Shouldice Hospital

In: Business and Management

Submitted By Breeze007
Words 3985
Pages 16
Case 5: Shouldice Hospital Limited (Abridged):
Phần Uyên
History of Shouldice Hospital:
Dr. Earle Shouldice was interest in early ambulation stemmed, his medical license permitted him to operate anywhere, even on a kitchen table. As more and more patients requested operations, Dr Shouldice created new facilities by buying a rambling 130-acre estate with a 17.000-square foot main house in the Toronto suburb of Thornhill. After some years of planning, a large wing was added to provide a total capacity of 89 beds.
In 1965, before Dr. Shouldices died, Shouldice Hospital Limited was formed to operate both the hospital and clinical facilities under the surgical direction of Dr. Nicolas Obney
By 2004, 7.600 operations were performed per year
The Shouldice Method:
Only external (vs. internal) abdominal hernias were repaired at Shouldice Hospital. The most first-time repairs required 45 minutes. The recurrences and very difficult repairs required 90 minutes.
The end result of Shloudice method reinforced the muscular wall of the abdomen with six rows of sutures under the skin cover
They used sleeping pills, pain killer plus a local anesthetic, a injection of Novocain in the region of incision, this allowed immediate post-operative patients ambulation and facilitated rapid recovery
The Patients Experiences:
Approximately 10% of Shouldice patients came from outside the province of Ontario, most of these from the United States. Out-of-town patients were often diagnosed by mail. Hospital determined the type of hernias and some risks might be associated with the surgery. The also made appointment for patients.
Patients arrived from 1:00 pm to 3:00 pm the day before the operation and joined in the waiting room. They were examined in one of six examination rooms, the examination often lasted 20 minutes.After checking administrative details, patients were directed to…...

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