Wow ... Lynchburg does look like it is surrounded with trees. I bet it is nice there. I live in the rural Midwest state of Iowa. I live in Iowa City which is a relatively small city. In Iowa, we don't even have what people consider a "large city."

Fortunately, in Iowa City there is a large university hospital. This hospital is too large for many Iowans who prefer their local doctors -- nothing wrong with that. Many local doctors will make arrangements for their patients to be seen by a specialist at the University Hospital. Depending on many factors, a "doctor referral" might be faster than a patient "self referral."

If transportation is a problem, the University Hospital has a fleet of cars which go out and pick patients up and take them home again. The specialists at the University are just "consulted" and give advice to the local doctors about the best approach to manage their patient's condition. The specialists at the University don't take responsibility for all of a patient's health care needs.

I had access to many specialists here in Iowa City. Too many specialists isn't ideal either.

Is this doc an option?