Thank you for the sound , rational advise…. I appreciate it.

I agree the blue light treatment would be a judgement call for the doctor. I guess what really seemed so unfair was the fact the doctor did not even see the patient. The PA (Assistant) saw the patient and advised less extreme treatment. The doctor still had not seen the patient when she scolded the PA and told the PA to make the most fo the blue light because it was a piece of equipment that  the doctor had to pay for and that it was very expensive. Without  seeing the patient, without seeing the AK’s etc. Just use the light… it  means $$$$$$$$$…….

That is just wrong I think.