First class

Patient : I have back problems and I have to go to California for my disability hearing . My ex employer is paying for my travel . Since my back hurts I cannot travel by car that long a distance .  Can you write me a letter saying I need to travel by air since it will be shorter and my back won’t hurt as bad .

Dr ( after A lot of deliberation ): ok here is your letter . I understand it will be difficult for you to travel more then a thousand miles in  a car , so yes you should go by air . That’s what I would have done if I had to go to California 

Patient: can you write me a letter saying I have to travel in first class.