Chapter 7 - THE PHYSICAL THERAPIST
Dr. Morris requested Emma’s physical therapist, Nicole Sanders, provide records.
Nicole had seen Emma twice a week.
Her notes said:
Progress appropriate.
Pain variable.
Child anxious but cooperative.
No evidence of deliberate noncompliance.
Then one entry:
Stepmother repeatedly requests more aggressive home exercise progression despite therapist advising current protocol.
Another:
Caregiver Rachel Reed asks whether “refusal behaviors” justify residential rehab. Advised no indication at present.
Daniel stared.
“She already asked?”
Three weeks before the cane.
Nicole remembered.
Rachel kept pushing:
“What if Emma won’t cooperate?”
“What if Daniel undermines the plan?”
“What documentation would a residential program need?”
Nicole assumed Rachel was anxious.
Then Nicole produced an email.
RACHEL:
Can you amend note to reflect repeated noncompliance?
NICOLE:
That would not reflect my observation.
RACHEL:
You only see her twice a week.
NICOLE:
Then I can document caregiver report separately, not as fact.
That email mattered.
May you like
Rachel had tried to upgrade allegation into clinical record.
Nicole refused.
