Coming to a doctor can sometimes be an intimidating experience, particularly when problems involve elimination or “private” parts of the body. Our staff is sensitive to your concerns and will strive to make your first visit as pleasant as possible.

If time permits, paperwork will be mailed to you in advance. This includes questions about your medical history, insurance and payment information and consents for examinations. If all of these forms are completed at home, please plan to arrive 10-15 minutes before your scheduled appointment. If time does not permit mailing this information and completing the forms before your appointment, please plan to arrive at least 30 minutes prior to your appointment. Information about your past medical history is very important to your physicians. Please arrange to forward or bring medical reports about your problem to your first evaluation.

If your problem involves your intestines, particularly the colon or rectum, you may be asked to take two cleansing enemas before coming to the office. Fleets Enemas can be purchased without a prescription at any drug store. Administer 1 enema 2 hours before leaving home and a second enema 1 hour before leaving home.

We know that your time is as important as ours; hence we make a concerted effort to see you at your appointed time. On rare occasions, surgical emergencies arise that demand patience on the part of both the patient and the physician. If you have to be late or need to cancel your appointment please let us know so that we can allocate our time accordingly.

Your consultation always begins with a face-to-face discussion with your physician in the examination room. This will give you the opportunity to talk about your problem in detail and ask any questions about your examination. An assistant will be at hand in the room to help with your examination.

If you have an examination of the lower intestine you will be positioned either on your left side or in the “knee-chest” position on a moving table. A digital examination assesses the tone in the anal sphincter muscle. A flexible sigmoidoscope is then used to visualize 40-60 cm. (12-25 inches) of the colon. Finally, a smaller instrument (anoscope) is used to visualize the lower rectum. Air is sometimes used to gently distend the intestine and permit complete visualization. Hence, it is not uncommon to feel a “full” or crampy sensation during the examination that will subside quickly when the scope is removed.

Your consultation is completed in the examination room where the findings are discussed, the plans for treatment are explained and your questions are answered.