Same day appointments for acute illnesses is the standard in my practice with rare exceptions. I beleive that if you are sick, you should see a physician as soon as possible. There may be a wait as we work you into what is most likely a busy schedule, but you will be seen and taken care of rather than being sent to an emergency room. I am happy to stay late or work through lunch to accommodate additional patient visits. Exceptions include rigid time constraints such as out of town travel/flights, speaking engagements, or other prior evening commitments. In cases where you will need to see a specialist on an urgent basis, we will work hard to get you in to see someone within 24 hours.