and make an informed decisiongood luck. I have only good things to say about the Shouldice! 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. We have a big number here, dont you think? ( I know I already said that but they were really that bad). Shouldice Hospital is a great place to work. Is my scar larger than it could have been with a mesh repair? Is your surgeon prepared to do anything for you? 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 . I hope that is helpful. I know once Ive been opened up there is no going back. I play sports 3 days a week, I run competitively, etc, and virtually no pain. That is an important distinction. Ive had friends who had surgery with the best and have come out messed up. Did I have any discomfort during recovery? Shouldice is a business and I understand that like any business its primary goal is to make money. This is directed towards user, Toronto: I had my inguinal hernia operated on after much internal (and external debate with various health professionals) by the Shouldice clinic. If their procedure was outdated/inappropriate in anyway, then why are they still in business helping 7000 healthy, wealthy and skinny people (morale issue again) per year have pain free and hernia free lives? Also, he only went there after years of being discouraged by general surgeons such as yourself but after multiple failed hernia surgeries by these same general surgeons. It could be scar tissue or it could be the actual implant rubbing on the nerve. 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? Usually, the time only varies by a minute per day but some days will have the same time for multiple days consecutively. Complications after a mesh surgery can drive the cost of a simple hernia repair into the hundreds of thousands of dollars. You dont know till you try it if it is going to help or not. 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. C. It is nice to have met your surgeon before any surgical procedure though. Dr. Jonathan P. Yunis is a very professional, accomplished, journeyman surgeon. Here in the United States physicians can opt out of the Medicare system (for elderly) and refuse to treat medicare patients. Healthcare. Monday - Friday: 9 a.m. - 7:30 p.m. Saturday & Sunday: 8 a.m. - 5:30 p.m. Closed: most major holidays . Monday to Friday - 6:00 pm to 8:00 pm Saturday & Sunday - 10:00 am to 5:00 pm. I dont think it has been around that long. However, it is also undeniable that the chance of a hernia recurring over time is reduced when mesh is utilized appropriately and on the right patient. Discomfort for 3-4 days but quite tolerable. NURSING ANESTHESIOLOGIST 5 weeks after surgery, my scar looks pretty much healed and I expect it will fade with time. Yes, but it will fade with time and is overly visible except when naked. Bus operators. My biggest concern is chronic pain and it seems there is a lack of research reporting on chronic pain and pregnancy. You see the full range of personalities there. Hes certainly not done growing. Safe for airport scanners AND MRI. 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. Two questions: (1) do you think a surgeon who did 30 laparoscopies in residency and 5 shortly after in private practice is sufficiently experienced to do bilateral inguinal hernia repair with the TEP method? Hi. (As does everyone). Our specially trained surgical teams perform over 7, 000 hernia repairs every year, with an unparalleled track record . There is nothing spectacular about this facility. Are hernias covered by OHIP? I tell women who may get pregnant after a repair that there is a higher risk of recurrence of the hernia because of the stretching of the abdominal wall with pregnancy. 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. Yes, some implants are great achievements like one of my friends who is 38 and got a pacemaker at 29, but I believe others have no place when they can be avoided with proper training. When I went for my pre-op. Femoral hernias are tricky sometimes whether mesh is used or not. We never rush you through surgery and send you home the same day; thats very stressful for both patients and their families. Care and service do not stop once you leave Shouldice Hospital. Shouldice Hospital was established in 1945 by Dr. Edward Earle Shouldice (1890-1965), inventor of the Shouldice repair. Just want to make a correction: they dont provide private rooms, but cramp you in a room with another person. 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. The collegial environment of you and your co-wounded seems to be a plus for most. It's nice and bright! Shouldice I learned the name even before it had become personally relevant and noted it. We all want the best, most cost effective public system but critiques must look at the whole system. WTF was that?. Have no perceptible issues with umbilical repair but under strain do feel some discomfort at the lower end of inguinal repair. Mesh or the Shouldice method? 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. 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. The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. Registration will begin at 8:00AM and will close once we have reached the maximum number of appointments available that day. Most of us felt it was an efficient operation and we could see why they do things that way it was logical. Is the mesh currently being used the same product that has been on the Toronto news where they move around internally after coming loose? My husband got discouraged and gained even more weight. Sheraton Parkway600 Highway 7Richmond Hill, Ontario905-881-21211-800-668-0101Call hotel for special Shouldice rate.2.5 miles from the hospital. It helped for about 10 days and then stopped helping. I would like to see much more transparent reporting and rating of all surgeons & hospitals & clinics. We encourage you to take advantage of these beneficial patient programs. They do the surgery anyways. I would have to see why, based on outcomes & diversity of treatments required, doctors/surgeons should have common requirements for their practice. 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. