Sorry your husband had such a tough time with his hernia, hope he is doing well now. The rigidity of the program is old school military in nature and does not seem to be keeping pace with evolution. My first week after surgery at Shouldice wasnt too bad. York Region Transit. A tearing feeling (like being stabbed) from bowel movements is prevalent; on the positive side, I had my first pain free sneeze this morning. 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). 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. They have permanent audit staff and know their outcome details. The grounds were beautiful and interior spaces quite nice. Maybe a freedom of information request needs to be filed so accurate comparisons can be made. 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. Certainly your hernia is symptomatic and should be repaired. The washroom is our room was sporting a nearly unbearable urine smell. I would not that in Canada most people are referred to a surgeon they do not really know for most procedures. Have you or your staff followed up with all your patients? Meaning the hernia comes back, requiring a second repair. It is almost impossible for a hernia to recur through a piece of 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. I dont understand why it should annoy you or any other surgeon if a place does *easier* surgeries that can be done efficiently. We provide a lifetime of support to all our patients through our annual follow-up program. I agree with everything that you say. I have recently had a consult at Shouldice and had some concerns. Just returned from Shouldice. I agree that the beds are uncomfortable and some of their routine seems a bit military and dated, but I was very confident in their abilities and a few days of discomfort at a hospital is nothing compared to the long term results. Sorry to hear that John. I have a consultation in 6 months to decide if I am eligible for surgery (I can tell you now I am) at a local hospital. and a less wait time surgery would be quite worth it. Healthcare. And I appreciate that is frustrating when Shouldice info is hard to get but I can tell you follow up & accurate reporting of success rates for the rest of the system is just as unreliable because of useless record keeping. 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. No I have not found a way to make any money out of my blog, just doing it for fun at this point. The general surgeon I seen advised 6 weeks. I am still avoiding heavy lifting, but everyday lifting activities (groceries, young children, etc) arent causing any issues. The Marburg an der Lahn Salah times typically change daily, the prayer times will be different on each day. Whether that fear of mesh is warranted, I do not know. I despise shoultice because they refuse to operate on any patients over weight. Which must annoy surgeons who use only mesh). The doctor in Quebec told him to lose 30lbs and he did but while waiting his hernia became even larger. Tickets cost $4 and the journey takes 38 min. Leave jewellery and other valuables at home. All Drs are well experienced and trained. When I went for my pre-op. 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. I am not going to comment on specific cases, just generalities here. In addition to issues of capacity and organizational analysis, describes a well-focused, well-managed . Following this summers logging and landscape work I will report the status of all three repaired hernias. She commented that the incision was very near and well done. I have heard of one fellow returning to the gym and heavy squats within 2 months of his op which DOES seem to be tempting fate, so some patients may not be helping themselves. Here you will find current wait times for Niagara Health's Emergency Departments and Urgent Care Centres. 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. Its not much. I wish the government would impose laws about refusing patients surgeries and i wish Shoultice was audited! I tend to agree more than disagree with the surgeons comments about Shouldice with regards to their capitalistic method. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. Im about 2hrs from Shouldice. 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). As for speed, I think they say it takes around 30 minutes to do the surgery, and they have a short wait list. The surgeon who performed my surgery has successfully completed over 10,000 prior repairs. It is very painful to walk, stand, cough, sneeze, laugh, use the washroom in any capacity and expect from the bruising that this will carry on for atleast another week. I was suprised by your posting. Hi, I am the diabetic obese patient with an abdominal hernia. Pitfalls and Danger Points Infection Hemorrhage Injury to bladder and bowel Postoperative testicular atrophy and hydrocele Chronic postoperative pain Ejaculatory dysfunction Hernia recurrence I have put off surgery for four years because of concerns with mesh. Like you, I will flying from US and I am not sure how well those stainless steel sutures behave at airport scanners or other body scanners / MRI scanners ?? (As does everyone). You are correct, I lived in Australia and know even gap fees can bankrupt people with insurance. Our specially trained surgical teams perform over 7, 000 hernia repairs every year, with an unparalleled track record . 