If I were a doctor, I'm not sure I would say "I'm sorry, I don't have time to discuss this; please reschedule." I remember how many questions came to mind AFTER I made the appointment. But, I had a very unique pedi when my boys were babies. She told all her patients that she regularly ran 30-60 minutes late but when it was our turn, we'd have her full and undivided attention for as long as we needed it. We were encouraged to call ahead to see how behind she was running. Because of this, being 15 minutes late was rarely an issue.
And this doc meant what she said. I had 30 minute appointments go as long as 90 as we worked through all issues to everyone's satisfaction...and she NEVER made you feel rushed. On many occasions, she gave us extra special care, whether it was middle of the night phone calls, very late appointments or being seen immediately because *I* was a complete basket case over something. Because she was so great and free with her time, I never, ever minded waiting and I never met a family of hers that did. We all knew that the price for her superlative care was delays. We adapted because she was worth it.
In the end, a medical practice treats human beings. If we're at the doctor it's because we need attention and I doubt anyone would feel they got good attention if their "special circumstance" was not treated with compassion. It's been my personal experience that the more patient I am with tardiness, as a patient, the better service I get when I truly have an emergency. For example, for my annual "woman" exam, I try to be the first patient of the day (9am) and I tend to show up on time or early. I know my doc is also a surgeon who does her surgeries at 7am. Sometimes surgeries run long. I remember one time she was two hours late and I fell asleep on the exam table waiting for her. Now, for all the appointments behind me, they call and reschedule, but I always elect to wait. I've already taken the day off, so no big deal (I'm lucky to be able to do this). Two weeks ago, I had a horrible bladder infection and called, in tears, with the pain. She saw me within two hours of my initial phone call and I had drugs within the next hour. What goes around, comes around. Because I'm not a complainer, I get the extra special care I need, when I need it.
But, that's just me. I understand the "my time is valuable" argument and respect that. But, for me, I try to remember that no one's perfect, emergencies happen and sometimes life just gets in the way or doesn't go our way. As I always tell my children, waiting patiently "in line" (whether it's the doctor, the grocery store or anywhere) is what adults have to do to earn their Christmas presents! <wink> I have faith (and experience has shown) that if I'm patient as a patient, things do work out in the end.
Good question! I hope you find the answers you seek!