Hopefully you find an answer. They give you good care. I live in Montreal, soon to be living in Ontario. The 3 scars have pretty much healed up. Shouldice Hospital - Thornhill, ON - Ratings & Reviews - RateMDs (Wait time "explodes" the closer utilization gets to 100%! I have an inguinal hernia which is more annoying than anything since I play a lot of sports (not painful), but more so I am afraid of chronic pain after the surgery. Best of luck Dean. 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. Toronto is known as a wonderful getaway destination for those who enjoy world-class theatrical productions or professional sports. Unfortunately it did not adequately control for risk factors known to be associated with recurrence, including obesity. The fears of chronic pain and lack of research into Shouldices 99% effectiveness claim are overrated. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. Do your homework and make an informed decisiongood luck. The Shouldice Hospital in Thornhill, Ont., is world renowned for its treatment of hernias. 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. Awake and aware during surgery, no pain but the feeling of pressure and intense tugging. 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. 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. Meaning the hernia comes back, requiring a second repair. And it IS true that mesh design has improved not just materials, lighter, thinner, for instance Titanium coatings to reduce foreign body reactions, so problems 2 or 3 years ago may be referring to old technology. 8. Thank you for putting so much valuable information over here. Where did you end up going ? My doctor wants me to lose 50 lbs and ive tried but I cant and I have never found diets to be successful. There have been many mesh products that have been recalled over the years. OUR PATIENT CARE When you come to Shouldice, you can expect to have a positive and pleasant experience. 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. 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. 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. 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. Given the choice, Id choose a hernia comeback. On what basis do you make the claim that the media over-represents the risk? 14 Weeks with mesh. We have just reviewed 400 consecutive patients from 4 years ago and our recurrence rate is 2%. Three surgeries at two different facilities using different techniques by no means expertise in either technique. 1/2-5/8 of flesh mounded above the underlying muscular tissue fix. I may get the same answers but at least Ive tried. If I could go back Id take my chances on reoccurance hands down. Acas; Conducere; Evenimente; Comunicate; Presa; Activiti; ark mating interval multiplier glastonbury vip tickets 2020 The issue is really about the size of the facial defect vs the risk of recurrence with and without mesh. I wonder if a nerve block might be the answer. The problem with Shouldice or The most - canadianfemalesurgeon Here in the United States physicians can opt out of the Medicare system (for elderly) and refuse to treat medicare patients. Toronto Transit. The type of surgery that Shouldice accomplishes is best suited for a set of conditions: the patients particular physical condition. http://www.ctvnews.ca/health/growing-concerns-in-canada-over-surgical-mesh-usage-recalls-1.3372733, Well, when the media shows the issue its because is over represented. The class action lawsuits in the US are concerning to me. The problem with Shouldice or The most - canadianfemalesurgeon Yes, but it was over quickly, and I felt my recovery was extremely successful with minimal time off work. This clinic needs to keep people in hospital to make money. From a patient and voter point of view, I dont see why all surgeons need to do emergency or on-call work. Standard and mandatory wake up is 0530 for all. Shouldice prepares you for your hernia operation and recovery. Shouldice refused to accommodate my disability. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727805/. York Region Transit. Lets start with the Pros may be involved. The repair is based on the Bassini repair with some modification. Indeed, expansion of Shouldice's facilties seems a far better alternative than asking patients to wait. We regret that we cannot make reservations on your behalf. The whole experience was quite pleasant, and Sarasota, Florida is a beautiful, wonderful place to visit. I cant get a job people think Im pregnant or will need a leave of absence. Since 1945, we have been gathering data from our follow-up examinations. I went to see my family doctor as I live too far from Shouldice to visit. My email is attached here if you would like to email me! 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? As usual the media has overrepresented the risks. Recovery done at home, pain meds prescribed, incisions very tidy, standard sutures, little to no swelling or bruising. Long initial waits for assessment, then flows like a manufacturing process. Now patients will generally think that more care is better care. Inguinal surgery 4 days ago at Shouldice performed by surgeon with 10,000+ hernia surgeries performed. 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. Have had it checked and been informed that it is not at the point where a repair is required. 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. Hi Tyler. 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 would not that in Canada most people are referred to a surgeon they do not really know for most procedures. Many of the patients in my cohort were from the US, one had driven over 2000 km to get the surgery. Improving patient satisfaction with wait times Nursing. I traveled from NY TRYING TO AVOID the horrors of the mesh repairs. Same in the US. Shouldice consult was Feb 8/2022 and I was booked in for June 2022 surgery that same day. 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. 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. As I said at the beginning, this blog is my opinion and I have a conflict of interest BUT evidence based medicine would say you need to be doing hernia repairs with mesh. Maybe a freedom of information request needs to be filed so accurate comparisons can be made. The place is charming. During the first week if I was too active Id feel soreness but with a few hrs rest it went away. There is a specialty clinic in Toronto, Canada called Shouldice Hospital. On another topic, but those expenditures offer a glimpse as to why medical bills are the primary reason for personal bankruptcy in the USA. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. I am scheduled to have a right side repair done at Shouldice next week. 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. Shouldice, like you said, does not do that kind of thing. colonel frank o'sullivan interview; beverly hills high school football . Talking about media ( from the article you posted here ) You see the full range of personalities there. Just returned from Shouldice. 80%| 10. 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.. Train operators. I have been wearing the orthosis for six years. I have been informed by most of the local hospitals that there is nothing they can do. Shouldice Hospital is a great place to work. 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. mjk funeral home obituaries; san jose state university graduate programs deadlines Men umschalten. And it really annoys surgeons, including me. Ive had mine for years (think its due to c section surgery or pregnancy) When I went for my pre-op. 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. He was not too much over weight at that time. 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. .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. State/public schools teach who theyre told to teach meaning everyone else who doesnt get to go to the private schools. 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. Based on what I know now I wouldnt do it again. So even when you think you have done your homework on the surgeon get another opinion. She examined the surgery site and indicaed that my incision site was in good condition without any signs of infection. 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. ( I know I already said that but they were really that bad). Hiatal Hernia and Anti-Reflux Surgery | LHSC Not speed of hospital discharge. Also, you didnt say if your two hernias were repaired laproscopically or open. 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). She asked me to monitor for fever and other signs of infection and to wait a few more days.