I’m fortunate enough that my last and current jobs have been accommodating if I need to duck out for an appointment. In general the expectation is to make up the time, but that’s flexible depending on how much time is missed.

Other than that, I decided to not have children, so it’s just my wife, me, and our dogs. My wife is 100% wfh, and I’m wfh 3 days a week, so we always have someone here when needed.

Before that when I worked retail and there was no leeway, I neglected things I need to do like going to the DMV, doctor and dentist appointments, and other things that technically could wait, but shouldn’t. In emergency situations, I was expected to find coverage, and one time when I couldn’t, I turned in my two weeks because they weren’t budging.