Yes- With the exception of a few times over the years when she has been ill, she keeps her appointments, she takes very little time off for vacations because she schedules her vacations around her work schedule so she can take a 2 week vacation and only miss one week of our appointments. When I email her she normally responds within a day or so the exceptions are when she has been sick or having computer issues. Even before going on vacation she always tells me that she will be occasionally checking her email so to email if I need to. If I need an additional appointment or if by email she thinks I might need to see her she will offer to see me on one of her non scheduled office days...