How to Get a Sooner Doctor’s Appointment

A friend of mine had a hard time getting in to see her doctor for an urgent visit last week. Reeling from an unexpected and sudden family upset, she was depressed and anxious, unable to sleep or function, and her therapist was advising an antidepressant.  She called her family doc, who works at a large hospital-based multispecialty group, and told the woman at the call center that she wanted to see the doctor on an urgent matter. She was given an appointment 6 weeks in the future.

Summoning her courage, my friend told the woman her story – and that she was really worried about herself and did not think she could wait that long.

“Sorry, that is the best I can do” was the reply.

Increasingly upset, my friend told the woman that if she had to wait that long, she just might kill herself in the interim.

“That’s your choice, Ma’m”, was the curt response.

“Thank you”, said my friend. “And what is your name, please?”

Silence. Then -

“Just a moment”.

“You can come Tuesday at 11:45 am”.

When my friend told her doc what had happened, he was appropriately appalled, and advised her that the if this ever happened again, she should ask to speak to his nurse or to him directly, an option my friend told me she had never even considered.

Which made me realize that not everyone knows what to do when, for whatever reason, they can’t get a soon-enough appointment with their doctor for an urgent matter.

What To Do If  Your Doctor’s Appointment Isn’t Soon Enough

We can talk some other time about what is happening to health care, why that secretary up there should be fired, or how call centers, for all their efficiencies of scale, can become too far removed from the action of a doctor’s office to function effectively. None of which will get you in to see your doctor.

So here’s some practical advice for when you need to get in to see your doctor on an urgent medical matter and his/her office staff gives you an appointment that you believe is too far into the future.

  • Be up front about why you need the appointment, as my friend was. This will help your doctor’s staff to triage your appointment appropriately, and most of the time, will be all you need to do.
  • Ask if you can see one of your doctor’s associates or the nurse practitioner sooner;
  • Ask to speak to the nurse or office manager;
  • Ask that your doctor call you;
  • If you can, email your doctor directly;
  • If your doc’s practice is attached to a hospital or medical school, contact patients services at that institution and ask for their assistance.

Mind you, these tactics are not appropriate if you’re just trying to make things more convenient for yourself. In fact, they may actually backfire, since you may annoy the office staff for a non-urgent reason.  In that case. your best bet is to turn on the charm and worm your way in. Even better, call daily looking for cancellations, and be willing to come at the last minute if something opens up.

Take a different approach for a new patient appointment

If you’re looking for a sooner new patient appointment, you’ll need to take a different approach, since your doctor and his nursing staff are under no obligation to take your call if you are not an established patient. The office manager may be willing to speak with you, however, so it’s worth a try asking him/her to call you back. If it is a specialist you’re trying to see, ask your referring doctor’s office to facilitate the appointment. If the practice is affiliated with a hospital, contact the physician referral service – they should know which practices have availability so you can get your urgent matter handled. Calling daily in the mornings looking for a cancelled spot is also worth doing. If you’re friendly enough, you’ll make best friends with the office staff, and they’ll remember you next time a cancellation occurs.

If all this fails, seek care in an urgent care center in your area, or, as a last resort, the Emergency Room of your hospital – but only if it’s a real emergency.

10 Responses to How to Get a Sooner Doctor’s Appointment
  1. rlbates
    July 3, 2011 | 2:49 pm

    Nice tips

  2. James
    July 6, 2011 | 1:53 pm

    The problem is, EVERYONE thinks his or her problem is too “urgent” to wait 6 weeks. Which problems are urgent enough to use the tactics you list and which aren’t? And how are patient’s supposed to know the difference?
    Access to your doctor may suck, but it is what it is. I don’t think receptionists should be making triage decisions. The only fair way to manage this is for everyone to waith their turn. If they need to be seen urgently, there’s the ER. But overbooking and double booking patients because we, as doctors, feel they need to be seen sooner isn’t fair to anyone.

  3. SeaSpray
    July 9, 2011 | 11:36 pm

    Hi TBTAM – when I read, ““That’s your choice, Ma’m”, was the curt response.”, I actually exclaimed OMG! out loud!

    I would NOT want that person representing my staff in anyway! If not fired …serious reprimand and *re-education*. But… seriously …how about compassion? If there truly was no way to access her physician, then at the very least ..she should’ve mentioned the emergency room if the patient told her she was suicidal. And protocols for giving resource numbers to patients in crisis.

    I shudder to think she could’ve dealt with meek patients in crisis who would not have been assertive enough to ask for her name.

    Great suggestions! I have been fortunate in that my docs just get me in. One doc is so particular that they have numbers to press for specific people/matters.

  4. David
    July 10, 2011 | 9:56 pm

    In the New York City area:

    I’ve heard about same day walk-in service from these people…

    http://www.drwalkin.com/

    Also, plenty of short-term appointments available on
    http://www.zocdoc.com/

    which is going to other cities….

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  6. [...] How to Get a Sooner Doctor’s Appointment - What to do to be sure you don’t wait too long to get seen for an urgent medical problem. [...]

  7. Amalia
    April 6, 2012 | 2:09 pm

    All the advice is very good and it works most of the time …it is funny that I just saw this post today. This Monday I called my doctor office to tell her that I was in pain and asked if it would be possible to see her. It is relevant to point out here that I usually make the appointments with months in advance and this was the first time that I call for something urgent. The assistant asked me how long I had my pain (a few days) and told me she has to talk to the doctor and then she will call me back. She assured me she would get back to me the same day. So I sat by the phone and waited…nothing happened that day. Next day, I waited the entire morning…nothing happened. I called again. The assistant had talked to the doctor and she wanted to see me but unfortunately they have no available appointments…so when something opens up, they will call me…

    It is Friday and nothing happened. I would have appreciated a few words of compassion, like: “How bad your pain is” or “please try a couple of acetaminophen tablets”…but no advice was given. Should I fire my doctor? If so, I have the hard task of finding someone else specialized in the field and waiting a couple of months for a first appointment. It is not easy being a patient with patience.

    • Margaret Polaneczky, MD
      April 6, 2012 | 2:12 pm

      Amalia –

      Ask to speak to the doctor yourself. Use email to the doctor or if the doc has a connect program use that messaging service.

      Let us know what happens.

      Peggy

      • Amalia
        April 9, 2012 | 6:41 pm

        I looked for my doctor business card and there was no email address but a fax number. So today I followed your advice and sent her a message using the good-old fashioned fax technology instead. Five minutes after the fax machine gave me the OK, the phone rang. It was my doctor’s assistant, to tell me that I have an appointment tomorrow at noon! Thanks, Peggy!

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