pinto
Forum Replies Created
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@Watchful, as always you come with interesting info; this time no exception. Wow, I have to say. The Canadian health care system keeps out non-state actors however enterprising they may be? But it begs a question: Shouldice Hospital is not private–it’s state owned? Or it is private but was begrudgingly allowed?
Gentlemen, you ran your discussion while keeping secret this vital information of Shouldice’s precarious legal status in Canada?! 😀 ALL BETS ARE OFF! Are you kidding me?
Considering the STATE, the POWERS TO BE, the MEDICAL PROFESSION, INTER-AGENCY RIVALRIES, I see little chance for Shouldice’s survival in Canada.
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Rapapart’s article could be the most confusing technical article due to its writing mechanics I’ve read . The upshot is medically the relation of SD and surgery is completely unknown–in the end the medical expert reports that a hernia itself could be the cause of SD.
Consider that hernia (IH) is quite common–nearly 25% of men experience it resulting in hernia being the most common surgery. Yet this is the first time for me to hear about the SD relation. I must conclude the chance of it happening must be very very unlikely. I imagine though if the IH is allowed to grow to be watermelon size, SD becomes quite likely (with or without surgery). Note also that various surgeons are heard to say that hernia is unrelated to sexual function.
William, hernia is very trying on you as I know from personal experience of having had them. It becomes a daily drag and can drain our spirit. Let me reassure you that SD really is more psychological than physical. Hernia becomes a battle not only physically.
It’s been said that researchers can somehow find whatever it is they want to find–if they look hard enough. Eventually someone will come up with “evidence” of hernia inducing car accidents. That SD news report seems concerning but I recommend you ignore it.
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Gentlemen, let me assure you there’s no reason for alarm. If the Shouldice Method remains in high demand then in one form or another that hospital’s staff will continue to offer it. The only sticking point is if the new owner, the healthcare company, decided to phase out the SM, but it would defy basic logic to dispense with a cash cow. If demand is strong enough, SM will continue to thrive in one form or other. My question is: What is the demand actually and how profitable has the hospital been operated?
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Your situation, if I recall, is a friend MD recommended your surgeon, which turned out catastrophic. If it were me, I would have been pretty relaxed and ready to follow whatever the doc said. At that time were you well aware about mesh issues? Was anything like that discussed between you and the surgeon? Do you recall back then if there was much public alarm or many legal firm commercials about it?
So here we have a TV episode from 2013 for which the scriptwriters show they researched the issues well. I haven’t watched Grey’s Anatomy so I don’t know its perspective, but from this one segment it seems kinda jaded: hospitals are just businesses after the bottomline. It would then follow a sympathetic view of tissue repair while mesh method seems more concerned for profit than anything else.
The mesh instructor, for example, says something like, we don’t have to care about patients, while some of the surgeons seem to feel like cogs in a machine. The segment gives the idea that IG surgery can be done effectively without the use of mesh. Nothing is said though about post-op complications of mesh. Isn’t that surprising from the view of year 2022? Or were mesh complications already substantially known by 2013?
Although fiction, it presents a very plausible way mesh became so popular for general surgeons: Mesh method is amenable to systematic implementation.
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Thank you but sorry that was not requested: Here is original request:
“I pressed the delete button several times for message #31198 of mine but to no avail. Could you please delete it?”Instead the whole thread was deleted. Here it is explained on the thread “An Appeal”:
“My original thread began with two posts numbered #31198 and #31199 (near-duplicates). …I asked the Webmaster to delete only #31198 but the result was the loss of all my posts as well as those of others. I do hope the Webmaster reads this and is able to bring back the original thread.” -
@Mike M, you got a memory and a half, bro. Thanks for that. Many have been saved by Cliff Notes in getting that C or even a B. But the vaunted ‘A’ only by going to class and digging into the course text. 😀 Now if Dr. Kang were a course, the A student would have picked up these points:(just saying, please excuse the joke 😀 )
small incision
converted mesh doc
highly skilled and experienced surgeonA small incision likely reduces potential for pain as well as being
aesthetically pleasing making him the Michaelangelo of hernia surgeons.My original thread began with two posts numbered #31198 and #31199 (near-duplicates). You can google them bringing up links for them. But they are unretrievable. I asked the Webmaster to delete only #31198 but the result was the loss of all my posts as well as those of others. I do hope the Webmaster reads this and is able to bring back the original thread.
Also this website’s function for “edit” never has worked for me. For other websites, you get an editing window and when done seamlessly replaces the target message. But not this website–no replacement is made. Instead both the original and corrected versions are posted. I tried many times but had the same result. If I did not overlook the “logic” of this site, its developer should be made to correct it.
Thank you for your kind attention.
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Leading Berlin Medical Practice Exposed?
