GIBBONS, J., delivered the opinion of the court, in which CLAY, J., joined.
GRIFFIN, J. (pp. 474 - 478), delivered a separate opinion concurring except as to Section II B.
OPINION
JULIA SMITH GIBBONS, Circuit Judge.
Appellants West Paces Medical Center (“West Paces”) and HCA, Inc. (“HCA”) appeal a discovery order issued by the United States District Court for the District of Columbia in the case of United States ex rel. Pogue v. Diabetes Treatment [465]*465Centers of America, Inc. Plaintiff-appellee Scott Pogue brought suit under the False Claims Act, 31 U.S.C. § 3729 et seq., alleging that various financial incentive arrangements between health care providers and referring physicians violate federal law. Pogue’s case was filed in the United States District Court for the Middle District of Tennessee (the “Tennessee district court”). On October 26, 2000, the Pogue case was transferred by the Judicial Panel on Multi-District Litigation (“JPMDL”), along with related cases from at least ten other districts, for consolidated pretrial proceedings before Judge Royce C. Lam-berth in the United States District Court for the District of Columbia (the “D.C. district court”).
West Paces, a hospital, was one of the original defendants in the Pogue case, but had the claims against it dismissed on May 27, 2004, pursuant to a settlement agreement. The Pogue case continues, however, against Diabetes Treatment Centers of America, Inc. (“DTCA”). HCA, a health care provider with approximately 191 affiliated hospitals worldwide, wholly owns West Paces. Pogue maintains that both West Paces and other HCA-owned hospitals maintained illegal relationships with DTCA. In addition to being the corporate parent of West Paces and the corporate parent of other hospitals allegedly connected to DTCA, HCA is itself a party defendant in many of the other multi-district litigation (“MDL”) cases that have been consolidated before Judge Lamberth along with the Pogue case. The consolidated litigation is collectively captioned In re Columbia/HCA Healthcare Corp. Qui Tam Litigation, No. 10-MS-50 (JPMDL No. 1307). Despite these connections, HCA has never technically been a party to the Pogue ease.
During discovery, HCA inadvertently disclosed certain documents to Pogue. Before Pogue could copy the documents, however, HCA recovered them and asserted that it would not reproduce them because they were privileged attorney-client communications. The district court’s order, which forms the basis of this appeal, compels HCA to turn over to Pogue the previously disclosed documents and further orders that any privilege over the subject matter of the disclosed documents has been waived.
For the following reasons, we dismiss the appeal for lack of jurisdiction.
I.
On February 20, 2002, Pogue served a subpoena duces tecum on HCA, which is headquartered in Nashville, Tennessee. Because Pogue sought to inspect HCA documents in Brentwood, Tennessee, the documents-only subpoena issued from the Tennessee district court.1 After the parties failed to agree on the scope of the production that would occur pursuant to the subpoena, Pogue moved to enforce the subpoena in the D.C. district court. HCA filed a short response to Pogue’s motion, asserting that the D.C. district court lacked jurisdiction to enforce the subpoena duces tecum because only the issuing court may enforce a subpoena. HCA informed Judge Lamberth that it would move the [466]*466Tennessee district court to quash the subpoena.
HCA then filed a motion to quash in the Tennessee district court. In its supporting memorandum, HCA argued that the Tennessee district court was the most appropriate forum to rule upon its motion to quash. Pogue filed a response, opposing the motion, in part, on the grounds the MDL court was the most appropriate forum to enforce, modify, or quash the subpoena. On November 21, 2002, the Tennessee district court issued an order finding that it lacked jurisdiction to consider HCA’s motion to quash. The Tennessee district court held that a motion to quash a subpoena issued in a case that has been transferred for MDL proceedings must be decided by the MDL court, because the motion to quash is part of the consolidated pretrial proceedings. HCA did not appeal the Tennessee district court’s order.
