I did read the article. There is a small hard spot just under the belly button but it is slowly shrinking, I was told this could take some time. Just returned to UK after Shouldice and its specifically mentioned in the folder. It's nice and bright! Indeed, expansion of Shouldice's facilties seems a far better alternative than asking patients to wait. Same nurse. Are you willing to be more specific about the nature of your problems post op? 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. Morrison said studies show 10-20 per cent of people are left with chronic pain. Can you share any more details about your experiences if you dont mind. The cost of more comprehensive programs is covered by most insurance plans. Lot of disparity in the anecdotal evidence (my understanding has been that in at least once instance a patient was offered a days long recovery at Shouldice vs weeks long at a hospital, and that has been constant with my knowledge of their reputation in general). 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. 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. and then he has the audacity to tell me that I cant feel the mesh and that the pain is also in my head. I live in West GTA if theres any way for you to recommend me to be looked at by either yourself or a trusted colleague. I do everything I want without restricting myself. Sounds like you are doing a great job informing yourself about your options and the risks which is great to hear. Im on the fence with going back to Shouldice or going with the local doctor. He also reiterated that he also only does mesh unless of some other medical reason. According to another surgeon I saw mesh isnt likely to cause all of the issues it does in other portions of the body (erosion mainly) and said in his experience 1 year isnt that uncommon to feel mostly back to normal. Pick a curve, any curve (say, the red one). This expedited recovery time is due to the level of active physical rehabilitation that Shouldice Hospital expects from their patients. That was a bit odd. and a less wait time surgery would be quite worth it. If hernia repair is right for you, well set a hospital admission date that is convenient for your schedule. On what basis do you make the claim that the media over-represents the risk? As for the staples, I had 16 and having them removed I hardly felt a thing. Very interesting. About a week later the pain had completely subsided and I had no further significant pain. Pain is tolerable(sensation of burning/stabbing in groin) that subsides quickly with reduction of effort/strain. Lets start with the Pros Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. I know 2 other people who have gone up for repair both of which are now well over 30 years on the repair without issue also.. Take care safe travels. Open. My room mate (who had 10) yelped a few times, but he didnt strike me as a complainer. He chose the hospital. York Region Transit. Sharing the experience with a bunch of other patients was a big plus in my opinion. We joked about standing by the front door and dropping our pjamas for the new intake. The class action lawsuits in the US are concerning to me. They were everywhere in the very pleasant grounds. I doubt it- they are simply following standard of care which they are required to do by their licensing bodies. I will miss the black squirrels. This involves making an incision . The surgeon recommended TEP and from research that seemed to be the most likely not to cause chronic pain and based on the surgeons bio and reviews he seemed to specialize in laparoscopic. Also, they dont just do simple hernia surgeries on skinny people. The median waiting times for cataract surgery ranged from 24 days in Italy to over 250 days in Poland. This clinic needs to keep people in hospital to make money. Their holistic approach on the brochure makes alot of sense. The place isrun a bit like a hernia boot camp, which I really had no issue with. He is based in New York and covered by my insurance. 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 You are correct though, there are not good studies comparing the two methods. Very very rarely will I feel a twinge of pain, but 99.5% of the time, I feel as good as new. Look for nih data. Patients are required to be within 20 % of their ideal body weight, and are refused surgery at the Shouldice if they do not meet this criteria or lose the weight. No pain at all and I never took any of the prescribed pain meds. Or it isnt the mesh itself so much as the insertion procedure? Most of the arguments against Shouldice here seem to have very little to do with the actual technique, pain afterwards or recurrence (irritation, I thought, at the Southfork-like set-up and possibly also at their very existence fuelling endless questions like mine: is mesh a problem or isnt it? In summary, I have to agree with lesmcc1: the technique, the hospital/facility itself, the four day stay, the old equipment, i.e., bed, the wound closure method, etc, all point to a we have always done it this way mindset. Reading your comments put some things into perspective for me. Hi. Surely theres an advantage to exclusive, specialized hernia repairs that general surgery wouldnt necessarily encompass? They are not sure what the issue for me is caused by. Thanks for sharing your positive experience Kram. Or is it because, here it comes, that dangerous phrase Weve always done it this way? This wound closure and stapling technique are a significant source of discomfort and pain for all patients. In addition, in my case Im 41 and 168 lbs. For Michael:Google search Shouldice hernia failures. Hi there what do you believe offers the least chronic pain for hernia surgery (inguinal)? Thanks for getting back to me. NDP Leader Jack Layton acknowledged yesterday he visited a private Ontario medical clinic to treat a hernia in the mid-1990s, but dismissed suggestions it undercut his credibility as a public . So I am 4 days post surgery from Shouldice.My tackle is extremely bruised so I can not say that I will maintain objectiveness. Last year, it had a record year and performed nearly 7,500 operations. My husband was asked to lose weight for the surgery but still was not skinny. And I agree that we need to have tracking of surgical outcomes to verify the success of various techniques, whoever does them and whereever they are done, but making everybody do emergency & other more involved surgeries doesnt address that. This makes anyones numbers on hernia repair difficult to interpret, but the Shouldices number in particular should be viewed with a grain of salt. 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. I would ask your family doctor for a referral to a general surgeon who does hernias from incisions to discuss the pros and cons of a repair in your situation. 2. Length of stay is ridiculous not to mention the Bill for said stay Staff is helpful but not pleasant or friendly. 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. Your hernia will need to be fixed, no question. I may get the same answers but at least Ive tried. While my knowledge of Shouldice is not direct, it is close to home, and entirely contrary to what you have said. Based on what I know now I wouldnt do it again. Now some of the Shouldice clinic patients come from out of country and should be paying forall of their carebut what this percentage is, I do not know. 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. 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. So far no issues at all from the surgery or related to the reasons for the surgery. Since 1945, we have been gathering data from our follow-up examinations. 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. (LogOut/ 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. Not to mention youll be competitive with Shouldice. In the USA most Drs wont even do a simple hernia repair without mesh even if youre ideal for a non mesh surgery. They do the surgery anyways. Thanks for sharing your experience, Kram. I sympathize with you and your husband. Creepiest Pre Op room Ever. https://www.ncbi.nlm.nih.gov/pubmed/10452261. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. The office staff takes care of business very nicely, very personable, walking you through every step of the way. To get the best results from your hernia repair, you should be in the healthiest possible condition for your operation. My recommendation for anyone 40 and under is to NOT get mesh. People seem to either love it or hate it. A Shouldice Repair is usually done under local anaesthetic and conscious IV sedation making it an exceptionally safe procedure with virtually no complications. I would love to see some frequency distributions for Shouldice repairs vs inpatient time and time back to work. It was recently taken over by a private company and is no longer in the hands of the original Shouldice family. 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. The nursing staff was a mixed bag, as would be expected anywhere. Often times it is our expectations that get us in trouble. I tend to agree more than disagree with the surgeons comments about Shouldice with regards to their capitalistic method.
Mar 14, 2023
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