You might want to try looking a little further away, waiting more than a year really isn't worth it to save a little money and commute time. The nearest Dermatologist other than that one would be in Toronto, which is around 7 hours away from where I live. Maybe I could set up something if what I'm trying now doesn't work to my liking. I'm going to try the natural approach (better food, exercise, water) and if that fails I'll try Accutane.