About he same for a Cat or Dog at the Vet for “emergency surgery”.
It is all way out of hand...
When I was a flight attendant, I got a sinus infection and couldn’t fly. Even though I sounded like death warmed over, my supervisor required me to get a doctor’s note. I had to take my dog to the vet and asked him to write me a note excusing me from work and he did. He added a charge to my dog’s bill but it was cheaper than my copay.