Maybe someone was reprimanded about it. I'm not saying someone shouldn't have contacted your wife but maybe the dr already told your wife she needs to drop a few lbs and exercise. Nobody even has to tell me, I know that. You will be disappointed if you expect everything to run like in the military. These are regular people with jobs, they didn't call for whatever reason. I'm not excusing it just saying these things happen. Unless it's serious, it's the nurse who will call or an assistant. My drs office always says if they don't call it means it's ok and they'll discuss it at my next appt. if I'm really worried, I call them and I get an answer.