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. Creepiest Pre Op room Ever. I had an inguinal (opposite side) and umbilical hernia repairs done using mesh two years ago. Also, I find there is a lack of information on hernias in fertile women and how to treat. Shouldice consult was Feb 8/2022 and I was booked in for June 2022 surgery that same day. Thanks for your comments. So yes, that is you, the taxpayer, footing the bill for unnecessary care being provided by a private company. We have a big number here, dont you think? We know that people often find it challenging to manage their weight, especially when they have a hernia that restricts their ability to exercise. 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? Complications after a mesh surgery can drive the cost of a simple hernia repair into the hundreds of thousands of dollars. Now patients will generally think that more care is better care. I also saw the ambulance chasing lawyer ads in the US regarding mesh failures. I hike a lot, mtn bike, lift >100# items, etc. It was then allowed special licence by the Ministry of Health to continue operating. Thank you for putting so much valuable information over here. When asked about mesh and its complications I was told not to worry about them or the mesh as its good. Thats the bunch of b.s. 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. Pure tissue technique, according to yourself and other general surgeons, has the risk of recurrence. Your kidding yourself trying to talk anyone into not going here for a repair Both the surgeons i had had well over 10000 repairs and the first one was nearing 30000. 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. 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! Not speed of hospital discharge. I would say you will very likely be fine, I wouldnt worry about your decision at this point. The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. I would even love to go there and observe their technique, but they are not in the business of educating surgeons, just skimming off our business. The example of my coworker is different. If the patient already has chronic pain after the first repair, the recurrence is not likely the cause. I went for consultation at Shouldice in October 2013 for consultation regarding an umbilical hernia repair. Sounds like you are doing a great job informing yourself about your options and the risks which is great to hear. He went to a top medical school and top intern in residency program. 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? Ill lift 100+ pounds while working around the house without thinking about it. I hope that is helpful. Ive had this hernia since I gave birth to my child 9 years ago and my life has been very bad since. There have been many mesh products that have been recalled over the years. At Shouldice, we recognize many of our patients have family and friends with them. Often times it is our expectations that get us in trouble. Could you take a closer look at the Desarda technique and make some comments in the same way you did with the Shouldice techinique? or skilled? Large ventral/incisional hernia repair or complex abdominal wall reconstruction- different story. Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. 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. Standard rubberized hospital bed and pillow. I had two hernias repaired in November last year. Im probably an anomaly in the hernia world, but my story is horrific and Im still passing through it. I wonder if a nerve block might be the answer. If I was doing only one operation, the only thing I would be is bored. Laparoscopic and robotic inguinal hernia repair procedures performed by qualified . Tell me about it..I had an accident at work. You dont find Drs in NY doing hernia repairs without the mesh. Most of my comments refer to groin hernia repair and as I said at the beginning, are based on my opinion as a medical expert and fixer of hernias, not on any raw data, which of course is not available. I wanted to provide an update on my above comment and how my recovery has gone. I would like to see much more transparent reporting and rating of all surgeons & hospitals & clinics. Shouldice also offers a variety of services to help you prepare for your hernia operation and improve your recovery. I suspect looking into that would be very difficult indeed. 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. Pain is tolerable(sensation of burning/stabbing in groin) that subsides quickly with reduction of effort/strain. So I am 4 days post surgery from Shouldice.My tackle is extremely bruised so I can not say that I will maintain objectiveness. Usually, the time only varies by a minute per day but some days will have the same time for multiple days consecutively. Discomfort for 3-4 days but quite tolerable. One patient told me he didnt want to go back to Shouldice with his recurrence because he couldnt afford it. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Of course, that is difficult work which the shouldice is not interested in. A version of this commentary appeared in the Vancouver Sun, Huffington Post and iPolitics.ca. On another topic, but those expenditures offer a glimpse as to why medical bills are the primary reason for personal bankruptcy in the USA. Although operations are performed only five days a week, the remainder of the hospital is in operation continuously to attend to recovering patients. 