After the Tennessee district court denied HCA’s motion to quash, HCA refiled the motion in the D.C. district court. Pogue then refiled his response to HCA’s motion to quash, as well as the Tennessee district court’s order. Thus, the D.C. district court effectively had before it all of the documents filed with or issued by the Tennessee district court.
In a memorandum opinion and order issued on December 18, 2002, Judge Lam-berth found that he had jurisdiction to rule on Pogue’s motion to compel compliance with the subpoena. United States ex rel. Pogue v. Diabetes Treatment Ctrs. of America, Inc., 238 F.Supp.2d 270, 273 (D.D.C.2002). Finding that HCA’s motion to quash the subpoena was untimely, failed to comply with the local rules of the district in which it was filed, and failed to satisfy the signature requirement of Fed. R.Civ.P. 7(b)(3), Judge Lamberth held that HCA had failed to challenge the merits of Pogue’s motion to compel. Judge Lam-berth issued an order enforcing the subpoena duces tecum as written. Id. at 278-79. In another memorandum opinion also issued on December 18, which concerned the progress of discovery, Judge Lam-berth stated that he trusted that HCA’s response to the discovery orders would take place within the month.
HCA began producing boxes of documents pursuant to the subpoena duces tecum and the D.C. district court’s order enforcing the subpoena on January 6, 2003. Pursuant to prior protective orders issued by the D.C. district court, Pogue’s counsel would review and mark for copying documents of interest, at which point counsel for HCA would screen the marked documents for confidentiality and patient confidentiality. On February 11, 2003, HCA produced 399 additional boxes of documents. During its review of these boxes, Pogue’s counsel identified and marked for copying various documents. Pogue’s counsel also took notes memorializing one such document — a letter from HCA attorney Richard Knight to Joe Calcutt, the Chief Financial Officer of West Paces. The Knight letter discussed a loan from West Paces to a physician. Later that day, during the protective-order review of the documents marked for copying, HCA contract attorneys discovered both the Knight letter, on which Pogue’s counsel had taken notes, as well as one other similar letter. The HCA attorneys removed these documents from the boxes to be copied. The next day, HCA’s counsel sent an email to Pogue’s counsel, indicating that the documents marked for copying had been reviewed “for confidentiality and patient confidentiality” and were ready to be picked up for copying. HCA did not inform Pogue that it had removed any documents from the boxes.
[467]*467Upon additional review of the boxes that were ready for copying, Pogue’s counsel discovered that the Knight letter had been removed. Pogue’s counsel immediately faxed a letter questioning HCA’s counsel about the removal. HCA’s counsel then confirmed that the Knight letter, as well as one other letter that had been marked for copying, had been removed subsequent to Pogue’s review of the documents. HCA’s counsel asserted that the two letters, which HCA claimed were produced inadvertently, had been removed from the copying boxes because they were protected by the attorney-client privilege. Counsel for Pogue and HCA exchanged letters. Generally, Pogue’s counsel argued that any privilege had been waived and the documents must be returned to the boxes. HCA’s counsel argued that the privilege had not been waived by the inadvertent disclosure and that the documents would not be returned.
Pogue moved the D.C. district court to compel production of the documents removed from the copying boxes and for sanctions. On May 18, 2004, Judge Lam-berth found that the inadvertent disclosure of the documents effected a waiver of any attorney-client privilege that might have protected their disclosure. Judge Lam-berth also held, under the precedent of the D.C. Circuit, that the scope of the waiver included all communications relating to the same subject matter. Accordingly, Judge Lamberth entered an order compelling HCA to produce the removed letters and any other communications relating to the same subject matter. Defendant HCA filed a motion to alter or amend the order, which the district court denied. HCA filed a timely notice of appeal.
II.