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. I went back to work in less than 48 hours and I am very happy with my scar. Your hernia will need to be fixed, no question. (thats gotta mean something!). Now the Shouldice clinic does do something I agree with in part. 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. Comments Off on shouldice clinic wait times; June 9, 2022; Other operators. My hernia is fixed and I have a verbal confirmation that I could lift weights directly after surgery. I have been informed by most of the local hospitals that there is nothing they can do. At this stage I cannot guage the quality or durability of the underlying repair. Creepiest Pre Op room Ever. Physicians cherry pick their patients. 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 are committed to recruiting and retaining the most talented people and are focussed on creating a workplace where people enjoy the challenge of their career, create and engage in best practices, and are treated with respect. Id stick to an open or lap repair with mesh applied externally. It doesnt matter what method you have these days the recurrence rates are all about the same,low. He said these were all old issues and not an issue wirh the new good mesh. Im looking forward to lesmcc1s response. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. The Shouldice Clinic has demonstrated the procedure's durability and safety with 75 years of experience. Absolutely not. All patients will be actively screened at the front door. The example of my coworker is different. Im aware of the article. The question of the morality of rich families being able to afford private schools, hence their children receiving a higher quality of education is not likely to lay heavily on the mind of any concerned, least of all the children. Also, you didnt say if your two hernias were repaired laproscopically or open. I have seen these numbers elsewhere also. I would like to request if you please could comment on about the Desarda technique. 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. 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 would think you could fix it now and get pregnant right away without worry. He is based in New York and covered by my insurance. We have a full range of activities in addition to organized exercise, to make recovery enjoyable, including billiards, shuffleboard and a putting green. My recommendation for anyone 40 and under is to NOT get mesh. 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. They are not sure what the issue for me is caused by. shouldice clinic wait times. 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 do not believe in the argument that the Shouldice doing so many repairs allows for more hernias to be repaired in our public system. The whole experience was quite pleasant, and Sarasota, Florida is a beautiful, wonderful place to visit. This involves making an incision . I know Shouldice will also cost me more than getting the mesh procedure done in-network here in the US but I feel that at least Ill be giving myself a chance of not exposing myself to a permanently inserted foregin object. Also billing data was used for the study, which is a notoriously inaccurate way to study surgical outcomes. Having to go in the day before surgery and staying 4 nights seemed odd in this day and age. 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. Its not hard to understand whats happening here. Just curious. 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. 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. My biggest concern is chronic pain, and the medical papers I have found do not give the Shouldice method the best score. If you dont have a very classic bulging abdominal or groin hernia, they are not going to operate. Shouldice performs, on average, 150 operations per week, with patients generally staying at the hospital for three days. | 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. The other thing about hernia repairs is that recurrence rates have always been very hard to measure. For Ontario residents, the Shouldice procedure is covered except for the cost of the semi-private room which is covered by many insurance plans. 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! 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 . So even when you think you have done your homework on the surgeon get another opinion. No public hospital in Ontario would be keeping groin hernia repair patients in hospital overnight without some underlying compelling reason. Our first available appointment is in July of 2023. 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. 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. He chose the hospital. 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. How are you doing now? Well that was 2 years ago, he did lose 45 lbs and the doctor still refused to do the operation siting that he had no place to put what was in his testicle area! Show More. Hernia repairs can be done without a general anesthetic at other locations as well- I routinely do mine without a GA. Overall, I am pleased with both the experience and the outcome. A friend of mine had the mesh technique and it resulted in a tumour growth that was quite complicated to resolve. Awake and aware during surgery, no pain but the feeling of pressure and intense tugging. 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. They do not take overweight patients, they do not take complicated cases, and they do not take hernias that are not obviously visible right at the time of surgery itself. I had an inguinal (opposite side) and umbilical hernia repairs done using mesh two years ago. Ill take my chances with mesh next time all day long. This is a microcosm of what happens when you introduce private interests into a socialized health care system. 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%. 5) Their procedure has a proven track record that has survived long after the hernia mesh repair became mainstream. The first time I was sick with a high white blood cell count and they send me back home this was 5 years ago, 3 years ago I tried again and this time I had diabetes and they told me to go back home on the day of the surgery because I was coughing too much, the reason I was coughing was because of Ramipril a HBP medication. 