Dr. Christopher Piel says the ER is for major things. Minor headaches, sore throats, earaches, coughs, minor abdominal pain, diarrhea, minor cuts, scrapes, burns and sprains can all go to urgent care. UMC's urgent care also runs X-rays and point-of-care tests for strep and flu.

Cold and flu season makes it worse. Piel says UMC covers a region the size of France, and the ER is often at capacity. Falling temperatures and weakened immune systems add to the workload. People with multiple medical problems who catch a cold or flu can get seriously sick.

Some problems belong in the ER every time. Piel names stroke, heart attack, trouble breathing, severe abdominal pain, major cuts and suspected broken bones. Both options stay open 24-7, and Lubbock has two urgent cares and two emergency centers. If you pick wrong, staff can move you to the other one. Choosing right can save you hours.

In the worst cases, an ER wait can hit 13 hours, a long time to sit with a sore throat.