shouldice clinic wait times

Shouldice would take me again, the surgeon Im scheduled with said ideal patient, all these things mean is low risk for the actual surgery, doesnt mean itll work or not give you issues down the road. Shouldice Inguinal Hernia Repair Post-op Instructions Surgery You have just undergone surgery to repair an inguinal hernia. Hernia repairs at the Shouldice are done with local anesthetic, no mesh insertion, and with a long stay in their hospital to recover. The staff were unfailingly courteous, even when under all-out attack by the annoying. Thank you for putting so much valuable information over here. Are you willing to be more specific about the nature of your problems post op? View Map. I had little to no pain 4 days after the surgery, and other than a small scar, my groin has been perfect. The rigidity of the program is old school military in nature and does not seem to be keeping pace with evolution. The Marburg an der Lahn Salah times typically change daily, the prayer times will be different on each day. 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). Have you or your staff followed up with all your patients? To ensure the safety of our employees and patients, do not come to the Clinic if you are feeling unwell, have any COVID-19 symptoms, or have come into contact with anyone suspected of having COVID-19. (Wait time "explodes" the closer utilization gets to 100%! 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. Go for the weight loss and then go for the surgery!! The patient management system (PMS) will schedule appointments, and patients arrive right in time after getting a status update via SMS or Whatsapp. (LogOut/ If I had an unhappy patient who did not want to have surgery with me again, I would refer them on for a second opinion. In order to lose the proper amount hed need to eat saw dust and exercise. The day after and two days after the operation I walked around the Shouldice property which helped with circulation and recovery. 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. Procedure MeSH terms Adolescent Adult Age Factors We joked about standing by the front door and dropping our pjamas for the new intake. Safe for airport scanners AND MRI. It helped for about 10 days and then stopped helping. As usual the media has overrepresented the risks. Ive contacted Shouldice and would much rather prefer not having a foreign object inside of me, especially given that this is my first ever surgery. Hi thanks for your article. Affiliation 1 Anna Bradshaw is an FNP student at . Poor nights sleep (roommate having pain, snoring, up through the night for pain meds, temperature check by nurse at some point, etc). Is the mesh currently being used the same product that has been on the Toronto news where they move around internally after coming loose? We know that people often find it challenging to manage their weight, especially when they have a hernia that restricts their ability to exercise. As for tension free vs not, as I said in my blog, standard of care for most institutions is tension free (ie using mesh). Should Clinic volumes necessitate due to physical distancing restrictions, you may be asked to wait in your car - please bring a cell phone to allow us to contact you. So while I agree with patients having to lose weight for some surgeries, I cannot on a practical level be that picky about it. 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%. The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. Not to mention youll be competitive with Shouldice. The body can react to a foreign body (Plastic) Mine also is touching the nerves that run in that area. 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). We never rush you through surgery and send you home the same day; thats very stressful for both patients and their families. 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 - 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 If that is the case, I would rather stay in NYC but I guess I will have to make the trip to find out. Would you please share with me what kind of hernia you had. We are currently accepting patients in our Examination Clinic by appointment or limited walk-ins on a first-come, first-served basis. Fully sedated for duration of procedure. It has been repairing hernias for decades. 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. My experience was extremely positive and I would not hesitate to return there. Im aware of the article. Would you go to a dentist or have any other surgicla procedure done without knowing a thing about the surgeon? 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. That is frustrating for you. . It may be in part an attempt to keep a surgeon ratings list from being established, as patients are not allowed to pick a surgeon. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. My luck, the guy was a heavy sleeper and snored all night which means I could not get that much sleep during my stay. I am now 4+ months postop and have chronic pain and the surgeon just looked at me dumbfounded and surprised at my last appoimtment. Employee Training Those who are picked to be on the front-line, are the ones who can help create a great customer experience. Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. 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 . You have to follow patients for decades to know your real recurrence rate, and patients also are not likely to go back and see the same surgeon (or a clinic) once they have had a recurrence. No referral is required. 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. 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. The general surgeon I seen advised 6 weeks. My father needs a hernia operation. ( I know I already said that but they were really that bad). 