Question normal

I've had friends who have had to stop seeing their therapists because that weekly visit does not fit their demanding residency schedules. At the same time, they reasonably do not want to seek treatment at their hospital, which may be convenient but risky in terms of running into colleagues or patients they know. Lastly, trainees can take time off if they get pneumonia, but asking training directors for an hour off a week to make an appointment seems less ok. How do you think about these issues?