shouldice clinic wait times
Having to go in the day before surgery and staying 4 nights seemed odd in this day and age. 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. There is nothing spectacular about this facility. I since switched meds and lost a bit of weight but Its so difficult to even move with a cantaloupe sized abdominal hernia. 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. So why would you do so for an inguinal hernia repair, a surgery that is far from simple and fraught with potential serious complications, mesh or no mesh. Others who have had surgery at their local small hospital and everythings good. 2021 Apr 1;51(4):67-69. doi: 10.1097/01.NURSE.0000736968.01359.e0. I have been refused appointments many times (non-hernia related), this is their prerogative, this is how they minimize their risks and headaches. (Wait time "explodes" the closer utilization gets to 100%! Im not a medical professional of any sort, but Im capable at measuring time the first two (father and neighbour), went to Shouldice and returned within 48 hours and their usual routines somewhat ecstatic about the result, and with no need to revisit the surgeries since. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. 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.. Shouldice Hospital is returning to Vancouver to conduct examinations in March 2023. Pick a curve, any curve (say, the red one). The washroom is our room was sporting a nearly unbearable urine smell. The average stay of patients is 3.2 days. It was then allowed special licence by the Ministry of Health to continue operating. I also saw the ambulance chasing lawyer ads in the US regarding mesh failures. Many didnt even know their surgeons name. People seem to either love it or hate it. You, and others like you, in other words. Yes, but it will fade with time and is overly visible except when naked. The data we need are the rates for chronic pain which is very hard to come across for any of these techniques. 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 would like to see much more transparent reporting and rating of all surgeons & hospitals & clinics. My email is attached here if you would like to email me! But I wonder if I will be told I need to have mesh after all. I will miss the black squirrels. You may be regret waiting some but better to wait an added week or month than have chronic pain as I do. Posted on September 8, 2011 by Ewen. Shouldice performs, on average, 150 operations per week, with patients generally staying at the hospital for three days. It was then allowed special licence by the Ministry of Health to continue operating. I have been there two times for both right and left side repairs. First scheduled patients moved to pre-surgery prep. When needed, a hernia weight loss diet is individualized for each . I have just been chastised online for daring to criticize the Shouldice clinic on Twitter. We have just reviewed 400 consecutive patients from 4 years ago and our recurrence rate is 2%. 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. It helped for about 10 days and then stopped helping. This is so helpful! Possibly related to how much private insurance you carry. SHOULDICE HOSPITAL - 33 Photos - 7750 Bayview Avenue, Thornhill, ON - Yelp Auto Services Shouldice Hospital 3 reviews Unclaimed Hospitals Closed 9:30 AM - 3:00 PM See hours Write a review Add photo Photos & videos See all 33 photos See All 33 You Might Also Consider Sponsored Centres For Health And Healing 16.4 km away from Shouldice Hospital There are definitely many who travel to Shouldice from the USA, where last I heard it runs somewhere around $6500 paid out of pocket for an inguinal hernia repair and the multiple night stay in a facility that supposedly feels collegiate. 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. 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. I am a 36 year old female (very slim and healthy) and hoping to start a family in the near future. I have had a similar issue with the mesh (surgery May 2017) and tried a nerve block. Awake and aware during surgery, no pain but the feeling of pressure and intense tugging. Shouldice Hospital is a bit of curious place. 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 believe every patient has to make their own decision. I hope that is helpful. We have a full range of activities in addition to organized exercise, to make recovery enjoyable, including billiards, shuffleboard and a putting green. I asked multiple times to my surgeon prior to the operation on chronic pain and other complications. colonel frank o'sullivan interview; beverly hills high school football Thank you for this post. At this point I am out $980.00, I am more sore than I was at the same time following two mesh repairs, the in-hospital conditions/regimen were not as conducive to recovery as being at home. 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. Our specially trained surgical teams perform over 7, 000 hernia repairs every year, with an unparalleled track record . Could you take a closer look at the Desarda technique and make some comments in the same way you did with the Shouldice techinique? The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. Pain clinics are full of patients who have had open mesh repairs. I did read the article. I was wondering what your thoughts were on the actual Desarda technique, not just the website. 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. It's nice and bright! 5) Their procedure has a proven track record that has survived long after the hernia mesh repair became mainstream. This wound closure and stapling technique are a significant source of discomfort and pain for all patients. https://www.ncbi.nlm.nih.gov/pubmed/10452261. Im not happy about Shouldice being sold to a private company but I do not see that your critique of their prior history is based on any accurate or well-analysed information. 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. Shouldice is a business and I understand that like any business its primary goal is to make money. Discover the Shouldice Experience We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. The expertise of Shouldice seems hopeful and promising, and Im out of alternatives. Their holistic approach on the brochure makes alot of sense. and a less wait time surgery would be quite worth it. 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 postoffice@shouldice.com, Shouldice Hospital is committed to excellence in serving all patients including people with disabilities.Learn More. Maybe if its a simple small hernia, Shouldice is a good choice, but otherwise, too clandestine for healthcare. I wish all the best to you! A good analogy is to compare mesh implants to the education in a public school and then, Shouldice, the equivalent of a private, fee paying school. Shouldice - The best no mesh hernia repair for inguinal hernia. It is almost impossible for a hernia to recur through a piece of mesh. So five days in hospital must be better than no days in hospital, right? We regret that we cannot make reservations on your behalf. 