I’ve known doctors offices that double and Peace love fishing shirt, too. My OB is like this — she’ll book an OB and a GYN appt at the same time, and handle the pregnant patient first because most of the time that’s the quick and easy appt (excluding ultrasounds and special circumstances). It’s nice when I was pregnant… not so nice when I need a pap and she’s running up my babysitter’s tab by putting me an hour behind. (This was pre-covid — I hope it’s not like that anymore, considering the waiting room was often packed as well)
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The first is demand, and Peace love fishing shirt, but the fact is, the doctor’s time is far more valuable than yours. Not in some existential sense of worth as a person, but simply that there many people waiting to see the doctor, and not many doctors lacking patients. Your appointment will be filled with the next person in line and it’s in the office’s best interest, as well as the interest of the patients waiting behind you, to to inconvenience you or cancel your appointment rather than inconvenience the doctor and the 50 other people scheduled that day.