The substantive questions underlying this appeal are whether the inadvertent disclosure of the allegedly protected documents constitutes a waiver of the attorney-client privilege and, if it does, what is the scope of such a waiver. The parties also dispute whether Judge Lamberth should have applied D.C. Circuit or Sixth Circuit precedent on inadvertent disclosures in deciding these issues. Before we might address these questions, however, we must determine whether we are the correct court to review this order and, if so, whether we may review it at this time. Although we conclude that this appeal was taken to the correct court of appeals under 28 U.S.C. §§ 1294 and 1407; we hold, in accordance with 28 U.S.C. § 1291, that the order is not reviewable at this time.
A.
The MDL statute, 28 U.S.C. § 1407, allows for the transfer of civil actions that are pending in different districts to a single district for coordinated or consolidated pretrial proceedings if the cases involve one or more common questions of fact. 28 U.S.C. § 1407(a). Although the MDL statute does not address which appellate court is the proper appellate forum for appeals from an MDL court’s pre-trial orders, the general rule is that appeals from reviewable decisions of a district court are taken to the court of appeals for the circuit embracing that district. See 28 U.S.C. § 1294. Appeals from pre-trial orders issued by an MDL court are ordinarily no different; these appeals typically go to the appellate court embracing the MDL district court. See In re Corrugated Container Antitrust Litig., 662 F.2d 875, 880 (D.C.Cir.1981); In re Plumbing Fixture Cases, 298 F.Supp. 484, 494-95 (Jud.Pan. Mult.Lit.1968); see also In re Upjohn Co. Antibiotic Cleocin Prods. Liab. Litig., 664 F.2d 114, 116-18 (6th Cir.1981).
When the MDL court’s order that is being appealed compels some discovery [468]*468action by or imposes a discovery sanction on a nonparty located in a foreign district, however, our analysis is different. As- the Fifth and D.C. circuits held in the Corrugated Container cases, appeals from orders holding a nonparty deponent in contempt go to the circuit court of appeals embracing the deposition or discovery district. See 662 F.2d at 880-81; In re Corrugated Container Anti-Trust Litig., 620 F.2d 1086, 1090-91 (5th Cir.1980). Accord In re Corrugated Container Antitrust Litig., 644 F.2d 70, 74 n. 6 (2d Cir.1981); In re Corrugated Container Antitrust Litig., 655 F.2d 748, 750 n. 2 (7th Cir.1981). Although this court has never explicitly considered the analysis underpinning the Corrugated Container decisions, we find the reasoning, which we explain in the following two paragraphs, persuasive.
Pretrial proceedings in MDL cases operate pursuant to both Section 1407 and the Federal Rules of Civil Procedure. Therefore, we start by examining discovery involving nonparties under the Federal Rules in general. A subpoena to depose a nonparty witness or for document production from a nonparty must issue from the court for the district where the deposition will be taken or the production will be made. Fed.R.Civ.P. 45(a)(2)(B)-(C). Moreover, any disputes that arise over the subpoena of a nonparty are decided by the court that issued the subpoena. See Fed. R.Civ.P. 45(c)(2)(B) (“If objection is made, the party serving the subpoena shall not be entitled to inspect and copy the materials or inspect the premises except pursuant to an order of the court by which the subpoena was issued.”). The power to quash or modify the subpoena likewise resides with the issuing court. See Fed. R.Civ.P. 45(e)(3)(A). In addition, a non-party witness cannot be compelled to travel more than 100 miles from where the witness resides, is employed, or regularly transacts business in person to comply with the subpoena. See Fed.R.Civ.P. 45 (c) (3) (A)(ii). With regard to the district court’s enforcement authority, the Federal Rules provide that a motion to compel discovery or disclosure by a nonparty must be made to the court in the district where the discovery is being taken.2 Fed. R.Civ.P. 37(a)(1). Finally, a nonparty that refuses to comply with such an order is thereby in contempt of and subject to sanctions by the court that issued the order.3 Fed.R.Civ.P. 37(b)(1). Thus, the Federal Rules are designed to ensure that district courts remain firmly in control of those depositions and document productions involving nonparties located in their districts.