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. 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. 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. Why is recurrence the worst that can happen here? Now I do on call, a lot, at a smaller hospital, and it is not my practice to refuse hernia repair to overweight patients, unless it is a very large, recurrent hernia, in a very obese or frail patient, where there is little risk of bowel obstruction. Also, I doubt if any teaching staff in state/public schools has many good things to say about private education, the reasons only too obvious. Shouldice - The best no mesh hernia repair for inguinal hernia. 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 Designed exclusively to meet the needs of hernia patients, Shouldice is a fully licensed, 89-bed surgical hospital. He is based in New York and covered by my insurance. I really dont want to get into a lot of detail about the complex world of hernia repair here, but the world surgical community has moved on from primary repair with lots of inpatient days and the Shouldice has not. I have been refused appointments many times (non-hernia related), this is their prerogative, this is how they minimize their risks and headaches. Standard and mandatory wake up is 0530 for all. When you say walnut size that may mean the size of the sac which can and often is larger than the actual hernia itself. Surgeons get really angry when people are allowed to do elective surgeries without providing on call services, which is essentially what the Shouldice is doing. No referral is required. The food was better than I expected. I cant get a job people think Im pregnant or will need a leave of absence. 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. There is nothing spectacular about this facility. My Aunt diagnosed with Hernia disease recently. In addition to issues of capacity and organizational analysis, describes a well-focused, well-managed . The whole experience was quite pleasant, and Sarasota, Florida is a beautiful, wonderful place to visit. Ive tried to get surgery twice. We have provided this list as a courtesy to our patients and their guests. 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. What happened to good doctors? Based on my experience thus far, I would recommend Shouldice to those who are considering it. I have been wearing the orthosis for six years. He chose the hospital. Considered the same as Shouldice. 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. A friend of mine had the mesh technique and it resulted in a tumour growth that was quite complicated to resolve. I havent made the decision yet myself, Shouldice or mesh. Here is a run down of my thoughts. 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. 6) People continually come from all over the world to have their hernias repaired at Shouldice. Oddly general surgeons have recommended neurectomy though the pain clinic doctors I saw were highly against this type of procedure. My biggest concern is chronic pain, and of course it will be quite some time before I know if thats going to be an issue. Can I please get the name of the hospital an hours drive from Shouldice and your name if possible? 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?) Please bring your health card, your family doctor's contact information, and details of prior surgeries and current medications. Our specially trained surgical teams perform over 7, 000 hernia repairs every year, with an unparalleled track record . (LogOut/ 10 Royal Orchard Blvd, Thornhill, ON L3T 3C3 Get directions. Or is it because, here it comes, that dangerous phrase Weve always done it this way? Shouldice Hospital (formerly Shouldice Hernia Centre) is a private hospital at 7750 Bayview Avenue in Thornhill, Ontario, Canada. Length of stay is ridiculous not to mention the Bill for said stay document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); The problem with Shouldice or The most dangerous phrase in the English language- Weve always done it thisway., http://www.ncbi.nlm.nih.gov/m/pubmed/15243743/, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727805/, https://www.ncbi.nlm.nih.gov/pubmed/10452261, http://www.ctvnews.ca/health/growing-concerns-in-canada-over-surgical-mesh-usage-recalls-1.3372733. (2) do you know of the desarda method of no mesh surgery? In speaking with their surgeons, they are looking to have their technique more widely adopted and have recently had visiting doctors from the UK and are making efforts to have the technique more widely known. Marcello..whats your point and why are you here? Its certainly an interesting place. I just had my inguinal hernia repaired at Shouldice. I am of normal weight, but the physician who examined me advise me to loose weight, just because thats what he probably says automatically to all the patients. The cost of more comprehensive programs is covered by most insurance plans. 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! 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. Same in the US. immortals fenyx rising nike armor set. 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. I went for consultation at Shouldice in October 2013 for consultation regarding an umbilical hernia repair. It seems you did your research thoroughly and are maybe one of the unfortunate ones. The mesh industry is too powerful and monopolize the medical society. It is a small hospital dedicated only to hernia repair. There is a specialty clinic in Toronto, Canada called Shouldice Hospital. 