Dr. Pawlak reports his observation of medical practice in Berlin:
“I spent a few days in his excellent 3Chirurgen Practice in Spandau and learned about the indications, saw few happy follow-up patients and again practiced dynamic groin ultrasound.”
Thus Pawlak reports that the results left much to be desired. Or did Pawlak simply overlook a fine point about grammar.
(Even in the mesh world we might find some humor.) -
@alephy, I agree with you and I also agree there are some inherent problems with mesh. One is the communication part (though not with every “mesh” doctor) that the doctor is so sure of his/her practice and the viability of mesh that they funnel you onto the process of getting an operation without nary a word about the risk and so on. Some mesh doctors can’t tell you on their own what mesh they use. I got it. And just for clarification, I recognize that much scrutiny here of mesh is well deserved, but the natural counterpoint assumed are non-mesh methods, which seems to end up exalting them undeservedly. This is a “see-saw” effect that if unchecked may lead to unfortunate medical decisions. Thank you for your post clarifying your own view on matters and your much valued participation.
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Further to my comment: My purpose is to show that some people, if not many here, treat doctors rather unfairly. Specifically they are ultra strict with mesh practitioners yet so soft with non-mesh ones. Incredibly lopsided. That unfairness results from bias.
Let me remind people here: in some extreme situations mesh is the only option. So if you eradicate the “mesh industry” then you deny some people the chance for life itself. If you cannot be dispassionate about things mesh, then surely you cannot be objective about matters non-mesh.
Besides possibly ending up with unscrupulous non-mesh doctors yourselves, you compound matters because your rose-colored glasses lead other patients astray. I agree that mesh requires close scrutiny but so for any other method. I surely hope we can join together by which to gain a clearer picture of all things hernia. Thank you for your attention.
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Yes, hello, @good-intentions. Good to see you active, for we can all benefit. Speaking of conflating something, please re-read your posts for an example. 🙂 As to the matter directly, you misspeak when you make these two false claims:
“Dr. Ramshaw is just an example of how a person seeking [1] a simple hernia repair can end up with [2] a doctor who has become part of the system of pushing patients through as quickly as possible.”
Was it a simple hernia because if I read it correctly, the patient had ten prior surgeries for the same ailment. Ten! Ramshaw goes on to say that consequently the scar tissue was so immense that it obviously was an important factor. This was no simple case for surely you must agree.Secondly wasn’t Ramshaw at a university hospital thus a teaching hospital, as well as being a chief surgeon? Translation: teaching hospitals teach, so any patient will necessarily have the chance of having a less experienced surgeon do their surgery; and Ramshaw had a supervisory role over other surgeons (i.e., “trainees”) requiring him to bounce around the various ORs. Whose fault is it for this scattering of his attention–his or the hospital’s? Neither, according to your posts. The fault lies with the “industry” of mesh medical practice, for you claim that Ramshaw “became a cog in the machine.” Was the “machine” or “system” that of the mesh industry’s or the reality of today’s teaching hospital? Your case for the former is on weak grounds.
However, your advice is a good one: avoid such medical enterprises in which the patient gets reduced service due to its large-scale or perhaps more pertinently, the teaching hospital. I strongly agree. On the other hand, I wish you be a bit more reflective about your posts. 🙂
@Alephy, I agree with the tenor of your post but please note that you didn’t quite use all the evidence. Yes, one doctor opined against Ramshaw as you rightfully point out. However you apparently overlooked another doctor (Clarke) who joined the fray in support of Ramshaw by saying that that other doctor was “mean-spirited” and lacked empathy for Ramshaw’s situation. https://www.generalsurgerynews.com/Article/PrintArticle?articleID=63154
Noteworthy is the unsaid: No further commentary was made in the journal about Ramshaw. I believe that most surgeons understood that Ramshaw, for good or ill, was in a situation beyond his control (but not due to the mesh industry :). It is very likely that the unfortunate patient received millions in an out-of-court settlement; thus Ramshaw can be so forthright about the case. If no settlement, then it would have been very unlikely Ramshaw would have admitted his mistake publicly. Moreover, he probably received some exoneration by the likely internal review that the medical case was extremely difficult and one made more so by his supervisory role at the hospital (therefore by his job not by personal choice).
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If I may say so, every medical practice charged for a fee is a business. Hardly is it apparent that Ramshaw’s error came from greed; nor that it was mesh. Indeed he had yet to apply mesh at the time for this patient, one who had ten previous operations for the same ailment. So I am at a loss to see how Ramshaw can epitomize the ill of mesh medical practice. He did strangely write seemingly to lessen his responsibility despite admitting it. His double talk is quite unprofessional in my view, but attributing his medical error to greed or to the use of mesh is without foundation.
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Would @drtowfigh care to elaborate about Bassini? Does Bassini inherently have risk for chronic pain–apart from other methods? Here’s a recent glowing research study on Bassini success: https://www.sciencedirect.com/science/article/pii/S2405857221001066#!
