When you have an appointment at your doctor's office you have to deal with the office staff for referrrals, making new appointments et cetera. They do the non-medical work for the doctors. For some readon in my case, I have problems with them. I have to call to ask why a referral that was ordered by my doctor wasn't made and I have to be persistent or it will not be made. It may seem to be a tempest in a tea pot, but it concerns my health care and it matters to me. Why do I have to do their work for them ? Do any of you have to deal with this issue ?