What is my next best step?
Oh no! ok, 1. Explain to the medical provider what happened and ask to be called if there is a cancellation. Keep your phone on. 2. explain to the family that you really like working for them but you need to tell them something. Tell them it really caused you a lot of trouble, that they came late, bc you were to have a medical appt! and ask them to call you next time in case you have something scheduled that you cant afford to miss. Youre not their slave. ( dont tell them that! :) ). You should be considered bc you and your plans are important too. 3. at least they should pay you overtime. Maybe renegotiate your contract. If you work outside of set hours, you must be consulted in advance, and paid time and a half or double time.