Next Available Appointment - Waiting Too Long for Colonoscopy?


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Kitchener
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Fri. May. 23

 

Last updated: 2014-04-15 23:59:31

A Colonoscopy Clinic Serving Kitchener-Waterloo and Ottawa-Gatineau

Why Choose the Reimer Clinic

See a video tour of our Ottawa facility courtesy of CTV News, Ottawa. Here is a photo tour of the facility:

Ottawa Preview

Kitchener:

For a photo tour of our Kitchener facility see the About Us page.

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Peace of Mind, Dignified Care, Short Wait Time

The Reimer Clinic is Health Care the Way it Should Be.

Private clinics are the solution to long waiting lists and high costs.

They're owned by entrepreneurial doctors responding to solve waiting lists and to provide fast care, at high quality for much less money.

From Hospital to Private Clinic -- A Better Way

(Warning: political content!) The government plans to move colonoscopy into private clinics. Colonoscopy is big-business for many interest groups.

We're regulated to stringent standards by the CPSO. This group licenses doctors and has authority over them. Cancer Care Ontario-CIRT found the quality of care in private clinics to be at least equivalent to the hospital.

We get $22 per procedure; the hospital gets about $300. That's why everyone cares.  From OHIP, doctors can bill a take-home profit of $5,000 for a single day of colonoscopy at a hospital; at a private clinic, the doctor can earn about $75 - $100 per hour. There are many unemployed or underemployed gastroenterologists and general surgeons looking for work these days. Excessive MD wages no longer reflect the labour market. Naturally, many hospital doctors have 'concerns' about moving colonoscopies out of the hospital. Likewise, hospitals are unionized workplaces; clinics are not. Labour unions and their lobbying arms are also 'concerned'.

Waiting lists? We eliminated those years ago. Mandatory fees? It's free, but OHIP really doesn't pay for it either, and neither does the patient. That's why private clinics are shutting down or declaring bankruptcy. Private clinics give public care, but without public funding.

Non-profit private clinics? The government wants to create these. It will provide no capital funding! At this clinic, we're looking for non-profit private investors. We'd like to purchase a capnograph for $4,000. It helps to monitor sedated patients. The private investor will be guaranteed a maximum return of zero and may have their equipment back after five years. The salvage value will likely be $500. If anyone is interested, please contact us (seriously). The plan to make private clinics into non-profit corporations works the same way, but the amount of money involved is aboutDrs. Khan, Hardwick and Reimer (R to L) $600,000 per clinic. This is why the government's plan to force private clinics to become 'non-profit' will never work. No right-thinking person would invest their retirement savings this way. Non-profit private clinics would see their medical care deteriorate for lack of capital funding. Their bureaucracy would become too expensive thanks to the management committees that the government wants to create. The opponents of quality, low-cost care without waiting lists would win. Patients would lose. Perhaps the non-profit clinics would seek charitable donations. That would re-direct donations away from the homeless and hungry, into health care. That's bad for the most vulnerable among us, and everyone including the clinics would not have enough.

Democracy still alive? The call-for-applications for government-funded cataract clinics prohibits those involved in the application from contacting their MPP. (The application rules can be read by following the first link in this section. Applications for non-profit colonoscopy clinics are next in the same program.) What purpose could there be to take away citizens' democratic rights to contact their elected officials, on pain of rejecting their funding application or closing their clinic? We risk not only our health system, but also the integrity of our democracy with this process.

Private clinics are a safety-valve and a competitor to the hospitals. Private clinics make hospitals better. It's a conflict of interest for the hospital to control private clinics. The benefits of competition and patient choice are lost. Today, patients have the freedom to choose where they get the best care. To bring back hospital-run monopolies to control how much care is provided and by who is a step back into an inefficient past plagued by high costs and waiting lists of several years. Nationally, these problems in the public system are going to the Supreme Court, led by the former president of the Canadian Medical Association.

At private clinics, patients get the care they need, when they want it, at the best price. We've saved dozens of lives because we just stepped in and looked after folks... with only $22 of government money per procedure.