[Bassini inguinal hernia repair: Obsolete or still a viable surgical option? A single center cohort study]
Incidentally, the authors are based in Virginia apparently doing tissue repair there and so a viable option. -
I agree fully. I found medical opinion varies widely. And as you say, there must be individual differences in patient conditions. So we’re left to our own devices, but there’s a rub in it: if we cross the line too much, the bulge gets bigger (or the condition worsens) with no return. So I don’t mind looking for medical guidance even though I will need to test it out. My hernia thrust me into a no-man’s land of much uncertainty, so as I amble along I’ll take whatever help I can get. 🙂
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@idoncov, excellent post excellent. You are the first I believe who brought to our attention a distinction must be made between sports hernias and inguinal hernias in the case of PeterC’s. He himself never made it clear–certainly not in his previous threads about his case prior this. Dr. Brown often talked about inguinal hernias here despite apparently being a sports doctor–what I gleaned from his website. Thus sole mention of Dr. Brown does not mean necessarily sports hernia, something I understand appears a misnomer for not being a true hernia. MSD Manual: https://www.msdmanuals.com/en-jp/home/digestive-disorders/gastrointestinal-emergencies/abdominal-wall-hernias
So we have here quite a confused case that may or may not apply to those under Dr. Brown’s care for inguinal hernias. Given the vast difference between “sports hernia” and inguinal hernia, the former I know zilch about, I can see my original interest was misplaced. As I expressed in another thread being truly sorry to hear PeterC’s situation, I hope that he, somehow can make improvement, and if you are reading this PeterC, I truly hope you the best. I urge you to seek legal council because if you were harmed you should be given whatever financial resources needed toward recovery. Best Wishes.
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Since being in the game of “hernias,” I have wondered what we can do specifically in workouts. A webpage that comes close though incompletely is:
https://WWW.PREMIERSURGICAL.COM/01/BEST-EXERCISES-FOR-PEOPLE-WITH-HERNIAS/
The page states the following:
“…Below are some of the exercises often recommended for hernia patients:
• Walking
• Swimming
• Jogging
• Gentle yoga
• Cycling
… Exercises to avoid
If you have an abdominal hernia, the following exercises should be avoided….
• Situps
• Squats or lifts with weights
• Crunches
• Pushups
• Deadlifts
• Inversion yoga poses”
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The page above says “lifts with weights.” I wonder if this pertains solely to squats. The lifting of the weight during the squat exercise?The information is unreferenced; likely anecdotal. I share it solely as a springboard. A number of doctors have told me that walking and jogging are permissible (as well as sex). Jumping is not according to one medical professional elsewhere, seemingly reasonable advice or is it?. I would like to be informed about other forms of exercise esp. those in a training gym/weight room.
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@MarkT you made a considerate posting, which I hope helps PeterC. Let me mention something that he and others might have missed: PeterC’s claims are made not against just any doctor. They are directed against one who has contributed much to the Membership here. I believe Dr. Brown deserves fair consideration but that has been lacking in this case. It is irresponsible to make such serious accusations without redress. I clearly supported PeterC elsewhere, for he reports tragic medical injury. Such reports however beg for further details that he unfortunately withholds. It frustrates me as a reader because I would like to know what to properly think about the situation.
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@PeterC, you tell us,
>>Let’s talk about it then.
Then why do ignore some of us in talking about it? We read your lengthy posts variously made, take interest, only to be ignored by you. For example, HerniaHelper and I in different threads of yours responded to you. But you never replied. Why should we read any of your postings again? -
In my case nothing was needed other than the med given me by the hospital, which took me through the time I was there. I had only one pain complaint, which I have described. Because I had no pain otherwise I felt I didn’t need meds. Probably the med removed any pain but I never felt pain between takings of it. In summary the only time I felt pain: getting out of bed, riding a taxi, and walking within the first week. The taxi ride and getting out of bed were killers! I had no throbbing pain–in bed if motionless, no pain. After I got home I don’t think I took anything. In Seoul I bought some OTC in case but never used it.
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>>What is the usual stay duration at the Gibbeum post op?
The promise, not an unusual one, is you will be able to walk out the same day. However, they provide you a one-night hospital stay as part of their package. For prudence sake, I pre-arranged the one-night stay. You are a foreigner unable to speak the language and you pass up the chance??? What happens in the dead of night in your hotel room if something goes wrong (and most hotel staff if not all cannot speak English)??? 😀 Gibbeum gave me the impression that most people opt out of the chance. Crazy if you ask me. My “roommate” there, a Korean, was in much pain after the op but his wife came and took him home. Me, I had no pain at all. Painless except for getting out of bed and the taxi rides. That was good because my body was telling me, “Don’t move.” If not, then maybe there could be a tragic end.