Because these rules could hamstring an MDL court’s ability to conduct coordinated pretrial proceedings over cases that have been consolidated from far-flung foreign districts, the MDL statute empowers an MDL judge to act as a judge of the deposition or discovery district. See 28 U.S.C. § 1407(b) (“The judge or judges to whom such [MDL] actions are assigned ... may exercise the powers of a district judge in any district for the purpose of conducting pretrial depositions in such coordinated or consolidated pretrial proceedings.”). A judge presiding over an MDL case therefore can compel production by an extra-district nonparty; enforce, [469]*469modify, or quash a subpoena directed to an extra-district nonparty; and hold an extra-district nonparty deponent in contempt, notwithstanding the nonparty’s physical situs in a foreign district where discovery is being conducted.4 However, because the MDL judge is acting as a judge of the deposition or discovery district when he uses the authority outlined in Section 1407(b), appeal from the exercise of such authority lies in the circuit court embracing that deposition or discovery district.
In this case, Judge Lamberth acted as a judge of the Tennessee district court when he issued the order compelling HCA to return the inadvertently disclosed documents. Indeed, Judge Lamberth expressly invoked the authority of the Tennessee district in the order that enforced the subpoena in the first instance, stating that the D.C. district court was “act[ing] as a Court of the Middle District of Tennessee in regard to the subpoena duces tecum issued by [Pogue] to HCA ....” Id. at 279. The accompanying memorandum opinion likewise states that “this Court finds that it has jurisdiction to entertain [Poguej’s motions to compel compliance with his subpoenas duces tecum as a judge of the Middle District of Tennessee.” Pogue, 238 F.Supp.2d at 273. Although Section 1407(b) empowered him to do so, appeal from this decision and order lies in the circuit court of appeals embracing the discovery district. Judge Lamberth acknowledged this too, stating that “appeal goes to the circuit of the district in which the deposition is being taken because of the ‘need for uniformity in decisions on depositions within each of those circuits.’ ” Pogue, 238 F.Supp.2d at 276 (quoting Corrugated Container, 662 F.2d at 881 n. 11). Our decision that we are the proper appellate court to review the order under Sections 1294 and 1407 is therefore consistent with Judge Lamberth’s previous decisions in this case and the parties’ reasonable expectations.
Pogue makes a number of arguments asserting why this court lacks jurisdiction to hear HCA’s appeal under Section 1294. Pogue first argues that the D.C. Circuit is the appropriate court to hear the appeal because the Tennessee district court previously dismissed HCA’s motion to quash for lack of jurisdiction and HCA chose not to seek review of that decision in this court. According to Pogue, the Tennessee district court’s decision to dismiss the motion to quash without prejudice for jurisdictional reasons, which HCA did not challenge, is the law of the case. Similarly, Pogue argues that HCA’s elective filing of its motion to quash in the D.C. district court, which followed the Tennessee district court’s dismissal of the motion, thereby waived this court’s jurisdiction on appeal.
These arguments by Pogue largely depend on an unwillingness to accept Section 1407(b)’s directive that an MDL judge may act as a judge of the deposition district court, as Judge Lamberth did in this case. We also note, however, that none of the events leading up to Judge Lamberth’s exercising his authority under Section 1407(b) divested jurisdiction from this [470]*470court. The Tennessee district court’s jurisdictional ruling did not limit our jurisdiction on appeal. Nor did the Tennessee district court try to do so; rather, it stated, “this, District lacks the jurisdiction to consider the motion to quash the subpoena duces tecum.”5 We also do not see how HCA’s litigation strategy — either its filing the motion to quash in the Tennessee district court or its defending the motion to enforce in the D.C. district court — can define this court’s jurisdiction over an appeal under Section 1294.