Private clinics need your support. They're faster, less costly and entrepreneurial with no bureaucracy.

Have your Screening Colonoscopy at The Reimer Clinic

Listen to Dr. Reimer on the AM 570 News program "Ask the Expert". He explains why colonoscopy is the best way to prevent and detect colon cancer and why, starting at age 50, almost everyone should have one.

Everyone is welcome! If you have no family doctor, you can visit us and we will look after you.

Pictured at right from left to right are Drs. Reimer, Hardwick and Khan.

 

Screening and Prevention Options

How do I keep from getting colon cancer?

Several options exist to reduce your risk of dying from colon cancer. The recommended choices are the fecal occult blood test, flexible sigmoidoscopy and colonoscopy.

Colonoscopy is the best test. It reduces the risk of death from left-sided cancer by 60-70%. It also protects the right side of the colon. It is  the "preferred" screening test for colorectal cancer prevention according to the American College of Gastroenterology Guidelines for Colorectal Cancer Screening 2008. The benefits of colonoscopy are that it is widely available, it examines the entire colon, it allows for single-session diagnosis and treatment, and it need not be uncomfortable when sedation is used.

The stool for blood test (also called the FOBT test) requires that several stool samples be sent for analysis to determine if blood is in the stool. In a study in the New England Journal of Medicine, the FOBT test identified only 23.9% of patients who had an advanced pre-cancerous lesion as determined by a colonoscopy performed right after the FOBT test. This test needs to be repeated every two years. It reduces death from colon cancer by 15-33% and is better than no screening at all. It is cheap and safe and easy to do.  Colonoscopy is better at preventing colon cancer. The Asia Pacific consensus recommendations for colorectal cancer screening suggest that this test is appropriate for use in resource-limited countries.

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News Coverage: Medical fee cuts could prompt another clinic infection scare: doc

A recent story in Metro (Ottawa) outlines the why proper public funding is necessary for out-of-hospital endoscopy clinics and includes the Health Minister's response:  Medical fee cuts could prompt another clinic infection scare: doc

The article highlights how clinics are expected to provide for $22.35 what hospitals provide for about $300 -- that is, safe, quality care.


Photo © NR Yergler, CC BY-SA 3.0.

 

We asked a local Ontario veterinary hospital what is the cost of performing a colonoscopy on "man's best friend". The owner is billed at least $1,400 to $1,600. That is almost eight times the total revenue received by the colonoscopy clinic and the physician combined, to perform the same service for a human. What does that really mean?

 

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Colon Cancer Facts

What is colorectal cancer?

Colon cancer is 90% curable if caught early -- if caught late, it is 90% fatal. Colon cancer is the second leading cause of cancer death in North America. In 2012 the Canadian Cancer Society estimates that 23,300 Canadians will be diagnosed with colorectal cancer and 9,200 of us will die from it. Put another way, 1 in 13 men and 1 in 16 women will be diagnosed with colorectal cancer. Colonoscopy is the best test to prevent colon cancer.

How does colorectal cancer start?

http://commons.wikimedia.org/wiki/File:Colon_cancer.jpgMost cancers develop on the inner lining of the large bowel from gland-type polyps. You can think of polyps as flat lesions, like a pitcher's mound in baseball, or as pedunculated lesions like a mushroom. Some polyps are harmless and others grow to become cancerous. The pathway from normal mucosa, through a polyp stage to a cancer takes about ten years on average. Some cancers are more aggressive and grow more quickly; others more slowly. The photograph shows two polyps and a cancer.

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News Coverage: New colonoscopy options test more people for preventable cancer

Helping Meet the Need in Kitchener-Waterloo-Cambridge

The Reimer Clinic is proud to be able to serve patients in Waterloo Region with quality colonoscopy services. Out-of-hospital clinics, together with hospitals have collectively eliminated the waiting lists for endoscopic care in our region. The KW Record detailed the options available for residents of Waterloo Region.