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. 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. 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. However there is more to it. I then met the doctor who told me to lose 25 pounds and return. Hi, I am the diabetic obese patient with an abdominal hernia. This is why mesh is now preferred. Without insurance, an open hernia surgery is easily $20,000+ if not more in the states. I am quite disappointed in myself for not having done a thorough investigation prior to my Shouldice fix. Walk-In Clinic: Mon-Fri 9:30am-3pm Patients may experience long wait times in the walk-in clinic, complete online medical questionnaire instead of coming to clinic: . Sharing the experience with a bunch of other patients was a big plus in my opinion. colonel frank o'sullivan interview; beverly hills high school football You are correct, we should have much better reporting systems than we do. So that is a great question. This is an excellent blog. Shouldice refused to accommodate my disability. Create a free website or blog at WordPress.com. I also read that portion with more issues with smaller females, which worried me as Im only 53 and 117 lbs. 80%| 10. The limited walk-in spaces are available on a first-come, first-served basis. And Shouldice does screen patients to make sure they have an appropriate BMI and are setup for long term success. He also reiterated that he also only does mesh unless of some other medical reason. Unlike most hospitals, delicious meals are prepared fresh in our dining room daily, providing the healthy nutrition you need to promote healing. I have just been chastised online for daring to criticize the Shouldice clinic on Twitter. I am quite sore, I am bruised from my left hip bone to my scrotum including everything in between. 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. I agree there is an absence of definitive evidence one way or the other, and that some surgeons seem to possess Olympian detachment when confronted with inconvenient statistical irregularity. Talking about media ( from the article you posted here ) ConvenientCare Berwick average wait time Save my spot 65 Briar Creek Plaza Berwick, PA 18603 Phone: 570-802-5590 Get Directions Monday - Friday: 9 a.m. - 7:30 p.m. Saturday & Sunday: 8 a.m. - 5:30 p.m. Closed: Most major holidays I am so sorry for your experience with the medical community. Dr. Shouldice graduated from the Univ of Ottawa Fac of Med,Univ of Ottawa Fac of Med in 1979. 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. Hopefully you find an answer. This is critical, because one of the patients greatest fears is an obdurate, shrugging surgeon suggesting post op that there are no guarantees in life and this is all in your head. (2) do you know of the desarda method of no mesh surgery? Don, It has been repairing hernias for decades. 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! Of course when people go there, they are concerning about the bumps that they have so, and they do not take hernias that are not obviously visible right at the time of surgery itself. Unfortunately it did not adequately control for risk factors known to be associated with recurrence, including obesity. .One year after this major Shouldice surgery in MAJOR pain EVERY day and night I NOW look like a fucking mutant due to their amazing technique over there at Shouldice and to no email at least 15 trips back there and numerous emergency visits and NO family doctor. He worked at Shouldice for about a year and did several hundred Shouldice repairs. 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. A lot of nerve damage occurred to my femoral nerve, and the mesh they have inserted is extremely painful. Toronto Transit. Look for nih data. https://www.ncbi.nlm.nih.gov/pubmed/10452261. One patient told me he didnt want to go back to Shouldice with his recurrence because he couldnt afford it. And while I agree with you on many of the double-standard, private taxing points surrounding Shouldice, I disagree that general surgery or mesh related surgery is in any way a better option. Obviously varies. Meaning the hernia comes back, requiring a second repair. 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. Here you will find current wait times for Niagara Health's Emergency Departments and Urgent Care Centres. To see how we do a Modified Shouldice visit http://www.herniaoperation.co.uk mjk funeral home obituaries; san jose state university graduate programs deadlines Men umschalten. She examined the surgery site and indicaed that my incision site was in good condition without any signs of infection. When needed, a hernia weight loss diet is individualized for each . The general surgeon I seen advised 6 weeks. But it might also just be for efficiency. 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. I would address your concerns with the operating surgeon. Is your problem scar tissue? Also, I would check w your insurance company before travelling. I love doing a variety of different procedures in patients of all ages, sexes, shapes and sizes. 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. They say Im an unusual case, but 2 years after having an inguinal hernia repaired at Shouldice I am still suffering from nerves entangled in scar tissue. I have put off surgery for four years because of concerns with mesh. Shouldice Hospital is a bit of curious place. Im on the fence with going back to Shouldice or going with the local doctor. I went into general surgery because its well, general. 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. 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. 2 The Lichtenstein procedure was learned from a book, 10 instructional videos, and personal communication with Irving L. Lichtenstein, MD. I guess my point is that everyone who goes to the Shouldice is going to have a good outcome, because they are doing the slim patients. Most patients I know of that go to Shouldice go there specifically for the expert all-tissue repair, the classic old fashioned hernia repair sutured with their own tissues. 4. shouldice offers a 4 day vacation. (LogOut/ The average stay of patients is 3.2 days.