@pitord and @bettyg81pain , Not receiving an appointment can understandably be both disappointing and frustrating. Unfortunately, Mayo Clinic has more requests for appointments than available openings in many departments. In some cases, Mayo Clinic experts may review a case and determine that they cannot offer treatment that would be beyond your current treatment. In these circumstances, in addition higher-than-normal demand, Mayo Clinic does not want a patient to incur additional costs for evaluation or travel if it feels they cannot offer care that is different from what you’re already receiving.