Hello @cindy0511, If this is Mayo Rochester you are talking about then the typical visit will most likely result in a change in schedule during or after the first appointment. When searching for a diagnosis, there are many unknowns which need to be evaluated. Chances are everything will be addressed right away, particularly if you let people know you are nine hours away. You will find Mayo staff very accommodating as best as they can. Patients come to Rochester from all around the world and from five miles away. When you get there you will understand the Mayo difference in the health care you receive. No worries. Good health to you.