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About the clinic
A clinic page is usually a list of adjectives. This one is a list of things you could hold us to, which is a shorter and more awkward list to write and a more useful one to read.
What we publish
The useful parts of a clinic are the ones written down in advance of your visit. What a first appointment produces. What gets referred onward rather than treated here. Which procedures happen in this building and which are arranged elsewhere. How a cost is arrived at. All four are published rather than described on the day.
That is deliberate, because a commitment you can read before booking anything is worth considerably more than a reassurance you receive afterwards. It also means a visit that falls short of it is something concrete you can point at rather than a vague sense of disappointment.
Each of the specific ones sits on its own page rather than only here. The first visit lists the four answers, red flags lists what we decline, and what treatment costs sets out how a figure actually gets built.
Hold us to these
Nobody is treated for bleeding that has not been looked at, whatever they would prefer and however inconvenient that is.
Grade, options, likely session count and cost. A visit producing fewer than four has not finished its job.
The findings that get a referral rather than a band are written down rather than decided case by case.
Where a figure is not sourced, the page says so and leaves the gap instead of filling it persuasively.
What we will not say
A single success rate, because providers publish about ninety, over ninety-five and more than ninety-nine percent for the very same procedure and every one of those is self-reported. A single price, because the number depends on your session count and your own plan, and the sourced figures span a factor of five.
That a procedure is permanent, because every option here treats tissue that already exists and not one of them changes the pressure that produced it in the first place. And that bleeding is nothing, because that single sentence is the one that keeps people away from an examination for months at a time.
Each of those has a page explaining the reasoning rather than just the refusal. What the evidence says, why they come back and bleeding cover three of the four between them.
Check for yourself
Each of the four commitments has its own page, so you can check them before booking rather than afterwards.
The four answers a consultation here is supposed to produce.
Learn moreThe published list of findings that get a referral rather than a band.
Learn moreHow a figure is arrived at, rather than a figure quoted in advance.
Learn moreFive questions worth asking any clinic, including this one.
Learn moreCommon questions
What people ask about the clinic itself rather than about the condition.
I put this off for two years. The first visit was an examination and a plain explanation of what grade it was, and nobody made me feel foolish for waiting.
They examined before they said anything, then told me the options for my grade and which one they would pick and why. The reasoning was written down for me.
The doctor said my case did not need a procedure yet and sent me home with a stool plan and a review date. A clinic that passes up a procedure earned my trust.
Everything was explained in words I understood, including what the evidence does and does not show for each treatment. No sales talk at any point.
From the blog
Bleeding
Bleeding from hemorrhoids is common but frightening. Learn what causes it, which patterns are routine, and which warrant urgent evaluation or referral for colonoscopy.
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When to Worry
Most hemorrhoid symptoms resolve with conservative care, but some signs demand immediate attention. Learn what distinguishes routine discomfort from complications requiring urgent evaluation in Hamilton.
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Diet & Fibre
What you put in your cart at a Hamilton grocery store has a direct effect on how often hemorrhoids flare. Here is what the evidence supports, aisle by aisle.
Read articleNext step
Everything on this page is checkable at your first appointment. If the visit does not produce the four answers, that is worth saying while you are still in the room.
If what you have belongs with a different specialty, you will be told at the first visit.