Rudd Clinic

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Rudd Clinic

Postby Newbie2727 » 26 Jan 2013, 14:21

So after about four months dealing with this fissure on and off, going through creams and stool softeners and a radically changed diet, and just after a couple of weeks feeling better and seeing an end in sight, the fissure reopens and causes pain.
My question is though, when my fissure reopened, although there was a lot of pain, there wasnt any blood, then the next day, no blood in the beginning of the day but still some pain, then by the end of the day the pain was gone, but upon looking in the bowl, it was completely filled with blood. Why does bleeding happen so randomly?
What is going on here..... Ive made my family doctor refer me to the Rudd Clinic in Toronto, has anyone been here before? Apparently the doctor is world renowned and has a procedure that apparently cures fissures permenently and immediately, all apparently in a 3 minute procedure under local anesthesia.
Thoughts?
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Re: Rudd Clinic

Postby delasama » 26 Jan 2013, 14:34

i would give my left nut to see that doctor if he could do that.my fissure (if thats what i have) bled a week ago in poop with not much pain.this week only a little blood on toilet paper, but i feel like my butt is on fire and hurts so bad i can barely walk.im still waiting on a referal ti gi doc :(
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Re: Rudd Clinic

Postby PIA » 26 Jan 2013, 18:05

Hi Newbie, I am an Aussie so can't help with Rudd Clinic. Let us know how it goes. My theory on the blood or lack of it is that when the sphincter goes into spasm the blood flow to the area is impeded. So when you are in pain due to spasm their may not be much blood. When the sphincter relaxes it allows blood flow to the area thus more bleeding. When we have a BM the sphincter often (but not always) relaxes. The stool passing past the fissure damages the surface and bleeding often happens. I am not sure if this is exaclty how it happens as I say it is only my theory. I apparently have a very large fissure but have very little bleeding. The sphincter however is always in spasm and the recto cream just lessons it. I want to know why some fissures take so long to heal and recur. I wonder if when we keep our stool soft like toothpaste if the area becomes less and less able to stretch. Then when something a little bigger comes through we tear. We are so fortunate to have access to everybody's experiences on this forum that hopefully we may find the answers we need. Wishing you many pain free moments. Xx Pia
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Re: Rudd Clinic

Postby snsd » 04 Feb 2013, 13:58

I've been to the Rudd clinic - on January 26th for a colonoscopy - to make sure nothing else was going on besides the fissure. I was given a prescription for Diltiazem (good description on Wikipedia) and asked to come back in two weeks (Feb 11) as the doctor was convinced it would do the trick. I'm just past the one week mark and have seen zero improvement.
My guess is that the 3 minute procedure is a sphincterotomy. Do lots of research here and elsewhere before you go that route. I've read that up to 30% of folks who go that route experience some form of incontinence for the rest of their days. For me, it would be the absolute last resort.
I'll try to remember to report back after my follow-up appointment - but feel free to PM me if I forget.
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Re: Rudd Clinic

Postby volans » 10 Dec 2014, 14:56

After getting a referral from my GP to see a colorectal surgeon, I finally received a call this morning from the Rudd clinic that they had a cancellation I could take tomorrow. I was so excited. They said the appointment made was with Dr. McKenna, I searched his name on this forum and saw this;

"If you do have to go to the Rudd Clinic, avoid Dr. McKenna."
"I had a horrible experience with Dr. McKenna - he was extremely rough and impatient and didn't believe in pain management."
"Dr. Sternthal!! Wow! He actually called you! What a difference from McKenna! "
"Unbelievable bed side manner and great overall compared to Dr. Death (McKenna)"
"we have good reason to believe that the other surgeons at the Rudd Clinic aren't at brutal as McKenna."
"dr McKenna is bald with no beard and walks with a bit of a limp sometimes. Definitely stay away from him!"
"If the receptionist comes out and says "Dr McKenna will see you now" - RUN! "

I freaked out and immediately called back to request another appointment with someone else. The receptionist told me she would make an appointment with Sternthal over a month from now, but that is a really long wait.

I'm not sure I made the right decision. I can try calling back every couple days to see if there are new cancellations. If I call back, which doctor should I ask for? I hear good things about Smith.
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Re: Rudd Clinic

Postby ruined_life » 10 Dec 2014, 18:37

I have been to the Rudd clinic twice. First time I had Dr. Mckenna. Im homosexual just to give some context. So his first response to me saying I had an anal fissure was "well then don't have anal sex". I understand that anal sex can make a fissure worse, but that like saying to a straight male "well then don't use your penis for sex". At least he did prescribe me some Diltlazem (which did not work). He also told me that I should pray to god and maybe that would help. Second Dr I saw just looked at my file and what Dr McKenna has wrote (so he already has a bias) took a brief look and told me "nothing was wrong". My experiences at the Rudd Clinic were awful but in Toronto to see any of the CSRs takes like 6-7 months to get an appointment so there is no options.
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Re: Rudd Clinic

Postby SlowHealer » 01 Feb 2016, 12:30

I am coming up to 6 weeks since my surgery at the Rudd Clinic. It was the worst decision of my life. DO NOT go to the Rudd Clinic. It's barbaric. Never been in that much pain in my life, or that humiliated. Saw Dr. McKenna. Real typical old-school dinosaur. Go to a hospital where they use general anasthetic, no one should every have to go through that while conscious. The first 4 weeks after the surgery were just horrible. 2 percocets at a time after a BM. This after McKenna told me I'd be fine right away, and would have no pain. Bullshit. Worst pain of my life. As i approach the 6 week mark, life is starting to get back to normal, but i'm not there yet. I figure 3 months. I did not go back to the clinic for my checkup, instead i had my GP send me to the hospital here in Toronto that specializes in these things, to a specialist so he could have a look and see if i'm healing properly. I've had major surgery, and this was far worse. It honestly felt like i was being raped from behind.
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Re: Rudd Clinic

Postby Hafzaal » 01 Feb 2016, 17:06

I too have been to the Rudd Clinic and would not recommend you going there for this ' 3 minute procedure '
Not sure what you were told but sounds like LIS to me. Reason for not recommending Rudd Clinic for LIS is because they only use local anesthesia which is fine if you dont really care about pain levels. I have read a couple of accounts from members on this forum that the local anesthesia pain was the worst kind of pain they have felt. Do some research and youll come across those threads. I would recommend you see Dr.Bernick. He is one of the best if not the best colorectal surgeon in Toronto.
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Re: Rudd Clinic

Postby SlowHealer » 01 Feb 2016, 17:25

thx Hafzaal. I think McKenna has his own version of LIS. No stitches. He makes one cut at the backside of the internal sphincter.
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