Extract
T.D. is a sixty-three-year-old woman who fell and fractured her wrist. She
underwent a closed reduction and application of a short arm cast. Following
removal of the cast, she was enrolled in a physical therapy program. She
progressed slowly but eventually did well. Upon completion of treatment, she
sent two bottles of wine to her physician. Two weeks later, T.D. made several
requests of her physician. Despite nearly normal functioning of the wrist, she
asked her doctor to prescribe additional physical therapy and to complete
forms that would justify additional time off from work. She also asked for
letters supporting suspension of her gym membership and alteration of her
vacation plans.