Canada Surgeons

[Western_Chick]

Dr Myles Kealey in Oakville, Ontario is also great. He is very nice and if you need to talk to him he always gets back to you the same day.

[torontoguy]

I just went to the Rudd clinic, they are very nice BUT they can only do local anethetics and do not use Bascom techniques. If u need a full general anesthetic u still need to go to the hospital, sorry!

[notgolfing]

I had the best surgeon in BC do my procedure. Dr. Lai. Delta, BC. Operates out of Surrey Memorial. I had an excision done under local and went in very scared about the "local", it turned out to be a great descision for me. He had the feather touch with the needles. Didn't bother me a bit.
Due to having to wait 5 days before the homecare nurse could come to my home to change the packing, I went daily to the ER to have the dressing changed.(my wife drove me). Every day I had a different nurse and each one commented on what a clean, neat job he did.

Hi there try reading the Canadian threads off my signature. Also an Anestheziologist also suggested that Local alone is the POOREST choice and Least POPULAR. He did Say that the Local shots themselves will hurt as HELL and the risk of not being NUMB enough are Extremelt HIGH..

You must have had an incision and drainage and not an excision.

Also the BC Health Guide says that Excisions are typically done under General Anesthesia.
http://www.bchealthguide.org/kbase/t...0/treatmnt.htm

Local alone is the suggestion of a Barbarian!!!

Hi there, I was refered to this doctor too and asked for a second referal with General Anesthesia, or anything that will put me out.

He was quite arogan and thought he knew it all.. YUCK!!!!!.

Arrogance and being uncompassionate is enough to scare me off, too. However, I had surgery in Little Rock with just a local, and even though it was a deep excision, I got through it just fine. I felt nothing! Maybe I just had a wonderful doctor. She was very compassionate and made sure I felt absolutely nothing. I'm sorry for your bad experience, but I wouldn't blame the method chosen, but the doctor! Good luck.

I realize how just having a local can be unnerving, but I just had surgery with a local, and it was a full excision. In fact, I saw the specimen when the surgeon placed it in the cup, and it looked like a huge piece of stew meat. She removed the cyst, the tissue around it, and three pits that had channeled pretty deep. I had three layers of stitches when she finished, (we opted to do a closed incision), and I felt absolutely nothing past the first two or three numbing shots. In fact, we talked about this site and her experiences with the numerous other pilonidal surgeries she had done. I was so numb I think I could have slept despite not having any sedation meds. I think the problem is not the type of anesthesia, but the doctor.

[bl0ke]

Hi All

I need to have my cyst removed in Vancouver, BC.
I have had incisions done twice, and still something in there!

So last option is having the whole cyst removed

anyone suggest a good surgeon i could use.
i am not sure how the system works in Canada, but i am moving there as of January and i would really appreciate advice as i am only covered with my travel insurance.

cheers

Hi there, try dealing with doctors from the North Shore.. North Vancouver area from the Lions gate hospital, Or also New Westminster area at the Royal Columbia Hospital. AVOID BURNABY, SURREY, HOSPITALS AT ALL COST.... You will find that the Canadian Medical system attempts to do excisions with only the use of Local Shots without Anesthesia to reduce the medical systems costs.. AVOID THIS METHOD TOO!! Demand Anesthesia for these procedures...

This is a reply I received from an Anesthesiologist, Via E-Mail.

This is My Question.....
Hi there, I hope someone can answer this concern for me.

I have been diagnosed with pilonidal disease. I've just seen 1 gerenal surgeon, who suggested for excision with marsupilation, open healing.

He says that the section to be excised is approx the size of a man entire thumb and a little deeper. 1 inch wide, 3 inches long and 1 inch deep, right down the middle. ( Pilonidal cyst are usually located at the tailbone area of your butt)

He is suggesting only the use of local anesthetic, infiltrating the area with local, while wide awake, no sedation zippo! He said that it is not mandated to use anything either than the local shots.

I am 28 years old, don't smoke. drink, drugs, not on any medication, ect. I'm in excelent health with no known allergies.

Is this method really the norm? Do I have a say to the type anesthesia to be used? Will the use of only the local be very painful?
What would you recommend for the excision of a pilonidal cyst?

What really concerns me is that a local health guide in my province states that excision of a pilonidal is typically done under general anesthesia.

Who's right? Who's wrong?

I would really appreciate your input on this matter.

Thanks.

This is His Reply...

The choice of anesthesia for any procedure certainly is a discussion between the surgeon, the patient and the anesthesiologist. You DEFINITELY have a say in the type of anesthesia to be used.

Local anesthesia is an option for this type of procedure, but as with any procedure the patient must be motivated to have that type of anesthesia. Certainly local anesthesia will be very uncomfortable - a number of injections will be required for the area to be numb and the injections themselves are very painful.

Since you are young and healthy, you have many options for anesthesia available to you. Possibilities in addition to local only include local with sedation, spinal anesthesia and general anesthesia. In my experience the most common are local with sedation or general anesthesia - although a large proportion of patients also choose to have a spinal. I would say that local alone (without sedation) is the least popular choice. I also believe it is the poorest choice - with all the other methods providing a superior experience.

Hope this helps.

Paul H. Ting, M.D.


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Paul H. Ting, M.D.
AnesthesiologyInfo.com
"All you need to know about Anesthesiology..."
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