Pogue’s other arguments generally press the notion that HCA, although not a party, is a unique type of nonparty deponent. According to Pogue, HCA was the “raison d’etre ” and the “animating force” for the MDL proceedings. It is true that HCA was a party to other litigation consolidated before Judge Lamberth. HCA also owns West Paces, one of the original defendants in the Pogue case. Judge Lam-berth’s order, however, clearly refers to HCA as a nonparty. Pogue, 238 F.Supp.2d at 279-80. Whatever connections may exist between HCA and the Pogue case or the larger MDL litigation, HCA is plainly not a party to the Pogue case. As a nonparty compelled to produce disclosed documents, HCA correctly appealed to the circuit court of appeals embracing the deposition district.
Finally, Pogue argues that, with regard to only appellant West Paces, the D.C. Circuit properly has jurisdiction over its appeal because West Paces, unlike HCA, was a party to the Pogue litigation. We note that the original subpoena duces tecum and the D.C. district court order enforcing the subpoena duces tecum as written were directed only at HCA. It is only Judge Lamberth’s final order compelling [471]*471production of the three removed documents that refers to “HCA/West Paces” as the subject of the order. It appears likely that the challenged order is limited to HCA because the original subpoena duces tecum and the prior order to enforce the subpoena were limited, as we understand them, to HCA. Nonetheless, any necessary clarification of this issue is left to the D.C. district court in the first instance.
Having concluded that we are the correct court to review the order compelling disclosure under Sections 1294 and 1407, we must now decide whether the order is a reviewable decision.
B.
Under 28 U.S.C. § 1291, we review only “final decisions” of district courts. The Supreme Court has “consistently interpreted this language as indicating that a party may not take an appeal under this section until there has been a decision by the District Court that ends the litigation on the merits and leaves nothing for the court to do but execute the judgment.” Firestone Tire & Rubber Co. v. Risjord, 449 U.S. 368, 373, 101 S.Ct. 669, 66 L.Ed.2d 571 (1981) (internal quotation omitted). The requirement of finality has “deep roots in American law.” Starcher v. Corr. Med. Sys., Inc., 144 F.3d 418, 422 (6th Cir.1998), aff'd sub nom. Cunning ham v. Hamilton County, 527 U.S. 198, 119 S.Ct. 1915, 144 L.Ed.2d 184 (1999). In Cobbledick v. United States, 309 U.S. 323, 326, 60 S.Ct. 540, 84 L.Ed. 783 (1940), the Supreme Court noted the origin of the finality requirement in the Judiciary Act of 1789. The final judgment rule prevents “piecemeal appeals,” the allowance of which can undermine the independence of the district judge, obstruct the resolution of just claims by means of harassment and cost, or generally prevent efficient judicial administration. Firestone, 449 U.S. at 374, 101 S.Ct. 669.
Discovery orders generally are not final decisions and cannot be reviewed unless the trial court enters a final judgment disposing of all claims. Starcher, 144 F.3d at 422. In Alexander v. United States, 201 U.S. 117, 26 S.Ct. 356, 50 L.Ed. 686 (1906), the Supreme Court held that an order compelling nonparties to produce subpoenaed documents is a non-appealable interlocutory order. Id. at 121, 26 S.Ct. 356. The Court in Alexander stated that the necessary finality would exist, however, if the nonparties were held in contempt of the order. Id. at 121-22, 26 S.Ct. 356. The rule laid out in Alexander — that an individual seeking to appeal a discovery order must first disobey the order and suffer a contempt citation — remains the general rule today. As this court has previously noted, “[t]he Supreme Court’s adherence to the Alexander procedure for obtaining appellate review of discovery orders has been unswerving.” Starcher, 144 F.3d at 422 n. 4 (citing Church of Scientology of Cal. v. United States, 506 U.S. 9, 18 n. 11, 113 S.Ct. 447, 121 L.Ed.2d 313 (1992)); (United States v. Ryan, 402 U.S. 530, 532-33, 91 S.Ct. 1580, 29 L.Ed.2d 85 (1971)); see also Cunningham, 527 U.S. at 204, 119 S.Ct. 1915 n. 4 (1999) (“[W]e have repeatedly held that a witness subject to a discovery order, but not held in contempt, generally may not appeal the order.”) (collecting cases).
