Do not let a patient’s proxy sway the premium surgery process

This topic may be a bit far-reaching for premium surgeons, but it seems my recent daily cataract surgical evaluations have at least one patient simulating Munchausen syndrome by proxy.
In 1977, Meadow used the term Munchausen syndrome by proxy (MSP), now known as factitious disorder imposed on another, to describe when parents produce histories of illness in their children and support such histories by fabricated physical signs and symptoms or even altered laboratory tests. The person with MSP does not seem to be motivated by a desire for any type of material gain.
Why does MSP have any