Reno - 6:22 pm on Dec 1, 2011 (gmt 0)
This has been a very useful exercise that allows everyone to see firsthand how Google search is currently functioning, and I thank the mods for allowing it to go forward.
We see that putting the prime word in the first spot is still bringing back 3 irrelevant results at the top (NOTE: I am not taking into account this thread's position in those SERPs):
dermatologist sunday hours 33458
We also see that when quotation marks are put on "dermatologist", the results are pretty darn good:
"dermatologist" sunday hours 33458
So we see that Google's algo is capable of doing the job, but unfortunately at this juncture, it's just not working nearly as well as it should, and is yet more proof that they don't "know what we want even before we know what we want".
Unless of course, the OP really wanted a burrito...
(Hey, can't fool Google!)