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). I will stop by here at the 6 month point to provide another update. This was a very informative post. RobthinksIm going to Shouldice in 2 weeks. The "first" reduction in Tq is much greater!) So five days in hospital must be better than no days in hospital, right? The grounds were beautiful and interior spaces quite nice. The trouble is he can barely walk with this baby between his legs. 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. Is your problem scar tissue? Thanks for the comment and info. I will really appreciate your informed feedback and sincerely hope that maybe more folks will follow your lead in helping make society better informed. Lets start with the Pros I have recently had a consult at Shouldice and had some concerns. 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. Hi, I am the diabetic obese patient with an abdominal hernia. 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. Anyone can look up what a surgeon in Ontario gets paid to fix a hernia. I would not be likely to offer a second hernia repair (with or without mesh) to a patient with risk factors for recurrence (substantially overweight, smoking etc) unless the operation was an emergency. 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. Dr. Jonathan P. Yunis is a very professional, accomplished, journeyman surgeon. On another topic, but those expenditures offer a glimpse as to why medical bills are the primary reason for personal bankruptcy in the USA. 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. During your examination, your surgeon may recommend that you lose weight before your hernia repair. Ive tried this though for me personally, it made it worse for me so they are leaning towards it rubbing on my nerves. Hello lesmcc1. Stop smoking for a least 2 weeks before your surgery. In this respect, mesh in the future could still have a place but as a last resort rather than the first thing the surgeon grabs! Though a significantly smaller hernia than the 2015 inguinal hernia the incision was two inches longer (6) and the incision was closed by puckering/pinching the skin on either side by 1/4-5/16 and secured with stainless steel staples, i.e. Pick a curve, any curve (say, the red one). I may get the same answers but at least Ive tried. 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. It is supposed to be better than Shouldice. This is an excellent blog. It doesnt matter what method you have these days the recurrence rates are all about the same,low. Its one of the great things about my job. 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. Standard Shouldice methodology admitted day before (process long, repetitive, old school handdraulic vice electronic). 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. From what research Ive done some say physical therapy helps. Any tips? Over the past two decades this small 90-bed hospital has averaged 7,000 operations annually. 2016 Feb;59(1): 19-25. Your stay at Shouldice includes a number of patient services to enhance your care and comfort: Weve followed up with our patients for many decades and time has proven that the patient-focused, Shouldice approach is the key to a complete and successful recovery. Yes, Im not overweight, which helps, but others that had lost weight for their surgery I kept in touch with had great things to say about their experience as well. Less with lap but google complications of lap inguinal hernia repairs and you wouldnt touch it with a barge pole. You are correct though, there are not good studies comparing the two methods. So this is a tricky situation. It was then allowed special licence by the Ministry of Health to continue operating. Now I have chronic pain and wondering if I should of stuck out the pain another week or two to find another Dr. for another opinion. So I am 4 days post surgery from Shouldice.My tackle is extremely bruised so I can not say that I will maintain objectiveness. I have to say, the experience was excellent. The nursing staff was a mixed bag, as would be expected anywhere. Do you yourself know how many of your hernia surgeries fail? I have never worked at, or been involved with the Shouldice clinic, so this blog comes from my own professional opinion as a general surgeon/hernia fixerand defender of evidence based medicine and socialized healthcare, discussions with many patients who have gone or are considering going to the Shouldice clinic, going to a talk some years back given by a surgeon who worked there, and the Shouldice clinic website. No pain at all and I never took any of the prescribed pain meds. 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. The short time before my surgery I couldnt find anything definitive saying mesh was good or bad. Update from my initial posts: Its coming up on two years (mid-Sep 17) since I had my right side inguinal hernia done by Dr Lisi in Collingwood G&M Hospital using laparoscopic surgery and mesh. There are days I literally cannot walk. 600 Highway 7Thornhill, Ontario905-881-26002.5 miles from the hospital. Thanks for sharing your positive experience Kram. .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. Dr. Yunis and staff accommodated my physical disability, handicap. The surgeon who performed my surgery has successfully completed over 10,000 prior repairs. I dont think it has been around that long. Hernias do just get larger, and there is also the issue of not being able to travel if you dont get it fixed (pre-exisiting condition). Discover the Shouldice Experience We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. As a specialist, I am not allowed tobill OHIP to seepatients without a referral from another doctor, and so we see the double standard growing. The Shouldice will not be handing over their data anytime soon, unless forced to, I can say that with confidence. 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.

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