Pt called today having been seen (at her request) by three providers in our office last week for a flat non-painful red rash to her face. The proceeded to go to ED when she didn't get the answer she wanted (finally did take meds from the ED when they offered her the same stuff we did
.) No swelling, no airway blockage, etc., nothing major except her vanity - probably just a viral thing. She's got her undies in a bunch. Wants to be seen by a derm TODAY. Told her we'd make a referral but I couldn't guarantee an appt today and was quite sure it would be two weeks down the line or more. Sure enough mid-May is as early as she could get in as a new patient with a non-emergent problem (granted, I can get someone in who truly needs to be seen today, but I'm not a fan of using up my chips on people who are merely short-term aesthetically challenged.)
Also invited her to call at-home derm to see if she could be seen any sooner and I would send the referral letter. I think she'll find out that things aren't much different in "the big city."