Last year, it had a record year and performed nearly 7,500 operations. I asked for a copy and watched my surgery during recovery. Visitors are required to wear a mask when inside the hospital. The whole experience was quite pleasant, and Sarasota, Florida is a beautiful, wonderful place to visit. 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 So the idea that you think there some sort of mesh industry monopoly is concerning to me. Not only are metrics regarding the likelihood to recommend and the overall satisfaction with the experience negatively impacted by longer wait times, but increased wait times also affect perceptions of information, instructions, and the overall treatment provided by physicians and other caregivers. Choose your surgeon carefully. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. Update been 8 months out and little to no change in the pain and other complications. NURSING ANESTHESIOLOGIST Thinking logically, implanting foreign materials in your body is a matter of concern. 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). Is your problem scar tissue? 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. In Australia, the introduction of private healthcare has resulted in exactly what has happened here, albeit on a much larger scale. Food was above what was expected of hospital food. Shouldice Hospital is not responsible for these services. The expertise of Shouldice seems hopeful and promising, and Im out of alternatives. Shouldice Hospital (formerly Shouldice Hernia Centre) is a private hospital at 7750 Bayview Avenue in Thornhill, Ontario, Canada. I dont know where you got your information that the Shouldice doesnt use mesh but this is incorrect. So even when you think you have done your homework on the surgeon get another opinion. I would say you will very likely be fine, I wouldnt worry about your decision at this point. Often times it is our expectations that get us in trouble. All patients will be actively screened at the front door. [1] The hospital specializes in hernia care. That is frustrating for you. MeSH terms Adolescent Adult Age Factors 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. Yes, but it was over quickly, and I felt my recovery was extremely successful with minimal time off work. Affiliation 1 Anna Bradshaw is an FNP student at . I will continue to recommend the Shouldice and feel it was the right choice for me. So Im now working with a new surgeon in hopes that they maybe able to help. When needed, a hernia weight loss diet is individualized for each . Now patients will generally think that more care is better care. Show More. I play sports 3 days a week, I run competitively, etc, and virtually no pain. 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. Lets pretend that there is no influence of the medical-pharmaceutical industry on advertising about certain methods and medications as well as on the purchase of the professionals themselves, as is the case in several countries. OUR PATIENT CARE When you come to Shouldice, you can expect to have a positive and pleasant experience. 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. I generally will do any umbilical hernia under 1 cm in size without mesh, but that is not an absolute and depends on a lot of factors, including my discussion with the patient. Understandably, patients like their surgeon to appear omniscient and surgeons rather like that, too (jokes about the God complex). Go for the weight loss and then go for the surgery!! I have constant pain of some kind from stabbing to just dull along with foreign body sensation. It is a small hospital dedicated only to hernia repair. Does it annoy surgeons that many many *easy* abortions are done in clinics rather than hospitals? I have a rather large incisional hernia and am considering a trip to Shouldice. At the same time, it is clear that . We know that people often find it challenging to manage their weight, especially when they have a hernia that restricts their ability to exercise. Its not hard to understand whats happening here. She suggested that the nerve fibre regrowth in the skin layers around the surgical site may be causing the sensitivity. No pain at all and I never took any of the prescribed pain meds. You are right, there is not a lot of good information for women in your situation. Unfortunately it did not adequately control for risk factors known to be associated with recurrence, including obesity. 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 do not believe in the argument that the Shouldice doing so many repairs allows for more hernias to be repaired in our public system. 10 Royal Orchard Blvd, Thornhill, ON L3T 3C3 Get directions. Talking about media ( from the article you posted here ) I am now 4+ months postop and have chronic pain and the surgeon just looked at me dumbfounded and surprised at my last appoimtment. 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). Thanks for such a great blog, very helpful and interesting. I doubt it- they are simply following standard of care which they are required to do by their licensing bodies. Thank you for this post. 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. Authors Anna Bradshaw 1 , Sarah Raphaelson. In fact, the vast majority of hospitals would offer hernia repair. Prior to your visit, you are encouraged to complete and submit aMedical Questionnaire on my.shouldice.com. Our first available appointment is in July of 2023. Employee Training Those who are picked to be on the front-line, are the ones who can help create a great customer experience. My son who is 17 years old has an inguinal hernia that needs to be repaired. I hike a lot, mtn bike, lift >100# items, etc. Sorry your husband had such a tough time with his hernia, hope he is doing well now. As a surgeon with intimate knowledge of hernia repair, does the actual technique have a solid, anatomical basis and biological plausibility? I . and a less wait time surgery would be quite worth it. I absolutely follow up all my hernia patients. Its not much. At Shouldice, we recognize many of our patients have family and friends with them. I am debating on having surgery on my right inguinal hernia and whether to do it at Shouldice or at my local hospital. The body can react to a foreign body (Plastic) Mine also is touching the nerves that run in that area. 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. 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. Is your surgeon prepared to do anything for you? Is the mesh currently being used the same product that has been on the Toronto news where they move around internally after coming loose? Just returned from Shouldice. "In 2018, I found Dr. Samer Sbayi online. In general looking forward to a day when performance stats for regulated professionals and their related clinics/practices will be available for scrutiny then we can all make decisions based on merit rather than hearsay or fuzzy notions of reputation etc. But the patient should be made clear of the longstanding post-op, well documented issues of the real probability of chronic pain. I agree with John. Best of luck. Lets start with the Pros 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. Taxi from Toronto to Shouldice Hernia Centre. They give you good care. In fact, that is the only operation it performs, and it performs a great many of them. At Tar, It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Well keep in touch every year and offer you an opportunity to have your hernia repair checked and monitored by our surgeons. Hernia repairs can be done without a general anesthetic at other locations as well- I routinely do mine without a GA. Update of previous post. Staff was decent, Now the Cons The nursing staff was a mixed bag, as would be expected anywhere. Our first available appointment is in July of 2023. 