There was only an MA and the doctor. The MA was busy checking in patients and the doctor decided another xray was needed. Time lag as she was in another room. After xray, MD wanted to give a cortisone injection. MA with another patient . MD went to do another patient consult.  Time lag.  We we were there 2.5 hours.  MD Could consider placing a note/white board for the MA so she knows what else the doctor needs for that patient to get them through the visit in a more timely manner. 
AHCPP ORTHOPEDICS