Despite these requirements, HCA argues that this court has jurisdiction over this appeal pursuant to the collateral order doctrine of Cohen v. Beneficial Industrial Loan Corp., 337 U.S. 541, 69 S.Ct. 1221, 93 L.Ed. 1528 (1949). In the alternative, HCA requests that this court convert its appeal into a petition for writ of mandamus, which it claims is “an appropriate vehicle” with which to address the novel [472]*472and important issues of inadvertent waiver.
The collateral order doctrine is an exception to the final judgment rule. See Quackenbush v. Allstate Ins. Co., 517 U.S. 706, 712, 116 S.Ct. 1712, 135 L.Ed.2d 1 (1996). Under the doctrine, an order is appealable under Section 1291 if the order (1) conclusively determines a disputed issue; (2) resolves an issue separate from the merits of the action that is too important to be denied review; and (3) will be effectively unreviewable on appeal from a final judgment. Id.; see also P.R. Aqueduct & Sewer Auth. v. Metcalf & Eddy, Inc., 506 U.S. 139, 144, 113 S.Ct. 684, 121 L.Ed.2d 605 (1993). This court has repeatedly held, however, that discovery orders are generally not appealable under the collateral order doctrine. See, e.g., Starcher, 144 F.3d at 424; Coleman v. Am. Red Cross, 979 F.2d 1135, 1138 (6th Cir. 1992); FDIC v. Ernst & Whinney, 921 F.2d 83, 85 (6th Cir.1990); Dow Chem. Co. v. Taylor, 519 F.2d 352, 354-55 (6th Cir. 1975). Rather, to obtain review from this court, a complaining party must disobey the discovery order and incur an appeal-able contempt citation if that party is able to do so. See Coleman, 979 F.2d at 1138; Taylor, 519 F.2d at 355. HCA has not done so in this case.
We recognize that Judge Lamberth’s order “sanctions” HCA under Rule 37(b) and awards Pogue’s expenses, including attorney fees, under Rule 37(a). This court has previously indicated that an order issuing Rule 37(b) sanctions may be sufficient .to obtain immediate review under the collateral order doctrine. See Dow Chem. Co. v. Taylor, 519 F.2d 352, 355 (6th Cir.1975). In this case, however, the D.C. district court did not find that HCA was in contempt. Moreover, although Judge Lam-berth nominally sanctioned HCA, the only penalty was the requirement that HCA disclose the documents. Thus, we think the “sanction” in this order does not meaningfully distinguish it from a routine discovery order which, absent a contempt citation, is not immediately reviewable. Moreover, in Starcher, this court held that an order imposing fees and costs under Rule 37(a) on an attorney because her opponents were forced to move for. an order compelling her to comply with a previous discovery order was not immediately appealable under the collateral order doctrine. See Starcher, 144 F.3d at 423-24. The challenged order was not “completely separate” from the merits of the underlying case, as Cohen requires. See Starcher, 144 F.3d at 424. On writ of certiorari, the Supreme Court affirmed, holding that no Rule 37(a) sanction should be given immediate collateral review under Cohen. See Cunningham, 527 U.S. at 206, 119 S.Ct. 1915 (“Perhaps not every discovery sanction will be inextricably intertwined with the merits, but we have consistently eschewed a case-by-case approach to deciding whether an order is sufficiently collateral.”). We therefore do not believe that the presence in the appealed order of an expense award or a nominal sanction under Rule 37 alters our analysis.