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. Don, I have acknowledged in the comments above the rare but real risks of mesh insertion. It was recently taken over by a private company and is no longer in the hands of the original Shouldice family. The fears of chronic pain and lack of research into Shouldices 99% effectiveness claim are overrated. Hernia repairs at the Shouldice are done with local anesthetic, no mesh insertion, and with a long stay in their hospital to recover. I went for a long walk after the surgery. I tend to agree more than disagree with the surgeons comments about Shouldice with regards to their capitalistic method. Thank you so much for your time. Your post here changed my life, my plans, in a good very good way. . The collegial environment of you and your co-wounded seems to be a plus for most. My father, a neighbour, and a former co-worker have had hernia repairs in the last few years. I would love to see their numbers as well, but that is unlikely to happen soon. Hard to be critical regarding matters of efficiency without data descends into rhetoric pretty quickly. Anyhow, one piece of overwhelming evidence in support of going to Shouldice that I found is in the Can. The last one before going there was a laproscopic surgery done by a cocky 40-something that failed before he even left the hospital & then turned into a fistuala which the surgeon was in denial about for months & could have killed him. Reilly's, a disused bar, was barricaded up by the rebels, and it . Chronic groin pain after hernia repair is a concern, no question. 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. Visitors will not be permitted in the patient rooms. Im traveling from the US and paying the entire bill myself (my insurance does not cover non-emergency out of country surgery). If I was doing the Shouldice repair with no mesh and keeping my patients in hospital for 5 days after hernia surgery, I would probably have my competence questioned, and with good reason. 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. York Region Transit. Unlike most hospitals, delicious meals are prepared fresh in our dining room daily, providing the healthy nutrition you need to promote healing. by | Jun 30, 2022 | zip code for princes town, trinidad | smbc leveraged finance | Jun 30, 2022 | zip code for princes town, trinidad | smbc leveraged finance 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. 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. 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. Anyone can look up what a surgeon in Ontario gets paid to fix a hernia. 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. The huge incision ripped internally and of course I wanted to choose the BE ST surgery clinic to repair it so it would not happen again. You may be regret waiting some but better to wait an added week or month than have chronic pain as I do. Id love to send my husband there! I feel like patient quality of outcome should be the deciding factor, not just whether the original hernia was handled. 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. Do the surgery again big deal! Our clinic offers hernia examinations by appointment or on a limited walk-in basis. In fact, I believe in less than a decade the medical profession will be inundated with increasing problems from meshes installed in patients 20+ years pervious and will be forced to go back to training their surgeons to the standard they were at pre-1990s, before mesh became mainstream, when hernias were repaired the way they should still be getting repaired today suturing. Good points John. 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. My experience was extremely positive and I would not hesitate to return there. 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. Straight out of a horror film, dim, blinky lights, cold and overall not very reassuring. 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? I am still avoiding heavy lifting, but everyday lifting activities (groceries, young children, etc) arent causing any issues. Ive had other friends have a nerve block and it helped them for months so it is hard to know the amount of help it may give you. Its one of the great things about my job. Realistically, I am 50, 57 and 163 pounds, am I really going to lose 30 pounds and keep it off for the rest of my life? I did have some minor discomfort around the surgical sit, but nothing that I felt was an issue. Certainly your hernia is symptomatic and should be repaired. Should I wait or should I see a surgeon right away? There are certainly many issues to be factored in but as a patient my number 1 concern will always be having surgeons working in environments that are conducive to producing good outcomes for patients and I have not yet seen any convincing arguments for disallowing the development of specialties though I do have concerns about the influence of profit as a motivating factor. Can I please get the name of the hospital an hours drive from Shouldice and your name if possible? I would encourage you to have your father see his family doctor to refer to the hospital and surgeon which are closest to you. Shouldice is licensed by the Ontario Ministry of Health, which covers the entire cost to Ontario residents of hernia operations there under OHIP, the. Ive read of issues with all repair methods except for TAPP laproscopic have you heard of it? 8. The Shouldice clinic is a good example of that. Hi Tyler. Less with lap but google complications of lap inguinal hernia repairs and you wouldnt touch it with a barge pole. I think 3 or 4 tomorrow in fact. Theyre like impossible to find it seems these days. 7th battalion royal irish regiment; Sonesta Suites355 South Park Road, Thornhill, ON L3T 7W21-800-SONESTA1-800-766-3782. Or is it because, here it comes, that dangerous phrase Weve always done it this way? But then you will have had two surgeries instead of one, with the risks that entails. Update to the above. One thing Ill add, is a problem with the Shouldice technique is that its complicated for a surgeon who is not very experienced with it. Or it isnt the mesh itself so much as the insertion procedure? But Im glad you had a good experience and outcome. 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. shouldice clinic wait times. (sorry if i made any writing mistakes, English is not my first language). My husband was asked to lose weight for the surgery but still was not skinny. colonel frank o'sullivan interview; beverly hills high school football 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. Instead, youll stay as our guest for a few days, while you participate in a holistic, professionally supervised program of healing and recovery. Shouldice Hospital recommends a healthy diet for hernia repair, and one that focuses on achieving an acceptable body weight. I would love to see some frequency distributions for Shouldice repairs vs inpatient time and time back to work. my surgeon said it was mostly a bunch of people complaining looking for money.