The first visit
What happens in the first ninety minutes
The Vitality Assessment is a single 90-minute appointment, in Suite 1140 or by video. It is the only way into a program. We use the hour to put numbers on circulation, sleep, pelvic-floor clues, mood and the history of your erections, then we write an 8-week outline you can take home. You are not asked to pay for Reset or Restore during the history; those fees are named at the end, in writing, after you have seen the plan.
CAD 189, GST included. Credited in full if you start Reset or Restore within 30 days. Wear clothes you can sit in for an hour. If you have a home blood-pressure cuff, bring the log. If you do not, we will measure here and tell you which cuff to buy.
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Before you arrive
What to fill, what to bring
After the booking is confirmed we send a short intake: current medicines and doses, past surgeries, last known blood pressure, and four questions about morning erections, partnered erections, sleep and mood. Fill it on a day when you can be accurate. Guessing a dose wastes the first fifteen minutes of a paid hour. If a family physician or specialist letter already exists, photograph it and bring it; we will not chase a clinic for records on the day.
Bring a printed or phone list of every prescription, over-the-counter tablet and supplement you take, including the ones you only use on weekends. Bring any lab printouts from the last 18 months, even if someone already told you they were “fine.” If you have a home cuff, sit quietly for five minutes on three evenings in the week before the visit and write the numbers down. We would rather see seven ordinary readings than one perfect reading in our chair.
Eat as you usually do. Do not skip coffee to “look healthy” on the cuff; tell us what you drank. Arrive ten minutes early if you are coming in person. The ParkPlus lots and the 7 Street SW CTrain walk are described on the contact page.
Inside the room
Ninety minutes, in five blocks
15 minutes — settle and map the year
We confirm identity, consent and who else may be told anything from this file. Then we take the last twelve months in order: when morning erections changed, when partnered erections changed, what has already been tried, and whether pain, curvature or a sudden drop is in the story. Sudden change with pain is a stop sign; we do not spend the rest of the hour selling a program. This block also catches the medicines list so later blocks are not guessing at side effects.
25 minutes — vascular and metabolic picture
Sitting blood pressure after five quiet minutes, then standing. Waist at the iliac crest. Resting pulse. A brief look at weight trend, alcohol, and whether anyone has ever named prediabetes or sleep apnea. We are not running an exercise test. We are deciding whether the penis is being asked to perform on top of 142/92 and a 108 cm waist, which is a different plan from a 33-year-old with a normal cuff and a panic in the bedroom. If readings are very high, the remaining blocks shorten and the referral lengthens.
20 minutes — sleep, hormones, pelvic floor clues
Hours in bed, hours asleep, snoring, shift work, and the ISI. We ask about morning testosterone draws you may already have, thyroid history, and whether a prostate or pelvic surgery is in the file. A few questions stand in for a pelvic-floor screen: leaking, straining, pain with sitting, the sense of guarding. This is not a physiotherapy assessment; it tells us whether to book one. Hormone interpretation, if labs exist, is a joint read with your physician, not a prescription in our room.
20 minutes — questionnaires and the relationship load
IIEF-5 for erectile function, ISI for insomnia, and a short mood screen. Scores are a baseline we will repeat. We ask, carefully, whether the difficulty is mainly alone, mainly with a partner, or both, and whether a partner wants to be in a later session. Anticipatory anxiety is named when it is present, because a vascular program will not fix a sympathetic spike that starts in the hallway. If the mood screen is heavy, we talk about a physician or psychology referral before any module is scheduled.
10 minutes — the written plan and the fee
You get a one-page 8-week outline: which modules, which measures we will repeat, which labs to consider, and the cost of the next step with GST included. You are not asked to decide in the chair. Take the page home. If the honest conclusion is that we are the wrong centre, we say that in this block and we explain how the CAD 189 is handled under the refund policy.
Measurements we take
What we write down, and why
Sitting blood pressure after rest tells us the load on every artery, including the pudendal tree. Standing pressure catches a drop that would make aggressive fluid or medication advice unwise; we are not your internist, but we will not ignore a 20-point fall. Waist circumference is a faster proxy for visceral fat than the scale and it is the number we repeat at week 8. Resting pulse, taken sitting, is a rough autonomic clue and a training-readiness clue; a high resting pulse with poor sleep is a reason to go slowly.
IIEF-5 is a five-item erectile score used widely enough that your physician will recognise it. We use it as a before-and-after measure, not as a moral score. ISI (Insomnia Severity Index) puts a number on a complaint men often shrug off; sleep is a vascular intervention. The mood screen is there because untreated depression and some of its medicines both sit in this file, and because a program that ignores them wastes your eight weeks. None of these instruments diagnoses a disease on its own. They make the week-8 visit a comparison instead of a feeling.
What you leave with
A page you can read on the CTrain home
The written 8-week outline lists the modules in order, the days of the week we expect from you (diary, cuff, two training sessions, or a physiotherapy slot), and the date of the re-measure. It also lists the labs we think are worth drawing, with a sentence of why beside each test, so a family physician can agree, edit or refuse. You get a schedule of modules with times, and a cost line for each next step: Reset at CAD 1,240, Restore at CAD 2,180, or a smaller add-on if a full program is the wrong size.
You also leave with limits in writing: what we will not start without a physician note, and what we will not claim. If acoustic wave is on the outline, the page says the evidence is limited. If pelvic floor is on it, the page says a course of six, 45 minutes, in clinic. Take a photograph of the page. We keep a copy in the chart under Alberta’s Health Information Act rules, described in the privacy policy.
When we are the wrong door
If the answer is “this is not for us”
Sometimes the 90 minutes end with a referral to a urologist, a cardiologist or your family physician, and no program offer. Sudden erectile change, suspected Peyronie’s disease, post-surgical complexity we are not staffed for, uncontrolled pressure, or a mental-health risk that needs a different setting are the usual reasons. That conclusion is a successful assessment. It is not a failed sale.
If we knew before you sat down, from the screening call, that we could not take the case, we do not book the 90 minutes. If the finding appears during the hour, you have used the clinician’s time; the refund policy explains what is returned and what is kept. We will still send you, with consent, a short factual summary so the physician you see next is not starting from zero. We do not keep you on a waiting list for a program we have already said is wrong.