In addition to the contempt route to review, we have allowed for a petition for writ of mandamus as a “means of immediate appellate review of orders compelling the disclosure of documents and information claimed to be protected from disclosure by privilege or other interests in confidentiality.” In re Perrigo Co., 128 F.3d 430, 436 (6th Cir.1997). Although mandamus relief is available, it “is an extraordinary remedy, only infrequently utilized by this court.” See Perrigo, 128 F.3d at 435. Indeed, the Supreme Court has said that the “remedy of mandamus is a drastic one, to be invoked only in extraor[473]*473dinary situations.” Kerr v. United States Dist. Ct. for N. Dist. of Cal., 426 U.S. 394, 402, 96 S.Ct. 2119, 48 L.Ed.2d 725 (1976). Finally, our cases indicate that mandamus relief is properly limited to “ ‘questions of unusual importance necessary to the economical and efficient administration of justice,’ or ‘important issues of first impression.’ ” Perrigo, 128 F.3d at 435 (quoting EEOC v. K-Mart Corp., 694 F.2d 1055, 1061 (6th Cir.1982)).
The decision whether to grant mandamus relief involves analysis of five factors: (1) the party seeking the writ has no other adequate means, such as direct appeal, to attain the relief desired; (2) the petitioner will be damaged or prejudiced in a way not correctable on appeal; (3) the district court’s order is clearly erroneous as a matter of law; (4) the district court’s order is an oft-repeated error, or manifests a persistent disregard of the federal rules; (5) the district court’s order raises new and important problems, or issues of first impression. Id. at 435 (citing In re Chimenti, 79 F.3d 534, 540 (6th Cir.1996)). Focusing on the first of these five factors, the ability of an aggrieved deponent to obtain an appealable contempt citation constitutes other adequate means to attain the relief desired.
Two recent decisions of this court have noted that two of our sister circuits use the collateral order doctrine, as opposed to mandamus, for immediate review of discovery orders involving claims of privilege. See In re Lott, 424 F.3d 446, 448 n. 2 (6th Cir.2005) (noting United States v. Philip Morris, Inc., 314 F.3d 612, 619 (D.C.Cir. 2003) and In re Ford Motor Co., 110 F.3d 954, 964 (3d Cir.1997)); Ross v. City of Memphis, 423 F.3d 596, 599 (6th Cir.2005) (same); see also Lott, 424 F.3d at 464 n. 5 (Boggs, C.J., dissenting) (suggesting that this court may wish to adopt this position). As those cases note, however, this court has traditionally viewed mandamus as the sole method by which we might review a discovery order involving a claim of privilege. See Lott, 424 F.3d at 449; Ross, 423 F.3d at 599; see also Ernst & Whinney, 921 F.2d at 85. We decline to determine whether the collateral order doctrine or the writ of mandamus is the more appropriate basis on which we might review a discovery order requiring immediate attention. We will assume, solely for the purpose of deciding the jurisdictional question in this appeal, that either jurisdictional basis would allow this court to provide relief in the extraordinary case.6
This case is not, however, extraordinary. HCA has a clear alternate route to achieve [474]*474review of this order. If HCA seeks to challenge the propriety of the district court’s order, it may disobey the order and suffer a contempt citation.7 As the Fourth Circuit noted:
We recognize, of course, that the contempt route is a difficult path to appellate review, and one that may carry with it a significant penalty for failure. In discovery disputes, however, this difficulty is deliberate. As Judge Friendly has noted, the contempt limitation ensures that the aggrieved party will first take a careful “second look” at the issue in question to determine whether it truly warrants inviting a contempt citation. National Super Spuds v. New York Mercantile Exch., 591 F.2d 174, 180 (2d Cir.1979). Indeed, the discovery appeals that arise from that calculus will most likely be those of the greatest significance to both parties-the party resisting discovery must risk a citation for contempt, while the party seeking discovery must move for contempt and thereby risk an interlocutory appeal. Id. The alternative to the contempt route, by contrast, is one that encourages appeal of every unpalatable discovery ruling.
MDK, Inc. v. Mike’s Train House, Inc., 27 F.3d 116, 121-22 (4th Cir.1994) (footnote omitted). Although it is not a party to the Pogue litigation, HCA’s status as both the privilege-holder and document-possessor seeking to prevent disclosure gives it powerful incentives to suffer such a contempt citation.8
III.
For the foregoing reasons, the appeal is dismissed.