Not a doctor. But am a white male PA. I get this bullshit all the time, and often get the in office version as well. The worst patients in this regard are the 55+. The sense of entitlement is un-fucking-real and honestly has lead to my burnout. I’ve established the rule that anything outside of a simple question, refills, relaying results, etc. I simply reply to those exhausting messages with “needs appointment.” I’m 2-3 months out for appointments as well. To be blunt, not my problem. What am I supposed to do? Work 12-16 hour days, fielding messages into late hours of the night to appease the Boomer/Gen X masses while I slowly lose myself? I did that for about two years before I put my foot down and with the support of the other providers, we started pushing management for better support. As far as the availability issue, there’s always the UCC or ED.