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MuddyBoots a missed appt is difficult especially when you are in dire need of one. Can you call the pdoc nurse line to see if there is something they can do for in the mean time? I'm sure we have all been there and done that. I have to use three different methods of keeping up with the appts and even then I get them screwed up. Sometimes time passes quickly and even more debilitating when we are in our own head. I have a really bad concentration issues. I can never find anything and here lately I can't even keep up with the days. My life whirs by me and most of the time I am out of it. So no you are not stupid, it happens to the best of us. Be gentle with yourself. I hope you can find an alternative to get the care you need before hand.