They are complete incompetent idiots.
We will have a come-to-Jesus moment on Monday at my appointment. It has been one administrative screw-up after another - starting with not sending me the follow-up from my routine screening and, on Wednesday informing me that my Thursday MRI was scheduled 30 miles away from the location they had told me it was at (all the while insisting that they had gotten my permission to schedule it there), then not having 2 of the three orders there because - guess what - the orders were apparently sent to the facility I was told I would be at for my MRI.
I understand the need to take whatever appointment is available to get the information as quickly as possible, since many of people and facilities are scheduled months out. I would have agreed to drive to the distant location - had I been asked up front. BUT, I would not have arranged my entire schedule on Monday, when the appointment was made, (and the schedules of my students who had a final exam the next day) on the premise that I had a 5 minute drive to my appointment and could easily hold office hours both before and after the MRI.
I have two good choices for surgical care. This local doctor is far more convenient that the other - BUT - it takes all of my reserves to ask "how high" when the doctor says jump, and then do what I have to to make sure I can reach that height. I can't tolerate a last minute change from my planned 10' jump to a 15' jump because the administrator who originally relayed the doctors orders gave me the wrong information (let alone insisting that I had previously agreed to jump 15'). Not once, but at least a dozen times out of the last dozen communications.