The single commonest reason people put this off for months is not the cost or the waiting time. It is embarrassment, and a page that skips over that is not being much use to anybody.
Almost everybody says some version of the same sentence in the first few minutes, which is that they have been meaning to come in for a long time and feel ridiculous about having left it. It is so consistent that it is worth treating as a design problem rather than as a personality trait.
So the visit is built around it. One clinician in the room and nobody else. The examination lasts a couple of minutes and you are covered throughout it. Everything is said out loud as it happens rather than afterwards, because not knowing what comes next is most of the discomfort.
And nothing you describe will be the worst thing heard that week. The examination page describes the physical part in detail precisely so there are no surprises, the symptoms hub covers how common all of this actually is, and itching covers the complaint people find hardest to say out loud.
Montreal first visit
Practicalities
What to bring to Montreal, and how long
Half an hour, realistically
Most of it is conversation. The examination is a couple of minutes of that, and you are dressed again immediately.
Your medication list
Everything, including anything bought over a counter. Blood thinners in particular change what can be done.
Your plan details
Sent in advance if possible, so the coverage answer is ready rather than being worked out while you wait.
Whatever you have tried
Creams, wipes, supplements, how long each went on. This changes the plan more often than people expect.
What you leave with
What is settled by the time you go
Four things, and they are worth listing because a visit that produces fewer than four has not really done its job. The grade, or the reason a grade does not apply. Which options that allows. Roughly how many sessions a course would run to. And what it will cost you.
Nothing at all is booked on the spot unless you want it booked. A good number of people take the figures away and think about it for a week, and a few decide the conservative route is enough for now, which is a legitimate outcome rather than a failed appointment.
If any of the four is missing when you leave, that is worth going back for. What treatment costs covers the fourth, the treatments hub covers the second, and referrals covers what happens if this needs someone else.
One clinicianIn the room
Half an hourBudget for
Four answersYou leave with
Next
What follows your first Montreal visit
The examination in detail, what happens either side of a procedure, and the referral question.
First hemorrhoid consultation questions in Montreal
Including the ones people would rather ask anonymously than at the desk.
It is the commonest thing said in the first five minutes, by almost everybody. One clinician in the room, a couple of minutes of examination, covered throughout, and nothing you describe will be unusual here.
Budget around half an hour. Most of that is conversation about symptoms, history and options; the examination itself is a couple of minutes and you are dressed again straight after it.
One clinician. Nobody observes, nobody comes in partway through, and if you would rather have someone you brought with you present, say so and that is arranged.
Your full medication list including anything over the counter, your plan details, and a note of whatever you have already tried and for how long. That last one changes the plan surprisingly often.
No. Nothing is booked on the spot unless you want it booked, and deciding the conservative route is enough for now is a legitimate outcome rather than a failed appointment.
Then you leave, and nobody chases you. It is a more common outcome than you would think, and coming back later is easier than the first attempt was.
The first visit
Built around the actual barrier
Embarrassment is the barrier
Not cost and not waiting times. Almost everybody says it in the first five minutes, so the visit is designed around it.
One person, two minutes
One clinician in the room, a short examination, covered throughout, and everything said out loud as it happens.
Four answers or go back
Grade, options, likely sessions and cost. A visit that produces fewer than four has not finished the job.
Nothing booked on the spot
Taking the figures away to think about is normal, and deciding against a procedure is a legitimate result.
