Number 1 for me. I have the best pdoc in my area and he is amazing at adjusting my meds so that I can have a happy and productive life. And he is available, just not outside of business hours. If it is an emergency, he directs his patients to call 911. Same with my T. I can't imagine a time when I would try to call my pdoc after hours and expect a response. I don't have his personal cell or his email and he has an answering service so Its the ER or nothing. Luckily I haven't had to use it.