She got me in on the same day once when I really needed to see her. There have been a few other times when I needed to move my appointment on the day of because of last-minute medical things and she was somehow always able to accommodate me by seeing me earlier or later on the same day. I think she must leave openings in her schedule and/or be willing to see me during times she was originally planning to do paperwork. I have the sense that if I really, really needed to see her, she would probably almost always be able to make it happen with 24 hours or so.