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? The hospital also. Do your homework and make an informed decisiongood luck. Ill lift 100+ pounds while working around the house without thinking about it. The recurrence rate for incisional hernia repair without mesh would approach 100 % for a large incisional hernia, so I (and most other general surgeons) would likely not recommend repair without the use of mesh. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. 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. 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. 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? My doctor wants me to lose 50 lbs and ive tried but I cant and I have never found diets to be successful. Do the same for a reduction in u from 0.80 to 0.70. It seems you did your research thoroughly and are maybe one of the unfortunate ones. ow yeah, I have a hernia (incisional/abdominal) that needs to be repaired, with several other smaller hernias, however, my visit to the Shouldice sent me searching for the right General Surgeon instead. Your hernia will need to be fixed, no question. My pain has continued and in the last 4 months has progressively gotten worse vs getting better. 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. At Shouldice, we recognize many of our patients have family and friends with them. There were no significant differences in chronic pain, complications and post-operative stay. 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. I went for consultation at Shouldice in October 2013 for consultation regarding an umbilical hernia repair. If you dont have a very classic bulging abdominal or groin hernia, they are not going to operate its a random nonsense. Whether that fear of mesh is warranted, I do not know. I have had direct experience with Shouldice where my husband had a large abdominal hernia repair and they did use mesh and the head surgeon gave a long history of their use of mesh at one of our appoinments. 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 encourage you to take advantage of these beneficial patient programs. Certainly your hernia is symptomatic and should be repaired. Thanks for your blog. The other thing about hernia repairs is that recurrence rates have always been very hard to measure. They weigh the risk to both. Based on my experience thus far, I would recommend Shouldice to those who are considering it. Ive read of issues with all repair methods except for TAPP laproscopic have you heard of it? It was named after E.E. But it might also just be for efficiency. Pure tissue technique, according to yourself and other general surgeons, has the risk of recurrence. I am so glad to read this. The problem is that the mesh industry is so powerful it is impossible to get anything published that doesnt involve a mesh. I had my surgery done at Soldice 5 days ago. The staff were unfailingly courteous, even when under all-out attack by the annoying. It seems like a roll of the dice. In Australia, the introduction of private healthcare has resulted in exactly what has happened here, albeit on a much larger scale. my surgeon said it was mostly a bunch of people complaining looking for money. I agree with Toronto that it is hard to find any real data on the Shouldice clinic. Less with lap but google complications of lap inguinal hernia repairs and you wouldnt touch it with a barge pole. The 3 scars have pretty much healed up. I love doing a variety of different procedures in patients of all ages, sexes, shapes and sizes. 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. 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. I think it depends on the surgeon involved and what your expectations are around the surgery. I do have recurrences, about 1 per year but I find since I have warned the patients about this they are usually pretty accepting of it and happy to come back to me for another repair. 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! We know that asking patients about their satisfaction with their care has nothing to do with the quality of care provided. I sympathize with you and your husband. She asked me to monitor for fever and other signs of infection and to wait a few more days. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727805/. Besides the fact that it looks weird, my only concern is that given that Im only 42, the hernia is just going to get worse better to repair the pothole now than to wait for an emergency in the future. 7) Its difficult (not impossible) to find anything negative written about peoples experiences at Shouldice its predominantly positive what they say/write. Why? 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? The day after and two days after the operation I walked around the Shouldice property which helped with circulation and recovery. 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. That is simply how medical innovation for medical products in our capitalist society works. Affiliation 1 Anna Bradshaw is an FNP student at . 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. But then you will have had two surgeries instead of one, with the risks that entails. No public hospital in Ontario would be keeping groin hernia repair patients in hospital overnight without some underlying compelling reason. 10 Royal Orchard Blvd, Thornhill, ON L3T 3C3 Get directions. Normally, there is no extra charge for semi-private rooms if youre covered by OHIP. Sadly once you get the mesh and have issues with it the medical community doesnt know what to do. [2] Contents 1 History 2 Work 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. 4. shouldice offers a 4 day vacation. Thanks for sharing your positive experience Kram. The type of surgery that Shouldice accomplishes is best suited for a set of conditions: the patients particular physical condition. Female were nearly 3% of included patients. 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. Can I please get the name of the hospital an hours drive from Shouldice and your name if possible? Toronto Transit operates a bus from Yonge St at Dundas St East to Steeles Ave East Loop every 30 minutes. Oddly general surgeons have recommended neurectomy though the pain clinic doctors I saw were highly against this type of procedure. Just returned from Shouldice. So this big beach ball he will bring to his death. And Shouldice does screen patients to make sure they have an appropriate BMI and are setup for long term success. Other operators. When staring down the prospect of putting a foreign substance in your body, as a patient you need to be treated with respect and provide knowledge and experience when asked. 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. 8. 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 Food was above what was expected of hospital food. 3. shouldice provides hernia repair with a short hospital stay. There is a specialty clinic in Toronto, Canada called Shouldice Hospital. Long initial waits for assessment, then flows like a manufacturing process.
