benefits purchased by the consumer? In other words‚ what is the Shouldice value proposition? In what ways is Shouldice’s offering different from other hospitals? 2. What is the target group of customers‚ and what do they have in common apart from a hernia? 3. How are the benefits delivered to those customers—how does the production process work? You might like to think of this as a factory with people as the work in process. Does the production or delivery process match the value proposition? 4
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MEMO To: Alan O’Dell – Hospital Administrator Date: 18 September 2013 Subject: Sustainable Growth Strategy As consultants for Shouldice Hospital Limited‚ we see that the major problems confronting the hospital are capacity management while maintaining quality‚ technique being copied by other doctors and succession planning. Although the hospital has good reputation and quality service‚ it is not able to service customers due to lack of capacity as well as conflicts among
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REASON PROCEDURE: Endoscopy. INDICATIONS For refractory epigastric abdominal spasm and possible heartburn symptoms despite omeprazole and ranitidine therapy. Prior history of peptic ulcer and a "large" hiatal hernia performed elsewhere. DESCRIPTION OF PROCEDURE Time-out was called. Consent signed. IV sedation performed. The forward-viewing endoscope was passed into the mouth of the esophagus‚ stomach‚ then to the second portion of the duodenal without difficulty. Upon withdrawal‚ the following
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Liver cells became inflamed Liver cells became inflamed Inflammation of the lining of the stomach (gastritis) Inflammation of the lining of the stomach (gastritis) Contributing factors for hiatal hernia * Farmer (heavy lifting or bending) * smoking Contributing factors for hiatal hernia * Farmer (heavy lifting or bending) * smoking Ampicillin Causes chronic active gastritis Defect in gastrin regulation Increased acid H. pylori responses to increased gastrin
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lacks bulk and the volume of the colon is small. diverticula are small herniations of the mucosa in the colon walls. 2) A client is 67 years old and has had a hiatal hernia for three years. In the last year‚ she has complained of worsening heartburn‚ especially at night. What are the characteristic symptoms of a hiatal hernia and which of these symptoms did the client have? The symptoms are heartburn‚ regurgitation from gastroesophageal reflux. The Woman complained of heartburn.
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duodenum (the uppermost part of the small intestine) for hiatal hernias‚ ulcers‚ bleeding sources‚ tumors or other problems. The procedure can also offer a number of therapeutic interventions such as control of bleeding‚ manometry‚ or dilation. The procedure’s medical name is actually a combination of the names of three different procedures that are usually performed collectively: Esophagoscopy—looking inside the esophagus for hiatal hernias‚ polyps‚ strictures‚ etc. Gastroscopy—looking inside
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think you have a hernia.” The old man said‚ “I thought it was a fart‚ but from the feel of it‚ looks like we were all wrong.” Hernias are a condition that make part of your body organ poke through or protrude through the wall of the cavity that is containing it. The wall of the muscle tissue usually becomes too weak to hold it‚ and the organ than pokes
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into the throat (ncbi). One common cause of Gastroesophageal reflux occurs when there is an abnormality in the stomach called a hiatal hernia. This happens when the top part of the stomach and LES move above the diaphragm‚ a muscle that keeps your chest and stomach separated. In normal circumstances‚ the diaphragm helps keep acid in our stomach‚ but if you have a hiatal hernia‚ acid can move up into your esophagus and cause symptoms of acid reflux disease (webMd). Gastroesophageal reflux (GER) can form
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taken prior to administration of the contrast medium and these are useful in detecting perforation‚ presence of radiopaque foreign substances and gastric wall thickening. Oral contrast mediums‚ such as barium sulfate highlight conditions such as hiatal hernia‚ pyloric stenosis‚ gastric diverticulitis‚ and presence of undigested food‚ congenital anomalies or diseases of the stomach such as gastric Ulcer‚ Cancer‚ stomach polyps. As the person swallows the barium suspension‚
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by which a kidney stone or other calculus is broken into small particles that can be passed out by the body. Fibromyalgia- a chronic disorder characterized by widespread musculoskeletal pain‚ fatigue‚ and tenderness in localized areas. Hiatal (HERNIA?)- Hiatal hernia is a condition in which part of the stomach sticks upward into the chest‚ through an opening in the diaphragm. The diaphragm is the sheet of muscle that separates the chest from the abdomen. It is used in breathing. Cystic Fibrosis- a
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