No, as in dumb staff who communicate poorly at the doctor's office.
My doctor had an emergency surgery, so he was going to be late by a lot. His secretary called my cell. I get no service on the campus, so it didn't go through. But the problem was she didn't tell the front desk staff. I get there and assume everything is fine. They take me for an x-ray, and then call me back. Then, the office secretary says my doctor isn't there. I'd already been there 30 minutes. So I go to the front to make sure I won't be charged. They say they have someone else who can see me. I wait 30 minutes, and ask how much longer. They say I'll be take back five minutes later. It was more like 10. Then, I sat in a back room for another 20 minutes before finally coming out and asking for their manager. My doctor finally gets there, goes over the x-rays, and I leave. After having a long talk with the office manager. If I had gotten there and they had told me right then that they couldn't honor the appointment, I would have rescheduled and that would have been it. I would have wasted 30 minutes at most (office is 10 minutes from school). And I wasn't the only patient there waiting forever; a woman who had an appointment right after mine commiserated with me and then also spoke to the manager. So I place the blame at his secretary's door for not telling the front desk. He's an excellent doctor, but his secretary was frequently condescending and rude to me. And never answered her phone either.
I told his manager to expect a letter from me. I'm not asking for them to reduce the bills or anything, but they really should know about the problems in their office. He's such a good doctor that he doesn't need his reputation ruined by his poor office staff.