How do you balance work and fertility monitoring?

Lisa
I'm sitting in the dr office waiting for blood work to confirm ovulation (I was on clomid). They want to do an ultra sound as well but can't get me in for a few more hours. I have an 8am meeting at work and work an hour away. I'm obviously not going to make it. Do I skip the ultrasound or ask to work from home for the day? How do you all handle the balance of getting to work on time but having appointments last minute?