600 Highway 7Thornhill, Ontario905-881-26002.5 miles from the hospital. Well keep in touch every year and offer you an opportunity to have your hernia repair checked and monitored by our surgeons. The literature on incisional hernias is where the use of mesh was first tested. Visitors will not be permitted in the patient rooms. The "first" reduction in Tq is much greater!) Shouldice I learned the name even before it had become personally relevant and noted it. The beds were terrible. Thank you for your knowledge and insights re hernia repairs. If that is the case, I would rather stay in NYC but I guess I will have to make the trip to find out. Just frustrating and agree with you on the best I later found out that my friends younger brother had a repair done at the small hospital and has no complications after 8 months with mesh and I went to the one in the area that is considered the best Ive just come to expect the worse I think I have a cloud that just fallows me around :p LOL. The buddy system helps to reduce stress and anxiety and prepares you for a confident 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. I live in Montreal, soon to be living in Ontario. WTF was that?. Improving patient satisfaction with wait times. Shouldice patients have said again and again, how much they enjoy the Shouldice experience. Somehow he would be entitled to weeks of paid leave with the hospital option due to healing times for their style of treatment whereas with the Shouldice option hed be back at work in a few days. The other day I split a bush cord of firewood and my shoulder was sore but not my groin. Obviously varies. 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. They actually recommended that my other hernia not get operated on as it was too small to be fixed (which was really impressive that they gave the correct advice, watch and wait). Change), You are commenting using your Facebook account. His hernia is now the size of a basketball. 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. Its certainly an interesting place. 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. Studies show that half of all recurrent hernias develop many years after the original repair. And so what if there are 15% recurrences with suturing methods! I have acknowledged in the comments above the rare but real risks of mesh insertion. Shouldice Hospital is returning to Vancouver to conduct examinations in March 2023! Also, they dont just do simple hernia surgeries on skinny people. Indeed, expansion of Shouldice's facilties seems a far better alternative than asking patients to wait. The patient management system (PMS) will schedule appointments, and patients arrive right in time after getting a status update via SMS or Whatsapp. The data we need are the rates for chronic pain which is very hard to come across for any of these techniques. Over 3,000 patients receive follow-up examinations at our hospital every year and we offer remote clinics for patients who live farther away from Shouldice. 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. The Shouldice Clinic has demonstrated the procedure's durability and safety with 75 years of experience. .you should see the Gigantic infection I received from them and the sutures that were coming out of my incision. Without insurance, an open hernia surgery is easily $20,000+ if not more in the states. I wish all the best to you! 1/2-5/8 of flesh mounded above the underlying muscular tissue fix. My father, a neighbour, and a former co-worker have had hernia repairs in the last few years. Shouldice has arrived at its point of success by placing an emphasis on this high level of quality and effective care. Toronto Transit. By the way, my sister is an RN at HHS who recommended Shouldice from what a Doc recommended to her. I have constant pain of some kind from stabbing to just dull along with foreign body sensation. 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 dont know where you got your information that the Shouldice doesnt use mesh but this is incorrect. Dr. Yunis and staff accommodated my physical disability, handicap. 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. 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. From the group I saw (30 of us), virtually everyone was doing much better after the surgery. This involves making an incision . 3 weeks after surgery, I was starting to return to running, but still avoided lifting anything heavy. The issue is really about the size of the facial defect vs the risk of recurrence with and without mesh. shouldice clinic wait times. Shouldice, a brilliant surgeon who revolutionized inguinal hernia repair by developing a dependable, no mesh technique back in 1945. 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? 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. Your post here changed my life, my plans, in a good very good way. 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. I had my first one done at Shouldice (10 yrs ago) and no issues with it unless I do a lot of hiking or lifting and then maybe a bit of soreness in the left groin.

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