From Dr. William Wilkoff’s “Letters From Maine”:

Yesterday, the last patient of the morning’s routing sheet listed “needs orthotics” as the chief complaint. This meant that I would probably be seeing one of my physically challenged patients who had been wearing orthotics to achieve some reasonable facsimile of ambulation. They had either outgrown or lost the inserts, and now my reapproval and signature was needed so a third party payor might cover at least some of the cost.

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